HomeMy WebLinkAbout024-741-32-3102-LUP-2023-420 SUBMI7 COMPLETED APPUCATION AND
FEeTo: APPIICATION FOR LAND U5E PERMIT C �
SawyerCounty SAW Y IN N
Zoning&Conservation Depart. � �
10610 Main St Suite A9 'P "'" � ct f � � '
Hayward,WI 54843 "r � ".<" -.-_-.! .��t-=-e.3�:.�
(715)634-8268 � SEP 0 1 2023 �#___ cRs h �
INSTRUCTIONS: No permi�s will be issued until all fees are pald. �ER COUN� ��7'`���a-���•-------- ---.-•-,---,---_-• �
Checks are made paya6le to:Sawyer County Zoninp,Department. - -
DO NOT START CONSiRUCT10N UNTIL ALL PERMI S HAVE BEEN I55 __. APPIiCAN7. Original Applit:+ti�n MUST 6C suhmlttrd FlI.1.oUT IN INK (NO PENCIIj
1...�
Suhmittal of this application or recelpt ot fees does not constltute permit lssuance.
Owner(s)Name: Contractor(s)Name y�
L�,�►c�'or� 14��1 I F R �5 i�/ 5�v.��es
Mail(ng Address: Mailing Address: �
/10�J//!/ Ctx��t�y,��G �y1,,�1 � �R�3 �7'l 7 C�n���[ l> ��Jl�{-h r� 1.��- �Y R�l3
�
Phone:z�2 1' 23� 1�3� v 7���
� Phone: ���77�
Email: Finail: S�Y S�IG�iCt'S ��/�W I.�Q�
Site addresr. 1 CJ �Y�'��_���' LN �y4'�`��✓T
�� Or Date� lied for:
Legaq:$IN;# ��-1�� 1 -3��(� �: Town'of: ...,� �
Permit delive.ry Method ❑Call Owner �(Maii Ownar o Call Contractor e Mail Contractor
Y\
`.'.is Property/Land within 300 feet of River,Stream�(mcl. pistance Structure is from Shoreline: 1s our Prepertv
Intermittenl� y
--� Are Wei�ands
Creek or Landward sid2 of Floodplain? If yes--contl�ue feet in Floodvlain
:'I Shoreland -- — --�---- ZoRc7 o•�^se�r�
-; Is Property/Land within 1000 feet of Lake,Pond or Flowage Distance Structure is irom Shoreline: Yes Yt s
If yes---continue -� feet Na �'
_ . Non-Shoreiand ' =V�_L _..�...� -��.�-,� �
Describe Praject 7otal#of
Value at rme of project type Faundatian What T e&
* Completion (House,garage,shed,deck, Number g bedrooms YP Capacity is the
include donated of Storfes ( �sement, post Sewer/Sanitery System(s)
time&materlAl Addltion,etc...) Crawispace,
List separately 51ab) construction
$ jf�"O C�(,� �f �
` r;�v�C> F�j�s�-� 3 �3 ro��:�
Dwelling - -- ----
s ��p�,� (fY,�/4 � � _ S�4�J � �� l�� V �Or�LL�
f
Accessary Bldg
$
AddiUon/Alteration __ J,
Height:
Tntal Square Lowest
Propoaed Use ✓ Proposed 5Xructure Dimensio�s Footage Gradeto
{multlpiy per Highest
story) Peak
� Residence -�l (Z�p X S� � 1 y U�"� Ft. �C%
with 2"d story or loft ^ � x �
Ft,
with 6asement - `,2`p X .Sy ' �(,�(�L� Ft �y
!
_ Residential Use Attached Garage f x )
Ft.
Aeeessory Structure(exPi�i�� ^ i X 3 ) "�
❑ A�YICUIXUI'8I (dntachndgoragas,sheds,boalhouses,etc.) �� � �,J� F#
_ _ ___ _
Use Tempornry Guest Quarrcers or Esunkhouse(ci�r,ie cy�c) � x , Ft.
—__T_-- T
_ . _
❑ Commerclai/ Deck/Porch/Patio ( x �
Industrlal Use - -
_ Ft.
(2"a)Deck/Porch/Patio i x )
❑ Municipal Use �—• _
Ft.
Other(exp�a�n) � x �
❑ Other --�--- � X �
Ft.
Principal Structure(A�riculcurai,c.ommerciai,Munidnal,Etc,)
_ � Ft.
Addition/Alteration�exPia�r,) � ��-� ( x �
_ _ _�.. _ --� Pt.
