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HomeMy WebLinkAbout012-740-10-3406-LUP-2024-152 SUBMIT COMPLETED APPIICATION AND Feero: APPLICATION FOR LAND USE PERMIT Sawyer County �1 �, 1 Zoning&Conservatfon Depart. D ��• d CJj N 10610 Main St Suite 49 � "�'��-� �. Hayward,WI 54843 (715)634-8288 � MAY 0 7 2fl24 ' --- - :. .-:.:--;-,,_� t� wSTRUC710NS: No permits will be issued until all fees are paid. '��� .'' ,r'.,,,. .'-:�I��`��J � Checks are made payable to:Sawyer County Zoning Department. DO NOT S7nRT CONSTRUCTIOry UNTIL�LL VERMITS HAVE BEEN ISSUED TO APPLICANT Original Application MUST be submitted FILL OUT IN INK (NO PENCILJ Submittal of this application or receipt of fees does not constitute permit issuance. Owner(s)Name: ��C�\��_ Contractor(s)Name �,�,�� ' � �'��'�C S �<e.,� r� �2 � J`��S I,�c��, � u-�� �`-s�. Mailing Address: Mailing Address: 0 � . l �� � �.c � � n, � Phone: , n � � Phone: � ` ^ �� v ` � � .Q�I `� - 3 C��-1 - �7 y �^�a J J ° �"t� l Email: ' ;Js� I 7 7 �7.5 / Email: �Ct T C �O k 4 �` \7`M C� � I �-O� Site address: , 1?��/� _ `�;'���� -.-� Or Date applied for. � "a � = c� Legacy PIN q � �� �L�O \� (� ( �� Town of: T�' �� �� C n IPermit delivery Method �Call Owner u Mail Owner �Call Contrador -Mail Contrector Is Property/Land within 300 feet of River,Stream ���d, oistance Structure is from 5 IntermRtentJ � . hSlreline: Is your Property qre V�etlands �f �- feet in Floodplain Creek or Landward side of Floodplain? If yes--continue �x� Present? �Shoreland � zone? Yes Yes Is Property/Land within 3000 feet of Lake,Pond or Flowage Distance Structure is from Shoretine: .�No If yes--continue � feet '�N� J Non-Shoreland Desc�ibe P���eM Total#of Value at Time of project type Foundation What Type&Capacity is the Completioe House, ara e shed,deck, Number bedrooms ' ��,c�ud� ������r�d ( g g ' of Stories (Basement, Post Sewer/Sanitary System(s) Addition,etc...) Crawlspace, t�m`'�`n`�r�� �'?' List separately Slab) construction $ �e..'�\c_�z_ ��:, �d�,� �..� �- Sb-`7 ,A� Dwellins $ Accessory Bldg $ ro` S O� pddiFisn/AI[eration He[ght: Total square lowest Pro osed Use ✓ Proposed Structure Dimensions footage Grade to P (multtply per Highest �'- story) Peak Residence ( X � Ft. with 2"a story Or loft ( X ' Ft. ( X ) with Basement Ft. � Residential Use Attached Garege ` X ) Ft. Accessory Structure(expia��> ( x � ❑ Agrieultural (detached gareges,zheds,boat houses,etc� Ft. Use ( x � Temporary Guest Quarters or Bunkhouse(c�cie cype) Ft. ❑ Commercial/ � oeck/Porch ati ( �,�.� X s ) �b Ft, f� J IC Industrial Use ( 3 x � � (2"d)Deck/Porch/Patio Ft. �i Municipal Use ( x ) Other(explain) Ft. 0 Other ( x 1 Principal Structure�agricuicu�ai,Commerclal,Municipel,etc.) Ft. ( X ) Addition/Alteration(expiair,) Ft. Total Non-habitable square feet: �o Total habitable square feet: (decks,patios,garages,sheds,storage area&other structures) Ori �a G�.c,l.,n MU�T be submiited � �� �-' ginei i PP Attach a Plan or Sketch your Property on 8.5"x 11"or 8.5"x 14"paper.