HomeMy WebLinkAbout026-939-21-5112-LUP-2024-065 SUBMIT COMPLETED APPLICATION AND
FEero: APPLICATION FOR LAND USE PERMIT �
r__� � �
Sauryer County , . •
Zoning&Conservation Depart. ;_�, (i � ei� �'� ��l.� �
30610 Main St Suite 49 •
Hayward,W1 54843 ., � b1 4 �g S� �aS�1 �
(715}634-8288 ��B Z 6 2�z4 y�� T �
e� ;���- � � I � ?��a Vl
INS7RUCTIONS; No Dermits will be issued until ali fees are paid. �1�y T�R C+QUNTY
Checks are made payahle to:Sawyer County Zoning Departmen[.
DO NOT STAR7 CONSTRUCTION UNTIL ALL PER��!1175.HAVE BEEN ISSUED TO APPLICANT. Origin3l Appl�� �t��n MU5T 6e Submitted FILL OUT IN INK (NO PENCiI)
Submittal of this appllcatlon or recetpt of fees does not constitute permit issuance.
Owner(s)Name: Contractor(s)Name
s 1�1 ►� 2 L, �o r r i i S � /}�2�� Y u�^r ,4 s T
Mailing Address: �p�J� ��Y� W� Mailing Address: �a�11 L��� Wy
I Lv " �//� �C�J �'l� I-1 6 / W�21�f#rt� 1,r4t,llz s`��7 �
Phone: -„ C^��� 'a 2� � Phone:
7
Email: /1')/`/i o,^r• �; �c' .M JL _ C,�/�'� Email: p L� �/�r,e / ��v f'�g-JL, C�
Site address: S QV�C� �0.µ.� C� Or Date ap Ifed for: (}'2 a�l�Gf
�? J
L¢gacy.PlN# �J�o ��` �� �\1 � Townof: S��-I✓� L�L )�
Perm(t delfvery Method t�Call Owner Mail Owner ❑Call Contractor c Mail Contractor
i� —
'Is Property/Land within 300 feet of River,Stream (�nd. Distance Structure is from Shoreline: Is your Property
Intermittent) —► Q(p 1A�pji�.IRdi
feet in ftood lain
Creek or landward side of Floodplain? If yes---contlnue � � rr�zrn�?
�Shoreland zoRe�
Is Property/Land within 1000 feet of Lake,Pond or Flowage Distance Structure is from Shoreline: Yes �e:)
If yes---continue —► �� feet No� n�c/
�`l Non-Shoreland
Describa Pro)ect Tota)#of
value at�ime of project type Poundation What Type&Capacity is the
Completior+ Number bedrooms
t include donated (House,garage,shed,deck, (B�sement, Sewer/Sanitary System(s)
Addicion,etc...) of Stories Crawis ace, Post
time&materfal p constn�ction
List separately Slab)
$ L
—yso�s o c v �-/p vs r ��-- (��Ys a r�;z�� p �n �
Dd��,�i�g `� �(7��V���.� M � ,;;
$ 3� o0o a�� -�y
��--�5a,�s,dg ��r G�r���2 � s��f3
s
Additlon/Alteratlon
Hefght:
Total square lowest
Proposed Use ✓ Proposed Struckure Dfmsnsions
Footage Grade to
(multtply per Highest
story) Peak
Residence ��..- :_�-- - ; �� i ,��►
� 3 G x s � � s o:> �t.33
with 2"d story or loft � U' X , a � f U�(� Ft. ��J
,/ with Basement ( ��j�� X S(� � j S C t,��,
Ft.
Attached Garage � X � �
� Residential Use Ft. /y
,// Accesso StruCtu�e texplain) ( J� i 1
❑ Agrieultural e[achedgare sheds,boathouses,etc.) OQT �j � ��(j � � � �� ��'� Ft. ���
Use Temporary Guest Quarters or Bunkhouse(circie cyPe) ( X � Ft.
❑ Comm�rclal/ ;� �pec Porch/Patio ( ���X 3 �'� �b� �
._: Ft. �� _
Industrial Use - _ �
,� (2"d)Deck/Porch/Patio ( �J' x 2 b '' }��� �t, � ��
L7 Munfcipal Use -_ -- _- _
� Oth2r(explainl �C�WIZ N ��� G/T � � 1. x J � \ C1 \ ,
/ 1 c7� Ft. /,
❑ Other - - _ _ - - --
Principal Structure(Agricuhurei,Commerclal,Munidpal,Etc.) � X � �
it.
