HomeMy WebLinkAbout002-142-01-1100-LUP-2023-347 r
SUBMIT COMPLETED APPLICATION AND
FeEro: APPUCATION fOR LAND USE PERMIT C '
Sawyer County
SAWYER COUNTY WISCONSIN ���
Zoning&Conservatio�Depart. p� (�
10630 Main St Suite 49 (R ed ?':���_ D ���� 3 ,
Hayward,WI54843 �
,��5,6�-8288 JUL 2 6 2Q23 �... �w���__.! I y� _ w
�a�p����� S
"` -,1
INSTRUCTIONS: No permits will be issued until all fees are pa(d. - . . �
Checks are made payahle to:Sawyer County Zoning Department. ���`�. .
NlNG ADn�)�?>�t,,-. .,��'t
DO NOT START CONSTRUCTION UNTII ALL PERMITS HAVE BEEN I55 O APPUCANT. �'
rigmai Application MUST be submitted FILLOUTIN INK (NO PENCIL)
Su6mittal of this application or receipt of fees does not constitute permit issuance.
Owner(s)Name: [ontractor(s)Name
Jo2 ''. �ln2ar,r,� I��v1vr�C�d! N�A \ I-r�t�cnLj m�,nv�Ca(,�-w��r �+�'JI
Mailmg Address: Mafling Address: -
► � �56 wQs-+ �����.Y A,�
Phone: �oS z�K- ���► ��5 a��- �y(.�I -- Phone:
^ l
Email: ZG 11 O�C l,�' Ct0� , �pyy�
Email:
Ske address: I'{� 5 b `�`�E S 1 p ���( �� Or Date applied for:
Legacy PIN 7! �l��� 1� a- b 1.- ,I GQ Town of: (;�S j l�(.� e,
Permit delivery Method Call Owner ❑Mail Owner �Gall Contractor ❑Mail Contrector
� ,J is Property/Land within 300 feet of River,Stream pnci. Distance Structure is from Shoreiine: is our pro e
Intermittent) Y p ny
—� � feet in�londplain Flrr WPtlands
� Creek or Landward side of Floodplain? If yes--continuc vresentl
� Shoreland _-- 1�„e,
Is Property/Land within 1000 feet of Lake,Pond or Flowage Distance Structure is from Shoretine: Yec Yes
ffyes--continuc --r feet No ��
2p
'.!Non-Shoreland
Describe Project
Va1ue at Time af pro'ect e Foundation Total#of
Completion � �P What Type&Capacity is the
(House, are e,shed,deck, Number bedrooms
`�ndudedonated g g ofStorles �Basement, �,�,� Sewer/Sanitary5ystem(s)
Addition,etc...)
time&material Crawlspace,
List separately Slab) ��nsrruction
S
1;0(�� C��S-� I S�c�S
oweliing
5�Atces,ory Bldg
�
AdditionJAltero[ion
Height:
Total Square Lawest
Proposed Use � Proposed Structure Dimensions Footage Grade to
(multlply per Highest
stary� Veak
Residence ( x �
Ft.
with 2"d story or loft ( X �
Ft.
with Basement ( X �
Ft.
Attached Garage ( X �
�Residential Use Ft.
Accessory Structure�eXPia��� �� ( `„� x I� ) '� Z ) `
O Agrieultu ral � �detached garages,sheds,boa[houses,etc) ' Ft. U
U52 Temporery Guest Quarters or Bunkhouse(cirde cype� ( X �
Ft.
❑ Commercial/ Deck/Porch/Patio ( x �
Industrial Use Ft.
(2"d)Deck/Porch/Patio � x �
Ft.
❑ Municipal Use
Other(explain� ( X �
0 Other Ft.
prineipal Strueture�ng�i��iarai,Commercial,Munitipal,ecc.) � x �
Ft.
