HomeMy WebLinkAbout002-939-02-5105-LUP-2024-103 SUBMITCOMPLEfED APPLICATION AND Q '\
FEero: APPLICATION FOR LAND USE PERMIT �`�
Sawyer County � �N,1 �
�
Zoning&Conservation Depart. c`� , 1
10610 Main St Suite 49 f� � ` —1 a a y
, _
Hayward,WI 54843 � �EB 2 3 202� � .�y C� .'L. �� �t
(715)634-8288 '�1/a ,
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SAWYER COUA'��Y ,,,.�.�•. � �;�c�
INSTRUCTIONS: No permits wili be issued until all fees are paid. . ,� ,
Lhecks are made payable to:Sawyer County Zoning Department. �
.r.•x
DO NOT STAR7 CONSTRUCTION UNTIL ALL PER,1,411T5.HAVE BEEN ISSUED TO APPLICANT. Original Applir_ation MUST be submitted FILL OUT IN INK (NO PENCIL)
Submit[al of this appllcation or receipt of fees does not constitute permit issuance.
Owner(s)Name: Contrector(s)Name
��r 5����
MailingAddress: �'�tl MailingAddress:
1���\5�\ �,..c_���e�1 W,
Phone: �1S �"'�a _ �93�j Phone:
C7
Email: J^�0,2 ����► To,.���'�.,,,,�1�2. �y�•� Email:
Site address: �a.l� [�,� �pC,C,o-�..�\� Or Date ap lied(or.
Legacy PIN# ��� —7� 1 � '�� Town of: �$ �►c�e
Permit delivery Method �Call Owner �Mail Owner o Call Contrector c Mail Contractor
`.'.Is Property/Land within 300 feet of River,Stream (rnd. Distance Structure is from Shoreline: Is your Property
Intermittent) —♦ A�P 1h�P.i�2mf5
Creek or Landward side of Floodplain? If yes---contlnue feet in Ftoodplain r.rcrn:?
�Shoreland zo�e?
'?�Is Property/Land within 1000 feet of lake,Pond or Flowage Distance Structure is from Shoreline: Yes uAs
�'N o
If yes---continue —► feet �!No
t�U
I':J Non-Shoreland
Descr(be Project
Value at 71me of Total#of
Project type Foundation What Type&Capacity is the
Completion Number bedrooms
*Include donatad (House,garage,shed,deck, �Basement, Sewer/Sanitary System(s)
Addition,etc...) of Stories Craw(s ace, Post
time&material ��st separately Slab) �onstruction
��� 4
$ Dwelling V�.�.7� ts.s�� 7 \\� �\� � � �JC� 1 �\ \
$ �� un v
Acces ory 81dg
$
Addltion/Alteratinn
Hefght:
Total Square Lowest
Footage Grade to
Proposed Use ✓ Proposed Structure Dlmens�o�s (muitiply per Highest
story) Peak
Residence '. ��- ( x �
Ft.
with 2"d story or loft ( X ) Ft.
with Basement ( X ,
Ft.
—/ Attached Garage f X , Ft.
M Residential Use
ACCQSsory St�UCtu�C(explain) 1�^ 1 � �^��
❑ Agrieultural (de[achedgarages,sheds,6oathouses,etc.) � �� X PV � ' '�`' Ft• � }v l4 �
�� 7
Use �..� Temporary Guest Quarters r Bunkhouse(ctrr.ie cype) � `� x a� , �"L� �j Ft ��1 �� �t y
� X �
❑ Comm�rclal/ Deck/Porch/Patio Ft.
Industrial Use -� .`— - -
( x )
(2"d)Deck/Porch/Patfo Ft.
❑ Munfeipal Use _ ----_-- - —._
—_
( X )
Oth2r(explain) Ft.
❑ OtH�r - _ .z_: _ _ _ _ � X ' —
Principal Structure(ng�icuicu�ai,Commercial,Munidpal,Etc.) Ft.
-- ( X -- , -
Additio�/Alteretion�explain) Ft.