To4ai habitable squarc feet: p� �'n�al Non-habltable squar�feet; '`�
�S(� � (decks,pati�s,�ara�es,sheds,stora�e area 3�other strur.tures) �✓�
Original�1pF(�c..c;un N�UST be s.,b;�ut�ed
Attach a Pian or Skecch your Property on 8.5"x 11"or 8.5"x 14"paper:"Must*Include location and setback af proposed and existing structures,roads,
drlveway,sanitary components,well,lake,river,stream,and wetlands.
Descrlption Setback ��� Sethaek
Measurerrients Descriptlon
�._.._,__ _ M�asurements
Setback from the Centerline of Platted Road and/or � Feet � Setback from the Lake(ordinary high•waler mark) � FBBt
�_.`_
Setback from the Established RigNt-of-Way Feet Setback frorn the River,Stream,Creek Feet
y� Setback from the 61uff i(applicable Feet
Setback from the North I_ot Line Feet
Setback from the South I.ot Line � '�Z Feet r Setback from Wetland Feet
$etback from the West Lot Line � � Feet Slope within area of construction/disturbance %Slope
Setback from the East Lot Line � °'3 j L Feet Flevation of Floodplain Feet
Setback to SepticTank or HoldingTank feet Setback to Well T Feet
Setback to Drain Field 2 Feet �
Setback to Frivy(Portable,Com�osting) feet �
Prior to the placement or con�trucUon of a structure wltMn five(5)feet of the minimum required setback,the 6oundary line frmn which the setback must be measured must be v(sible from one
previously surveyed comer to tbe o[her previously surveyed corner or maiked by a licensed surveyor at the owner's expense.
Prior to the placement or tonstruction of a structure more than five(S)feet bul less[han ten(SO)feet from the minimum required setback,the boundary line from whlch the setba�k must be
measured m�st he vi9ble from one prevlously surveyed wrner to the other previously surveyed wrner,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 must be marked by a licensed surveyor at the owner's expense.
. � . � .. • . • •• • � •• .
Calculate impervious surFaces.(Roofed,concrete,paved,and other surfates that water cannot penetrate.The Zoning Office can help you determine if a
surface is considered imperviaus�
Calculate lot area:
Indicate lot size from CSM or NOVUS(circle one�: __Acres;Multiply by 43,560=Lot area: Square Footage
Calculate impervlous surFace area:
Determine the total size,in square feet,of your projects listed above(include eaves); _ Sy{�,
Determine the total size,in square feet,of all existing roofed structures(indude eaves�: sq h.
Determine the total size,in square feet,of all existing paved/bricked/blocked surfaces: sy ft.
Add these measurements to determine total impervious s�ufaces: _ sq ft,
Calculate impervious lot percentage
Total impervious surface: =Lot area: �Sq ft.X 100=impervious surface /
(Mitigation is requirzd if iotal eaceeds 15%)
"'Notice a separate gradfng permit needs to be obtained if disturbed area is within che Shoreland district as Indicated on previous page and meets criteria below�"x
Gradingon a slope greater than 20% . Gradi�g of more than:�,0U0 Sq,Ft.on 12%-20%s�opes I
Grading of more than 2,000 5q.Ft,on Slopes less than 12/ . Grading is in excess of SO,OOQ Sg,Ft. _�
- �-____��__
F�iwHE To ourHi�v H N�f�Nirr u�s�nf,i ivc coNsraucr�ory wrrHouT�i�trr�nrr wi��r,e�u�i,r��rN;�rr�ts
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 bellef it is true,correct and
cornplete. I(we)acknowledge that I(we)am(are)responsible for the detail and accuracy of all information I(we)am(arej 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 Cnunty relying on this infonna[ion I(we)am(are)providing in or
with this application.I(we)conse t m county officials cb2rged with administering county ordinances to have accest to the above described property aI any reasonable time for the
purpose of inspe ' .Addltionally7the dersigned person(s}hereby give permission for access to the property for onsite inspection by Munlclpal pfficials.
Owner /' /
� Owner �^�,-1_��
Signature Printed name__ �� I/tJ �p j�(��/�_ � 2
�/ -�-� (Signature an pPrirrted(jma reyulred) ^ ���,�u��V ��
! ta � < U71Cfl: All Land Use Pennits Ex Ire One 1 Year Frnm the Da e of Iss i c} � ��
���' For the Construction Of New One&Two Eamily Dwelling: ALL Munlcfpalities Are Iteyulred To Enforce 1'h�Uniform Dwelll Code,
The local Town,State or Federal agencies may atso require perniits.
