HomeMy WebLinkAbout010-841-27-3205-LUP-2023-436 SUBMITCOMPLETED APPLICATION AND
FEero: APPLICATION FOR LAND USE PERMIT �
Sawyer County Y
2oning&Conservation Depart. ,�� e �d� � I �� �� �
' 1 !a>�_ �a.,_._ ..d_-.. �
10610 Main St Suite 49 .--=.-�-----
Hayward.WI 54843 � i
(715)634-8268 t i� �AS�._..,.__..... _....____ �
SEP 1 S �023 -- ,
313"s vJ
— Fic}�t#__.._ . ._____.._.._______ ..
irvSTRUCTioNs: No Dermits will be issued until all fees are paid. SA��NYEF3 CG�._i1`;: 5� �
Checks are made payable to:Sawyer County Zoning Department. ZO��� �
DO NOT START CONSTRUCTION UNTIL AlL PERMITS HAVE BEEN ISSUED TO APPLICANL O�iginal Applic�tinn MUST be submitted FILL OUT IN INK (NO PENCIt)
Submit[ai of this application or receipt of fees does not constitute permit iss�ance.
Owner(s)Name: Contractor(s)Name
� �.�� .�3 ��,9��z�,��v ,r/,����,��' s'��� �',�1��
Mailing Address: Mailing Addres5:
/3 3 5�3 �v ���.�-� ��'. �-�,i�j/J.,��.�, �/,�2�'6-���r�
Phone: •7i�� r 3 u _O Phone:
{p T �, �
Email: K C�N � �4 �/.,S�i2C;/l9 �r�//�f7G'� s �C�/77 Email:
Site address: s����� Or Date applied(or:
Le6acy PIN# �/��'7/� 7 J �"��� Town of: ���/ �`J���
Permit delivery Method �Call Owner u Mail Owner ❑Call Contractor r Mail Contractor
'Is Property/Land within 300 feet of River,Stream pnd. Distance Structure is from Shoreline: Is your Property
Intermicten2) � qre Wetlamis
Creek or Landward side of Floodplain? If yes---continue feet i�Floodplain prPsent?
1 Shareland z�Re?
Yes Yes
- Is Property/Land within 1000 feet of lake,Pond or Flowage Distance Structure is from Shoreline: N�
If yes---continue --► feet No
Nan-Shoreland
Desuibe Project Total#of
Value at Time of project type Foundation What Type&Capacity is the
Completion Number bedrooms
"include donated (House,garage,shed,deck, (Basement, Sewer/Sanitary System(s)
Addicion,etc...) of Stories Craw(space, Post
time&material ��st separately Slab) �onstruction �j/�
$ / �
S/7��� / S/�
Dwelling
$ �t?�C�G-4 L�l� ',a .
Accessory Bldg �v c,
�
Addi[fon/Alterotion
Hefght;
Total Square towest
Proposed Use ✓ Proposed Structure Dfinensions Footage Grade to
(multfply per Highest
story) Peak
Residence ( X �
Ft.
with 2^d story or loft � X , Ft.
( X )
with Basement Ft,
f x )
�, Residentiai Use
Attached Garage Ft.
� /� X �.�� ,
x Aecessory Strueture(exPia�n) ��� /%/'
❑ Agrieultural '` (detached gareges,sheds,6oae houses,etc) Ft. /4
( X )
U5e Temporary Guest Quarters or Bunkhouse(cirde cyPe) ft.
( X )
❑ Commercial/ Deck/Porch/Patio Ft.
Industrial Use ( x )
(2^d)Oeck/Porch/Patio Ft.
❑ Munidpal Use —� { X )
Other(exP�ain� Ft.
❑ Other - ' � x _. _ � -
Principal Structu�e(ngricuicurai,Commercial,Munitipal,Etc.) Ft.
( X )
Addition/Alteration(eXPia��) Ft.
Total Non-habitable square feet: �.
Totai habitable square feet: (decks,patios,garages,sheds,storage area&other structures) !�j(�
��� ����-����
Original Application MUST be submitted
Attach a Plen or Ske;:cn your Property on 8.5"x 11"or 8.5"x 14"paper:+Must"Inciude location and setback of proposed and existfng strudures,roads,
driveway,sanitary components,well,lake,river,stream,and wetiands.
Descri tion Setback Setback
P Measurements ( Description Measurements
Setback from the Centerline of Platted Road and/or ��-� Peet Setback from the�ake(ordinary high-water mark� Feet
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 \pC _ Feet
Setbatk from the South Lot Line (_,�,�� Feet Setback from Wetland Feet
Setback from the West Lot Line ��-.�;7� Peet Slope within area of construction/disLurbance %Slope
Setback from the East Lot Line \���,k- Feet Elevation of Floodplain Feet
Setback to Septic Tank or Holding Tank �:.�k Feet Setback to Weli Feet
Setbackto Drain Field �-..� Feet
Setback to Privy(Portable,Composting) Feet
Prior to the placement or�:ons[ruction of a structure within five{S)feet otthe min�mum required setback,the 6oundary line from whkh the setback must he meawred must be visible from one
previ�usly surveyed corner to the oiher previously surveyed corner or marken by a licensed surveyor at ihe owner's expense.
Prior to the placement or construdion of a struRure more than five(5)feet but less than ten(10)feet from the minimum required set6ack,the boundary line from which the setback must be
measured must 6e visible from one previously surveyed comer to the other previously surveyed comer,or verifiable by the Department by use of a correc[ed compass from a known mrne�
within 500 feet of the proposed site of the structure,or must be marked by a licensed surveyor at the owner's expense.
