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HomeMy WebLinkAbout002-940-33-5206-LUP-2010-234Application for Land Use Permit (*Shoreland*) County of Sawyer PO Box 676 - Hayward WI 54843 P01 i 715/634-8288 *Property that has frontage 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. SIGNATURE OF PROPERTY OWNER IS REQUIRED. USE BLACK INK OR PENCIL JN%5 44 44m caa m Owner (;M7?-6 RAcer Ming Address IL T City, State, Zip 6790 676- ZBG7 Daytime Phone : cag F,JW24 s6-& & rM. Builder 92MN Mailing Address j�JIAARD %I 6�44 3413 City, State, Zip `715 Q4 _ 64G�5 Daytime Phone Site address: /5703 U 5 Fx>• (Fire number & name of road) Proposed construction (check one): (e replacement �hilding imary building. Number of bedrooms: ew replaceme accesso { )Addition or alteration to dwelling/primary building. Total number of bedrooms: ( )Addition or alteration to accessory building ( )New business or use of existing building ( )Use of land (such as mining, grading, filling) Additional information: Construction Cost: Primary Structure $ Accessory Building: $ 26, 000 Addition: $ Describe what you are building. List each project (from what you have checked above). Project#1.Size of footprint: 30 ft.x 46' ft = 1,-;,50 sq ft. Total sq ft: 14350 Height from grade to peak: /A -(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: 1 0 Project#3. Size of footprint: ft.x ft = sq ft. Total sq ft: Height from grade to peak: Additional information: Example: A dwelling is #1, an attached or detached garage is #2. O Calculate impervious surface. (Roofed/paved or other surfaces water cannot penetrate. The Zoning Office can help you determine if a surface is considered impervious.) "• This calculation may be omitted if there is no increase in amount of impervious surface. Calculate lot area: Determine lot width in feet (measure from side lot line to side lot line): /00 ft 01 Multiply by lot depth in feet (measure from shoreline to the landward) -= or multiply by 300 feet if lot is more than 300 feet deep: , 000 sq ft A maximum of 15% impervious surface is allowed by this permit. Multiply square foot calculation by .15: 3 a, OOD sq ft x .15 = 40500 sq ft cp Calculate impervious surface area: o0 Determine the total sizes in square feet of your projects listed above (include eaves): o q o aci Determine the total size in square feet of all existing roofed structures (include eaves): /, 120 sq ft Determine the total size in square feet of all existing paved/bricked/blocked surfaces: o 0 sq ft Add these square foot measurements to determine total impervious surface: 2,79(o 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. a Setback measurements are from any point of a structure closest to waterbody, road, or lot line. This may be an overhang, deck, porch, etc. lIS' MFL m o 3DX4S AT_F-5501-Y �I } BUILDING sr�sR $' EXISTING � 24 X 3Co 0 0- ��GASCXJAL -Ui9�ye\ � jXnlFlLigG �A rnEX)T ff EL Y )..AC (�Cl1RT 0(21ClLES Fire Number and Name of Road 16703 G✓ GOSSE U5 i�! 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 location 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 Wisconsin. The undersigned persons) hereby give permission for access to the property for onsite inspection. ature of prop rty owner (or agent with Power of Attorney). Permit Fee 410c_ Page 2 Page 1 of 1- Real Estate Sawyer County Property Listing Today's Date: 8/24/2010 DescriDtion Updated:! 