HomeMy WebLinkAbout004-146-11-1600-LUP-2023-546 SUBMIT COMPIETED APPIICATION AND
FEETO: `'�I��� � F IT �
Sawyer County �a,}N� T�, C v.1
Zoning&Conservat(on Depart. ! �"�—`— `' 1
10610 Main St Suite 49 t � r, (Date Stamp�Rereived� � ��� 1 \ I� ��
Nayward,WI54843 y� ��Uq O � LULJ =da:.:._..�.���._�� _._........u_....._.__�..._ " 1
(715)634-8286 � <°� '� � ,�o�
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ZONING A�JPJ;INiv � _v.�.;.
INSTRUCTIONS: No permits will be issued until aU fees are patd. rF`H�i`�'�� '..': � �.-. .. .--��-� ��'.
Checks are made payahle to:Sawyer County Zoning Department. —
DO NOT START CONSTRUCTION UNTIL ALL PERM�T_$,HAVE BEBN�SSUEb TO APpLICANT. Origlttel Applir.�tion NfU57 bC 5ubmftt2d FILL OUT IN INK (NO PENCiI)
Submittal ot this application or receipt of fees does not constltute permit issuance.
Owner(s)Name: Contractor(s�Name
�-Ra c e/ � ___ __-- s r o c(C Co ns�r u.c�% e n .,�_s_�
Mailing Address: Mailing Address:
/ sas.�y ���� us w G 3
3S ! S G M t/� � �% �M
Phone: �7 3�4 07_ "�SS 2 Phone: '7/S—SSS/b Y]
O
Email: �"O m M l�0 /r� Email: 5$G Nro C/C' I�+�)q��•
Site address: t1(, l/J�1 M� ��f Or Date applied for: , �
Legacy.PlN# U l��`� � (�����— ��✓V� Townoi: ��:�ZfZL
Permit deiivery Method ❑Call Owner u Mail Owner all Contractor c Mail Contractor
'_'Is Property/Land within 300 feet of River,Stream (mci. Distance Structure is from Shoreline: Is your Property
InrerrnRtent) _♦ Are`k'etRa ids
feet �a Fiaodplain
Creek or Landward side of Fleodplain? If yes---continue vre��t�
�Shoreland zoRe?
ves
is Property/Land within 1000 feet of Lake,Pond or Flowage Distance Structure is from Shorefine: Yes
if yes---contlnue —► � S feet No No
�'] Non-Shoreland
Describe Project Total#of
Value at Time of Projett type Foundation What Type&Capacity is the
Completion Number bedrooms
"(nclude donated �House,garage,shed,deck, of Stories (Basement, P�s� Sewer/Sanitary System�s)
time&materiai Addition,etc...) Crawlspace,
List separately Slab) construction
S
y3�o oo.cv �D�'�
welling a5twtr � �� �+'�1�����wt�
S —
Accessory eldg
S
Additlon/Alteratlon
Hefght
TotalSquare towest
Proposed Use ✓ Proposed Structure Dimensions Footage Gradeto
(multtply per Highest
story) Peak
Residence � � Z2 x 30 � L( (� O Ft.
— with 2nd story or loft _ ( �� x �!Z � � 2 Ft. ��1
X
with Basement _ ( 2,Z 3 p � � � � Ft.
� Attached Garage ( � x �
C�'Residential Use Ft.
Accessory Structure(explain) ( _.. x �
❑ A$rICUItUrSI (detachedgarages,sheds,boathouses,etc.) Ft.
Use Temporary Guest Quarters or Bunkhouse(c��de cy�e) ( -/ X , Ft.
❑ Commercial/ ✓ ( z4 x !2 ) �O ��'
2ck orch/Patio $ Ft.
Industrial Use ( X �
(2"d)Deck/Porch/Patio Ft,
L] Mun(cipal Use 4 X �
Other(explain) Ft.
Q Other ( x )
Prindpal Structure(ag�icuicu�ai,Commercial,Munidpal,Etc.) Ft.
Addition/Alteretion(exPiain) I X )
Ft.
Tatal Non-habitable square feet:
Totai habitable square feet: �� (decks,patios,garages,sheds,storage area&other structures) ���
Original Apu1i[ation MUST be submitted
Attach a Pia�or 5keuh your Property on 8.5"x 11"or 8.5"x 14"paper;*Must"Includedoeation and setback of praposed and existing structures,roads,
driveway,sanitary components,well,lake,river,stream,and wetlands.
Descri tion Setback Descri tion Set6ack
P Measuremen2S P Measurements
Setback from the Centerline of Platted Road and/or Feet Setback from the Lake(ordlnary high-wa[er mark� `z Feet
Setback from the Established Right-of-Way �Q Feet Setback from the River,Stream,Creek Feet
Setback from the eluff if applicable Feet
Setback from the North Lot Line / Feet
Setback from the South Lot Line .Z, Feet Setback from Wetland Feet
Setback from the West Lot Line Feet Slope within area of construction/dlsturbance %Slope
Setback from the East Lot Line s Peet Elevation of Fioodplain Feet
Setback fo Soptic Tank or Holding Tank /j, Feet Setback to Weil / Peet
Setback to Drain Fleld Z,s Feet
Setback to Prlvy(Portable,Composting) Feet
Prior to the placement or constru�tion of a structure wlthln five(5)fee[of the rninimum required setback,fhe 6oundary line from which the setback must be measured must 6e visible from one
previousiy surveyed comer to ttie oUier previously surveyed mrner or marked by a licensed surveyor at the owner's expense.
