HomeMy WebLinkAbout010-841-36-5135-LUP-2023-306!,' ."`. ,
SUBMIT COMPLETED APPLICATION AND
FEero: APPLICATION FOR LAND USE PERMIT _ `
Sawyer County � � ,
Zoning&Conservation Depart. � _ G � VJ
10610 Maln St Suite 49 f i�ate o L�p__ _ _ �
Hayward,WI 54843 (���1
(715)634-8288 JUN 1 2 2023 �hk#_ vla i� �
-- RC ��i �-1 1p S 6.
�.4W'v'ER C,�?t:��-��r � --��---...�.____.__._,�
INSTRUC710N5: No permitc will be issued until all fees are petd. H� ,r,, -
Checks are made payable to:Sawyer Counry 2oning Department.
DO NOT START CONSTRUCTION UNTIL_ALL PERMITS HAVE BEEN ISSUED 70 AVPLICANT. O�igiff0l AppliCBtiOn MUST bC 5ub�tltt2d FILL OUT IN INK (NO PENCII)
Submittal of this application or receipt of fees does not constitute permit issuance.
Owner(s)Name: Contrector(s►Name
Fr�lt�1G 1 ��vSQ� Go Gv � Ca,- ��► �
Mailfng Address: dBr..,._. Mailing Address:
-.�.7v�
!� � / 1Z,� � s I �,` , ��
Phone: Phone: ..�
n 7��-� s�—�oyd
Email: '�� (%'a , �/✓� Email: (,7 f (�/t� v �f�al(, �
Site address: ��6`�7/w /��/[J N(� /��l�/ Or oate applied for.
O/O T
Legac PIN It Town of:
�ermit dellvery Method ❑Call Owner u Mail Owner o Call Contractor �(Mail Contractor
:,is Property/Land within 300 feet of River,Stream (md, Distance Structure is from Shoreline: is your Property
incermittenQ � feet in floodplain Are Wetlands
Creek or Landward slde of Floodplain? If yes---continue Present?
�Shoreland ` — zonE' ves
�(,Is Property/Land within 1000 feet of Lake,Pond or Flowage Distance Structure is from Shoreline: Yes �
If yes---continue —► O� feet o� �
i7 Non-Shoreland
Describe Project Total ri of 9
Value at 71me of preject tyne Foundation What Type P�Capacity is the
tompletion Number bedrooms
(House,garage,shed,deck, (Basement, Sewer/Sanitary System(s)
'inciude donated Of$tO�i@5 Past
Addition,etc...) Crawispace,
time&material Lfst separately Slab) construction
5 � 5/� �-- � �r ��1
�- ,�
owemn6
w 1��,�,�able.
$ (oo,�o�
Atcessory�Idg
$ QO �Oa
AddiHon Alteratlon
Height:
TotalSquare Lowest
Pro osed Use ✓ Proposed Structure Dimensions Footage Grade to
P (multiply per Highest
story) Peak
Residence ' °�'
., S(� ". Ft.
with 2nd story or loft (�! �/���(�, 1 �0 Ft. �l' ���t
(..._�� x ) -
with Basement Ft.
I,� Attached Garage ( �,�I�'tX3a ( , �C� � ���
�l Residential Use v - Ft.
Accessory Structure(ezpi�ir,) f x )
❑ Agrieultural (detachedgaroges,sheds,6oathouses,etc) Ft.
Use Temporary Guest Quarters or Bunkho�se(crrcie ty�e� ( X 1 Ft.
� X �
❑ Commercial/ Deck/Porch/Patio Ft.
Industrial Use � X )
(2"d)Deck/Porch/Patio Ft.
❑ Municipal Use ( x a
Other(exp�a�n) Ft,
❑ Other ( x )
Prineipal Structure(ngricuicurai,Commerclai,Municipal,Etc.� Ft.
( X )
Addition/Aiteration�exPiatn) Ft.
��� ,^ Total Non-habitable square feet: C1��-'
7otal habitabie square feet: U {decks,patios,gareges,sheds,storage area&other structures)
��- s -�� c��� �.5 P�.�-�- a-F ?�° s� -F f n"��
L
Original Appliwtion MUST be submitted
�Attach a Plan or Sket<h your Property on 8.5"x 11"or 8.5"x l4"paper:"Must'Include Iocation and setback of praposed and existing ztructures,roads,
riveway,5anitary components,well,lake,river,stream,and wetlands.
