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HomeMy WebLinkAbout25-0112Returrtto: j�� (bounty Use Only: 117 E�rh Street, PO Box 58 Bayfield County Planning and ni el m n II l�iubmission �,, 10 Washburn, WI 54891 LAND USE PERMIT A L } 7It���1 Permit »: Z � permits@bavfieldcountv.wi.rtov WNR " J 2025 Date: 2 SECTION A: General Information Property Owner Name: Wendy Kelner Authorized Agent Name (if applicable): Telephone Number: Telephone Number: 651-724-2244 E-Mail Address: E-Mail Address: nimbus_22@msn.com Mailing Address: Mailing Address: 8036 Fairchild Ave. City, State, Zip: City, State, Zip: Mounds View, MN 55112 Contractor: Telephone Number: E-Mail Address: NA SECTION B: Property Information Project Address (if different from mailing address): 16980 Cabin Rd. Mason, WI. 54856 Legal Description (if additional space is needed attach a separate sheet): PAR IN SE NE IN 201R-566409 355 Section, Township, Range: Section 22; Township 47N; Range; 07W Town of: Keystone Tax ID #: 22173 Lot Size (Acres/Square Feet): 2.21 emte5.248n2 SECTION C: Project Information (check all that apply) _ Project Use is: El Residential ❑ Commercial ❑ Municipal Project Type is: El New Construction ❑ Addition/Alteration (existing structure) ❑ Change Use (existing structure) ❑ Relocate (existing structure) ❑ RV Placement 21+ days ❑ Sign ❑ Establishing a Business ❑ Temporary (12 or less months) ❑ Shoreland Grading, Class A ❑ RV Placement 4+ months, Class A ❑ Other (describe): required (Total sq ft): required SECTION D: Structore Informati iioes not apply to RVs and`9 s,Wto Section E Str ucuure l jpe is: El Residence ❑Principal Structure (describe): El Accessory Structure (describe): ❑ Shoreland Exempt Structure (describe): ❑ Mobile Home (provide manufactured Detached Garage date): ❑ Shipping Container El Other (describe): lean-to on proposed detached garage Foundation Type: ❑ Basement ❑ Walkout Basement El Slab ❑ Crawlspace ❑ Ground ❑ Skids ❑ Other (explain): Existing Structure: NA Length: Width: Height: Proposed Structure (Provide Sq Ft based on outside dimensions, including unfinished areas, attached garages/above grade decks/ orches): Basement Sq Ft: I° Floor Sq Ft: Loft Sq Ft: 2"'Floor Sq Ft: 31d Floor Sq Ft: Garage Sq Ft: Porch Sq Ft: Deck Sq Ft: Other Sq Ft (describe): Other Sq Ft (describe): 26 x 32 = 8321 lean to - 32 x 10 = 320 U Total Sq Ft: 1,152 Overall Height (finished grade to peak): 14' 6" # of Stories: 1 Existing # of Bedrooms on property:2 (in cabin) I Proposed # of Bedrooms in project: 0 SECTION: nd Sign Information check all that apply) .Sign is.: R F is: ❑ New ❑ Replacement ❑ Ncw ❑ Replacement ❑ On -premise ❑ Off -premise ❑ 1-sided ❑ 2-sided Year: Vin #: ❑ On -building ❑ Multi -Tenant Length: Width: Height: Make: Model: HECE�YED MAR 0 5 2025 - SECTION F: Site Plan —.attach a site plan or draw site plan in box below (See pages I & 2 of Land 19WN i 'tcAFi9hia9dBep Information for information that is required to be provided on siteplan) Show location of: ❑ Driveways ❑ Frontage Roads (include name) ❑ Existing Structures ❑ Well (W) ❑ Septic Tank (ST) ❑ Drain Field (DF) ❑ Holding Tank (HT) ❑ Privy (P) ❑ Lake ❑ River ❑Stream/Creek ❑Pond ❑Floodplain ❑Wetlands ❑Slopes over 20% N See Attached Setback or distance from furthest extent of structure including eaves and overhangs to (include on site plan): County Use Only Verified setbacks - Road Centerline 300 ft. ft. Notes/Comments: Front Lot Line/Right-of-Way 250 ft. ft. Side Lot Line 1 orth❑East❑South❑WestO check one 70 ft. ft. Side Lot Line 2 (North❑EastOSouth❑West❑ check one 120 ft. / ft. Rear Lot Line 180 ft. ft. Septic/Holding