You are responslble for complying with the reqWrements of the Sawyer Counting Zoning Ordinances and law and regulaHons of the State oF Wisconsin.You are also responsible for
complying Wlth State and Federal laws tonceming 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 costs. For more information,visit the departmeni of nawral resources wetlands identification web page or contact a departme�t of
natural resources service center(603)2G7-3125
Issuance Information(County Use Only) Sanitary Number: ^ � t1 of bedrooms: �
�i.3 �.u`i:
Permit Denied(Date): � Reason for Denial: � '�� '
Permit N: Issuing age� ' �/ Date:
� � - y��(� . /�l��'1� /,,�T/1�-��-•_._... �/r�c:,/��
Is Parcel a Sub-Standard Lot (i Yes (oeed of Record) �;No � �
Is ParceFin Common Ownership �N Yes �Fused/Coniiguous Loc(s)) I No Mitigation Required I'I Yes No
Is Structure Non-Conforming CI Yes Na Mitigation Attached !_t Yes No
�,
Granted by Varlanca(B4O.A.) Granted by Conditional Use
❑Yes`f�No Case#: !Yes X�No Case if:
� Was Parcel Legatly Created �tjl Yes i!No Were Property Lines Represented by Owner I,Yes No
1
Was Proposed Buiiding Site Delineated "�FYes I:i No Was Property Surveyed �!� es 'No
Office Comments:"T . � - �":
;�a__,1 G�����,.L.,�� � � a 2one DistriCt: Fee:
���
F- I �V�
Hoid For Sanitary: ❑ Hoid For TBA: � I 1 Hold For Affidavit: L_� Hold For Fees L_I []
�—-�--___._.._.�..e—..--�—
�Feb2021
9/1/23,3:03 PM Novus-Wisconsin Access rev. 13.1108
Real Estate Sawyer County Property Listing PropertyStatus:Current
Today's Date:9/1/2023 Created On:2/6/Z007 7:55:44 AM
�Description Updated:3/10/2008 � Ownership Updated:8/5/2019
___
Tax ID: 26119 KAYLA J PENNINGS ADELI WI
PIN: 57-024-2-41-07-32-3 01-000-000020
Legacy PIN: 024741323102 Billing Address: Mailing Address:
Map ID: .9.2 KAYLA 7 PENNINGS KAYLA]PENNINGS
Municipality: (024)TOWN OF ROUND LAKE 828 WISCONSIN ST 828 WISCONSIN ST
STR: 532 T41N R07W ADELL WI 53001 ADELL WI 53001
Description: PRT NESW, LOT 5 CSM 13/83#3135
Recorded Acres: 4.770 � Site Address *indicates Private Road
_ _ ___ __ _
ottery C aims: 0 9896N GROUSE LN * HAYWARD 54843
First Dollar: No
Zoning: (F-1)Forestry One
ESN: 404 � Property Assessment Updated:7/16/2019
_ ___...
2023 Assessment Detail
Code Acres Land Imp.
Tax Districts Updated: 2/6/2007 G1-RESIDENTIAL 4.770 16,700 0
1 State of Wisconsin
57 Sawyer County Z_Year Comparison 2022 2023 Change
024 Town of Round Lake Land: 16,700 16,700 0.0%
572478 Hayward Communiry School District Improved: 0 0 0.0%
001700 Technical College Total: 16,700 16,700 0.0%
s Recorded Documents Updated: 3/10/2008
� WARRANTY DEED �Property History
Date Recorded: 7/15/2019 418�82 N/A
O WARRANTY DEED
Date Recorded: 2/8/2008 351734
� CERTIFIED SURVEY MAP
Date Recorded: 3/7/1990 217692
https://tas.sawyercountygov.org//Access/master.asp 1/1
�
�
` ��
!
