HomeMy WebLinkAbout024-841-12-3410-LUP-2023-422 SUBMIT COMPIET[D APPUCATION AND
FeeTo; APPLICATION FOR LAND USE PERMIT C l
Sawyer County �$� � ,��/u+ I /'-'
Zon(ng&Conservation Depart, -"i � '� �, � �=!; V�
10610 Maln St Sufte 49 (' . -�----�test:mt�n'�:dr"'__�., ;� i z,:^ ��� �� M 1
1 ��e`.-:.�,_._
Hayward,WI 54843 �� SEP 0 7 2023
(715)634-8288 � i;�# �� � �
SAWYER COU�1�'Y � ;-',�;�t#' 3O�I O__._ .... _ . __ �
INSTRUCTIONS: No permits will be issued until all fees are paid. - �j A�M4N�ST�laT10� �
Checks are made payable to:Sawyer County 7.oninp,Department. —
�O NOT START CqNSTRUC7lON UNTIL AlL PERMf,�S HAVE BEEN ISSUED 70 APPUCANT. Ori�inal Applic�tinn MUST bp 5ubmktrd FILL OUT IN INK tN0 PENCIL�
Submittal of this appllcatlon or recelpt of tees does not constitute permlt Issuance.
Owner{5�Name: � W� Contractor(s)Name -
�,r i�,� ��,r I�s5 Cc�.`��rS Cor�S+rvic�l'�,-� L(-L
_ /►'��-{� Ca� rn 5
Malling Address: � Mailln�Address: � ��
5 pr`�br�� , w
I 3��'1�(�1 VJ ��'�-� �-o�_.._-t-,� ---_______� I U 9 C�f�l T r�pj� sy87�
Phone: `...,���r'C�� (JL1!— S��'1� Pf�n'����7� �— '7 7,�d
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Email: Finail: �C��� �Qy� t`/�� W �712a 1�W(�/�
Site address: � �.��� �/ �(���� R"J V^� Or Date a lied for;
Legay:RIN;�7 O��� F � 3 �� _i Town.oF; �,
PermitdellveryMethOd ❑Call Owner o Mail Owner �ail Contractor r Mail Contractor
''is Property/I.and within 300 feet of River,Stream (��r.i. Distance Structure is from Shorellne: is ou�Propertv
In[ermitt¢nt) _� y ArC�?9and5
Creek or Landward side of Flood lain? If es---contlnue feet m�Inndo��in
:J Shoreland -�--P Y --.- _ ..^_. , �`rPS�niz
Z/drt4�
Is Property/Land within 1000 feet of Lake,Poncl or Flowage Distance Strucfure is from Shoreline: "ns Yes
If yes--•continue —� feet No n�
' Non-Shoreland '
Describe �Prpject
Value at Time of Total#of
Project type Foundatidn What T
Comptetlon �House,garage,shed,deck, Number g�sement bedrooms YPe&Capacity is the
*include donatod Addltion,etc.,.) of Storfes � ' Post Sewer/Sanitary System(s)
time&materlal Crawispace,
I:ist separately Slab) construction
$ ^ �^
DwclRng , l , �0 � �1 �1"��5 "' _� �
$ ��,c�� �'�' _ Pos-��
.�k
$Additio""'nrA�teraL�� `.
, Hetght; '
^ � Total Squace lowest
Proposed Use ✓ Proposed Structure Dimensions Footage Grade to
{multiply per Highest
story) Peak
Residencc ( X )
Ft.
with 2"d story or loft � x �
�___ Ft.
with easement ( X �
Ft.
Attached Garage � x �
'�Residential Use ___ Ft.
-
('� Accessory Structure(exPiai�� ( X )
�J Agl'IGUIXUrBI (dotachndgArages,nheds,boaihouses'etc.) Ft.
. . ._.. .._ . ._ ._. _ ..._ .
Use Tempor�ry Guest Qi�arters or Eiunkhouse(circie ty�e) � X )
Ft,
❑ Commercfal/ 1/ Deck rch/Patio � J x i 6 � D U Ft. `�\�
Industrial Use -- - _.
(2nd)beck/Porch/Patio � x �
Q M�nicipal Use �t'
Oth2r(explaln) . ( X �
Q Other - � x �
Ft.