Addition/Alteration(exPiain� � X �
Ft,
Total habitable square feet: Total Non-habitable square feet: � ^�
(decks,patios,garages,sheds,storage area&other structures) � 1 ,,t.
. :�;�.- ,.r :.,�,..�,
-
Original Application MUST be submitted
Attath a Plan or Sketch your Property on 8.5"x 11"or 8.5"x 14"paper:•Must'Include location and setback of proposed and existing structures,roads,
driveway,sanitary components,well,lake,river,stream,and wetlands.
Setback �� � � Setback
Oescription Description Measurements
Measurements
Setback from the Centerline of Platted Road and/or Feet Setback from the Lake(ordinary high-water mark) 'J� Feet
Setback from the Estabiished Right-of-Way Feet Setback from the River,Stream,Creek Feet
Setback from the Bluff if applitable � FE2t �
Setback from the North Lot Line `� Feet
Setback from the South Lot Line 300 Feet Setback from Wetiand Feet
Setback from the West Lot Line � Feet Slope within a�ea of construction/disturbance �Slope
Setback from the East Lot Line 1� Feet Elevation of Floodpiain _ Feet
Setback to Septic Tank or Holding Tank Feet Setback to Well Feet
Setback 2o Drain Field Feet
Setback to Privy(Portable,Composting) Feet
Prlor to[he placement or coruuuction ut a strua�re�vithio five(5)feet of the minimum r�quuc�i setb�ick,the boundary iine from whfch the setback must be measured must be visible from one
prev�ousry wrveyetl co�ner tu ihe othea previuusiq surveyetl comer or marked ty a hcen5ed s��rveyor at[he ovmer's expense.
i'rior to the placemen[or constiuction of a structure more[han five(5�feet 6ut less Ihan ten(10)feet from the minimum required setback,the bo�indary line`rorn�.vf�,ich the setback must be
mersured must 6e visible from one previously surveyed corner to the other previously surveyed comer,or verifiablr by the Department by use of e corrected com��a>s trem a known comer
�riithin;00 feet of the proposed srte of the structure,or must be marked by a licensed surveyor at the owner's expense. I
• � - . . ..• � . - • ' ' '
Calculate Impervious surfaces(Roofed,concrete,paved,and other surfaces that water cannot penetrate.The Zoning OfRce can help you determine if a
surface is considered impervious)
Calculate lot area: �
Indicate lot size from CSM or NOVUS(circle one): Acras;Multiply by 43,560=Lot area: �� dJ� Square Footage
Calculate impervious surface area:
Determine the total size,in square feet,of your projects listed above(include eaves): (�Z sq ft.
Determine the total size,in square feet,of all existing roofed structures(include eaves): 2� �� sq ft.
135�
Determine the total size,in square feet,of all existing paved/bricked/blocked surFaces: sq ft.
Add these measurements to determine total impervious surfaces: �b�� sq ft.
Calculate impervious lot percentage
UJu
Total impervious surface: ��'N�' =Lot area:��� Sq ft.X 100=impervious surface I %
(Mitigation is required iF total exceeds 15%)
•"Notice a separate greding permit needs to be obtained if disturbed area is within the Shoreland district as indicated on previous page and meets crite�ia below"'
_ _- --—__._
Grading on a slope reater than 20% Grading of more than 1,000 S .Ft.on 12%-20%slopes
Grading of more than 2,000 Sq.Ft.on Slopes less than 12% ` Grading is in excess of 30,000 Sq.Ft.
I(we�declare t t this application(induding any accompanying information)has been examined by me(us)and to the best of my(our)knowledge and bellef it is true,correct and
complete. I(w acknowledge 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
County In determl Ing whether to issue a permit. I(we)further accept Ilability which may be a result of Sawyer County relying on this information I(we)am(are►providing in or
with this application. �we)consent to county officials charged with administering county ordinances to have atcess to the above described property at any reasonable time for the
purpose of spection.Additionally,the undersigned person(s)hereby give permission for access to the property for onsite inspection by Municipal Offitials.
