HomeMy WebLinkAbout026-938-06-5802-LUP-2024-174 SUBMtT GOMPLEiED APPtiCAT10N AND
Fee ro: APPLICATION FOR LAND USE PERMIT
Sawyer County SAWYER COUNTY,WISCONSIN �
Zoning&Conservation Depart. ,� ��r-�,- �-
10630 Mai�St Suite 49 D e � e�v I
Hayward,wi sasaa � _�%-`--.�=_�f�,J.._I��� L�B�� s � I � � a-t-1 �
(715)634-8288 ��) ���# 1 gp��
� MAY 0 9 Z024 c�1 � —�
iNSTRUCTiONs No permits will be issued until all fees are paid. ,, r —`- � ' n��*� ��J d „� �
Checks are made payable to:Sawyer County Zoning Department. 7(�� g��t' •- � -� ` - .�
DO NOT S7ART CONSTRUCTION UNT��ALL P�ERM175 HaVF BEEN ISSUED 1Q'TS6PC�CAM1TT��L'�'��frglHal'�•Eipiirc#Zion MUST be submitted FILL OUT IN INK (NO PENCIL�
Submittal of ih�s apphcation or receipt of fees aoes not constitute�permit issuance.
Owner(s)Name: ; Contrector{sj Name
�
t�i A�R E C H fZ.L - A H!�m ' c.-C, Cb l� � v �'!o�! �L
Mailing Address: Mailing Address:
z t O � � LN l� v� � � �S b � �.► � l� 3 � r..�,�z� s 3
Phone: ��d� ���—W � /� 9�� Phone: �7��"����(O /�
�
� Q1
Emaii: �/�/\ Email:
Site addrcss: Or Date applied for:
i Legacy PIN# � Q h� �7 � Town of:
! PermitdeliveryMethod n Call Owner �Mail Owner �all Contractor ,Maii ContrectorQmA��. Ca rri���/��On S�����,
� � �- �f-
Is Property/Land within 300 feet of River,Stream i�n�i. Distance Structure is from Shoreline: Is your Property
Intermittent) � Are Wetlands
Creek or Landward side of Flood lain? �f es--continue feet in Floodplain present?
�Shorel2nd p Y zone?
�is Property/Land within 1000 feet of lake,Pond or Flowage Distance Structure is from Shoreline:
Ye5 Yes
�Nr,)
If yes--tontinuP —► feet Nc1
; Non-Shoreland
Describe P���e� Total#of
Value at Time of projed type Poundation What Type&Capacity is the
Completion Number bedrooms
(House,garage,shed,deck, (Basement, Sewer/Sanitary System{s)
,,n-,,;,. • � :,: - of Stories Post
Addition,etc...) Crawlspace,
t�me t���,ace���; ��n separately Slab) construction
$��D, oD0 �oF�'1,� �, 3 /3 Ev o�/ tirr,��, �
SC �-43 3 J-z Q � /`G Z3
Dweliing
5
Aaessory Bldg
$
Addition/Alteration
Height:
TotalSquare Lowest
Proposed Use ✓ Proposed Strudure Dimensions Footage Grade to
(multiply per Highest
story) Peak
3� xz- ) �(,,�
� Residence ( � �Z.� Ft.�-- !
� with 2nd story or loft t �X Z�) Ft.y-
with Basement ! { X }
Ft.
Attached Garage ( X )
� Residential Use Ft.
Accessory Structure(eXPia��) ( X )
� Agrieultural (detached garages,zheds,boat houses,etc j Ft•
Use { X )
l'emporary Guest Quarters or Bunkhouse(r�cie cyPe� Ft
�; Commercial/ � Dec orc Patio { �� X g } 8 D Ft.
Industrial Use ( x Z )
�[ {2"d)Deck orch atio � � /Gi � Ft.
� Munici al Use �,
p ( x )
Other(explain) Ft.
_ Other ( x )
Prineipal Strueture(agric�it��a�,Commercial,Munlcipal,Etc.) Ft.
Addition/Alteration(expiain) ( X ' Ft.