Tank 125 ft. ft. Drainfield 80 ft. ft. Privy NA ft. ft. Well 130 ft. ft. Existing StructureA3uilding 20 ft. ft. Wetland NA ft. ft. Elevation of Floodplain 1,110 ft. ft. Ordinary High -Water Mark (OHWM) 180 ft. ft. Other (describe) Ift. ft. �ECEoWE0 MAR 0 5 2025 Bayfield Co. Zoning Dept, SECTION G: Additional Questions ❑ Yes El No Has the location of the proposed project including eaves and overhangs and the sanitary system and well been staked? If no, what date will this be completed: a14nsHoweverproject is >70' away from prop line well ST F O Yes ❑ No Did a licensed surveyor mark lot line(s) if project is within 10 feet of required setback? See page 2 of Land Use Application Information for required setbacks. SURVEY OF ENTIRE PROPERTY DONE NOVEMBER 2021 ❑ Yes O No Did property owner or applicant mark lot line(s) if project is within 30 feet of required setback? See page 2 of Land Use Application Information for required setbacks. Garage and Lean-to is 70' from closest property line O Yes ❑ No Is there an existing sanitary system on the property? If yes, what kind? ElDrainfield ❑ Holding Tank ❑ Municipal/Public ❑ Other (describe): ❑ Yes El No Will pressurized water be installed in the structure? If yes, what kind of sanitary system will be installed or used to manage wastewater? ❑ Drainfield ❑ Holding Tank ❑ Municipal/Public ❑ Other (describe): ❑ Yes O No Will sleeping occur in the structure? If yes, contact local Uniform Dwelling Code (UDC) for approval and inspection requirements. Is the project associated with any of the following: ❑ Rezone ❑ Class A Special Use ❑ Class B Special Use ❑ Conditional Use ❑ Variance Fee payment will be made via: ❑ Check (attached) ❑ Cash (attached) 0 debit/credit/echeck (department to call once payment is ready to be taken) How would you like to receive your permit card? ❑ Mail to: OR El Email to: ❑ Property Owner Address ❑ Agent Address ❑ Contractor Address El Other (provide Name and Email or Address): Wendy Kelner; nimbus_22@msn.com Section H: Acknowledgement and Siguature All Land Use Permits expire Two (2) Years from the date of issuance if construction or use has not begun. Sanitary Permit issuance, if required, 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 new construction of one- & two-family dwellings requires review and approval by the local Uniform Dwelling Code (UDC) authority. Additions and alterations to one - and two-family dwellings may require review and approval by the 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 constmetion that violates the law or other penalties or costs. For more information, visit the Department of Natural Resources wetlands identification web page, dnr.wi.eov/topic/wetlands, or contact a Department of Natural Resources service center(715)685-2900. 1(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 1 (we) are providing and that will be relied upon by Bayfield County in determining whether to issue a permit. 1 (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. Owner(s) or Authorized Agent Printed Name: ft--,-- Owner(s) or Authorized Agent Signature: w' l Date: NOTES: 1. If you are signing on behalf of the owner(s) a letter of authorization must accompany this application. 