HomeMy WebLinkAbout24-00087ROC'dr Issuance RECEIVED
_ DEC 18 2023 ON -
Ire
Permit #
BAYFIELD COUNTY PLAN�MWNIN — A3C Yr`gERMIT APPLICATION
Property Owner:
Authorized Agent (if applicable):
Philipsek Trust Dated August 18, 2021
Norbert J. Philipsek
Telephone Number:
Telephone Number:
715 815-0264
715 815-0264
E-Mail Address:
E-Mail Address:
norbphilipsek@gmail.com
norbphilipsek@gmail.com
Mailing Address:
Mailing Address:
11767 East County Road B
111767 East County Road B
City, State, Zip:
ICity, State, Zip:
Lake Nebagamon, WI 54849
Lake Nebagamon, WI 54849
Contractor:
Telephone Number:
E-Mail Address:
Ritola Inc.
715 278-3824
Kent ritolainc.com
Project Address (if different from mailing address):
20415 20085 South Sweden Road, Grand View, WI 54839
Legal Description (if additional space is needed, attach a separate sheet):
Sec 32 Tn 45 Rg 06 SE NW 1130
Section, Township, Range:
Sec 32 Tn 45 Rg 06
Town of:
Grand View
Tax ID #:
Lot Size (Acres/Square Feet):
17744
40.00 Acres
Project Description (Detached garage, deck, bunkhouse, mobile home, etc.):
Detached storage building
Proposed Use:
Proposed Project:
Structure Type:
Foundation Type:
2 Residential
lia New Construction
❑ Residence
❑ Basement
❑ Commercial
❑Addition/Alteration
❑ Accessory
❑ Crawlspace
❑ Municipal
❑ Change/New Use
[0 Other (explain)
10 Slab
❑ Relocate (existing structure)
storage
❑ Other
Area to nearest square foot Outside
dimensions including unfinished are& attached garages and above grade decks orporches)
Basement:
1" Floor: 2nd Floor:
Yd Floor:
n/a
1,049Z n1a
n/a
Total Square Footage:
Overall Height (finishe a peak):
Fair Market Value of project upon completion
1,0z't
184" or 15.33'
(to nearest dollar): $51,080.00
1) Will this be the first structure on the site? s o
2) What is the total number of bedrooms on the pr erty o e this project is complete 1 (loft in cabin) ?
3) Is there a proposed/existing sanitary system on the property? ❑ Proposed - Type la Existing - TypePrlvy
4) Will any of the following occur within the proposed project/structure?
❑ New Electrical Installation ❑ New Plumbing Installation ❑ Sleeping
5) Has the location of the proposed project been staked including structure, sanitary system, and well? la Yes ❑ No
6) If required, who marked the property lines? 10 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? ❑ Yes 53 No ❑ Unsure
8) Is there wetland located on or near the property? ❑ Yes la No ❑ Unsure
9) Is there floodplain located on or near the property? ❑ Yes 52 No ❑ Unsure
10) Is this project associated with any of the following: ❑ Rezone ❑ Conditional Use ❑ Special Use ❑ Variance
11) Did you contact the town to see if any permits/requirements apply to your project? ❑ Yes 2 No
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SITE PLAN
P',QAeCr"'--�
ECEIVED
DEC 7 8 2023
Band Zoning
ftwinggget*
3 Iq
All applicable setbacks need to be shown on the site plan County Use Only — verified setbacks
and noted below in feet
Road Centerline/Right-of-Way /a ft. I y/&;6 ft. I Notes/Comments:
South Lot Line
228
ft.
1 3
ft.
West Lot Line
371
ft.
1000
ft.
East Lot Line
31 L(
ft.
y
ft.
Septic/Holding Tank
/a
ft.
ft.
Drainfield I
1/a
ft.
ft.
Privy
59
ft.
ft.
Well 1,39
ft.
I 33q
ft.
Existing Structure/Building 101
ft
201
ft.
Elevation of Floodplain } /a ft. I ft. I
Ordinary High -Water Mark (OHWM) /a ft. I ft.
NOTE: Please indicate "see attached" on this page if submitting site plan as a separate document.
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18 n f�
£aft
FLOOR PLAN
Indicate Floor: ❑ Basement Sq I" Floor ❑ Loft ❑ 2nd Floor ❑ 3" Floor ❑ Other
111: 100
All applicable
dimensions need to be
shown on the floor
Ian and noted below
Floor f
with Porch 1
with Porch 2
with Deck t
with Deck 2
with Attached Garage
with
VnTF.- Plensr indieAtn "cap
.1vgq
i a 105
W
County Use Only
Dimensions I Square
Square
6
1
X3a�
I d j/ sq- ft-
L] X
sq. ft.
sq. ft.
