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HomeMy WebLinkAbout24-0022SUB,MiI: COMPLETED APPLICATION, TAX STATEMENT AND FEE TO: Hayfield County Planning and Zoning Depart. PO Box 58 Washburn, WI 54891 (715)373-6138 APPLICATION FOR PERMIT BAYFIELD COUNTY, WISCONSIN sc-P 27 T23 Nm/ 1�7 _1023 INSTRUCTIONS: No permits will be issued until all fees are paid. Bayfeld Checks are made payable to: Bayfield County Zoning Department. lannma al,d Ze DO NOT START CONSTRUCTION UNTIL ALL PERMITS HAVE BEEN ISSUED TO APPLICANT. Permit #: ^ % Date: . D cunt Paid:,{[I TTcc r efund: FILL OUT IN INK (NO PENCIL) �/ TYPE OF PERMIT REQUESTED--► 1 ❑ LAND USE ❑ SANITARY ❑ PRIVY ❑ CONDITIONAL USE ❑ SPECIAL USE ❑ B.O.A. ❑ OTHER Owner's Name: Mailing Address: Chy/State/Zip: 323/7 Telephone: 4 /ferr✓ ko 2/l0 Ts: /aLla r all Address of Property: City/State/Zip: - Cell Phone: �8✓ O) 4DS70 //er'j er, Z uF .-/d-bQo Contractor: Contractor Phone: I Plumber: Plumber Phone: Authorized Agent: (Person signing Application on behalf of owner(s)) Agent Phone: Agent Mailing Address(include City/State/Zip): Written Authorization Attached ❑ Yes ❑ No PROTECT Tax ID# Recorded Document: (Showing Ownership) LOCATION Legal Description: (Use Tax Statement) / i /+') Gov't Lot Lots) CSM Vol & Paig'e CSM Doc # Lot(s) No. Block(s) No. Subdivision: 1/4, 1/4 3 p g 7 Section Township S N, Range / W Town of: / /v Lot Size Acreage V le r 1,,6 1.16 Is Property/Land within 300 feet of River, Stream (Ind. Intermittent) Distance Structure is from Shoreline: Is Property in Are Wetlands Creek or landward side of Floodplaln? If yes —continued feet Floodplain Zone? Present? s Property/land within 1000 feet of lake, Pond or Flowage Distanc Structure is from Shoreline Ll Shoreland Yes Yes If yes —continue 0� feet �(No Non-Shoreland Value at Time # of Type of of Completion bedrooms What Type of Water ' include Project # of Stories Foundation Sewer/Sanitary System donated time & in Is on the property? on material structure property New Construction 1-Story Basement 1 Municipal/City City Addition/Alteration 1-Story+Loft Foundation 2 (New)Sanitary Specify Type: _ Well $4//300 1Conversion i 2-Story 3 Sanitary(Exists) Specify Type: _ Relocate (existing bids) Privy (Pit) or I _ Vaulted (min 200 gallon) Run a Business on use None Portable (w/service contract) Year Round Compost Toilet Property AdIciac h None Proposed Construction: I Length: I Width: I Height: Proposed Use ✓ Proposed Structure Dimensions Square Footage ❑ Principal Structure (first structure on property) ( X ) ❑ Residence (i.e. cabin, hunting shack, etc.) ( X ) with Loft ( X ) pQ, Residential Use with a Porch ( X ) / with (2nd) Porch ( X ) with a Deck ( X ) with (Zed) Deck ( X ) ❑ Commercial Use with Attached Garage ( X 1 ❑ Bunkhouse w/ILI sanitary, or I I sleeping quarters, or❑ cooking& food prep facilities) ( X ) ❑ Mobile Home (manufactured date) ( X ) ❑ Addition/Alteration (specify) ( X ) El Municipal Use ❑ Accessory Building (specify) ( X ) ❑ Accessory Building Addition/Alteration (specify) ( X ) Special Use: (explain) Shoyl Ira,,,orot d, ( X ❑ Conditional Use: (explain) ( X ) 0 Q [l Other, (e-plaint - — - - - _- I_` _ ._ FAILURE TO OBTAIN A PERMIT c r STARTING CONSTRUCTION WITHOUT A PERMIT WILL RESULT IN PENALTIES I (we) declare that this application Baduding 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 forthe detail and accurery, of all Information I (we) am (are) providing and that it will be rolled upon by Bayfleld County In determining whether to Issue a permit. I (we) further