HomeMy WebLinkAbout026-939-09-5110-LUP-2023-086 ' SUBMIi COMPLETED RVPIICA�ION AND ��epppD1' ry�
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Zoning&Conservatioe DePart. � -�-�,ie s�amo In.�e�:Pel - ��---- '°��i�,r S � '� ��'�y
30610 Main St Suite a9 j�� �1��
Ma ard,WI 54843 �� "-
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'+,.,� i��'+`. Ro permits will be iswed until all/ees are pa t �� tl ,. i . ,.� � ... �. � �
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0o rvo >raar coHs-aucnory urvn,nu.nfam^s�ave aec^�sAEo Tb"A36LCnnr ��Ongmal�p�¢atron M�1�Y7�ie submitted fILLOUTIN INK NO PENCIL)
Subminai o([his anp��icut�on or�ece�p�ol f��ev�,o���.',.,.,_crst�t�te pe�mitissuanee-
� Owner�s)Name: Contnctods)Name
� C.��-(/L//�C� ���� . ��� ��.�{ ���� � ( C _
i MailingAddrcss: � MailingAddress:
513� ti�r�ar��i�J ��•�.�n�.�,��3(� I ��o��ut f�-�r� �d ���/—��►—�—��
�I Phone: �r��� ��� Phone: " �
' �2�.� '1iS-S'iC�-3`��3 �
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! She addrcss_��r� �l�1�LX�Lj.IW,J�3�.L�.1�.'-,W�,� Or r Uete aVO��ta:_ S�� I s� �C,W1�A l/�-Q.S'f" � JN��)
�.. LeBac1'vIN M �,�,t.!`�����11.'�r��n �� iown of: I J l t'(��� ����i I
, Permit delivery MetAod � �_�Call Owner �Mail Owner �Call Contractor �Mail fontractor I
'_ _ -- _— � r
� � � Is ProDerty/Land within 300 feet of River,Stream I�nc�. I DisW nce Structure is from Shoreline: ? Is your Property
'�, i �nte�macenc) —1 feet � in Finodolain A�e Wetlands
j Creek or Landward side of Floodplain? if yes--continue . vresent?
�horeland _.��— ' ` y'_ Ves
� � �s Properry/W nd within 1000 feet of Wke,Pond or Flowage � Distance Structure is from Shoreline: j '
' I � if yes---contln�e —►I feet I �tio �o
� �
� � Non-Shoreland � �
Describe � Projed Total M of
j value at Time of project type Poundation What Type&Capacity is the
Completion Numb2r bedrooms
` (House,garage,shed,deck, �Stories (Basement, Sewer/Sanitary System�s)
{ ... Addition,etc...) Crawlspace, -,.,:�,;r,n
Ust sepantely Slab) `� � �
S
Dweiling
�
Accessory Bldg
��
ndditian/Ntention
f 0 c'.y.,.S�P-� 4�c
cd_.c� Q�ne:"`�1' .� �. .S�%c.,�.i
Height:
TotalSquare Lowest
✓ Footage Gradeto
Proposed Use Proposed Strudure Dimensions (multipiy per Highest
story► Ceak
� x ►
Residence Ft.
with 2n0 story or loft ( x ' Ft.
( X �
with Basement p�,
( x ►
Residential Use Attached Garage Ft.
/ AccessoryStrudure�exPia��) �.�c� C..�',fJ"1 ( X � (65�0''� 1��
� (detached Yarages,SheEi,boat house3,e�c 1� � �t�
��\
7 Agriculturai � x � C./ Q �
Use Temporery Guest Qua r Bunkhouse �r�i�el'� � ( < � 2 � J� + Ft.�
� x )
_I Commercial/ Deck/Porch/Patio � Ft.
Industrial Use ( x ) v !C j �C
(2"a)Deck/Porch/�atio �Z �Z ;�.) �� ft. �
L Municipal Use ( x )
Other Iexpia�n) ft.
J Other ( X )
Pf111CIP8I SLfUC�Uf2(Agricultural,Commer<ial,Muni[ipa�,Efc) F�,
( X ; 1 l�
Addition/Alteration(e.Pia�n� ��_�P,.� t�'� �' /L1� Ft.