X
sq. ft
X
X
sq. ft.
X
sq. ft.
X
sq. ft.
X
sq. ft.
X
sq. ft.
X
sq. ft.
X
sq. ft.
X
sq. ft.
X
sq. ft.
X
sq. ft.
Pill' nn thic naor if cuhmitti.. flnnr n14n/c nc a ...n .tn dnrnmant
7
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Y-rvC,r ilry t' "r —
0
DEC 7 8 2003_
Planning%y,el idC.. AgPng'
-pop C`ipfcc..
/T.33.E
- J ,f
too
rr e
Wetlands
Rivers
Lakes
Approximate Parcel Boundary
Road Type
Town
Bayfield County, WI
ID
Flood Plain Boundaries Active Dec 16th, 2011
Preps rq
0
0.07 0.15 0.3 mi
. • . A =Areas With a 1% annual chance of flooding
and 26% chance of flooding over the life of a 30 yr. mortgage. rp
0.1 0.2 0.4 km
C.
Building Footprint 2015
a'
M
Building
u
0
eeynwm ald wanly Land Reeos oepatlmeat
3n Cb
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ad
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2
11 y&Il County zoning PypllmVbn
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RIECElVi�D
AFFIDAVIT OF AUTHORITY DEC 18 2023
(Trust) P>anning�naZ�0 Co
PURPOSE. This Affidavit of Authority is used to certify the individual applying for a permit is authorized
when the property is owned by a Trust.
STATE OF WISCONSIN )
) ss.
BAYFIELD COUNTY )
The undersigned affirms and states as follows:
1. Address of Subject Property: s �,x w �r4� % fCw
2. The Subject Property is owned by: kI)((\_44 f ✓' Y i l�wl fEl �'4IG1 �y V" CI -f
(NaWne of Trust)
3. The name(s) of the current Trustee(s):
4. 1 certify that the Trust named in paragraph 2 is valid and in effect on the date signed below. I am
the duly appointed agent of the Trust named above in paragraph 2, and I have the authority under
the terms of said authorization to apply for permits from the Bayfield County Zoning Department
concerning the Property described in paragraph 1. 1 further certify that the information and
statements made within this affidavit are true, accurate, and complete to the best of my
knowledge.
5. 1 am authorized by the above -named Trust to apply for and bind the Trust to the terms and
conditions of any permit that may be issue by the Bayfield County Zoning Department.
6. By signing this affidavit, I attest that I am unaware of any known or unknown person(s would
contest this application. I agree to indemnify Bayfield County or such person or I K
suffering a damage resulting from any illegalities of the application for permit. QP•.•••"'•MFT
/ Vide Yl[Ii� M I 'lIi1J,dA I! V�w �•.....�•�GV
Subscri d and s orn to I:da) of
Notary Public,
My
Print Name
this _ 111j
PROCESSING INFORMATION
INITIAL PROCESSING. Once the department receives your affidavit, the department will review it for
completeness. If the information is not complete, the department may reject your affidavit and the
application.
REQUEST FOR MORE INFORMATION. The department may request that you provide more information
or evidence to support your affidavit.
DECISION. The department will review all documents submitted as part of the application for registration
and title, this form included, and may approve, deny or request more information.
CERTIFICATE OF TRUST
The undersigned trustees hereby certify the following:
2.
13
RIEC,F1Veb
DEC 182023
Pnningand Zoni 9A8enq
This Certificate of Trust relates to the PHILIPSEK TRUST DATED AUGUST 18, 2021 (the "trust")
created by trust agreement (the "trust agreement").
The names of the grantors are NORBERT J. PHILIPSEK and REBECCA A. PHILIPSEK.
The names of each original trustee are NORBERT J. PHILIPSEK and REBECCA A. PHILIPSEK.
This authority is provided by the following provision in the Declaration of Trust:
"We hereby designate ourselves as the primary trustees of this trust. As long as both of us are alive,
either or both of us may exercise dominion and control over any and all of the trust assets. Upon the
death of one of us, the survivor shall continue to act as the primary trustee of this living trust with full
power and authority to deal with any and all of the assets of this trust in any manner that said survivor
sees fit, except as otherwise limited under Article Two of this living trust."