accept liabflity which may be a result of Easel County blying on this information I(we) am (am) providing in or wit this application. I (we) consent to county officials charged with administering county ordinances to have access to the above described property at any masonabl Ime for the pur fl xicti.m. Owner(s): �- Date e2 % 20 (If there are Multile Owner sted on the Creed All OfnerAust signor letter(s) of authorization must accompany this application) Authorized Agent: Date (If you are signing on behalf of the owner(s) a letter of authorization must accompany this application) p S / T 1 ti Attach Address to send permit Z-// Fa. t"!y1 r�/! t �l a .i.i�P r F� 3� Copy of Tax Statement If you recently purchased the property send your Recorded Deed APPLICANT - PLEASE COMPLETE PLOT PLAN ON REVERSE SIDE In the box below: Draw or Sketch your Property (regardless of what you are applying for) F'lll Out 1R Ink — NO PFNCIL ,1 . (1) Show Location of: Proposed Construction , (2) Show / Indicate: North (N) on Plot Plan (3) Show Location of (*): (*) Driveway and (*) Frontage Road (Name Frontage Road) (4) Show: All Existing Structures on your Property (5) Show: (*) Well (W); (*) Septic Tank (ST); (*) Drain Field (DF); (*) Holding Tank (HT) and/or (*) Privy (P) (6) Show any (*): (*) Lake; (*) River; (*) Stream/Creek; or (*) Pond (7) Show any (*): (*) Wetlands; or (*) Slopes over 20% qof? o Rewtdve-�ea�%repSd ro 3 - Aeoider cl q aid �'' - 2*4 �f( V � l,f/ 1 L �BI�I ! t� Teedr ✓ /rd<Q rev To ri✓el S evi ed O ey All�a+d Please complete (1) — (7) above (prior to continuing) (8) Setbacks: (measured to the closest point) hcre (fa-�r Changes in plans must be approved by the Planning & Zoning Dept. Description Measurement Description Measurement Setback from the Centerline of Platted Road (d Feet Setback from the Lake (ordinary high-water mark) / Feet Setback from the Established Right -of -Way Feet Setback from the River, Stream, Creek AIA Feet Setback from the Bank or Bluff Q Feet Setback from the North Lot Line Feet Setback from the South Lot Line Feet Setback from Wetland r9 Feet Setback from the West Lot Line Feet 20%Slope Area on the property 'Yes No Setback from the East Lot Line Feet Elevation of Floodplain t, la ize Feet Setback to Septic Tank or Holding Tank a,f"O Feet Setback to Well Feet Setback to Drain Field 44d Feet Setback to Privy (Portable, Composting) A14Feet Prior to the placement or construction of a structure within ten (l0) feet of the minimum required setback, the boundary line from which the setback must be measured must be visible from one previously surveyed corner o the other previously surveyed corner or marked by a licensed surveyor at the owners expense. Prior to the placement or construction of a structure more than ten (10) feet but less than thirty, (30) feet from the minimum required setback, the boundary line from which the setback must be measured must be visible from one previously surveyed corner to the other previously surveyed comer, or verifiable by the oeparcment by use of a corrected compass from a known corner within 500 feet of the proposed site of the structure, or must be marked by a licensed surveyor at the owners expense. (9) Stake or Mark Proposed Location(s) of New Construction Septic Tank (ST) Drain field (DF), Holding Tank (HTI. Privy P and Well (W). NOTICE: All Land Use Permits Expire One (1) Year from the Date of Issuance if Construction or Use has not begun. For The Construction Of New One & Two Family Dwelling: ALL Municipalities Are Required To Enforce The