✓ �%"r�y,z+z C'd-ii��, u,e� r ��k, � 1� X �( 3 � `'15(: --
__ _ Ft.
Totai habitable square feet: ',� �� Total Non-habitable square feet; ����
� (decks,patios,garages,sheds,storage area&other strucfures)
��
Origi�yai r��:�lic�tion iViUS'I'be sut�mitted
Attach a Plan or Skeuh your Property on 8.S"x 11"or 8.5"x 14"paper:*Must"Include.location and setback of proposed and existing structures,rqads,
driveway,san(tary components,weli,lake,rlver,stream,and wetlands.
Description Setback i Setback
Measurements Descriptfon
Measurements
Setback from the Centerl(ne of Pietted Road�nd/or �D �� Feet Setback from the Lake(ordinary high-wate�mark� 7 Feet
Setback from the Established Ri ht-of•Wa �
g Y_,_ , _Feet Setback from the River,Stream,Creek Feet
� Setback from the 61uff if applicable F�et
Setback from the North Lot Line '1 "p��t
Setback frbm the South Lot Line 6 a Feet Setback from Wetiland Feet
Setback from the West Lot Line Poet Slope wlthin area of construction/disturbance 2 °/6 Slope
Setb�ck frorn the East Lot Line F��t Elevatian of Floodplaln j g a 3,� '� Feet
Setback to Snptic Tank or Hoiding Tank Q.. Feac Setba�k to Well Foa�
_
Setback to 6rain Field —
7 Fe�t
Setb�ck to Privy(Portable,Compasting) Fe�t
Prior to the piacement or cons:ruction of a structure wiihln flve(S)feet of the mini�num required setback,the 6oundary line from which the setbatk must be rneasured must be visible from one
previously surveyed corner to�he o[her previously surveyed corner or marked by a licensed surveyor at the owner's expense.
Prior to the placement or construction of a structure more than five(5)feet bul les�than ten(10)feet from the minimum required setback,the boundary line irom whlch the setback must be
measured must be visibie from o�e prevlously surveyed corner to the other previously surveyed wrner,or verifiabie hy the Department by use of a corrected wmpass from a known comer
within 500 feet of the proposed site of Ihe struc[ure,or must be marked by a licensed surveyor at the awner's expense,
. � • � . �.• . . � . . � .• .
Calculate impervious surfaces.(Roofed,concrete,paved,and other surfaces that water cannot penetrete.The Zoning Offlce can help you determine if a
surface is consldered Impervlous)
Calculatelot area: �--'�
indicate lot size fror(i CSNUor NOVUS(circlp one): �' �i I Acres;Multiply by 43,SG0=Lot area:�Q�„y �����(�5quare Fpotage
�J
Calculate impervious surface area:
Determine the total size,in square feet,of your projects listed above pnclude eaves), J 3u � sq f*, c�w�ll'n1C� - f�3�''
' 4�
Determine the Yotal size,In square feet,of all exlsting roofed strucCures(include eaves):_ _ - ' `5�, ���ti''�� Q�'�"��"'
Determine the total size,fn s uare feet,of all exlstin S��n �'�L��h� t���
4 g paved/bricked/blocked surfaces; sq ft.
� �:{Yu��.� _ 3�i 1
Add these measurgtnents to determine total impervious surfaces: 3 5`-��� sq ft,
Caiculateimpervlousiot percentage
35��
r� c' � �
Total imperviaus surface:'��j �l +Lot area:���� l jrSy fC.X 100=impervious surface �' l � %
�Mltigatlon 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% Gradin�of more than 1 000 So Ft on 17/ �ni�i„na<
( G�ading of more than 2,000 Sq Ft on Slopes less than 12°/ . C�redin�is in excess of 70 000 Sn Ft �
- - - �
FAILUkE TO Ot3TAiN:;F�l.ftfvii-1 or-;�.:;-�,riI�ING CONSTHUCTIpN WITHOUT A PEf2MIT WILL RESULT IN PCNALTtES
I(we)declare that this application(including any accompanying Informatlon)has been examined by me(us)and to the best of my(our�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 informatlon 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 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 descri6ed property at any reasonable time for the
purpose of inspection.Additionally,the undersigned person(s)hereby give permission for access to the property for onsi[e inspection by Municipal Officials.
Owner Owner
Signature� /1,���/,. �ry�/►/Sf "--"'� I � y
, Printed name/"� Date � '�� �'`�
(Signature and Printed Name requlred)
NO710E: All Land Use Per�nits Explre One(1)Year from the Date of Issuance.
For the Construction Of New One&Two Farnily Dwelling� ALL Municipalities Are Required To Enforce The Uniform Dwelling Code.
1 he local 1 own,Staie ar Federal agencies may also require permits.
