HomeMy WebLinkAbout026-939-09-5110-LUP-2023-143 SUBMIT COMPLETEO APPIICATION dND
FEE TO: ���ST,�O .-
Sawyer Counry �;d �F2 CO_ � � I ` SI 'i'
�.• . ::-�- � � - �
Zoning&tonservation Oepart. " !.���mP�,��__ �-•,�s�� S �3 '] 3
10630 Main St Suite 49 �Q`.-.� �"" � � �l
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Hayward,WI 54843 NiAY 0 2 2023 � �
pis�e3a-azea `c S� i
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INSTRUC710NS-Nopermi[swillbeissueduntilallfeesarepaiC. SAYVYI,�; �Cpt# �
Checksaremede0ayabieto:SawYaCuunryZoningDepartment ��NIN,C�,,AD�������� _^_���Fr� � �
- uoNorsraercor�sritur:uohurv'aar�Fennr��a�.� I ���tted FILLOUTININ NCIL �
Su6m�.nai n��.h�s ri,o���c,ar�,on;�-ece.p�of foe�dor+.�.._ .. ...
'�. Owneds�Name: Contnctor�s)Name
I� � ��� � ��5�
Mailing Addre�: MaiUng Address: �
� 2�� �, -��, �.:�� o� ., � �l P -fe�r��N � '� -��
'... Phone: �—�JSe.�W D � �2 3 I Phone: ��;�✓�U �,J� .
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Email: ' � �\ ��Y� � Email: O' �( , �/"+'1� ! '�''�
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� Siceaddrcss� � �n���� J'/�i� !1/_ !.�"� f!�'Jl'L�'Ye'lN�� OrDateapplicdfor: �..
._.._Legaty PIN N j `.J���,����,ow5�x.7 I Town Of: V{1('��, l�, v..
.�'Pe�mit deiivery MetAad 1 !Call Owner n Mail Owner J1 Call Contrattor n Mail Contractor i
� �` --
� ��� Is ProDerty/land within 300 feet of Riveq SGeam pnN. � Distance Stnuture is from Shoreline: is your Vroperty
I I i��e.m�na�d �j nre wetlands
� �� Teet in floodplain
'• Creek or Landward side of Floodplain7 if yes--wntinue ; / � Vresent?
'�Shoreland —�i zooe
Ves
�� � Is Property/Land within 1000 feet of Lake,Pond or Flowage i Distance Strutture is ftom Shoreline: �e`
�'� � i°yes--mnt�mue --►� feet ... "�
i
'�Non-Shoreland I
t
i Oescribe Project
; Value at iime of Total p of
Projed type Foundation What Type&Capacity is the
Completion (House, ara e,shed,deck, pumber bedraoms
�� g g of Stories (Basement, Sewer/Sanitary SyRem�sj
i Addition,etc...) Crawlspace,
, List sepante�Y Slab) "
� S �,.'s� �- r�, t� �
Owelling —
5 �O p oZ�
i
Accessory Bld�
�
addition/Altention
Neight:
TotalSquare Lowest
Proposed Use � Proposed Strudure Dimensions Footage I Grade to
(muttiply per Highest
story) Deak
( X �
Residence Ft.
with 2nd story or loft 1 x ' Ft.
� x )
with Basement Ft.
� Residential Use
Attached Garage ( x ) ft.
Aecessory Strudure�e.Pia��l ( X �
] Agrieulturai lera.�nedQ,r,�a,sn�e:,eoa�no�:es,e«1 Ft'
( x )
USe Temparary Guest Quarters or Bunkhouse(arcie cwel Ft.
I - ( X )
Commercial/ Deck/Porc atl ` Ft.
�
( Industriai Use ( X �
(2nd)Deck/Porch/Patio Ft.
IC Municipai Use � ( x ) \�
I L� OLI12f(ezplaln) ��:-.e J- `� __�a�C � � Ft.
I � Other ( x 1
PfI17C1P01$LfUCCU�2(Agriculturol,Commercial,Municipa�,EIc) Ft.
( X �
Addition/Alterotion(exPia��l Ft.