Pdor to the placement or[onSVuction of a struRure more than five(S)feet but less than ten(10)feet from the minimum required set6ack,the boundary line from which the setback must be
measured must he visible from oRe previously surveyed corner to the other previously surveyed corner,or verifiable by the Department by�se of a corrected compass from a known corner
within 500 feet of the proposed site of the siructure,or must be marked 6y a licensed surveyor at the owner's expense.
. � � . •.� . • •• •
s
Calculete impervlous surfaces.(Roofed,concrete,paved,and other surFaces that water ean�ot penetrate.The Zoning Offlce can help you determine if a
surface is considered impervtous)
Calculate lot area: /�
Indicate lot size from CSM or NOVUS(circle one): • �7 Acres;Multiply by 43,560=Lot area: ��. ��0 _Square Footage
Calculate impervfous surface area:
Determine the total size,in square feet,of your projects listed abnve(include eaves); �Z 3 2 sq ft.
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 ft.
Add these measurements to determine total impervious surfaces: �� � sq ft.
+ Calculate impervfous lot percentage
ITotal impervious surface: /�.32=Lot area: Sq ft.X 100=impervious surface .3__ .y %
(Mitigation is required if total exceeds 15%)
":Notice a separete grading permit needs to be obtained if dlsturbed area is within the Shoreland district 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
Grading of more than 2,000 Sq.Ft.on Slopes less than 12% . Grading is in excess of 10,000 Sq.Ft. ��
FAiLUHE TO OdL;IN A PtRfv7i7�r:� .RTING CONSTf�UCTION WITHGUT A PERMIT WILL RESULT IN PENf�LTIES
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 informatlon I(we)am(are)providing and that it will be relied upon by Sawyer
County in determining whether to Issue a permlL I(we)further accept liability which may be a result of Sawyer County relying on ihis information I(we)am(are)providing in or
with this application.I(we1 conse to county officia�s charged with administering county ordinances to have access to the above descri6ed property at any reasonable time for the
pur inspe n. ditionally,the undersigned person(s)hereby give permission for access to the property for onsite inspec[ion by Municipal Officlals.
Owner \ Owner /w /f
Signature ` Printerl nam�e / ���� ��e'�'L Date�" '��� �
(Signature and Printed Name required)
NOTICE: All Land Use Per+nits Explre One(1)Year from the Date of Issuance.
For the Construdion Of New One&Two Family Dwelling: ALl Municipalides Are Required To Enforce The Uniftirm Dwclling Codc.
The local I"own,Aate<,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 Wlsconsin.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 construction
that violates the law or other penaltles or costs. For more information,visit the department of natural resources wetlands identification web page or contact a department of
naturalresourcesservice center(608�2G7-3125
issuance Information(County Use Only) Sanitary Number: #of bedrooms:
Permit Denfed(Date): Reason for Deniai:
Permit#: Issuing agent• Date:
�3 - ��-t � �� ���- a3
Is Parcel a Sub-Standard Lot l i Yes (Deed of Record) �No Mitigation Required Ci Yes
Is Parcel in Common Ownership 74 Yes (Fused/Contiguous lot�s�J ;I NO �
Is Structure Non-Conforming I1 Yes :No Mitigation Attached !_�Yes l, o
Granted by Varfance(B.O.A.) Granted by Conditional Use
�Yes No Case q: ��Yes �±'No Case 1t:
Was Parcel Legally Created "�Yes �No Were Property Lines Represented by Owner �j!Yes No
Was Proposed Building Site Delineated �Yes I+No Was Property Surveyed �'Yes No
Office Comments: Zone District: Fge:
�� ��� �-�-f SG 1= � �S =�`�
. �,-�-�t
Hold For Sanitary: �\ �i! Hold For TBA; !1 Hold For Affidavit: � Hold For fees:�.� � '� �� ✓
�feb2021
11/7/23,11:16AM Novus-WisconsinAccess rev.13.1108
Real Estate Sawyer County Property Listing Property Status:Curtent
Today's Date:11/7/2023 Created On:2/6/2007 7:55:08 AM
�Description Updated:7/30/2018 '�Ownership Updated:7/30/2018
Tax ID:� 4216 �� THOMAS]&RACHAEL A GREEN EDGERTON WI
PIN: 57-004-2-39-08-29-5 15-I80-ll1600
Le9acy PIN: 004146111600 Billing Address: Mailing Address:
Map ID: -111.16-ll THOMAS]&RACHAEL A THOMAS J&RACHAEL A
Municipaliry: (004)TOWN OF COUDERAY GREEN GREEN
STR: 524 T39N R08W 352 E SAMUELSEN DR 352 E SAMUELSEN DR
Description: LAKE A-SHE-GON HEIGHTS LOTS 16&ll EDGERTON WI 53534 EDGERTON WI 53534
BLK 11
Remrded Acres: 0.840 �Site Address *indlcates Priva[e Road
Lottery Claims: 0 N�A
First Dollar: No
Waterbody: Ashegon Lake
Zoning: (RR2)Residential/Recreational Two —�Proper[y Assessment Updated:8/19/2013
ESN: 2023 Assessment Detail
Code Atres Land Imp.
�TaxDistrictr Updated:2/6/2007 Gl-RESIDENTIAL �.840 74,200 0
1 � ��� State of Wismnsin Z-year Comparison 2022 2023 Change
57 SawyerCounty Land: 74,200 74,200 0.0%
004 Town of Couderay Improved: 0 0 0.0%
576615 Winter School DistriQ Total: 74,200 74,200 0.0%
O01100 Technical College
+ Rewrded Documenfs Updated:9/15/2011 �property History
_. . ._ ...._ . _ . . ._.
0 WARRANTY DEED N�A - -
Date Recorded:7/27J2018 413540
0 EASEMENT
Date Recorded:7/21/2D06 340387
O WARRANTY DEED
Date Recorded:7/3/2006 339947
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