HomeMy WebLinkAbout024-741-33-4406-LUP-2023-336 SUBMIT COMPLETED APPLICATION�AND
Feero: APPUCATION FOR LAND USE PERMIT �j
Sawyer Counry 5 WY �
Zoning&Conservation Depart, .�� ��� � �
10610 Maln St Suite 49 �� nr 4 ed '� �� y'�a,`����-,�,\ ��
.�d 1 `
Hayward,WI 54843 �`" w
(715J 634-8288 AUG 0 8 2023 �-�-�`�5 v`
w
�c�lt# �s�c� �.
INSTRUCTIQNS: No permifs wlll be Issued until all fees are pald. 4�^A���'�' C(��J(�T�� M "'-""""""'""� -"" ""'-""`—_
Checks are made payable to:Sawyer County Zon(np,Department, ���� � A -
�O N07 START CONSTRUCTION UNTIL All PERMITS,HAVE SEEN ISSUED 70 APPLIf.qNT. Origfnal Applicati�n MUST be submitted FILL OUT IN INK �NO PENCIL�
Submittal of this appllcatlon or recelpt of fees does not constltute permit Issvance.
Owner(s)Name: Contractor�s)Name
��� `� �-a �� I/U,S Sa�e--_
Malling Address: 'A�� Mailing/�ddress: �
�� ��s/�,., � �L LS , L.�� �"LJ j� ---.
Phone: /' 'I{�1 Y�-e-L�U � � � �V S S / ICJ �Phone:
Email: �I I I!�1�S t J �'/ , ���1 Email:
Site address: ����L� j l�h��'� ,`o Or Date a tied for:
� —��v���--� `�
Legaq;PlN;# � - ' � W � ,J'I� � 'owmoC (�L, (�— �-- G L.
Permitdellve,ryMethod �II Owner ❑Mail Owner o Call Contractor ❑Mail Contractor
� I'� � �SSO -- ��`��'�3
`.'.Is Property/I.and within 300 feet of River,Stream (�ncl. pistance Structure is from Shorellne: Is our Prooerty
Intermittent) � Y Are Wet�andc
Creek or Landward sfde of Floodplain? If yes---contfnue feet in F►oodptafn a
-�;d Shoreland • — - — zoRe?
�rr sent.
� `; Is Property/Land tvithin 1000 feet of Lake,Pond or Flowage Distance Structure is from Shoreline: Yes Ye5
If yes---continue —�. �y " feet o 1 �NO �
�S
;J Non-Shoreland
Describe Pr��e�t Total#of
Value at Tirt1e of
Cam letion Project type Fa�Indetian What T e&Ca acit is the
, P (House,garage,shed,deck, Numb�r � bedrooms yP P Y
include donated of Stories � asement, Post Sewer/Sanitary System(s)
time&materlal Addition,etc,,,) Crawispace,
List separately S�2bj construction
5 ���
Dweiling � � . - - - -
� � _
Aaessory Uldg
$�IOf DUJ-`' ��C,`�—� � �
Additfon/Alteration
He(ght: �
TotalSquare Lowest
Proposed Use +� Proposed Structure Dtmensions Footage Grade to
(multtply per Highest
story) Peak
Residence � ( x �
Ft.
with 2"d story or loft � X )
- Ft.
with Basement ( x )
-- Ft.
�Residential Use Attached Garage —�-- ( x I
Ft.
Attessory StruCtur'e(explaln) ( x )
❑ A�YIGUItUYBI (dotached gorages,sheds,boat houses,etc.) � Ft.
_
Use Temporery Guest Quarcers or 6unkhouse(cirr.ie typr,) f X i
�.'n"
--- Ft.
❑ Comrrtercfal/ ✓ ec Porch/Patio � `�C) X Z ) � �� �
industr'tal Use _.-- _ Ft.
_- -
(2"d-�H�(Porch/Patio � 2�x / � �
Q MunicipalUse �,, � � �G Ft,
Oth2r(¢zpiain) � X � �
Q Other ��... Ft.
PrinCipal StruCtUYe(Agricultural,Commerclal,Municipal,Etc,) � x �
__s--.m__�_:._. Ft.
Addition/Alteration(explain) ( X )
-m------�� Ft.
Total habitabl�square feet: 7ntal Nan-habhable square feet: G) � G'
(decks,pvtic�s,garages,sheds,storage area 3�other strur,tures) �
—��-�—_-_.__
Orig(n.jl,�pYii:.,ii:,n IViUST b�sabmitYetl
Attach a Nlan or Sketch your Property on 8.5"x 11"or 8.5"r,1A"paper.'+Must*inciude location and setback of praposed and existing struetures,roads,
driveway,sanitary components,well,lake,river,stream,and wetiands.
