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HomeMy WebLinkAbout24-0400P VFIELD PLANNING & ZONING DEPARTMENT ^ I; i !!'IJI.i', W I! W/ H7E5?St^t' .POBOX51_1PR 1 ^'WtWashburn, Wl 5489'f (715)373-6138vij(!!.!f;^/uniii( permits@bayfieldcountv.wi.Rov www, b a yfi el d co un tv. wi. g ov/z o n ing »unty Use Only: >ning District: Shoreland: pifee Paid: Refund: Permit#: Date: LAND USE PERMIT APPLICATION Property Owner Name:1e^/'uc^ _/^oa&\ Authorized Agent Nsyne (if applicable): ^infbi i^fTs Telephone Number: ^,3 ^o.^/"? Telephone Nunfber: ^,5 7S( E-Mail Address: A/n/ne/4o/^>cDc\<w--V- ^'0/*t E-Mail Address: ^ -I C<IA€W- 0 c Le.c,A oS ^\ e. V-^Qi/ft' Mailing Address: S^ZL f^oJAe/ t \^Mailing Address: B-Wio //lo.m 1< J City,. State, Zip:'..State, zip:\^ ^^. ^ s^-^-n City, State, Zip: c-/ i) e. ^I'-' j SL/?7_? Contractor: lou/T/'Ci;^e is/"zA C^O^S-^e^-'' Telephone Number: -ji^- 74^" vr^ E-Mail Address: 1oC/4 <0 Q^GC, 4 eJ1.4 ^ PROJECT LOCATION Project Address (if different from mailing address):,Llct 6 5 5 RA ^^t.-s us- <wn Legal Description (if additional space is needed, attach a separate sheet): Fk*. ^'tc^ /^ 5^^£-,^,j ^r F»a.,^ t0..i OHI .^, ^^, ^ I^.s^fcx-wy aoso nRfv 7?'t-^ 'a1 C|T£>'bWa;.;N\ 3Q%(.{>t '•fco32CL? 653 Section, Township, Range;5/5 TS^l(^ Town of;focy<\"y*-^ Tax ID #; M_ Lot Size (Acres/Square Feet): PROJECT DESCRIPTION (check all that apply) Proposed Use: iMResidenrial D Commercial D Municipal Proposed Project: ^ New Construction D Addition/Alteration D Change/New Use D Relocate (existing structure) D Temporary (12 or less months, does not apply to RV placement) Structure Type: [^ Residence/Principal Stmcture D Detached Garage D Boathouse (one story only) D Open-sided/Screened Structure (gazebo, etc.) D Stairway to navigable waters D Sign D RV Placement D Shippuig Container D Shoreland Grading (Class A) D Other (explain): Foundation Type: 1^ Basement D Walkout Basement D Slab D Crawlspace D Ground D Skids D Other (explain): Proposed Sign is: D New D Replacement D On-premise D Off-premise D 1-sided D 2-sided D On-building D Multi-Tenant Length: Width: Height: Proposed RV is: D New D Replacement Year: Vin#: Make:Model: PROPOSED PROJECT AREA - Area to nearest square foot of outside dimensions including unfinished a|ggpjttapheid;:i^a'®s and above grade decks or porches (does not apply to Signs or RVs) Basement: ,01^ St' 1st Floor: ^ot4 ^ Loft: .f.// 2nd Floor: ^om.5? 3rd Floor: Other:Total Square Footage: s., / Overall Height (finished grade to peak); • -w^_ ITE PLAN 1^ REQUIRED (PLEASE COMPLETE BELOW) Overall footprint (including eaves/overhangs)31^ 8q-ft- All applicable setbacks (include on site plan too) Road Centerline/Right-of-Way North Lot Line South Lot Line West Lot Line East Lot Line Septic/Holding Tank Drainfield Privy Well Existing Structure/Building Wetland Elevation ofFloodplain Ordinary High-Water Mark (OHWM) Other ^oo<»f ft. ft- I OGf8 ft. j<^ ft, ^ ft. %& ft. j^.0 ft. /^A ft' So' ft. ^,4 ft. A^/A ft- /^/4 ft. jo? ft. N/A ft. H'J II 11^ I?B4tB»^»rt4ma<^'islW4> APR 1 5^024 I yiKil'i ';(;. /(illitin lj!;|) r County Use Only Verified overall footprint sq.ft. Verified setbacks ft. ft. ft. ft. ft. ft, ft. ft. ft. ft, ft. ft. ft. ft. Notes/Comments: NOTE: Please indicate "see attached" on this page if submitting site plan as a separate document. FLOOR PLAN ir', yg Sl^ ft W /\pR 1 h?fl?4 Indicate Floor: D Basement D 1st Floor D Loft D 2nd Floor D 3rd Floor D Other ItaviNd Co, /('jim(.)t.iR|". $ee-t.-G'.AeX.CXIe^/l\b?^ All applicable dimensions need to be shown on the floor plan and noted below Floor without attached exterior components with Porch 1 with Porch 2 with Deck 1 with Deck 2 with Attached Garage with Other (explain): Dimensions (in feet) x x x ^ x.s^ x x x Square Footage sq.ft. sq.ft. sq.ft. ^^ ^\ sq. ft. sq.ft. sq.ft, sq.ft. County Use Only Dimensions (in feet) x x x x x x Square Footage sq.ft. sq.ft. sq. fit. sq.ft. sq.ft, sq.ft. sq.ft. Comments/Notes; NOTE: Please indicate "see attached" on this page if submitting floor plan/s as a separate document. LAND USE PERMIT APPLICATION REVIEW Will this be the first structure on the site?'B, Yes DNo i !i.,i,,'i,,i,i < , /,„.;.,, n,.,,;' ';i"i!HKI I •f). /OI'illK! I jOOT2) What is the total number of bedrooms on the property once this project is complete ' _" ? 