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HomeMy WebLinkAbout010-174-00-0800-LUP-2023-480 SUBMIT COM�LETED APPLICATION AND FEE TO: AP��� _I O � C�/y��Yl T �. ` �1�� /" ��.J Sawyer County `��'A` l���U�. , `, Zoning&Conservation Depart. " `- �/�' Date Stamp(Recei�ed) 10610 Mafn St Suite 49 ; `'\`'�' _ _ ( G �li a J ��WT, ' Hayward,WI 54843 �� g�`� 0 4 2023 � (715)634-8288 �o�}} � _,if�1f �I 1 � (-y� 6P�WY�R COUNTY C INSTRULTIONS: No permitc will be issued until all fees are paid. ����N�STRAT�QN . '-'��"r' �31r'j�y ��..L�'����...... . Checks are made paya6le to:Sawyer County Zoning Department. � � a����� DO NO7 START CONSTRUC710N UNTII.nLL PERMITS HAVE BEEN ISSUED 70 APaLICANT. Original Applicati��MUST be submltted FILL OUT IN INK (NO PENCIL) Submittal of this appllcatlo�or recelpt of fees dnes not tonstitute permit issuance. � � Owner(s)Name: � Contrector(s�Name M�s�' � qv� � � 1�1 Pa�� ��� e c� �z � Mailing Address: Mailing Address: 06 N Ro �o RD I D�yy � no� ���� �� Phone: -y�C����� �^ Phone: 7��� !`C��r�' /IJ O( ! .7,/ Email: aanca {/ �� • v�s�v�•`�v Email: s�te address: 1Q6</1j N I�t�O✓J�i (/ _ Or Date ap lied for: LegacgPlN# �� v " ���—uU''"v v vV � Town of: 01 y�Gr- Permit delivery Method �II Owner j/�ail Owner {d�all Contractor tiNlail Contrector `.' Is Property/Land within 300 feet of River,Stream (�nd. Distance Structure is from Shoreline: is y�ur P.�perry Intermittent� � Are Wedan+is feet in Ftoodvtain Creek or Landward side of floodplain? �f yes--•contlnue nreunt? �5horeland —- -- z���? � Is Property/Land within 1000 feet of Lake,Pond or Fiowap,e Distance Structure is from Shoreline: Yes Y£s If yes---continup —► feet No �� 3 3 l� :.1 Nan-Shoreland � Describe Project Value at Time of Total�t of Project type Foundatlon What Type&Capacfty is the k Completion (House,garage,shed,deck, Number �g�sement, bedrooms Sewer/Sanitary System(s) include donated Additinn,etc...) Of Stories Crawis aCe, Post time&material List separately Slab construction ) S C�'1- \�7 3 �i��Z�-._ owc�u�g $ �� ��:Lr��y'J.� Accessory Bldg $A dd i I i o n/AI t e r a t i o n � � qdl:��on 1 slabw� y 3-y Height: Total Square Lowest Pootage Gradeto Proposed Use ✓ Proposed Structure Dimensions (multfpiy per Highest story) peak p� Residence ✓---`-- ( x � Ft. with 2^d story or loft f X ) Ft. with Basement ( X � Ft. /� Residentlal Use Attached Garage � x � Ft. ,- � i x � Accessory Structure(eXPiai�) �l Agrlculturai (detnchadgeragas,shadF,boethousas,atc.1 Ft. � X � Wse Temporary Guest Quarters or Bunkhouse(circie cy��) Ft. _ ( � ) p Commercfal/ Deck/Porch/Patfo Ft. Industrial Use ��� ( X 1 (2"d)Deck/Porch/Patio ft. LJ Municipal Use �" 1 x 1 OthEr(explain) Ft. D Other . . I x J Principal Structure(ngricultural,Commerclal,Municipal,Etc.) Ft ___. _. ( � ,� X ��'( ) p Addition/Alteretion(expiainl S� ��nS �_�__,T��1 I S�% Ft. Total Non-habitabl2 square feet; Total habit�bl2 square feet; �S� (decks,patios,garages,sheds,storage area&other structures) Original Applicatfon MUST be su6mitted Attach a Pian or Sketch your Property on 8.5"x 11"or 8.5"x 10."paper:*Must"include location and setback of proposed and existing structures,roads, driveway,sanitary components,well,lake,river,stream,and wetlands. Descriptlon Setback Set6ack