HomeMy WebLinkAbout002-940-14-1401-LUP-2024-181 SUBMIT COMPLETED APP�ICATION AND
FEero: APPLICATION FOR LAND USE PERMIT
Sawyer County Y N
2oning&Conservation Depart. —� '! i�:-,�;� !�
n Re�eNe ' ,� i� �
10610 Main St Suite 49 • ` �;
Hayward.WI 54843 �J ;,��te s I �-1 � �-y --�
(715)634-8288 MAY 0 7 2024 �,-��' �
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SAWYER G�,�'•: . �
INSTRUC710NS: No permits wili be issued until all fees are paid. � :_ _ RCt'��� ��
�G%
Checks are made payahle to:Sawyer County Zoning Department. ��}"'��"'�'�"'""�`
DO NOT START CONSTRUCTION UNTiI ALL PERMITS HAVE BEEN ISSUED 70 A7PLICANT Original Application MUST be submitted FILL OUT IN INK (NO PENCILJ
--- -- --_._--
Submittal of this application or receipt of fees does not co�stitute permit issuance.
Owner(s)Name: Contractor(s)Name
��Ui� ����� d�� ����
Mailing Address: Mailing Address:
��S/ G��L� i�r� � �'.�
Phone: / � O' ` 7 D�� _.� � Phone:
Sp D l D
�/ � 7� /� /yl�f/L.
Email: /'/"{�f�1 V ` �'7 Email:
Site address: �� GUI����s � Or Date applfed for:
Le ac PIN k v`'� � �y O` � ' ��� Town of: SS L-a1c e,
Permit delivery Method �all Owner o Mail Owner o Call Contractor ❑Mail Contractor
`.I Is Property/Land within 300 feet of River,Stream (tnci. Distance Structure is from Shoreline: Is your Propercy
IntermittentJ _� Afe W2tland5
Creek or Landward side of Floodplain? If yes---continue feet in Floodplain present?
Shoreland zoRet
kls Property/Land within 1000 feet of Lake,Pond or Flowage Distance Structure is from Shoreline:
Yes Ye-s
If yes---continue � /g� feet C q` ���n`
J Non-Shoreland
Describe Project Total ri of
value at Time of project type Foundation What Type&Capacity is the
Completion Number bedrooms
"indude donaced (House,garage,shed,deck, (Basement, Sewer/Sanitary System(s)
Addition,etc...) of Stories Post
time&material Crawlspace,
List separately Slab) constniction
S
Dwelling �
s
Accessory Bldg
s�� .��G°� � �n�,�U �
���
AddiNon/Aiterotion
Height:
Total Square Lowest
Proposed Use ✓ Proposed Structure D(mensions �ootage Grade to
(multiply per Highest
story) Peak
Residence ( X �
Ft.
with 2n4 stOry or loft ( x ` Ft.
( X )
with Basement Ft.
�esidential Use
Attached Garage ( x } Ft.
ACCessory StruCtu�C(explain) � x �
❑ Agrieuitural (detached gar�Qes,sheds,boat bouaes,Qte) Ft.
� x )
Use Temporary Guest Quarters or Bunkhouse(circie cyPe) F�
❑ Commercial/ De orc Patio ' �� X � , �7� Ft.��
industrial Use ( x )
(2"d)Deck/Porch/Patio Ft.
❑ Munfdpal Use � X )
•Other(explalnl Ft.
� Other ( x 1
Prineipal Structure�Aaricuicurai,Commerclal,Municlpei,etc.) Ft,
_ __ -- - -
___ _ _ _ { X )
Addition/Alteration(e«via�N Ft.
