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HomeMy WebLinkAbout010-941-15-1101-LUP-2023-334 SUBMIT COMPLETED AVVLICATION AND FEE TO: � �� ) Sawyer Counry ��TIER CO .� � N�I��� r} ? �l'� Zoning&Conservatbo DePart. 4 , ----� ��-�-- �--� �1 i j t���e '�I 1� '� -� 10610 Main St Suite 49 ' (71,5 694-8288 3 ` l� �..h I�it �� � 1 ' � .--. � AUG 1 0 2023 � Rc�.�t# �s�� 'J� INSTRURIorvk No permits will be iswed until all fees are paiC. p�� " � ,, , Checksaremadepayabkto:5awyerCountyZoningDepartment. 7[����[j � �j � �"[�� W DO VO'STFRT CONST0.lJCTION UNT��.1 All PERMITS HAVE BEEN ISSULD�Q iiPPL1C'AN��'V���I��(1p1�t1�1fR1IU57 be submitted FILL OUT IN IN% (NO PENCIL) � SuDmittai of(�iy applicdtiOn or rrceipt of iees Eoes no[mnstit�ie per:r.i!itti��Tnce.. ow�ensl Name: Hayward Area Memorial Hospital and Contnctor�s)Name Water's Edge,Medical Services,If1C. Northwest Builders,Inc. Mailing Addrcu: ��O4O N SYBte R08d 77 Mailing Address: pp63 17 1/4-17 1/2 Ave � Hayward,WI 54843 Rice�ake,wn 54ss8 I Phone: 715-934-4497 Phone: ��5-234-7066 Ema�i: dwegener@hamhwe.com E�.i. Chns Mlejnek«hnsm�nwbuildersinc.com> Sk!addrlSS: I Same Or Date a lied for. L! PINN � '� 'O� TOWoor: Hayward Property has floodplain,but Permit d[IiveryMethod u II Ow r n Mail Owner r Call CAntractor ❑Mail Contredor email and call �improvements are not .__._, impacting �-�Is Property/Land within 300 feet of River,Stream p�ci. DisW nce Structure is from Shoretlne: Is your Property miermitt.ne) �� Are wetlands Creekor landward side of Floodplain? if yes--mntlnue '' feet in Floodplain presen[? �Shoreland � zone? � �(Is Pro g Yes xYes perty/Land wiMin 1000 feet of W ke,Pond or Flowa e i Distance Structurc is 6om Shoreline: Ifyes---rontln�:e � ]]' feet XNo '��� '�.���Non-ShoreHnd Describe Project value at Time of Total ri of Project type Foundation What Type&Capacity is the Completlon (House,garage,shed,deck, pumber bedrooms '�naude donated of Stories (Basement, PoSt Sewer/Sanitary 5ystem�s) addicion,etc...� Crawlspace, bme&matenai u�x�rately Slab) �onstruccion S Maintenance � Slab Building Dwdling 5�- Accessory BWe S nddtion/ate��bn Height: 7otal Square Lowest FooWge Grade to Proposed Use � Proposed Structure Dimensions (mukiply per Highest story� Peak Residence � x � Ft. with 2""story or loft ( x � Ft. with Basement ( X ) Ft. ❑ Residential Use Attached Garage ( X , Ft. Aeressory Strueture(ezpia��) ( x � ❑ AgllCllltUf01 (d�ca�r,�d¢a..ee:,:neas,eoanno�:.:,.ml Ft. USE ( X l Temporery Guest Quarters or Bunkhouse(cirde cype� Ft. ( X � �Commercial/ Deck/Porch/Patio Ft. Industriai Use ( X � (2nd)Deck/Porch/Patio Ft. C Municipal Use ( X � Other(ezplain) Ft. � Other ` , � 50' X �oo' � 5,000 SF is' XPII�CIp81 SIfUCLU�2(Agricultural,Commercial,Municipal,Etc) Ft. � x 1 Addition/Alteretion(exoiam� Ft. Total Non-habitable square feet: 5,000 SF TOtal h0bit8ble Square feet: (decks,pa[ios,garages,sheds,storage area&other structures) Original Application MUST be submitted Attach a Plan or SkMch your Property on 8.5"x 11"or 8.5"x 14"paper:'Must'Include location and setback of proposed and existing stn+dures,rwds, driveway,sanitary compa�eMs,well,lake,river,stream,and wetla�Ms. ��� Setback �pn� Setback MeawremeMs Meawrements i Setback from the Centerline of Platted Road and/or 900 Feet Setback from the Lake(ordinary high-water mark) 77 Feet '�, Setback from the Established Right-of-Way 850 Feet Setback from the River,Stream,Creek Feet ' Setback from the Bluff e nooi��abie Feet Setback from the North Lot Line 2730 Feet Setback from the South lot Line 1080 Feet � Setback from Wetland Feet Setback from the West Lot Line 850 Feet ; Slope within area of construction/disturbance up to 3% %Slope Setback from the East Lot Line 1550 Feet Elevation of Floodplain Feet Setback to Septic Tank or Holding Tank �/a Feet � Setback to Well 740 Feet Setback to Drain Field �a Feet Setback to Privy(Portable,Composting) n/a Feet - � �•�in fi�e�.