HomeMy WebLinkAbout010-841-15-4204-LUP-2023-393 SUBMITCOMPIETED APPLICATION AND
FEero: APPLICATION FOR IAND USE PERMIT G �
Sawyer County SAWYER COUNTY,WISCON5IN !�'
Zoning&Conservation Depart. �j � R (� ( W
10610 Main St Suite 49 � I�oa e�(pk�e I 1 . _...: _._.� l..f.�� 3 �
Hayward,WI 54843 t J � �' � I i�,�� � ' '1
(715)634-8268 �,J ���5'` vv
SEP � � 2�23 a�� 1 �
INSTRUCTIONS: No permiLs will be issued until all fees are paid. '—'
__ F�c�t�#_�_._�....�.�.._._._...._...�..� tl�
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Checks are made payable to:Sawyer Lounty Zoning Oepartment. � , `'l;�
DO NOT START CONSTRUCTION UNTIL AL�PERMITS HAVE BEEN ISSUED�au���x-w�vnD��TFig�p�Kdftnn MUST be submitted FILL OUT IN INK (NO PENCIL)
Submittal o(this application or receipt of fees does not tonstitute permit issuance.
Owner(s)Name: Contractor(s)Name
�je 1�a l� !� J�o��I 1� �/Z sC' �'�'
Mailing Address: Mailing Address:
(319Qw ���c �� �r��� �� �M� c,�,�
Phone:�Q L/� "y�I on2�J Phone:
C� /! `��1J
Email: Email:
Site address: � d W G�e t✓ �1✓� Or Date appifed for:
�
Legacy PIN�t � 10- �11� �`�^ ��� Town of: V'���
PermitdeliveryMethod �Call Owner u Mail Owner ❑Call Contractor r_Mail Contractor \
�
Is Properry/Land within 300 feet of River,Stream (�nd. Distance Structure is from Shoreline: Is your Property
ince�mrttencJ � Are Wetlan+ts
Creek or Landward side of Floodplain? If yes--continue feet in Ftoodplaie present?
"I Shoreland Zo^e'
Yes Yes
Is Property/Land within 1000 feet of Lake,Pond or Plowage Distance Structure is from Shoreline: N�
If yes---continue --� feet No
�-#ton-Shoreland
Desc�ibe Project
Value at Time of Totai it of
Project type Foundation What Type&Capacity is the
Completion Number bedrooms
'incl��de donated (House,garage,shed,deck, (Basement, Sewer/Sanitary System(s}
Addition,etc...) of Stories Crawfspace, Post
time&material List separately Slab) �onstruction
S
Dwclling
s 3;,or�
(fA-�; 1 51�b /� H�
Accessory 81dg ,_�. --
$ '.
;�� ���� created
Addition/Alteration
r'j �
Height:
7otal5quare Lowest
Proposed Use ✓ Proposed Structure Dimensions Footage Grade to
(multiply per Highest
story) Peak
Residence ( x �
Ft,
with 2nd story or loft { X )
Ft.
wkh Basement � X �
Ft.
�esldentfal Use Attached Qarage ( X ' Ft.
� Atcessory Structure(exp�e�n) � '3� x y,� 1 ^��J/�
❑ Agricu ltu ral (d�tachad qaraQa�,shadt,bo�t hour�t,atc 1 � O�O`� Ft.
Use Temporary Guest Quarters or Bunkhouse(cirr.ia tvnfJ � X �
Ft.
L] Commercfal/ Deck/Porch/Patio � X �
Ft.
Industrial Use
(2"d)Deck/Porth/Patio � x '
ft.
L7 Mun(cipal Use
Othe�(explain� { x )
Ft.
❑ Other � x )
Prineipal Strudure(agricuicu�ai,Commercfal,Munidpal,Etc.) Ft.
Addition/Alteration(exPiair,) ( x ) Ft.
Total habitable square feet: Total Non-habitable square feet: �7
(decks,patios,garages,sheds,storage area&other structures) ! a p�
_ _ '�': .
Original Application MUST be submitted
Attach 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,rlver,stream,and wetlands.