Total Non-habitable square feet: ..�
Tatal habitable square feet:
(decks,patios,garages,sheds,storage area&other structures) ��
��
-:��; , t� _ ,t;c,
Attach a Plan or Sketch your Property on 8.5"x 11"or 8.5"x ld"paper:'Must•Inciude locatiw�aed setback of proposed and existing strudures,toad5,
i driveway,saniWry tomponents,well,lake,river,stream,and wMlands.
! Setback � Setback
Description " Descrlption !
Measureme�ts MeawremeMs
----- �----- --
i Setback from the Centerline of Platted Road and/or �' Feet �', Setback from the Lake(o�c��,�r h�sn-wa«.ma�k) Feet :
i Setback from the Established Rigbbof-Way Feet Setback from the River,Stream,Creek Feet i
Setbatk from the Bluff��aPpi��ame 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 .i Feet Slope within area of construction/disturbance %Slope
Setback from[he East Lot Line j Feet Elevatio�of Floodplain Feet
I
I Setback to Septic Tank or Holding Tank Feet Setback to Well Peet
'�, Setback to Droin Field Feet
�I Setback to Privy�Portable,Composting) Feet �
� � .. ' � ..,<w,tn�6oundaryiinefromwhichthesr��: ��-�dm�. -
. . - .. . . ,�the�wner's e.0ense '
; .�. . . �..�. � � . � .,. I -.r . . red etb k.�h.1 . �. F-,..�t . . � �
mc t . ,. �. �� . _.- . . . .c��� ,:l'. . �[._.._ i,�_h��. � f . __ � .. _ r. .... _
urh rn.... . p t � ., . , i . . _ � a�inrrn . +p: ..
�
; Calculate ImperWous surfaces.(Roofed,concrete,paved,and otl�er surfaces that water wnnot penetrate.The Zoni�g Office can help you determine N a i
�
', surface is considered impervious) i
I
� Calculate lot area: �
IIndicate lot size from CSM or NOVUS(cirde one)' Acres;Multiply by 43,560=Lot area: Square Footage �
I ;
! Calculate impervious wrface area: �
�
i
�' Determine the total size,in square feet,of your projects listed above(indude eaves): 1`���� sq ft. !
iDetermine the total size,in square feet,of all existing roofed strudures(include eaves): �i�� sq k. �
IDetermine the total size,in square feet,of all existing paved/6ricked/blocked surfaces: `� � V� sq k. �
Add these measurements to determine total impervious surfaces: � ��� sq ft.
. Calculate impervious bt percentage '.
I 7otal impervious surface:�`���`�=Lot area:� ��l�Sq ft.X 100=impervious surface v�•� % �
I �M�itigation�rs requircd if mtal exueds 15%)
•••Notke a separate gnding permit needs to be obtained if distur6ed area is within tFrc SAoreWnd dhtNct as indinted on previous paBe and meets viteria below"'
Gradin on a slope greater than 20% Grading of more than 1,000 Sq.Ft.on 12%-20%slopes I
Gradin of more than 2,000 Sq.Ft.on Slopes less than 12% Grading is in excess of 10,000 Sq.Ft.
i
._ - . . .,.. ^�. _ ,.. ._.- ,.. . .� _. .. . ��. �
� i(we)dedare that this application(induding any accompanying information)has been examined by me(us)and to the best of my(our)knowledge and belief it is true,correct 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 wll be relied upon by Sawyer �
County in determining whether to issue a permit.i(we)further accept liability whith may be a result of Sawyer Caunty relying on this mformaGon I(we)am(are)providing in or
� with thls application.I(we)consent ro munry officials charged with administering county ordinances to have access to the a6ove described property at any reasonable time for the �
purpose of�insp ion.Additionally,the undersigned person(s)hereby give permission for access[o the property for onsite inspection by Municipal Officials.
' Owner Owner o3/i6/2oZ3 �
' signature vrinted name SAMANTHA CLARKE oate
I
No,icr ,:��_ �
�
. . �be local rc.e-.�: .. .. , � � .�no pnr^..�c.