���`ee-_ .. . _.,.�reC setoack,the boundary'��ine fren�,which:he setbac'R mus.he meas��eC m„st ee�i�'.e from one .. . � . :rved co���er o��a���oa�. . .. �rveyor at the owner's expense. Pr�o�[o[he o�acernent or ccnsv�cuon of a s[«,t_�_,�ore[��an frve IS7 feet o�t ir�s�.�,<,�,:rr;10)feet from[he minimum•eG���ed setDack,the bounda�y line from whim ihe setback must be measuretl m�st oe visi�le(rom p.�e pre�., �., .,�._,eo�cr,=r[o-he otner pre.�„�_..s�.r�eye�:�� , r� .���c'.e[v:�e Cecar,��e�:b��se cf a-���e:ce4 compass f�om a Known cor-,er with�in 500 teet of t�e propozed ste of[he s!ru�-�rr � �s�be marked by a iice�sec survevor a2 t�eeowne-e�expe�se Giculate Impervious sufiaces.(Roofed,concrete,paved,and other wnc�es that water cannot penetrate.The 2oning O(Nce wn help you determine H a wrface is considered impervious) Sawyer Co.GIS Data � � � Calculate lot area: 393.73 17,150,879 Indicate lot size from CSM o OVUS ircle one�: Acres;Multiply by 43,560=Lot area: Square Footage , Ulculate impervious wrface area: � ' n ��L ,� ' Determine the total size,in square feet,of your oroieds listed above linclude eaves�: z5,490 Sq ft � • �� 256,370 ' � r � ! Determine the total size,in square feet,of all existing roofed struc[ures(indude eaves): sq ft. �� ��z�y� � fi� 483,474 7'+�" 'Y Determine the total size,in square feet,of all existing paved/bricked/6locked surfaces: sq ft. A 6roding permit application' submitted for a combined effort 765,334 forthis Maintenance Building Add these measuremenis to determine total impervious surfaces: �q�c. Iproject and a separate Clinic i Calculate impervlous lat percentage Addition being completed by a I different contrector for the 765.334 17,150,879 4.46 facility. Total impervious surface: =Lot area: Sq ft.X 100=impervious surface % I (Mi[igation��s required I/toblerceeds 15)6J � "'Notice a separate groding permit needs to be obtained if disturbed area is within the Shoreland district as indicated on previous page and ts cri[eria below••' Gradin on a slope reater than 20% Grading of more than 1,000 Sq.Ft.o 'Y-20'Y slopes Gradin of more than 2,OW Sa.Ft.on Slopes less than 12Y Grading is in excess of 10,000 Sq.Ft. .. . � ,;.J�,s�N .��On�r�. � .. ., .- ., __ . . I(we�dedare that this application(induding any accompanVing��nformacion)has been ezamined by me(us)and ro the best of my(our)knowledge and belief it is true,correct and complete.I(we�acknowledge that I(we)am(are)rezponsible for the detail and acaraq of all information I(we)am(are)providing and that it will be relied upon by S�wyer � County in determining whether to issue a permit.i(we)further accept liability which may be a result of SawyerCounry relying on this Informat�on I(we)am(are)providing in or � wRh this application.I(we)consent to county officials charged with administering county ordinances to have access to the above described property at any reasonable time for the � purpose of insDettion.Additionally,the undersigned person�s)hereby give permission for access to the property for onsite inspection by Municipal Officials. I 7� pQ.Q�Q�, 1'/'')�] J� /A/ �/�� 7 5 gn ture v����( POrinted name V!"`L:1�i'V�n�i;i—/(/�Date o8/�! ?—�� ... ;S�gnature c�nd Pr�nted Name reo�.- � I raJT��c .,�,,ar-:Lse Permits e"xplre One(1)Veartrc� J=te�' ss.�a,�ce . .;,,�. _ ... .. - _.,, ,.� � VDwel��ng.ALLMurccall:�esFr- __ ��.—. .,, -reT,� ..