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024-741-30-1204-LUP-2024-119
SUBMITCOMPLETEO AVVLICATION AND FeeTo: APPLICATION fOR LAND USE PERMIT SawyerCounry '� ,� 1$ � $IN Zoning&Conservation Depart. /"������J�/ 10610 Ma'n St Suite 49 "' '—"�r�."� �rJ I� �'- Hayward.WI54943 � ._-.. .�/.�.���.�:�Li.., . .....__,....,, _. (715)634-8268 APR 19 2024 �� � � �_.�asl�_______._____._.. _ iNsrRuaiorvs:rvooe�m�t�w�nbe�szued��uiauteesa�ePaid. Z�,SjN�ERCOUNTy � . ._ �a3(1 _. � Checksaremadepayablem:5awyerCo�nryZaningDepartment ���-� � --. �ONOitT4RTCONSTRUCT10Nt1NTILALLGERMiT5H4VE0EENiSSUEDTO�FPIICANT OrlginalApol�cationMUSTbesubmitted FILLOUTININK(NOPENCiI) Su�mi[tal o(t�is application o.recelpt of fees tloes n nstiiute Oermit issiiance. Owneqs�Name: [ontracmr(s)Name �� Mailing Address Mailing Address �,Q C� Nc � �D�t��� C� �..��=.�5't�� ✓19�tJ Phon: / /��3 /J hone� �7_G2�_ �PJ /J Email: Email: Site address: ��� /V ��� t W J��u-� Or Uate ap0�ied for. Le6acYPINp �;� -7�-(�^�3�— ��d� Townof: W��ll�l� UIX�-- FermitdeliveryMethotl Call Owner Mail Owner ❑Call Contractor r Mail Contre<tor �..Is ProDerty/Land within 300 feet of River,Stream(m�i. Distance Structure is from Shoreline: n�efT1��e��l � KnaurProD�rtY qrPWellanAS feet i Flooaplain Creek or Landward side of Floodplain? If yes--continue pr�s����� , horeland zoo�? ves �Is Property/Land within 1000 feet of Lake,Pond or Flowage DistanceStructure is from Shoreline: Yes Iz�: Ifycs—cantlnue--► ��� :teet %No � ���.�.:Non-Shoreland Describe Project Value at 71me of Total#of Project type fou�dation what Type&Capacity is the Completion (House,gara e,shed,deck, Number bedrooms 'indude donated g of Stories (Basement, post Sewer/Sanitary System�s� timr.&matcrial Addition,etc...) Crawl5paCO3 Listseparately Slab) mnstruction s �— Sr�N 2 l-3�1 3 �tl�nc (�dd � Slr�_ owen�og 4 Ac�essory Bldg ���I� coo mu nn�,�uon He�ght: Total Square Lowest Proposed Use ✓ Proposed Structure Dimensions Footage Grode to (multiply per Hlghest story) Peak Residence ( X � Ft. with 2n°story or loft ( X � Ft. with Basement ( X ) Ft. � x 1 Attached Garage Ft. esidential Use accessory Structure(e�ciai�l � X � ❑Agricultural ia.�.�n„ae...s•,.,n�e.,noe�no��.�,o��i Ft• Use ( X � 7emporery Guest Quarters or Bunkhouse(a.cie��od Ft. � x ) � Commercial/ Deck/�orch/vatio Ft, Industrlal Use (�� � x � (2^d)Deck/Vorch/P�tlo Ft. (] Munldpal Use ( x � Other le.oi,i�l Ft. 0 Other principel St�ucture�n`ricui�wri,Commercl�i,Muniapei,Etc.) ( x � at. �( Additlo ai�eranor,i�.o�a��i a,,,,P,lli n� �� � 1`1 x 3 J � H��o Ft. 'l� �� Total Non-habitable squarefeet Total habitable square feet: (decks,patlos,garages,sheds,storage area&other structures) S�� CI�GI�� Original Application MUST be submitted Attach a �lan or Sketch yi�ur 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. � Description Setback Description Setback Measurements Measurements Setback from the Centerline of Platted Road and/or Feet Setback from the Lake (ordinary high-water mark) � C(�j Feet Setback from the Established Right-of-Way f Feet Setback from the River, 5tream, Creek Feet Setback from the elufF if applicable Feet Setback from the North Lot Line Feet Setback from the SouYh Lot Line , t Feet Setback from Wetland Feet Setback from the West Lot Line � fi Feet Slope within area of construction/disturbance 9'o 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 Drein Field Feet Setback to