The name and address of each trustee empowered to act under the trust agreement at the time of the
execution of this Certificate of Trust are:
Primary Trustee: NORBERT J. PHILIPSEK
11767 East County Rd. B
Lake Nebagamon, Wisconsin 54849
Primary Trustee: REBECCA A. PHILIPSEK
11767 East County Rd. B
Lake Nebagamon, Wisconsin 54849
Successor Trustee
First Alternate:
JEFFREY P. PHILIPSEK
317 6th Ave., Apt. 1
Proctor, Minnesota 55810
MEGAN R. PHILIPSEK
3555 West Lyndale Street, Apt. 2C
Chicago, Illinois 60647
Authority of the successor trustee(s) is provided by the following provisions in the Declaration of Trust:
"We designate JEFFREY P. PHILIPSEK as the successor trustee of this trust. Our successor trustee is
to assume the duties as trustee hereunder upon the resignation of both of us or the survivor of us, the
death of the survivor of us, the disappearance of both of us or the survivor of us, or if both of us or the
survivor of us is certified in writing to be incompetent as provided under Article Five of this Declaration
of Trust. Except as otherwise specified within the provisions of this Declaration of Trust, in the event
of the incompetency or resignation of both of us or the survivor of us, our successor trustee is to use the
income and assets of this trust exclusively for the health, education, support, and maintenance of both of
us or the survivor of us.
.rcate of Trust
RECEIVED
DEC 18 2023
JEFFREY P. PHILIPSEK is unable or unwilling to act as successor trustee, w,#Wpi W.EGAN R.
HILIPSEK as successor trustee to serve with all rights and responsibilities given to Te ft1wency
successor trustee."
The trustee(s) are authorized by the trust agreement to have all the rights, powers and authority to deal
with and manage the assets of this trust that an individual owner would have if there were no trust and
the trustee(s) were acting as legally competent individual(s) dealing with their own property. This
includes, but is by no means limited to the right to borrow against or pledge arty of the trust assets,
including the right to mortgage real estate and margin stocks or other securities owned by the trust.
This includes all powers now or hereafter conferred upon trustee(s) by applicable state law. and also
those powers appropriate to the orderly and effective administration of the trust.
6. The undersigned hereby represent that the statements contained in this Certificate of Trust are true and
correct, and that there are no other provisions in the trust agreement or amendments to it that limit the
powers of the trustee(s) to sell, convey, pledge, mortgage, lease, manage, operate, control, transfer title,
divide, convert, allot, or sell upon deferred payments trust property, including real and personal
property, that would create liability for any third party relying on this document as authorization for
trustee(s)' authority.
7. This trust has not been revoked, modified, or amended in any manner which would cause the
representations in this certification of trust to be incorrect. This Certificate of Trust is being signed by
all currently acting trustees of the trust.
NORBER J. PHILI SEK
1�b g�<.
REBECCA A. PHILIPSEK
STATE OF WISCONSIN )
SS:
COUNTY OF SAWYER )
Personally came before me this 18th day of August, 2021, the above named NORBERT J. PHIILIPSEK and
REBECCA A. PHILIPSEK, to me known to be the persons who executed`t fdri�rg�instrument and
acknowledged the same. ��� N0Os
Susan Sharp Mr �ary_ c lie
Sawyer City, ,sconsia�
My com n is perpxrn :pl
This instrument was drafted by
.icate of Trust
RECEIVED
Susan Sharp Miley, Attorney -at -Law OEC 18 2023
10405 State Hiehwav 27. P.O. Box 700, Hayward. Wisconsin 54843
Planning�nd Z"
ing Agency
LAND USE PERMIT APPLICATION REVIEW
The following items are included with the application:
L'Site Plan
m`Building Elevations
(Floor Plan/s
eFFees
"ECftryED
Dfv 18 2023
Planning�0d ZZbning AgeneJ,
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 Permit 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/wetlands, 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 true, 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 determining whether to issue a
permit. I (we) further accept liability which may be a result of Bayfield 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 ti e for the pp sMqf,*ns ecnon.
