HomeMy WebLinkAbout012-740-04-5205-LUP-2024-029 SUBMIT COMPLEfED APPLICATION AND
FEero: APPLICATION FOR IAND USE PERMIT l, ,
Sawyer County ��.C��1 Q�,T-Y..1�I��,S.CQN 5�1 N �J
Zoning&Conservation Depart. � ' + ° ` � �.
,�r� � `Ba[CSf{mp,IReteived) �
10610 Maln St Suite 49 - f -,�_. c_T_� ; ���
; a i� a� �
Hayward,W!54843 �--��vz:..,- •� -
(715)634-8286 � j
FE� 0 7 20�4 �-J � � � 0 3 C�
� �k#.___. �.__ �
INSTRUCTIONS: No permils will be issued untii all fees are paid. SAY1 T�R GU:i�1�� �- , - ._...� I 1 -- �
Checks are made payahle to:Sawyer County Zoning Uepartment. �ON
DO NOT START CONSTRUCTION UNTIL ALL PER,�y11L5,HAVE BEflN ISSUED TO APPLICAN7. Original Applir��tinn MUST be submRted FIIL OUT IN INK (NO PENCIL)
Su6mittal of this application or recelpt of fees does not constltute permit issuance. �
Owner(s)Name: Contredorfs)Name
; a,��oiz s�l�
Mailing Address: Mailing Address:
9'Sq� �V. R� L.�,� /1.�! ,�,.�_. S'
Phone: / Q�_ �c� L�� Phone:
V
Email: yQL(/K/A,s �pp� � �a'/ eo� Email:
Site address: 9�9(� /V• /T�� N/`� /"� O/re� Or�ate ap lied for:
Legacy.PIN# ���T 7 0O /Sf-�J Town of: �(Jn�C/�
Permit delivery Method o Call Owner �J Mail Owner o Call Contractor c Mail Contractor
'Is Properry/Land within 300 feet of River,Stream (rnd. Distance Structure is from Shoreline: is your�roperty
IntermittenQ —� A�p�+.e;lani5
, � feet in fioodplaM
Creek or landward side of Floodplain. If yes---contlnue Zone? `m`�1�
'. Shoreland ves
X Is Property/Land within 1000 feet of Lake,Pond or Flowage Distance Structure is from Shoreline: Y25
if yes---tontinue —► Z 9 feet Na' No
s:'1 Non-Shoreland
Describe vroject
Value at Time of Total►t of
Projecttype Foundation What Type&Capactty is the
completion Number bedrooms
'fnclude donated (House,garage,shed,deck, (Basement Sewer/Sanitary System(s)
a,ddltion,etc...) of Stories �rawis ace, ��st
time&material ��st separately Slab) ��onstruction
$ Ca %/1 �a6�.�r�w� CoMiM�/�c.'i �C G✓i�L'
Owellin g ��O�e l � C/�QKI�,f 6L! J ,3 et�lKj Q� /��t//� i p��
S
Accessory 81dg
$Addlti i/Alteration -
Height:
TotalSquare Lowest
Proposed Use ✓ Proposed Structure Dimensio�s Footage Grade to
(mukfply per Highest
story) Peak
Residence .��-�_._�.. _. t � �y X „ � —
Gt.
x with 2"d story or loft ( � X ' � - Ft. -
with Basement ( ' X �
Ft.
Attached Garage i X , Ft.
� Residential Use
ACte55ory StruCturO(explain) ( X �
QAgrieultural (detachedgareges,sheds,6aathouses,etc.) Ft.
Use t X 1
Temporary Guest Quarters or Bunkhouse(cir�ie cy�r.> Ft.
( X )
Cl Commercial/ Deck/Porch/Patio Ft.
Industrial Use - _ � ( . x �
(2"d)Deck/Porch/Patio Ft.
(7 MuniElpal Use _ _ ___ _ __. _
� x 1
Qth2f(explain� Ft.
0 Other -._ -- - � x ---— � -
Principal Structure(ngricuiwrai,commerci,i,Munidpal,Etc.) � Ft.
