HomeMy WebLinkAbout026-938-14-5208-LUP-2023-413 SUBMIT COMPLETED APPUCATION AND
FEero: APPLICATION FOR 4ANp U5E R�RMIT �
SawyerCounty �.SF1aNY�R CC}UIUTY�WISCON5IN
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ZoNng&Conservation Depart, _ ...' ' ' ` `
10610 Maln St Suite 49 � , � n �e si,mP�prc_� Fd� t � ��
Hayward,WI 54843 1 ; �: "'"' -�-�.�� — 1
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INSTRUCTIONS: No permils will be issued until all fees are pald. '+ . {�. AC� """"""'—"-"-�--�`• ��-��� �--�� ��-'
Checks are made payahle to:Sawyer County Zoning Department. -
DO NOT START CONSTRUCTION UNTIL AlL PERMITS HAVE BEEN ISSUED TO APPUCANT, Original Applic�tion MUST he submitted FILL OUT IN INK �NO PENCIL)
Suhmit[al of this appllcatlon or recelpt of tees does not constitute permit issvance.
Owner(s)Name: � Contractor(s)Name �
� A t
. �1�� 1 t � �'/ V`�'\��/V1 �-�L�
Malling Address: �� Malling Address: �^
��� �� .��J �V�n,c�1�✓ �� .
Phone: /��s 1 5`�, ��`1�U � �
Phone:
l
Email: ,� � r��d�"��-L�iN� � •C L102��
[mail:
Site address: �`��� ��li��S� l--����� �+) J Or nate o�t lied for;
Legac;PIN;# �n�v '� � p�- �y 'S �O Town of: S A Vll� l,C�
Permlt delive,ry Methpd ❑Call Owner - ail Owner ❑Cail Contractor ❑Mail Contractor
S\� � ^� -- ---
�
`.'Is Property/Land within 300 feet of River,Stream ��nd pistance Structure is from ShoreNne: i� our Pra r
Intermittent) _� Y ��� Arp Wpiland9
Creek or Landward sfda of Floodpiain? If yes---continue feet �n Floodp+ain
�'f!!SPn17
':l Shoreland •-�--- •— — -- z��e?
�.: Is Property/Land tvithin 1000 feet of Lake,Pond or Flowage Distance Structure is irom Shoreline:' Yes YeS
If yes---contlnue.—�► feet Nn NO
' Non-Shoreland ' �� �
Describe Pr�ject
Value at Time of Total#of
Project type FoundaCion What Type&Capacfty is the
Complet(on House, ara e,shed,deck, Number bedrooms
*fnclude donatod � g g of Stories (��sement, post Sewer/Sanitary System(s)
time&material Addition,etc,,.) Crawlspace,
List separately Slab) const•ur.tion
5 � �y' � Zj Ll i _ � `.
Dwelling / � . .
L Jv\L✓t:.:7-c SICx7
S _ _--
`_�-�tlil.�C..i
Ac[Cssory Bldg
$
Addition/AI[eratlon -
Height: '
Total Square Lowest
✓ Pro osed Sxructure Dimensions Footage Grade to
Pcoposed Use P (multfply per Highest
story) Peak
Residencc �^ � X �
Ft.
WI[I1 Z"d SYbfy O�Ipft ( X �
Ft,
� x �
with Basement Ft.
_J Attached Garage ( x �
M' Resldential Use Ft,
AeeessoryStructure(explair,) ��� ( x �
Q Agricultural (dotachad gara6es,sheds,boat houses,etc.) Ft.
• ---- .__ . x
�5@ Tempor�ry Guest Quarter5 or E3unkhouse(Circie iync) t �
Ft.
_ _ ( .__ ;
_ x /
❑ Commercfal/ Deck/Porch/Patio �L�� �� j Ft �)
Indus4rial Use _ � x � _.
(2"d�Deck/Porch/Patio �t,
❑ Municipal Use - — `TM`� ( x )
Oth2r(explaln)
�t.
❑ Other _ �_�.__ � x '
Principal 5tructure(n�riculcurai,Commerclal,Municlpal,Etc,)
Ft.