Setback
Descrlption MT Description ` Set6ack
Measurements _ _� Measuraments
_--—
et ack from the Centerline of Platted Road and or — — ---
/ C� Feet Setback from the Lake(ordinary high�water mark� � G }, Feet
Setback from the Estah�ished Right-of-Way reet � Setback from the River,Stream,Creek �-- Feet
v SetUack from the Bluff i(applicable Feet
Setback from the North Lot Line U • Feet
��___._ — --
Setback from the South Lot Line Feet r Setback hom Wetland Feet
$etback from the West Lot Line _ Feet Slope within area of construction/disturbance %Slope
Setback from the East Lot Line Feet Elevation of Floodplain Feet
Setback to SepticTank or HoldingTank � Feet Setback to Well � Feet
SetbaCkto Drain�ield Feet '�
Setback to Privy(Portable,Composting) Feet � V
Prior to the plarement or construction of a struaure wlthln five(5)feet of the minimum required setback,the houndary line from which the setback must 6e meawred must be visible from one
previously surveyed corner to tbe other previously surveyed corner or marked by a licensed surveyor et the owner's expense,
Prior to the placement or construUion of a structure more than five(S)feet but less than ten(10)feet from the minimum required set6ack,the boundary Iine from whlch the setback must be
measured must he vislble from one previously surveyed corner to the other prevlously surveyed corner,or verifiable by the Department by use of a corrected compass(rom a known wmer
within 500 feet of ttie proposed site of the structure,or must be marked by a Iicensed surveyor at tlie owner's expense.
. � - � � .� • . • �- . • � •
Calculate impervious surfaces.(Roofed,concrete,paved,and other surfaces that water cannot penetrete.The Zoning Office can help you determine if a
surface is considered impervious)
Calculate lot area; n !����
Indicate lot size from CSM r NOVUS circle one : _ �'� �
) 2 , � � Acres;Multiply hy 43,560=Lnt area: < <•.y Square Footage
Calculate impervious surface area:
Qetermine the total size,in square feet,of your projects listed above(include eavesj; ti/A' Sq{�,
Determine the total size,in square feet,of all existing roofed structures(include eaves�:� ��Sq h,
Determine the total size,in square feet,of all existing paved/bricked/blocked surfaces: sq ft.
Add these measurements to determine total impervious surfaces: ZU sq ft.
Calculate Impervious lot percentage
Total impervious surface:LU � :Lot area: [ � /v�G ft.X 100=impervious surface �' ` /
�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**x
Grading on a slope greater than 20% � Gradi�g of more than 1,pU0 Sq.Ft.on 12/-20%slopes
Grading of more than 2,000 5 .Ft.on Slopes less than 12% Grading is in excess of 1Q,ODQ Sq.Ft.
FAILUNE TO 08�AIiV la F'lftfVlil o�57AfC�1ING CONSTIlUCTIOIV W!(NOU T A Pt]iMi'f 1YILL IitSUll IN PtNNLfitS
I(we)declare that this application(induding any accornpanying Information)has been examined by me(us)and to the best of my(ourJ knowledge and belief it is true,corrert and
complete. I(we�atknowledge that I(we)am(are)responsible for the detail and accuracy of all information I(we)am(are)providing and that it will be relied upon by Sawyer
Counry In determining whetter to Issue a permit. I(we)further accept liability which may be a result of Sawyer Cnunty relying on this information I(we)am(are)providing in or
with this application.I(w )consent to county officials charged with administering county urdinances to have access to the above descri6ed propercy at any reasonable time for the
purpose of i s e�ion.Additionally,the undersigned person(s)hereby give permission for access to the property for onsite inspedion by Munlcipal Officials.
e
Owner / owner �y �/'
Signature prir,ted name 1 v�� D —��Z�
.� Date 5
(Si�{nature and Printed Narria�eyulre )
�/
IVUTICE; All Land Use Pennits Explre One(1)Yes�r trom th��Date nf Issuance.
Por the Construction Of New One&Two Family Dwelling: pLL MuniCipalitl�s Are Iteyulred To EnforcE 1'he Uniform Owelling Code.
fht±local 7own,State or Feder2l agencles may alse require permits.
