HomeMy WebLinkAbout024-841-11-4305-LUP-2023-304 SUBMIiCOMHEfE011VVLICATION�ND
FEEro: APPLICATION FOR LAND USE PERMIT �
SawyerCounry SAWYERCOUNTY N J
ioning&Conzervatbn Depirt. _�`e pI , � �'
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HaYward,WI SA843 `',.--- ..f , '� �,`" .�—"—._._.__.� .
Q15"�`-$ZSB ` JUL 0 3 2023 � J cnka�& _, w
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irvtTR��Ciip��c:NoOermttswillbeiuuetlumilall(eesarepaid. '
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[hecks are mada payable[o:Lvyer Counry Zoning Oepartment.
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ooNOTSiAaTCorvSTRUCTioNUNTilnllvERMI�SHavEeFErvi55UEd��ApFL��fTnf' OriginalApplicationMUSTbesubmiried FlLLOUTININK(NOPENCIL)
Submitcal o�tM1�is appiicit�ion o.rece�o�ol fees do_not cons��iiuta perm�t i�c.i.nci�.
Owner(s)Name: Contncwr�s�Name /�
W ��LikM A C NEPA yv i�i.IftM 11 CH�FA
raam�qpddreu: AVWftRD�W� MailingAddress: �L71S W �01—n`iNC�i �h'.
iL��S W Gc�eFINGN LN� SySti 3 � Yw Q� 4843
Vhone. '715'S5� "�3.�J� Vhone: "I�S'.�7.5�'3.)S�
ema�c c h� Kb��1 5 7 a� ,�w�� e�m emaa: l�z ,b�115� mu',�- eom
site aeercss: )L 7/ � L N Or Dace aOPlietl br:
Les,�rvlNN ��yPi`�///�3dS ro..�nw: D��l Yi�
PermitAelivery MMhod n Call Owner x Mail Owner �[all Contractor -rviail Contractor
��Is Vropercy/Land wi[hin 300 feet of River,Sveam im�i. Distance Structure is from Shoreline: Is your vroperty
`"�� � teet in Floodplain Are WetlaMs
IGeekorLandwardsiEeofFloodplain? I'yes--continue Prezent?
"�"!Shorelaad zooe?
�-1s Properry/land withln 1000feetof Lake,7ond ar Flowage Diztance SVuccure isfrom Shoreline: ye �es
iry�<._m�c��n�P� feet � O
�yi Non-Shareland
Describe ProJeR
Vdue atTime o/ 7otal k oi
Project type Foundation What Type&Capacfty is the
Completbn House, a�a e shed,deck, Number bedrooms
indudedon.,icd ( 8 g' ofStories (Basemen(, post Sewer/SanitarySystem(s)
•nme&n,atenai Addition,ete..) Crawlspate,
Listseparately Slab) �onstructlon
5 I, �€� /�1',ti-ffE1S�RIZin i�—
2i1 Joo rlUuSe � S�A3 � vRc�,��C<<��'�eNr�c::,;>��
o�m�c = ' g �66c 6-HL TANK
/��IOdD,
a�ao�.a, A ttc•�h�.(Gar�,�c 1 S�r�R —'
550�0� /�y „ „
A�essary BItl6 'Vl,'1�CCi i �Gl.� � L. _+ '
S
Addition/Allmtian
HefgM:
TotalSquare Lowest
Vroposed Use � Proposed Structure Dfinensions F°°�age Grade to
(multiplyper Highest
story) Peak
Residence ( Z E I X -��' ) C {L Ft. I�) —�.
with 2n0 story or lok � x �
F[.
with Basement ( X �
Ft.
I�Residential Use Attached Garage � 2�;�X z h' � �!L i� ; �
Ft. I 7 �z�-
Aecessory5trueture�e.oia��N � ''�"O�` gAr+� 1 p' x )
❑Agriculturol `� m.�,��.ae.,x..,,�.a,,�.�no�.....«i O �Z ��C Ft. I�>
Use Temporary Guest Quarters or Bunkhouse I������e ryoN � X �
Ft.
� Commerclal/ Deck/Porch/Patio � x �
Industrial Use
Ft.
� X
(2"d)Deck/Porch/Patio ' Ft.
❑Munidpal Use
Other�e,Pia��7 � x �
C Other Ft.
VrfneipalStructure(aqncwm.ai,Commer�iai,reu���c�eai,etol ( x �
ft.
Addition/Alhration�expia��n� ( X �
Ft.
