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HomeMy WebLinkAbout024-641-13-4102-LUP-2023-117 SUBMIT COMPIEfED APVLICATION AND FEETo: APPLICATION FOR LAND USE PERMIT � 5awyercounty � �S�' J Zoning&Conservation Depart. ,� ` �'—% �- r- � 3"����., 5 ��li, �oZ 3 � a C ampjlFecei4e� , 10610 Main St Suite 49 �i � Hayward.WI 54843 � ''�i,` f+�IFii� � � �di�� �hk� S�� I — (715)634-8288 � � � - ----�----------..__. ����ti g J � , ,, --� - Rc�t# u ,�� iNSTRUCTION5: No permits wlll be Issued until all fees are peld. - r (' ' � —� LL"i;vltd..+E,��J� : ;v Chetks are made payable to:Sawyer County Zo�ing Department. DO NOT START CONSTRUCTION UNTIL ALL PERMITS HAVE BEEN ISSUED TO APPLICANT. O�igift2l AppGCefiOn MUST bE'SubRtitt2d FILL OUT IN INK (NO PENCIL) Su6mittal of this applicatlon or receipt of fees does not constitute permit icsuance. Owner(s)Name: Contractor�s)Name }�e�-4 h l,v ����- � • ; � Mailfng Address: Mailing Address: i-111. L�c,Kei:�,<.u.` A.;�-nue, � � � 1 5��� Phonec�-114-Tf`Z-(-�J.�b, li1�1-7102-?llv\� `il`l-7�H-3`1�.� Phone: EmatL• P '`�C`1�e�' "� `J bC '0� 1• n�.� Email: S�ig�i3 Site address: 1 ��' ' �, p ,� �+ ,l, ' j Or Date applied for. Legac PIN# C� �"lP y�-�3 �1� -f y I Town of: �C��✓1 c� L��L�t� Permit delivery Method p(Call Owner u Mail Owner o Call Contractor r_Mail Contractor �Is Property/Land within 300 feet of River,Stream I�nci. Distance Structure is from Shoreli�e: Is qou.rroperty In�ermittent) � Are Wetiands feet in Floodplain Creek or tandward side of Floodplain? If yes--continue � Present? �Shoreland z°"e? � e � ; Is Property/Land within 1000 feet of lake,Pond or Flowage Distance Structure is from Shoreline: � If yes---continue --► feet No N� iJ Non-Shoreland Describe Project Total t!of value at T1me of project type Foundation What Type&Capacity is the Completlon Number bedrooms 'include donated (House,garage,shed,deck, (Basement, Sewer/Sanitary System(s) of Stories Post Addition,etc..,) Crawlspace, time&material List Separately Slab) construction $ 15b0 (�a\\on�c�t�t� � 0 �z �,�i�4`� � � 1�2. �'J w �}M, v,nc�.�� S 5frm owclling � Atcessary 81dg � Additlon/Alteratlon Height: Total Square Lowest Proposed Use ✓ Proposed Strudure Dimensions Footage Grede to (multiply per Highest story) Peak Residence � 3�' X 3�" � �, Ft. �,y with 2^d story or loft � 3a X 31-� � 00 3 ft. a , with Basement � 3�' x 3� � Ft. q _� { x ) Attached Garage Ft. f� Residential Use __ Accessory Structure(exPlatr,) ( x � (detached ganges,sheds,boat houses,et<.) Ft. ❑ Agricultural ( X ? U5e Temporary Guest Quarters or Bunkhouse(a�de type) Ft. ` � X �� , Ft. Z ❑ Commercial/ ✓ Deck orcb`/Patio � �� Industrial Use ( �p x �� ) (2^ ecl5'/Porch/Patio Ft. c� ❑ Municipal Use ( X ) Other(explain) ft. X ) ❑ Othe� principal Structure(ngricuiturai,commercial,Munitipal,Ecc.) � pt, { X ) Addition/Alteration(exPtain� Ft. Total Non-habitable square feet: Total habitable square feet: + (decks,patios,gareges,sheds,storage area&other structures) a � f '�'"� Original Application MUST be submitted Attach a Plan or Sketci your Property on 8.5"x 11"or 8.5"x 14"paper:�Must"fnclude location and setback of proposed and exlst(ng structuret,roads, driveway,sanitary componenu,well,lake,river,stream,and wetlands. Descri tion Setback Setback P Measurements Description Measurements Setback from the Centerline of Platted Road and/or j ' , Feet Setback from the Lake(ordinary high-wa[er mark) (� � Feet Setback from the Established Right-of-Way 3 Feet Setback from the Rfver,Stream,Creek Feet Setback from