HomeMy WebLinkAbout010-941-25-3410-LUP-2023-452 SUBMIT COMPLEfED APPUCATION AND
FEero: APPLICATION FOR LAND U5E PERMIT �
Sawyer County r � _
Zoning&Conservation Depart. �_ , �� �
10610 Mafn St Suite 49
Hayward,W154843 � ' �a�E�_�,..�.���� "'73_...._._...-- �
(715)634-8288 � SEP 2 5 2023 i o s 3 s
` l.hk# _..., �
�W.`ER CO:�' .� d�,. � Y�
INSTRUCTIONS: No permiGs will be issued until all fees are paid. �" ` �f� R��`j��{ ��i�
. � r ,� -r� �-�:-y• �-.._�_.___. ... ....,.,�_'-..--
Checks are made paya6le to:Sawyer County Zoning Drpartment. .
DO NOT START CONSTRUCTION UNTIL ALL PERMITS_HAVE BEEN ISSUED 70 hPPUCANT. Original Applicatinn MUST be submitteA FILL OUT IN INK (NO PENCtt)
Submittal of this applicatlon or recefpt of fees does not t��stitute permit issuance.
Owner(s)Name: Contractor(s)Name
�Y�{�J {f,/ "l ` /��VIIiV�
Mailing Address: � Mailing Address:
���i52 G�. CO��-/ ,2o r3 , bt�� �,
Phone: ���_ ��Q,� / / � `� Phone:
D �O (O
Email: •Jliy�� � j') 1// �"G'�Q�.C.�� Email:
Site address: �� 2�' l-�'�/`�� �. �'I'r'�`""�� Or Date ap lied for:
Legacy.PlN# G� � �`�4 �' � S- 3�f�Q Town of; �j ����rd
Permit de�fvery Method �i Call Owner u Mail Owner o Cail Contractor ❑Mail Contractor
`'Is Property/Land within 300 feet of River,Stream (�nci. Distance Strudure is from Shoreline: is yaur�roperty
In[ermittent) .i t�re vEtetlands
Creek or Landward side of Floodplain? If yes--co�ti�ue feet in FtoodpFain oresenc?
:I Shoreland 2one7
�: Is Property/Land within 1000 feet of Lake,Pond or Flowage Distance Structure is from Shoreline: Yes �5
If yes---continue —► feet C� �N�%
Non-Shoreland v
Describe � Project
Value at Time of Total#of
Project type Foundatlon What Type&Capa�fty is the
Completion Number bedrooms
`include donated (House,garage,shed,deck, (Basement, Sewer/Sanitary System(s)
Addition,etc...) of Stories Crawis ace, Post
time&material ��st separately Slab ��nstruction
)
5 � \ "�o�.�. N ,/�
�...�a,,�- �,
Dwelling
����-
$ ��J .�v �
Accessory Bidg
$
Addi[ion/AI[eration
Hefght:
TotalSquare Lowest
Proposed Use ✓ Praposed Structure Dimensions Footage Grade to
(multiply per Highest
story) Peak
Residenee ( x }
Ft.
with 2^a story or loft � X �
Ft.
wfth Basement � X �
Ft.
,-l� Attached Qarage t X )
T� Res(dentfal Use Ft.
Accessory Structure(exPiatn) � X )
GAgrieultural (detached Rerague,shede,baat houras,etc.) Ft.
Use Temporary Guest Quarters or Bunkhouse(nrci�ty�cl ( x �
Ft.
❑ Commercial/ Deck/Porch/Patio � x �
Ft.
Industrfal Use � x �
(2"d)Deck/Porch/Patio �� '�� Ft.
(] Munfcipal Use ��� '�`¢ �f ��] 1 �j
OthOr(explain) s'�O���{�'� �PF}'� , ( � 1 x !N I �D O
Ft.
0 Other - _ _- � x - )
Principal Structure(agriculturai,Commerclal,Municlpal,Etc.) Ft.
AdditionJAlteretion(explaln) � x �
Ft.
Total habitable square feet: Total Non-habitable square feet; a g'
(decks,patios,garages,sheds,storage area&other structures)
Origi��ei��piication MUST be su�mitted
Attach a Plan or Sketch your Property on 8.5"x 11"or 8.5"x 14"paper.'"Must*Indudeiocation and setback of praposed and existing strudures,roads,
driveway,sanitary components,well,lake,rlver,stream,and wetiands.
Oescri tion Setback� Setback
p Measurements Descriptian 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 if applica6le Feet
Setback from the North Lot Line '�c� Feet
Setback from the South Lot Line �Sv h- Feet Setback from Wetland Feet
Setback from the West Lot Line Feet Slope within area of construction/disturbance %Slope
Setback from the East Lot Line �-�r, f Feee Elevation of Floodplain Feet
Setback to Septic 7ank or Holding Tank 5 Feet Setback to Well feet
Setbackto Drain Field Feet
Setback to Privy(Portable,Composting) Feet
Prior to the piacement or cons[ructlon of a structure wlihin five(5)feet of the rninimum required setback,the hou�dary line from which the setback must be nieasured must be visible from one
previously surveyed corner ro the other previously surveyed corner or marked by a licensed surveyor at the owner's expense,
Prior to the placement or construction of a structure 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 be visible from one previously surveyed comer to the other prevlously surveyed corner,or verifiable 6y the Department by use of a correded compass from a known torner
within 500 feet of the proposed site of the structure,or must be marked hy a licensed 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 tf a
surface is considered impervious)
Calculate lot area:
Indicate lot size from CSM or NOVUS(circle one�: _Acres;Multiply by 43,560=Lot area: Square Footage
Calculate impervious surface area:
Determine the total size,in square feet,of your projects listed above(include eaves): sq ft.