Owner Owner \ ���/y�F� �-Z� • Z(�2
Signature Printed name J Date
(Signature and Printed Name required)
NOTICE: All Land Use Pennits Expire One(1�Yea�from Yhe DaL��oi Issuancu
Fr�r the ConstrucCion Of New One&Two Family Dwelling: ALL Municipalities Are Requlred To Fniorce The Unlform Dweiling Code
The lo�al To�:+��,`.tate ot Federal agencies may aiso require permlts.
You are responsible for complying with the requirements of the Sawyer Counting Zoning Ordinances and law and regulations of the State of Wisconsin.You are also responsible for
complying with State and Federal laws concerning construction 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 cosu. For more information,visit the department of natural resources wetlands identification web page or contact a department of
naturalresourcesservice center(608)267-3125
Sanitary Number: #of bedrooms:
Issuance Information(County Use Only) � _ _` �
Permit Denied(Date): Reason for Denial:
e
.i .---------- �
Permit k:
Issuing agent:�i�':+ �n Date:�
�3 - 3�� � 8 i� a3
Is Parcel a Sub-Standard lot 'i Yes (oeed of Record) 'NO �i tion Required !Yes �'No
Is Parcel in Common Ownership •:Yes (Fused/Contiguous Lot�s�) ' N ' gation Attached !:Yes �,No
Is Structure Non-Conforming �:Yes �
Grented byVariante(B.O.AJ � ' Granted by Conditional Use
! Yes '.1 No Case#: :Yes '':No Case p:
Were Property Lines Represented by Owner �.Yes NO
Was Parcel Legally Created Yes No Was PropertySurveyed Yes I i No
Was Proposed Building Site Delineated Yes No
Office Comments: � �^ Zone DistricL• Fee: �
3�5
Hold For Sanitary Hold For TBA: ' __ Hold For Afiidavit. ��Hold For Fees: ___ _ ____---
07an2D20
;nclwd�, �t�•h 4��m i-�-
�
Sawyer County Application for Gr i ���1�'_/4� �D
�
10610 Main St.Suite 49 � l�� �
Hayward WI 54843 � ��� y g 2023 f
715/634-8288 �
SAN/YER COUNTY
ZONING ADMINISTRATION
CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN
ISSUED. SIGNATURE OF PROPERTY OWNER IS REQUIRED, o
_ � �c�z���,.,e NICK �ipH�4N �
Owner: �-C� �'��,�����'�� Contractor. � KFSCf� $0 O'(lONS L�C,
311� S�c .
Mailin Address: �{�n`f���`�G"z�' MailingAddress: �2 FoR�3r �':
Cit ,State,Zi : �� �ca Y�S, �c��I Cit ,State,Zip: S BNS i�o.�' �NI 9l l
78S-
Pnone:��-zz<I- i���l zzy- i8z1 Phone: IS'3K �6�7N v
EmaiC ��°� �fL`"�c�c�� Cow1 Email: q�Ce c blu�i0�1S ukov. l �D
�
Site address: ��I I S�O W I�oP�I�� fEVE
Calculate grading area:(Total area disturbed including excavation,fill,grading,
landscaping,equipment rutting,andlor other areas vegetation will be removed resulting
in exposed soil) �
��48x3o�-�('oo'x3d�—�
Determine width of disturbed site in feet: ft.x depth of d�turbed site in feet: ft.
Total=�sq.ft.(this is the area calculation)
Determin Slope of disturbed area:Vertical height in feet Z +Horizontal distance in p
feet (p/7` =Slope ,033 X100= 3.3 %Slope �
(1V/1H=Slope X 100=Percent Slope) �
*For any filling or grading of any area which is within 300 feet landward of the ordinary
high water mark(OHWM)of navigable water and which has surface drainage toward the
water and on which there is either:
(1) Any filling or grading on slopes of more than 20%.