•Must•Indude location and setback of proposed and e:isting shuctures,roads, dA�evr+Y.u�hery�omPonenu,well,qke,river,stream,and wMlands. DescMpUon Setback Setback Meawremerrcs Dexriptlon Meawremems Se[back from the Centerline of Platted Road and/or (��L; Feet Setback from[he Lake(ord�nary n�¢n-ware�ma.k) Feet Setback from the Established Right-of-Way Feet Se[back from[he River,SVeam,Creek Feet SetbackfromtheBluff��rappuabie Feet Se[back from the North Lot Line `t3 Ci Feet Setback from Ihe South Lot Line Feet Se[6ack from Wetland Feet Setback from the West Lot Line (�(� Feet Slope within area of constmction/disturbance %Slope Setba�k from the Eart Lot Line %eX� Feet Elevation of Floodplain Feet Setback to Septic Tank or Holding Tank � Feet Setback to Well Feet Set6ackto Drain Field U Feet Setback to Privy(Porta6le,Composting) Feet ��::�(��Y� �, ., ..r�,,: i ofa,�ruaurewMnfve 51`�'c..:lvem��. �r -� __ , I;o.� :�-yl �ni.ri,iil�-�-[Gackrtiustbemeasuredmustbev'sl0lehor��nne ..... ... . ...,r,����'-.ousYsuiveYedmrr�u ��F f� i.._r . ..,.,� �i . . r z.�uense. P�����o [� � �. t fas[ruRurerioreth�nfve(S) [ 11 :t�anten(_O�ieetfromthemnn+urnrequre�setbacktheboundaryl�nefromw�chthesPtbackmustCe �. r .tevsiCl f� �pP' ly � .y_��OrnP�totiieo[h 4 ' -V� � �f M1I py,�e0¢partmenCDyuseofdCOfr¢CledcOmpass(���eknown[orr�r� su50 t�_�t !�'i�•y pos_tls.ie��t� tuauie.ormustbemarked,.y�al��ensetls�.eyorat.le�.��..nersex[ersc Calculate impervious surfaces.(Roofed,conuete,paved,and other surfaces that water cannot penetrate.The Zoning�ce wn help you determine'rf a wrface is considered impervious) Calculate lot area: — �/ G, Indicate lot size from 2��r NOVUS(cirde one): -���q�res;Multiply 6y 43,560=Lot area: �v 0 . 1v� Square Pootage Calculate impervious surface area: �Determine the total size,in square feet,of your projects listed above(indude eaves�: �.b Sy k�X���`^��J ��� �3�a� ���� Determine the total size,in sqwre feet,of all ezisting roofed structures(indude eavesJ: sq ft. Determine the total size,in square feet,of all existing paved/bricked/blocked surfaces: � Sy g, �.�-�O �1 e--�" Add these measurements to determine total impervious surfaces: �\� sq ft. �`��--�e"`'—��� Calculate impervious lot percentage 7otal impervious surface����C� =Lot area:��1GQ Sq ft.X 100=impervious surface �'� % � (Mltigationisre Quiredif[otaleviceeds 15%� •Notice a separa[e grading permit needs to be obtained if disturhed area is within t�e Shoreland district as indica[ed 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 12Y Grading is in excess of 10,000 Sq.Ft. -,,, .;�; .1�,�.. ..., ,,.�._ ..