HomeMy WebLinkAbout010-941-28-3311-LUP-2023-364 SUBMIT COMPLET[D APPUCATION AND
Feero: APPIICATiON FOR LAND U5E PERMIT �
Sawyer County SAWYER COUNTY,WISCONSIN �
ZoNng&Conservation Depart, ,� •
10610 Maln St Suite A9 n�te sc�mp(q�ce�oed) n �3 '
Hayward,WI54843 . �� '�: ���1$�
(715)634-8288 i . : ' ��� �
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INSTRUCTIONS: No permits wlll be issued untii all fees are paid. �����„
_
Checks are made payable to:Sawyer County Zon(np,DepartmenL � �
DO NOT START CONSTRUCTION UNTIL�LL PER�VI.15_HAVE BEEN ISSU��7vr"tlGANT, �. :priginal Qpplig�tinn MUST be submittrd FILL OUT IN INK (NO PENCIL)
Su6mittal of thls appllcatlon or recelpt of fees does not constitute permit Issuance. '
Owner(s)Name: ,�^ ` ^���s� Contractor(s)Name �
..vt.L11 !
'1 ��� ��� J�/� � '1 S� C��� <_.l�—�\�
Mafling Address �� � Mafling Address: � -
. �, aa � 3 � v„-,�y��
Phone: ��� � 3 u Phone: �
Email: V �S�,J`�J � Jr,,,�w� p Finail:
i� � °C�6 3 �, �.�.:�
Site address: Or Date a lied for.
�a — -- ----
Legac,rPlN,# O �'� �`�� 3J) � �: TowmoC . i'IZ( WQ1'd
Cermit dellvery Method ❑Call Owner �1/Iail Owner ❑Call Contractor c Mail Contractor
`.�Is Property/Land within 300 feet of River,Stream (tncl. Distance Structure is from Shoreline; is our Pmne
Intermittent� V �
"—'� Are W�rtlands
Creek or Landward sidP of Floodplain? �f yes---contlnue feet in Finodplain
�::15horeland --- - -- zn��, crese�r�
�.; Is Property/Land withln 1000 feet of Lake,Pond or Flowage Distance Structure is from Shoreline: Y�s "es
If yes---contlnue --� feet yn �O
on-Shoreland �
Describe Project �-
Value at Time of project type Fpundakion Total�of What T e&Ca ac(t is the
Completion (House,garage,shed,deck, Number g bedrooms Yp P Y
_ *Include donatod of Stories � asement, post Sewer/Sanitary System(s)
tlme&materlai Addition,etc,..) Crawispace,
6ist separately Slab) �onst�urtion
$ i S I�Q �� -_.
Dwelling --- �
s -
Accessary�Idg
$ ia��, op � � 5 � � Q
.
Additi n/Alteratton �
��c�11— �
Height� �
Totel Square Lowest
Proposed Use ✓ Proposed 5tructure Dlmensio�s �ootage Grade to
(multiply per Highest
story) Peak
Residence �� ( x )
Ft.
with 2"d story or loft � x �
Ft.
with Basement ( X �
_ Ft.
❑ Residential Use Attached Garage � x )
---- Ft.
AtCessory St�uCture(explaln) ( X��)
❑ Agrfeultui'al (dotachodgDrages,iheds,boTthoufes,etcJ �t,
_ _4.-- --�--
l -X __
Use Temporary Guest quariers or E3unkhpuse(arr.ie ty��� �
_� _r__ F#.
Commerclal/ Deck/Porch/vatio � x )
Industrial Use _ _ Ft.
(2"a�Deck/Porch/Patio t X )
❑ Municipal Use _ �_ Ft.
OthQr(exp�atn) � X )
❑ Other �t,
Principal 5tructure(agriculturai,commerciai,,�unici�al,�cc,) �.jy 6 � �
- >--6— - � 7;���.
( � x y� `,
�t. 1
Addition/Alteration(explain) � X )
- __.-......n _______-� _ _ Ft.