�
�
�
`�
�
\
� �J� '�
� � � �� ��
� N /f �
� ���
M \�� w � /�.\
� /
� � S � ti
', � ��.�� -- ��' �
��\ ���
.''�
�
; �
/ �a ( �+ �` �Q��
� � 92 � � `r
� �`
/ �
\ %� ' �/� \ /
/K `r
� ���e �.� �
, `
� i �� �\. %
, _ _ � �� � /
,� � _ ___ ;�
-------__ ,
� �
�
� W
�'
N ��'/
� �r
,�Is- .-<���� ..r : 1 S � .:: fh '. ]t4 'jy1 flf n�yV t 1yj}��. �. - t r
' T a . Y ` .+ .0 Y�Y`C.�^kS,�,-`'- ` J .� ,; �+' �f�� � -
� 3 � 3 ,r u rl ,.��. . r
,' ♦ y l � . r t , �. �' <_e .� ��L� i IJ1:
�F.k ' t � 'K . „ a 1 �3.� � �ysj
�•4 '�. S`"v � �.� a� Y`"a � �'a �.,� . 5 ;��s.'� �`k�v< r � b�'�^
i'n �' „e?r'*'.`d'.e'r °''�1� �� ,.,r� ,+�, . �,.Tf�,tl�fbu. ���.� } Y. d � 1 4�j�•f ) .
,�y&� �a�" r.ox '. }�FN'� � � s . :; f,.`'K�-,e"� _y'S�.C�� x n
�it4 - .t��{ . 2 y>1��� q¢RK t.YtA � �;� !�,�y.'M�i �� �: f`S,n»!� �+"S'_, a'a Y y.�r 'J .���4 .
�~ YV �A?a�� ''� 3.Y�'3�'� � •, '!�'m�`f 7�4 �'�Yl�' � ;� X�r'f � �-�G,��Y �M,l '�?'��� ��.
,, �� ..�.�.�`. � . r��s uys.r ,
�- ���.;y 4 ��q�„e 2 r � . �` .,j �. ���.t r�.,«�R . �Y�::k � n�, ta T.
'+R
y�.YY�. "�.Cc�� . `3' n �yY.� 4 �jy''�.M f � .
r�L.F. 1M' ! T`��' J ' . S ��'JJ�.�''' ���'MV4 � •
i�tl� i1 i rod�'�'y3N� � �V� Tt/�i�'yy�j'i ,.F +
! � � � .�v<a e . rt -. r.'ti.^�'�:f r^�� !'' s,-..�� -
�'�7.��}A��. �N, � : ; Y . \ 1i+e�i vrA' Y , .
��� I
stt'�`-',tr`t, J��4a `�iFit�'=' �` � .-� " `�3. . �` ' �,�'``�F,H t .
y �y f'
�y {! �w+r � � �fi,.'� � . k � '�� a. ��,� P� °'v t7J4ii'a3�'S`ir=e
�i� 0. -� t'..' 'E"�j'� y ,� o. . . � -, r? 5 v' �7 �-
ar S�� t 1`� 'S"'��� v'��t3t��..�t�s 41�fh�0' a . =M.a ��-n'� y.� ��.+ a'N�1G a �
:� � Li.L2` •'�.��A fi{vt,y,,,?e,'j`�l , a�� �,r� �s.�il �:�'4f m�'� �,�`r,� L� � ..� i r
�,y ♦ . I� ..r �?'a
• '���� r . � , ����"�'` rl 7+�-� ��Y .� ' a�: �,
��P4� i�� �'i�3s v������'��ry�1�J 'k'Rf�� •>•��.,�ir�� e ��n_�r,�ny�}Y �� ' L'+c�j*��i `,_
s� - °� �y-y�f�� it�,; X���7 ; +{ ';i i ,.ce. .
`� ""' �K^' '���� ' � 4 n O1 r ..�, .n .�� '.
yti` � ��,�r��.t3�J�� � � � � � � s . t � �..'
,J `. � �9 �:iT�Y �..5'�i^� ` �i�h� � ..�,f4?�N�ry`�" -����, 1 t,y,n r � .`s X
� L t Y ��a�v ,r "^ .
� �. �, Yf 1 �r�.Y''� �A� 5[�. W�h` . 4s�j'_ -J x � '\
�: � .' y . ;y � . .'",.f 'i<Y g.ss?����'�f,'-'�<F ;�f �Y - : .. .
�jyi.� . .♦ . q'.. H����tR+�' � �,� 'E _.: }F#; `:.
V.-4 � a ♦ . � a . . . { +��aK+5 �� t F� ��[ �Y} V
� �. . 1 � � .. � .. ` S ' . ���Y f � ��"�� �i'-. �k��l�'+
� . E� �. , e po rynw'� e � p t N y4y s
${ �h!wr �J' �t��, �bl��- � �.. � .2, .Sa i +�'.�,sk,�p9 . �,f �.•
,.�iy� � ,,.v� �'". VYKM �3� �r"'J` S""��aT'� ��.� � ..'..•
f�'.T <�..Y�� ��T ♦ 4�'S"Y Y.. A Y -.. t3Y k �� �x.�.Y y} r
�'��r�t� � G`�
91 .t r t �}Lt a � j 4',.k" '�"`�r'' +.��z � s w'�a�j'^ f� 3�,"s�.:
p ,�y `' � ,y s NQ. •�� .._ • ,c � �..s- a"�',± . yrd? �.y� ti , ��;F,�`
a S l,x�a't �,L. � � ,,,+:'.,'�`' y. '".f R �;� . .- �.r ti j. .