Uniform Dwelling Code. The local Town, Village, City, State or Federal agencies may also require permits. Issuance Information (County Use Only) Sanitary Number: # of bedrooms: Sanitary Date: Permit Denied (Date): Reason for Denial: Permit #: Permit Date: Is Parcel a Sub -Standard Lot a Yes (Deed of Record) ❑ No Mitigation Required ❑Yes 0 No Affidavit Required ❑Yes ❑ No Is Parcel in Common Ownership ❑Yes (Fused/Contiguous Lot(sp ❑ No Mitigation Attached ❑ Yes ❑ No Affidavit Attached ❑ Yes 0 No Is Structure Non -Conforming ❑ Yes ❑ No Granted by Variance (B.O.A.) Previously Granted by Variance (B.O.A.) ❑ Yes No Case M 0 Yes ❑ No Case #: Was Parcel Legally Created ❑ Yes ❑ No Were Property Lines Represented by Owner ❑ Yes ❑ No Was Proposed Building Site Delineated 0 Yes ❑ No Was Property Surveyed ❑ Yes ❑ No Inspection Record: Zoning District ( ) Lakes Classification ( ) Date. of Inspection: Inspected by:. Date of Re -Inspection: Condition(s): Town, Committee or Board Conditions Attached? ❑ Yes 0 No —(If No they need to be attached.) Signature of Inspector: Date of Approval: Hold For Sanitary: ❑ Hold For TBA: 7 Hold For Affidavit: ❑ Hold For Fees: ❑ ®®August 2017 (®May, 2018) TOWN BOARD RECOMMENDATION- - (CLASS A - SPECIAL USE) When Town Board has completed this form, please mail to: Date Zoning Received: (Stamp Here) ' kaCEIVeri Bayfield County Planning and Zoning Department P.O. Box 58 - Washburn, WI 54891 Phone - (715) 373-6138 website: NOY 13 2023 Fax - (715) 373-0114 www.bayfieldcounty.wi.gov/zoning e-mail: zoning@bayfieldcounty.wi.gov Sayfield Co. -------------------------------------------------------------------------`_Dm_n4andzonirq.ggertc- Property Owner(s) are responsible to give this form to the Town Clerk. Attach a copy of the County Application. This is a Class ; A special use request. Note: The Town's Planning Commission meets prior to the Town. Once the Town meets they will forward their recommendation to the Planning and Zoning Department. Ask Town if you should be present at theirmeeting(s). -------------------------------------------------------------------------------------------------------- --------------------------- I I Property Owner prt av, �LVY�tC �l0 09 Contractor I I I Property Address OP70 � k�� f gj. g t ar �, Authorized Agent I I y— #G ve0 S /,G r l, l y- !� Agent's p l/✓ -L .S�z'lr�y7 ent's Telephone I / I I Telephone /67'011 -C"/D — 6 94 � Written Authorization Attached: Yes( ) No( ) I I I Accurate Legal Description involved in this request (specify oniv the property involved with this application) 1/4 of 1/4, Section �y , Township t-/ N., Range 7 W. Town of G/a v e v j I Govt. Lot 3 Lot Block Subdivision I CSM# I I I Volume Page of Deeds Tax I.D# 1 2,0 5,11 0 I I Acreage !. b I I Additional Legal Description: I I Applicant: (State what you are asking for) Zoning District: R R B I Lakes Classification I AVI _ d/ h0YQ O I d0p /¢ -ice ff.I r,a-e VOLLA 1Gt/eltrta aio X S`� a)". L. Sr- �Cu �V-dY / t H lXilL�bl _ L r_______________________________,/_-__/_,_-n-_-__________________________________-_______________________-I We, the Town Board, TOWN OF i I/� do herebyrecommend to ❑ Table Approval ❑ Disapproval Have you reviewed this for Compatibility with the Comprehensive and/or Land Use Plan: .0 Yes ❑ No Township: (In detail clearly state Town Board's reason for recommendation of tabling, approval or disapproval) *" THE FOLLOWING MUST BE INCLUDED WITH THIS FORM: 1. The Tabled, Approval or Disapproval box checked 2. The Town's reasoning for the tabling, approval or disapproval 