You are responsible tor complying with the requirements of the Sawyer Counting Zoning Ordinances and law and regulations of the State of Wisconzin.You are also responsible for
complying with Sta[e and Federal laws wnceming conztruction near or on wetlands,lakez,and streams.Failure to comply may result in removal or modlfication of constnxtion
that violates the law or other penaliies or costs.For more information,visit the department of natural resourzes weHands identification web page or contact a department of i
, natural 2sources service center(608)267d125 ��
Issuance Information(County Use Only) i Saniury Number. tf of bedrooms:
i Permit Denied(Date): ; Reasoa for Denial:
i
j ' i
�j Permit M: i Issuing agen� Date: j
i �3 - 1�f�3 ��� S �R�a3 i
Is Parcel a Sub-Standard Lot '�.Yes (oeed otaernre� �No I / � �
MKigation Required �/Yes
�� Is Parcel in Common Ownership �Ves (Fuud/Contiguous�a1s11 �no � I� � I
��, Is Structure Non-Conforming �Yes �rNo I Mitigation Attathed �•Yes �
��. Grented by Variance(B.O.A.) � G2nted by Conditional Use i
Ves No Use#: i ��Yes � o Case N: I
�. Was Parcel Legally Created I �res No � Were Property Lines Represen[ed by Owner �1CVes No �
'�� Was Proposed Building Site Delineated �Yes No � Was Property Surveyed i�-Yes ��No �,
� O�ceComments: Sv�A ���r�_e�. �G�"� �..L,u �7,5 � j ZoneDistrict: Fee: ;
� '2� �\'�_. i � 7��� ,
HoldForSan�tary�. HolAForTilA. Hc.�,;::,�.,�'.:�...�._-...,: ___ HoldFnrFrrs: ____.._— ' —
m7an2020
5/2123,1:34 PM Novus-Wisconsin Access rev.73.1108
Real Estate Sawyer County Property Listing Property Status:Curren[
Today's Date:5/2/2023 Created On:2/6/2007 7:55:47 AM
.�
�Description Updated:7/7/2022 '�Ownership Updated:7/7/2022
Tax ID: 28121 CLARKE TRUST EDINA MN
PIN: 57-026-2-39-09-09-5 OS-001-000100
Legacy PIN: 026939095110 Billing Address: Mafling Address:
Map ID: :1.10 CLARKE TRUST CLARKE TRUST
Municipality: (026)TOWN OF SAND LAKE 5132 HANKERSON AVE 5132 HANKERSON AVE
STR: 509 T39N R09W ED[NA MN 5543fi EDINA MN 55436
Description: PRT GOVT LOT 1 LOT 2 CSM 20/92
#S�9Z �Site Address •indicates Private Road
Remrded Acres: 0.860 �- �� � -�
Lottery Claims: 0 6612N PLEUR DE LN STONE LAKE 54876
First Dollar. Yes
Waterbody: Lac Courte Oreilles
2oning: (RRl)Residential/Recreational One �P�oPerty Assessment Upda[ed:9/28/20ll
ESN: 423 2023 Assessment Detail
Code Acres Land Imp.
�Tax Districts Updatedd 2/6/2007 G1-RESIDENT7AL 0.860 312,100 318,400
1� State of Wismnsin 2-Year Comparison 2022 2023 Change
57 SawyerCounty �and: 312,100 312,100 0.0%
026 Town of Sand Lake Improved: 318,400 318,400 0.0%
SR478 Hayward Community School Distri[t Total: 630,500 630,500 0.0%
0017D0 Technical College
"• Remrded Documents UOdated:9/20/2011 �P�oPer[y History
O WARRANTY DEED
Date Remrded:3/18/2022 438188 N�A
O BUNKHOUSEAGREEMENT
Date Recorded:4/12/2023 444036
O WARRANTY DEED
Da[e Recorded:3/18/2022 438187
0 WARRANTY DEED
Date Remrded:9/18/2020 426555
�SPECIAL WARRANTY DEED
Da[e Recorded:3/1/2017 405625
O TRUSTEES DEED
Date Recorded:11/6/2015 398538
O TRUSTEES DEED
Date Recorded:10/30/2007 349962
O WARRANTY DEED
Date Recorded:l2/3/2002 305697
0 CERTIFIED SURVEY MAP
Da[e Recorded:7/20/1998 269383
https:l/tassawyercountygov.orgllAccess/mastecasp 1l1
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-US�BLACK iNK ONLY• . �46759
F'A!!LA CHISSER '
SH4REl.AAND Mt�7GATtON AOREEM�IT R�GISTER OF DEEDS
SAWYER COUNTY, WI
������� 10j06j2023 12:10 PM
RECORDING FEE 30.00
C.1 c_'C K�,\�.��?+—
���w�a �.� 6 _ 9 3 9 _ o�t _ S � 1� .��s��: �
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,�� uao tbe ra e�g• b:
EsltlbltAs�Afe�olplalo fatr�!►lht�A�nemaad�9ss(�er41') •
��Is� 'O��P��teeselepsd�t�nro •
F�d�1i C» � d�ass arl iao�de boeatta�s)olo�m�galon Pssc� �� '
ta�pe0 eid�A�eemanl.