Descri tion Setback Set6ack
P Measurements Description
Measurements
Setback from the Centedine of Platted Road and/or Feet Setback from the lake�om'��arvn�¢n.waurm�rk) �Feet
Setback from the Established Righc-of-Way Feet Set6ack from[he Rlver,Stream,Creek Feet
Set6ackfromtheeluff�rapoi��.bi< Feet
Setback from the North Lot Line � Feet
Set6ack from the South Lot Line Feet Sechack from Wetland Feet
Setback from the West Lot Line feet Slope within area of construction/disturbance Y Slope
Setback from the East Lot Line_ Feet Elevatlon ot Floodplain Feet
Setba�kto5epticTankorHoldingTank _ __ Feet SetbacktoWell Feet
Sethack to Drain Field 1 �t Feet
Sethack to Privy(Portable,Composting) Feet �
Fnor to n�e 41�iei nen:or cointru�Ilon of a ztructure wltMn Flve(5)feet of[�e minimum requlreC sethack,the hountlary line from wh ich Ihe setback must be meawrea must be vislble from one
peev�iou�ly�urv�yed cor�ie�tc�n�otl�zr previously surveyetl corner or markeel�y a licensed s�rveYor at the owner's expense.
Frior to the placement or construction of a svuccu re more��an five�5�}eet but less ilien ten(10�feet from[�e minlmum repulretl setback,t�e Countlary line irom which the setback must be
ured mus[be visible irom one previously surveyrJ corner[o the o[her previously surveyee mrner,or verifable by t�e Uepartment Oy use ot a corrected compass froni n known coriiei
within 500 feet of the proposed site oi the structui e,or mus[Ge markeG by a i'rcensed surveyor at tlie ownrr's expense. .
Calculate impervious surfa<es.(Roofed,con<rete,paved,and other surfaces that water cannot penetrote.The Zoning Office can help you determine If a
surface is conslAered impervious)
Calculate lot area: �/
Indicate lot size fro SM or NOVUS�cirde one): �S 0"���'/ Acres;Multiply by 43,560=Lot area:�Square Foota6e
Calculate impervious surtace area:
Determine the total size,in square feet,of your projects listed above(indude eaves): /�C(J D sq k. p /
Dete�mine the to:al size,in s C ^ �e` �+�+G�.��
quare reei,of all exlsting roofed structures�indude eaves�:_�_I�j/ sG R, I
Determi�e th:to:ai size,in square feet,o`a;;exisfng paveG/Li icked/blockzd wrfaces: 1 l,-L� sy f;. �"J'�ti'/\� �
Add these measurements to determine total Impervious surfaces: �,���_sq ft.
Calculate impervious lot per<entage (7 L��(/
Total impervious surface: �/�� +�ot are�q k.X 100=impervious surface_1�_%
��� �Mlligat�ipniSreQuiredlflolalcxceetlilSYe�
"'Notire a sepaate grading permit needs to he obtained if disturbed area is within the SAareland dis[ric[as indicated on v�evious page and mee[s aiteria 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 tha 12% G ading�s in ezcess of 10 000 Sq Ft
a�LUNE 10 Uillniry,-.F�Rn�,'�orSiARTINGCONSfItu�:iON WI(r10U1�MFIiMii WILL RESU�I iN VI NnL1115
I(we)declare that Ihls applicalion(Including any accompanying Informatlon�has been examinetl 6y me(us)and m the best of my(our�knowledge and hellef it Is Irue,corrett and
mmple[e.I(we)acknowletlge that I(we)am(are)responsible tor the detall and accuracy o(all informatlon I�we)am�are)providing and[hat it will be relied upon by Savrye�
Counry in determining whether ro issue a permit.I(we�further accep[Ilablliry which may be a result of Sawyer Counry relying on this inFormaHun I�we�em(are)provlding In or
with this apPlication.�(we)consent[o munry offlcials charged with administering counry ord�nanres to have access to the above descrlbed property at any reasonable time for the
purpose of inspec[ion.AEditionally,the underzigned person(s)hereby give permission for access to the property for onsite Inspection hy M unlclpal OHlclals,
� ._1
5�'�gnature `J Printed name Fi/�I�h�1�i fp'�'C!1��Date�/�,.7
Isignzn�re ana ar���ed�e�ead�rea� E I YL��v T �
OTICE:AlI Land Use Gernilts Explre 0ne�1)Year(ram the llate otlssi�ance.
Fo�the Coii>Iriic[ion 0�New One&Two Fa�nily Dwe.11ing�.�I L Mun'icipal'i[les Are Nequ'ire:1 To Enlorce The Uriifurm Dwelling Cotle.
i��io��i r�,���,s�a�����Feee��i as«� �,�v ac��e:i�,a,��,�•��„��s.
