HomeMy WebLinkAbout004-839-24-5403-LUP-2023-108 SUBMIT COMFLETED AVVIICATION ANp
FEero: APPLICATION FOR LAND USE PERMIT �
5awyerCounty SAWYER COUNTY,WISCONSIN
Zoning 8 Conservation Depart. � ��jj�i 5�{ UJ
IO610MaIn5t5uite49 n ��„ ��r� \,/! �!'�" n � �
Hayward,WI 54843 2''� � \`/ ,7�l.�� i�ate 5 �I� �3 _
(715)634-8288 � 0 2 0 2 3 �� Chk# '-�`�o��f `I`���, `-I q I S 4�
APR }�so �3�
♦y �
iNSiRUC1i�rv5�No permih will be issued until all tees are peid. RC p ltt �3 S�
[hecks rre made payable to:Sawyer[ounry2aning Department. �-
�ONOTSIFPTCONSTqUCTiONUNTIIFLLPEPMIISNAVEBEENI55uE�r�'�����IrMoli�tionMUSTbesubmitted `� QUTININN (NOPENCIIJ
Su�m'ittaloithisappllcrtionorrecei fee�doe_otconstitu�e0ermitissuance. MfR!
p�o�
OwneHs�Name: Contncror{5�Name
�,� � � uuc zaiU v�cw�cz �-�,��s ���-ti�,c-��,GZ
MailingAdAress: � � MailingAddress: �7�2 '��/�`��h.r. �j�
2.�ZTw��L(v-({T DQ��v�l�2�}�RIE S3 - S,,.v �4�cerc/ �-`w� 53 - o
Vhone: �0�1 7^�!J_ �^7[—^ Phone: /j p� 2Z4—l� 7S
!J L�U J `o ��
Email: ' 1 mu�I �V✓L EmaiL �
�^�� 1
Site aAdress: �J /G, �� ' �'i r Da:x applied for:
�e.�yviNa �C`-1-6>�-�y-S�-lo'3 row�m: ' �t�r.r'�C
Fe�mltdellveryMethod �Call Owner u Mail Owner ❑Call Contractor �Mail Contractor
_Is Properry/Land within 304 feet of River,Sheam f��i� Distance StruRure is from Shoreline: is yo�r vroperty
`"'1 � feet in fboeplain pre wetmnds
CreekorLandwardsitleoiFloodplaVn? Ifyes--an[inue ZOe� Fresent�
�Shorelaad ves
-Is Property/Land within 1000 teec of Lake,Vand or Flowage Distance Structure is from Shoreline: Yes ^
Ifye.- continue� ��� feet ,�1P1� �_:�
L
�.1 Nan-Shoreland
Describe Project Total#ot
value at7ime of project type Foundation What Type&Capacity is the
campletion Number bedrooms
(House,garage,shed,deck, �Basement, Sewer/Sanitary System(5)
`indude donateA qddition,e[c...) of Storie5 Post
time&material Crewisp)[e, �onstruction
List separately Slab
5 (�G�x 9 3 Il%�l'�/�JO() GV�^.V.
_�_� ff0�'= � 'Sf'. 7Lnf I,aWII��
Dwelling
S
Pccessory Bldg
S
Addiclen/Alteration
Height:
TotalSquare Lowest
Dlmensions Footage Grade to
Proposed Use ✓ Proposed Struc[ure (multlply per Highest
story) Peak
Residence ( 3�/X �✓`� ) (�" Ft.�l'O
1 x I �j�v
with 2n°story or loft Ft.
y with Basement '3�i7/X (J5� �/�� F�•
�a�.x a3 � �S\K "�
Attached Garage � ,� F��
� Residential Use � x �
Accessary Structure(e.aiaml � pt.
(de�ached gar�ges,a�edx,Loai M1ou��z,etc.�
❑Agricultural � x �
Use Temporary Guest Quarters or Bunkhouse(a.cieeyoe) Ft.