Total Non-habitable square feet; / � t�
Total habitable square feet: l..�'� (decks,patios,garages,sheds,storage are�&other structures) l!�a'-1
Cirigina3;5;;,,�ticatian IViUST be submiited
Attach a Plan or Sket:h 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,sanitery components,well,lake,river,stream,and wetlands.
Descri tion Setback Sethack
p Measurements Description Measurements
Setback from the CenterUne of Platted Raad andJor Feet Setback from the Lake(ordinary high-water mark) Fegt
Setback from the Established Right-of-Way _Feet Setback from the River,Stream,Creek ,v Feet
_ � Setback from the 61uff if applicable Feet
Setback from the North Lot Line "� p��t
Setbatk from the South Lot Line � Feet Setback from Wetland ��et
5etback fron�the West Lot Line _ a5 Feet Slope within area of construction/d(sturbance °/6 Slope
Setback from the East Lot Line Fe�t Elevation of Floodplain ,� �e�Y
Setback ta SnpNc Tank o 0 7an �� �Feat Setback to Well ��@q
_ __
Setbackt��rain Field f� Feet
Setback td Privy(Portabie,Compastin�) F��i
_ --- -
Prior to the placement or construction of a structure wlthln five(5)f��et of the 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 conicr or marked i,y a licensed surveyor at the owner's expense, .
Prior to the placement or construction of a struRure more than five(5)feet but ler,than ten(10)feet from the minimum required set6ack,the boundary line irom whlch the setback must be
measured must be visible from one prevlously surveyed corner to the other previuusly surveyed comer,or verifiable by the Department by use of a<orrected compass from a known corner
within 500 feet oPthe proposed site of the structure,or must 6e marked by a li<ensed surveyor at the owner's expense.
� � � . •.• • � . . • ,_ �
Calculate impervious surfaces.(Roofed,concrete,paved,and other surFaces that water cannot penetrete.The Zoning Office can help you determine If a
surface is considered rmpervlous)
Calculate lot area:
Indicate lot size frorr�or NOVUS(circle one):��+o J VAcres;Multlply by 43,560=Lat area: �� ��v v Square Footage
Calculate impervious surface area;
Determine the total size,in square feeY,ot your projects listed above(include eaves); ���b sq ft.
Determine the total size,in square f�et,of all existing roofed structures(Intlude eaves�:___-1�8 sq ft.
Determine the total size,in square f�et,of all existing paved/brickecJ/blocked surfaces: ��a- sq ft.
Add these measurements ta determine total Impervious surfaces: ��1�_sq ft,
Calculate impervious lot percentage
Total impervious surface:o>���o +Lot area:o�a `j nJ Sy fY.X 100=impervious surface�l�•�y %
—���� (MlUgation is required i(total exceeds 15%)
"`Notice a separate grading permlt needs to be obtained if disturbed area is within the Shoreland district as indicated on previous page and meets triteria below"'
Grading on a slope greater than 20% Grading of more than 7.,000 Sq.Ft.on 12%-20%siopes
Grading of more than 2,000 Sq Ft on Slopes less than 12/ Gradin�is in excess of 10 bnn�n Ft
- -- - �
FAIW kE TO 03TAiN::FLRn;;;;�.:;;-_;��.�.rii�INC;CON;TRUCTION WITHOUT A PFRMIT VJILL RESULT IN PENALTIFS
I(we)dedare that this application(induding any accompanying Information)has bee�examined by me(us)and to the best of my(our)knowledge and befief it is true,correct and
complete. I(wej acknowledge that I(we)am(are)responsible for the detail and accuracy of alI information I(we)am(are)providing and that it will be relied upon by Sawyer
County in determining whether to Issue 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.1(we)cons t to co ty offi ials charged with administering county ordinances to have access to the above descrihed property at any reasonable time for the
pur ose of inspectio Additi Ily,th undersigned person(s)hereby give perrnission for access to the property for onsite inspection by Munlcipal Officlals.
Owner - _ Owner i
SignaWre Printed name� �� �� Date�_�� �� 1
(Signature and Printed Name required '�-7
NOTIC : and Use Pennits Explre One(1)Year from the Date of Issuance.