Wqual� ��01�ln�9L�� �Ioywatd,Wl�
� [,�;.�`� �,\�:s�-t, ��..�-.c. hen�v enler inb an Agr�meri ior&l�ne b�
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an(�m ot ap�Q ��1�c.l�-�-�: �� � �t��3 _
Eoipronettyl�o�ffi(eddteso) �a�a. ?J ��e.•—'C �� �-�
�����h�� This s6orcland preservatinn agreemcnt suptrccdcs dncumcnt nutnhcr 444582,recorded on
�5/19/2�23
T�ilf a��d b�OYV�Bf��P01�8�.h8Rby0QtQflES I�Ll Ihs 6BI8d�fl�l OA i�d pR1p011Y
wUl ae oo�pteledra�L+mb�ed.b�Bon praatties�rea ba a�lea by�er a D�b agr� tn�itd an ta�owi�g�
The awnar(e�h�reby a�as�s Proparqr aub�ed!01'�Ag�men!�D I�ave an seled�!�alt}�m��ed sht nroMbs
aRer La�d Use Pa�dt b t�Q. Tbe Oto�l fs snb�eet to�la Aeroemen!in Ps�P��tY.�����P
l�tidec. -
T1,.o��)h�thr eQrea�maf�►�mr�d�a u�e��tm uM ae�ero�to�e ore�s ao�erq►m
�a�ova dowl�betwemi tla l�aws of B�O�M aetd e.b0?Id.Maftdsf►�ro�gh Erba�►.ISedEon 8.1�I1)POWH�Br S�
co�►zoron�o�noe��o a.�a.�ae n�t�n t�oom�o��a u����P� . .
wo�,m�da aO�d,MD aul�e.tn�ta o1h�pe�lies and re�ec�eq�dred uaf�tfis S�Oc�►Z�anhr�
Ordlnanea.6�w�Bve��ot saJd�r.dta0oa tar Fats�g Pamdt App6�a9on�An p�es agree gmt Oda
A�!eh�be�d w�h tlro 8ewyet Cour�►2adnB 8 ConsanraQoa�Dep�bt+en!sa�reootded w�t 1he�Go�a�tY
Reg�terolOaeda.
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Po�oro!i�a YanDwrldo+r�alOo Y�ed fot�eoo�+d�rl►Dn+Posoc�Prhrae�ta�+�41S.o4(q Qmp Rew OCft�H6
JENNIFER MMl FISHEa
� NOTARY PUBLIC-MINNESOTA
Mfi GatrKnission E�pin�
Jarwery 31,20Q8
MkigaUon poinb are required for devetopfng Property oMmer optlons to eam mltlgetlon points
property undar the fotlowing condiUons. Tndude:
• Impenious arface mverage fs greatv Remaval of a structure witldn alroreland set6edc
than 15%but le�s than 20l6-3 palMs ❑ 0 5300 Ft�-1 Pt •
�� lO1Ft3-250Ft�-2PK.
❑ 225i Ftl-3 Pts.
• Impervious wAaa aovtrage is greater I�utalbdon of a rain garde�
than 2096 but lesa than 4 poiMs � � Treab 0�250 Ft�-1 Pt
❑ Treats 751-5�Ft�-2 PIs.