Tota�habitable squar€fpet; 7ntal Nen-habitable square feet; 7a� ��
(cfecks,p�tios,�ara�es,sheds,storage area 3�.other strur,tures)
��X �� �5��..C'l�
iJ�i�ir�.:�<.y7pitC.,ti:.�i I�i:1�7 b�SUbrciiC"tzd
Attach a Plan or Skeccn your Property on 8.5"x 11"or 8,5"x 14"paper;*Mus�t"Include location and setback af proposed.and existing stwetures,:roads,
driveway,sanitary components,well,lake,rlver,stream,and wetlands.
Setback
DesCription �` Descriptidn . Setbaek
Measurements � � Measurements
Setback from the Centerline of Platted Road and/or � Feet Setback from the Lake(ord�oa.y h�gn-waeer mark) � Feet
Setback from the Estabiished Right-of-Way_ Feet Setback from the River,Stream,Creek Feet
SetUack from the elutf i(applicable Feet
Setback from the North Lot Line Feet
�. _._._
Setback from the South Lot Line Feet Setback from Wetland � Feet
Setback ffom 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 hi.oldingTank Feet Setback to Well �T Feet
Set6ackto Drain Field Feet
Setback to Privy(Portabie,Com�osting) Feet
Prior to the placement or consVuction oF a structure wlthln flve(S)feet of the minimum required setback,the houndary li�e from which the setback must!�e measured must be visibie from one
previously surveyed comer to tha othe�previously surveyed�orner or marked by a licensed surveyor at the owner's expense.
Prior to the placement or wnstruciion of a structure more than five(5)teet but less than ten(10)feet from the minlmum required selhack,the boundary line from which the setback must be
measured must be visible(rom one previously surveyed corner to the other prevlously surveyed corner,or verifiable by the Department by use of a corrected compass(rom a known corner
within S00 feet of the proposed site of the structure,or must be marked by a licensed surveyor at tlie owner's expense.
. i � . •. • • • �- ♦ � � •..
Calculate impervious surfaces.(Roofed,concrete,paved,and other surfaces that water cannot penetrate.The Zoning Office can help you determine if a
surface is considered impervious)
Calculatelot area:
Indicate lot size from CSM or NOWS(circle one): _Flcres;Multipiy by 43,560=Lot area: Square Footage
Calculate impervious surface area:
petermine the total size,in square feet,of your projects listed above(include eaves);_ 5�{3,
Determine the total size,in square feet,of all existing roofed structures(include eaves):__ �_sq ft.
Determine the total size,in square feet,of all existing paved/bricked/blocked surfaces: sq ft.
Add these measurements to determine total impervious surfaces:` �� sq ft.
Calculate impervious lot percentage
Total impervious surface: =Lot area: Sy ft.X 100=impervious surface /
(Mitigation Is required if iotal eKceeds 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�**
Grading on a slope greater than 20% �� . �Gradi�g of more than 7.,UU0 5 .Ft,on 12/-20/s�opes
Grading of more than 2,400 Sq Ft.on Slopes less than 12% _ Grading is in excess of 10,0(l0 Sg.Ft.
FNILURE�Q UISTAI�V A PLItMII�or>1qK1Itv6 CUNSTItUC710N WI7HOUT A PEKfJ117 WILL�iLSULI IN PtNNLRi:S �
I(we)declare that this application(including any accompanying Information)has been examined by me(us)and to the best of my(our)knowledge and belief it is true,mrrect and
cornplete. I(we)acknowledge that I(we)am(are)responsible for the detail and accuracy of all informatlon I(we)am(are�providing and that it will be relied upon by Sawyer
CouMy In determining whether to Issue a permiL 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 appllcation.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 o ' spection.Addltionally,the undersigned person(s)hereby give permission for access to the property for onsite inspection by Munlcipal pfficials.
Owner Owner w 7n /)))
Signature Prir�ted name_�„ ����/Y C�`SPt� Date � --3�
(SignaCure and Printed N�nia requlred)
IVU7IGE: Alf Land Use Penr�its Explre One(1)Year fr��n ihe Date of Issuance.
For the ConstructlOn Of New One&Two Family Dwellina: ALL fviunlci��lities Are Reyulred To CrdurcE 7"he UnlfUrm Ow�lling Code,
7'he lotal l'own,State or Pederal agencfes may a�so requlre permits.