Descri tion Setback Setback
P Measurements Description Measurements
Setback from the Centerline of Platted Road and/or Feet Setback from the Lake(ordlnary high-water mark) FBEt
Setback from the Established Right-of-Way Feet Setback from the River,Stream,Creek Feet
Setback from the Bluff if applicable Feet
Setback from the North Lot Line �J Feet
Setback from the South Lot Line Feet Setback from Wetland Feet
Setback from the West Lot Line ' SQ;Feet Siope within area of construction/disturbance %Slope
Setback from the East Lot Line p� Feet Elevation of Floodplain Feet
Setback to Septic Tank or Holding Tank 5 o Feet Setback to Well
S J Feet
Setback to Drain Field Feet
Setback to Privy(Portable,CompostingJ Feet
P�ior to ihe placement or mucructlon of a strucwre wlthin five f5)feet of the mlNmum required setback,the houndary tl�e from which the setback must be rneawred must be visible from one
p�eviuusly surveyed corner to the other pi eviously surveyed comer or marked by a licensed surveyor at the owner'S expense.
Pnor ro the placement or construction of a sVucture more than five(5)feet but less than ten(10)feet from[he minimum required sethack,the boundary line from which the setback must be
measured must be visibie frum one previously surveyed corner to tt�e other previouzly surveyed comer,or verifiable by the Department by use of a corrected compass from a known corner
within 500 feet of the proposed site of the structure,or must be marked hy a licensed surveyor at the owner's expense.
. � � . •.• � . • •• • • .- •
Calculate impervious surfaces.(Roofed,concrete,paved,and other surfaces that water cannot penetrate.The Zoning O�ce can heip you determi�e if a
surfacels considered impervious)
Calculate lot area:
Indicate lot size from CSM or NOVUS(circle one): Acres;Multiply by 43,560=Lot area: Square Footage
Calculate impervious surface area:
Determine the total size,in square feet,of your projects listed above(include eaves): sq ft.
Determine the tota)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: Sq 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•*'
Grading on a slope greater than 20% Grading of more than J.000 Sq Ft on 12% 20%sfopes
�_ Grading of more than 2,000 Sq.Ft.on Slopes less than 12% GradlnR is in excess of 10 000 Sa Ft
FAILUR[i0�it3-iAlry A r�HMll or STRRTNG CONSTRUCTION WIiHOUT A PERMIT�yILt R[SULI�IN PENALiItS
I(we)declare that this application(including any accompanying informatlon)has heen examined by me(us)and to the best of my(our)knowledge and belief it is true,correct and
complete. I(we)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 determining whether to issue a permit. I(we)further accept liability 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 access to the above descri6ed property at any reasonable time for the
purpo of inspection.A dition ,the undersigned person(5)hereby give permission for access to the property for onsite inspection by Munlclpal OHicia�s.
Owner Owner /��'/�, �� � r C� J
Signature Printed name�""�/i�4/� ��v�`"rTi/� ✓J� /'/' ��
Date
(Signature and Pnnted Name reyuired)
NOTICE. All Lend Usr Pern�its Expire One{1)Year from the Da[e of Issuance.
For the Construction Of New�ne&Twn farnily Dwelling: ALL Municipalities Are Required To Enforce The Uniform pwelling Code.
1 he local'own,State or Federal agencies may also require permits.