For the Construct n Of New One&Two Family Dwelling� ALL Municipalities Are Required To Enforce The Uniform Owelling Code.
The local Town,Staie �r Federal a�;encies may also require permits.
You are responsfble for complying with the requirements of the Sawyer Counting Zoning Ordlnances and law and regulations ofthe 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 informatlon,vlsit the department of natural resources wetlands identification web page ur contact a department of
naturalresourcesservice center(608)267-3125
Issuance Information (County Use Only) Sanitary Number: ��� ��� #of bedrooms: � L
Permit Denied(bate►: �--T
Reason for Denial:
Permit#: �
issuing ag
Date:
'�,�-(— � � ?� r,,,�,d��, L 1�
Is Parcel a Sub-Standard Lot I i Yes �Deed of Rewrd) �ryp / ��
Is Parcel in Common Ownership '�Yes (Fused/Contiguous Lot(s)) ;�ryo Mitigation Required Ci Yes No
is Structure Non-Conforming I]Yes �Na Mitigation Attached LI Yes I�,No
Granted by VaAance(B.O.A,) � Grante by Conditional Use
_7 Yes . No Case q: �1 Yes �No
. Case#1:
Was Parcei LeE;ally Created �Yes L!No Were Property Lines Represented by Owner �es
Was Proposed euilding Site Delineated �Yes I�No No
Was Property Surveyed es No
Offlce Comments:
Zone District: Fee:�'3SCr-- L1.��
�2 k-I � i Co- �� � y Sb
-- ..b-►�c�-(
Hold For Sanitary: I.� Hold For TBA: _i Hoid For Affidavit: L � J
Hold For Fees:l_
�Feb2021
R281 EStdte Sawyer County Property Listing Property Status: Current
Today'S Date:4/12/2024 Created On:2/6/2007 7:55:06 AM
��Description Updated:8/11/2021 �Ownership Updated:8/11/2021
Tax ID: 2532 )ON D&TRACEY C SEIFERT � � PEPIN WI
PIN: 57-002-2-39-09-02-5 OS-001-000050
Legacy PIN: 002939025105 Billing Address: Mailing Address:
Map ID: :1.5 JON D&TRACEY C SEIFERT ]ON D&TRACEY C SEIFERT
Municipality: (002)TOWN OF BASS LAKE N1501 BUCK LN N1501 BUCK LN
STR: 502 T39N R09W PEPIN WI 54759 PEPIN WI 54759
Description: PRT GOVT LOT 1 LOT 3 CSM 9/339
#2018 w Site Address `indica[es Private Road
Recorded Acres: 0.510 7218N MOCCASIN RD HAYWARD 54893
Calculated Acres: 0.471
Lottery Claims: 0 J property Assessment Updated:5/31/2022
First Dollar: Yes
Waterbody: Lac Courte Oreilles
2024 Assessment Detail
Zoning: (RRl)Residential/Recreational One Code Acres Land Imp.
ESN: 407 G1-RESIDENTIAL 0.510 283,500 43,700
2-Year Comparisan 2023 2024 Change
�7ax Districts Updated:2/6/2007 Land: 283,500 283,500 0.0%
1 State of Wisconsin Improved: 43,700 93,700 0.0%
57 Sawyer County Total: 327,200 327,200 0.0%
002 Town of Bass Lake
572478 Hayward Community School District
001700 Technical College �
� Property History
N/A
• Rewrded Documents lJpdated:3/18/2024
WARRANTY DEED
Date Recorded:8/10/2021 433875
BUNKHOUSEAGREEMENT
Date Recorded:3/5/2024 448839
WARRANTY DEED
Date Recorded:8/10/2021 433674
LAND CONTRACT
Date Recorded:5/15R020 423854
CERTIFICATE OF TRUST
Date Recorded:5/15/2020 423853
QUIT CLAIM DEED
Date Remrded:10/7/2013 387626
TERMINATION OF DECEDENTSIN7ERE5T
Date Re�orded:4/21/1995 247404
WARRANTY DEED
Date Remrded:1/13/1994 239880
CERTIFIED SURVEY MAP
Date Remrded:8/3/1983 187871
CERTIFIED SURVEY MAP
Date Recorded:8/3/1983 187671
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k.� :. '.`y'! ` '� �^ �>#H�
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, �
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7 � � �' Flood Insurance Study
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,y��'y �,Jl �� �...�� �.. at a Dam
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�:,.; ..�'�`!4�'. .