You are responslble for corcplying with the requirements of the Sawyer Counting Zoning Ordlnances and law and regulations of the State of Wisconsin.You are also responsible for
complying with State and'ederal laws concerning construction near or on wetlands,lakes,and streams.Failure to comply may result in removal or modification of construction
thai violates the law or other penalties or costs. For more informatlon,visit the department of natural resources wetlands identlfication web page ur contact a department of
natural resources service center(608�267-3125
Issuance Information(County Use Only) Sanitary Number: �� ^ � #of bedrooms:
Permit Denied(bate): Reason for Denial:
Permit#: Issuing agen ' Date:
� y -c�(� 5� �-�_ _ _ 3 � � ��J
Is Parcei a Sub-Standard Lot l.i Yes (oeed of Record) �No ^
Is Parcel in Common Ownership '�Yes �Fused/Contiguous Lot�s)) t No Mitigation Required !:i Yes No
Is Structure Non-Conforming I_i Yes �No Mitigation Attached I_i Yes !.. No
Granted by Varlance(B.O.A.) Granted by Conditional Use
J Yes'�No Case ii: []Yes ?�No Case il:
Was Parcel Legally Created �i;�Yes L!No Were Property Lines Represented by Owner �Yes No
Was Proposed Building Site Delineated �'�Yes I_�No _ Was Property Surveyed �iYes No
Office Comments: �� �� �,�� � '��,'�. 2one Distric[: Fee:
� r, ���s �.�►v �a. �306 ��_ � � `�5�
Hold Por Sanitary: ❑ Hold For TBA: iJ Ho�d For Affidavit �: Hold For Fees C� ��
�Feb2021
R2d) EStdte Sawyer County Property Listing Property5tatus: Current
Today's Date:3/20/2024 Created On:10/ll/2023 1:07:01 PM
�
�'Description Updated:10/17/2023 '�'�Ownership Updated:10/ll/2023
.... ....... ...... .... .... . .._. ... _. ... ..... .. .... .
Tax ID: 44858 MARK S FORREST STONE LAKE WI
PIN: 57-026-2-39-09-21-5 OS-001-000120
Legacy PIN: 026939215ll2 Billing Address: Mailing Address:
Map ID: MARK S FORREST MARK S FORREST
Municipality: (026)TOWN OF SAND LAKE N6D61 WEIGAND LN N6061 WEIGAND W
STR: 521 T39N R09W STONE LAKE WI 54876 STONE LAKE WI 54876
Description: PRT GOVT LOT 1 LOT 2 CSM 38/237 tn
#8752 ZAWISTOWSKI JT REV TRUST- r Site Address *indicates Private Road
LC . .. . ... ... .
RemrdedAcres 2.410 50.+1� �0.kC �r�
Calculated Acres: 0.000 �'J proper[y Assessment Updated:N/A
Lottery Claims: D .. . . . .
First Dollar: No 2024 Assessment Detail
Waterbody: Sand Lake Code Acres Land Imp.
Zoning: (RRl)Residential/Recreational One N/A
ESN: 423
2-Year Comparison 2023 2024 Change
`�Tax Districts Updated:10/17/2023 Land: 0 0 0.0%
-----�-�� � � - Improved: 0 0 0.0%
1 State of Wismnsin Total: 0 0 0.0%
57 Sawyer Counry
026 Town of Sand Lake
572478 Hayward Community School District �
O01100 Technical College �.Property History .
Parent Properties �Tax ID
�. Recorded Documents Updated:10/ll/2023 57-026-2-39-09-21-5 OS-001-000090 44308
_.. _ ._ ._ .__.. . . ..._. . .. ...
CERTIFIED SURVEY MAP
Date Recorded:10/10/2023 446808
LAND CONTRACT
Date Recorded:7/31/2023 445638
MAP OF SURVEY
Date Recorded:1/12/2022 21399-14
CERTIFIED SURVEY MAP
Date Recorded:10/19/2021 435333
QUIT CLAIM DEED
Date Recorded:4/5/2013 384376
QUIT CLAIM DEED
Date Recorded:2/11/2013 383451
WARRANTY DEED
Date Recorded:1/22/1991 222005
SJ�ildJ�stoixJ3�c4rasnunL_2-- ------ -------_ __.
- -_ ---------__
HISTORY O Expand All History White=Current Parcels Pink=Retired Parcels
0 Tax ID:28773 Pin:57-026-2-39-09-21-5 OS-001-000030 Leg.Pin:026939215103 Map ID::1.3
�Tax ID:44308 Pin:57-026-2-39-09-21-5 OS-001-000090 Leg.Pin:026939215109
44858 This Parcel Parents Children
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