The URL can be used to link to this page

Home My WebLink About002-940-11-5203-LUP-2010-001Application for Land Use Permit (*Shoreland)o County of Sawyer PO Box 676 - Hayward WI 54843 715/634-8288 *Property that has frontagee, on a creek, river or stream, a flowage, lake or pond or has any of the above water bodies located within the property's boundaries.* ' CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN ISSUED. SHORELAND PROTECTION AGREEMENT MUST ALSO BE SIGNED BY PROPERTY OWNER. ' O SIGNATURE OF PROPERTY OWNER IS REQUIRED. USE BLACK INK OR PENCIL S � Gd��isi n%�ss rz) Owner Builder y10-=2 / 7� L li g Address K � 'A dl(N City, State, Zip - LINO -S3s Ll Ddytime Phone Mailing Address City, State, Zip Daytime Phone Site address:b, 12A 16 LI I [. /C y �,ll (Fire number & name of road) LnJ�ry � J Proposed construction (check one):. ( )New or replacement dwelling/primary building. Number of bedrooms: ( )New or replacement accessory building ( )Addition or alteration to 'dwelling/primary building. Total number of bedrooms: ( )Addition or alteration to accessory building ( )New business or use of existing building {iJse of land (such as mining, grading, filling) _ Additional information: Construction Cost: Primary Structure S-72 Accessory Building: $ Addition: $ Describe what you are building. List each project (from what you have checked above). Project#1.Size of footprint: ft.x ft = sq ft. Total sq ft: Height from grade to peak: (This total includes additional stories or lofts.) Project#2. Size of footprint: ft.x ft = sq ft. Total sq ft: Height from grade to peak: Project#3. Size of footprint: ft.x ft = sq ft. _ Total sq ft: Height from grade to peak: �'-�dditional information: Example: A dwelling is #1, an attached or detached garage is #2- 0 Calculate impervious surface. (Roofed/paved or other surfaces water cannot penetrate. The Zoning Office can help you determine if a surface is considered impervious.) co This calculation may be omitted if there is no increase in amount of impervious surface. Cn Calculate lot area: ft Determine lot width in feet (measure from side lot line to side lot line): Multiply by lot dep�b in feet (measure from shoreline to the landward) or multiply by 300 feet if lot is more than 300 feet deep: sq ft A maximum of 15% impervious surface is allowed by this permit. Multiply square foot calculation by .15: sq ft x .15 = sq ft w z Calculate impervious surface area: Determine the total size in square feet of your projects listed above (include eaves):, 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: o sq ft ti Add these square foot measurements to determine total impervious surface: sq ft If the total square feet of impervious surface does not exceed the 15% limit that you have calculated above, proceed to page 2 of this application. The drawing on page 2 must indicate the location and dimensions of all these measurements. 11 Setback measurements are from any point of a structure closest to waterbody, road, or lot line. This may be an overhang, deck, porch, etc. Show lot dimensions and indicate north. Draw the location, size, and dimensions of each structure on the property. Indicate new structure. Show driveway access. Draw the location of the septic system and distance to structure. Show the distance to the shoreland of the waterbody. Show location of any wetland. Show the distance from the structure to road centerline, lot lines, wetland, septic system (drainfield and/or tank). Shoreland vegetative buffer: The shoreline area is to be fully vegetated to a depth of 35 feet from the shore of any waterbody. The exception is an access corridor of 30 feet within any 100 feet of shoreline. Indicate on the above drawing the Iocation of the access corridor. Owner's signature is required on the appropriate attached Shoreland Protection Agreement. This permit cannot be issued without a signed Shoreland Protection Agreement. If the 35 foot buffer is fully vegetative, sign the Shoreline Protection Agreement #1. If any part of the 35 foot buffer is not in compliance with vegetative requirements, sign the Shoreline Protection Agreement #2 — Non -Intact. Please submit a shoreline photo to verify buffer status. Notice: Land Use Permits expire one year from issue date. The undersigned certifies that the listed information and intentions are true and correct, that all work shall be performed in compliance with the requirements of the Sawyer County Zoning Ordinance and the laws and regulations of the State of Wiscon�n. The undersigned person(s) hereby give permission for access to the property for onsite inspection. of property owner#r agent with Power of Attorney). Permit Fee 475.00 Page 2 Real Estate Sawyer County Property Listing Today's Date: 1/18/2010 Page i of 1 Property Status: Current Created On: 2/6/2007 7:55:07 AM ®' Descri Non Updated: 1 14 2010 Tax ID: 3096 PIN: 57-002-2-40-09-11-5 05-002-000030 Lea PIN: 002940115203 Map ID: :2.3 Municipality: (002) TOWN OF BASS LAKE STR: S11 T40N R09W Description: PRT GOVT LOT 2 OF SEC 11, PRT GOVT LOT 1 SEC 14, LOT 1 CSM 29/58 #7362 Recorded Acres: 2.140 Calculated Acres: 0.000 Lottery Claims: 0 First Dollar: No Zoning: (RR1) Resldentlal/Recreational One I Tax Districts Updated: 2/6/2007 1 State of Wisconsin 57 Sawyer County 002 Town of Bass Lake 2478 Hayward Community School District 17 Technical College Recorded Documents Updated: 4/4/2008 TRUSTEES DEED Date Recorded: TRD674/214 42 Ownership Undated: 12/10/2008 STEVEN A FRIENDSHUH SAVAGE MN 30E MAHONEY CONSTRUCTION CO INC PRIOR LAKE MN Billing Address: Mailing Address: STEVEN A FRIENDSHUH STEVEN A FRIENDSHUH PO BOX 432 PO BOX 432 SAVAGE MN 55378-0432 SAVAGE MN 55378-0432 10 Site Address N/A 9 Property Assessment Updated: 5/22/2007 2009 Assessment Detail Code Acres Land Imp, GI -RESIDENTIAL 2.140 85,500 0 2-Year Comparison 2008 2009 Change Land: 85,500 85,500 0.0% Improved: 0 0 0.0% Total: 85,500 85,500 0.0% B Property History N/A 1/18/2010 Real Estate Sawyer County Property Listing Today's Date: 1/18/2010 Page 1 of 1 Property Status: Current Created On: 4/11/2007 1:59:53 PM 0' Description Updated: 4 11 2007 Tax ID- 39208 PIN: 57-002-2-40-09-11-5 05-002-000050 Legacy PIN: 002940115205 Map ID: :2.5 Municioality: (002) TOWN OF BASS LAKE STR: S11 T40N R09W Description: PRT GOVT LOT 2, LOT 1 CSM 29/96 *7378 Recorded Acres: 3.890 Calculated Acres: 0.000 Lottery Claims: 0 First Dollar: No Waterbody: Adina Lake Zoning: (RR1) Residential/Recreatlonal One I Tax Districts Updated: 4/11/2007 1 State of Wisconsin 57 Sawyer County CO2 Town of Bass Lake 2478 Hayward Community School District 17 Technical College Sly Recorded Documents Updated: 4/11/2007 TRUSTEES DEED Date Recorded:6/2/1999 276872 674/214 Ownership Updated: 12/10/2008 70E MAHONEY CONSTRUCTION CO INC PRIOR LAKE MN Billing Address: Mailing Address: STEVEN A FRIENDSHUH ETAL STEVEN A FRIENDSHUH PO BOX 432 