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Catchments
Floodplain Analysis Points
� Case by Case Analysis for
Development in Floodplain
Dam Failure Analysis
� Encroachment Analysis
Flood Insurance Study
Flood Storage Analysis
� Floodplain Study(Locally
Funded)
� Hydrology/Hydraulics developed
Notes
Q.� � �.�6 �.� MI�@5 DISCLAIMER-The mtorma[iun shown on these maps has been ob[ained from vanoiis
sources, and are of varyin�age, reliability and resolution.These maps are no[in[ended to be
used tor naviga[ion, nor are these maps an authoritative source of information about leyal land
ownership or public access. No worranry,expressed or implied, is m�de regarding a:�c;::oy.
NAD_1983_HARN_WiSConsin_TM 1 : 3 960 �PP���abiliry for a particular use. completeness. or legality of the information depicted on tnis
� map. For more information-see the DNR Legal Notices web page' http:udnr.w�.yov+leysl�
� _ _ i iii��� i iii ii i ��ii�i
BUNKHOUSEITEMPORARY GUEST QUARTERS �'�ci :8079Q�i
AGREEMENT Tx;4Q505u�
_ _ _._�:_.�_.._m___.._..............:__._..___._ r�4883�
Owner's Name(s}as shown on dead:
PA�LA CHIS���
SU' h D• Q.�d �V�Gl+G� C. SP�I �P.1rfi R����TER OF !?�EDS
-- SAWYER COUNTiI, WI
Pa�cel IdenflEication Number.
(12DigltLegacylD) C��' �-��g- Q?_��O� fl3JQ5/202412:�6PM
RECORC3ING FEE �Q.00
"� This Agreement must include the following exhibits:
�AGES: 3
Exhibit A:1:e�a1 CSescrintinn of the real estate fo�whfch this Agreement applles("propetty")
Exhibit B L'ntd Us��'f:tmil NCa��sl—shows an accurate location and fayout of designated
bunkhouse or temporary guest quarters.
Return to: Sawyer County Zoning and Conservat(on Department
10610 Main St.Suite 49,Hayward,WI 54843
I �'ph � . �C���►�'� hereby enter into an Agreement for BunkhousefTemporary Guest
Quarters on(date of agreement) —.�0'�� for property located at(address)
`�J /��� � S as descnbed and attached hereta
This agreement,signed by owner of property attached,hereby certifies that the requested bunkhouse or temporary guest quarters
meets the requirements as specified in the Sawyer County Zoning Ordinance Section 4.28(4)including:
The independent stai�d-aion�L��tnkli�use�ccessory Situ�tueg does not exceed 250 square feet of footprint measured as the
exteri�r wall.The creation of walled off bedroom areas are prohihited, Enclosed porches and entryways will be included in the square
footage not to exceed 250;decks will not be included in these amounts.NO other Accessory Structure components allowed as part of
this structure(i.e.no garage portion,no bathroom portion,etc.).Plumbing of the Bunkhouse Accessory Structure is prohibiied.Cooking
and Food Preparation facilities are prohibited.A Bunkhouse shBA require a voluntary Uniform Dwelling Code(UDC)Inspection.The
height limit of the Bunkhause Accessory Structure shall not exceed sixteen(16)feet from lowest grade to highest peak.Leasing,rental or
use as a residence is strictly prohibited.