3. The form returned to Zoning Department not a copy or faX Receiving Town Board approval, does not allow the start of construction or business, you must first obtain your permit card(s) from the Planning and Zoning Department. i Revised _May_2lM---------------------------------------- Clerk: Date: u/forms/townboardrecommendation-ClassA November 4, 2023 To: Beverly Steele Town Chair From: Keith Koenning TPC Chair Re: November 7 TPC Agenda On October 31, one week (my usual timeline) before the scheduled November 7 TPC, I cancelled the meeting due to a lack of business to consider. It turns out due to unintentional error a pending Class A Special Use Permit application was overlooked. These Class A permits under the Town of Clover TPC Ordinance are discretionary referrals by the Board to the TPC. The TPC likes to see all of them to maintain a record of precedence and to suggest to the Town Board useful language that it might put on the form submitted to the County by the Board. The permit at issue would be described as: Brian Kerckhoff, 90570 Bark Point Rd, 1.6 acres in R-RB Zoning, Class A Permit for grading more than 200 square feet within 1,000 feet of Lake Superior (Sec 13-1-24, Boyfield County Zoning Code) for driveway and landscape improvements. A TPC opinion based on past advisory recommendations on these common Class A Permit would be: Goal 1 of the Coastal Resources element of the. 2020-2043 Comprehensive Plan is to prgtect the shoreline and water quality of Lake. Superior, the driveway and turnaround must comply with the Town of Clover Driveway Ordinance. Landscaping best practices for coastal property pre encouraged. 0 copy: Chris Lehnert, TPC Vice -Chair (This is a revision of November 3 memo to clarify paragraph 4, permit description.) 14/4/29, 8:28 AM Nows-Wisconsin Access rev. 12.0206 Real Estate Bayfield County Property Listing Today's Date: 10/4/2023 Description Updated: 9/11/2018 Tax ID: 12050 PIN: 04-014-2-51-07-24-2 05-003-40000 Legacy PIN: 014109005000 Map ID: Municipality: (014) TOWN OF CLOVER STR: S24T51N R07W Description: PAR IN GOVr LOT 3 (ELY 200' OF W 400' OF ELY 810' LESS SLY 531) IN DOC 201811-574459 688E Recorded Acres: 1.611 Calculated Acres: 1.611 Lottery Claims: o First Dollar: Yes Zoning: (R-RB) Residential -Recreational Business ESN: 109 Tax Districts 1 04 014 044522 001700 ya Recorded Documents © TRUSTEES DEED Date Recorded: 9/10/2018 ® CONVERSION Date Recorded: Updated: 3/15/2006 STATE COUNTY TOWN OF CLOVER SCHL-SOUTHSHORE TECHNICAL COLLEGE Property Status: Current Created On: 3/15/2006 1:15:13 PM -" Ownership Updated: 9/11/2018 BRIAN KARL KERCKHOFF TALLAHASEE FL Billing Address: Mailing Address: BRIAN KARL KERCKHOFF BRIAN KARL KERCKHOFF 2110 FARMS RD 2110 FARMS RD TALLAHASEE FL32317 TALLAHASEE FL32317 P Site Address * indicates Private Road 90570 BARK POINT RD ® Property Assessment HERBSTER 54844 Updated: 6/29/2023 2023 Assessment Detail Code Acres Land Imp. G1-RESIDENTIAL 1.611 102,100 71,700 2-Year Comparison 2022 2023 Change Land: 102,100 102,100 0.0% Improved: 47,800 71,700 50.0% 149,900 173,800 15.9% tTootal: LT Property History Updated: 3/15/2006 N/A 2018R-574459 467533 388-91;712-271;806-416 https://novus.bayfieldcounty.wi.gov/access/master.asp 1/1 Review Checklist G ) L Tax ID#: 12 D SU Address: Legal Description: QG,- xN &00- co 3 -rN :QoL 2,qk — �79gV F ng District: ❑ R-1 ❑ R-2 ❑ R-3 ❑ R-4 *-RB ❑ C ❑ 1 ❑ M ❑ A-1 ❑ A-2 ❑ F-1 ❑ F-2 ❑ W ❑ M-M rlay District: eland: ❑ No X Yes If yes, is impervious surface form required �No ❑ Yes If yes, is impervious surface form attached ❑ No ❑ Yes dplain:k9 No ❑ Yes If yes, which zone? ❑ X ❑ AE ❑ A Wetland [RNo ❑ Yes Ownership Information Accurate? Application signed ❑ Letter of Authorization (if applicable) ❑ Affidavit of Authority (if applicable) Legal Information Accurate? ❑ No' Yes Proposed project previously granted or granted by variance? tAo ❑ Yes, Case #: Is Structure Nonconforming?M No ❑ Yes IF...... �,, 1, A,,..mantntinn is Mitigation Required? 