��j'Q Total Non-habitable square feet: � �� ,
Total heWtabk square feet: !( (decks,patios,garages,sheds,storage area&other scructures) '
Uff�in�l:kji¢Ir;".�.�..in IVii IC7�.,!_ ,..,. - .�','0
,i Attach a�lan or Sketch your Property on 8.5"a li"or 8.5"x 14"paper.'MusN Indude location and setback of proposed and existfng structures,roads, j
" driveway,sanitary components,well,lake,river,stream,and wetlands.
�-- -- - - -
�-- ! Setback Setbadc �
Description Descriptfon �
� �.
Measuremmts MeawremeMs �
--___---- ' ---_._--- �,
i
L �
Setback from the Centerline of Piatted Road and/or '� Feet Setback from the Lake(ordinary h�gh-wat<r mark) I � Feet I
�I Setback from the Established Right-of-Way � Feet Setback from the River,Stream,Creek Feet '�,
� Setback from the Bluff�raPvr��ame Feet I
i Setback from the North Lot Line ,.� Peet ^
� Setback from the South Lot Line \� Feet Setback from Wetland } Feet
I, Setback from the West Lot Line Feet Slope within area of ronstruction/disturbance - %Slope
�, Setback from the East Lot Line �, Feet Elevation of Floodplain Feet
Setback to Septic Tank or Holding Tank �: Feet Setback to Well Feet �
Setbatkto Drain Pield I Feet
I Setback to Privy(Portable,Composting) I Feet �
.. .. . . . _ _- � . � � � „���i�,re�ehe boundary�ine trom which tht setbacK m�s t��� �., . '�.
' .. . .. .. �.:s�..��,�i�,.,nwner's e•pense. '.
� .. - �c.. ....,.�� . �....., r -.: .. .. . . "�.'`aet''o�'h-r^ r�.i .�tC�.���.,td�?'har.tn�i�r.irddn���rr frCm�.vF�._, ., . . . �:
; �.� . ,. . ... . . .
� �� .�..,,�.tP(�.i� -....,. r,��. � . .;._-.., .'... ..�r�^r ! n�.:: i_r �',:i:_". .n..,n'.��, '_ '�..-�:'.rrE�Cli�..:�. n5.i._ _._ ...
�
.
I _, �
_ . . �h �tOPozr�.c�.. ' . , r �.�,-V.�.._- ... . . ia.�h .v-�e ,�.... I
Calculate impervious wrfaces.(Roofed,co�crete,paved,and other�rfaces that water nm�ot penetrate.The Zoning Offlce an help you determine If a
surface is considered impervious)
Calculate lot area: �)/ ') J / �
�� Indicate lot size from CSM or NOVUS(cirde one), a d Fi Acrez;Multiply by 43,560=Lot area: � /�7��. �O Square Footage �
�: Cakulate impervious surface area: \�` -!� �I
,� � s �
'' Determine the total size,in square feet,of your projecu listed above(include eaves): .� cq ft. _�j� (_` `� 0.`\ i
\ � lo.
'�. Determine the total size,i�square feet,of all existing roofed structures(include eaves): �,�.�� sq h. �����q���,
l,7Vv ('a
, Determine the total size,in square feet,of all existing paved/bricked/blocked surfaces: sq ft. � �'.�' i
�
�' add these measurements to determine total impervious surfaces:\n".���_sq ft. �� � �
� �r i
� Calculate impervious lot percentage T �
�. Total impervious surface: =Lot area:��5q ft.X S00=impervious surface_��`�% j
i (Mitiga[ion is required if to.a�eKceeds 15%) i
� ••'Notice a separate gnding permit needs W be obtained if disturbed area is writhin the ShorelaM dktrict as inditated on previous page and mee[s crfterW bNow•"
i,
�i, � Grading on a slope greater than 20% _ Grading of more than 1,000 Sq.Ft.on 12%-20%slopes
Grading of more than 2 000 SQ.Ft.on Slopes lers than 12% Grading is in excess of 10,000 Sq.Ft.
. . "AF11N(,CJNCI��,.�..;.- _..., - . ' . . �.