PO BOX 432 SAVAGE MN 55378-0432 SAVAGE MN 55378-0432 F Site Address N/A ® Property Assessment Updated: 6/24/2008 2009 Assessment Detail Code Acres Land Imp. Gi-RESIDENTIAL 3.890 59,800 0 2-Year Comparison 2008 2009 Change Land: 59,800 59,800 0.0% Improved• 0 0 0.0% Total: 59,800 59,800 0.0°/0 ElProperty History Parent Properties Tax ID 57-002-2-40-09-11-5 05-002-000010 3094 1/18/2010 Real Estate Sawyer County Property Listing Today's Date: 1/18/2010 Page 1 of 1 Property Status: Current Created On: 4/11/2007 1:59:53 PM Descrl tion Updated: 4/11/2007 Tax ID: 39209 PIN: 57-002-2-40-09-11-5 05-002-000060 Legacy PIN: 002940115206 Map ID: :2.6 Munldcality: (002) TOWN OF BASS LAKE STR: Sli T40N R09W Description: PRT GOVT LOT 2, LOT 2 CSM 29/96 Tax Districts Updated: 4/11/2007 1 State of Wisconsin 57 Sawyer County 002 Town of Bass Lake 2478 Hayward Community School District 17 Technical College Recorded Documents Updated: 4/11/2007 TRUSTEES DEED Date Recorded:6/2/1999 276872 674/214 M Ownership Updated: 12/10/2008 ]OE MAHONEY CONSTRUCTION CO INC PRIOR LAKE MN Billing Address: Mailing Address: STEVEN A FRIENDSHUH ETAL STEVEN A FRIENDSHUH PO BOX 432 PO BOX 432 SAVAGE MN 55378-0432 SAVAGE MN 55378-0432 10 Site Address N/A ® Property Assessment Updated: 6/24/2008 2009 Assessment Detail Code Acres Land Imp. GI -RESIDENTIAL 2.460 59,800 0 2-Year Comparison 2008 2009 Change Land: 59,800 59,800 0.0% Improved: 0 0 0.0% Total: 59,800 59,800 0.0% W Properly History Parent Properties Tax ID 57-002-2-40-09-11-5 05-002-000010 094 1/18/2010 Real Estate Sawyer County Property Listing Today's Date: 1/18/2010 Page 1 of 1 Property Status: Current Created On: 4/11/20071:59:53 PM ®' Description Updated: 4 i 2007 Tax ID: 39210 PIN: 57-002-2-40-09-11-5 05-002-000070 Legacy PIN: 002940115207 Map ID: :2.7 Municipality: (0021 TOWN OF BASS LAKE STR: Sll T40N R09W Description: PRT GOVT LOT 2, LOT 3 CSM 29/96 #7378 Recorded Acres: 1.540 Calculated Acres: 0.000 Lottery Claims: 0 First Dollar: No Waterbody: Adana Lake Zoning: (RR1) Residentlal/Recreational One I Tax Districts Updated: 4/11/2007 1 State of Wisconsin 57 Sawyer County 002 Town of Bass Lake 2478 Hayward Community School District 17 Technical College 4&� Recorded Documents Updated: 4/11/2007 TRUSTEES DEED Date Recorded: 6/2/1999 276872 674/214 Ownership Updated: 12/10/2008 ME MAHONEY CONSTRUCTION CO INC PRIOR LAKE MN Billing Address: Mailing Address: STEVEN A FRIENDSHUH ETAL STEVEN A FRIENDSHUH PO BOX 432 PO BOX 432 SAVAGE MN 55378-0432 SAVAGE MN 55378-0432 9' Site Address N/A ® Property Assessment Updated: 6/24/2008 2009 Assessment Detail Code Acres Land Imp. Gl-RESIDENTIAL 1.540 48,200 0 2-Year Comparison 2008 2009 Change Land: 48,200 48,200 0.0% Improved: 0 0 0.0% Total: 48,200 48,200 0.0% FIR Lf Property History Parent Properties Tax ID 57-002-2-40-09-11-5 05-002-000010 2W 1/18/2010 - �os OT1-9W-11 SIW CB-9W11 .1]pl I wz-p.o-ll ]szc SW -SW SE -SW GL. ozz-aw-I�.uaz " _5106 ADINA LAKE Slu NW I / NE -NW SECTION LINE DATA AND SECTION SUBDIVISION PROVIDED BY SAWYER COUNTY SURVEY DEPARTMENT NOMTH aQ_pp_I{ �r-Y10.1{ 5110 \ slz aoz slwo-l. ez..c GRAPHIC SCALE '0° o zao wo mo 16W ( IN FEET)- 1 inch = 400 ft. C@-YW-13 1103 I]OYC 1 / I M-N 13 zzoz TAX ASSESSMENT PURPOSES ONLY Information contained on this map is advisory. Map accuracy is limited by the quality of the public records from which it was prepared. It is not intended as a substitute for an accurate field survey.