Measurements Description Measurements Setback from the Centerline of Platted Road and/or ` Feet Setback from the Lake(ordinary high-water mark) ' >'(p FBLt Setback from the Established Right-of-Way pp feet Setback from the River,Stream,Creek Feet Setback from the Bluff if applicable Feet Setback from the North Lot Line Feet Setback from the South Lot Line p Feet Setback from Wetland feet Setback from the West Lot Line 7 Feet Slope within area of construction/disturbance %Slope Setback from the East Lot Line Feet tlevation of Flaodplain Feet Setback to Septic Tank or Holding Tank Feet Setback to Well feet Setbackto Drain Field Feet Setback to Privy(Portable,Composting) Feet Prior to the placement or conztruction of a structure wlthin five(5)feet of the minimum required setback,the 6oundary line from which the setback must be meawred must be visible from one previously surveyed corner to the ocher previous�y surveyed corner or marked_by�licensed surveyor at the owner's expense. , Prior to the placement or conshuction ot a structure more than five(S)feet 6ut less than ten(10)feet from[he minimum required setback,the boundary line irom which the,setback must be measured must he visible from one previously surveyeJ corner to the other previously surveyed corner,or verifiable by the Department by use of a correded compass from a known corner within 500 feet of the proposed site of Ihe structure,or must he marked 6y a licensed surveyor at the owner's expense. �� � • • � • ��• � � • � • . �- � Calculate impervious surfaces.(Roofed,concrete,paved,and other surfates that water cannot penetrate.The Zoning Offlce can help you determine ff a surface is considered impervious} Caiculatelot area: Indicate lot size from CSM or NOVUS(circle oneJ: Acres;Multiply b 43,560=Lot area: SquareFootage Calculate impervious surface area: Determine the total size,in square feet,of your projects listed abo (includ aves); 5 {Y � �O�` ��M 9 Determine the total size,in square feet,of all existing roofed structure i lude eaves); Sq ft, Determine the total size,in square feet,of all existing paved/bri ed/blocked surfa sq ft. Add these measurements to determine total impervious surfaces: _ _ s�{t, Calculate impervious lot percentage Totai impervious surface: =Lot area: Sq ft.X 100=irnpervious surface / iMitigation 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*�' Gradingon a slope greater than 20% Grading of more than Z,000 Sq.Ft.on 12/-20%slopes Grading of more than 2 OOO Sq Ft on Slopes less than 12% __ Grading is in excess of 10 OOOSq Ft fAILUNtI( �iitft�.m ��A!vl � �. ;-;;;h11PJGCON$1RUCTIONWIiHUU7iAPtRMITWILLRCSULIINk'[N�ILIICS 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)respons�ble for the detail and accuracy vf all infvrmation I(we)am(are)providing and that it wiU be relied upon by Sawyer County in determining whether to issue a permit. I(we)further accept liabilit,y which may be a result of Sawyer County relying on this infOrma[ion I(we)am(dre)provlding in or with this application.I(we)consent to county officials charged with administering county ordinances to have access to the above descrihed property ai any reasonable time for the purpose of inspection.Additionally,the undersigned person(s)hereby give perrnission