You are responsible for comply�ng with the requirements ot the Sawyer Counting Zoning Ordlnances and law antl regulaUons of the Slate of W isconsin.You are also responslble for
omplying with State and Federal lawz mnceming construtiion near or on wetland5,lakes,and 5neams.Failure ro comply may result in removal or mOdlfication of constructlon
�thatv�olatesthelaworotherpenaltiezorrosts.Formoreintormatlon,visitthedepattmen[ofnaturalresourceswet�antlsldentlfica[ionwebVageorrontactadepartmencof
natura�res0urces zervice ce�iter�60H)Jfi�-i1J5 .
�
Issuanee Information(County Use Only) Sanitary Ncmber: n� I y�f bPd.cems.� . _ __.____ .
-w
Permit Denied(Date): Reason for Denial:
7ermittt: Issuingagent�. �� /J Dare:
y� //
� ?-- �i(�, tn i��
� a �3
Is Parcel a SuhStandard Lot I i Yes �oeed of Record� M'-ation Required X.1'es i.!No
IS Pafcel In Common OwnerShip I I Ye5 (Fused/[omlguous Loqs�) o
Is 5[ructure Non-Conforming !I Ves �.��No Itigation Attached f�(Ves ��.::.No
Granted 6y Variance(B.O.A.) Granted by Conditional Use
..I Yes ��":��No Case N: �:;Yes r�.No Case p:
was Parcel Legally Created '��:'Yes fi No Were Property Lines Represented by Owner ����,Yes No
Was Proposed Building Site Delineated '�.I Yes I_'��Na Was Property Surveyed '.Yes No
OHIceComments� ZoneDistricC Fee:
�R-� � 3�0
HOIdForSanitary: '�� HoldForTBA; HoldForAffidavit:I._ HoldForF�es: .
mFe62021 -�-
Real EState Sawyer County Property Listing Property Status: Current
Today's Date: 8/2/2023 Created On: 12/17/2020 11:17:28 AM
�Description Updated: 12/17/2020 Ownership Updated: 12/18/2020
Tax ID: 44029 TYSON FAMILY REV TRUST HAYWARD WI
PIN: 57-010-2-41-08-36-5 05-001-000350
Legacy PIN: 010841365135 Billing Address: Mailing Address:
Map ID: TYSON FAMILY REV TRUST TYSON FAMILY REV TRUST
Municipality: (O10)TOWN OF HAYWARD 12587W MORELAND RD 12587W MORELAND RD
STR: 536 T41N R08W HAYWARD WI 54843 HAYWARD WI 54843
Description: PRT GOVT LOT 1 SEC 36&PRT GOVT
LOT 3 SEC 25, LOT 1 CSM 36/320 #8492 �' Site Address * indicates Private Road
Recorded Acres: 0.400 12551W MORELAND RD HAYWARD 54843
Calculated Acres: 0.000
Lottery Claims: 0 -� Property Assessment Updated: 4/16/2021
First Dollar: Yes _
Waterbody: Round Lake 2023 Assessment Detail
Zoning: (RR1) Residential/Recreational One Code Acres Land Imp.
ESN: 444 G1-RESIDENTIAL 0.400 204,200 136,700
2-Year Comparison 2022 2023 Change
� Tax Districts Updated: 12/17/2020 Land: 204,200 204,�00 0.0%
1 State of Wisconsin Improved: 136,700 136,700 0.0%
57 Sawyer Counry Total: 340,900 340,900 0.0%
O10 Town of Hayward
572478 Hayward Community School District
001700 Technical College �
Property History
Parent Properties Tax ID
+ Recorded Documents Updated: 12/17/2020 57-010-2-41-OS-36-5 05-001-000340 44028
QUIT CLAIM DEED
Date Recorded: 12/14/2020 428670
CERTIFIED SURVEY MAP
Date Recorded: 9/23/2020 426657
QUIT CLAIM DEED
Date Recorded: 7/17/2013 386137
QUIT CLAIM DEED
Date Recorded: 8/21/1986 201408
WARRANTY DEED
Date Recorded: 5/30/1986 200195
WARRANTY DEED
Date Recorded: 5/30/1986 200194
WARRANTY DEED
Date Recorded: 7/27/1982 183488
Child_Nistar�ltecQrdSount; 3_. --_--_ __._ _ _ __ _.