You are responslble for complying with the requirements of the Sawyer Counting Zoning Ordinances and law and regulatlons of the State of Wisconsin.You 2re also responsible for
complying With State and Federal laws concerning construction near or on wetlands,lakes,and strearns.Failure to comply may result in removal or modification of construction
that violates the law or other penalties or rosts. For more information,vislt the departrneni of natural resources wetlands identification web page or contact a department of
natural resources service center(608)267-3125
Issuance Information(County Use Oniy) Sanitary Number: #of 6edrooms•^�
Permit Denied(Date); Reason for Denial: '
Permit�: Issuing agent: � m�� �v Date:
a,- � c� �� � . S/� � 3
IS Pat[21 a$ub-Standard Lot (I Yes (Deed of Rewrd) Mitigaiion Required CI Yes L;No
Is Parcel in Common Ownership ❑Yes �Fused/Contiguous Lot�s)j I
I5 Structure Non-Conforming :7 Yes �,ryo Mitigation Attached !_i Yes 1-:No
Granted by Varfance(e.O.A.) ��� Granted by Conditional Use �
��Yes C No Case tt, !Yes ��No Case i!:
Was Parcel legally Created I;Yes C No Were Property Lines Represented by Owner I.i Yes N�
Was Proposed Buildfng Site Delineated !.I Yes I_i No _ Was Property Surveyed 'i Yes No
Office Comments: � Zone Distric[: Fee:
. G_ � , /5 C� - 5►�
�..--� -----�-�- --- _
Hold For Sanitary: ❑ Hold For TBA; i.� Hold For Affldavit: (-', �Nold For Fees:I I 1._]
�Feh2021
8/30/23,10:50 AM Real Property Lisling Page
Real Estate Sawyer County Property Listing Property5tatus: Current
Today's Date:8/30/2023 Created On:2/6/2007 7:55:22 AM
�Description Updated:3/11/2020 '�Ownership Updated:7/24/2020
. . ..._. ..._. .
7ax ID: 12965 VISOCKY PLUMBING LLC HAYWARD WI
PIN: 57-010-2-41-09-28-3 03-000-000110
Lega�y PIN: 010941283311 Biiling Address: Mailing Address:
Map ID: .1111 VISOCKY PLUMBING LLG VISOCKY PLUMBING LLC
Municipality: (O10)TOWN OF HAYWARD 16222 HWY 63 16222 HWY 63
STR: 528 T41N R09W HAYWARD WI 54843 HAYWARD WI 54843
Destription: PRT SWSW lOT Bl CSM 6/147#1194& m
LOT 2AA CSM 6/155#1198 r Site Address *indicates Private Road
. _ _.__—_____
Remrded Acres: 2.150 16226W US HWY 63 � � ��HAYWARD 54843
Calculated Acres: 2.108
Lottery Claims: 0 u property Assessment Updated:11/9/2015
First Dollar: Yes � - � -�
Zoning: (C-1)Commercial One 2023 Assessment Detail
ESN: 444 Code Acres Land Imp.
G2-COMMERCIAL 2.150 68,200 19,300
��Tax Districts Updated:2/6/2007 Z-year Comparison 2022 2023 Change
1 State of Wisconsin Land: 68,200 68,200 0.0%
57 Sawyer County Improved: 19,300 19,300 0.0 io
O10 Town of Hayward Total: 87,500 67,500 0.0%
572478 Hayward Community School District
001700 Technical College
�L'B Property History
�.�Recorded Documents Updated:7/24/202D N�A �
WARRANTY DEED
Date Recorded:6/16/2020 424439
WARRANTY DEED
Date Recorded:10/3/2016 403244
WARRANTY DEED
Date Recorded:3/6/2006 337356
QUIT CLAIM DEED
Date Recorded:9/22/2000 286635
CERTIFIED SURVEY MAP
Date Recorded:1Z/26/1978 168126
CERTIFIED SURVEY MAP
Date Recorded:12/13/1978 167983
https:lltassawyercounfygov.orglsystem/frames.asp?uname=Jay+Kozlowski ���
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