� �r�
7otal habitable square(eet: �y Q Total Non-habitable square(eet: _
(decks,patios,garages,sheds,smrage area&ot�er structures�
Original Appiication MUST be submi[ted
Attach a Plan or Sketch your Property on 8.5"x 11"or S.5"x 14"paper:�Must•Indude location anA setback M proposed and existing rtructutEg�oadf,
driwway,s�nkary componeats,wel1,4ke,rlver,stream,and wetlands.
DacAptlon 5��� Dettription ���
Measuromenu Meawremenb
Setback from the Centedine af Platted Road and/or Z 5 7 Feet Setback from the Lake(o�dm.ry n�¢n-w.re�m„k) Fee[
Setback trom the Establlshed Pight-oGWay Feet Setback from the River,Stream,Creek Feet
Setback from the Bluff �r>poi<•bi� Feet
Setback from the North Lot Line p Feet
Seffiack from the South Lot Line � 67 Feet Set6a<k from Wetland Geet
Setback from[he Wert Lot Line (-� Feet Slope within area of conztruction/disturbance � %Slope
� Setback trom the East Lot Line Q Feet Elevation of Floodplain Feet
Setback to Septi<7ank or Holding Tank � Feet Setback to Well (� Feet
! Sethackto Drain Field 9 Feet �
'( • {� e1 � e.A
j Set6ack to Privy�Portable,Composting� Feet
�. ���.i = .� .i�,, �ol et.mnrewc�Infivel5)tcetort �nn,mi. q _.. ,�i,n,b �lr . n�nry� _�-omwYc'�tl.ev�Gzc4 ��svberneasmetlmustbevisiblefromonp
- ,r_,_ _� . � w_i� .. .v �u nP�o Tdrk��n. . � .. . , i 1 .�r�+nP'�ue.
! �'.;pipe��r-�. to ... +� u � ta�.u.vt _.Fa�iflvefj,eet[��'emi' �er .p�tcaLamPPr�rru�� r�Gub�isc�berk. nabo.ndaryM1nefiomwM1uhNes+!ba�km�s[a
�.�s tlm�sCe '1CI f n,oney oml�su��.cpJmie�totne tl �rpn�,�,;u:ly5uvcyctlmme�.oicifin0lrpytPeOepa�menlLymertaicrretletlmmpasifeneknoiumm�ur
wrthinSOCteetof�ti poposao;l�� ,�v�n,uwe.a�r�ust�ema�Vetli�yebcen5=tl,utieyoratiPeow, ,e.c nn.
Calculate impervious surfaces.(Roofed,conuete,paved,and other surtaces that water cannot penetrate.The Zaning Office ran help you determine if a
wrface iz considered impervious)
' Cafculatelotarea:
Indicate lot size trom CSM or NOVUS(cirde one): Acres;Multiply by 43,560=Lot area: Square Footage
Calculate impervious surface area:
Determine the total size,in square feet,of your projeRs listed above(indude eaves): sq h.
Determine the[otal size,in square feet,of all existing roofed structures(indude eaves�:_ sq ft.
Determine the total size,in square feet,ot all existing paved/bricked/blocked surfaces: sq ft.
Add these measurements to determine total impervious surfaces sq ft.
Calculate impervious lot percenqge
7o[al impervious surface: +Lot area� Sq k.X 100=impervious surface %
�Mlti¢ation is reQuired if robl exceees iSYe�
•••Notice a seDarate grading permit needs to be obtained if disturbed area is within the Shoreland distric[as indicated on previous page and meets crtteria bebw^'
Gradin 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 1D,000 Sq.Pt.
�aRIINLI.�CVr41nA- 1 rt,iP.�IN .� ;. ..i;Hr;U7. VFSf.11TWILLFE �L�_� IrvPtNnlrll�
I(we)dedare that this application(including any acmmparrying information�haz been enamined by me(us)and to Me best of my(our�knowledge an0 Oelie�It is vue,mrrett and !
wmplete. I(we)acknowletlge that I(we)am(are)responzible for the detail and acarary of all information I�we)am(are)providing and that it will be relied upon by Sawyer
Counry in determining whether to issue a permiL I(we�further accept liabiliry whic�may be a resua of Sawyer County relying on this informa[ion I(we)am(are)providing in or
with this apPlication.I(we)consent m counry offinak charged with administering covn[y ordinances to have access to the above descnbed propetty at any reasonable time for Me
purpose of inspectiort Additionally,the undersigned person(s)hereby give permission for access to the pmperty for onstte inspection by Munidpal Officials.
Owner -// /� /�
Signaturo I �ly.�L� (.( (/�,xi P nedname � ��LJA� A CNEPA Date �/..3�a..3
i
�. ,i.i.,,i,:n.:ir.arn� �_ i. _�
NOTICE :•il. �,-..i t , �_ .i� �r�l�.:;,« i �n� ..