I I(we)declare that this application(indiding any accompanying Information)haz been examined by me(uz)and to the best oE my(our)knowledge and belie(it is true,mrrect and I
mmplete.I(we)acknowleAge that I(we)am(are�responsible for the detail and acturaq of all information I(we)am�are)providing and that it will be relied upon by Sawyer I
, County in determining whether to issue a permit I(we�further accept liability which may be a result of Saxryer Cowrty relying on this�nformatlon I(we)am(are)providing in or
' with this application.I(we)consent to counry officials charged with administering counry ordinances to have access to the above descnbed property at any reasonable time for tbe
' purpose of insp ion.Additionally,the undersignrd person�s)hereby give permission tor access to the property for onsite inspection 6y Municipal Officials.
i
� Owner Owner
signature Printed name SAMANTHA CLARKE oate o3/�6/ZOZ3 � _
i
N(���-., ' � . � � � I
�
�. ��.tii_t .n 7f Nr�.. ....., ,.. ... . .. . , , . . ... .
�. � . :;ate u�Federa��ag��.. . �.ev ais:;�e.r��ue p�r^�,t..
� You are responsible for comp:ying with tbe requirements of the Sawyer Counting Zoning Ordinances and law and regulations of the State of Wisconsin.You are also responsibte for
comptying with State and Federol laws conceming construction neai or on wetlands,lakes,and sVeams.Failure to comply may result in removal or moditication of constnxtion
that violates the law or other penalties or cosis.For more information,visit the department of naturel resources wetlands identification web page or contact a department of
❑amral resourres service center(608)2673125
I luuance information(County Use Only) i �nitary Number: ; �of bedrooms:
�'�, Permit Denied(Oate): Reason for Denia�: �
i �
� Permit#: I Issuing agent Date: '��,
i �3`�"�i��� �������-�y �`� �°�c}�
� __ -
� Is Parcel a Sub-Standard Wt Yes (Deed of aecore� no �, Mkigation Reqwred 1�'es `ti�-o '
�� 15 Partel in Common Ownership ���:Ves (fused/Contiguous loqsU N� �'�, Mitigation Attached �'� ��Yes ��vo ��,
Is Structure Noa-Conforming , Yes .No �� �
�'�, Granted by Variance(B.O.A.) ; Granted by Conditional Use �
' Ves "�No Case k: � Ves -�.No Case k:
i No �
� Was Parcel Legally Created Ya No Were Property Lines Represented by Owner .�es I
iWas Proposed Building Site Delineated Yes No Was Property Surveyed Yes �'No
�t ^ ,
� Office Comments: �� .�r ` ,,,.;-h- �� -�;;,: ` Zone District: ! Fee: �i�-�L'�" .,(�r��
G� ..+-a�-� .��� � "Zc=• r � , � ��y�/ C `�'. J
�„0����c.�-�, �"�C���,J,'� �v ��o"`-:,�,, o�c c��,.� ��� `/�� ��" j���-! � l^
.3�1�" �t..ZL-> =\<� �L C>��ec,��i /
� Hold fe�San4ary: Hold For TI3A� Hold Fn��(t�dav�! Hold For Fees: __.__. ; .__.___-.. ._ _ �'�
�San2D20 � `_ _ �`���,vt� �.+*� C�d��-
h'X/
Redl EStdt2 Sawyer County Property Listing Property5[atus: Current
Today's Date:5/1/2023 Created On:2/6/2007 7:55:47 AM
�Description Updated:7/7/2022 �Ownership Updated:7/7/2022
TaxID: � 28121 CLARKE TRUST EDINA MN
PIN: 57-026-2-39-09-09-5 OS-001-000100
Legacy PIN: 026939095110 Billing Address: Mailing Address:
Map ID: :1.10 CLARKE TRU57 CLARKE TRUST
Muni[ipality: (026)TOWN OF SAND LAKE 5132 HANKERSON AVE 5132 HANKERSON AVE
STR: 509 T39N R09W EDINA MN 55436 EDINA MN 55436
Description: PRT GOVT LOT 1 LOT 2 CSM 20/92
#5792 �Site Address *indicates Private Road
Recorded Acres: 0.660 6812N FLEUR DE LN � STONE LAKE 54876
Calculated Acres: 0.876
Lottery Claims: 0 J property Assessment Updated:9/28/2017
First Dollar: Yes
Waterbody: Lac Courte Oreilles 2023 Assessment Detail
Zoning: (RRl)Residential/Recrea[ional One Code Acres Land Imp.