❑ heats greatertlwn 500 Ft�3 Pts.
• 5200ft=tateral Expen�onof 0 aasswa wesmracbn(naa,rai aeeovery)ora
Nonconform(eg p�e(pa(stru�ure withln ��nt shoreland buffer-i point
thesh�aland set-badc-2 poTMs ❑ �Reductng width of ailwvabie view and �P�S.
aaess mrrtdor(sF I potM for every lo
foot reduetion-a:.<,,:;�<e.z..-U;�•�.�o�—
��o-..az 30%
. R�ti��������I �Inceasing depth of an adstln;co�np�snt
sbixtuie wfthin the shoreland setbact• sfioreland buffer-1 pIM for every 10 feet of
Ipo1M ❑ depth-��\�c, 57 S c�.ee,7 .
❑Ellminate shoneltne Iighdng S 35'irom lake
shorr 1 poirt�Musi submit befae and ahet
• Open stdad structure iequl�i�at least photographs)
7096 of tha half of the ahoreland setbadc ����p�t stroreland buHer•2 poiMt
area that ls nearest to Ne water h�ed
by a vegehUve buffer mns u Per ❑�e aesto�atbn(Aarieraoed Recnvery)of a
559.692(lv),Stats. 35'shoreland buRv 1 poinb
❑Sea Wap Remaval ami Bank Smh�mtloa-2
polMs(ONR permltt moy 6r requiredJ
❑ReplacemenY of steel septic tank•2 poleKs
(Tank must be installed before SMA is
retordedF .
❑Insbllatlon of a Stnrtn waW IMlltrallon
Sysum-3 poiMs
❑Increa�ng Shorela�Setbado-i pofit for
every 15 foat lacrease beyo�requlred
(maalmum of 3 poGtts)
-----�ot 2-of-Gertifed-Surve�-}Vlap r1c. 5792-as recorded zn Volum� 20 of Surv�ys an Page
92 as Document �to. 269383, �located in and being part of the Gavernment Lot 1 ,
Se�tic�n 9, Township 39 North, Range 9 W�st in the "Town of S�nd Lak�e, S�.wyer
County, Wisconsin. �
.- .. . i iiiie � iiiii� i iiii
-USEBtACKINKONLY - . Doc��., :8�f7�:�158
ix :40450�6
SH4REl.AND MiTtGATiON AGREEMENT 444582
PAULA CHISSER
�i�:'����� • REGISTER OF DEEDS .
. SAWYER COUNTY, WI
� �����' � �,�. % � � � 05/19/2023 (12:53 PM
1--'L I �L..tA. � l2ECURDING F�E 30.00
Parael Id�Ninnbar / ?, � �
n2��rro3 !�- ;1. -� -�..���'' 3��G�s: 3
nds Ag�aemet�t eg�[rtcludo the follawtng sxf��s:
ExhlbitAs eilhereof astafo tcrrrl�bUdsAgneanoid�(�ropoih'3 •
Eshtblt B: •pmfamd rt�ga9an Aradloes mamt be aeleded al 9am .
�aqnrnt ic e�oor+ded.
E�m3t c:�—�lm+rs an aoarrate bealfan(a}o!eash m�Ps�Ots) � .
setes�and senre6 bY Nk A�a1d.
Reuun ta 8zr�ryor Covn7 Zo�ta and Coasatva!!an Daparltaant
1061Q Nletq SL 8u�o d9�Nsyward,lM b4B�,7
.
� enier iMo an Agneemer� for Sh�eAne N�gatlon
on (da[e of a �- `
ior QtOp�ty loCated ffi(eddfess) � , , � - , ' r � _���
as descrlbed and attadted he�to. '
'this agreemenl� sigt�ed by own�r o!P�P�Y�he�ebyca�Iftes ttrat Ihe selscted mwgaBott�s oa asfd P�P�Y
w0!be ccm�pletedlrt�ad Mit�on prac�ces �atl be selected by signer of thk a�ement and�ied on foffowin9 P89�
The owner(s)hereby agrees ths prope�ty subJed to Ihts Agreemsnl str�A have a� seietl�i mJtigalion cmnp�e�ed abc montLs
afte�Land U.� Pentu�is issued i'de prcperty !s sabJect ho�is Agreement in perpatnity, regardiess oi axnieiship
transfer. .