Addition/Alteration(explain) ( x �
Ft.
7ntel Non-hab(tabl¢square feet; �
Total habitabl2 square fPet; (decks,p�tios,�arages,sheds,storage area&other strG�r.tures) �V� ' S
Ori�ir��.;,,��pl�c:,iion N�U5T e,e suGmitt�d
Attach a Plan or Sketr.h your Property on 8.5"x 1S"or 8.5°x 14"paper:�Must"Include locatiomand setback of praposed:and existing struetures,roads,
driveway,sanitary components,well,lake,Nver,stream,and wetlands.
Setback
Descrlption � T Description Setback
Measurements R�w _ MeasUrements
Setback from the Centerline of Platted Road and/or ^_ Feet S2tback from the Lake(ordinary high•waler mark� � � Feet
Setback from the Established RigBt-of-Way_J _ Feet Setback from the River,Stream,Geek Feet
� Setback from the 81uff if applicable Feet
Set ack rom the North Lot Li—ne-�_�_� Feet
--- �_
Setback from the South Lot Line `'�"' "'9���� Feet � Setback from Wetland Feet
r
Setback 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 Septic 7ank or Holding Tank Feet Setback to Well �� Feet
Setback to Drain Field Feet �
Setback to Privy(Portable,Com�osting) FpPt �M -"
Prior to the placement or constructlon of a structure withln five(5)fee[of the minimum required setback,the 6oundary Iine from which the setback must�e measured must be visible From one
previously surveyed corner to tfte otlier previously surveyed corner or marked by a licensed surveyor at the owne�s expense.
Prior to the piacement or construction of a structure more than five�5)feet but less[han ten(SO)teet from the minimum required set6ack,the boundary line from which the setback must be
measured must be visible from one prevlously surveyed corner to the other previously surveyed corner,or veriflable by the Department by use of a corrected compass From a known comer
wlthin 500 feet of the proposed site of the structure,or rnust be marked by a licensed surveyor at the owner's ezpense.
. . . •.• • . • �• . � �. � -- -
Calculate impervious surfaces.(Roofed,concrete,paved,and other surfaces that water cannat penetrate.The Zonin�Office can help you determine if a
surface is considered impervious) �
Calculate lot area:
.�-- ���� C���1`".�
Indicate lot size from CSM or NOVUS(circle one): _Acr es,Multiply by 43,560=Lot area: Square Footage
Calculate impervlous surface area:
Qetermine the total size,in square feet,of your projects listed above(inciude eaves);_ /L� L1, � sq ft.
Determine the total size,in square feet,of all existing roofed structures(include eaves :
1—�._.�__:sq ft.
Determine the total size,in square feet,of all existing paved/bricked/blocked wrfaces sq ft.
Add these measurements to determine total impervious surfaces:_ � sq ft.
Caiculate impervious lot percentage
Total impervious surface: =Lot area: Sy ft.X 100=impervious surface /
(Mitigation Is required if iotal 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 belowR*x
Grading on a slope greater than 20% �Gradi�g of more than:�;0U0 Sq.Ft.on 12/a-20%slopes
Grading of more than Z,000 Sq Ft on Slapes less than 12% Grading is in excess of 10,00Q Sq,Ft.
FtiILUNE TO 06TAIfV n PLHNIII o�jiHRl�tVG CUNSTIiUCTION WITH'vUT H PEKMff VYILt.iiE5UL1 IIV rtNHLiItS �
I�we)declare that this application(induding any accompanying informatlon)has been examined by me(us)and to the best of my(our)knowledge and belief it is true,torrect andy
cornplete. I(wej acknowtedge that I(we)am(are)responsible for the detail and accuracy of ali information I(we)am(are)providing and that it will be relied upon by Sawyer
County fn 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.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 inspection.Additionally,the underslgned person(s)herehy give permission for access to the property for onsite inspection by Munlcipal Officials.
� /tl
OWner /� Owner 1,,
Signature � /l. /'�-��-° �%�l.v�-y��^--._- pilr�ted name °,I''� G�1 v�5 Date � � � (`Z
G'v1
� (Si�nature and Prinfed Namo�equlre J
� IVUTIGE: All Land Use Pennits Explre Onc(1)Year trom the Date of Isxuance.