Total habitable square feet: Total Non-habitable s uare feet: �
Q ��� (decks,patios,garages,sheds,storage area&other structures) y�
ex �„�.11�.� �,as.� � �,�,� by �w���,� ��.s
Original Appht.rt��or..��":�:�:'_ ��.ubmittod
Attach a Plan or Sketch you�Property on 8.5"x 11"or S.5"z 14"paper.'MusN Indude lontion and setback of proposed and ezisNng structures,roads,
driveway,sanitary componeMs,wep,lake,rWer,stream.and wetla�a
DescriPuon Setbadc �� SetWdi
Meawrame�ts � Meawrements
Setback from the Centerline of Platted Road and/or Feet Setback from the lake(o,e�oa�vn�gn-wa�e�ma.k) �� Feet
Setback from the Established RighFof-Way Feet Setback from the River,5[ream,Creek Feet
Setback from the Bluff�f apoi�cabie Feet
Setback from the North�ot Line Feet
Setback from the South Lot Line Peet Set6ack from We[land Feet
Setback from the West Lot Line �j, Feet Slope wi[hin area of construction/disturbance %Slope
Setback from the East Lo[Line � Feet Elevation of Floodplain Feet
Setback to Septic 7ank or Holdin`Tank Feet Setback to Well Feet
Setbackto Drain Field Feet
Setback to Privy(Portable,Composting) Feet -
�" ..i�.i,.Nn.., n i�t�on or�stri.n�m�� n . ...,a. ��ne m revu red serna.k.i�. i;nn.,iv i. _ cm i�ric'i�he se[ea�k n,�_oe�easuree must be v sible from one
...� , . ..,.,rectos�nrothe 0'P�oisv���- _r._ .i narkeAny3lcc ser,s��veyor,�t F _�,. _e*pe�se
Pr���i^-ne�i..rr nr nst�ic�io�ofasiiu:+u rr��hanfivP(til'rvt���les��'�i� r.,�l(��e.tti�mrhe i requiretlsel�ark,t�eLo!in�fa�yl�ne���inwh�i�h��esetbarkmus:be
, . is`bl�l-�r epre , . .��. �. ntnr.n.Y, . ..isl�� i .��:nrn.r.i =.(ahehVt�P��partnen,F. � i .. ..�..�.�(-.�;�known[�rne�
t.� __la(tie� 1 e��s�e.�ift� s�ri...�e__ . - .�,. . I__nse... ..��.� . .ean-r�.
Calculate impervious suAaces.(Roofed,concrete,paved,and other surtaces that water cannot penetrate.The Zoning Office can help you determine if a
wrface is conside�ed impervious)
Calwlate lot area: Q�
Indicate bt size from CSM�r NOVUS(cirde one):�__qcres;MWtiply hy 43,560=Lot area: 7�y �� I Square Footage
Calculate impervious surface area:
Determine the total size,in square feet,of your projeRs listed above(indude eaves�: Z Z'T 7J sq ft.
Determine the total size,in square feet,ot all existing roofed structures(indude eaves�: �/J O zq ft.
Determine the total size,in square feet,of all exis[ing paved/bricked/blocked surfaces: sq ft.
Add these measuremenu to determine total impervious surfaces: ✓OG g�_sq ft.
Calculate impervious lot percentage
Totalimpervioussurface: ��V +Lotarea: 7Zioy5qft.%100=impervioussurface�%
IM'���ea��o��s rea„�red'�t�o�ai e��eees isv�
'•'Notice a separate grading permit needs m be obtained if dis[urbed area is wlthin the Shoreland dis[rict as indicated on previous page and mee[s criteria below^•
Gradin on a slope reater than 20% Gradin of more than 1,000 .Ft.on 12%-20%slopes
Gradin of more than 2,000 Sq.Ft.on Slopes less than 12% Grading is in ezcess of 30,000 Sq.Ft.
� ' n l�'ifM' ;-.k"� /1N�iRlli:TpNWIiNOU1�VFHMITWILLRESUI�INI'[NALT�FS
I(we)dedare that this application(includmg any accompany ng informabon)has been exam ned by me(us)and to the best of my(our)knowledge and belief't�s true,correct and
omplete.I(we�acknowledge that I(we)am(are)responsible(or 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)fu her aaept liabiliry w�ich may be a result of Sawyer[ounty relying on this information I(we)am(are)providing in
with this application.I e)consent m munty officials cha ed with administering county ordinances to have access to the above described pro0etty at any reasonable time for the
purpose 'spect'n.Addltio ally he de igneE person(s)hereby give permission for access to the property for onsire InsOettion by Municipal Officials.
'
Owner Owner �I r- /"/n/ �/ ���/���
Signatu � Vrinted name l�✓1 L f��S ,'`a� ��V/
�'*'l!!�✓lqate—�1=�T_
. ... . .,�E u�ed)
rvonct .. ,. . ��_min,.u,i.,. . ,�,�.
. . ..�� , � .. . _., � . � . -�•cn �i ,,_. .. „�r.. .,.