'f'As awr�er(s) finthet agrees tc aqow avthorfi�ed rep�esentaiives ot Ihe Govemmeritaf tJM to en6er o��e ov�rrfs prvperty�
!�s abave desctpltan batween the haus of 8.�OOAM aad B:OOP�l. Mosiday Buougl� Fdday. (SecBan 9.13(1) POVY6iS� Sawyet
C�tutty ZoNng 0�6tautcej to delermins If seleded mlUg�tloa ts�otnplete ac�d tha! tt is behtg prasarved, . ,
Vlolatian of�s Agfeement w�atMatize.in addltta�t to othar p�aN�s and reQel reqtdned urtd��t8 SawY���9
Ot�m�nce. i�ur�dive reQd.ra�o�at� of a�ald pmpary.dfatlan tot FalsUying Pennit A�9ot�s. Ali partles agree that ft�s
Ag�nent si�be�ed witl�fhs SaNyer Countyy Zcrdng �Consetrra�on Departmenl and�wi@t 4�e Sawyet Coiu�iy
Regtster of Deeds.
. . , .
_o ono r mro ul�ed. ACK�lOYI(I.EDOMENT
State o� �)7��
Caunty oF �
, J � , �T � . Subsc�ribe�d and swa t beW�ate on 1hEs � Z�
r� � �_
oa�: �- ., ar tow�,ers r��,sr i � �
`�� Ho�y Pu� sre,�+,re:
OraRed by: Publlc Nolary Name (P�int . � �� � SG��
�c���. C.�1 c,.���� �yp COmm�sstOrl expires 2 '�
JENNIFER ANN FISHER
pQ�so�a��a you vrov�ae nsarea used ror sesa,�r��►u+�►, 4 �s.04 AI I�II � NOTAFIR°p(i�IESOTA
My Go�ion Expires
Januery 31.2026
MitigaUon points are requlred for developing Properly owner opttons to eam midgatlon potnts
property under the following conditions. include:
• Imperv(ous surface coverage B greater Removal of a structure within shoreland setbadc
than 15%but leu than 2096-3 poirtts � ❑ 5100 Ft'-1 Pt.
❑ 101 Ft=—250 Ft�-2 Pts.
❑ 2251 Fi=—3 Pts.
• Impervious surface coverage is greater ��allation of a rain garden
than 20%but leu than 309�4 pair� ❑ 0 Treats 0-250 Ft�-1 Pt
� Treats 251-5�Ft�-Z Pts.
❑ Treats greater than 5�Ft�-3 Pts.
• 5 200 ft=Lateral Exparulon of ❑ Passive Restaration (Natural Recovery) of a
Nonconfarming princ)pa1 sttu�ture within ccmptlant shoreland buffer-1 point
the shoreland set-badc-2 poirrcs ❑ ❑ Redudng width of allowable view and
access�rridor(s f 1 point for every 10
foot redudion
• ReloaUon of Nonconfortnfng p�iedpal ��nueasirtg depth of an exfstfng compliant
stnuture within the shoreland setback• sfioreland buffer-1 poLrt for every 10 feet of
depth
1 polM ❑ •
❑ Eliminate shoreline lighting 5 35'from lake
shore-1 point(Must submit before and aher
• Open sided structure requiring at feast photogrephs)
70%of the half of the shoreland scWadc ��y�� �PUant shoreland bufter-2 points
area that is nearest to the waten c�overed
by a vegetative buffer zone as per ❑ Acttve Restoratbn (Accele[ated Recovery) of a
�.59.6S2�Iv),Sfais. 35'sharzla�d buffer-2 painis
� ❑ Sea Wall Remaval and Bank StabiRzatlon-2
points(ONR permiis may be requfred)
❑ Replacement of steel septfc ta�k-I polntt
�'fank must be instatled before SMA is
recorded) .
❑ Ins[allation of a Storm water I�i{tretion
System-3 poiMs
❑ Increasing Shoreland Setback-1 point for
every 15 foot increase beyond required.
(maximum of 3 pofnts}