HomeMy WebLinkAbout010-841-20-4402-LUP-2024-098 SUBMIT COMPLETED APPIICATION AND
FEETo: ApPL� . O FOR LAND USE PERMIT .
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Sawyer County �A� �
Zoning&Conservation Depart. - �
10610 Main St SuiYe 49 oare Stamp�rteceive (� C �( ,
�APR 0 8 2 3.�:����L�.�.....�..., :L
Hayward,WI 54843 ���
(715)634-8288 O�� �
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SAWYER COUNTY �.�. ��4v �
�NSrRucnoNs: No permits win be issued until all fees are paid. zON�NG Ap�InIISTRATION �—'-- v`------"�'"'—�_ '
Checks are made payable to:Sawyer County Zoning Department. DQ
DO N0T START CONSTRUCTION UNTIL ALL PERMITS HAVE.BEEN ISSUED 70 APPLICANT Original Application MUST be submitted FILL OUT IN INK (NO PENGL)
Submittal of this application or receipt of fees does not constitute permit issuance.
Owner(s)Name: Contractor(s)Name
�/ �e(�
.;�i � �r�(���1�-a�v� - ��I�r ���c
Mailing Address: Mailing Address:
���c�w Ph,Hs�,ra �d
Phone: 7�5 _ SS`_ ���5 Phone:
a
Emdil: �-'✓-tl!$L�I—[�C �G3� �/�'LC�/ ` � C�'` Email:
Site address: (.3�f U�S w ��n I V�SN�� �d Or Date appiied for:
Legacy PIN#i U l o - �s`�! - a� - YY� � Town of: F—TGi`{W n✓'0�
PermitdeliveryMethod �Call Owner ❑Mail Owner ❑CaII Contrector n Mail Contractor
`_: Is Property/Land within 300 feet of River,Stream (��a. Distance Structure is from Shoreli�e: Is your Property
Intermittent) —� Are W2tl8nd5
feet in Floodplain
Creek or Landward side of floodplain? If yes---continue Pre.ent?
.�i Shoreland z°"e'
Yes Yes
is Property/Land within 1000 feet of Lake,Pond or F�owage Distance Structure is from Shoreline: N�
If yes---continue � feet No
Non-Shoreland
Describe Project Totai it of
value at Time of project type Foundation What Type&Capacity is the
Completion Number bedrooms
°inciude donated (House,garage,shed,deck, (Basement Sewer/Sanitary System(s)
Addition,etc...) of Stories Crawispace, Post
time&material construction
List separately Slab)
S
�welling . . �. . �
.���t b:
$ �' G a�(%
` �G�e� Z s�� �, Q ;essor,.
Accessory Bldg
S
Addition/AI[eration
Height:
Total Square Lowest
Footage Gradeta
Proposed Use ✓ Proposed Structure Dimensions (mult(ply per Highest
story) Peak
Residence ( X �
Ft.
with 2"a stOry Or lOft � X �
Ft.
with Basement ( x �
Ft.
Attached Garage ( X �
Residential Use Ft•
ACCe55ory StruCtUrC(explaln) x 77 � r
❑ Agrieultural � ;detached garages,zhedu,boat bowas,etc� � �� /� �� �� Ft���
use �/ �t--h�-;� !t( 7� '3 � � 1 � X 3(� } So �J Ft.
❑ Commercfal/ �eck/Forch/Patio l x )
Ft.
industrfal Use ( x �
(2"d)Deck/Porch/Patfo Ft.
L� Munfci al Wse - � -
p Other(explalnl ( X ) Ft.
d Other -- — _. __ � X ---- � — -
Princlpal Strutture(agricuiture�,Commerclal,MunlclpAl,Etc,) Ft
Addition/Alteration(expi��r,) ( x � Ft.
Total habitabie square feet: Total Non-habitable square feet: �$ � p
(decks,patios,garages,sheds,storage area&other structures)
M�
Orfginr:l r=,;:p!ic;,tion MUS7 be submitted
Attach a Plan or Skecch your Property on 8.5"x 11"or 8.5"x 14"paper:'Must"Include location and setback of proposed and existing structures,roads,
driveway,sanitary components,well,lake,river,stream,and wetlands.
.__ �_ __.__ __m�.-_ ,,= T_ _-a�-.T
Setback I Setback
Descnption Deseription
Measurements Measurements
Setback from the Centerline of Platted Road and/or • �p Feet Setback from the Lake(ordinary high-water mark) Feet
Setback from the Established Right-of-Way Feet Setback f�om the River,Stream,Creek Feet
Setback from the Bluff if applicable Fe2t
Setback from the North Lot Line �j- Feet
Setback from the South Lot Line cj Feet Setback from Wetland Feet
Setback from the West Lot Line a Feet Slope within area of construction/disturbance 9e Slope
Setback from the East Lot Line � Feet Elevation of Floodplain Feet
Setback to Septic Tank or Holding Tank Feet Setback to Well Feet
Setback to Drain Field Feet
Setback to Privy(Portable,Composting) Feet
Pricr to the placement or construction of a ztructure within five i5)feet of the minimum reyuired s��tback,the boundary line irom which the se[back must be measured must be visible from onE
previously w�veye�f comer to the ocher prevlously surveyed corner or marked by a Hcensed surveyor at the owner's expense.
