HomeMy WebLinkAbout012-740-04-4317-LUP-2024-061 SUBMIT COMPLETED APPIICATION AND
Feero: APPLICATION FOR LAND USE PERMIT
Sawyer County _ �. WISCONSIN C�
2oning&Conservation Depart. ,�D�t�}}�;( �1 '1� /
,---,,�,v'-—i p�'ec JPyb) r �_ li� ; � I I�; i,1"1 ..�...... �
10630 Main St Suite 49 `r � � � �.�.ac�.a�.��_
Hayward,WI 54843 �+ � `�, k .~���A �
� MAR 1 2 2�24 �" �=�k# yo`� G
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INSTRUC7iONS: No permits wil�be issued until all fees are paid. �:�,�{�f��� C{1; .-,.� � � �--
Checks are made payable to:Sawyer[ounty Zoning Department. � �, �'v�(���I'+G�jV
DO NOT START CONSTRUCriON UNTII ALL PERMITS HAVE BEEN ISSUED TO AvcLICANT Original Application MUST be 5ubmitted FILL OUT IN INK (NO PENCIL)
Submittat of this application or receipt of fees does not constitute permit issuance.
Owner(s)Name: I ContractoHs�Name
u. Irr��G �Y`�y ��� ��"��`"���
Q
Mailin Address: Mailing Address:
� t� �e Se i°c�. �a ���`'JL� � 8� G,� ��+�s�= ��/ � ���
Phone: Phone:
6�o - 639- ��'�� �/�-- .s3��3�3�
Email: Email: 4 �
sice adere::: 1��3`� � �'�-��� Or Date applied for:
Legacy PIN# ��� ���17 �`� ��1 / Town of: ` \•�-���y
PermitdellveryMethod p Call Owner u Mail Owner �Call Contrector r Mail CoMrector
Is Property/Land within 300 feet of River,Stream (���i. Distance Structure is from Shoreline: Is your Property
Intzrmittent) � feet in Floodplain Are Wetlands
Creek or Landward side of Floodplain? If yes--continue Present?
1 5horeland -- zooe?
Yes Yes
Is Property/Land within 1000 feet of Lake,Pond or Plowage Distance Strudure is from Shoreliae: N�
If yes--continue --► feet No
Non-Shoreland
Desc�ibe Project Total#of
Value at Time of project type Foundation What Type&Capacity is the
Completion Number bedrooms
, ,`',, �• , ,� (House,garage,shed,deck, of Stories (gasement, post Sewer/Sanitary System(s)
Addicion,etc...) Crawispace,
t�me&material List separately Siab) �onstruction
S
Dwelling
5 ��K � �� � '�"
Aaessory Bldg
r t'�'
S
Addition/Alteration
Height:
TotalSquare Lowest
Proposed Use ✓ Proposed Structure Dimensions Footage Grade to
(multtply per Highest
story) Peak
Residence ( X �
Ft.
X
with 2nd story or loft Ft.
with Basement ( X ) Ft.
f�Residential Use Attached Garage ( X �
Ft.
Acces St�UCtU�C(explain) l�j x 1
❑ Agrieultural ✓ �a=nede,��`. sheds,boathous�s,atc) �� -TQ �d ��f'jQ Ft•aQ' �j
Use Temporary Guest Quarters or Bunkhouse�c�.cie type) � x �
Ft.
C Commercial/ Deck/Porch/Patio ( X �
Industrial Use
ft.
( X )
(2"d)Deck/Porch/Patio
ft.
❑ Municipal Use ( x �
OthEr(explain)
Ft.
= Other � x �
Prineipal Strueture(ngricuiturai,Commerclal,Munidpal,Etc.)
Ft.
Addition/Alteretion(expia�n) ( x �
Ft.
Total habitable square feet:
Total Non-habitable square feet: � �o�-'�
(decks,patios,garoges,sheds,storage area&other structures)
Original Application MUST be submitted
Attach a Plan or Sketch your Property on 8.5"x il"or 8.5"x 14"paper:�Must•Inciude location and setback of proposed a�d existing structures,roads,
driveway,sanitary components,well,lake,river,stream,and wetlands.