( ��
❑ COmmerdal/ t Dec/Parch/Patio ���x �� ' y Ft.
Industrial Use ( X �
(2^^)Deck/Porch/Pa[ie Ft.
❑Municipal Use ( x �
Other�e=nia�N Ft.
❑ Other � x � Ft.
Principal Structure(ngn�wc�rai,commerdai,m�mtlpa6 ecc.l
� X I
Addition/Alteration Ie.pia��I Ft.
3��� TotalNon-habltablesquarefeet: �1�
Tatal habitable 5quare feet: �decks,patios,garages,sheds,storage area&other stru<tures) �5�-
-bk�� hov� ha4�}t�'j�e'- I�I C.
Originai Apptication MUST be submitted
Attach a Pian or Sketc:h your Property on 8.5" x 11" or 8.5" x 14" paper: wMust" Include location and setback of proposed and existing structures, roads,
driveway, sanitary camponents, well, lake, river,stream, and wetiands.
Description Setback Setback
Measurements Descriptlon
— Measurements
Setback from the Centerline of Platted Road and/or Feet ' Setback from the Lake (ordinary high-water mark) lU Feet
Setback from the Established Right-of-Way Feet Setback from the River, Stream, Creek � Feet
Setback from f e Biuff if applicable "� Feet
Setback from the North Lot Line Ke�et ` `�
Setback from the South Lot Line Feet Setback from Wetland -�-- Feet
Setback from the West Lot Line ��"j'V Feet Slope within area of construction/disturbance 9� Slope
Setback from the East Lot Line " ,,�p Feet Elevation of Floodplain Feet
Setback to Septic Tank or Holding Tank Feet Setback to Well Feet
Setback to Drain Field Feet
Setback to Privy (Portable, CompostingJ Feet
Prio� m tLe pidcement or construction of a structure within five(5)fee[ofthe rnininium required setback,the boundary f,ne irom which the setback must be rneasured must be visible from one
previously surveyed corner to tne other previously suiveyed comer or marked by a hcensed surveyor at the owner'S expense.
Prior to the placement or censtruction of a structure more than five (5)feet but leu[han ten (10)feet from the minimum required set6ack,the boundary Iine from which the setback must be
measured must be visible tr�m one previousiy surveyed comer ro [he other previously surveyed comer, or veriflabie by the Department by use of c con e�ted comr�ass from a known coi nr:r
within SGO feet of the propcsed si[e of[be strucwre,or muu 6e marked by�a{K�ge��urve�ar at the or.�ner's ozpen;e
. � � . • . • • • • •- • . . - .
Calculate impervious surfaces. (Roofed, concrete, paved, and other surfaces that water cannot penetrete.The Zoning Office can help you determine if a
surface is considered impervious}
Calculate lot area:
Indicate lot size from CSM r NOVUS (circle one): �,�� Acres; Multiply by 43,560= Lot area: � �_ � ` C� Square Footage
Calculate impervious surface area:
Determine the total size, in square feet, of your projects listed above (include eaves):� , � �j� sq ft.
Determine the total size, in square feet, of all existing roofed structures (include eaves): r' sq ft.
Determine the total size, in square feet, of all existing paved/bricked/blocked surfaces: sq ft.
Add these measurements to determine total impervious surfaces: �� � 3� sq ft.
Calculate impervious lot percentage
Total impervious surface:?�`'�� = Lot area:�% � ` �Sq ft. X 100= impervious surface . �. %
(Mitigation is required if total exceeds 15%,)
"`Notice a separate grading permit needs to be obtained if disturbed area is within the Shoreland district as indicated on previous page and meets criteria below"`�
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 less than 12% Gradfng is in excess of 10,000 Sq. Ft.