Total Non-habitable square feet: /�,/�
Total habitable square feet: (decks,patios,garages,sheds,storage area&other structures) �� '�'
Unginai Applicatiun N�U�T t�e suG�»itted
Attach a Pl�r�or Skeccn 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. ��
5etback Setback
Oescription Descriptfon Measurements
Measurements
Setback from the Centerline of Platted Road and/or `�r-�'' Feet Setback from the Lake(ordinary high-water mark) /�O Feet
Setback from the Established Right-of-Way Feet Setback from the River,Stream,Creek ..— Feet
__ Setback from the Bluff if applicable Feet
Setback from the North Lot Line /�O Feet
Setback from the South Lot Line � Feet Setback from Wetland Feet
Setback from the West Lot Line ��j Feet Slope within area of construction/disturbance 90 Slope
Setback from the East Lot Line Feet Elevation of Flpodplain Feet
Setback to Septic Tank or Holding Tank Feet Setback to Well ('� Feet
Setback to Drain Field � Feet
Setback to Privy(Portable,Composting) _�- Feet
Prior m the pia�ement or construction of a str�cYure within five�5)feet of the minimum required setback,the boundary line from whkh the setback must be measured must be visible from one
previousiy surveyed mrner t�the ochei previously surveyed comer or marked by a Gcensed surveyor at the owner's expense.
Prior to the placement or construction of a structure more than five(5)feet but less than ten(10)feet from the minimum required setback,the boundary line from which the setback mu,t oe
measured must be visible from one previously wrveyed comer to the other previousiy surveyed corner,or venfiable by the Department by use of a corrected cornpass(rom a known co�ner
within 500 feet of th��p�opose�site of the structu�e,or must t�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 b,y43,560=Lot area: Square Footage
/
Calculate impervious surface area: %
Determine the total size,in square feet,of your projects listed above(i lude eaves : sq ft. � ,(\�D.
� d,���s-
Determine the total size,in square feet,of all existing roofed structures(inclu aves): sq ft.
Determine the total size,in square feet,of all existing paved/bricked/block surfaces. sq ft.
Add these measurements to determine total imp vious surfaces: Sp{t,
Calculate impervious lot percentage
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 disturbed area is within the Shoreland district as indicated on previous page and meets criteria belpw""
Grading on a slope greater than 20% ' Grading of more than�.,000 Sq.Ft.on 12%-20%slopes
Grading of more than Z,000 Sq. Ft.on Siopes less than 12% Grading is in excess of 10 OOp Sq Ft
f �Ulii_;u t;L3T�lII`1 h I'i_fiCv;l ,, .7riR111Vi,i�CIN)TRUCTIOI�, �IIFi�!U��� ��.,�'ti(Nil( JJIL� kC'�UiT IN�1_ I llES
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(we}consent to co ty officials charged with administering county ordinances to have access to the above described property at any reasonable time forthe
purpose of inspection. e und erson(s)hereby give permission for access to the property for onsite inspection by Municipal Officials.
Owner Owner r7
Sign ure Printed name�/�l/�����{�d� Date.� — / `�'�
(Signature and Printed Name required�
NOTItE: All land Use Permits Expire One(1)Year from the Date of Issuance.
For the Constr�ction Of New One&Two Family Dwelling: ALl Municipalities Are Reyuired 70[nforce The Uniform Uwelling�ode.
The local Town,State or federal a3gencies may also require 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 modiflcation 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 Only) Sanitary Number: #of bedrooms:
Permit Denied(Date): Reason for Denial:
Permit#: Issuing age . Date:
�y � �� � �� �a`�
Is Parcel a Sub-Standard Lot I i Yes (oeed of Record) '`�No
Is Parcel in Common Ownership '�Yes (Fused/Contiguous lot�sf) i No Mitigation Required i t Yes �C�/IVo
Is Structure Non-Conforming !i Yes �No Mitigation Attached (_'�Yes �No
Granted by Variance(B.O.A.) Granted by Conditional Use
C;Yes . No Case#: J Yes ' o
Case tl:
Was Parcel Legally Created '�Yes :-�No Were Property Lines Represented by Owner '� Yes
Was Proposed Building Site Delineated ''�RYes Ci No No
Was Property Surveyed Yes rya
Office Comments:
Zone District: Fee:
�'<<2 � � �s
Hold For Sanitary: Hold For TBA: ' Hold For Affidavit: l
Hold for Fees:
�Feb2021 � —
5/7/24,11:43 AM Novus-Wiscansin Access rev.13.1108
Real Estate Sawyer County Property Listing Property Swtus:Current
Today's Date:5/7/2024 Created On:2/6/2007 7:55:07 AM
�Description Updated:2/18/2019 `i'�Ownership Updated:2/27/2017
7ax ID: 3196 DAVID W&TAMARA L RICHMOND HAYWARD WI
PIN: 57-002-2-40-09-14-1 04-000-000010
Legacy PIN: 002940141401 Biliing Address: Mailing Address:
Map ID: .4.1 DAVID W&TAMARA L DAVID W&TAMARA L
Municipality: (002)TOWN OP BASS LAKE RICHMOND RICHMOND
STR: 514 T40N R09W 8781N WILLIAMS RD 8781N WILLIAMS RD
Description: PRT SENE LOT 1&OUTLOTS 1-3 CSM HAYWARD WI 54843 HAYWARD WI 54843
23/200#6397
Recorded Acres: 1.810 w Site Address *indicates Private Road
Lottery Claims: 1 8781N WILLIAMS RD HAYVJARD 54843
First Dollar: Yes
Waterbody: Murray Lake
Zoning: (RRS)Residential/ReaeationalOne `',PropertyAssessment Updated:5/29/2018
ESN: 406 2024 Assessment Detail
Code Acres Land Imp.