�.. .;,.,�rr nr�� I(we)dedare that this applicabon('n I d g a y acco p y g fo at �has 6ee amined hy (us)and t the best of my( �knowledg and belief t�s[rue,mrrect and Cou tv�n deter+mi��knowledg�[hat I( e)a (re) p s ble fo the deta I and accurary of all nformanon I(we)am(are�Orov d ng and[hat it w II be relied upon by Sawyer Y� g whether to'ssue a perm t.I(we)further accept liability which may Ee a result of Sawyer[ounty relying on this information I(we�am(are)providing in with this apPlication.I jwe)consent to counry officials charged with administering county ordinances to have acress to the above described property at any reasonable time for the gurp6se of inspection.Additionally,the undersigned person(s)hereby give permission for access m the property for onsite inspecYion by Municipal Officials. Ow r �1 Owner ,� 5'nature�C Printed name Date � !�J�,�"n'VI , . .,. NOniE ',Ili.�i�..�. .. . .. _� .� �i�.... ,.._. � / h r��,r "�,,, , Vou are respons ble for mmply ng w th the eq rements�of the Savrye Co fng Zo g O dinance d law�cegulationsai.thc5teteopyy�sC67is �o resp n io s Ib e for mplying w th State and Federal laws concerning constru<t on near or on wetlands,lakes,and st eams.Failure to comply may result n removal or modifcat on of construction that v olates the law or other penaltiez o�costs.For more information,visit[he department of naturai resources wetlands Identification web page orcontact a department of natural resources service center�608)267-3125 Issuance Information(County Use Only) Sanitary Number: #of bedraoms: 7ermit Denied(Date): Reason for Denial: Permit#: Issuing agent: Date: ��I- I 5 � .�1�� S 1 v�2-'1 I5 7arrel a SubStandard Lot '"�Yes �Deed ot Remrd) �lNo Is Parcel in Common OwnerShip 1lYes (Fused/Conciguous lorys)) i i No Mitigation Required ':'Yes �No Is Structure Non-Conforming .�Yes -:No Miiigation Attachetl i��Yes No Granted by Variance(B.O.A.) Gronted by Conditional Use i�;Yes ,�No Use p: �:i Ves � o ��p: Was Parcel Legally Created Yes 2 No Were Property Lines Represented by Owner ,((Yes No Was Proposed Building Site Delinea[ed �Ves �I No Was Property Surveyed �Yes ryo OfficeComments: '� �-`_ ��t- . , '� 4._�-�-- �� �ni��r�� o-.\-',.�(��7 ZoneDis[ritt: Fee: ` �� �� \ 6�S N� L Hold For Sani[ary: Hold For TBA: Hold For Affidavit: Hold For Fees: mFoozozi SUtl1.�fi C�b�PlEffO nvnuCni�Ort nND Ft�Ta: APPl1CATlON FOR IAND U5E PERMIT 5awycr Cevnty �,�0� f�2"�;% ���Olf$t�1 7oning & Conservalion bepart. �� �� L!J �y,��4��;��;;kr�•h. d1�I:�-,�/? � 14G10 Main St Suite 49 � - �� Nayward. WI SAII�13 v �y n r � � ('715) 636-8288 i__2 � ��7� 1 U � �'J�`f ...;'�'.�,=C:HC)td5: Na Gcrmits v:lil br�ssued uniVl nU fees o�c pa�d. � � . . � , Cbecks aro rri.9�fc paya6lc to: Sawy�r County Zanm�; Departmcrit. _...Y^t .�"'-'""^"'"".` �. � � �ilJi �ants{ {fjnStatlr�<qtt � ;rt�li ^xr•+ntu,�l�3cs}���.��onttJ , �n{ ...l,�s G��,'� ii�: ,,,,p�_� =,�, t.tu� i I). �,��I�r�,6t..�d flLLOUTIhdIt4K {pdOl'(;Mf,,,1L} - _...... ,r i .�.,., ...... .,� ..., ,.. � :Y'..�Il.. . .�,. ,. .. �...,.;t�je� s... .� . , ,nc . . .. � O�.�nct�s) tJamc: Conir�nor{s) Yamc � 4 . . _ i _ , - �,, ; , . . ; � " � ` ��� � � � ,� � �,.i � �� ,f - _ � _, , _ - � - ��� . � = , � - '� �� .�'; C_ � � � ---- �� - _ —� ( P1ail;ny, Addre,s: I .1a11 n� n drers. � I "f�>.