HomeMy WebLinkAbout024-741-19-5201-LUP-2024-018 SUBMIT COMPIETED APPIICATION AND
FaEro: APPIICATION FOR LAND USE PERMIT
Sawyer County ,;;'���OJ�51N C�
Zoning&Conservation Depart, D - � +=-���
10610 Maln St Suke 49 — ' �"��� , �� �t.� S,
��� y..� �. _�...���L.�.F.�.___�, �
Nayward,WI 54843 y �
(715)634•8288 JAhI 2 5 2024 �,k# 3 �-�-�'
INSTRULTIONS: No permi�c will be issued until all fees are paid. SAVv 1�R C'��NN '��4' �u�6 ` �
-•��'e:'�.... . �
Checks are made paya6le to:Sawyer[ounty Zoning Department,Z
DO NOT START CONSTRUCTION UNTIL ALL pER,l�rjijS HAVE BEEN ISSUED 70 APPLICANT. Original Applk,+rinn MU51 be submktcd FILL OUT IN INK (NO PENCiI)
Submittal of this appllcation or reeelpt of fees does not constltute permft issuance.
Owner(s�Name: _ .,. , , Contractor(s)Name
SfGr.:J'�c.�J�",� �_��c�«�lG �%/z.��j'�'� G4 ft� �f c.k �:;,��cr.� d Jo'l3 � ,�
� i� � � � �
Mailing Address: Mailing Address: � /p7�,,y^� /�.��� Q I�
/O `+y Eltl n
��/`/ �u�'��s ��", ��.,u....>.r' � S �� � �- LJ.� -� z "
Phone: -��S-„ �� phone: 7
. ��y `�zyf �S-`�Sv-- `�'I
Email: �._ .., �,�'1 e,. �..� J R � � �c,`�'r�:e�., ` .!, : r�. Email: A �i�G r � �,J e�"f-r,.� �j„� (d ' .-..
r, ...,. �c�I�..'.^..
Site addresr. �u�`!L N /�t C�c.n a �� �yU���w� OrDate ap lied for.
Legacy:PlN q ���"/ � 4 � Z� 1 Town of: r �c,�,K-2,
PermltdellveryMethod �Call Owner u Mail Owner o Call Contractor ❑Mait Contrector
''Is Property/Land within 300 feet of River,Stream (�nci. Dista�ce Structure is from Shoreline: �s our Pro e
Intermitlent) —� Y P � are�+vet�ands
feet ;n Tioodplaln
Creek or Landward side of Floodplafn? If yes---continue vresent?
�Shoreland a.,� - zo�e1 ves
x�s Property/Land within 1000 feet of Lake,Pond or Plowage Distance Structure is from Shoreline: Ves ��`�,
� � If yes---continue —► ��� feet � ��'
�':l Non-Shoreland
Describe Project
value at rime of Total#of
Projecttype Poundation What Type&Capacity is the
Completlon (House, ara e shed,deck, Number bedrooms Sewer/Sanitary System(s)
`Indude donated g g ' of Stories (B�sement, post
Addltion,etc...J Crawis ace,
time&material p construction
List separately Slab)
$ SI,G� � ,s l� � C�
Dwelling
$ �,06II
- ,—
nccessary Bldg
S
AddiUon/Alteratlon � �
Hefght:
Total Square 4owest
PropGsed Use ✓ Proposed Sxructure Dimet+s�0�5 Footage Grade to '
(multlply pRr � Highest
story) Peak
R�sidente �� _._ ( x � Ft,
_ _ __
with 2"d story or�oft � X �
Ft.
with Basement � ( X )
� Ft.
Attached Garage f X �
,� Ftesidential Use Ft.
/ Atcessory Strutture(explain) � ( �t� x .� � Z U�(,� a
❑ Agrieultural v (detachedgareges,sheds,boathouses,etc.) S�� —__ i Ft.
Use , . Temporary Guest Quarters or�unkhouse(cirde ty�,c) { X )
Ft.
— -,-- _
❑ Commerclal/ Deck/Porch/Patio � X �
Ft.
Industrlal Use -- - -
( x 1
�Znd)peck/Porch/Patlo Ft,
L7 PVlunielpal Use _ _— ----- .
Oth&►(explain) ` x '
�t.
� Q4her ��._ ,__-,
Principal Structure(ngrlcuhurai,Commerclal,Munidpal,Etc.)
� x �
Ft.
_ _ — - X----� -_ .
l�ddition/Altere4ion�eXPia��) ( Ft.