G1-RESIDENTIAL 1.810 46,800 56,400
Tax Districts Updated:2/6/2007
1 State of Wisconsin 2_year Comparison 2023 2024 Change
57 Sawyer County Land: 46,800 96,800 0.0%
002 Town of Bass Lake Improved: 56,400 56,400 0.0%
572478 Hayward Community School Distric[ Total: 103,200 103,200 0.0%
001700 Technical College
• Recorded Documents Updated:5/3/2011 �..+�property History
� WARRANTY DEED N/A
Date Remrded:2/21/2017 405496
� WARRANTY DEED
Date Recorded:9/4/2013 387068
D SHERIFFS DEED
Date Remrded:4/18/2011 372208
https:lltas.sawyercountygov.orglAccesslmaster.asp ���
SITE PLAN: (Draw within box or attach)
1. Enter lot dimensions and indicate north by arrow.
2. Indicate the location and size of the requested construction activities.
3. Indicate the location and distance to the lot lines of any well, wetland area, septic tank or drain field.
SITE PLAN
____..��. _. _ .. . ., __ _ . __ . _ � Setbacks
. .t'�C..�'��,.•� l •�.r3;�" �.%�
� _ _ _ _ _
____ _.__. �...._ __.._ _______ __.._,_, . �� Please indicate feet from lot
� y�,��.;�� ; lines to proposed building or
,� C3 �� � �G� addition below:
' 4����� m � ��'� , North Lot Line /.� ft
>� t ?� �
> i J �
�'� . 's Z �'�,� � �� �� South Lot Line �'0 ft
I a ?
' � /���,� � ,. w;��' West Lot Line o2c� ft
. .,,J� f^ p F
� East Lot Line � ft
t
r�� �. .� ,�
r f c� ,,-,�
._,__.--- � ._ _R�__�^ �,-',��,:
�
�, . �/� �, �� ,----
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i ,w �.___ ,/
^-,,. ,..,--� - ___-::.=-� F. /`� ��
Wisconsin Administrative Code prohibits roof drains & sump pumps to be hooked to sanitary sewer.
**I certify that the requirements of Wisconsin Administrative Code Chapter NR447, including a thorough asbestos inspections
and, if required, a notification or intent to demolish and/or renovate, have been met.**
I understand that all land use ermit fees -refu ble.
Signature of Owner or Authorized Agent with Power of Attorn
Print Name f�j�7Uf� T`/�
The above certifies that the listed information and intentions are true and correct, that all work shall be performed in compliance with
the requirements of Ordinance No.148 and its amehdments of the City of Hayward and the laws and regulations of the State of
Wisconsin, and if acting as owner(s) agent, has the permission of the owner(s) to perform �he work requested on this application. The
above person(s) hereby give permission for access to the property for onsite inspection.
Issue date Expiration date
For Office Use Onlv
Total Fee Required: $
UDC Permit Required? Y N
Fees Paid:
State Approval Required? Y N Land Use: $
Electrical: $
Planning Commission? Y N Plumbing: $
APPROVED: Date Received:
Check #:
John McCue, Public Warks Director Receipt #:
_ .
, _ _ _ _ _
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