Privy (Portable, Composting) Feet Prior to the placement or construction of a structure within five (5)feet of the minlrnum required setback, the boundary line from whith the setback must be meawred must be visible from one previously wrveyed comer to the ot7ier �ireviously surveyed corner or marked by a licensed surveyor at the owner's expense. Prior to the placement or construction of a siructure more than five (5)feet but less than ten(10)feet from the minimum required setback,the boundary line from which the setback must be measured must be visible from one previously surveyed cornerto the other previously surveyed comer, or verifiable by the Department by use of a corrected compass from a known corner within 500 feet of the proposed site of the strucwre, or must be 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 OVUS �rcle one): �� � � Acres; Multiply by 43,560 = Lot area: ;��. [J � � Square Footage � � �r,� Calculate impervious surFace area: Determine the total size, in square feet, of your projects listed above (include eaves): yp�_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 �o 'U '6 i "� (� (� Total impervious surface: ��� = Lot area: Sq ft. X 100 = impervious surface ' % (Mitigation is required if total exceeds 15%) "'Notice a separate grading permit needs to be obtained if distur6ed 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 Sq. Ft. on 12%-20%slopes Grading of more than 2,000 Sq. Ft. on Slopes less than 12% Grading is in excess of 10 000 Sq. Ft F A�LUkL �i u �Jti i�kIPJ A Pi:Rtv;i I .�� �_;7vaR1lNV CON$TriUCIION '•lJITHi�U I %i Nt KNU f WiLL Ft�UL 1 IN PE�1l:L hlt�S 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. 1 (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 inspection.Additionally, the undersigned person(s) hereby give permission for access to the property for onsite inspection by Municipal Officials. Owner Owner Signature !� Printed name �}7\.i��f/�,�l}-j7--� Date � � � (tii�;n�turr ,�ncl Printed Name required) NOTICE: All L�nd Use Permits Expire On2 tl) Year from the Date of Issu,ince. For the Constructian Ot New One & Two Fainily Dwelling: ALL Municipalities Are Reyuired To [nforce The Uniform Dwelfing Code. The local �iown, �tate or Federal agendes m7y �Iso r'equire Nermits. 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 naturalresourcesservice center(608) 267-3125 Issuance Information (County Use Only) Sanitary Number: #of bedrooms: Permit Denied (Date): Reason for Denial: Permit#: Issuing ag Date• �� �� � � � � ya5 � Is Parcel a Sub-Standard Lot f i Yes (Deed of Record) �No Is Parcel in Common ownership �Yes (Fused/Contiguous lot(s)) ; I No Mitigation Required C� Yes L• o Is Structure Non-Conforming : I Yes o Mitigation Attached fJ Yes I.-.' o Granted by Variance (B4O.A.) Granted by Conditional Use C; Yes No Case#: _� :! Yes�l'No Case#: Was Parcel Legal'y Created "� Yes ;' No Were Property Lines Represented by Owner �Yes No Was Proposed Building Site Delineated �+�,Yes fJ No Was Property Surveyed 'yYes ryo Office Comments: Zone Distritt: Fee: r���- ( � ' as Hold For Sanitary: Hold For TBA: Hold For Affidavit: ' Hold For Fees �Feb2021 -- 4/19124.8:55 AM Nows-Wisconsin Access rev.13.1108 Redl EState Sawyer County Proper[y Listing Property Status:Curtent Today's Da[e:4/19/2024 Created On:2/6/2007 7:55:43 AM �Description Updated:11/16/2018 `"�Ownership Upda[ed:11/16/2018 Tax ID: 25926 RANDALL