ESN: 423 G1-RESIDENTIAL 0.860 312,100 318,400
2-Year Comparison 2022 2023 Change
�Tax Districts Updated:2/6/2007 Land: 312,100 312,100 0.0%
1 State of Wisconsin Improved: 318,400 318,400 0.0%
57 Sawyer County Total: 630,500 630,500 0.0%
026 Town of Sand Lake
572478 Hayward Community School District
D01100 Technical College �
Property History
N/A
• Recorded Documentr Updated:4/20/2023
WARRANTY DEED
Date Recorded:3/18/2022 438388
BUNKHOUSEAGREEMENT
Date Recorded:4/12/2023 444036
WARRANTY DEED
Date Remrded:3/18/2022 438187
WARRANTY DEED
Date Recorded:9/18/2020 426555
SPECIAL WARRANTY DEED
Date Recorded:3/1/2017 405625
TRUSTEES DEED
Date Recorded:ll/6/2015 398536
TRUSTEES DEED
Date Recorded:l0/3D/2007 349962
WARRANTY DEED
Date Recorded:12/3/2002 305897
CERTIFIED SURVEY MAP
Date Recorded:7/20/1998 269383
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. ��ocId:8074b3i
� • » � • - Tx:4047886
•USE BLACK iNK ONLY• . �46759
PA!!LA CHISSER '
SHGRElAND MITIGATION AaREEM�IT REGISTER OF DEEDS
SAWYER COUNTY, WI
������� 10/06J2fl23 12:10 PM
RECORDING FEE 30A0
C 1�'C 1�.�1�.��-
���,,m� �,� 6 . 9 3 9 . o�t . S � 1� •pAGES: 3
� �__ �� `_
. � o� � .
E�ddattb gsraaseel�e toraht��dsA�nea�o�9a(�eM� •
deaorne�k qomded •���P�tnu�ll0 aekAed�19me •
Frt�Rh �Sanioaaale�olo�p�o�►P�� '
�oL�1eQ snd�A�aea�ad.
Wlwa!x ��0 t�ta�8u�o 4f lloywatd,MR�
� L,�.�;-�`� �.�r.s v"t �<..��-.� herebv enlet h�o at!Agn�meid for�a�a1
�- -
an(�te olap�Q �1��--�, a5 �u.�� -
EofOt�ectytae�bdat(edd�eec) ����. 1J �c�e.._'C �� ��
ffi������� This shoreland prexervatinn agreement supercedes document numher 4445R2,recorded on
0 5/1 9120 2 3
Thk ege�eem�,�b�►o�mr a wopal�r at�ad.neteb�►c�aaes a�!u,e��9on on aa�a wo�a�q►
w�1 ae oompi�a A�pram�s mm�be aeteaea ay�r a a�agr�rt� F�eted o�to�owhg�
��4�1�Y��P�!►sub�d bo tt�Ag�en!�have a��ial�oo�ed sdc montlis
sBe�Lar�d We Pmr�iib(s�ted. The prcpart�►fs anbJee!to @r1a ApreOmeM in PuP��h.�����P
�. •
1'1�.v�(�)l�Ahere�maf�►at�at�ed repr�t�a a�e�u,�!aer�ood��e ox�s pto�►m
!ha abova d�elp��Oa l�ta�s a�B�OMA and B.�OOPM.Mandsl►�os��Frida�►IS�Wnn&i�(1)POWHiBr 8svryer
co�►zo�n�o�e��o a.�a.�aa n��n�oom�e��a u�ero�p�. . .
vto�n or tl�Apr�d w!0 n�e.tn�m o1�p�l�ana�t requ�sa�are S�C�►I�oa�
OMr�es.6�t��oi satd p�uat�r.d�BOa tar Fffi�g Pem�t AppOw6on�AD p�s ag�e timt lids
RA�!��d w�h tlu Sawyet Cour�►Zon�tB 8 Coata�vatlo�D�and teoo�de�w�A►e Sa�ryat CountY
. . . .