�...a.. , ,.,� "ne bcal Tcwn,5[ate or Federal agenoes may aiso reqwre permrts. You are responsi6le for complying with[he requirements of the SawyerGounting 2oning Ordinances and law and regulations of the State of Wismnsin.Vou are aiso responsible tor complying with State and Fede21 laws concerning construction near or on wetlands,lakes,and streams.Failure to comply may result in removal or modifcation of construction that violates the law or other penalties or cosu.For more information,visit the department of natural resources weNands iden[ification web page or contact a department of natural resources service renter(608)267-3125 Issuance Information(County Use Only) �^itary Number: tt of bedrooms: Permit Denied(Date): Reason for Denial: Permit p: Issuing agent: Date: c � � .�) ��"C � V �� P Is Parcel a Sub-Standard Lot ':Yes (Deed of Rewrdl Mkigation Required '�.:Yes �-No �� Is Parcet in Common Ownership -:Ya (Fused/Coritiguous Lot(sl) �,'N Mitigation Attached �:�Yes :No Is StruRure Non•Conforming 'Yes Granted by Variance(B.O.A.) Granted by Conditional Use .,.Yes ''�.No Case M: �.Yes "�.No Case N: Was Parcel LegalH Created Yes No � Were Property Lines Represented by Owner ���.,yes ��.::�.No Was Proposed Building Site Delineated ves No was Property Surveyed ��'��ves ��:No Office Comments: � Zone District: Fee� � � � ' I v � I�'� c.k 4-iw�Z Hold For San'dary: Hold ForTBA: Hold For Aff�,davit: Hold%ar Fees: � ! mJan2020 � �^J � /^��L � rr Jr_�. 8/10/23,4�19 PM Real Property Lisling Page Redl EStdte Sawyer County Property Listing Property Status: Current Today's Date: 8/10/2023 Created On: 2/6/2007 7:55:21 AM � Description Updated: 5/6/2020 '� Ownership Updated: 2/6/2007 . .... _ . . . . ... ._. _ Tax ID: 12099 MEDICAL SERVICES INC ASHtAND WI PIN: 57-010-2-41-09-15-1 01-000-000010 Legacy PIN: 010941151101 Billing Address: Mailing Address: Map ID: .1.1-10.1 MEDICAL SERVICES INC MEDICAL SERVICES INC Municipality: (O10)TOWN OF HAYVJARD 1615 MAPLE LN 1615 MAP�E LN STR: S15 T41N R09W ASHLAND WI54806 ASHLAND WI54806 Destription: Nl/2 SW&N1/2 SEC 15 in Remrded Acres: 393J30 r Site Address * indicates Private Road Calculated Acres: 344.946 11040N STATE HWY 27/77 HAYWARD 54843 Lottery Claims: 0 11036N STATE HWY 27/77 HAYVJARD 54843 First Dollar: No 11134N STATE HWY 27/77 HAYN/ARD 54843 Waterbody: Indian School Lake 1ll28N STATE HWY 27/77 HAYWARD 54843 Smith Lake Creek Zoning: (A-1)Agricultural One 1...) property Assessment Updated: 2/6/2007 (F-1) Forestry One .. .. . ESN: 449 2023 Assessment Detail Code Acres Land Imp. � Tax Districts Updated: 2/6/2007 X4-EXEMPT OTHER 393.730 0 0 1 S[ate of Wisconsin Z_year Comparison 2022 2023 Change 57 Sawyer Counry Land: 0 0 0.0% O10 Town of Hayward Improved: 0 0 0.0% 572478 Hayward Community School District 7ota1: 0 0 0.0% 001700 Technical College -• Recorded Documents Updated: 8/11/2017 ��property History WARRANTY DEED N�A � Date Recorded: 12/2/1986 202882 397/460 MAINT AGREEMENT Date Recorded: 8/7/2017 408032 ROADWAY DISCONTINUANCE ORDER Da[e Recorded: 11/9/2009 363672 QUIT CLAIM DEED Date Recorded: 11/9/2009 363672 https:Otas.sawyercountygov.org/systemlframes.asp?uname=Jay+Kozlowski tl1 Cost Comments $439,086.00 50' x 100' Prefabricated steel building $50,000.00 Heating/AC units, natural gas service $22,500.00 Water & sanitary service $40,000.00 Electrical service, lighting $30,000.00 Pavement patching, landscaping $4,000.00 New card readers, data lines $585,586.00 $60,525.00 Construction & State approval documents $3,500.00 Local permits $64,025.00 $649,611 .00 Project: Maintenance/storage Building Date: 07-12-2023 Work Category Contractor Building, concrete, excavation, site work Northwest Builders HVAC allowance TBD Plumbing allowance TBD Electrical allowance TBD Site Work allowance TBD Low Voltage Systems HAMH TOTAL: Professional Fees NWB/Dunham/Cooper Permits Sawyer County/TOH TOTAL: PROJECT TOTAL: � ,� ' }^, ,�Y�ti� -., � �sj - � 'a$�, � � ^ � . r: .� �- ,�. . �; ;'� ,�f,i�sy,,o ' . �:.- �. �r. 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