• . r . •.• • • • .- • • •- .
Calculate impervious surfaces.(Roofed,concrete,paved,and other surfaces that water cannot penetrete.The Zoning Office wn help you determine if a
surface is considered impervious)
Calculatelot area:
Indicate lot size from CSM or NOVUS(circie one): Acres;Multiply by 43,560=Lot area: 5quare Footage
Calculate impervious surface area:
Determine the total size,in square feet,of your projects listed above(include eaves); Sq{�,
Determine the total size,in square feet,of all existing roofed structures(incfude 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
'`.
\
Totai impervious surface: =Lot area: Sq ft.X 100=impervious surface /o
(Mitigation is required if mtal exceeds 15%)
'•`Notice a separate grading permit needs to be obtained if disturbed area is within the Shoreland dis[rict as indicated on previous page and meets criteria below"'•
Grading on a slape greater than 20� Grading of more than 1,000 Sq.Ft.on 12%-20%slopes
6rading of more than 2,000 S .Ft.on Slopes less than 12% . Grading is in excess of 10,000 Sq.Ft.
FA;LURE TO Ot3Tqln A��Rr,�;;r,,;,;'.��.�TING CONSTRUCTION W�iHOUT A PFRMIT'✓JIL�RESULT M FENALTItS
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,correct and
complete. I(we)acknowledge that 1(we)am(are)responsible for the detail and accuracy of al�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 applica[ion.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 undersigned person(s)hereby give permission for access to the properry for onsite inspection by Municipal Offitlals.
Owner '� ' ' � y /� ��(
Signature l�\'��lv �_�Owner ��ti.C�. ���C{dtr� 9 �
�l Printed name _ / ze:Z3
uate
(SiE;nat.,re and Printed Name required)
NOTICE: All Land Use Permlts Explre One(1)Year from the Date ot ksuance.
Fur the Construction Of New One&Two Fair�ily D.ve;iing ALL Muni<ipalities Are Required To Enforce The Uniform pwelling Codc.
�hP local Tov,n,Slate�,r Federal agencies may also require permits.
You are responsible for complying with the requirements 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 concerning con5truction 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 department of natural resources wetlands identification web page or contact a department of
naturel resources seroice center(608)267-3125
Issuance Information(County Use Only) Sanitary Number: #of bedrooms:
Permit Denied(Date�: Reason for Denial:
Permit it:
fssuing agent:
� � ,_ � � ` � Date:
�_O
l�"'�_���'�� �/<�,� ��3
Is Parcel a Sub-Standard Lot I i Yes (Deed of Record) '!�:No
Is Parcef in Common Ownership 1R Yes �Fused/Contiguous Lot(sj) ;I Np Mitigation Required 'i Yes o
Is Structure Non-Conforming I i Yes Mitigation Attached !.�Yes i.,No
til No
Granted by Variante(B.O.A.)
7 Yes No Granted by Conditional Use
� Case#: ',Yes ��}No
Case il:
Was Parcel Legally Created 5�Yes �No Were Property Lines Represented by Owner �Yes
Was Proposed Building Site Delineated -j�Ves ❑No No
Was Property Surveyed '7CYes No
office Comments:
Zone District: Fee:
�(2 I -�SU
Hold For Sanitary: (_, Hold For TBA: _
Hold+=or Affidavit: �_ Hold For Fees: -
�Feb2021 �-'
9/18/23,9:10 AM Novus-Wisconsin Access rev. 13.1108
Real Estate Sawyer County Property Listing PropertyStatus:Current
Today's Date:9/18/2023 Created On: 2/6/2007 7:55:20 AM
_�
�'Description Updated:4/29/2009 '� Ownership Updated:2/6/2007
_ _ _
Tax ID: 11357 DAN B&ALLETIA B DAHLSTROM HAYWARD WI
PIN: 57-010-2-41-08-27-3 02-000-000050
Legacy PIN: 010841273205 Billing Address: Mailing Address:
Map ID: .10.5 DAN B&ALLETIA B DAN B&ALLETIA B
Municipality: (O10)TOWN OF HAYWARD DAHLSTROM DAHLSTROM
STR: 527 T41N R08W 13343W PHELAN RD 13343W PHELAN RD
Description: PRT NWSW, LOT 3 CSM 3/265#603, AFF HAYWARD WI 54843 HAYWARD WI 54843
CSM 3/309
Recorded Acres: 5.590 � Site Address *indicates Private Road
Lottery Claims: 1 13343W PHELAN RD * HAYWARD 54843
First Dollar: Yes
Zoning: (RRl)Residential/Recreational One
ESN: 444 •-� Property Assessment Updated: 11/9/2015
2023 Assessment Detail
Code Acres Land Imp.
Tax Districts Updated: 2/6/2007 G1-RESIDENTIAL 5.590 27,700 139,000
1 State of Wisconsin
57 Sawyer County 2_Year Comparison 2022 2023 Change
O10 Town of Hayward Land: 27,700 27,700 0.0%
572478 Hayward Community School District Improved: 139,000 139,000 0.0%
001700 Technical College Total: 166,700 166,700 0.0%
.� Recorded Documents Updated: 1/17/2011
0 WARRANTY DEED �:�'Property History
Date Recorded:9/22/2006 341763 N/A
� MAP OF SURVEY
Date Recorded:4/29/2009 27418-42
https:l/tas.sawyercountygov.org//Access/master.asp 1/1
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