2. Specific conditions/instructions maybe stated on the face of the issued Land Use Permits. Owners, agents, & contractors must all be aware of permit details & conditions and permit card must be posted on property prior to start of project. Bayfield County Imnervious Surface Calculations HE C k � W � MAR 0 5 2025 D Bayfield Co. Zoning Dept These calculations are REQUIRED per WI Admin Code NR 115.05(1)(e) and Section 13-1-32(g) and 13-1- 40(h) of the Bayfield County Code of Ordinances. The undersigned hereby makes application for construction, reconstruction, expansion, replacement or relocation of any impervious surface within 300 feet of the ordinary high water mark and agrees that all activities shall be in accordance with the requirements of the Bayfield County Code of Ordinances and all other applicable ordinances and the laws of the State of Wisconsin. Pursuant to Chapter 1, Title 13, Section 13-1-106(d) of the Bayfield County Zoning Ordinance(s), Planning and Zoning Department employees assigned to inspect properties shall have access to said properties to make inspections. Property Owner(s): Wendy Kelner Mailing Address: Property Address 8036 Fairchild Ave. Mounds View, MN 55112 16980 Cabin Rd. Mason, WI 54856 on: Legal DescriptiSE Section, Township, Range 1/4, NE 1/4, PAR IN SE NE IN 2016R-566409 355 Sec 22 Township 47 N, Range 07 W Authorized Agent/Contractor Gov't Lot Lot # CSM# Vol & Page Lot(s) # Block(s) # Subdivision Town of: Keystone Parcel ID # (PIN #) Tax ID # Date: 04- 028-2-47-07-22-1 04-04-000-10000 22173 3/5/25 Impervious Surface: An area that releases as runoff all or a majority of the precipitation that falls on it. "Impervious surface" excludes frozen soil but includes rooftops, sidewalks, driveways, parking lots and streets unless specifically designed, constructed and maintained to be pervious. Calculation of Impervious Surface: Percentage of impervious surface shall be calculated by dividing the surface area of existing and proposed impervious surfaces on the portion of a lot or parcel that is within 300 feet of the ordinary high water mark by the total surface area of the lot or parcel, multiplied by 100. Impervious Surface Standard: Allow up to 15% impervious surface but not more than 30% impervious surface on the portion of a lot or parcel that is within 300 feet of the ordinary high water mark. A permit can be issued for development that exceeds 15% impervious surface but not more than 30% impervious surfaces with a mitigation plan that meets the requirements of the Bayfield County Ordinance(s). Existing Impervious Surfaces: For existing impervious surfaces that were lawfully placed when constructed but that do not comply with the standards in Section(s) 13-1-32(g) and Section 13-1-40(h), the property owner may do any of the following: a. Maintenance and repair of all impervious surfaces: b. Replacement of existing impervious surfaces with similar surfaces within the existing building footprint; c. Relocation or modification of existing impervious surfaces with similar or different impervious surfaces, provided that the relocation or modification does not result in an increase in the percentage that existed on the effective date of the county shoreland ordinance, and meets the applicable setback requirements in Section 13-1-32. MAR 0 5 2025 Impervious Surface Item Dimension gayfield Co. Zoi j Area (Square Footage) Existing House irregular (rooms - 16x15, 18x16, 6x8, 16x16, 15x19 973 Existing Accessory Building/Garage Shed (12x30) 360 Existing Sidewalk(s), Patio(s) & Deck(s) Deck 10x16 + wood shed (5x10) 210 Existing Covered Porch(es), Driveway & Other Structures Drive 15x300 4,500 Proposed Addition/House Proposed Accessory Building/Garage 26x32 832 Proposed Sidewalk(s) & Patio(s) Proposed Covered Porch(es) & Deck(s) lean to (32x10) 320 Proposed Driveway Proposed Other Structures Total: 7,195 a. Total square footage of lot: b. Total impervious surface area: 96,248 c. Percentage of impervious surface area: 