HomeMy WebLinkAbout010-941-21-2301-LUP-2024-003 SUBMIT COMPLEfED APVIICATION AND
Feero: APPLICATION FOR LAND USE PERMIT �
SawyerCoun �—,i$AWYER Cbl1NTY,�A!(5CON111 �
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Zoning&Conservation Depart. ' . ' �
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�. . . --�-�Uatc Stemp�Rc�civvd)--... ' ` 3 a�
10610 Main St Suite 49 � .;;a i�_, �__- O
Hayward,WI 54843 `��
(715)634-8288 , ��� � � ����i ,.�k#_. � `� � 3 ___,�.�� �
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INSTRUCTIONS: No permits will be issued untii ail fees are pald. c ` ����"�' � � ���
ONIf�3G E\DMiiVi�TRA7iON
Cbecks are made payahle to:Sawyer County Zoning Department. -
DO NOT START CONSTRUCTION UNTIL ALL PERM�TS HAVE BEEN ISSUED TO APpLICANT. Ofig'trlal Applir•tion MU3T be submitted FILL OUT IN INK (NO PENCIL)
Submittal vf this applicatlon or receipt of fees does not constitute permit issuance.
Owner(s)Name: Contractor(s�Name
/
��u�'y,� ��,Q�'�� � �� +�
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Mailing Address: � Mailing Address:
1 .�S / G.� ��� -{-f�� Q
Phone: Phone:
��.5��'� y�� z� Z
Email: T(,�(-_�Z � , �Ur✓�— Email:
Site address: U l Q q IV ��T�G�t/ 2i� Or Date applied for:
LegacgPlN# U' l�i `��� I— �� — �J��� Townof: �"i(L� �v.�l'r,
Permit delivery Method �'Call Owner u Mail Owner ❑Cali Contractor c Maii Contractor
'_'Is Properry/Land within 300 feet of River,Stream (�nci, Distance Structure is from Shoreline: Is your Property
Intermittent� � Are Wetlyn�is
Creek or Landward side ef Floodplafn? If yes---continue feet in Floodpfain P���t�
::1 Shorela�d zoae?
� Is Property/land withfn 1000 feet of Lake,Pond or Flowage Distance Structure is from Shoreline: yQg �ea
If yes---continue � feet �p No
t4Non-Shoreland
Describe Project 7otal#of
Value at Time of project type Foundation What Type&Capacity is the
t Campletion (House,garage,shed,deck, Numbet bedrooms
include donated of Stories (B�sement, post Sewer/Sanitary System(s)
time&material Addition,etc...} Crawispace,
List separately Slab) �onstruction
S ('�,,,,�.e„k�,n.�.i
I�,�� �-kE��� I, 5f BaSc�+� 3 y�b r�.F kf
Dwelling
$ ��u� �='�C'"�— l0 c
-�"�`:
Accessary eldg
$
nddiUon/Alteration
Hefght:
Totai 5quare Lowest
Proposed Use ✓ Proposed Structure Dfinensions �ootage Grade to
{multlply per Highest
story) Peak
_ ,� ( �7 X )
Residence l� a`1 ���� Ft.
--_ _ _ _ _
wl[l1 2"d story or loft � X , Ft.
- -.- �- - X �
� wfth Basement ( S o.�_ ��� � Ft.��
Attached Garage ( x ] Ft.
� Residential Use
Attessory Structure(expla�n) � x �
0 Agrieultural (detachedgarages,sheds,6oathouses,etc.) Ft.
{ X )
Use Temporary Guest Quarters or Bunkhouse(c��de tyne) Ft.
❑ Commercial/ ,� Deck/Porch/Patio ��� X �� � a� � Ft. �
Industrial Use �" ( x )
.✓ (Z�d)Deck/Porch/Patio �� c�v c3uv Ft�
❑ Municipal Use � x )
Other(explain) Ft.
0 Other ( x 1
Principal Structure(agriculcurai,Commerclal,Municipal,Etc.) Ft.
- � x �
Addition/Alteration�expia�n) Ft.
� Tntal Non-habitable square feet; � �
Total habitable square feet: �S � � (decks,patios,garages,sheds,storage area&other structures)
Origina�.>;�. ;tication Cv1UST be submitted
Attach a Plan or Sketch your Property on 8.5"x 11"or S.5"x iG"paper:*Must*include loeation and setback of proposed and existing structures,�oads,
driveway,sanitary components,well,lake,river,stream,and wetlands.
Description Setback Description Setback
Measuremen2s Measurements
Setback from the Centerline of Platted Road and/or '3 Feet Setback from the Lake(ordtoary h�gn-wacer mark) �-- - feet
Setback from the Esta6lished Right-of-Way �� Feet Setback from the River,Stream,Creek -- Feet
Setback from the eluff if applicable Feet
Setback from the Narth Lot Line \�C� Feet
Setback from the South lot Line ��� Feet 5etback from Wetland Feet
Setback from the Wesx Lot Line Feet Slope within area of construction/disturbance 9�Slope
Setback from the East Lot Line -�- Feet Elevation of Floodplain Feet
Setback to Soptic Tank or Holding Tank —�r \� Feet Setback to Weli �a'� Peet
Setback to Drain fleld -�. �-, Feet
Setback to Privy(Portable,Composting) Feet
Prior�c,the placement or constru�tion of a structure within five(S)feet ot the rninlmum required setback,the houndary line from which the setback rnust 6e measured must be visible from one
p�eviuusty surveyed corner tu the other previousty surveyed mrner or marked by:;iicensed surveyor at the owner's expense.