FAIIURE i0 OI3TAIN A P[RMIT or STARTING CONSTRUC710N bVITHOUT A PERMIT WILL RESULT IN PENALTIES
I (we)declare that this application (including any accompanying information) has been examined by me(us)and to the best of my (our) knowledge and belief it is true, correc[and
complete. I (we)acknowledge that I (we) am(are) responsible for the detail and accuracy of all information I (we) am (are) providing and that it will be relied upon by Sawyer
County in determining whether to issue a permit. I (wej further accept Ilability which may be a result of Sawyer County relying on this information I (we) am(are) providing in or
with this application. I (we)consent to county offi�ials charged with administering county ordinances to have access to the above described property at any reasonable time for the
pur se of inspection.Additionally, the unders?gned�person(s)hereby give permission for access to the property for onsite inspection by Municipal Officials.
/'�
Owner 7 , L�. , ' J /FIz'lEs � ���u-/V/�=L(.��i �-Z
wner f
Signature ed name_L-7 V L(� /¢ Ziq ��/�(�L=��(�t? �-'� I � V 1 „Z�j
ign un� ,�nd Pnnted Name required) � �
NOTICE: All Land U ennits Expire One (1) Year from the Oate nf Issuance.
For the Construclion Of New One &Two f arnily Dwelling: ALL Municipalities Are Required To En(orce The Uniform Dwelling Code.
You are responsible for complying with the requirements of the Sawyer Count ng Zoning Ordinances andslaw and egurlat ons of the State of Wisconsin.You are also responsible for
complying with State and Federal laws concerning construction near or on wetlands, lakes, and streams. Failure to comply may result in remova�or modification of construction
that violates the law or other penalties or costs. For more informatlon,visit the department of natural resources wetlands identification web page or contact a department of
natural resourtes service center (608� 267-3125
Issuance Information (County Use Only) Sanitary Number. � 3 _ � 1 S p of bedrooms: �
J
Permit Denied (Date): Reason for Oenial:
Permit�: Issuing agent:
�"1 � _ � � � Date:
oC �
� � � ��
Is Parcel a Sub-Standard Lot ; i Yes (Deed of Record) ?tCNo
Is Parcel in �ommon Ownership Yes �Fused/Conciguous�ot(s)) i No Mitigation Required I_� Yes No
Is Structure Non-Conforming ! i Yes .i,No Mitigation Attached Li Yes f�, No
6Tanieo oy Variance (d.v.A.)
C� Yes � . No Case q: Granted by Conditional Use
'Yes C`'Qo Case il:
Was Parcel Legally Created �Yes 2 No Were Property Lines Represented by Owner �1�Yes
Was Proposed Buiiding Site Delineated '�!�Yes I_ No No
Office Comments: ,��,J � �� -�_ �� �.�
Was Property Surveyed "y Yes No
�c-c��.<�.a-� �e+7` ��--�-- �e.��.c� ZoneDistrict: Fee:
��-�- � 7�C7
Hoid ForSanitary� � Hold ForTBA: _
Hold For AffidaviL ' Hold For Fees: i
�Feb2021 ,_�
R2dl ESt8t2 Sawyer County Property Listing Property Status: Current
Today's Date:5/4/2023 Created On:2/6/2007 7:55:10 AM
�Description Updated:1/3/2020 '�Ownership Updated:SO/21/2021
Tax ID: 5500 ]AMES A&IUIIE A ZBIGNIEWIC2 SUN PRAIRIE WI
PIN: 57-004-2-39-OB-24-5 OS-004-000030
Legacy PIN: 004839245403 Billing Address: Mailing Address:
Map ID: :4.3 JAMES A&]ULIE A lAMES A&JULIE A
Municipality: (004)TOWN OF COUDERAY ZBIGNIEWICZ 28IGNIEWICZ
STR: 524 T39N ROBW Z�9z TWILIGHT DR 2792 TWILIGHT DR
SUN PRAIRIE WI53590 SUN PRAIRIE WI53590
Description: PRT GOVT LOT 4 LOT 1 CSM 19/131
#5629 IO
Remrded Acres: 1A50 r Site Address *indicates Private Road
Calculated Acres: 1.033 5783N COUNTY HWY CC �COUDERAY 94828
lottery Claims: 0
First Dollar: No J property Assessment Updated:4/8/2022
Waterbody: Ashegon Lake 2023 Assessment Detail
Zoning: (RR2)Residential/Recreational Two �ode Acres Land Imp.