�* ACKNOWL�fleA�T
�. �� �h'I��n.�ta
t�ou�tty ot /��o��
, f -_��� �1.�_�� b b tae on fb� �
lW J 20`
Dat� By(Owne�a 1�lamer
� - Z� Z�Z� �y�,�s���
.
orslted b�r. �a�ocnun��to„��es ou 2!0
c�t- �jC�p�.,�,
Pm�oral�a yan A�aldo mar0a wed(ot�eeond�rAwPosec�'V+r.�tS.o4(q pnp Rew OOf1�116
JENNIFER ANN FISMER
� NOTARYPUBIIC-�AMiESOTA
My Car�n+iesion Expiht
Januery 31,20Q6
MltlgaUon polnb are►equlred for devalopfng Praperty owner opdons�o eam mlHgetlon polnts
property under the fotlowing condklons. indude:
• Impervious s�aface eoverage B greater Ilemoval of a strusture wllMn alro�eland�dc
than 15%but leu dfa�2096-3 palrKs ❑ � s 100 Ft�-i Pt �
�❑ 101 FL=-250 Ft�-2 Pts
❑ 275Ift�-3pts.
• Impervfous surface mverage h geacer �����rt of a rain gerde�
than 2096 but less than 3 4 polrBs � � Treab 0�250 Ft�-1 Pt
� Treatt 751-5�Ft�-2 Pts.
❑ Treats greater tlwn 500 Ft=•3 Ptt
• 5 240 R'tateral�pm�on of ❑Pessive Restoratbn(Nant�al Recovay)of a
Namm�formNg prkrclpai stnuture wlthin �p�nt shoreland bufler-i point
tha shoratand set-lmdc-2 poTMs ❑ �Reduttng width of allowable vtew a� aP+S.
aaess mrtidor(s►-i polM for every 30
foot reduetlon-ao-�.,;�'Cr..Z.�;�.T�o-..
��o-..� 30'/.
Rekratton of Nonronfortni�prindpal �Inaeasing depth of an ad�in;complt�nt
• sVixture wkhTn the shoreland setbaek• sfioreland buRer-1 pTM for erary 10 f�t of
1 polM ❑ depth-�"`�\��. 57 S Ze.e,7 .
❑Eltmineu shoreline I(ghtiog S 35'from lake
shore-3 potnt�Musi suhmR befare and eftar
• Open stdad siructure iequlri�at least photographsJ
7094 of tha half of the shoreland setbadc ����p�t siroretand 6uikr-2 poiMa
area that ls nearest to the wmr h m�ed
by a vegebttve bufler zons a�per �Active sestoratbn(Acrsieraeed Re�nvery)of a
SS9.692(ivJ,Stats. 35'shoreland buRv 1 pah�b
❑Sea Wap Remowl ami Bank Sta6�mtloa-2
pohKs(ONR permitt moy hr requiredJ
❑Reptacement of steel septic tank•i pote�
(Ta�k must be I�sUlled before SMA Is
recorded) .
❑Imblladon of a Smrtn water IM{Itrotbn
System-3 poiMs
❑Increasfng Shoreland Setbado-i point iw
every].5 foot increase beyo�rcqWred.
(ma�(mum of 3 pai�tb)
----�ot 2 of-Gertifed-Swr-ve�-�irlap I�lc. 5792-as re�orded in Volums 20 of-Swrveys on Page
92 as Document �Io. 269383, �located in and b�eing part of the Gavernment Lot 1 ,
Section 9, Township 39 North, Range 9 V�est �r► the 'Town of Sand Lake, S�.wyer
Caunty, Wisconsin. �
I BUNKHOUSEI��AGR�MENT EST QUARTERS I I IIIII�'I IIII I I:IIIiII IIl III
�
` DocId:�ia68993
O�vners Name(s)as shown on deed: ' Tx:�Q443��
' tf� I �(,�)�_ 444�36
, �'�� ��C �� ` `�- `''� PAULA CNISSER
Parcel Idenf i ation Number: � � ] � ,-� / � REGISTER OF DEEDS
(12 Digit Legacy ID) (�QC �-���-� �- � � /_� SAWYER COUNTY, WI
04/12/2023 08:17 AM
This Agreement must include the following exhibits: FtECORDING FEE 30.00
Exhibit A:Leqal Description of the real estate for which this Agreement applies("properry") PAGES: 4
Exhibit B:Land Use Permit Mapls)—shows an accurate location and layout of designated
bunkhouse or temporary guest quarters.