the eluff if applicable Feet Setback from the North Lot Line Feet Setback from the South Lot Line � -� Feet Setback from Wetland Feet Setback from the West Lot Line a,-L Feet Siope within area of construction/dfsturbance �Slope Setback from the East Lot Line �-j � Feet Elevation of Floodplain Feet Setback to Septic Tank or Holding Tank Feet Setback to Well Feet SetbaCkto Drain Field � Feet Setback to Privy(Portable,Composting) N ft Feet Prior to the piacement or constructlon of a structure wlthin five(5)feet of t e minimum required setback,the boundary line from which the setback must be measured must be visible from one previwsly surveyed�orner to tne other previously surveyed mrner or marked 6y r licensed surveyor at the owner's expense. Prior to the placement or construction of a structure more than five(5)ieet but less than ten(10J feet from the minimum required setback,the bo�,ndary Gne from which the zetback nui>?be mzanued r•.�,>�be s:sible rrom o���e pr��.� ,u;.:;so;veyed corner to the other previously surv2yed corner,cr verifiable by the DepartmenYby use c'a�cr-eue:�corrpa„i�on�a known w;ner within 500 feet of the proposed site of Ihe structure,or must be marked by a licensed surveyor at the owner's expense. . . r . •� • .• . . .- . Calculate impervious surFaces.(Roofed,concrete,paved,and other surfaces that water cannot penetrate.The Zoning OffiCe tan help you determine If a surface ls considered impervious) Calculate lot area: indicate lot size from CSM o NOVU5`(circle one): � q Acres;Multiply by 43,560=Lot area:___ R 1� ('v i17_ O ,Square Footage Caltulate impervious surface area: Determine the total size,in square feet,of your projects listed above(include eaves):_ �C�1(�, sq ft. Determine the total size,in square feet,of all existing roofed structures(include eaves);_ n sq ft. Determine the total size,in square feet,of all existing paved/bricked/blocked surfaces: C� sq ft. Add these measurements to determine total impervious surfaces: __����__Sq{t, Calculate impervious lot percentage V. 02 l'��'L Total impervious surface: ;���1 to =Lot area:�]�_y__.�_Sq ft.X 100=impervious surface �ff'�'?' % �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�o slopes Grading of more than 2,000 Sq.Ft.on Slopes less than 12°/ Gradin�is in excess of 10 OOQ 5a Ft - F:�iLUkC i0 O[?1 AIN A N�fifvl �i�7�R11NG CONSTRUCTION WITFiOUT A PERMIT WILL R[SU�T IN P[NAL1lE5 I(we)declare that this application(inctuding any accompanying Informatlon)has been examined by me(us)and to the best of my�our)knowledge and belief it is true,correct and cornplete. I(we)acknowledge that I(we)am(are)responsible for the detall and accurecy of all informatlon I(we)am(are)providing and that it will be relied upon by Sawyer County in determining whether to issue a permit. I(we)further accept liabllity which may be a resuft of Sawyer County relying on this information I(we)am(are)providing in or with this application.I(we)consent to county officials charged with administering county ordlnances to have atcess to the above described property at any reasonable time for the purpose of inspection.Additionally,the undersigned person(s)hereby give permission for access to the property for onslte Inspection by Municlpal Officials, Og ner �`�n ��� Owner Y�1 Si nature�F� Printed name�e,�-t-h t-c 1�1 1 n.''