HomeMy WebLinkAbout24-0035�ECENED titF��o
ec'd for Issuance a%� ��
SEP 13 2023 61023 Permit #
COUNTY PLANNIN AND Z Itra USE PERMIT APPLICATION
Property Owner:
Authorized Agent (if applicable):
.J
-
Telephone Numb/err:
Telephone Number:
r
E-Mail Address:
E-Mail Address:
Mailing Address: r
Mailing Address:
(4,00
r,
City, State, Zip: Z
SWSo
City, State, Zip:
44 1
I,—
Contractor: ft')e- Telephone Number:
i 'uL? S 6s
E-Mail Address: Ckiopt,AQ
wz 715 -
s'u kcbi
Project Address (if different from mailing address):
t� 3 ass Jjwy
Legal Description (if additional space is needed, attach a separate sheet):
1
Section, Township, Range:
Town o£
Tax I
5 S
Lot Size (Acres/Square Feet):
3a QC,a c S
Project Description (Detached garage deck bunkhouse, mobilehome, etc.):
Proposed Use:
Proposed Project:
Structure Type:
Foundation Type:
9 Residential
5 iNew Construction
XResidence
❑ Basement
❑ Commercial
❑Addition/Alteration
❑ Accessory
❑ Crawlspace
❑ Municipal
❑ Change/New Use
❑ Other (explain)
;' Slab
❑ Relocate (existine structure)
❑ Other
Area to nearest square foot Outside dimensions including unfinished area, attached garaties and above grade decks orporches)
Basement:
I" Floor:
2nd Floor:
YdFloor:
Total Square Footage:
Overall Height (finished grade to peak):
Fair Market Value of project upon completion
too
o
(to nearest dollar): 00
1) Will this be the first structure on the site? ❑ Yes XNo
2) 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? ❑ Proposed - Type A -Existing - Type ,14 TPA(
4) Will any of the following occur within the proposed project/structure?
❑ New Electrical Installation ❑ New Plumbing Installation ❑ Sleeping 'V 8
5) Has the location of the proposed project been staked including structure, sanitary system, and well? Jk Yes ❑ No
6) If required, who marked the property lines? ❑ Applicant/Property Owner Xicensed 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 �XNo ❑ Unsure
S) Is there wetland located on or near the property? ❑ Yes {)d No ❑ Unsure
9) Is there floodplain located on pr near the property? ❑ Yes ;a ❑ 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? Ves 0 No
RECEIVED
SEP 0 8 2023
aayfield Co.
Planning and Zoning Agenc/
All applicable setbacks need to be shown on the site plan
and noted below in feet
County Use Only —verified setbacks
Road Centerline/Right-of-Way
S!( ft.
ft.
Notes/Comments:
North Lot Line
ft.
ft.
South Lot Line
cr ft.
ft.
West Lot Line
ft.
ft.
East Lot Line
6 ft.
ft.
Septic/Holding Tank
ft.
ft.
Drainfield
ft.
ft.
Privy
ft.
ft.
Well
ft.
ft.
Existing Structure/Building
ft.
ft.
Wetland
ft.
ft.
Elevation of Floodplain
ft.
ft.
Ordinary High -Water Mark (OHWM)
ft.
ft.
Other:
ft.
ft.
NOTE: Please indicate "see attached" an this nave if %uhmittinv site nlnn as a sennrnte dncnment
1:
FLOOR PLAN
I Indicate Floor: ❑ Basement ❑ 1"Floor ❑ Loft ❑ 2" Floor ❑ 3`d Floor ❑ Other I
SEP 08 2023
Bayf eld Co.
Planning and Zoning Agency
All applicable I County Use Only
dimensions need to be
shown on the floor I Dimensions Square I Dimensions Square Comments/Notes:
Floor
X
sq. ft.
X
sq. ft.
with Porch 1
X
sq. ft.
X
sq. ft.
with Porch 2
X
sq. ft.
X
sq. ft.
with Deck 1
toX o
too sq. ft.
X
sq. ft.
with Deck 2
X
sq. ft.
X
sq. ft.
with Attached Garage
X
sq. ft.
X
sq. ft.
with
X
sq. ft.
X
sq. ft.
VnTF• Pleace indirate f°cee attarhed* nn this nacre if snhmittino flonr nlan/e as a senarate document
7
LAND USE PERMIT APPLICATION REVIEW
The following items arc included with the application:
❑ Site Plan
RECEIVED
❑ Building Elevations sp 082023
❑ Floor Plan/s
❑ Fees
Bayfield Co.
Planning and Zoning'"loy
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.sov/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 time for the purpose of inspection. pr
Owner/s or Authorized Agent: Date: —L g 2—J
NOTE: If you are signing on behalf of t to owner a letter of authorization must accompany this application �+
Address to Send Permit: P t7 Y7 eloo L c�1l
FR ' YA
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planning antl Zo n
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} r LOT
1
CSM NO.
1]65
' I IN 89'46'51' E)
3.11 N 89-46'48' E
.i55.66'
2eu erey"[ti
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VOL. 11,50 PC,. 545
131,195 Sly. FT.
. `-van J. Edckson 3.01 AC.
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,Pointe, 1Ni 54850
ti 89-413'47W
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CURVE TABLE
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C NDo 0736T.31•L%8 HFAfIINIyf06. 219G 96 9 2Y9.9g�7G4 G4'44'41' 2496.48? $ fl'2N'!T W'yj}I'� L--.