100 x (b)/a = 7,195 7.5% If the proposed impervious surface area is greater than 15% mitigation is required. Total square footage of additional impervious surface allowed: @ 15% @ 30% Issuance Information (County Use Only) Date of Inspection:. / Inspection Record: Zoning District Lakes Classification ( ) Condition(s): Stormwater Management/Plan Required: ❑ Yes 1p No Signature of Inspector: Date of Approval:,,s u/forrnslmpervioussurface Created: May 2012 (®Apr 2016; Sept 2020) Proofed by: Kelner, 16980 Cabin Rd. Mason, WI Tax ID: AIL/Legacy ID: F Current Pmoertv PIN: ❑-O-❑-❑-❑-❑-❑ ❑'O-O Tax IO: M173 Owner Name: FirstO Iast/Org.: kdaer W36 FAURWE0. 8036 FDS VIE iD N 5 Ste Address: 9; � goad: � MOUNDS WEtV MN 55112 Search Results- Records Fmmr:I P-W-1ty Tax Records Tax Bill Statement Dommetx PIN: 040711.247.07.22-I0 W-10000 Tax ID: 22173 1.620 Ac `i SINE SZZ-T47N-ROM' Owners: VVENDY IO:WWER M36 FAIRCMILD AYE MOUIIOS "M MN 551U Site: 16980 CABIN RD Real Estate Bayfield County Property Listing TodaY's Date: 3/4/2025 & Dewipliao Updated: U16AD16 Tax IEe 221711 PIN: 04-028-247-02-22.104-000-100M tewy PIN: 02810N06000 Map IIY. Mnmapakr. (US) TOM OF KEYSTONE SIR: 522 T47N ROM DesOipthn: PAR IN SE HE IN 20161k-566409 355 Recorded Roes 1.620 CatodMtd Aces: 2.121 lottery Claims: 0 Fmt D.Iar. Yea boning: (R-1) Re denOal-1 ESN: 120 I Tax mbicts Updated: 311512006 1 STATE 04 COUNTY 028 TOWN OF KEYSTONE 02U170 ASIRAND SCHOOL 001700 TECHNICAL COLLEGE w' Recorded Doosmeans updated: 3115/Z006 U Ql3ITC1AWt DEED Date Recoiled: IZf212016 2016R-566 � QUITCUO4 DEED Date Recorded: I3f2/2016 2016R-566908 D CORRECTION INSTRUMENT Date Recoded: S/30/2014 2014R-5544281125-703 a Qunra DEED Date Recorded: 7/22/2013 201311-55i)SM 1111-202 a CONVERSION Dam. Recoiled: 440339;447.131;634332 HEcE�wED MAR 0 -5 2025 Bayrield Co. Zoning Dept 3/4/202512.45:00 pM Offietala Zoning Pmpi Status: Crment Created On: 3/15/20061:15:41 PM 'w OwRnslap Updated: 8181200 WEAUDY KFINER MOUNDSVIIWMN BDNru Address Main0 S WENDYKEENER WENDY KEENER W36 FAIRCHILD AVE WM FMRORLD AVE MOUNDS V V MN 55112 MOUNDS VIEW MN 55112 IS Ste Address ' ledmtes P&M Road 169W CABWi RD ` MASON 54856 ® Property Assessmerat 2025 Asxssmrni Detail Cade G1-RESIDENTIAL 2-Year Comparison Land: Improved: To L Lam' Property Hisinry MIA Updated: 9j27/2032 Acres rand Imp LRD M'200 4'Slxl 2024 2025 Gunge 23,100 23,100 0.0% 96,600 96,600 0.0% 69,TW 69,700 0.0% Kelner Site Plan-16980 Cabin Rd. Mason, WI _. N�o MAR 0 206 F*5 �1' D Sa�eld Co. Zoning Dept, '� .0 " � ' IN '` .. (2L r TRELLIS CO FE.hr.E ST 180' OHWM DF r 130' 125' 1■I Proposed garage 26x32' w 80' attached lean-to 1 Ox32' 18"eave/gable overhang 5N' 20'ED 120' SY 70' SY 6' Id'4 300 SY 40 OR y 250' SY /FR4VF F� l� � Kelner Floor Plan & Elevations —16980 Cabin Rd. Mason, WI 112" 4' 10,10" 10' ----- ii� 7' FloorPlan Endwall A ES E ry U E D��Fl MAR 0 Li 2025 4' Lea -to Bayfield Co. Zoning Dept 10, 4' 1' 3' 1' 16' 5' 4/12 pitch 18" Elevations Roof elevation 14' 6" -------\ Top of wall9'8"' - 4/12 pitch 16" Bottom elevation 0' Roof elevation 14' 6" Bottom elevation 0' HE C E � v E D MAR 0 5 2025 Bayfield Co. Zoning Dept Kelner Project Location / Wetlands-16980 Cabin Rd. Mason, WI Basic Tools Locate & Ideadfy Draw & Measure Help& Resources 7I 7V#F IfKWGSARE OROBM1SFD NCO.MM¢IDCpN)Y N1M MEGir LK v naxwrxEAslY.&c&swEDroEUR Alb WTM '&dad 6uiuoZ -oo pjay4e8 g707 C 0 dvw iA � � 2 Ll LEOALDESCAV(h)R YKEASTMVY TW MY-WXLY NMrHW MEF RAOR(MRY Mwxft WWO ITabIaS w IRLWYxryMWKIOR SEO/CNm rTM RM. TOMNOF ffYSIQYE. 