(2) Filling or grading of more than I,000 sq.ft.on slopes of 12%20%.
(3) Filling or grading of more than 2,000 sq.ft.on slopes less than 12°/.
(4) A Grading Permit is required for any filling or grading in excess of 10,000 sq.ft
within 1,000'OHWM of navigable lakes,ponds,or flowages OR within 300'of OHWM of
navigable rivers or streams.
Date activity will b�gin if permit is issued: �� 2 77 date to be
completed: 0 Z
Attach engineering design or complete the following using additional sheets:
1. Describe proposed erosion control installation,construction phases,and finished site grading. �n
Include timeline,methods,and materials.(Silt Fence alone is not ample erosion control for �
most sites) �
�
D
�
EKosio+� ��,rZRo� M&7}Sv�R�S S(-hF}L� �NC1-uD� �
��oSloN �NCIn1G
SILT SbCK �os�o�, -�„g� RDfl�noNa�. To �,vc� � .
W�� N�ED�D
'�b� Sol� l��E� 'Cb CR�144T� A��o��i� ,
SE�'D B�,
(}�t�4 -(a gE Mu�Ctt�D �,v��-F oA-�r STR�tw
�NO G.UfZL� �RoSI�N M�'r�r ST'FWI.Es o
m
s� �o aE rk Mi1( -�vRr G�dtss sP�ci�s �_
W�'cb�l� t�NNu�- hY� ���`KS ��EA��Y \
��RM�N►�Ctoti Coue'R eRoP sPee�ES.
,
2. List temporary seed type and rate, permanent seed type and rate, fertilizer type and application rate
(if applied), and mulch type and application rate.
��D 12f�f� `Ta i�� l �3 ( O b � Q.� l
�� � N�l� SP�,2t�s
N o ��l �- l 2� �A� sT�Z� �
��,ti v� t��c c� s� ����-� �oS�oN M �-�
3. Attach a plot plan of project area including location of any wetland(s) and/or waterway(s) (indicate
area between grading project and water body to be left undisturbed), location of excavated material,
location of all storm water and erosion controt Best Management Practices (BMP's), property lines,
existing drainage, post grading drainage pattern, and north arrow. (Silt Fence alone is not ample
erosion control for most sites)
S � ��
EROSIOH
� — — CONTROL PLAN
SAMPLE EROSION � � LEGEND
CONTROLPLAN � � �
FOR 1 OR 2 I � �i i �\ I FTn]ocft7Y
FM91LY t1NE
DWELLIN3S � ` N
I � oasnv�
I � - -- 1 -- Toacoi� � � �wvrisc�
� � - �.. Tp TEMPOr7PftY
�� DtV62CION
l
� �1 ` _ DRNNAGE FIN.;ifED
` GW4.E DRIJN4GE
� ` � �TT� �! LIMIT'OF
I� � �� ��—�,� {I GwaaNc
r� I j �__� _ ;ILT
iri n� :.i � l I ' FENCE
\
ARFA TG BE TOP:9p LED, .,�� �T�y
..EED_DA4D NVLCHED `�"--�-� ���
6Y q^lryFR AT TFE � H�� � I
COhWLEfION OF I GpRpGE I � GRqVEL
CON..^T.RUCTIOV ro
T� c�EGE7ATbN
� . COIFTRUCTON
I - JliRANCEFJUT � +PECIFIGATqN
I 1 '��`�-i' _ F
; � � �`uo � � I � TREc
1 � � � � �&4a-� � PRESE7iVAT10N
` � �T�a J
�iD p��� .Q 1 �
by;�� T J — TOCKPiI.ED
� :All
ad3.Qa
RNlUNE .- = � ' �4,$_ �
�oQ SCALE: i" = ao'
a�z:ecr�uunora:
_ FJ(l.^.TW�CVRB P��ER1Y[hWER
„OILTYPE-C.ILTYCL4Y ,",TREETYAIJt pJipGUTTEft �T�GR4TED.^�TJIfiTNG�4TE:
CIAPE:3% t.�NfiR�LTCR.