206 _XB...__�
tE'f7 f7LE1 N/7-48NN4W ••
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ACAO: N79_087 Rjr
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C.I.IF'N7':
WLS01V
&'VAN F,.IZIC,K�S"ON
_..RECEIVED
G SEP 0 8 2023
sayseld co.
cy
,.� Standard Erosion ControtnlandP112m
., for 1- & 2-Family Dwelling Construction Sites
According to Chapters Comm 20 & 21 of the Wisconsin Uniform Dwelling Code, soil erosion
control information needs to be included on the plot plan which is subrnitted and approved prier
to the issuance of building permit's for 1- & 2-family dwelling units in those jurisdictions whnrct
the soil erosion control provisions of the Uniform Dwelling Coda are enforced. This Standard
Erosion Control Plan is provided to assist: in meeting this requirement.
Instructions:
1 . Complete this plan by filling in requested information, completing the site diagram and rnarkino
appropriate boxes on the inside of this form.
2. In completing the site diagram, give consideration to potential erosion that. may occur before, during, amf
after grading. Water runoff patterns can change significantly as a site is reshaped.
3. Submit this plan at the time of building permit application.
PROJECT LOCATION �..J �)cc> (�S Ct qtp to 'I S
BUILDER a� c .���ee. �i��i,f�L .. OWNER .� �. �ti�.�y�_e 1 �� n,r,Irllne, I!„• , r:,ev
WORKSHEET COMPI E I E:D 13Y ..(5-.,-YCL t_, eTi�c.(10 DATE . 6._G Eo `.. � I
SIYDIAGRAM .... -- N
1
p: I inch
EROSION
l .r_.-t-I— ._ CONLEGEND
TROL PLAN
t t:e:j v1 i t I l i t- I l !tO1'I HIY
i NI
_ I ..�. '..L I ...._._— IXL`ii IDIC'
- - nkA1NAOI
IEMni )I2ANY
nlvl
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CIRADING
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Review Checklist
Tax ID#: nt Address: 7,3s-, 13
Legal Description:
Zoning District: -1 ❑ R-2 ❑ R-3 ❑ R-4 ❑ R-RB ❑ C ❑ I ❑ M ❑ A-1 ❑ A-2 ❑ F-1 ❑ F-2 ❑ W ❑ M-M
Overlay District:
Shoreland: ❑ No frYes If yes, is impervious surface form required WrNo ❑ Yes
If yes, is impervious surface form attached ❑ No ❑ Yes
Floodplain: 12C ❑ Yes If yes, which zone? ❑ X ❑ AE ❑ A
Wetland KNo ❑ Yes
Ownership Information Accurate?
,OApplicatlon signed ❑ Letter of Authorization (if applicable) ❑ Affidavit of Authority (if applicable)
Legal Information Accurate? ❑ No es
Proposed project previously granted or granted by variance? P11jo ❑ Yes, Case #:
Is Structure Nonconforming? ;erNo ❑ Yes
If yes, attach documentation
Is Mitigation Required? o ❑ 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 surveyor
Section #
Regulation
Required
Applicant's Lot
13-1-60
Lot Area
13-1-60
Lot Width
13-1-26
Is lot Sub -standard? ❑ Yes ER No
Buildable ❑ems ❑ No
If yes, attach Deed of Record or Variance
13-1-22(h)
I Height(Shoreland) %
35'
Is Sanitary required for project? ;2No n,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?
❑ No ❑ Yes If yes, sanitary #
Are fee payments correct? ❑ No Yes
Hold For:
❑
❑ Sanitary
❑
❑ TBA
❑
❑ Fee payment
❑
❑
❑
Inspected By: n^ �
Comments/Notes:
Date of Inspection:
�C t/� m 0
-71 al J-b
yYl '�Ub"
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: ,^,� �
\
Condition`(ns)):nn Q Q �Q ��(� �1,A c17,�n�(���[{/
�U 1 i �-�1 0M U �U1�F ' Y° CM ENO
Date of Approval:
qll zl �3
�ou�u� j s � o�� PAW
Permit #: aq _0bj5
Amount Paid: �6_100 1761- ee�6
Refund:
Date Issued: c — 8 0?
Date: - $ ` a69� ��
Date:
Town, City, Village, State or Federal
Permits May Also Be Required
SHORELAND
LAND USE — X
SANITARY — Existing (# 21-167S)
SIGN —
SPECIAL —
CONDITIONAL —
BOA —
BAYFIELD COUNTY
PERMIT
WEATHERIZE AND POST THIS PERMIT
ON THE PREMISES DURING CONSTRUCTION
No.
24-0035
Tax ID:
58
Issued To: EVAN J & KATHLEEN ERICKSON
Location:
'/4 of
'/4
Section
18 Township 48 N. Range 4 W. Town of BARKSDALE
• •J11l 1 14
Gov't Lot 1 Lot Block Subdivision CSM#
IN DOC 2019R-578693
Residential Structure in R-1 zoning district
For: Add/Alt: Deck on a Slab (10' x 10') = 100 sq. ft. Height of 10'
(Disclaimer): Any future expansions or development would require additional permitting.
Condition(s): Meet and Maintain Setbacks as approved including eaves and overhangs. To be constructed
per plan. Town/State/DNR permits may be required.
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 the department of natural resources service center (715) 685-2900,
NOTE: This permit expires two years from date of issuance if the authorized construction Mckenzie Slack, AZA
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.
Authorized Issuing Official
February 8, 2024
Date