T�rnt7arary Gs�est Quar�ei�which are located within or as part of an Accessory Structure shall not exceed 50 percent of the gross
floor area of the'accessory structure with a maximum of 499 square feet of temporary guest area.Guest areas including bathrooms,
utllity rooms, entryways, and closets will be inciuded in the square footage not to exceed 499.The creation of walled off bedroom
areas are prohibited.Storage area must be separate and segregated from any guest area(can have a door from the guest area to ihe
storage area).Plumbing,if installed,in the Temporary Guest Quarters Accessory Structure shall conform to the State&Sawyer
County Sanitary Codes.If there is an exisiing Private Onsite Wastewater Treatment System(POWTS)on the lot it must be sized to
handle the number of occupants in the Temporary Guest Quarters.Cooking and Food Preparation Faciiities are prohibited,A
Temporary Guest Quarters Accessory Structure or bunkhouse shafl require a voluntary Uniform Dwelling Code(UDC)lnspection.
Leasing,re�tai or use as a residence is strictly prohibited.
The owner(s)further agrees to alfow authorized representatives af the Governmental Unit to enter onto the owner's property at the
above desc�ption between the hours of B:OOAM and 6:OOPM,Monday through Friday.[Secflon 9.13(1)POWERS,Sawyer County
Zoning Ordinance]to determine if Bunkhouse Accessory Structures or Temporary Guest Quarters meet specified ordinance
requirements and may be subject to internal inspection by the 5awyer County Zoning Department
Viola6on of this Agreement will authorize,in addition to other penalties and relief requlred under the Sawyer County Zoning
Ordinance,injunctive relief,restoration of said property,citation for Falsifying Permit Applications. All parties agree that this Agreement
sha11 be filed with the Sawyer County Zoning&Conservation Department and recorded with the Sawyer County Register of Deeds.The
property is subject to this Agreement in perpetuity,regardless of ownership transfer.
-anl t�ri awc3e�si iiatu �rct uir�rcl- ACKNOWLEDGMENT
(—Owner's Signatu�e: State of: W�S,Cer�n�6�,^
_.__^,__ County of; _��, '
Owner's Name (Prin • Subscribed and swo o before me on this
� � ___. _ �O�.dayof � zoZy '
Date: SOwner's Name): � e tr �
_ ,2^ 20 z y� ���„�,���Y„,,, . . ,
' _� .��N�Jc�a �Pubfic Signature: �
__..�.. ___ _:_ _ ___�..____ �.__._. ___.__-----.—..___
Drafted by: ,��Q�� ••"PUbI� t7ry Name(Print): �!'t�r1-���z �u.Q.� �
• . ,Z`.• �
�bY� ei� GV' : C.�...: ��'(fj�y��.t�"sjon expires on: O�j��3-01��� i
�--____� ----.r..... ;__
_ i
—a_ � F
Personal infonnation you provide may ba used for secondary pur�a��PrNa�jl�v��i15;6?I)fn)] Rev,05l12121
i`9�� � ` �
.,���'' OF�iSGO�`��
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� (800)673-8710 •www.goweytitle.com
File Number: Z09341
ADDENDUM/EXHIBIT A
Lot Three(3)of Certified Survey Map No.2018 as recorded in Volume 9 of Surveys on Page 339,as
Document No.187871,located in and being part of Government Lot One(1)of Section Two(Z),Township
Thirty-nine(39)North,Range Nine(9)West,Town of Bass Lake,Sawyer County,Wisconsin.
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Lep 5lding Foundatlon
House Wrap 2"foam
'1/16 058 5heeting Thlckened edge 51ab
R-19 Fiberglass Insuletion 2_g4 Horizontsl Gontlnuous Rebar In
Dc10 2 ply Headers>b' Thlckened Edge
t t-"I/8"2 Ply LVL Headere<b' Z4"1/2 reber grid in Sleb
2xb 5tuds In floor Heat Tubing
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Palnt Anchor Bolts Q 6'OG
1)All Ma[erials,workmanship,design,and cons[ruction shall conform to the drauings speclRcations,and to the most � .
recent edltlon of state,local end fedeml reguladons
2)Install all materials producLs,end Poctures,per the manufacWrer's Installetlon requlrements. 'a� Storage 5pace
3)Plan dimensions are to the face of studs and face of foundat(ons unless otherwise noted
4)Drawing Indicate general and typical detalls of constructlon. Where conditions are not speclflcally indluted the
contmctor shell use slmilar detnlls of construc8on ��
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