15(No ❑ 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 cornerto other previously surveyed corner ❑ Verged 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 n KA-1—A ".. 11- oa a nmvnr _J .. ... ........ Section # Regulation Lot Area Requiredloollcant's 30100 0.13-1-60 Lot13-1-60 LotWidth13-1-26 is lot Sub -standard? ❑ Yes NoBuildablej3Yes ❑NoIf yesattach Deed of Record or Variance13-1-22(h) Height (Shoreland) 35'�/� �4 Is Sanitary required for project? ANo ❑ Yes If yes Sanitary # � � Lg O .,) 6d fy 4:— - Sanitary Date. If addition/alteratic lifetime maximum? ❑ No ❑ Yes If y Are fee payments ci Hold For:. ❑ Sanitary ❑ TBA 0 Fee payment # of bedrooms: 3 r D er l were Access, Carmody, files reviewed for prior additions that would exceed the 250 sq. ft. I cf F U sanitary # Old ect? ❑ No MYes I -�S of'C"f ❑ U_ PIII El �`� ' Inspected By: AeSsu�c�f� > Date of Inspection: Comments/Notes: .5�,/ce4 o�( V,'eWi� QAJ GCL _S Corn�� 1a/i�Z 3 qr `/e V Inspected By: Comments/Notes: Date of Re -Inspection: Denied by: Reason for Denial: Date of Denial: Are Town, Committee, and BOA conditions attached? Yes ❑ No if no, they need to be attached Approved by: /�, /� /c_ Condition(s): 1 ` VSe �e� h1G�ajCr~\f�� �Cac{�13es Pl �1a Date of Approval: ero S� Rl f l /rq/ Z 3 c�' Cl d . NO 5ca an� oV�` eCfO Cl-+t,AJc Ullowc aNW) _I • SeleL-4-Ve 4(ee iLMoth) Q�)rnJeU V�'f�1 n vim%nJa Gn ,Q CUSS �rR1(�44r a �'IGCI�c • (Owl �Vn�'"IsO�� APpoicibe'; S)--)()Co 1O nd �ao�,n5 fj r I (Av X 12. > ✓rt T +� �x;�},•� ar,IJeVrAy ?e0e1rn5 oP 9a>-Tr�o area, aid �n�lal ,o, op Zo' cv\l V li - Permit#:09(,_60gQ Amount Paid: _A Refund: / �' `�r`� Date Issued: p� — Date: S = Date: rim Town, City, Village, State or Federal Permits May Also Be Required SHORELAND LAND USE — X SANITARY — SIGN — SPECIAL (A) — (Tn of Clover-11/8/2023) CONDITIONAL — BOA — No. 24-0022 Tax ID: 12050 BAYFIELD COUNTY PERMIT WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION Issued To: BRIAN KARL KERCKHOFF Location: '/4 of '/4 Section 24 Township 51 N. Range 7 W. Town of Clover Par in Gov't Lot 3 Lot Block Subdivision CSM# In Doc 2018R-574459 Residential Other in R-RB Zoning District For: [Shoreland Grading] Existing Driveway Improvements(140' x 12'); Leveling(90' x 50'); 20'Culvert Installation (Disclaimer): Any future expansions or development would require additional permitting. 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 or contact a department of natural resources service center (715) 685-2900. Condition(s): Use best management practices to limit and prevent erosion during construction. No grading or clear cutting allowed within 35' of the OHWM. Selective tree removal allowed within viewing an access corridor. Driveway and turnaround must comply with the Town of Clover Driveway Ordinance. Landscaping best practices for coastal property are encouraged. 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. Alessandro Hall, AZA Authorized Issuing Official February 5, 2024 This permit may be void or revoked if any performance conditions are not completed or if any prohibitory conditions are violated. Date