,�,9 „ ��y � x —) ,-,�,
� Addition/Alteretion(expiain) � A L /1 � ��i o7 a ��� Ft. a�-
T7)
7otal Non-habitable square teet:
Total habitable square feet: $�G� (decks,patios,garages,sheds,storage area&other struc�ures)
t�rig:ss�,j:a�;�litatian iVfUS7 be submiited
Attach a Plan or Sketch your Property on 8.5"x 11"or 8.5"x 14"paper:"Must•Includeiocation and setback of proposed and existing structures,roads,
driveway,s,en(tary components,well,lake,rlver,stream,and wetlands.
Description Setback Sethack
Measuremen45 Description
Measurements
Setback from the Center8ne of Platted Road and/or ,}' J feet Setback from the lake(ordinary high-wacer mark� Feet
Setback irom the Established Right-of-Way Feet SetbdCk from the River,5tream,Creek Feet
Setback from the eluff i(applicable ���t
Setback frorn Che North Lot Line F�et
Setback frbm the South Lot Line li Fest Setback from Wetlarnd 0 a�eq
Setback fron�th�West Lot Line (, � Feet Slope within area of construction/disturb�nce (� /S�op�
Setback from the East Lot Line / F��t Elevation of Floodplein �eet
_.
_._. _
Setback Co Sd�tic Tank or Hoidfng Tank (� Fsat Setb�ck Co Well Feet
Setbackto Drain Field �eet �—
Setback td Privy(Portable,Compvsting) Fet�t
Prior to the placement or wnstruction of a structure withln five(5)feet of ihe rnini�num required setback,the boundary line from which the setback must 6e meawred must be visible from one
previously surveyed corner to the other previously surveyed comer or marked by a licensed surveyo�at the owner's expense.
Prior to the placement or construction of a struRure more than five(5�feet Gut Irs:,than ten(10)feet from the mMimum required sethack,the boundary line irom which the setback must be
, measured must he visible from one prevlously surveyed corner to the other prevluusly surveyed corner,or verifiabfe by the Department by use of a corrected compass from a known corner
within 500 feet of the proposed site of the structure,or must be marked by a licensed surveyor at the owner's expense.
. � � . . • �- •
• •- •
Caiculete impervlous surfaces.(Roofed,concrete,paved,and other surFaces that water cannot penetrate.The Zoning Office can help you determine if a
surface is considered impervious)
Calculate lot area: f�
Indicate lot size from CSM NOVUS Ircle one): �� Acres;Muitlply by 43,560=Lot area: Zft; �G v 5quare Fdotage
Calcutat�impervious surface area;
Determine the tntal size,fn squar�fe�t,o#your projects listed above(Ir�clude eaves); �� 7 � sq ft,
Determine the Yotal size,in square feet,of ail existing roofed strucCures(�ndude eaves): ys Z 8 sq ft.
Determin�the Yotal size,in square feet,of�U�xisting paved/bricked/blocked surfaces; 7 y� sq ft.
�
Add these measur�ments Co determine total impervious surfaces; � y�G sq ft,
Calculate impervlous Int percentage
Total fmpervious surface: L y/L �Lot area: Z��4 dSq ft.X 100=impervious surface Z.g /,
(Mdtigation is required if total exceeds 15%�
"'Notice a separate grading 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 slope greater than 20% Grading of more than 1,000 5q,Ft.on 12/-20%slopes
Grading of more than 2,000 S .Ft.on Slopes less than 12% Grading is in excess of r0,000 Sg.Ft.
FAIWHE TO Olsl AIN a PLHn-n;;;�:��,<fil1NG CONSTRUCTION WITHOUT A PERMIT WIL�RESULT IN PENnl1lE5
I(we)dedare that this application(including any accompanying information)has been examined by me(us)and to the best of my(ourJ 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 information I(we)am(are)providing 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 informatiun 1(we)am(are)provlding in or
with this application.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 inspection.Additionall he undersigned person(s)hereby give permission for access to the property for onsi[e inspection by Municipal Officlals.