Prior to the placement or construction of a str�cYure more than five(5)feet but less than ten(1D)feet from the minirnum required setback,the boundary line from which the set6ack must be
�nrasured must 6e visible from one previously surveyeJ comer to the other previously surveyed comer,or verifiable by the Department by use of a corre�ted cornpass from a known comer
v.ithin 500 feet of fhe proposed site of the structure,or must�e marked by a licensed surveyor at the owner's expense,
. • � . •.• • . ' .' . . .- .
Calculate impervious 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:
Indicate lot size from CSM or NOVUS(circle one): Acres;Multiply by 43,560=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 %
(Mitigation is required if[otal ezceeds 15%)
"`Notice a separate gradinl;permit needs to be obtained if disturbed area is within the Shoreland district as indicated on previous page and meetr criteria below•"
Grading on a slope greater than 20% Grading of more than 1,000 Sq.Ft.on 12%-20%s(opes
Grading of more than 2,000 Sq. Ft.on Slopes less than 12% Grading is in excess of 10 000 Sa Ft
�,i1UHL v�)13T��1i ti i �� � , '. .�.�i,��;TkUCT�IUN WIiNOt,'I A hhHMIT�VVILL RC5UL71N PENIVLiIE;
I(we)declare that this application(including any accompanying information)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 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 information I(we)am(are)providing in or
with this application.I(wej consent to county officials charged with administering county ordinances to have access to the above described property at any reasonable time forthe
purpose of inspection.Additionally,the undersigned person(s)hereby give permission for access to the property for onsite inspection by Municipal Officials.
Owner Owner �' - �l � �
Signature Printed name ���G <'> r0�' C m� Date� �,�1
(tii�;nature and Printed Name required)
NOTICE: All land Use Perrnits Expire One(1)Year from the Date ot Issuance.
For the Con�tructiun Of New One&T�vo Family Dwelling ALl fvlunicipalities Are Reyuired To Enforce ihe Unl'torm Dwefling Code.
I�hr local l owii,;tatc or Federal a�;encies may als�requue Nermlts.
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 with 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 identification web page or contact a department of
natural resources service center(608)267-3125
Issuance Information(County Use pnlyj Sanitary Number: #of bedrooms:
Permit Denied(Date): Reason for Denial:
Permit#: Issuing agent:
Date•
�.�{ - ��'�8 �l � a�
Is Parcel a Sub-Standard Lot f i Yes (Deed of Record) �yo
Is Parcel in Common Ownership �I Yes �Pused/Conciguous Lot(s)) i No Mitigation Required !i Yes No
Is Structure Non-Conforming :�Yes �o Mitigation Attached !_�Yes !�No
Granted by Variance(B.O.A.) Granted by Conditional Use
��;Yes �_ o Case N: `!Yes No
Case tJ:
Was Parcel Legalty Created Yes i='No Were Property Lines Represented by Owner 1�Yes No
Was Proposed Building Site Delineated �tYes I�No
� Was Property Surveyed Yes �Na
Office Comments: Zone District: Fee:
�T I � ��
Hold For Sanitary: _ Hold For TBA: � Hold For Affidavit: Hold For fees:
�Feb2021 ---
4/S/24,11:34 AM Novus-Wisconsin Access rev.13.1108
Redl Estate Sawyer County Property Listing Property Status:Curtent
Today's Date:4/8/2024 Created On:2/6/2007 7:55:19 AM
�Descrip[ion Updated:11/17/2015 "'�Ownership Updated:7/14/2010
Tax ID: 11163 ERIC BRUBAKER-SCHROCK HAYWARD WI
PIN: 57-010-2-41-08-20-4 09-000-000020 JULIA SCHROCK HAYWARD WI
Legacy PIN: 010841204402
Map ID: .161 Billing Address: Mailing Address:
Municipality: (O10)TOWN OF HAYWARD ERIC BRUBAKER-SCHROCK ERIC BRUBAKER-SCHROCK
STR: S20 T41N R08W 13808W PENINSULA RD 13808W PENINSULA RD
Des<rip[ion: GRT SESE HAYVJARD WI 54843 HAYVJARD WI 54643
Remrded Acres: 5.000
�ottery Claims: 0 w Site Address '�indicates Private Road
First Dollar: Yes 13806W PENINSULA RD HAVWARD 54843
2oning: (A-I)Agricultural One lOSllN COUNiY HVJY K HAVWARD 54843
ESN: 444
-�Property Assessment Updated:4/18/2022
��Taz Districts Updated:2/6/2007 Z024 Assessment Detail
1 Stace of Wisronsin �ode Acres Land Imp.
57 SawyerCounry Gl-RESIDENTIAL i000 26,500 194,100
O10 Town of Hayward
572478 Hayward Communiry School District Z_Year Comparison 2023 2024 Change
O01100 Technical College Land: 26,500 26,500 0.0%
Improved: 194,100 194,100 0.0%
. Recorded Documentr Updated:1/22/2018 7otal: 220,600 220,600 0.0%
0 WARRANTY DEED
Date Recorded:6llS/2010 367080
�Property History
N/A
https://tas.sawyercounrygov.orglAccesslmaster.asp ���
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