ANTICIFWEO COAIPLEfqN D4TE:
PFjE}p,(ZFY1ryY pA,{c�
4. Attach a cross sectional view of project area including the existing and proposed slope of the bank,
water level of any existing waterway, and horizontal and vertical scale.
S� �C� �9
Initi I below
All BMP's and erosion control devises will be inspected weekly and after rainfall of '/2' or
eater within 24hr period.
In accordance with the Sawyer County Zoning Ordinance section 4.281(Adverse Effects On
djacent Properties). I hereby declare that the construction and/or grading permitted under
this permit will not affect or interfere with neighboring properties drainage patterns. Any change in
drainage patterns which are determined to be detrimental to neighboring properties will be
corrected at the expense of the property owner referenced on this permit.
The u d,ersigned certifies that the listed information and intentions are true and correct, that all work
- shal! b erformed in cempliar.ce with the requirements of tre Sawyer County Zoning Ordinance
and the I ws and regulations of the State of Wisconsin. The undersigned person(s) hereby give
permissio for access to the property for onsite inspection.
O ' inal S' nature property owner (or agent with Power of Attorney).
Permit Fee:
`�;.-� Rev-1/2020
�. a'
�,� P�r��� , � � � �
. i`: °� � v' ' I
' , a"
� i
Real Estate Sawyer County Property Listing Property status: Current
Today's Date: 7/26/2023 Created On: 2/6/2007 7:55:02 AM
�'Description Updated: 6/23/2020 ^� Ownership Updated: 10/6/2017
_ . _ _
_ __ _ _ _
Tax ID: 1116 KAREN G MUMFORD EAU CLAIRE WI
PIN: 57-002-2-40-08-20-5 15-172-011100 JOSEPH E MUMFORD TOPEKA KS
Legacy PIN: 002142011100 DAVID E MUMFORD SANTA MONICA CA
Map ID: -15.1.11 & 12 )OHN S MUMFORD CALABASSAS CA
Municipality: (002)TOWN OF BASS LAKE KRISTIN A MUMFORD NASHVILLE TN
STR: 520 T40N R08W
Description: GRINDSTONE HEIGHTS LOTS 11 & 12 Billing Address: Mailing Address:
BLK 1 AM MUMFORD-LIFE ESTATE KAREN G MUMFORD KAREN G MUMFORD
Recorded Acres: 0.846 2708 TRIMBLE ST 2708 TRIMBLE ST
Calculated Acres: 0.840 EAU CLAIRE WI 54701 EAU CLAIRE WI 54701
Lottery Claims: 0
First Dollar: Yes �� Site Address * indicates Private Road
�..___,
ater o y: Grindstone Lake 14156W POPLAR AVE HAYWARD 54843
Zoning: (RRl) Residential/Recreational One
ESN: 445 �n�� Property Assessment Updated: 5/31/2022
2023 Assessment Detail
� Tax Districts Updated: 2/6/2007 Code Acres Land Imp.
1 rt State of Wisconsin G1-RESIDENTIAL 0.846 216,000 185,200
57 Sawyer County
002 Town of Bass Lake 2-Year Comparison 2022 2023 Change
572478 Hayward Community School District Land: 216,000 216,000 0.0%
001700 Technical College Improved: 185,200 185,200 0.0%
Total: 401,200 401,200 0.0%
+� Recorded Documents Updated: 10/6/2017
__. _
TERMINATION OF DECEDENTS INTEREST
Date Recorded: 10/5/2017 409054 �property History
. _ __ __. . _.
QUIT CLAIM DEED N/A
Date Recorded: 9/24/2009 362841
EASEMENT
Date Recorded: 10/24/2008 356544
cn
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