_ �- ----a ---� --_�__ ____ _�- ------ __ _..,_ � �
HISTORY�Expand All History White=Current Parcels Pink=Retired Parcels
�Tax ID: 11843 Pin: 57-010-2-41-08-36-5 05-001-000140 Leg.Pin: 010841365114 Map ID: :1.14
O Tax ID: 11842 Pin: 57-010-2-41-08-36-5 05-001-000130 Leg. Pin: 010841365113 Map ID: :1.13
�Tax ID:44028 Pin: 57-010-2-41-08-36-5 05-001-000340 Leg. Pin: 010841365134
44029 This Parcel Parents Children
S�wyer Cenat�Zoamg Administ�ratiun � •� �..i
0
'—"—"-� Inspeciion Rqart � � � �
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Owner(s) T n Famil Tn�st �
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Address 12587 and 12551 Moreland Road z O
� t
Agent/Purchascr � Q
W
Address � � �
B(dr/Piber/CST v �
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Address a
Inspection � Private ❑ Public Violation � Zoning ❑ Sanitation
� Dwelling ❑ Mobile Home ❑ Commercial � Garage � Addition �,
� Seiback-Lake � Setback-Road � Setb�-Lot Line ❑ Soils Verification �
a
� onsite inspection reoort - �
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� �
QCD#386137 O..i3 Aeres RR-1 #125541W Morel�d Road o
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Discussed with ���- r/'� �Jav Kozlowski
Date&Time 092520 9:00 AM
Signature ofInspector
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�Ormec's tdam�{s}a.s Ahrnm ari d�ed: p#�!}LA CHISSER
�`/�S�J �....% �-rr �r��C�/ ��ZI,�s� REGISTER OF DEEDS
SAINYER COt1NTY, WI
Paractlsfentifica�AnNumbcr. .` 08/01/2023 02:41 PM
(tz�"�gittngaay�D) ,Q I C�����'��7 A S � 3 S` RE�QRDI{�!G FEE �t3.�0
fit�Agreemerit n�,,,ys4 Jn�tr�da F��fallAt�ring�xhibit�: �AGE�_ �
Exhlbft A:I,�aa�Da�afntian of ihe rettf astafe!ar e�r�lr�lhia ftgtr_em�r�a�plics(°P�A�� .
E�chJbft 9:�ga�on Ch�dcfr�l-pm�rred mlt3�afion prac.�c�m�e>4 bfl szlec�aA at Grnn
dea�mctu is rocotded. .
EzhIb3t C:Locat�nn Maafsl—Shcnrs�n ac�urat�Ec�th�n(s)of each mfltt�aGnn pr�c�(s) .
aetected and ser�d tty th�s Agr�ement, .
R6tum to: Satvyret Caunty 2onJnq and C.�naa�r�4lara Aopa�Rnert4
10&90 MaIra��SuIto�59,Fia�n�vard,�hll��AA�
_ .`<-,r��-c,4.._
1 '" � L 6� �- . ��`/�G'� h���y�r�ger intA ari�kgreement for ShAre�na M3Qgetlon
on cdate�i��ment) E�� 3
for ProAertY tocatecf af(addr�ss) I ��' �;5 l l,� j,v� �,i�=�j��v l� �`Z�'� � �-y �r�i � ld.�
as descxfbed and attar.hect h�rreto. � j��-'��j
This agreement,stgn�d by awnerAf prc�periy�t.a�hed,h�r�r,�ctifi�s 4hat�hs sefe�i m3Ugation prac�.ices an said ptoPertY
wil!be cam�letedlm�Intained.Mi�gatioc�pr�e�ic�,s str�Il b$�e��'t��kry�ic,�n�r Af�his agreeme.rst ar�d ini�aled cm foQuwing Ra9es.
"the ovyr�er(s)hereby agree��property�ubj�t iq thi���r�rne�t s1�I1 had�ap�e��cied mlHgaation campfeted s(x m�nffis
aR�L�nd Usa Permr�is issue�t. The prx�per�i��u�je�t f�gfi3�A�r��mar�t In p�rpet�tty,re�ardt�ss of owri�r�hip
2ransfer. .
The�wner(sj fu�tf�er agrees tn aAow auttaori�Qd r�p%.sen�al�y�s 4�fh�faavemment�l Unit tc�snter onto tt��owner'�proPetlY at
!he abov�de�c�ip�on betw�en t.h�t��uur�Af�i:Qf1�M��16:t19�M,BVl�nd�y ihr��agh Fri�ay.(Sec�iprt 8.13(1)POWERS�Sawyet
Caur�?y Z'oning Atti'mancej i�dst�rmins if��l�d mRiq�l�ra is�sam�i�tg�nd t�at!t is lbeing pr�serosd .