Owner 2 . Owner Q �/ �/
Signature Printed name /`�G /�Q�M o�Z Date ��v �Z /
{Signature and Printed Name reyuired)
NOTICE: All Land Use Permits Explre One(1)Year from the Date of Issuance.
For the Constructlon Of New One&Two Family 6welling: l�LL Municipalities Are Required To Enforce The Uniform Owelling Code.
The local Town,State �r Federal agencies may also require permits.
You are responslble for corriplying with the requirements of the Sawyer Counting Zoning Ordinances and law and regulations of the State of Wlsconsin.You are also responsible for
complying wlth 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 penalties or costs. For more information,visit the department of natural resources wetlands identlfication web page or contact a department of
naturalresourcesservice center(608�267-3125
ISSUdt1C@(11fO�R1ati0�(COU11ty U58 Only� Sanitary Number; tt of bedrooms:
Permit Denied(bate►: Reason for Denial:
Permit�!: issuing agent:
��/ /�� Date�
1 �V � �� _
_� �---�_ a 3 a�f
Is Parcel a Sub-Standar�i Lot I.i Yes �Deed of Record) +�,, No
Is Parcel in Common Ownership 1 Yes (Fused/Contiguous lot(s)) Ti,Na Mitigation Required Ci Yes I: o
Is Structure Non-Confonning `!y,Yes ;No Mitigation Attached !_I Yes �o
Granted by Variance(B4O.A.) �W Granted by Conditional Use
_7 Yes .'No Case q:
`?Yes �No Case p:
Was Parcel Legally Created �+Yes C No Were Property Lines Represented by Owner �Yes
Was Proposed Building Site Delineated : Yes I:No No
Was Property Surveyed �Yes Na
office Comments:
C'l!'Y\ —Gv��,��`\ �X7�"���"� Q"X���'� Zone District: Fee:
��'-�''.-. 12 l2- ( � t�v
Hold FerSanitary: [i Hold ForTBA: ❑ Huld i'orAffidavit: [: I
Hold For Fees:I._ �
�Feb2021
2/7124,2:17 PM Novus-Wisconsin Access rev.13.1108
Real Estate Sawyer County Property Listing Property Status:Curcent
Today's Date:2/7/2024 Created On:7/25/2012 7:48:12 AM
�Description Updated:7/25/2012 �Ownership Updated:9/lfi/2019
Tax ID: q1346 RICHARD A&PAMELA A KAMHOLZ HAYWARD WI
VIN: 57-012-2-q0-07-04-5 OS-002-000050 CRAIG L&ANGELA I STROUSE EDGERTON WI
Legacy PIN: 012740045205
Map ID: 2.5 Billing Address: Mailing Address:
Municipality: (012)TOWN OF HUNTER RICHARD A&PAMELA A RICHARD A&PAMELA A
STR: 504 T40N R07W KAMHOLZ KAMHOLZ
Des[rip[ion: PRT GOVT LOTS 2&3 LOT 1 CSM 32/125 9596N REED LAKE RD 9598N REED LAKE RD
��gq� HAYN/ARD WI 54843 HAVWARD WI 54843
Re�orded Acres: 5.300
Lottery Qaims: 1 �Site Address *indicates Private Road
First Dollar Yes 9598N REED LAKE RD HAYVJARD 54843
Waterbody: Reed Lake 9594N REED LAKE RD HAYVJARD 54843
Zoning: (RRl)Residential/Re[rea[ional One
ESN: 443
U PropertyAssessment Upda[ed:7/12/2021
�Tax Distric[s Updated:7/25/2012 �023 Assessment Detall
Code Acres Land Imp.