8/14009 Tax ID: 3943 PIN: 57-002-2-40-09-33-5 05-002-000040 Lea PIN: 002940335204 Map ID: :2.4 Municipality: (002) TOWN OF BASS LAKE STR: S33 T40N R09W Description: PRT GOVT LOT 2, PRT LOT 2 CSM 4/90 #715 Recorded Acres: 0.820 Calculated Acres: 0.000 Lottery Claims: 0 First Dollar: Yes Zoning: (RR1) Residentlal/Recreational One 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 n Recorded Documents Updated: 8/14/2009 ® QUITCLAIM DEED Date Recorded: 7/31/2009 361936 ® WARRANTY DEED Date Recorded: 2/23/1990 217560 446/79 Property Status: Current Created On: 2/6/2007 7:55:08 AM 48 Ownership Updated: 8/14/2009 .TAMES H HAUGEN SAINT CHARLES IL Billing Address: Mailing Address: TAMES H HAUGEN TAMES H HAUGEN 6N728 PARK PL 6N728 PARK Pl. SAINT CHARLES IL 60174 SAINT CHARLES IL 60174 1p Site Address 15703W GOSSENS RD HAYWARD 54843 11 Proner- Assessment Updated: 2/6/2007 2010 Assessment Detail Code Acres Land Imp. Gl-RESIDENTIAL 0.820 228,500 44,200 2-Year Comparison 2009 2010 Change Land: 228,500 228,500 0.0% Improved: 44,200 44,200 0.0% Total: 272,700 272,700 0.0% Property History N/A 8/24/2010 002-2= w52 161eK .nK aox-swa] uv2 .wac NW -NE 003-vw-v I:w xxuK SW -NE 003-Yw-lJ 1]01 w.veK G.L. 1 aax-eav-]] mox Inz.K CU3-sw-1] StOt ILeAG WI-BaO-Y 5IDt avx-sw t.wK. '00553 ., R.: FOR wma pe'RVOSES ooismw]z .2-9 +]Ra pp qK 1.e1K DI i e w.F. 002-ew © J]xx -33K c wmea v rK ® ` mrr t visas rxn x5 sml � .J ap 'vt FOR x 1 © ©yb vvx-s0-33 wlv G.L. 3 zrozs 21 m vax-aw-]] WRY'rox ei e]K G.L. 2 aoz-ew-v sml ]2IIK 520 Wxx] 520.1 \ H 3 0 N F ToWN A°AD ��,{1 n. en•°°•s. 6pr'T Lois M. N. I e• ♦ e - SIC e p N lep° �' 9��ss3'•' oe, e. o VA SCALE /" =Xoo iEET O IRON P/P[ /N PLACE ® /"x SO- SRON PIPE PLACED ." C.OIYS"• AOBMT Ri - •; B ,A °NySON - t HAYAApp. su r�a,�-yqto'•• ' " S•R,F o` LAKE ar•/ `O YaF.. 1 or a paQea 15333C ae°1pm i O((Im ) • Samycr County J} Pxei.rtl fw eucartl IM1e ticy el off AD IB%Sat /,•Secrlu4 m eea m�wdo: m vm. r� a m a,o;;o 9o-vr 6 PaGi,0.� SHORELAND PRESERVATION AGREEMENT (Shoreline Vegetation Protection Area) ' Land Use Permit No. JAMES (To bet entered by the Zoning Office) Index No. WHEREAS,(list all owners)- A J-)AUQN owns real estate within Sawyer County that is subject to the Sawyer County Shoreland Regulations, and WHEREAS, in order to secure a Land Use Permit. 4'-,SEMR,BBOREs4he�,owner(o) heroby-,oeM6i.. diat ,.as a condition.of is$ue:of said hand Use -Permik.that. tlta` gSI3aRRL�TB : B ATION�'FR T'1 ©N�ARi3A on said reel wide is intactlo la� minimum•depth'-of . '35�-andwardfrom;thi�ordinary,higli watermark ofthe,waierbody. The owner(s) hereby_ agrees to comply with the -shoreland vegetative protection area requirements- of Section 4A10 • SHORELAND VEGETATION PROTECTION AREA, Sawyer County Zoning Ordinance, in effect on the date that the land use permit is issued by the zoning office. The owner(s) further agrees to allow authorized representatives of • the Governmental Unit to enter onto the owner's property at the following description. - between the hours of 8:00 A.M. and 6:00 P.M. [Section•9.13(1)-POWERS, Sawyer County Zoning Ordinance] to inspect the structuc+e{s) or uses authorized by said Land Use Permit and to determine if the SHORELINE VEGETATION PROTECTION AREA exists and that it is being preserved. This authorization shall terminate on the date of expiration of the land use permit. However, the owner's obligation to maintain the SHORELINE VEGETATION PROTECTION AREA in accordance with Section 4.410 SHORELAND VEGETATION PROTECTION AREA, Sawyer County Zoning Ordinance remains in effect. Violation of this Agreement will authorize, in addition to other penalties and relief required under the Sawyer County Zoning Ordinance, injunctive relief; restoration of said real estate, the revocation of said Land Use Permit and the removal of all structures approved by the issue of said Land Use Permit and the revocation of any other uses approved by the issue of said Land Use Permit. All parties agree that this Agreement shall be filed with the Sawyer County Zoning Office. Legal Description of Property: =�kI15 - -Dated this i.' (Owner) This instrument was drafted by: Sawyer County Zoning Office of _-- ( CDT Z flzTt.OT 2 CSM (Owner) • (Owner) (Owner)