� "` _ ; - �.. ) �_ � t� � � �) ��ri J � � ��;% �.. �� [ � ����7 � `'"-'� (�l � ����� ' 's 'S..-j ��l_" t"i ._ ._.._.�....� �_ . ' .j.. ��__Z���.4r . _ � � � {�11011 . - � Chore: . � � � � ��. � ; �.�, � - �� - � �- < r -- � � r r. ,, , �;- _ �� . �� �, �r � �^/ J �/^-� �^ ( � Er.,ail: ' ;L'_ �`( 7 � !) / J �� EmaIL I� . . , , - � ,f� �,� ,. �� �_� . . .._ � - . . � _._..__ r __.- � / ` ' � j Si�e ad�rc3s: ' �G� L' � `—�� �!�`�""' .��`�_Or Oatc appiied far. - - `� � __.__� � LcRaCY PIN d �i� � � i�"'. ����l.J � � ���� �.-�l� Tawn af � � . , . ___.�.e� . Fermlt delivery Mtett�od r C7�1 Uvmer � ��taii O�vner -� Cafl Contractor �.1ail Contractor � � -- - ________-- - . __ _ � i � Is Property�land within 30t7 f�ef of Ri�nr, Stre;�m jnci _� � Distance Structuru is from$hDrnlinc : � i � �• r� +•, � tnt,,,�n ���r,j j " �r,i�- . ! � lect ' f t„e�+� „� ai �I CrceN, or Landward sic}r a! Floodplain? t� y� s � , 4 � �- � ; ° ' • �( Shofeland _._._ _._.___.___.__. ._ .. _._._- _- ., ,,,, _ �".��r � l � Is Property/L�nd within 1000 fee[ bf L-+ke, Pon�J ar�lr,� 7 �e � Distance Structurn is frbrr� Sharr line : `�`"� � � .. , ,. �f �;� ..r 3 �: ,<-;; —P � tect tvt� � . .._�._— -- -__ .-- — . _____— . _-- - - ' =— _ _� Non Shorela�d � ._ ___I _ _.�._ _ _ � __..__ __� _ . _._ _.�_,�,__ _ _. -- - Describe Project ! V31ur at Tlmr of ' Tota) !J oi Frnject type Fpundation � �lJhat Type & C�paciCy is [he I Comptetion Number bedrooms � . (House„aragc, sned, deck, (t3�5?ment, Sewer/Sanitary System(s) ,�� ��.�r of Stories ���,�.t Addition, cic ..� Crav;�;pac�, . List separately S!�b r .�n•.�rnt��a�i ) is - � u,,,���u,�;; .______ < I - �-.r,•.�.Y L��� � � IS I � 6,rdi;��n/hhrrat+r.n � � � � � � � Hclght: � ( � TotalSquarc lowest � Proposed Use ✓ Proposed Strncture Dimenslons �°��a�� Grade to � (rnulttply per Flighest i story) Peak ! i � } Residencc � � x � _�! Ft. � with Z"d stary or loft J ( X } � � I Ft. __ � X ) f with f3asement { Ft. � � AttacEied Gar�r�;c ( x � _ , Residential Use � Ft. . --- .. __. �._ _. _ r v � I i i4t,' .. ,,,�:i! �'. � . ".i , ESY� ;.t . ����1!�._i, __._ __.._. ._ . .� ._. . _...._^_� �. . _ - � . . ___ ._._._�.__ _ � �attact,a �'I;+r,o�Ske�cl�y�o.,r��roper;�, o�� S; , .. �;r;;5"> ; . ,,.t._;:•hlust'indude lacation and>etback ot proposed and exist�n�strvctures,roads, � � driveway,sanitary can�ponents,well,lake,rlver,stream,anc3 wetlands. � . ..__ _.__ �_,___ ___. -- _ _.__—__ _ _ _ __� �..�__. �_ _ _ � ---- _ _ _ —� _ - - -- _ �_ , _ _ —------ _ _ —__--_ _,_.._ ---- --- _..__� Descrl�tio� $ Seiback Descripllon � 5etback Ivlcasurements i Mcaswemen[s _,__. _-� .�� ___.._ - - -- __ __..,... —_.__ i , ..�.__ -_.. _________._�..._ '�..._ _.........___._....:___ ..__._-- --- _. � _..i ._..,,.._..--- �.: ; �ctttzck irorn thC Centerlirtie of Platted itoad ait�4Jnr � Feet 1 S�,b�3ck irc>z:�t13�L��ke(...:.,�•r „�,--��) G ��e1 ' __.��._._ T_____ _.__�__v __a.�_.__.____.,__.__...------,-.-.�._....._��_�_��_ .� _.._.... _._._ ___-- � S�t,�ac1�.