T'otal Non-habitable square f�et;
Total habitable square fee4: o (clecks,patios,garages,sheds,stqrage area&other structures) Zv� �'
♦
�?rigi;;�;';:'<.;=;�iication id1US7 be submittcd
AttaCh a Ptan or Sketch your Property on 8.5"x 11"or 8.5"x 14"paper:*Nlust•include.location and set6ack of proposed`and exlsting structures,roads,
driveway,sanftarytomponents,well,lake,river,stream,and wetlands,
L�escription Setback Set6ack �
Measuremenis Description
- Measurements
Setback from the Centerline of Platted Road and/or � Feet Setback from the Lake(ordinary high-water mark) Feet
Setback from the Established Right-af-Way Foet Setback from the River,5tream,Creek /1�� '
— - . Feet
Setback from the 81uff if applicable ke8t
Setback from Yhe Nonh LoY Line ��8t -
Setback from the South Lot Line Feet Setback from weciand
Setback fran�th�West Lot Line Feet
— �e�t Slape wi4hin areg ofconstruction/dlsturbance o
Setb7ck from the East Lot Lin� "'""'" �S��p�_
- �S" ���t �levatlon of Flondpiain �;e��
'-- - - -�
Setback to 5optic Tnnk or Woldin�1`ank
_
__ �eat Setback eo W�fl _ F��t
Setbgek tr�6ratn Field F�gt - - . _ -- __..
-
Setback td Pr1vy(Partable,CompdsCing) F��i
P;lor ro the placement er con�truc��on nf a nru!ture withln flve(,)feet of the miNmerm required setback,the boundary line from which the setbatk must be measured murt be vislble from one
�.�revl� �.Jy suivey�d corne�r to the�,rh�r pre�iuusly su�yeyed coroer or rnarked uy a licensed survr.ryor vt the owner's expense.
?!ior to the placement or cunsUuction of a structure more than five(5)feet but less than ten(10)feet from the minimum reqWred set6ack,the bovndary iine from whlch t�e setback must be
measured must pe visible from one prevlously surveyed comer to the other prevluusly surveyed cotner,or verlFlable by the Oepartment by use of a corrected compass(rom a known cornei
wlthln Soo feet pf the proposed slte of the strucWre,or must be marked by a licensed surveypr et[he owner's expense.
� � . .. � . , � �
.• .
Calculate impervlous s�urfaces.(Raofnd,concrete,paved,and other surfaces that water cannot penetrate.The Zonin OtflCe can hel
surface Is considered impervious) � p you detetmll5e If a
Calculate lot area:
Indicate IoY slze from CSM or NOVUS circle one): �� �� Acres;Multlply by 43,560=Lot area; � (�3,�
SquareFootage
Calculat�impervlous surtace area;
Determine the CoCal size,in square feef,of your projects listed above(Include eaves);_ 2 �^/
�sq ft.
Determine the Yotal size,in square f�ef,af�II existing roof�d seruceures(Include eaves):_ 3, �1� sq ft,
OeYermine the total Sixe,in square fe�t,of all existing paved/bricketl/black�d surfaces; v
sq ft.
Add these measurements Co determine total Impervious surfaces:_ (O D,��____sq ft,
J—
Calculat�itnpervious lot percentage
Total impervious surfacf�: d Z S� Y Lot area:
��Sq ft.X 100=impervious surface � Z /
(Mltigatlon is required if total exceeds 15%)
"'Natice a s�parate grading permit needs to bp oblained ii distiirbed arer�s within th�Shoreiand disuict as indicated on previous page and meets criteria below"'
Grading on a slope greater than 20% . Grading of more than 1,000 Sq.Ft.on 12%-z0/siopes �
• Grading of more than 2,000 Sq,Ft.on Slopes less than 12°/ Grading is in excess of 10,000 Sg.Ft,
- �
FAIIUkE TO 0'd��qlN a PI.Fn��;;��� -��.r(riNG CON;TRUCi1pN WI�THOUT l�PERMIT WILI RESULI�N PEfJ7��1tE5
I(we)declare that this application(including any accornpanying Informatlon)has been examined by me(us)and to the best of my(our)knowledge and bellef it is true,correct and
complete. I(we)acknow�edge that I(we)am(are)responsible for the detail and accuracy of all informatlon I(we)am(are)provlding and that it will be relied upon by Sawyer
County in determining whether to Issue a permit. I{we)further accept liability which may be a result of Sawyer County relying on this information I(we)am(are)provlding in or
with this application.I(we)ronsent to county officials charged with administering county ordinances to have access to the above described property at any reasonable time for the
purpose of inspection.Additlonally,the undersigned person(s)hereby give permission for aaess to the property for onsite Inspection by Munlcipal ONiclals.
Owner Owner 1
Signature r* Printed name =c .�7- / )Z •�L
-- `' 4"`•S�L c,, ,C- Date G
✓ (Signature and Printed Name required)
NOTICE: All Land Use Permits Explre One(1)Yea r f ro m t h e Da te o f Issuance.
For the Construction Of New One&Two Family Dwelling: ALL Municipalities Are Requlred To Enforce The UNform Dwelling Code.