3) Is there a proposed/existing sanitary system on the property? 0 Proposed - TypeCohye.vVfwA. D Existing - Type. 4) Will any of the following occur within the proposed project/sfructure? VH New Electrical Installation QlNew Plumbing Installation 8 Sleeping 5) Has the location of the proposed project been staked including stmcture, sanitary system, and well? t8 Yes D No 6) If required, who marked the property lines? D Applicant/Property Owner ^ Licensed Surveyor 7) Is the property in the shoreland, within 300 feet of a river/stream/landward side of floodplain or 1000 feet of a lake/pond/flowage? j^ Yes D No D Unsure 8) Is there wetland located on or near the property? D Yes (^ No D Unsure 9) Is there floodplain located on or near the property? D Yes {Q No D Unsure 10) Is this project associated with any of the following; D Rezone D Conditional Use D Special Use D Variance 11) Did you contact the town to see if any permits/requirements apply to your project? D Yes D No The following items are included with the application: Sl Site Plan ^ Building Elevations IB Floor Plan/s D Fees All Land Use Permits expire Two (2) Years from the date of issuance if construction or use has not begun. Sanitary Permit, if required, issuance needs to occur prior to Land Use Pennit issuance, Failure to obtain a permit or starting construction without a permit will result in penalties. The local Town, Village, City, State or Federal agencies may also require permits, The construction of one- & two-family dwellings and new plumbing/electrical installation for residential use structures (accessory/principal) require review and approval by the local Uniform Dwelling Code (UDC) authority. All municipalities are required to enforce the UDC. If subject property is part of a Condominium Plat, applicant hereby certifies and represents that applicant has all necessary approvals and recorded documents required to complete the project for which this permit is sought including requirements set forth in Wisconsin statutes pertaining to condominium associations, the Declaration of the Condominium Association in which the property is located, and all other rules, regulations and requirements pertaining to that Condominium Association. You are responsible for complying with state and federal laws concerning construction near or on wetlands, lakes, and streams. Wetlands that are not associated with open water can be difficult to identify. 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, dnr.wi.gov/topic/wellauds. or contact a Department of Natural Resources service center (715)685- 2900. 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 tme, correct, and complete. I (we) acknowledge that I (we) am (are) responsible for the detail and accuracy of all information that I (we) are providing and that will be relied upon by Bayfield County in determming whether to issue a permit. I (we) further accept liability which may be a result ofBayfield County relying on this information I (we) are providing in or with this application. I (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. Owaer/s or Authorized Agent Printed Name: L? tJ^'Ww \-^ t i' Sc"' c»l ^/ / ^^. /Owner/s or Authorized Agent Signature: _ /»/ . .! "f' /?.:.-- . Date: 'fy NOTE: If you are signing on behalf of the ipg&?r(s) a letter of authorization must accompany this application Address to Send Permit: 5M3P /Y[)€A (^ /^ww-s l^T APR 5?li-)4 iuj J ^o . lA^o^^R./^^CqAp.ceRAJtZ)' a3.^^ l0iy_ \A)oalA~^Ro^^c) .^R/\)et LAC);. \[r\^\ Ctoc o I I ~'s . Qi^H^o r^ •ze,0 -l-o ^ec:^^o ._A).^..,pA3. n^ .. {^^/^' ~. h -e_|nv\^e' |*>s HV F^TW^zeL)/'\°ig L^e. ^^ oo\j KuxL^-ef^. ir //•;• /;: 'i; t; i ^PR 1b7(^ Hi !!:Wh!ii(:,, ,»iliin,!n i, i;. JH 1 ^'& . ^'& . ^*& .1 . fr* fr .».' fr />.'<f." <fc ^. b ^'&. . ^'& . '^'& .1 ^•A . '^'A . 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