HomeMy WebLinkAbout002-840-20-5101-LUP-2023-443 SUBMITCOMPLETED APPLICATION AND
FEero: APPLICATION FOR LAND USE PERMIT
Sawyer County Y /'�'
Zoning&Conservation Depart. T ��L � � ece � �_�1 W
10610MainStSuite49 j ;j�i�� � 1�(D ,�3 ,
Hayward,WI 54843 � ""m"
(715)634-8288 SEP 1 8 2023 �hk#�`��� �
�y �^�}i� �7 �
INSTRUCTIONS: No permits will be issued untii all fees are paid. SAWYER COU�,ITY nCI�"��--..��1.�� r � �"�
Checks are made payable to:Sawyer[ounty Zoning Department. � ��4-.`M.�..« v`�
DO NOT START CONSTRUCTION IJNTIL ALL PERMITS HAVE BEEN ISSUED TO APPLIfANT. Original Application MUST bC 5ubmitted PILL OUT IN INK (NO PENCIL)
Submittal ot this application or receipt of fees does not constitute permit issuance.
Owner(s)Name: Contractor(s)Name
(�� i�-,�( � � �( C, � , �n�r«-U�.� l, �
Maili�g Address: . M ddr
N:�2�3�� �r����-,,,��.���� �'� �� ���
�:�L�� <���
Phone: � J � Phone: �/� _ ��p ��j��
���—�%�- `T`?.r/ /
Email: Email: �r�p`j��'lXC,/'/ � - •��
Site address: y7�'V �u''� �"�` /t 7A' �.r; Or Date applied for. _
LegacyplN# r'�Ja- �H� - � -SI o � Townof: �aSJ �f�-2 �v✓� '� �
Permit delivery Method ❑Call Owner u Mail Owner �`yCall Contractor ❑Mail Contrector
'Is PropertyJLand within 300 feet of River,Stream (�nci. Dista�ce Structure is from Shoreitne: Is your Property
Incermittent) � Are LNetla�ds
� � feet ioFioodplain present.
Creek or Landward side of Floodplain? If yes---continue Zo�> >
�Shoreland ves
-: Is Property/Land within 1000 feet of Lake,Pond or Flowage Distance Structure is from Shoretine: Yes
If yes---continue � feet No No
'.1 Non-Shoreland
Describe Project
Value at Tfine of Total#of
Project type Foundation What Type&Capacity is the
Completion (House,garage,shed,deck, Number (g�sement, bedrooms Sewer/Sanitary System(s)
'include donated Addition,etc...) Of StO�lES Post
time&material CYawispaCe,
List separately Slab) �onstruction
s � ��i Cl Vu e,��
IJ��CK� 1�
Dwclling .
$ l o�
s
Addition/Alteration
Height:
TotalSquare Lowest
Proposed Use ✓ Proposed Structure Dimensions
Footage Grede to
(multiply per Highest
story) Peak
Residence ��w ( X )
Ft.
with 2n°story or loft f X )
Ft.
with Basement ( x �
Ft.
'� Re5ldential Use Attached Garage � x � Ft.
Accessory Structure(exptain) ( x )
❑ Agrieultural (dauahedgeraQcs,sh�da,boathour�a,otc) Ft.
Use Temporary Guest Quarters or Bunkhouse(c�rcie tv�e� � X , Ft.
❑ Commerciai/ Deck/Porch/Patio ( x �
Ft.
Industrial Use /
� (2" Deck/ orch/Patio � �� x >� � � L�
✓ V6 �. Ft.
0 Municipal Use
Other(eXPia��l ( X �
ft.
0 Other � x -- � -
Principal Strudure(agriculturai,Commerdal,Municipai,Etc.) Ft.
� x )
AdditionJAlteretion(expta�n) Ft.
7ota1 habitable square feet: Totai Non-habitabie square feet: ��
(decks,patios,garages,sheds,storage area&other structures)
�. 1
Original Application MUST 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 proposed and ezisting structures,roads, I
driveway,sanitary components,well,lake,river,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(ordinary high-water mark) � Feet
Setback from the Established Right-of-WaY Feet Setback from the River,Stream,Creek feet �
Setback from the Bluff �r aPPu�abie Feet
Setback from the North Lot Line ,,;;.� Feet
Setback from the South Lot Line Feet Setback from Wetland feet
Setback from the West L.ot Line Feet Slope within area of consiruction/disturbance %Slope
Setback from the East Lot Line Feet Elevation of Floodplain Feet
Setback to SepticTank or HoldingTank Feet Setback to Well Feet
Setbackto Drain Field Feet
Setback to Privy(Portable,Composting) Feet
Prior to tLe piacement or mnstruction of a structure within five(5)fect of the minimum required setback,the 6oundary I:ne from which the setback must be meawred must be visible from one
p�eviously surveyed mrner to the o[her previousty surveyed comer or marked by a licensed surveyor at the owner's zxpense.
Pnor to the placement or construction of a strudure more than five(5)feet but less than ten�10)feet from the minimum required sethack,the boundary line from which the setback must be
measured must be visible from one previously wrveyed wrner to the other previously surveyed mrner,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 6e marked by a licensed surveyor at the owner's expense.
. . • r . •.• • . • .- . • .• .
Calculate impervious surfaces.(Roofed,conc�ete,paved,and other surFaces that water cannot penetrate.The Zoning Office can help you determine if a
surface is considered impervious)
t � ��
Calcutate lot area: c� //� X /�'�
Indicate lot size from CS�VI or NOWS(circle one): � /� Acres;Multiply by 43,560=Lot area: (PV _Square Footage
Calculate impervious surface area:
Determine the total size,in square feet,of yo�r projects listed above(include eaves); N� sq ft.