Principal Structure(a�riculmrai,Commcrclal,Municlpal,Etc,)
_�_.T—.______.. _ _. _
Ft.
v,ddition/Alteration�exPia��� M����'►"��e�� ((O �
r��.��, � _ ' x �N' �aa Ft.� 3 `�
Total habitabl�square feet: a� 7ntel Non-habltabl¢squar�f�et: �
� (decks,patios,�arages,she�is,storage area&other strur,tures)
a -,- �6: �
Original Apptication MUS7 be submitted
Attach a Plan or Skecch your Property on 8.5"x 11"or 8.5"x 14"paper:*Must*Include location and setback of praposed and existing structures,:roads,
driveway,sanitary components,well,lake,river,stream,and wetlands.
Destription Setback Sethaek
Measurements Descriptlon
- ..� _ Measurements
,, — —
Setback from the Centerline of Platted Road and/or �— Feet � Seiback from the Lake(ordinary high-water mark� FBBL
Setback from the Established RigFit-of-Way_ �`� reet Setback frorn the River,Stream,Creek Feet
� Setbacl<from the Bluff i(applicable Feet
Setback from the North Lot Line �T� Feet �
Setback from the South Lot Line � Feet �r Setback from Wetland� Feet
Setback from the West Lot Line - �
__ � �p t. Feet Slope within area of construction/disturbance %Slope
Setback from the East Lot Line +.-� Feet_ Elevation of Floodplain Feet
Setback to SepticTank or HoldingTank �' Feet Setback to Well � • Feet
Setback to Drain Field Feet �
Setback to Privy(Portable,Composting) Feet
Prior to tlie placement or constructlon of a struaure wlfhin five(5)feet of the minimum required setback,the boundary line from which the setback must be measured must be visible from one
previously surveyed corner to the other previously surveyed mrner or marked by a licensed surveyor at the owner'S expense.
Prior to the placement or construction of a structure more than five(5)ieet bul less than ten(10)feet from the minlmum required set6ack,the boundary line irom whlch the setback must be
measured must be visible from one prevlously surveyed corner to the other prevlously surveyed comer,or verifiable by the Department by use of a wrrected compass From a known corner
within 500 feet of the proposeC site of the structure,or must he marked by a IicenSed surveyor at the owner's expense.
. � . � . � . • •- � �• - • •� -- —
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 NOVUS(circle one): _Acres;Mu�tipiy hy 43,560=Lot area: Square Footage
Calculate impervlous surface area:
petermine the total size,in square feet,of your projects listed above(Inciude eaves); S�{�,
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{�,
Add these measurements to determine total impervious surfaces___ � sn{t,
Calculate Impervious lot percentage
Total impervious surface: =Lot area;�5q ft.X 100=impervious surface /
�Mitigativn is required i(iotal eaceeds 15%)
""Notice a separate gradin�permit needs m be obtained if disturbed�rea is within the Shoreland district as indicated on previous page and meets criteria below**'
Grading on a siope greater than 20% � Gradi�g of more than:�,pUO Sq.Ft.on 12%-20%slopes
• Grading of more than 2,000 S ,Ft.on Slopes less than 12%� `' Gr2ding is in excess of lO,DOQ Sq.Ft.
1-HIWRE TO 061AIN A F'LNMiI ur 7TAKI iNG C�NSTRUCTION W�7HOUi A Pt:HM1T WIL�hEJULI W PEtVAIftCS �
I(we)declare that this application(including any accompanying informatlon)has been examined by me(us)and to the besY 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 permiL I(we)further accept liability which may be a result of Sawyer Caunty relying on this information I(we)am(are)providing in or
with this appllcation.I(we)consent to county officials charged with administering counry ordinances to have access to the above described property at any reasonable time for the
purpose of inspectfon.Addltionally the undersigned person(s)hereby give permission for access to the property for onsite inspection by Munlclpal Officials.
Owner Owner /{A f 7
Signature �� prl�ted name _�r'��1 / 1/� /��/�SJ Date �� ��l �
(Signature and Printed Natua rHqWred)
IVUYICE; All Land Use Pernilts Explre One(1)Year(rbm the Date of Issuance.