Owner/s or Authorized Agent: L1 Date:
NOTE: if you are signing on behalf of the owned(s) a letter of authorization must accompany this applic on
Address to Send Permit:
Review Checklist
Tax ID#: 1771-ly //��!!, Address: 616 CP J am) C(a(
Legal Description:
Zoning District: ❑ R-1 ❑ R-2 ❑ R-3 ❑ R-4 ❑ R-RB ❑ C 111 ❑ M ❑ A-1 ❑ A-2 41 F-1 ❑ F-2 ❑ W ❑ M-M
Overlay District:
Shoreland: ❑ No Yes If yes, is impervious surface form required,d No ❑ Yes
If yes, is impervious surface form attached ❑ No ❑ Yes
Floodplain: ❑ No Yes If yes, which zone? ❑ X ❑ AE ❑ A
Wetland @ido ❑ Yes
Ownership Information Accurate?
j�Application signed ❑ Letter of Authorization (if applicable) OAffidavit of Authority (if applicable)
Legal Information Accurate? ❑ No 12'i'es
Proposed project previously granted or granted by variance? �;[-No ❑ Yes, Case #:
Is Structure Nonconforming? PNo ❑ Yes
If yes, attach documentation
Is Mitigation Required? LAo ❑ Yes If yes, is Mitigation attached? ❑ No ❑ Yes
Boundary Line Determination:
Is Structure within 30 feet of required setback/s? ❑ North Lot Line ❑ South Lot Line ❑ West Lot Line ❑ East Lot Line
Applicable lot lines were:
❑ Visible from one previously surveyed corner to other previously surveyed corner
❑ Verified by staff with corrected compass
❑ Marked by licensed surveyor
Is Structure within 10 feet of required setback/s? ❑ North Lot Line ❑ South Lot Line ❑ West Lot Line ❑ East Lot Line
Applicable lot lines were:
❑ Visible from one previously surveyed corner to other previously surveyed corner
❑ Marked by licensed syrveyor
Section #
Regulation
Required
Applicant's Lot
13-1-60
Lot Area '
S416
13-1-60
Lot Width
13-1-26
Is lot Sub -standard? ❑ Yes No
Buildable i[Yes ❑ No
If yes, attach Deed of Record or Variance
13-1-22(h)
Height (Shoreland)
35'
Is Sanitary required for project? PNo ❑ Yes If yes, Sanitary #
Sanitary Date:
I # of bedrooms:
If addition/alteration, were Access, Carmody, files reviewed for prior additions that would exceed the 250 sq. ft.
lifetime maximum?
El No ❑Yes If yes, sanitary#
Are fee payments correct? ❑ No )Yes
Hold For:
p
❑ Sanitary
❑
❑ TBA
❑
❑ Fee payment
❑
❑
0
Inspected By: n's
Comments/Notes:
Date of Inspection:
GO J w1 aV. 4wvj
j/2I 2q
Inspected By:
Comments/Notes:
Date of Re -Inspection:
Denied by:
Reason for Denial:
Date of Denial:
Are Town, Committee, and BOA conditions attached? O Yes ❑ No
If no, they need to be attached
Approved by: MS
Date
Coonnditioynn(�s)):: t /y QQ ( J{y)
I v mat !ram �^ U G�+� n�
� hG�id� � �a�� � ouff�-
of Approval:
i / 2� zN
Y Y►�. NdI ro huftw
hAhimlev rApworoae
std� Miy -Aw41 V (MVP ►erf"
Permit #:Q _ �
Amount Paid: 153.a4 RCS
Refund:
Date Issued: I— (p'
Date: I - j -
Date:
v
Town, City, Village, State or Federal
Permits May Also Be Required
SHORELAND/FLOODPLAIN
LAND USE — X
SANITARY —
SIGN —
SPECIAL —
CONDITIONAL —
BOA —
BAYFIELD COUNTY
PERMIT
WEATHERIZE AND POST THIS PERMIT
ON THE PREMISES DURING CONSTRUCTION
No. 24-0008 Tax ID: 17744 Issued To: PHILIPSEK TRUST
Location: SE '/4 of NW '/4 Section 32 Township 45 N. Range 6 W. Town of Grand View
Gov't Lot Lot Block Subdivision CSM#
Residential Structure in F-1 zoning district
For: Accessory: [ 1-Story]; Storage Building on a Slab (34' x 32') = 1088 sq. ft. ] Height of 15'6"
(Disclaimer): Any future expansions or development would require additional permitting.
Condition(s): Must meet and maintain setbacks including eaves and overhangs. For Personal Storage Only.
Not for Human Habitation or Sleeping Purposes. No Pressurized water in structure.
Town/State/DNR permits may be required.
NOTE: This permit expires two years from date of issuance if the authorized construction
work or land use has not begun.
Changes in plans or specifications shall not be made without obtaining approval.
This permit may be void or revoked if any of the application information is found
to have been misrepresented, erroneous, or incomplete.
This permit may be void or revoked if any performance conditions are not
completed or if any prohibitory conditions are violated.
Mckenzie Slack, AZA
Authorized Issuing Official
January 16, 2024
Date