For the Construction Of New One&Two Family Dwelling: pLl Municipalities Are Iteyulred To Errfarce 1'he UnlfUrm Dwelling Code,
The local Town,StaYe or Pederal agencfes may atsc�require permits,
You are responslble for complying with the reqWrements of the Sawyer Counting Zoning Ordinances and law and regulations of the State of Wisconsin.You are also responsible for
complying wlth State and Federal laws tonceming 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 costs. For more information,visit the departrnent of natural resources wetlands identification web page or contact a department ot
naturalresourcesservice center�608�267-3125
Issuance Information(County Use Only) Sanitary Number. � tt of bedrooms:
Permit Denied(Date); Reason for DeniaL � "-'^"" -
Permit�1: Issuing agen�� ���' '—'
� � Date:
� --� 1 3 ,%�%��'" �
,h,s.�.,---____ s' �� a 3
IS Parcel a Sub-Standard Lot I i Yes (Deed of Record) No �~�
Is Parcel in Common Ownership �7 Yes �Fused/Con[iguous loc(s)) yl'No Mitigation Required CI Yes L'fVo
Is Structure Non-Conforming I"I Yes ��No Mitigation Attached Li Yes �No
Granted by Variance(B4O.A.) -- ---_
Granted by Conditional Use
��Yes ' o Case It; !Yes � o
- Case il:
Was Parcel�egally Created Yes i?No "�
� _ Were Property Lines Represented by Owner �Yes N�
Was Proposed Building Site Delineated "}�I Yes 1=i No ^m
( Was Property Surveyed v�Yes 'No
OHlce Comments: ---- /
2one pistricC Fee:
---�- —._--- �� � a �� � �
Hold ForSanitary: ❑ Hold ForTBA: i._� Hold ForAffidaviL �_� `
i1 Hold For Fees:I..I []
�Fe62027 `�"` "'�.—
R2al EStat2 Sawyer County Property Listing Property Status: Current
Today's Date: 9/15/2023 Created On: 2/6/2007 7:55:47 AM
i�'Description Updated: 7/5/2016 � Ownership Updated: 2/6/2007
__ _.__._,_. ____---._ ____--_ _____. _ ___ --_._ _.. ._ ____ _ _ _ _,_._._----.._.__.
Tax ID: 27917 JOHNSON TIMBER CORP HAYWARD WI
PIN: 57-026-2-38-09-14-5 05-002-000080
Legacy PIN: 026938145208 Billing Address: Mailing Address:
Map ID: :2.8 ]OHNSON TIMBER CORP JOHNSON TIMBER CORP
Municipality: (026)TOWN OF SAND LAKE 9676N KRUGER RD 9676N KRUGER RD
STR: 514 T38N R09W HAYWARD WI 54843 HAYWARD WI 54843
Description: PRT FRAC GOVT LOT 2
Recorded Acres: 52.920 � Site Address * indicates Private Road
__ _..
Calculated Acres: 49J18 3926N MARSH LAKE RD 5 STONE LAKE 54876
Lottery Claims: 0
First Dollar: Yes 't.-� Property Assessment Updated: 6/7/2023
Waterbody: Summit Creek 2023 Assessment Detail
Summit Lake
Zoning: (RR2) Residential/Recreational Two Code Acres Land Imp.
ESN: 423 G2-COMMERCIAL 10.000 25,000 159,500
G6-PRODUCTIVE FOREST 42.920 144,400 0
� Tax Districts Updated: 2/6/2007 2_Year Comparison 2022 2023 Change
______ . __
1 State of Wisconsin Land: 169,400 169,400 0.0%
57 Sawyer County Improved: 94,800 159,500 68.2%
026 Town of Sand Lake Total: 264,200 328,900 24.5%
650441 Birchwood School District
001700 Technical College
11'�'Property History
•� Recorded Documents Updated: 9/il/2014 N/A
-- —___
QUIT CLAIM DEED(ESMT)
Date Recorded: 2/3/2005 328362
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