J&KATHY L BATES PINE ISLAND MN PIN: 57-024-2-41-07-30-1 02-000-000040 Legacy P[N: 0247413�1204 Billing Address: Mailing Address: Map ID: .2.4 RANDALL J&KA7HV L BATES RANDALL J&KATHY L BATES Municipality: (024)TOWN OF ROUND LAKE 22 CORBON Q 22 CORBON CT STR: 530 T41N R07W PINE ISLQND MN 55963 PWE ISLAND MN 55963 Description: PRT NWNE LOT 13 CSM 7/419#1548 Remrded Acres: 0.960 . w Site Address indicates Rivate Road Lottery Qaims: 0 10404N PHEASANT W ' HAYWARD 54843 Firs[Dollar: Yes Waterbody: Lovejoy Lake Zoning: (RRl)Residential/Recrea[ional One J Property Assessment Updated:7/16/2019 ESN: qOq 2024 Assessment Detail Code Acres Land Imp. �Tax Districts UDda[ed:2/6/2007 Gl-RESIDENTIAL 0.460 80,100 108,7�0 1 State of Wismnsin Z_year Comparison 2023 2024 Change 57 Sawyer County ��d: B0,100 80,100 0.0% 024 Town of Round Lake Improved: 108,700 108,700 0.0% 572478 Hayward Community School District Total: 188,800 188,600 0.0% 001700 Technical College • Recorded Documents Updated:8/16/2014 .�p�operty Histary O WARRANTY DEED N�A Date Recorded:11/15/2018 415430 O WARRANTY DEED Date Recorded:1/6/1999 273654 659/301 https:lltas.sawyercountygov.orglAccesslmaster.asp ��� �.���� o�c�cli�idh ,�.: d , � ,� � f;�Beacon SawyerCounty, w� � y �� � '"`�.�,� `�" � '� - :. a >'��' � . , . s �� �� , � ; , ,� ��, � � � � K � 'i„ �" � � . . �� . � ��' � � � , � � � � � � � n � « a � � � � � C �; � dt � � . � � �h4 � . .� �` � ,�. �� �24741301203 t � , . . {y'A ' p +�� ��� ��4 � a '� `�' -'` d� 4._ �.ta � . . 1 � Y ��,vg� s�T„ ��� . ��` � � x . � ' � � +�i�� � ' � � .. . .y ... ��.,�✓ � •aY f � �" .G � .hMf� Q I�. 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'• * # � � ��*� .7�� Development in Floodplain 'k• �'+'i..�c t..�l � .��., "�. � y, Y . ��y q.,f,� ��� �'' "t � a ,` } � * * ; # ,� * # # � � * 'T! Dam Failure Analysis i ii a � . S�� � i� �• F ;'�..� � * � � '� �' � � f � '* * �� ���� '���"` � ,•'} :; "'� � . Encroachment Analysis ,� �' ���� 4 i' j � ����y��� � � �# ti , tl Y ��� � '� _ Flood Insurance Stud } � -� �� ��3 ;�*� �Y* : 9 '�.,� � + „�`* ^�i: Flood Storage Analysis ��y� � I � � # � � � + �'� , �y+� J �� y��� � * � Floodplain Study(Locally i� f '���'��, � � � - � � Funded) h ! ��� �"� I! � .`. S"'� .'�' � Hydrology/Hydraulics developed � � ��+ i � � -'-^-- 'f i��t`_hL' 1 i x l ' �i 4 . }.' � � Notes �.� � �.�6 �.� M1�2S DISC�AIMER-The inforniaticn shown un rFese maps has baen obia�rod trom va�iu�is sourr,es,and are oP varying age.reliandity and resoluUon. �hese maps are not in[ended to be �_�sed for navigation,nor are Ihese maps an authoritative source of informa[ion about legal land nwnership or public access.No warranty,expressed nr implied,is made regarding ar.cur:�,ry, NAD_1983_HARN_Wisconsin_TM �: 3,960 <+pplicability for a par6cular use,completeness.or legality of the information dep�cted on this �nap.For more Inforrnahon.see[he DNR Legal No[ices web page:hitp�.�:dnr.w�.yov�ley�b „ �”' ..: — .l -. �x kv . ��: �^� ���� � � ���r�"_������� �, • � '� � , � � � � � �► �� �� i� - � � �.t�r�'� �!�.,� ` � §�s " ,�`�d��+�/�;�•��+"'� � � . � �► �. �� � . � -�� � . �� !" �, ,� . *,r�..s�„ � � =.�r ` �r �'/r r *,���•».� # 1 .� I.i � �� �.�i � 5m� �� r � `�� S � �9 � � �_��* ��� - � � � � ,...i�� . . � � f . ��� t��N1 �14��R d"��.'� 1� � �`_.,.s � . .�i � 4 ° `� � `� � N21qid5�µd �....�"p�....'_ °�, . .. � �... 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