For the Cons[ruction Of New One&7wo Family Dwellin�: AL�MuNClpalitles hre Reyulred 7o Enfurce 1'he Uniform Dwclling Cnde.
The local Town,State or Federal a�;encles may also requlre permits.
You are responslble for complying with the requlrements of the Sawyer Counting"Loning Ordinances and!aw 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 strearris.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 departrneni of natural resources wetiands identification web page or contact a department of
natural resources service center(608)267-3125
ISSUaf1C2 111f0�1112t10��COU11t1/U52 O�Iy) Sanitary Number: ��#of bedrooms� � ��
Permit Denied(Date�; Reason for Denial: �^
Permit N: Issuing agent: ,~ 4�� Date:
�
�; -y� � ' f ,��-�-�----..__.___ `��av�a3
I5 Parcel a Sub-Standard Lot f l Yes (Deed of Record) �1 No � Miti�ation Required CI Yes � � o
Is Parcel In Common Ownership Yes �Fused/Contiguous Lot�s)) '�N� Mitigation Attached Li Yes �No
Is Structure Non-Conforming :"I Yes TI No
Granted by Variance(B4O.A.) �� Granted by Conditional Use
C�Yes i No Case q: !Yes No Case it:
Was Percel Legally Created ^l,Yes i'No 4 Were Property Lines Represented by Owner Yes No
Was Proposed Building Site Delineated �I Yes I:i No � Was PropeRy Surveyed ��jt Yes No
OHice Comments: 2one District: Fee:
�1� ` � �UV
Hold ForSanitary: ❑ _ Hold ForTBA: IJ Hoid For Aifldavit_ �''� � Nold For Fees:i_l ;._]
�Fe62021
9/7/23,2:30 PM Novus-Wisconsin Access rev. 13.1108
Real Estate Sawyer County Property Listing Property Status:Current
Today's Date: 9/7/2023 Created On:2/6/2007 7:55:45 AM
�Description Updated:9/8/2021 � Ownership Updated:9/8/2021
_ ___ __ _ __ _ _ _ _ _ __
TaxID: 26638 BRIAN HARLESS HAYWARD WI
PIN: 57-024-2-41-08-12-3 04-000-000100 LORI K HARLE55 MAPLE GROVE MN
Legacy PIN: 024841123410
Map ID: .12.10 Billing Address: Mailing Address:
Municipality: (024)TOWN OF ROUND LAKE BRIAN HARLESS BRIAN HARLESS
STR: 512 T41N R08W 12447W BETHEL RD 12447W BETHEL RD
Description: PRT SESW LOT 6 CSM 7/111 #1386 HAYWARD WI 54843 HAYWARD WI 54843
Recorded Acres: 1.540
Lottery Claims: 1 � Site Address *indicates Private Road
__ _ _ _ ._ ___
irst Do ar: Yes 12447W BETHEL RD HAYWARD 54843
Zoning: (RRl)Residential/Recreationai One
ESN: 404
� Property Assessment Updated: 7/16/2019
2023 Assessment Detail
� Tax Districts Updated: 2/6/2007 Code Acres Land Imp.
1 State of Wisconsin G1-RESIDENTIAL 1.540 13,700 108,000
57 Sawyer County
024 Town of Round Lake 2.year Comparison 2022 2023 Change
572478 Hayward Community School District Land: 13,700 13,700 0.0%
001700 Technical College Improved: 108,000 108,000 0.0%
Total: 121,700 121,700 0.0%
. Recorded Documents Updated: 2/13/2020
_. _
� WARRANTY DEED
Date Recorded:4/20/2020 423441 '�property History
_----- _ _ _
0 TERMINATION OF DECEDENTS INTEREST N�q
Date Recorded: 2/13/2020 422540
O TERMINATION OF DECEDENTS INTEREST
Date Recorded: 12/9/2019 421550
O TRANSFER ON DEATH DEED
Date Recorded: 11/7/2012 381696
O WARRANTY DEED
Date Recorded: 5/9/1997 260599
O CERTIFIED SURVEY MAP
Date Recorded: l/8/1980 172891
https://tas.sawyercou ntygov.org//Access/master.asp 1/1
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