Volation�f ltgls Agreemsnt wr'�auth�tiz�,!r��d�if,i�n taaRk�sr pe��tti�s�nd r���T reqq�d under the Sawvyer County Zaning
Ordinance, mJun�v�r�rer.t�sb�rat�on af satd property.�itat c�i�r�alsifying P�rmit�,ppfr��ons. All parties agree that dvs
5 •
Agreement shait be fil�d wiih the Savey�r�saniy�rring�� e.�r��d�lep�rtment�rtd re�rded with��Saivyer Coun S
Register cl'Aeeds. r ,.....a, ,r
ty
. . ,ti o�?: a�R,�;:� .
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.(�n an ar ci atu ta uirad� 1.�`��'`��3 ;c�z �GKf��WteF�Gl�EidT
OWciet'S�(gt1 ' ` �,�,`` � '��j�;' ��•,,� 1
�- G l� _ �C�,�'�W S [ i.:'1 S'�/n
pW[�P.�,'S 1��R1�{f fillt�: .e���` �,• ••����' �Ci.J
^ f� ... ��:n'b�d�nd sw to�me ort ihls
���L 15 � � 5G�/�% '���. ���iR. �� �ay�P �,h �.�
ID�te: / �., sy{{�wne���I�me}: � � s�,� �
V - G � 3 �ac�ry P�rblic�(gnature: _ �7
Draf�d by: �l� `�� �1 Pca�((�i��tary I�ame{Print): L'.s� /�v� . E"o �� �
P�+T f/��iC� � �"l�� �I �mmi�ion ,�,
Y eXpit�S O!x �' E c,a,S
Notarial Officer by Wis. Stats.
140.10 (1) (f) and (2) County Cierk
Persanal inlarmalinn you pr�viCe may be useci tor se�nclar�'Pu��I�'��`�'�,§1�,�?4(�(m)I ReY.a4f14/16
LoC 1 as recardc:d in Volume 36 of Certified Suivey Maps,pa�c 32o, Stt�vey No.
8492 as Document No. 426657, locateti in the Town of Hayward, Sawyer County,
Wisconsin, being a pat-t of Government Lot 3, Section 25 and par�of Government Lot
1, Section 36, all in Tawnship 41 North, Range 8 Wes�.
Mitigation points are required for r�eveloping Properry owneroptlons to eam mitigation poincs
property underthe following conditions. include:
a Impervious surface couerage is greater Removal of a siructure within shoreland setback
than 15%but less than 209'�-� potirts � ❑ 5100 Ft2-1 Pt.
❑ J.0] Ftz-250Ft�-2Pts.
� 2251 Fk�-3 Pfs.
� Impervious surface covera�e is greater �nsYallatian of a rain garden
than 20%buY less Yhan 303'r A paints Q � Treats 0-250 Ff -1 Pt
❑ Treau 251-500 Ftz-2 Pts.
� Treats greater khan SQO Ft�-3 Ats.
4 5 200 ftZ Laterel Expansion of � Passive Restoration (Natural Recovery) of a
NonconPortning principal structure within �ompliant shoreland buffer- 1 point
the shorefand set-back-2 poinRs � ❑ Reducing wiclth of allowabie uiew and
access corridor{s)- A poin4 for every 10
f��C reduCion
Relocation of Nonconforming psin�iyal � Increasing depth of an existing compliant
o structure within the shoreland setback- shareland buffer-1 poin4 for every 10 feet of
depYh
� point Q
� Eliminate shoreline lighting S 35'from lake
shore-1 point(Must submit before and aher
e Open sided structure requiring at least phofo�raphs}
70%of the haff of the shoretand set6ack (] ���ng compliant shoreland buffer-2 points
area that is nearesi 4q che braYer is couereci
by a vegetative buffer zo�e as per ❑ Actiue Restqration (Accelerated Recovery) of a
5.59.692{J.v),Stats. 35'shareland buffer-2 points
❑ ❑ Sea Wall Removal and Bank Stabilization-2
pAines JDNR permits may be requlredf
❑ Replacement of steel septic tank-2 points
(Tank must be installed before SMA is
recarded}
❑ Instailation of a Storm water Infiltration
Sys[em-3 points
❑ Increasing Shore(and Setback-1 point for
every 7.5 foo2 increase beyond required.
(maximurn of 3 poin4s)
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