3 q
. r��. r s a. ���.�• � 4 si"2 �. .� � . �.,.�K, �` :
� �� 'i� f" �'. '� ' '. � -.-:P �W t� ,}.e .
�. � ' �
� r � [��
, ' - - ^ , ..� '�� .
.,t -,{ ..�����. �� " �r�. . ^ �a� -:•t�,^^� ` �:�Y _.
.. .� _ � . �' r • x �,,�,. �
� �Y^'� �•., � � '� .� �:%� :.
'�..a 4,�,5 . ,��.?� - ,4 r
��� � ^ '��� '�y+y y i � � .( .�
'�} . d'' 7 i' �. � r.'A:� .4. ' i+ t
,t<'� 'g ' .� ' ,.e � „I.. y. :y i . ..
:.:""„4�` ` � `, '�` , �5 '' � :z. , < < .;.
.. ,L '� .x +�� s ., ,�_ ,� ..� ,,,,
�,�5,`; .>. ,� .. .,�. . ,� ;, .
. a�." ', `'r8 y ` `� ""�,.j"�" _' ,'x�' � � . _
� .
�� 5+';.'. � � _ � �'f r'�-� ".K 7 } w�
}Ti�_ �' ~ ¢w' . 5 ♦ ti c rr �t �„/�..4
�� CSY� ' y". � . .^r.- Y 1 -+'" wr�w��.'
0
,�i� . b�' it � 3 ';3. '` �{f�K
r +
.. . , y° .._.7 � 4a .. ' r `l. ' . , � ,�T� � �
a �'{ s ' ' h '�.i F'
:� .l.��i= � ��' F y Vf���[[[,,,, �� y . �? � i.
- �� r�P �v '�S �t�. li 0 ��: �:.�u .x.: `.
�1,� � .wF�.:
y�::. 'a��� ..� � �i ry+..
' a �� . �.q �'Y' .. � i.;" s ��' ,'Y�'?,� .
��; � � � f � �� �� ',� .� �L� a y .J,.��M
;��� °�� .. � � • ' .Y ,e
=�� �� ��� b�4 L'Y {i. .�i�f .._Q, � ...
' psa4a'� y� •' 'y� a�(�.: �r'N �� 't ��. e
t �
} , j 1 �j
Sti � � � �� �o�� "¢ �. .y' �
.A � & -^I'
i •Fz4�1 .sr ' t � �� W�.� 'k;
{ ;�
� " �' �. � � ���.
�'.'k, ��A�i � ^�' • '
1 ' Y 3 � �¢ �'� ���y
���J �vN 1 '�. . .li�.
} i`
'.4` •4::fy .I��
. .�.. .-.�� +, ..
, � .
�. ���'�,�,,,'.s.� � �.
a �:.� ;..x�. �' �.,.i�.. W' .� �I±;C 0.K":Si-: ,_�J. . ^fYS
Township Approval Applicatian
Town of � V���'k�� �- �` � < Date �f ,�pplicatic�n 1 � � � < � --
Subject: Town Board Consideration c�� a ��nrf �;se A�plication for the Construction of a
Year-round or Season�l Dwelling in the Forestry Qne (F-1} Zane District.
Approval is desired for the construction of the divelling(s} inclir_�ted on the property
owner's application for a I�and Use Permit.
� s
Nameof0�ltirn�r �;�r -'��:�,� �� �� i ���
By Action af the Tcr,vn Board, use is:
�Approvecl ; } Denied ( � Tabled
Comments:
Chairman _ _�_�-�� T Date � � ��`� � 23
Supervisor _ Qate
Su �rvisor_ � r � Date � �� � %23
f'
� � __-- — — —
*Oniy one signatl�s reqiiired, __,_ � � --
Return ta:
Sawyer County Zaning & Cc�nservatian
Attn : Michelle Narris
10610 Main Street, Suite #49
H aywa rd, W l 54843
Email: michelle. harris@sawyercountygov.or