for access to the property for onsite inspection by Municipal Officlals. Owner /� Owner Signature/` � �p/�/ printed name� �v D D Date x (Signature and Printed Narne required� NOTICE: All Land Use Perrnits Expire One�1)Year frorn the Date of Issuance. Fcr the Construction Of New One&Two Family Dwelling: ALL Municipalitles Are Required To Enforce The Uniform Owelling Code. You are responsible for cornplying with the requirements of the Sawyer Count ngFZoning 0 dinancesa ndSlaw and r gulat ons ofthe State of Wisconsin.You are also responsibie for I complying with State and Federal laws concerning tonstruction near or on wetlands,lakes,and streams.Failure to comply may result in removal or modification of construction that vioiates the law or uther penalties or costs. For more information,visit the department of natural resources wetlands identification web page or contact a department of naturalresourcesservice center�608)267-3125 (D Issuance Information (County Use Only) Sanitary Number� � � 3 ��,/ g of bedrooms3� Permit Denied(Date): Reason for Denial: , Permit k: Issuing agent: �� _ �' r� - � Date: � �C� � � ,.-[�"fj/ _. � �t? c�3 is Parcel a Sub-Standard Lot Li Yes (oeed of Record) �'I�No ----_—_-T� Is Parcel(n Common Ownership `(,]Yes (Fused/Contiguous lot(sJ) ;�Mo � Mitigation Required I i Yes No Is Structure Non•Conforming I I Yes Mitigation Attached !_i Yes �No �t No Granted by Variance(B4O.A.) �-7 Yes TWo Case#; Granted by Conditional Use �!Yes C:No Case q: Was Parcel Legally Created 1�Yes ❑No Were Property Lines Represented by Owner �Yes was Proposed euilding Site Delineated '!TYes I_i No No Was Property Surveyed �{Yes 'No Offlce Comments: Scj,�, �\�3� ?\..-� ��,�, C�-'G�"'�`ya� Zone District: Fee: �-I ��1SC Hold For Sanitary: (=, Hold For TBA; [I Hold For Affidavit: ❑ Hold For Fees:� � �] �Fe620Z1 �� 10/4/23,8:54 AM Real Property Listing Page R2dl EState Sawyer County Property Listing Property Status: Current Today's Date: 10/4/2023 Created On: 2/6/2007 7:55:18 AM �Description Updated: 4/25/2019 � Ownership Updated: 12/9/2020 _ _ __ _ Tax ID: 10080 PAUL M&PAIGE K DANCZYK HAYWARD WI PIN: 57-010-2-41-09-Z3-5 15-243-000800 Legacy PIN: 010174000800 Billing Address: Mailing Address: Map ID: -20.8 PAUL M&PAIGE K DANCZYK PAUL M&PAIGE K DANCZYK Municipality: (010)TOWN OF HAYWARD 10644N ROYNONA RD 10644N ROYNONA RD STR: 523 T41N R09W HAYWARD WI 54843 HAYWARD WI 54843 Description: ROYNONA GREENS LOT 8 Recorded Acres: 0.720 � Site Address * indicates Private Road Calculated Acres: 0.729 10644N ROYNONA RD HAYWARD 54843 Lottery Claims: 1 First Dollar: Yes !' � Property Assessment Updated: 11/9/2015 Zoning: (R-1) Residential One 2023 Assessment Detail ESN: 444 Code Acres Land Imp. G 1-RESIDENTIAL 0.720 16,500 109,200 � Tax Districts Updated: 2/6/2007 1 State of Wisconsin 2-Year Comparison 2022 2023 Change 57 Sawyer County Land: 16,500 16,500 0.0% 010 Town of Hayward Improved: 109,200 109,200 0.0% 572478 Hayward Community School District Total: 125,700 125,700 0.0% 001700 Technical College •� Recorded Documents Updated: 12/9/2020 �Property History WARRANTY DEED N/A Date Recorded: 11/17/2020 428094 WARRANTY DEED Date Recorded: 6/15/2009 361055 https:lltas.sawyercountygov.org/systemlframes.asp?uname=Eric+Wellauer ��� � . , . ,_, , �, :, ,� ��, � -ti � . � _1'�:-i� ;;,�. -, i i6_i • - f .F li7Lc.i...lG - Ul(i1?44UQ4UU ,:�� .'