You are responslble for complying with the requlrements of the Sawyer Counting Loning Ordinances and law and regulations of the State of Wisconsin.You are also responsible for
complying wlth State and Federal laws toncerning cons[ruction near or on wetlands,lakes,and streams.Failure to comply may result in removal or modification of construction
that violates the law or other penalties or costs. For more informatlon,vislt the departrneni oi natural resources wetlands identification web page or contact a department of
natural resources service center(603)267-31Z5
Issuance Information(County Use Only) ��
Sanitary Number: q of be.drooms:
--- --- - •
Permit Denied(Date); Reason for DeniaL
Permit il: Issuing agent�� �� Date:
�3 - ���� �� ��r2.s��-'~_-- ���� ��3
15 Parc21 a Sub-Standard Lot Li Yes (Deed of Rewrd) �No Mitigation Required CI Yes �Ij!No
Is Pareel in Common Owne�ship '{�Yes �Fused/Contiguous Lot�s)� i I No Mitigation Attached !_i Yes �`No
Is Structure Non-Conforming !'I Yes `tG Ivo � `
Granted by Variance(B.O.A.) �� Granted by Conditional Use
C7 Yes �No Case N: !Yes _No Case if:
Was Parce�Legally Created �1'es ❑No .__ Were Property Lines Represented by Ownc:r �Yes T� No
Was Proposed Building Site Delineated �`tYes t:i No Was Property Surveyed �Yes No
oHice Comments: �� ,�,.7 �_-� ���� �f�,,_.,> Zone pistrict: Fee:
�z � ( � iSO
Hold for Sanitdry: ❑ Hold For 78A: LJ Noid For Affldavit_ r_ _i.1 Hold For Fees:L I I_) _
�Fe62021
8/8/23, 1:30 PM Novus-Wisconsin Access rev. 13.1108
Real Estate Sawyer County Property Listing Property Status:Current
Today's Date:8/8/2023 Created On:2/6/2007 7:55:44 AM
�'Description Updated: 7/21/2016 `�'� Ownership Updated: 2/21/2020
_
Tax ID: 26175 JOHN]MOES JR MINNEAPOLIS MN
PIN: 57-024-2-41-07-33-4 04-000-000060 HOLLY A ROBBINS MINNEAPOLIS MN
Legacy PIN: 024741334406
Map ID: .16.6 Billing Address: Mailing Address:
Municipality: (024)TOWN OF ROUND LAKE JOHN]MOES JR JOHN)MOES JR
STR: 533 T41N R07W 4715 PILLSBURY AVE 5 4715 PILLSBURY AVE 5
Description: PRT SESE MINNEAPOLIS MN 55419 MINNEAPOLIS MN 55419
Recorded Acres: 2.220
Lottery Claims: 0 w Site Address *indicates Private Road
First Dollar. Yes 11090W SOUTH SHORE RD HAYWARD 54843
Waterbody: Callahan/Mud Lake
Zoning: (RRl)Residential/Recreational One
ESN: 404 � Property Assessment Updated:3/27/2023
2023 Assessment Detail
Code Acres Land Imp.
Tax Districts Updated:2/6/2007 G1-RESIDENTIAL 2.220 128,600 74,000
1 State of Wisconsin
57 Sawyer County Z.Year Comparison 2022 2023 Change
024 Town of Round Lake Land: 128,600 128,600 0.0%
572478 Hayward Community School District Improved: 12,300 74,000 501.6%
001700 Technical College Total: 140,900 202,600 43.8%
+ Recorded Documentr Updated: 12/30/2010
� WARRANTY DEED �Property History
Date Recorded: 12/10/2010 370309 N�A
� PLAT OF SURVEY
Date Recorded: il/10/2010 33417-25
https://tas.sawyercountygov.org//Accesslmaster.asp 1/1
CALLAHAN LAKE Sh°'e""e NOTES: COu�soN
Ordinary High Water Mark �az e s�Por�o�si
74 fl elevation .2 fl comours shown c��i��mi sseoz
�moacouiw�.co
222.72' LAKE FRONTAGE •Ezisting tree coverage shown
mostly deciduous mix. co�.iNwoo
O«ummb t00•F
�6 �
_. .. 78 . i�su��.oa
, Pam'�1 Q5.2<.21
8�
�` � 82 � ._�_�..`... . � Property line
� .. ._-.. ., .. . - 8q .."''`_v-4_ ... .. .. _ .
• . t.. � '- � ._.._._. . '
... � 8fi ...._._ _
l � __.__
. _._:�_ ...-.__�. 88� � � - �. .
/ �-
j ��� �.. 9p � � � � . Alternative septic drainfield location
� "��- - g� soil test completed an 12.132010
_ .. �� and submitted to the cowty
g0 9.f
� � 98 . 9fi . .
9p�Sotb��k Ypp .
/� �
Proposed Well Localion � � � � ��a�G �
�
Principle Structure � � �
New single-family dwalling � 8�"set � � "�� �� •
2026 gross sqft and foatprint � bJ�k
2 bedrooms 2 bathrooms � 23� �
��� ���
t�!!!l���� �
Proposed Seplic Tank Location � � �� - , a��� .
Q
options o � ;n ct+
o '� �i
� . Of
N
�
� %. �
O � . � .i%.,� .