Determine the total size,in square feet,of all existing roofed structures(include eaves);_ �,��J�/ Sq ft (�� 1 1e'�
i �
Determine the total size,in square feet,of all existing paved/bricked/blocked surfaces: � sq ft. � �C�Q��
Add these measurements to determine total impervious surfaces: ���� Sp{t, `
Calculate impervious lot percentage
Total impervious surface� �D Lot area: Sq ft.X 100=impervious surface ��"{�` /o
3.�5 _-
�Mitigation iz required if[otal 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�0% GradinQ of more than 1 000 Sd Ft on 12%-20/clnnrc
Grading of more than 2,000 Sq.Ft.on Slopes less than 12% Grading is in excess of 10 000 Sq Ft
�x',LLIRE TO bl3TAIN A F�RMi1 or 51�AR�1NG CONSTRUCTION WI7HOUT A VFRMIT WILL K[5UL1�iN GENdLTIhS
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
cornplete. 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 accepi 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 descrihed property at any reasonable time for the
purpose of inspection.Additionally,the undersigned person(s)hereby give permission for access to the property for onsite inspection 6y Municipal Officials.
Own Owner
Sig ture Printed name � �1/�,�,�X � ��1�,� Date � �l 7 1.��
(Signa[ure ard Printed Name reyuired}
✓ N0710E: AI�Land Use Permits Expire One(1)Ycar irom the Date of Issuance.
For the Construction Of New One&Twe farnily D.velling: ALL Muniupalities Are Required To Enforce The Uniform Owelling Code.
rhe Iocal Town,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 with State and Federal laws concerning construction near or on wetlands,lakes,and streams.Failure to comply may result in removal or modification of construdion
that violates the law or other penalties or costs. For more information,visit the department of natural resources wetlands identification web page ur contact a department of
naturalresourcesservice 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 �-:r"/-tiS�s'r---,-``_'. y!��.�/�?,
Is Parcel a Sub-Standard Lot I i Yes (Deed of Record) �N� Mitigation Required I i Yes No
Is Parcel in�ommon Ownership �4 Yes (Fused/Contiguous Loqs)) 'I No �
Is Structure Non-Conforming E i Yes `�:No
Mitigation Attached !_i Yes No
Granted by Variance(B.O.A.) Granted by Conditional Use
;Yes �No Case ii, �Yes '�:No Case#:
Was Parcel Legally Created }�Yes 7 No Were Property Lines Represented by Owner �}s€'Yes No
Was Proposed Building Site Delineated �Yes i No Was Property Surveyed 7ci Yes No
/`
Offlce Comments: Zone District: Fee:
�-{� t 4 �1 S
Hold For Sanitary: _ Hold For TBA; _ Hold For Affidavit: i. Hold For fees: '
�Feb2021
9/18/23, 12:26 PM Novus-Wisconsin Access rev. 13.1108
Real Estate Sawyer County Property Listing Property Status:Current
Today's Date:9/18/2023 Created On: 2/6/2007 7:55:05 AM
�Description Updated:8/7/2009 � Ownership Updated: 8/7/2009
Tax ID: 2242 MICHAEL W&ANNETTE M GILL LA CROSSE WI
PIN: 57-002-2-40-08-20-5 05-001-000010
Legacy PIN: 002840205101 Billing Address: Mailing Address:
Map ID: :1.1 MICHAEL W&ANNETTE M MICHAEL W&ANNETTE M
Municipality: (002)TOWN OF BA55 LAKE GILL GILL
STR: S20 T40N R08W N2372 BRIARWOOD AVE N2372 BRIARWOOD AVE
Description: PRT GOVT LOT 1 LOT 1 CSM 9/77#1861 �CROSSE WI 54601-2468 LA CROSSE WI 54601-2468
Recorded Acres: 5.800 l�
Lottery Claims: 0 T" Site Address *indicates Private Road
--
First Dollar: Yes 8471N COUNTY HWY K HAYWARD 54843
Waterbody: Grindstone Lake
Zoning: (RRl)Residential/Recreational One ;,� property Assessment Updated: 5/13/2020
ESN: 445 ___ _- ---
2023 Assessment Detail
Code Acres Land Imp.
� Tax Districts Updated: 2/6/2007 G1-RESIDENTIAL 5.800 317,500 242,100
_..__.__._ __ ___ __.
1 State of Wisconsin
57 Sawyer County 2-Year Comparison 2022 2023 Change
002 Town of Bass Lake Land: 317,500 317,500 0.0%
572478 Hayward Community School District Improved: 242,100 242,100 0.0%
001700 Technical College Total: 559,600 559,600 0.0%
+ Recorded Documents Updated: 1/28/2014
0 WARRANTY DEED �Property History
Date Recorded: 10/19/2004 325955 N/A
� SHORELAND RESTORATION/PRESERVATION AGREEMENT
Date Recorded: 8/21/2014 391870
https://tas.sawyercountygov.org//Access/master.asp 1/1
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Jesse Suzan Land Surveying LLC
13731 W Sjostrom Circle
Hayward, WI 54843
715-558-4668
September 25, 2023
Ground elevations determined at the base of deck posts located at 8471 N County
Highway "K", Hayward, WI 54843.
Northwest corner= 1297.28' (7.77' above)
Northeast corner= 1299.22' (9.71' above)
Southeast corner= 1300.52' (11.01' above)
Southwest corner= 1297.44' (7.93' above)
Approved Regional Flood elevation of Grindstone Lake= 1289.51'
Elevations shown aze referenced to NGVD 29 datum.
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Jesse B. Suzan
Wisconsin Professional Land Surveyor No.2635
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