The local Town,Stale or 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 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 constructi0n
that violates the law or other penalties or costs. For rnore informatlon,vislt the department of natural resources wetlands identlfication web page or contact a department of
naturalresourcesservice center(608�267-31�5
issuance information(County Use Only) � san�tary Number; a of bedrooms: ----�
Permit Denied(bate�: Reason for Denial:
Permit N: -
Issuing agent;
�� �� � Date:
Is Parcel a Sub-Standard Lot (.1 Yes (Deed of Record) ,, ---- a 6
I5 Parcel in CommomOwnership ❑Yes �Fused/Contiguous Lot�s)) ; N �� ation Required !:I Yes C�No
Is Structure Non-Conforming Ci Yes itigation Attached U Yes L:;No
0
Granted by Varlance(B4O.A.) '""'
�J Yes G No Granted by Conditional Use
Case q: ')Yes C�No
Case q:
Was Parcel Legaily Created I'Yes (!No Were Property Lines Represented by Owner f.;Yes
Was Proposed Building Site Delineated f Yes I�No i.;No
Was Property Surveyed I I Yes :'No
Office Comments:
Zone District: Fee:
_ �R- ��
Hold Fo;Sanitary: ❑ _ Hold For TBA: �� � �
Hold I�orAffidav(t: �. Hold ForFees:(� ;]
�Feb2021
Habitabie Liv�r�� _�r��� -
shall not be created
in accessory structures -
Redl EStdt2 Sawyer County Property Listing Property5tatus: Current
Today's Date:1/26/2024 Created On:2/6/2007 7:55:43 AM
�Description Updated:5/15/2007 �Ownership Updated:6/I1/2021
. .. .....__.___.___.... .
Tax ID: 25518 STANISLAWSKI REV 7RU5T MENOMONIE WI
PIN: 57-024-2-41-07-19-5 OS-002-000010
Legacy PIN: 024741195201 Billing Address: Mailing Address:
Map ID: :2.1 STANISLAWSKI REV TRUST STANISLAWSKI REV TRUST
Municipality: (024)TOWN OF ROUNO LAKE 1519 MATHEWS ST 1514 MATHEWS ST
STR: 519 T41N R07W MENOMONIE WI 59751 MENOMONIE WI 54751
Description: PRT GOVT LOT 2
Recorded Acres: 0.520 w Site Address *indicates Private Road
Calculated Acres: 1.083 10896N MC CLAINE RD HAYWARD 54643
Lottery Claims: 0
First Dollar: Yes U property Assessment Updated:7/16/2019
Waterbody: Placid Lake 2023 Assessment Detail
Zoning: (RRl)Residential/Recreational One Code Acres Land Imp.
ESN: 404 GI-RESIDENTIAL 0.520 100,700 203,900
��Tax Districts Updated:2/6/2007 2-Year Comparison 2022 2023 Change
1 State of Wisconsin Land: 100,700 100,700 0.0%
57 Sawyer County Improved: 203,900 203,900 0.0%
024 Town of Round Lake Total: 304,600 304,60D 0.0%
572478 Hayward Community School District
001700 Technical College
�Property History
.. . . ... _ . . . .. . .... ....
• Recorded Documents Updated:6/11/2021 N�p
QUIT CLAIM DEED � �
Date Recorded:6/9/2021 432450
COVENANTS
Date Recorded:7/12/20ll 40759Z
WARRANTY DEED
Date Recorded:10/9/2009 363085
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PAULA CHISSER
RE�CTIVE COVENANTS REGISTER OF DEEDS SAP�YER COUNTY, 4JI
IN�: 1 07/12/2017 11:5dAM
S�� �� �`G, � REC FEE: 3Q.Q�
PAGES 2
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Sawyer County Zoning a '
10610 Main Street,Suite 49
Fiayward,Wi 54843
STATE OF WISCONSIN )
COUNTY OF SAWYER ) § D z �7`�(�����(
� Jason Stanislawski ParcelNo. � ��7�`����z�'3
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J�•S..•-, �T�.=+ •s f�-w.i'�•� , being first duly sworn on oath depose and state
that they are the owners of the property described hereinabove, and further state that the following restrictive
covenants shall run with said property described herein:
l. The above described parcels may not be sold separately without permission from the Sawyer
County Zoning Office.
Dated this Z 7 � day of ����c.- ,20�.
1 � -
� j on Stanislawski
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ACKNOWLEGEMENT
STATE OF WISCONSIN )
) §
SAWYER COUNTY
Personally came before me#his�day of �_ �}'?� ,20�,the above named individuals,
�e�;�O}�l �`�����S ����(1�s�� to me known to be the persons who executed the
foregoing instrument and acknowl ed the same.
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(Pruit;Notary Name)
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