You are responsible for complying with the requirements of the Sawyer Counting Zoning Ordinances and law and regulations ofthe State of Wisconsin.You are also responsible for
complying wlth State and Federal laws concerning construction near or on wetlands,Iakes,and streams.Failure to comply may result in removal or modification of construction
that violates the law or other penalties or costs. For more information,visit the department of natural resources wetlands identification web page or contact a department of
naturel resources service center(608)267-3125
Issuance Information(County Use Only) Sanitary Number: #of bedrooms:
Permit Denied(Date): Reason for Denial:
Permit tt: Issuing agent: Date:
� �3 �- 3� 3 �,-� .�_ �, �� a
�
Is Parcel a Sub-Standard Lot f I Yes (Deed of Record) �'No
Is Parcel in Common Ownership '�Yes (Fused/Contiguous lot(sJ) I No Mitigation Required I!Yes o
Is Structure Non-Conforming !I Yes �.y�No Mitigation Attached LI Yes �o
�-
Granted by Variance(B.O.A.) Granted by Conditional Use
:;Yes ,'No Case It: J Yes ' No
Case q:
Was Parcel Legally Created I�j Yes �'No Were Property Lines Represented by Owner `l�Yes No
Was Proposed Building Site Delineated "-Y Yes ❑No Was Property Surveyed �:il'es Np
I
Office Comments: Zone District: Fee: �
� � �"
Hold For Sanitary: i_, Hold for TBA: , No�d For Affidavit: L Hold For Fees:, �
�Feb2021
9/1/23, 11:24 AM Novus-Wisconsin Access rev. 13.1108
Real Estate Sawyer County Property Listing Propertystatus:Current
Today's Date: 9/1/2023 Created On:8/4/2020 12:50:22 PM
�Description Updated: 7/31/2023 � Ownership Updated: 7/31/2023
Tax ID: 43868 REGINALD R&KIMBERLY A PONTILLO WINTHROP
PIN: 57-010-2-41-08-15-4 02-000-000040 HARBOR IL
Legacy PIN: 010841154204
Map ID: Billing Address: Mailing Address:
Municipality: (O10)TOWN OF HAYWARD REGINALD R&KIMBERLY A REGINALD R&KIMBERLY A
STR: 515 T41N R08W PONTILLO PONTILLO
Description: PRT NWSE LOT 1 CSM 36/243#8461 PO BOX 134 PO BOX 134
Recorded Acres: 7.390 WINTHROP HARBOR Il 60096 WINTHROP HARBOR IL 60096
Lottery Claims: 0
First Dollar: No � Site Address *indicates Private Road
Zoning: (F-1)Forestry One 13190W KREYER DR HAYWARD 54843
ESN: 444
J Property Assessment Updated:4/16/2021
� Tax Districts Updated: 8/4/2020 2023 Assessment Detail
1 State of Wisconsin Code Acres Land Imp.
57 Sawyer County G6-PRODUCTIVE FOREST 7.390 12,600 0
O10 Town of Hayward
572478 Hayward Community School District 2-Year Comparison 2022 2023 Change
001700 Technical College Land: 12,600 12,600 0.0%
Improved: 0 0 0.0%
• Recorded Documents Updated: 3/13/2014 Total: 12,600 12,600 0.0%
O WARRANTY DEED
Date Recorded: 2/2/2021 429742
O AFFIDAVIT OF CORR CSM �Property History
Date Recorded: 8/19/2020 425808 Parent Properties TaxID
0 EASEMENT 57-010-2-41-08-15-103-000-000030 43867
Date Recorded:6/19/2020 424507
O CERTIFIED SURVEY MAP
Date Recorded: 6/18/2020 424481
O MFL ORDER
Date Recorded: 11/16/2015 398625
O QUIT CLAIM DEED
Date Recorded: 1/14/2015 393980
O PERSONAL REPRESENTATIVES DEED
Date Recorded: l2/30/2014 393774
� QUIT CLAIM DEED
Date Recorded: 3/26/2002 298970 800/168
0 WARRANTY DEED
Date Recorded: 9/23/1969 132421 221/350
__ __ —- -- _ ----__
- --- -- — —_ _----
HISTORY O Expand All History White=Current Parcels Pink=Retired Parcels
�Tax ID: 10994 Pin:57-010-2-41-OS-15-4 02-000-000010 Leg.Pin:010841154201 Map ID: .14.1
0 Tax ID: 10957 Pin:57-010-2-41-OS-15-1 03-000-000010 Leg.Pin:010841151301 Map ID: .3.1
0 Tax ID:43867 Pin:57-010-2-41-08-15-1 0 - 00-000030 Leg.Pin:010841151303
43868 This Parcel Parents Children
https://tas.sawyercou ntygov.org//Access/master.asp 1/1
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