E:r'heC. s�niitlonO�i .v� ,vin, ip:w�linq�, a IM rzips,f sAreReV'�i�edT E lcrre�ih 1 (o �iG�.n.°�ngCatlr
�r�-r..� ,,�r,x�teo�FeCe�alagenc.esmayzcereouv,oPrmas
You are rezponsible for compN�ng with Ihe repuirements of the Sawyer Counting Zoning Ordinances and law and regulations af the State of Wiswnsin.Vou are also responsible for
complying wlth Sqte and Fedeal laws conceming mnstruction near or on wetlandz,lakes,arM s[reams Failure[o comply may resuk in removal or modifcation of mnstruRion
that violates the law or ot�er penalties or wsts. For more'mformation,visit the depattmeni of natural resoarces wetlands identification web page or contact a department of
natural resources service center(608)26]-3125
- `� � - �-f.r • ].-���
Issuance Information(County Use Only) Sanieary Number. �/_D �� N of 6eErooms:
Permit Denied(�ate�: Reason for Denial:
Permit p: Issuing agent: Date:
� . �/ '
��— � �i 1 I � ;''l.'��',.�,�';`,�'\.._. . . V I .�C�
!-
ISParcelaSub-StandarClot �,!Yes �oeedafRecorE� � �° MitigationRequired '�.��.Yes �fNo
IS Parcel in Common Ownership el'Yes (Fused/Contiguous La[(s�� ''�No Mitigation Attached �'�Yes �'No
is S[ructure Nan-Conforming !I Yes �t Na
Granted by Variance(B4O.A.) Granted by Conditional Use
��IYes � No UseN: �!Yes �. No UseY:
Was Parcel Legally Created Ves !'No Were Property Llnes ReOresented by Owner '�Yes No
Was Proposed Bui�ding Site Delineated �Vea _'No Was Property Surveyed 7 Ves No
OfficeCommentr �r��,.-�=,- �c,��� r�-��=�� r_�\ \� (,�.w._. �L ZoneDistritt: Fee:
�..: �«.;�,•� �oa. �d
�•�- �
Hold Pot Sanitdry: �� Hold For TBA: Hold Por AHidavit Mold For Fees: __
oF�szozi
7l3/23, 9:32 AM Novus-Wisconsin Access rev. 13.1108
Real Estate Sawyer County Property Listing Property Status:Current
Today's Date:7/3/2023 Created On:2/6/2007 7:55:45 AM
�
�_�'Description Updated: 7/1/2020 '� Ownership Updated:4/30/2021
Tax ID: � 26565 WILLIAM A CHEPA HAYWARD WI
PIN: 57-024-2-41-08-11-4 03-000-000050
Legacy PIN: 024841114305 Billing Address: Ma_ling Address:
Map ID: .15.5 WILLSAM A CHEPA WILLIAM A CHEPA
Municipality: (024)TOWN OF ROUND LAKE 1D15W GOLDFINCH W 12715W GOLDFINCH LN
STR: 511 T41N R08W HAVWARD WI 54843 HAYVJARD WI 54843
Description: PRT SWSE lOT 5 CSM 18/101 #5427
Recorded Acres: 2J40 � Site Address *indicates Private Road
Lottery Claims: 0 12715W GOLDFINCH W * � HAYWARD 54843
First Dollar. No
Zoning: (RRl)Residential/Recreational One
ESN: 461 'J P�oper[y Assessment Updated: 7/16/2019
2023 Assessment Detail
Code Acres Land Imp.
� Tax Districts Upda[ed: 2/6/2007 G1-RES[DENTIAL 2J40 ll,900 0
1 State of Wisconsin
57 Sawyer County Z-Year Comparison 2022 2023 Change
024 Town of Round Lake Land: 17,900 17,900 0.0%
SR478 Hayward Community School District Improved: 0 0 0.0%
001700 TechnicalCollege 7otal: ll,900 17,900 0.0%
�+ Recorded Documents Updated: 2/12/2014 [�
O TERMINATION OF DECEDENTS INTEREST .L'�!property History
Date Recorded: 4/26/2021 431454 N�A �-�� � � �
O TRANSFER ON DEATH DEED
Date Recorded: 4/26/2021 a31455
O WARRANTY DEED
Da[e Recorded: 6/2/2020 424141
O LAND CONTRAR
Date Recorded: 8/9/2019 419240
O TRANSFER ON DEATH DEED
Da[e Remrded: 1R7/2014 389169
O WARRANTY DEED
Date Remrded: 10/S/2004 325700
O CERTIFIED SURVEY MAP
Date Remrded: 6/13/1996 254837
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