^ ' �
� .., / i�' 98 .
M 7 3 � �
Proposed Septic DrainflelA Location � , ../ , � � � m
aPProx 60'z 10' � ' - � � � . - - -�-
soil testing to he completetl '/ j/ � `•° ' � . - � �
�+ s �
conventional graviry system � ' � � � y
. �� �/ � . . . . ,F '. .� � � Q
. �� ^ .__.. •
�� . �. ____ Roatl righbof-way line �
� � _ - _ __ _.. � .____
3
l � �
o t4
�
m
E RO A� �_- . �- � cWn �
� SpuTH SH� .�� • 3B7.B�-� Propertyline o �
� . t
�_� � o
u. `�
�
� �
� �
C�
1-L104 SITE PLAN-PROPOSED-SEPTIC 8�WEI.L 'o s ,o so Son L104
'�' { a�.::. � .� ' �.
..�y��.v�tfi" . b,�'1�l �1'a`��y�,rT� �;�.��5,�-t 'yt t�
� ' r��F� � � �
r � F��,"`1�C,� ty,:�`..,���r���lt ,,���,�Ft
a � �s }�
� � � � '�F' s� �'�`.r�r�,e�A;! �`�� � �{flfi.�:.
�, _ ",'�`` �`Fs'�'+',� �-ts �'�?'�;r.r ,� ' �ei'``_ a 1+Y -
�� s".�,.r4 �< ��� ,� �,�" ' ��
� 4 �-"� "�
� �..
� a �'�-� ; -
L �' '. ;� ...3 .� �. :. �
�y 4�� �,��`'u"'�����:i ; Q H,�
AR�s.� t � ��� ��� t �� �
�,�'=�g��* � .�.. ,.��F,y�.5^�m� x�M1�(`�� -4� _
• .f �-�. w t�_�;. .?r� w,r,. a F .�n.�, .:_ ...Z,:,
����.r�i-wa��°'� r, ��� L-. �A ..� _ �.
: ?F� ,��,,,4
,) �l . Y,�� ..
� �y,�y
��Lc -,n� -.- � � r.� _�...
k���'' J ; i �E� � Y f`rr-'ws�f .. � � ' .��
w
.A' ,. 'l , g � �'L —y..
y ,�f r
fi ,:��*Y C �� �#�y� �V� �� � ����� �*.
_ �j,,.t��` - �, �CS� ��j-�� i� �S eS
_ �� ::����'. �
— .� � ;M.:: �$',
�s�_,.
N� � , ��., .
{ — r,�•v. �� s,r� .. .���,�, " '�'r--
-_ Zt,,,, ,� k. � !r .,.a.t Y� 9 �i �
4•��������������`' r�� �
t �
�, _ ` ,3 � '�t��r � �`� �, �
u�,� ��,�,�K7 �i.,g�.��..
:,i� '�-' �' x � �i����y K � � �£' • �.�„��
� �' � � f i-s�.fi� ��f `£s "..�ce"?'"' _
r
sri E "r `r\�';(e � - .„r ���� ���.�t.
',�J }�r-��`�+�{'����' � '�"'���r�� .+- .�_
a '
r �� "�-- a� c �
� ��x�@y,,��,��x�����`� i ���:�� � �
� `y}4{�'�rF� ��wl�T�� �� �� � � �:
� y'��N `l"4f ��f����',' ''�S�'" � � .k..
��� n «..•.�.:..
f k�J�{��s.�i ! ':� � .
�'ti✓�. '"�`�[o-+t } I
t �
��� cr ��?�.°'Li�� ����h _V:��"`. '� � ,,+`� �
� �s . � vdY�.a r4 :.Fr��r^,Gt���ES,y- �,�,..r ..
1 e
?a y �,.��f���'�� d'tj��� �A��i� r � ' ks'
�,' � i '� �,G. �"1�� ,t�.���i�����,���to _.� .. •Cl�''`` � ��'
Y�.
1 1S b �,�5 d �$•k;�=i�+�•��,' — '.
f 7 a Et � l�3l ��!y�'�
t'FL fi ��;��,71����[�}5������r��1s=�" '���'�� �'"� � ��;:
�i a � � � ��K f�)N "� � i . ���� . �.�
�qi�'��n'nN'i��'�Yl�l�t,�.����h�.rbr��j,;�,��F�r��f�l�,�i; ;�r' -.
� ��� t^; '��i�4 ��w.�� �,��r���i a�.
,�ti�r r�It, c 4 � ;,�i i� �fkt i� r _ �'�.
��� �.�
��' �� a�y;�s�
1.� `' � _
r.= � , �'
�3;:$� F f �' �a".?_',� r
� s,� `� .�_��';", _
.�57� y_.��v �':. .�r