}e Y' Date � �, (Signalure and Printed Name required) NOTICE: All Land Use Pennits Expire Onc(1)Year from the Date of Issuance. For the Construction Of New One&Two Family Dwelling: ALL Municipalities Are Required To Enforce The Uniform�welling Code. 1 he locai Town,State or Federal agencies may also require permits. You are responsible for compiying with the requirements of the Sawyer Counting Zoning Ordinances and law and regulations of the State of Wiseonsin.You are also responsible for complying wlth State and Federal laws concerning construction near or on wetlands,lakes,and streams.Fallure to comply may result in removal or modification of construction that violates the law or other penalties or costs. For rnore information,vislt the department of naturel resources wetlands identification web page or contact a department of naturalresourcesservice center(608�267-3125 Issuance Information(County Use Only) Sanitary Number. �-� _� J a q of bedrooms: �^ Permit Denied(Date): Reason for Denial: , Permit N: Issuing agenty Date: � � __ � � � %� � � /S � Is Parcel a Sub-Standard Lot ;i Yes �Deed of Rewrd) �No � Is Parccl in Common Ownership 'p4 Yes �Fused/Contiguous Lot(s)) ;I No Mitigation Required i!Yes o Is Structure Non-Confo�ming :i Yes ,y�Na Mitlgation Attathed LI Yes ��Na Granted by Variance(B.O.A.) Granted by Conditional Use �Yes , No Case ti: ?Yes '�No Case A: Was Parcel Legally Created �Yes r'No Were Property Llnes Represented by Owner ,!Yes Was Proposed Building Site Delineated Yes I No No � Was Property Surveyed I Yes Yyya Office Comments:�d,,,T �y,,.�.�n�� ,g/�� a.� Zone DistricC fee: � -� ���� Hold For Sani[ary: ' Hold For TBA: Hold For Affidavit: �' Hold For Fees: ' ,J �Feb2021 R2dl EStdt2 Sawyer County Property Listing PropertyStatus: Current Today's Date:5/15/2023 Created On:2/6/2007 7:55:40 AM �Description Updated:1/22/2019 �Ownership Updated:2/6/2007 .____-- ---._. ----.. TaxID: �� 24165 ��� KEITH A WAL7ER � �� SOUTH PIN: 57-024-2-41-06-13-4 01-000-000020 MILWAUKEE WI Legacy PIN: 024641134102 Map ID: .13.2 Billing Address: Mailing Address: Municipality: (024)TOWN OF ROUND LAKE KEITH A WAL7ER KEITH A WALTER STR: 513 T91N R06W 1712 LAKEVIEW AVE 1712 LAKEVIEW AVE SOUTH MILWAUKEE WI 53172- SOUTH MILWAUKEE WI 53172- Description: PRT NESE 3428 3928 Recorded Acres: 19.080 Calculated Acres: 18.950 r Site Address *indicates Private Road Lottery Claims: 0 .. . . .____ ...___— _______ First Dollar. No 7342W PINE POINT RD HAYVJARD 54843 Waterbody: Moose Lake West Fork-Chippewa River �.-�property Assessment Updated:7/16/2019 ....._---------___.. ..... Zoning: (F-1)Forestry One 2023 Assessment Detail ESN: 402 Code Acres Land Imp. G1-RESIDENTIAL 1.000 76,100 0 -�Tax Districts Updated:2/6/2007 G6-PRODUCTNE FOREST 18.080 27,100 0 1�� ����� State of Wisconsin 57 Sawyer County Z-Year Comparison 2022 2023 Change 024 Town of Round Lake Land: 103,200 103,200 0.0% 572478 Hayward Community School District Improved: 0 0 0.0% 001700 Technical College 7otal: 103,200 103,200 0.0% :�Recorded Documentr Updated:8/7/2014 ____ ___... WARRANTY DEED ��� Proper[y History Date Recorded:6/10/1992 229326 487/164 N/A „ . � �y;, A Y Y ,y � '=Jy � � S+ ` � 'I W y�,s,�,�,,,+�d a..,;1�„� % • ..�t .�q�t- .., �rG: � �wn � ;� ,iR..�.�� � .i 'i![�•� ��J � .'� v� �' � `�.p�nf� i. ,�t � '"`� � � .. r. # t'” p,��`..�. "�µW� '�� ��+�' ,x.,�p 'M�� � `�. ��4 _�^ w.r N1A..� } � .].v,_,*. � �y.. ;r �•. ` f } n �� � .i� � � Y( 1`2 } Y x � } l � y ` ��U [�' 1 tn �j _,Y � ��1� \F�Y ( �� E� �L'„ �A r q � �?s'�h4�' .- 1 �l�p� .` '�{��• �4e � • �L ` � ��d�`'� �. .l C�T ��� '�y.�t.. � ��l. i�\�S�r�!���4 3� �`�� A � . �� � i '� �q�� 1�'16\ � �� �96J — �� j�`. 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