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MlG1IWA OSTAMFOFA FEE1r0M IEl&M MMESEYFMT TEAfl SISS&]PEAIONO SVORORxUNEApSIAM60F110dfFET ro 1FEE3wM C EW WSA05 UV CWN SW'OYH•fXW I9ZFWTMRTI EIi IINE CF WAYUWF LN STC UNpEIAYCE KNIIEfFFTW M MG R10YT OFWAYI/xF0'T6lPoC0UNIYCOPoUNRMp MEPoW(p�BEGW+V.G MEADOYECESCA9FD FARCE[ K IAMt CON1AY4Pof1A 50WNE FEET, ON TII •CPes LEGEND -FD. 3/4' CAPPED REBAR (UNLESS NOIEO OTHERWISE) ( j-PREMOUSLY RECORDED AS R.P. -RED PINE SPR -SPRUCE 150' 0 150' 300' 450' SCALE FEET PLAT OFSURVEY ME EASITIO'CK iNE 60OrIrtA$TY.OF INf NORMEASTY IYRN NORMOF INEfORNER N09MERNPACrt10 RAAR0AO WHCNISNIXx iI@ rMCMRIrYCORPbOR fl co co U U) m U t .a C C c6 U CD Tracy Pooler From: Tracy Pooler Sent: Monday, March 24, 2025 8:51 AM To: nimbus-22@msn.com Subject: 16980 Cabin rd - tax 22173 Wendy, I was at your site last week, the location of the shed look ok, but there are a couple other items that need to be addressed before permit issuance. • The fence structures will need a Land Use Application. All the structures can be put upon one application. The fee for this would be ($75.00) • The fees due for the current application is $255.40 Sincerely, Tracy Pooler - AZA Planning and Zoning Department 117 E 5th Street, PO Box 58 Washburn, WI 54891 Phone: 715-373-3512 Fax: 715-373-0114 Email: t_ryC_pooter@bas ieldcounty yyi,go-v 1 From: Mckenzie Slack To: Kelner. Daniel E CIV USARMY CEMVP (USAI Subject: [Non-DoD Source] RE: Kelner lattice installation question - 16980 Cabin Rd. Mason. Keystone Township. Date: Friday, September 9, 2022 9:16:42 AM Hi Dan, I received this email- I am hunting down the letter. DNR recently changed the fencing ordinance in the shoreland area, so 1 am just checking with my Director on if we are now requiring a permit or not. I'll get back to you as soon as I get answers/letters. Best, McKenzie From: Kelner, Daniel E CIV USARMY CEMVP (USA)<Daniel.E.Kelner@usace.army.mil> Sent: Thursday, September 8, 2022 1:41 PM To: Mckenzie Slack <mckenzie.slack@bayfieldcounty.wi.gov> Subject: Kelner lattice installation question - 16980 Cabin Rd. Mason. Keystone Township. McKenzie, It looks like you cover Keystone Township. Spoke with Todd Norwood last year about installing lattice panels along my property in Keystone Township (16980 Cabin Road, Mason) for privacy and support of plants. (FYI - I've been issued a permit for a garage if you want to look me up). He said not permitted by Bayfield Co. and I also checked with Keystone Township. Also no concern. Two questions 1. 1 wish to install another one similar but wider to the pict (14ft wide x 8 ft. high) closer to Spider Lake >35 feet but <75 feet from the Lake and approximately 5 feet setback from neighbors property line. It's approximately 50 ft from the Ordinary High Water Mark from the near shore end. The ones installed are approx.. 100 ft from the OHW of the lake). Will this require a permit or am I good without? 2. Next question, I obtained a survey of my property last November— It's newly registered with Bayfield Co. I have a strong suspicion my neighbor to the west Al Traber (16970 Cabin Rd) removed the center monument along our common boundary. I'm going up in a few weeks with a metal detector to see if I can find it. If not there I plan on involving law enforcement and no doubt it will come to a head. Todd Norwood was telling me last year Bayfield Co issued Mr. Traber a letter stating that he has a survey and does not need another one. Yeah no problem we all know this, Todd thought it an odd request from Mr. Traber. Both surveys (Mr. Traber's 1994 and my new 2021 survey aligned perfectly with all three common monuments in place and where they should be). Can I get a copy of