ESN: G1-RESIDENTIAL 1.050 60,200 0
��Tax Districts Updated:2/6/2007 2-Year Comparison 2022 2023 Change
1 State of Wisconsin Land: 60,200 60,200 0.0%
57 Sawyer County Improved: 0 0 0.0%
004 Town of Couderay Total: 60,200 60,200 0.0%
576615 Winter School District
001700 Technical College �
@J'Property History
�• Recorded Documents Updated:SO/21/2021 N/A
_....__ _ . ..._.
WARRANTY DEED
Date Recorded:10/20/2021 435377
WARRANTY DEED
Date Recorded:9/30/1997 263433
CERTIFIED SURVEY MAP
Date Recorded:8/13/1997 262507
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ix ;404475i
444343
PAULA CHISSER
RESTRICTIVE COVENANTS REGISTER C?F DEEDS
SAWYER COtlNTY, 1NI
IN RE: 05/04/2023 10:41 AM
1 QfG '�-� � �i l�y ��``-7 �T�_ ��`�`-�3 `� - 2`{" `� �G3 RECORDING FEE 30.00
�, �=. � �1 0 5'7-- c�c��-f _ 2 -3 `1— � �— z �f— �' D5" -D�:�y� �3c'> PAGES: 2
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STATE OF WISCONSIIY )
� ¢ .� 1 �. �o�f , 83 � - 24- 5 `l�3
COUNTY OF SAWYER )
Parcel Na. � Z — c��' - �3� - 2y- 5�d�
� i��Yl��i ^ L. L �f� / �1� f L� ( L' 2 , being 6rst duly sworn on oath dtpcue aad state that
they are the owtxrs of the property descnbed hereinabove, and further state that the foflotving restrictive
coveaaats shall run with sa� property describod he�ein:
1- The above described paroels may not be sold separatcly without permissia� from the Sa�vyer Ca�nty.
7.aning O�'icc.
Daoed this lS�day � G , 20��
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_ � C� . - ,�,Qc�v �1L �i�-c_.�A'YLc-C�lc,GL
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ACKNOWLEGEMENT
STATE OF WISCONStN )
) §
SAWYER COUNTY )
Pcrsooally came beforc me this �day of , 20,�, the abov�e nattwd individuals,
J�MLS� c�n,d J u �iG A� Zb� c�n; e w ��z to me known to bc the perswu who cxewted thc
fon,going instrument and acl�awledgvd thc same.
(Prim tary Name)
Notary Public, State of Wisconsin �������t11p,���5�����i,� This documdtt drafted by:
M canm;ssion ira: ! Z''� ZoZCO •�`� ��. . Cy �•,, ,
Y �P �2—_ `\��_� .... ..... ����� 3�.... Z�D� >�wa.C.'2.
�Q . ��-�aRy � .9 =
= �•� =
; N�:, PUBI.�G ��;
'..� 9�:.., ,.:��\\:
����/',F,O�i+�;SG�\\\��
That part of Government Lot Four(4),Section Twenty-four(24),Township Thirty-nine(39)North,Range
Eight(8)West,Town of Couderay,Sawyer County,Wisconsin,described as follows:Commencing at the
Northeast corner of Government Lot 4;thence West,on the North line,350 feet to the lake;thence South,
along the lake shore to a point which is 60 feet South of the North line;thence East,parallel with the North
line,350 feet to the East line of said Government Lot;thence North along the East line,60 feet to the Point of
Beginning;AND
Lot One(1)of Certified Survey Map No.5629 as recorded in Volume 19 of Sur�eys on Page 131,as Document
No.262507,located in and being part of Government Lot Four(4),Section Twenty-four(24),Township
Thircy-nine(39)North,Range Eight(8)West,Town of Couderay,Sawyer County,Wisconsin.
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