�ouareresDonsibleforcompiy�ngwiththerequirementsoftheSavryerCountingZ n�ngOrdinanc dlawand egulationsofthe5tateofWisconsin.Vouarealsoresponsib�etor
comply'ng w th State and Fede21 laws concerning construttion near or on wetlands,lakes,and sheams.Failure to comply may result in removal or modifcation of mnstruction
that violates the law or oMer penalties or costs.For more Information,vislt the department of natu�al resources wetlands iAentification web page or mntact a depanment oi
natural resources service center(608)26]-3125
SAn� :l - 1 �o.kc
Issuance Information(County Use Only) Sanitary Number: ^Lt.�w aof bedrooms: 3
d•
Vermit Denied(Date�: Reason fo�Denial:
Permit p: Issuing agent: Date:
��-�-�y � i a�
Is Parcel a Sub-Standard Lot �'�.Yes (Deed ot Remrd� � N iC ation Required � �C�Ves '�.No
Is Parcel in Common Ownership ���..Ves (Fused/Contiguout Loqsj) o �gatian Attached ' Yes .��.No
Is 5[ruc[ure NomConforming '�.��.Yes
Granted by Variance(B.O.A.) Gronted by Conditional Use
L�Ves "i.No Use M: :"!Yez _'No y�p:
Was Parcel legally Created ,::�.Yes O No Were Property Lines ReOresented by Owner �����.Yes No
Was Proposed Building Site Deiineated ''Ves ��:"'No Was PropertV Surveyed Yes No
OfficeComments ZoneDistritt: Fee:
- .�SaS_����w�.S
Hold ForSan�itary- Hold ForTBA: �oln�or 4ff�dav-� Hnld F�rFer�s.
�Feb2021
��{���
5/9/24, 3:11 PM Novus-Wisconsin Access rev. 13.1108
Real Estate Sawyer County Property Listing Property SWtus: Current
Today's Date: 5/9/2024 Created On: 2/6/2007 7:55:46 AM
�Description Updated: 7/29/2020 '�'� Ownership Updated: 7/29/2020
7ax ID: 27668 � MARY A MARKHAM APPLEfON WI
PIN: 57-026-2-38-09-06-5 OS-008-000020 CHARLES E MARKHAM APPLETON WI
Legacy PIN: 026938065802
Map ID: :8.2 Billing Address: Mailing Address:
Municipality; (026)TOWN OF SAND LAKE MARY A MARKHAM MARY A MARKHAM
STR: 506 T38N R09W N210 LIBERTY LN N210 �IBERT'LN
Description: PRT GOVT LOT 8 LOT 2 CSM 1/136 #107 APPLETON WI 54915 APPLETON WI 54915
Remrded Acres: 1.660
Lottery Claims: 0 � Site Address * lndicates Private Road
First Dollar: Yes 16591W SISSABAGAMA RD STONE LAKE 5467r
Waterbody: Sissabagama Lake
Zoning: (F-1) Forestry One
(RRl) Residential/RecreationalOne JPropertyAssessment Updated: 9/28/201?
ESN: 423 2024 Assessment Detail
Code Acres Land Imp.
�� Tax Districts Updated: 2/6/2007 G1-RESIDENTIAL 1.660 170,300 31,700
1 State of Wisconsin Z_year Comparison 2023 2024 Change
57 Sawyer Counry Land: 170,300 170,300 0.0°r�
026 Town of Sand Lake Improved: 31,700 31,700 0.0°n
SR478 Hayward Community School Distrid Total: 202,000 202,000 0.0°/n
001700 Technical College
• Recorded Documents Updated: 2/20/2020 �proper[y History
O WARRANTY DEED N/A
Date Remrded: 6l19/20Z0 424521
� WARRANTY DEEO
Date Recorded: 9/14/1998 270746 367/309 WD646/71
0 WARRANTY DEED
Date Remrded: 10/1/1984 193121
� CERTIFIED SURVEY MAP
Date Recorded: 6/10/1966 000115
https:lltas.sawyercountygov.orglAccesslmaster.asp ���
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D � � b PROPOSED PROJECT FOR: CHARLES & MARY MARKHAM CODY'S DESIGN
--_ _ _ -- - -- -- - �
� �,; 16591 W SISSABAC�-AMA STONE LAKE WI 54876 � - - ,
m h' MAIN FLOOR PLAN SHOPPE
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� 16591 W SISSABAGAMA STONE LAKE WI54876�� -�� - - - �
o�� SECTION & DETAILS SHOPPE
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Sawyer County Application foriGradir�g �, ` `�
.:_�::.._�'_�'.�.:• : �
10610 Main St. Suite 49 � �� �
Hayward W I 54843 , . r � ; �
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CONSTRUCTION SHALL NOT BEGIN UNTIL ALL REQUIRED PERMITS HAVE BEEN --�
ISSUED. SIGNATURE OF PROPERTY OWNER IS REQUIRED. o �
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Owner: A2 f �$ q �Iry� Contractor: �(,L �oM -r72U oN (�
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Mailing Address: /�l�.!(� (,��1 �1V Mailing Address: �s�/ a Uc� 1-�v.Jy (o �
Cit , State, Zip: � LJ 5 �l`�l$r Cit , State, Zip: � ! 1�J/ S�
Phone: �D— -���/ Phone: ( - 3�-�7c$ � �
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Email: G�,u ar�•Co�'�t Email: r '.� 1�f�lcr�'ii�c�c�t�D�?.ri.�.� CD
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Site address: ��p sq f 1� �� 5$W(�F�Gl�lvt�1°� !C'� }'
6�
i
Calculate grading area: (Total area disturbed including excavation, fill, grading, �
landscaping, equipment rutting, and/or other areas vegetation will be removed resulting �
in exposed soil) o
�
Determine width of disturbed site in feet: �ft. x depth of disturbed site in feet:��ft. �
Total = 7 O sq. ft. (this is the area calculation) 0�0
Determine Slope of disturbed area: Vertical height in feet_�= Horizontal distance in �
feet 7-�= Slope � 0! 3 X 100= I• 33 % Slope �
(1V/1 H= Slope X 100= Percent Slope) �
�
*For any filling or grading of any area which is within 300 feet landward of the ordinary '�
high water mark (OHWM) of navigable water and which has surface drainage toward the +
�
water and on which there is either: F
(1) Any filling or grading on slopes of more than 20%. �
(2) Filling or grading of more than I,000 sq.ft. on slopes of 12% 20%. ��
(3) Filling or grading of more than 2,000 sq.ft. on slopes less than 12%. 3
(4) A Grading Permit is required for any filling or grading in excess of 10,000 sq. ft ,Ay
within 1,000' OHWM of navigable lakes, ponds, or flowages OR within 300' of OHWM of �
navigable rivers or streams.
Date activity will begin if permit is issued: � Z date to be
completed: c)�ticE Zo7 S
Attach engineering design or complete the following using additional sheets:
1. Describe proposed erosion control installation, construction phases, and finished site grading. cn
Include timeline, methods, and materials. (Silt Fence alone is not ample erosion control for c
most sites) ��
D
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2. List temporary seed type and rate,permanent seed type and rate,fertilizer type and application rate
(if applied),and mulch type and application rate.
�Ert��nrc--�-r- Coc��GQ.�-n �� w���►�� �vLcN
f�f��t�iE�j l " TNrc�. �lo F�e7r��z�.
3. Attach a plot plan of project area including location of any wetland(s)and/or waterway(s)(indicate
area between grading project and water body to be left undisturbed),location of excavated material,
location of all storm water and erosion control Best Management Practices(BMP's),property lines,
existing drainage,post grading drainage pattern,and north arrow.(Silt Fence alone is not ample
erosion control for most sites)
� cc A��cN�J.
EROSIOM
—— —— —— � COMfROI RAl1
SAMPIE ER0510N LEGENO
CONTROLPIJW � �
OR 1 OR� ` cwpofaiv
AMILti �. � \ � N _——l�^E
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4. Attach a cross sectional view of project area including the existing and proposed slope of the bank,
water level of any existing waterway,and horizontal and vertical scale.
SEE t�rr�C���j.
Initial below
�All BMP's and erosion control devises will be inspected weekly and after rainfall of Yi or
greater within 24hr period.
In accordance with the Sawyer County Zoning Ordinance section 4.281(Adverse Effects On
Adjacent Properties).I hereby declare that the construction and/or grading permitted under
this permit will not affect or interfere with neighboring properties drainage patterns.Any change in
drainage patterns which are determined to be detrimental to neighboring properties will be
corrected at the expense of the property owner referenced on this permit.
The undersigned certifies that the listed information and intentions are true and correct,that all work
shall be performed in compliance with the requirements of the Sawyer County Zoning Ordinance
and the laws and legulations of the State of Wisconsin.The undersigned person(s)hereby give
permissiorvfor a.,!(¢ess to t�prop Ar onsite inspection.
� '
�� �� �
Original Signature of property owner(or agent with Power of Attorney).
Permit Fee: ��0�
. ��ate S����a��
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