1 5[ate of Wismnsin Gl-RESIDENTIAL 530D 147,300 ll5,400
57 Sawyer Counry
012 Town of Hunter Z_year Comparisan 2022 2023 Change
SR478 Hayward Communiry S�hool District Land: 147,300 147,300 0.0%
001700 Technical College Improved: 175,400 ll5,400 0.0°/
Total: 322,700 322,700 0.0%
• Recorded Documents Updated:7/25/2012
0 WARRANTY DEED
Da[e Remrded:9/4/2019 419706 �p�operry History
O TRANSFER ON DEATH DEED Parent Properties Tax ID
Date Recorded:6/25/2014 390984 57-012-2-40-07-04-5 OS-002-000030 14896
O CERTIFIED SURVEV MAP
Date Recorded:7/23/2012 379614
O QU2T CLAIM DEED
Date Remrded:12/2/1994 245519 545/73
HISTORY O Expand All History White=Current Par[els Pmk=Rehred Parcels
�7ax ID:14846 Pin:57-012-2-40-07-04-5 OS-002-000030 Leg.Pin:012740045203 Map ID:2.3
41346 7his Parcel Parentr Children
https:lltas.sawyercountygov.orglAccesslmaster.asp ���
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:)oc�;�;807�319
-USE BLACK INK ONLY- ?X.40500$2
POWTS MAINTENANCE AGREEMENT ��$5��
�Al��� CNIS�SER
For Statement of POWTS Capabilities #���IST'ER OF DEED�
��#WYE� �OUIYTY, t�,'I
Owner's Name(s)as shown on deed: ���.y � �,. ��1�� <y." ��S ,� {��Jp7 j��24 tI2:53 PM
/� � �, REC�RDIi�i� FEE ��.DO
��;� �"�'_ ��� 1 Itis�►•���
Parcel Identification Number:
/� PAGES: 2
(12 Digit Legacy ID) U � v�- � �t✓ -� �-�� U �
Legal Description of Property:
-SEE ATTACHED SHEET-
We acknowledge that application is being made for the installation of a holding tank(s)on the
property described on the attached sheet.
Return To:Sawyer County Zoning and Conservation Administration
10610 Main St.Suite 49,Hayward,WI 54843
I (we) understand the POWT s rvin the structure on the above parcel located at: (fire number and
road name) �rS�i�(� �� Lt+�:t �c�- was designed for the following capabilities:
Treatment Tank(s) Approx. �u`t� GPD, Soil Absorption Cell(s) Peak ��=�' GPD
Permit Number SAN 9'� - �i�Year installed l �{ �`�
The POWTS serving this structure is presently sized to accommodate a total of \Tw�'-l� ( 1�)
people, in a dwelling containing Si � ( � ) bedrooms. With the addition of bedroom(s), the
estimated daily wastewater flow of the structure will be based upon per capita occupancy rather than
the total number of bedrooms. (75 GPD per Person)
WI Dept. of SPS 383.54 outlines the management requirements for these POWTS and I agree to
comply with those maintenance provisions as they apply to this system.
Should the use of the structure described above increase flows above the capacity of the POWTS,
I agree to upgrade my system to meet the standards required in WI Dept. of SPS 383.
Should my POWTS fail, as defined in Section 145.01 (16) Wisconsin Statutes, I will obtain the
required permit for the installation of a code-compliant POWTS with the installation completed as
ordered.
��NN1M11�11�M�
-Onl one owner si nature re uired-
��t;���•. � NT
Owner's�?gnat . State of: � ��'��� . �'+
` 'y County of: a"�- -�� Y �: i
Owner' ame(Print): � Subscribed an swbrn to-t�2Pore me on his
�ic Lj �try/�'�c �L c�7 day�f �s — '2� , 202.L
Date: � By(Owner's Na .•��-�• ' ����-
L — 7 L � Notary Public Sign � � -�' �
'`''4r uM
Drafted by: Notary Public Name (Prin�. �c._�*<�v,���..�--
G(����v'Z � ''"' My commission expires on: ��'a � �_
Personal information you provide may be used for secondary purposes[Privacy Law,§ 15.04(I)(m)] Rev.03/26/13
Lot One (1) of Certified Survey Map No, 7847 as recorded in Volume 32 of Surveys on Page 125, as Document
No. 379814, located in and being part of Government Lots Two (2) and Three (3) and the West 10 feet of that
part of Government Lot Two (2) lying South of Certified Survey Map No. 7847 as recorded in Volume 32 of
Surveys on Page 125, as Document No. 379814; ail in Section Four (4), Township Forty (40) North, Range
Seven (7) West, in the Town of Hunter, Sawyer County, Wisconsin.