Prior to the placement or construction of a structure more than five(5)feet bulless than ten(10)feet from the minimum required set6ack,the boundary line from which the setback must be
measured must he visible from one prev�ously surveyed corner to the other prevlously surveyed corner,or verif able hy the Department by use of a corrected compass from a known corner
wiihin 500 feet of the proposed site of tbe struc[are,or must he marked by a licensed surveyor at the owner's expense.
� � . .� � • �- . .- .
Calculate impervlous surfaces.(Roofed,concrete,paved,and other surfaces that water cannot penetrate.The Zo�ing Office can help you determine If a
surface is considered impervious)
Calculate lot area:
Indicate lot size from CSM or NOVUS(circle one): Acres;Multiply by 43,5G0=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 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 Impervious lot percentage
Total impervious surface: =Lot area:_ �Sq ft.X 100=impervious surface %
(Mitlgation is required i(rotal exceeds 15%)
"'Notice a separete gradfng permit needs to be obtained if disturbed area is within the Shoreland district as indicated on previous page and meets criteria below"'
Grading on a sla�e reater than 20% Grading of more than 7„000 Sq,Ft.on 12%-20/slopes
Grading of more than 2,0005 .Ft,on Slopes less than 1Z% . Grading is in excess of 10 000 Sq Ft ��
FAIWRE 70 OBTAIN A FLqfdtlT or;�i,.lil"ING CONSTRUCTION WITHOUT A PFRMIT WIL�RESULT IN FENHLTIES
I(we)declare that this application(lncluding any accompanying Information)has heen examined by me(us)and to the best of my(our)knowledge and bellef 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(areJ 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 result of Sawyer County relying on this information I(we)am(are)providing in or
with this appllcation.I(we�consent to county officials charged with administering county ordinances to have access to the above descrihed property at any reasonable time for the
purpose of i ion.Additionally,the undersigned person(s)hereby give permission for access to the property for onsite inspection by Munlclpal Officlals.
Owner ner �� t
Signat � �----���ted name � fclL��S �r�-�rv�- \ Date 3t�c'^ Z�
(Signature and Printed Name required)
NOTICE All Land Use Permits Explre One(1)Year from the Date of Issuance.
For the Construction Of New One&Two lamily Dwelling: ALL Municipalities Rre Required To Enforce The Uniform Dwelling Code.
The local Town,State ,r Federal agencies may also require permiYs.
You are responsible for complying with the requirements of the Sawyer Counting Zoning Ordinances and law and regulations of the State of Wisconsin.You are also responsible for
complying wlth State and Federal laws concerning construction near or on wetlands,lakes,and strearns.Failure to comply may result in removal or modification of construction
that violates the law or other penalties or costs. For more informatlon,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;�u^ 60 � #of bedrooms: �
�
Permit De�ied(Date�: Reason for Denial:
Permit tt: Issuing agent:,,. Date:
�,;
,�' _�..��------_ � 3 a
Is Parcel a Sub-Standard Lot I.i Yes (Deed of Record) XNo
Is Parcel in Common Ownershlp '`�9 Yes �Fused/Contiguous lot(s�) ` NO Mitigation Required !'i Yes No
Is Structure Non-Conforming I I Yes Na Mitigation Attached !_I Yes �No
�
Granted by Variance(B4O.A,) Granted by Conditional Use
7 Yes�No Case q: � )Yes �No Case i1:
Was Parcel Le�;aily Created �Yes �'�No � Were Property Lines Represented by Owner �Yes No
Was Proposed Building Site Delineated �ICYes I:No Was Property Surveyed �I(Yes
No
Office Comments: Zone District: Fee:
�._\ ���c�
Hold For Sanitary: G _i Hold For TBA; _1 Huld�or Affidavit: � Hold For Fees:C� ��J
�Fe62021
1/3/24.10:53 AM Novus-Wisconsin Access rev.13.1108
Real Estdte Sawyer County Property Listing Property Status:Current
Today's Date:1/3/2024 Created Om 2/6/2007 7'.5521 AM
�Oescription Updated:6/28/2010 �Ownership Upda[ed:6/29/2021
Tax ID: 12367 7RAVI5&TVSA FROEMEL HAYN/ARD WI
PIN: 57-010-2-91-09-21-2 03-000-000010
Legacy P[N: 010941212301 Billing Address: Mailing Address:
Map ID: J1 7RAVIS&7YSA FROEMEL TRAVIS&TYSA FROEMEL
Municipality: (OSO)TOWN OF HAYWARD 10763W WITTWER RD 10763W WITfWER RD
STR: 521 T41N R09W HAYWARD WI 54843 HAYWARD WI 54843
Description: PRT SWNW LOT 4&4A CSM 5/219
#1010 �Site Address *indicates Private Road
Remrded Acres: 1.960 10769N WITfWER RD HAYWARD 54843
Lottery Claims: 0
First Dollar: No
Zoning: (R-1)Residen[ial One J P�aPerty Assessment Updated:11/9/2015
ESN: 444 2023 Assessment Detail
Code Acres Land Imp.
�Tax Districts Updated:2/6/2007 G1-RESIDENTIAL 1.960 25,800 0
1 State of Wismnsin Z_year Comparison 2022 2023 Change
57 Sawyer County ��d: 25,800 25,800 0.0%
010 Town of Hayward Improved: 0 0 0.0%
572478 Hayward Community Sthool Distric[ TotaL• 25,800 25,8�0 0.0%
001700 Technical College
+�Recorded Documentr Updated:6/29/2021
� - �Property History
�WARRANTY DEED N/A � .
Date Recorded:6/28/2021 432933
�QUIT CLAIM DEED
Date Remrded:2/6/2006 336612
�QUIT CLAIM DEED
Date Remrded:5/ll/2002 300233
O CERTIFIED SURVEY MAP
Date Remrded:12/5/1977 162405
1l1
https:llta s.sawyercounryg ov.org IAcce sslm aster.asp
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