Determine the totai 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 ft.
Add these measurements to determine total impervious surfaces: __ sq ft.
Calculate impervious lot percentage
Total imperoious surface: =Lot area: Sq ft.X 100=impervious surface /
�Mitigation is required if total 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 o�a slope greater than 20% Grading of more than 1,000 Sq.Ft.on 12%-20%slopes
Grading of'more than 2,000 Sq.Ft.on Slopes less than 12% � Grading is in excess of SO 000 Sq.Ft
f,��LUHL 10081��>W;','r1.kWil f�::S1��NlING CONSTRUC710N WI(HUUT A PFKMIT WILL hE5ULl IN 1�CNnL11f�S
I(we)declare that this application(including any accompanying informatlon)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 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. 1(we)further accept liability which may be a resul[of Sawyer County relying on this information 1(we)am(dre)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
purpos f'nspec n.Ad 'tionally,the undersigned person(s)hereby give permission for access to the property for onsite inspec[ion by Municipal Qfficials.
Owner � `��� ���� Owner � ��
5ignature Printed name � Date
(Signature and Printed Name required)
NOTICE: All Land Use Permits Expire One(1)Y2ar from the Date of Issuance.
For the Construction Of New One&Two Family Dwelling: ALL Municipalities Are Required To Enforce The Uniform Dwelling Code.
7he local Town,State or Federal agencies may also requlre 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,Iakes,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 department of natural resources wetlands identification web page or contact a department of
natural resources service center(608)267-3125
Issuance Information(County Use Only) Sanitary Number: q of bedrooms:
Permit Denied(Date}: Reason for Denial:
Permit it: Issuing age�
Date:
�3� 45� � � `� �a-7 a3
Is Parcel a Sub-Standard Lot I.i Yes �Deed of Record) `�+�No
I5 Parcel In Common Ownership ''f.lYes (Fused/[ontiguous lot�s�) •'I No Mitigation Required Ci Yes No
is Structure Non-Conforming ;:i Yes �o Mitigation Attached !_I Yes �No
Granted by Variance(B.O.A.) Granted by Conditional Use
U Yes � o Case#, �Yes' "No
� Case il;
Was Parcel Legally Created I.1Yes D No Were Property Lines Represented by Owner "Ij�Yes No
Was Proposed Building Site Delineated '�T�Yes f_i Na Was Property Surveyed 'i Yes �try
0
Office Comments: Zone District: Fee:
���\ � ��S
Hold For Sanitary: C; Hold For TBA; ❑ Hold For Affidavit: C' Hold For Fees:l I ;]
�Feb2021 T�
9/25/23,9:11 AM Novus-Wisconsin Access rev. 13.1108
Real Estate Sawyer County Property Listing Property Status:current
Today's Date:9/25/2023 Created On:2/6/2007 7:55:22 AM
�'Description Updated: 5/28/2020 � Ownership Updated:5/28/2020
_ ___ _
Tax ID: 12757 HABIB U AHMED HAYWARD WI
PIN: 57-010-2-41-09-25-3 04-000-000100
Legacy PIN: 010941253410 Biliing Address: Maili�g Address:
Map ID: .12.10 HABIB U AHMED HABIB U AHMED
Municipality: (O10)TOWN OF HAYWARD 14952W COUNTY HWY B 14952W COUNTY HWY B
STR: 525 T41N R09W HAYWARD WI 54843 HAYWARD WI 54843
Description: PRT SESW
Recorded Acres: 1.340 � Site Address *indicates Private Road
Lottery Claims: 1 14952W COUNTY HWY B HAYWARD 54843
First Dollar: Yes
Zoning: (R-1)Residential One
ESN: 444 � Property Assessment Updated: ll/9/2015
2023 Assessment Detail
Code Acres Land Imp.
Tax Districts Updated: 2/6/2007 Gl-RESIDENTIAL 1.340 22,000 103,200
_ _ _.--- - ___ ___
1 State of Wisconsin
57 Sawyer County 2_Year Comparison 2022 2023 Change
010 Town of Hayward Land: 22,000 22,000 0.0%
572478 Hayward Community School District Improved: 103,200 103,200 0.0°/a
001700 Technical College Total: 125,200 125,200 0.0%
.� Recorded Documentr Updated:3/30/2010
O WARRANTY DEED -_ . __ _ �Property History
Date Recorded: 2/10/2010 365205
N/A
https://tas.sawyercountygov.orgllAccess/master.asp 1/1
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