-�' . ; . „ . _. � � � . -o�_. v �y�- � .. . . ,_��.. ' � '.�.� li ' .. . ,d(l�7 _.� . . }, .�:6 � �a�a�' .•. ' . .. • � . ;� .l.�0.� � ..._ ,�E.�.'�IV:;��rl� ,k� .�. r'�'f.�. . 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(608)2b1-6546 � � ; Department of Commerce SG�te Pian i.D.ti�rnber ` � Sanitary Permit Application j � lu ucnni with Camm R3.21.1Yis..�dm.Caie,pcssunal infocmation you pro�idc I may be used larscc:attdan•pu�pOscs Pri�•a�y l.aw,s.�.04ll�ml t'mject:�.ldrc>x�.ifditI��rrnr t1ku�mailing addms) I I, Appiic�Noo Tnformntion-Plcasc Print AU Informadon � � 06�('�N �'�-�„�.�:. �.�j ` PaRe!� Lut= �'i Block� � property Chvact's tiamt -- - � -- - � Hayward Evergreens Inc ., , . � _ ��� -�� � �yt��- .� �� I �1..� � _ E'= Prc�cRy L�utinn ��i pmpcTt(7amcr's?�tniling Addresx l�-� � .. ti1 , "t' '� �.�.! F 7.:Jc 4 + ��„' 4ti, _.�1�..'�:. 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['j Pcnmt Ncncw:�l � � Prmiit Rn�isicm f ❑Chan�c uf �Pcemrt'Cransi'cr co tie�v I 9efocc Expimticw I Piumbcr nµm�T , _ J iV.Tvpr ot Pq��'TS Svstem: �h��ek nil tLat n ^�I„���,_ r" y����te Ps..Sund Filter `�.l � �}vnn-PmssunrcJ tn•C�md ❑.'vtound>2�in_of cu�tablc iuil � �tound<'_•1 in.ot+uitablc,ail Ll At-Gm�lc b ^ j Conrcn�c;ed\Vetlan�l L! Prec ur.zect In•GrounJ �!iolding Tsnk C Peae filtcr ��.Acrub�e Tmatme�t(:a�t ❑Rer.uculating S:�nd Filter 'J ! Rccu��il:�n,^.�S�Ti�hc;�c�Ie�iw F;i ter :L'L r a c h i n�C h a m b a _[?n o Ltr.c ❑�iravcl•icti+Pu�r rl�hhrt lcsQiainl _ Y { �'.Dis ersaUtre�tment.��re�[nforn�ation: -- -- � " `;�;,;�:;,F.�c�:anc�n j D�i�7s Flow(��!) � Dc,i�m 5�:i1.�pp�catiun Ratdgpisil � �,s�i b�3 p-�a!st) j Uis-�c:sa�:\rr�..'�.���V.)—' .. q�• � ' WsQ � .7 � "8 -- ' � '—`�����i Prct'.�n ; 5i�e � Stcc: Fiocr PlaStic� , ' ,�—"'�—(:;,��u;tv�n Tcnnl \umbc M:mufncturcr � �l.�T�nk Info i� � C����cn:c ' �on,tnuia! I Cla�s 16�� I �i�1°� Gu1t°as oCL`nits j � ; \rx Ecn:u�N t ' �r,nK, � T,u,ks I � � � ticpUc or Hol�fu�g Tank � ✓ � LSC,`I.� � � �11.1��S�'Y-� �ON��0� � 1 — - �� _,..__—__-.-�----- ` i Ae;obic'C�catr.untlinit � ( � (b00 �r0� � � � lh�vingCku�cnlfet —'_I _.__ l � - ---��..�-- ---- � I L_._-- VII.Respo�isibilily Stntement-t,the undrrs[��acd.sssume rapons(biiity(or instuilatinn of lhe PQ��'"TS+lsa»n nn ttir u��ac�`�d Pil�c�umbcr > Plu er's Signature MP(M4'ItS Numbrr Plumbc�'s hnrria(t�ntl ` ..�r ���,�� �� ._� �� r L t`J�� 1.i14,L___ � � (: � �� ,, - �C'�. _ Plumbcr's Acldr�s(Strcct.Ciry,5tatc."I.i de) �_ . � -,5� � - ' . '�j• '± - .cl��_ t � , `` �_ . � � .'� � � � � - Vtil.Cnunn�/[)c nrtmcnt Usc Oniv I --` I S:mitsuy Pennit Fcn(includes Gmundwat��r I�i11C L5AUCiI 1 suin�. nt Si m o Stamps� �.4pp .�a ❑ n�,���m��a fs�n��F�> $190 .00 /17/04 �j , � � �(.L G Owncr Givcn Rr.rson'or Drnint I IX.CondiHan�of ApprovaURrasons for Disapprovul IMPORTANT NOTICE: Wisconsin State Statute, Chapter 145 .245 (3) , states you are required to have your septic tank pumped/inspected � ears. � at least once every 3 y i An�ch compku piam(ta thc Conary•on}y�)tur the ry�tcm na papn not len th��81R i U incha fa�fa SBD-6398 (R. 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' � � �� � ' � 1 ' ' - - - l_ - - �- - -- -.i_ .. _ - -- I r- - - - �- . ..