� Description Setback Description Setback
Measuremenu Meawrements
�
Setback from the Centerline of Platted Road and/or Feet Setback from the Lake(ordinary high-water mark� Feet
Setback from the Established Right-of-Way Feet Setback from the River,Stream,Creek Feet
Setback from the Bluff if applicable Feet
Setback from the North Lot Line Q Feet
Setback from the South Lot Li�e � Feet Setback from Wetland Feet
Setback from the West I.ot Line '� Feet Slope within area of construction/disturbance %Slope
, Setback from the East Lot Line Feet Elevation of Floodplain Feet
� Setback to Septic Tank or Holding Tank ���- Feet Setback to Well Feet I
Setback to Drain Field v Feet
Setback to Privy(Portable,Composting) Feet
Prlo�to[Pe p'a�e�e r cr�onstruct�on of a structure withln Five(5)feet o�th e m nimur�mqinred setbark,thr ooundary f:ne�•om wt��ch the>etback must be meawred must br vi ' ie fi�,rr�nne
prcr�iuu,iy wrv�eyec corr,e�(c t�ie o[he�prev�ously surveyed comer or marked by a I,censed surv2yor at the owner'S expense.
Pnor to the placement or construction of a structure more than five(5)feet but less than ten�10)feet from Ihe minimum requfred setback,the boundary line from which the setback mus:be
m�asureA mutt be visible trom one previously surveyed corner to the uther prevlously surveyed comer,or verifiable hy the Department by use of a corrected compass from a known corner
within S00 feet of Yhe propos�.d site of the slruct�re,oi must be marked by a licensed surveyor at the owner's expense.
� � r � •�' • • �- �
Calculate impervious surfaces.(Roofed,concrete,paved,and other surfaces that water cannot penetrete.The Zoning Office can heip you determine if a
wrface is tonsldered impervious)
' Calculate lot area:
Indicate lot size from CSM or NOVUS(circle one): Acres;Multiply by 43,560=Lot area: Square Footage
Caiculate 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 ail existing paved/bricked/blocked surfaces: sq ft.
Adci these measuremenu to determine total impervious surfaces: sq ft.
Catculate impervious lot percentage
Total impervious surface: =Lot area: Sq ft.X 100=impervious surface 9'0
(Mitigation 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 siope greater than 20�'o Grading of more than 1,000 Sq.Ft.on 12�'0-20%slopes
Grading of more than 2,000 Sq.Fi.on Slopes less than 12% Grading is in excess of 10 000 Sq.Ft
FAi WRE TO OHTAIN A PERM!�or STAF1iNG CONSTRUCTION 6ViTHGUT�A NEIiM1T WILL RCSULT IN PENF�LTII-S
I(we)declare that this application(induding any accompanying information)has been examined by me(us)and to the best of my(our)knowtedge and belief it is true,correct and
complete. I(we)acknowledge that I(we)am(are)responsible for the detail and accurecy of all information I(we)am(are)providing and that it will be relied upo�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)providing in or
with this application.I(we)consent to county officials charged with administering county ordinances to have access to the above described property at any reasonable time for the
purpose of inspedion.Additionally,the undersigned person(s)hereby give permission for access to the property for onsite inspection by Municipal Officials.
Owner ��� ��� Owner /��Q� � /� _ , � �, ? � )
Signature��/ Printed name�7 �f�—��J�-��-, Date � �"���7
�>it'.n��.. -,i n'nme�r�ame�eou���c�l
NOTICE. All��,r,d U Fi-r�nit;i.:<p�.;r�One(11 Yea�fru'^tt�r Ua[e r,t ktu:�nc��
F�;-the Cons�n¢Uon Jf New One&7wo family Cw�lling: AI L MunicipabUes Are Required To Enlorce Tnc Urufbrm Dw�ll'ng Code.