�rorr,thc E.t�hl�shccl t;ight-of-l'Jcry �eet ' ceihack i�c;m ti;e-River 5tream C�eel: � F��=� � � _��___�__.. _ _ .�_�.i�... .�__._....__� � , j Settback{ram �.�'���Qiuff ',,r.xr;sh�, f�*et : —____ ... ... .____—�. . � �. __. _ . Sethac�tfrr7rv�;Yu�North Lot Linh Feet � G _,.� ' S2tb�d:frr,n•�?he South Lflt ;ir;,� Peet � ( Setback.frorn Wetland � Feet � SaiLacs:`rr;:��U�e b'Jest I.;;t l me ! Feet � 51ope wittiin area nf consiructionJdizturbanu� � 90 Slope ; __.----__. _ ____,_.___ j Sethack':om the Eost Lo[Line ; Feet Elevation oi Floodplain Feet ! � __ �__.�-- _ ------- -_-+ __.__ . ---- � ' _.�_ _ _.: - � ._. -_ ___-_ � i S_t6acF:tv Scptic Tink or Holdin�Tank ���_ Fcet ; �etback to Wcll I F�et � ___- _ _.._. _�_� __ --- � St�thac�:to Drain flald ; feet , I ; ; Setback to Privy(Portai�fe,C.c�mpo,tir F)._ �� .������ � Fcet �_� . _,,, �_ � ` F�' I:: .�.4^:. . ..,.ii .�1 1,�5 .1��1�. . .i�1!t , .. ,. a ��f .,. r , . . . � ., i 1' . . . . . .. , .. . � . . , . ... ..�- . i.., ..- + r�, . .'.:. . . . . �,! , , , _ .. . .� . � .� ... .3'. � „ . . . ' . . , ... � . . . � ; , . .. ' . . -' . ,.� . � .. . � • � . . ... . . .� . . . �' 1 t... ' ., : .. . �t'�i ; .. ' . - � .. . i , . .. ' � , . ,. . . . . , �.. . . . . ' . ... . . . . ...... . . . .«. . ' �. . ,.'i'. . � . .. � , .., . . . � �. „ � .i � . . .�... . � ...„ . . . . . . �1 . . �. . . . .... . �� �� ' I � . .�.. ���� +f.% �Y����.1��ill! ;,�� .. .'� , ... - � -�. �� — �-- -- ,3 r.y��' - f� Calculate impervious surfaces.(Roofed,conuete,pav�d,and p:her surtaces thai water cannot penetrate.Thc Zonin�O(ficc wn help you determine if a ' sur{ace is corislJere�l impervious) �' { �i t y � ���CUI3Sk'�US d�C:); 1 ' � (ri�i:ate izt si.,��frf>r�r ti:�i.4 c�1 i!r)VU�;c�rcJx 7nr:)�_ cres.'.1u��iH��Y i;, -�.,,`,���) ���_:`ar an; _..._--_, i ir�i��>> ��� i i � C�Iculate linp�rvinus surfa�ce ari•a: `,, i � C::ta;m;ai�aii�tot��sizr�.i:i sqi.;:r�r�f�et.o'�tou�rra;,::.�Fz Cisle!!nk;c:�.c:!'r�l.;de�ear�s):__. ____.__.._>q'1 .,>> i)ei���:m�n,�t;:e tGtdlStze,,n.qu4�re f�et,o;�sU c���iin,�,��fF�<1 sirur;i.;s:s{inuude��aresh: ti;: 'rt _.._ _....__ ,_..........�.,_,._ � i c� , �• r"t,;�:;ed su�Eaces _ �s��i.. ,,,�', �7eternune ih�tot:31 s�te,tn squarc t�o�;, f al!existin��avcdJ�ri ' './.J, __.., _,_.._. _�_.�_ .� � �:+G{d titese itieasiuc�m�rrtS ta(futerrnine Cot.�l imperviou�SUrfaces:___,_ � si,(t ( � Calculate!m{�ervfot�s Lot percentage f � � To[al impervious surf,�c�: ��:f at;�r<�a• Sy f!,:;1CD=in;per�io�is surfar.e "S � �..--- ' _.�__�_�._..-� � �b'il�i�pt�or Is!cn�ni ed��,I�c7�'.cx�rc-0:15;3) ( � •••Notl.e a SepsuatH iv,�dinr imrrnil n����;1�tu b;�u!�t:iui,�;�il disltubrd�rca c vrth�n Uia ShorelBn�t di;Hic;:�;i�:dle�li�d on pi„��iouti p�iF;c dnd nocrts cr,tcua betow••• i I ` G����i�n u��µlcap�•f rc�ti r t}ran 20;u -- � Gr�c'in;;oi i��unt�han 1,J��':c�.fL on J?:o-%0`Y S�oPes � � � --- ------�_�. --- � __ �.� ___... i i . 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