�. , _�--r � i , �- �- - ; ;-- , I ; � ; � 1 � � , �Q � "/�" , ' ' .. _ . -�- - - ,- -.�_ -- � — T- • - — -- -• -- ---- - � j — — --- - - i � . �_ i_ I ` 1 � � , , , , , � , . . , , i I I �.. ... . __ . _ _._ . ; � �--. ; . _, _ _. _ __. _. i __. -- _. ___ ' � : oy i ' � , 1 3 --; ; � ' -7 4 � . . � , . _ '_: '' . � � ti � , � ^� I � . i i _ _ i ; __ . _ _ ; - i ; ._ _ � � . �_ r . .i i I � ' n ' • i ' ' ; ,._ . r � . � I� i � � � _ � � �- � � - � � -�---� � � - � � � � � -- � � � � , � , � __ _ l _ ._ _ .. i _ , . _ , � , _ , ; i_ , _ �; . 1 � ! � '_ ' � . _ �� . � ' _ � l . � .. � � ;_ � , ; _ � � � � 1 �_. � � � � . � � : , , : , , , ; � , , � - USE BL - �I II�� � III I ��I��I�� I� I�I� ACK INK ONLY D��I :8G7�4��5 POWTS MAINTENANCE AGREEMENT �x:��i47820 For Statement of POWTS Capabilities �� ��� F��!#L� CHI55�R Owner's Name(s)as shown on deed: ��GISTE�t()� �E��S ��1�"t�9� ��i9i�I�. �I -Pa,�� n� . �-PA�9� �c. ���C�-Yk ��,�4,���� ��:�� �� Parcel Identification Number: �����d��� ��� 3�.�� (12 Digit Legacy ID) � � � - l � � - � � _ Q g � � — — — — —— �����: � Legal Description of Property: -SEE ATTACHED SHEET - We acknowledge that application is being made for the installation of a holding tank(s)on the property described on the attached sheet. Return To:Sawyer County Zoning and Conservation Administration 10610 Main St.Suite 49,Hayward,WI 54843 I (we) understand the POWTS serving the structure on the above parcel located at: (fire number and road name) �1DbK�(N 42aynana I,Q�. was designed forthe following capabilities: Treatment Tank(s) Approx. Y�'O GPD, Soil Absorption Cell(s) Peak �/� GPD Permit Number SAN o�- la'7 Year installed �vo`�' The POWTS serving this structure is presently sized to accommodate a total of si x ( (, ) people, in a dwelling containing "I�,t�e.sZ ( .3 ) bedrooms. With the addition of bedroom(s), the estimated daily wastewater flow of the structure will be based upon per capita occupancy rather than the total number of bedrooms. (75 GPD per Person) WI Dept. of SPS 383.54 outlines the management requirements for these POWTS and I agree to comply with those maintenance provisions as they apply to this system. Should the use of the structure described above increase flows above the capacity of the POWTS, I agree to upgrade my system to meet the standards required in WI Dept. of SPS 383. Should my POWTS fail, as defined in Section 145.01 (16) Wisconsin Statutes, I will obtain the required permit for the installation of a code-compliant POWTS with the installation completed as ordered. -Only one o sign re require ACKNOWLEDGMENT Owner's Signature: State of: �v�St�� s;e� County of: 5��..yeT Owner's Name (Print): � / Subscribed and sworn to before me on this av` �nGZ Y�� day of O G��� , 20 a3 Date: �b�G y ZOZ3 _ By (Owner's Name): � a��Z � � y� ry Public Signature: _ Drafted by: _`,� ..••'""" ta Public Name (Print): �wy ICoZ(owSK: ��L- W�-�1qH�2r'- c 1�:� AR►dIy•co ission expires on: ��a�1/,�� _ � �,--- : `G .:_ Personal information you provide may be used for secondary puf�io��.(P�acBy\La���04(I)(m)] Rev.03/26113 .,� ••....•• yt' .,,qTF��5��,a ,'''b��u���������Na` �ot�y���{�), �oynr�n��ree��Ta�vn c�f��ay��a��d,��v��ye�•�aunty,VVisc�g�sir�,