Return to: Sawyer County Zoning and Conservation Department
10610 Main St.Suite 49,Hayward,WI 54843
� �
I, hereby enter into an Agreement for Bunkhouse/Temporary Guest
Quarters on ate of agreement): i'���-��-�. ;�� -�� -3 �� for property located at(address'�:
,��1 � �—��.-�.� \�� L.. -_� as described and attached hereto.
This agreement,signed by owner of property attached, hereby certifies that the requested bunkhouse or temporary guest quarters
meets the requirements as specified in the Sawyer County Zoning Ordinance Section 4.26(4)including:
The independent stand-alone Bunkhouse Accessory Structure does not exceed 250 square feet of footprint measured as the
exterior wall.The creation of walled off bedroom areas are prohibited. Enclosed po�ches and entryways wili be included in the square
footage not to exceed 250; decks will not be included in these amounts. NO other Accessory Structure components allowed as part of
this structure(i.e. no garage portion, no bathroom portion, etc.). Piumbing of the Bunkhouse Accessory Structure is prohibited.Cooking
and Food Preparation facilities are prohibited.A Bunkhouse shall require a voluntary Uniform Dwelling Code(UDC) Inspection.The
height limit of the Bunkhouse Accessory Structure shall not exceed sixteen(16)feet from lowest grade to highest peak. Leasing,rental or
use as a residence is stridly prohibited.
Temporary Guest Quarters which are located within or as part of an Accessory Structure shall not exceed 50 percent of the gross
floor area of the accessory structure with a maximum of 499 square feet of temporary guest area.Guest areas including bathrooms,
utility rooms, entryways,and closets will be included in the square footage not to exceed 499.The creation of walled off bedroom
area5 are p�oi�ioiied. Sroraye area must be separate and segregated from any guest area(can have a door from the guest area to the
storage area). Plumbing, if installed,in the Temporary Guest Quarters Accessory Structure shall conform to the State&Sawyer �
County Sanitary Codes. If there is an existing Private Onsite Wastewater Treatment System(POWTS)on the lot it must be sized to
handle the number of occupa�ts in the Temporary Guest Quarters.Cooking and Food Preparation Facilities are prohibited.A
Temporary Guest Quarters Accessory Structure or bunkhouse shall require a voluntary Uniform Dwelling Code(UDC)Inspection.
Leasing,rental or use as a residence is strictly prohibited.
The owner(s)further agrees to allow authorized representatives of the Governmental Unit to enter onto the owners property at the
above description between the hours of B:OOAM and 6:04PM, Monday rhrQugh F�ds,. ,Se�t;cr 9.�3(1j POb'JCRS, Sdwyer i,ounty
Zoning�rdinance]to determine if Bunkhouse Accessory Structures or Temporary Guest Quarters meet specified ordinance
requirements and may be subject to intemal inspection by the Sawyer County Zoning Department.
Violation of this Agreement will authorize, in addition to other penalties and relief required under the Sawyer County Zoning
Ordinance,injunctive relief,restoration of said property,citation for Falsifying Permit Applications. All parties agree that this Agreement
shall be filed with the Sawyer County Zoning&Conservation Department and recorded with the Sawyer County Register of Deeds.The
prope is subject to this Agreement in perpetuity,regardless of ownership transfer.
-Onl on er si ature required- ACKNOWLEDGMENT�
O � � State of: ��
� � County of: v'"�
` ner's rint): Su �ed and sworn to b fore e on this
� - �day of_ � �_, 20 0� � �
Date: � �� By(Owner's Name): � �
Notary Public Signature:
Drafted by: . Public Notary Name (Print): I �
���__ �`����r My commission expires on:
�'a""�':ti, SARAH KILLION CHAFFIN
.r''!��-�4° Notary Public
Personal information you provide may be used for secondary purposes[Privacy Law, `;. �] Minnesota Rev.05/12/21
�.,��� MY Commission Expires _:
•..._y.,.-- .)an 31, 2026
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