ThF local`�v,;r,Sla;e�o�Federal a�;enC:es may alsu reouiro pPrmiis.
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 conceming construction near or on wetlands,lakes,and streams.Failure to comply may result in removal or modification of construdion
that violates the law or other penalties or costs. For more information,visit the department of natural resources wetlands identification web page or contact a department of
naturalresourcesservice center(608)267-3125
Issuance Information(County Use Only) Sanitary Number: tf of bedrooms:
Permit Denied(Date►: Reason for Oenial:
Permit 7t: Issuing agent:9 Date:
��� ' �� � / - � -�i��``� , � /�� �
Is Parcel a Sub-StandOrd Lot i i Yes (Deed of Record) \No Mitigation Required I�Yes �No
Is Parcel in Common Ownership Yes �Fuzed/Contiguous Lot�s))
/� NO Mitigation Attached 'Yes No
Is Structure Non-Conforming : Yes `���
Granted by Variance(B.O.A.► Grante by Conditional Use
;Yes No Case tt: 'Yes :'No Case tt:
Was Parcel Legally Created �Yes :'No Were Property Lines Represented by Owner �Yes No
Was Proposed Building Site Delineated '�Yes i_'No Was Property Surveyed n�Yes No
T
Office Comments: 2one Distritt: Fee:
� !-- j � 2-S c�
Hold For Sanitary: Hold For TBA: Hold For Affidavit: Hold For Fees:
�Feb2021
3/12/24,1202 PM Nows-Wisconsin Access rev.13.7108
Real Estate Sawyer County Property Listing Property5[atus:Curtent
7oday's Date:3/12/2024 Created On:2/6/2007 7:5525 AM
�Description Updated:11/5/2019 �Ownership Updated:11/18/2022
Tax ID: 14822 � AU1N C&PATRICIA M ARNOLD HAYWARD WI
PIN: 57-012-2-40-07-04-4 03-000-000170
Legacy PIN: 012740044317 Billing Address: Mailing Address:
Map ID: ,15.17 ALAN C&PATRICIA M ALAN C&PATRICIA M
Municipality: (012)TOWN OF HUNTER ARNOLD ARNOLD
STR: 504 T40N R07W 11134W KELSEY RD 11134W KELSEV RD
Description: PRT SWSE LOT 9 CSM 2/206#345 HAVWARD WI 54843 HAYWARD WI 54843
Recorded Acres: 1.555
Lottery Claims: 1 �Site Address `indicates Private Road
.. . . ..._._. .. . .
First Dollar: Yes 11134W KELSEV RD HAYVJAR0�54843
Zoning: (RRl)Residential/Recreational One
ESN: 443 �Proper[y Assessment Updated:4/26/2023
2024 Assessment Detail
�Tax Districts Updated:2/6/2�07 Code Acres Land Imp.
1 Sta[e of Wisconsin GS-RESIDENTIAL 1.555 11,400 236,400
57 Sawyer County
012 Town of Hunter 2-year Comparison 2023 2024 Change
SR478 Hayward Community 5[hool Distri[t Land: 11,400 11,400 OD%
001700 Techni�alCollege Improved: 236,400 236,400 0.0%
TotaL• 247,800 Z47,800 0.0%
• Recorded Do[umentr Upda[ed:4/23/2014
O WARRANTY DEED
Date Remrded:11/ll/2022 442372 �Property History
�QUIT CLAIM DEED N/A
Date Recorded:4/5/2022 438465
O SHERIFFS DEED
Date Recorded:ll/4/2019 420917
0 WARRANTY DEED
Date Recorded:2/19/2016 399926
�SPECIAL WARRANTY DEED
Date Remrded:10/9/2015 398068
O SHERIFFS DEED
Date Recorded:9/4/2014 392085
O WARRANTY DEED
Date Remrded:6/30/2004 322859
O CERTIFIED SURVEY MAP
Date Recorded:l2/12/1972 142641
https:l/tas.sawyercountygov.orglAccesslmaster.asp ���
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