that letter to show enforcement Mr. Traber knew exactly where the monuments are if need be. It's a longer story with more history involved I'd be glad to share with you if you'd like. But for now can 1 just have a copy of that letter. I assume it's public. j Thanks Much. Dan Kelner MOBILE (651) 724 -2244 Bayfield County, WI 3/6/25, 11:44 AM Novus-Wisconsin Access rev. 12,0206 < LI�Reat Estate Bayfield County Property Listing : Today's Date: 3/6/2025 Property Status: Current Created On: 3/15/2006 1:15:41 PM 9 Description Updated: 12/6/2016 Tax ID: 22173 PIN: 04-028-2-47-07-22-1 04-000-10000 Legacy PIN: 028104406000 Map ID: Municipality: (028) TOWN OF KEYSTONE STR: S22 T47N R07W Description: PAR IN SE NE IN 201611-566409 355 Recorded Acres: 1.620 Calculated Acres: 2.121 Lottery Claims: 0 First Dollar: Yes Zoning: (R-1) Residential-1 ESN: 120 r Tax Districts Updated: 3/15/2006 1 STATE 04 COUNTY 028 TOWN OF KEYSTONE 020170 ASHLAND SCHOOL 001700 TECHNICAL COLLEGE Recorded Documents Updated: 3/15/2006 © QUIT CLAIM DEED Date Recorded: 12/2/2016 201611-566409 © QUIT CLAIM DEED Date Recorded: 12/2/2016 201611-566408 © CORRECTION INSTRUMENT Date Recorded: 5/30/2014 2014R-554428 1125-703 ® QUIT CLAIM DEED Date Recorded: 7/22/2013 201311-550554 1111-202 ® CONVERSION Date Recorded: 440-339;447-131;634-332 a Ownership Updated: 8/8/2013 WENDY KELNER MOUNDS VIEW MN Billing Address: Mailing Address: WENDY KELNER WENDY KELNER 8036 FAIRCHILD AVE 8036 FAIRCHILD AVE MOUNDS VIEW MN 55112 MOUNDS VIEW MN 55112 T Site Address * indicates Private Road 16980 CABIN RD * MASON 54856 ® Property Assessment Updated: 9/27/2012 2025 Assessment Detail Code Acres Land Imp. G1-RESIDENTIAL 1.620 23,100 46,600 2-Year Comparison 2024 2025 Change Land: 23,100 23,100 0.0% Improved: 46,600 46,600 0.0% Total: 69,700 69,700 0.0% 'Z Property History N/A https://novus.bayfiieldcountyW.gov/access/master.asp?paprpid=22173 1/1 Land Use Permit Application Review Checklist Submission #: What zoning district is the project located in? ;kfl R-2 ❑ R-3 ❑ R-4 ❑ R-RB ❑ C ❑ I ❑ M ❑ A-1 ❑ A-2 ❑ F-1 ❑ F-2 ❑ W ❑ M-M ❑ yes No Is lot substandard (does not meet current zoning dimensional requirements)? Deed of record: Yes ❑ No Is the project located in the Shorelands (Shorelands are lands within 300 feet of a river/stream OR landward side of floodplain OR 1000 feet of a lake/pond/flowage, whichever is greater)? Yes ❑ No Is impervious surface required? (Required if riparian lot OR lot is entirely within 300 feet of OHWM of navigable waterway) ❑ Yes o Is the project located in the Floodplain? Zone: ❑ Yes No Are there wetlands on the property? ❑ Yes Eklqo- Is project associated with a nonconforming use or structure? ❑ Yes � l�o Is project associated with a variance? Case M ❑ Yes No Is project associated with a Special B or Conditional Use Permit? Permit M ❑ Yes p^ Is the project associated with a Special A Use Permit? p ❑ Yes o Does the project require sanitary? ❑ Existing ❑ New ❑ Intercept ❑ Reconnect ❑ Non -Plumbing ❑ Public Sanitary Permit M ❑ Yes LJ-N'0- Does the project require mitigation? Implementation Deadline: Date of Compliance: ❑ Yes Q No Does the project require an affidavit? Affidavit #: * Yes ETNo Did licensed surveyor mark lot line(s), if project is within 10 feet of required setback? ❑ Yes ONo Did a plicant/property owner mark lot line(s), if project is within 30 feet of required setback? Project.use is? esidential ❑ Commercial ❑ Municipal Project type is?,B'rew Construction ❑ Addition/Alteration ❑ Change Use ❑ Relocate ❑ RV Placement ❑ Sign ❑ Establishing a Business ❑ Temporary ❑ Shoreland Grading ❑ Other, describe: Structure Type is: ❑ Residence ❑ Principal Structure _D-4'tcessory Structure ❑ Boathouse (one story only) ❑ Open-sided/Screened Structure (gazebo, etc.) ❑ Stairway to navigable waters ❑ Mobile Home ❑ Shipping Container ❑ Other, describe Total Sq. Ft. of Project: :2. Number of Stories: Overall Height: / 5 Calculated Fee Category: ❑ Residential Principal Structures -$0.75/square foot (minimum $125) ❑ H bitable Residential Accessory Structures - $0.50/square foot (minimum $75) n-Habitable Residential Principal and Accessory Structures - $0.20/square foot (minimum $75) ❑ Commercial/Municipal Principal Structures -$0.75/square foot (minimum $125) ❑ Commercial/Municipal Accessory Structures - $0.20/square foot (minimum $75) Calculated Fee Amount: Additional Fees: ❑ Return Inspection ❑ Land Use Revisions ❑ Special Use Permit- Class A ❑ After -the -Fact (ATF) ❑ Floodplain 21fhoreland - Impervious Surface ❑ Shoreland - Non -Conforming, etc. ❑ Tower Siting/Collocation 1 ❑ Tower Collocation 2 ❑ Metallic Mine ATF Fee Amount: ev Inspected by: Date of Inspection: Re -Inspected by: Date of Re -Inspection: Denied by: Reason for Denial: Date Denial Letter Mailed: Approved by!;;� Date of Denial: Date of Approval: Condition(s): Jr ❑ Must meet and maintain setbacks from furthest extension of structure including eaves and r personal storage only. ❑ For personal residence only. 9-9'ot for human habitation or sleeping purposes. )2rfo­wn/State/DNR/Federal may require permitting ❑ A Uniform Dwelling Code (UDC) Permit from the locally contracted UDC Inspection Agency must be obtained prior to the start of construction. 2-9—Uniform Dwelling Code (UDC) Permit from the locally contracted UDC Inspection Agency must be rd prior to the start of construction (if applicable). best management practices to limit and prevent erosion during construction. ❑ This permit cannot be transferred if property is sold. ❑ A Bayfield County Health Dept permit is required. ❑ Check with Town regarding room tax. ❑ Short -Term Rental is for a maximum occupancy of persons. ❑ Sign must meet the requirements of Article E of the Bayfield County Zoning Ordinance. ❑ To be constructed per plan. ❑ Adhere to privy agreement. ❑ Temporary permit allowing existing structure for a period of less than 1 year. ❑ RV may not be used for permanent residence or storage. ❑ RV allowed for ❑ RV must be removed by sewer and pressurized water allowed in the structure. ❑ No plumbing or plumbing fixtures allowed. ❑ No additional sleeping areas allowed without obtaining necessary sanitary permit(s). ❑ Land use permits shall be required for any new residence, any building or structure erected, relocated, rebuilt, or structurally altered ❑ Land use permits shall be obtained prior to the initiation of construction or a change in land use ❑ Requirements (e.g., permits/licensing/tax) of Local Town, Village, City, State or Federal agencies are required ❑ Sanitation requirements must be met (if applicable) ❑ Additional conditions may be placed and need to be adhered to at the time of permit issuance Other Conditions: 3=YFIELD Bayfield County Planning & Zoning Department 117 E 5w Street P.O. Box 58 Washburn, WI 54891 Phone: 715-373-6138 Fax: 715-373-0114 Property Owner: Submission Number: KELNER, WENDY LU-01510 8036 FAIRCHILD AVE MOUNDS VIEW, MN 55112 Transaction Number: LU-01510-237BB Description Amount Shoreland - Impervious Surface $25.00 Verified Fee Amount $0.00 Non -Habitable Residential Principal and Accessory $230.40 Structures - $0.20/square foot (minimum $75) Total: $255.40 Payment Amount: $261.48 Reference:9967624605 Paid by: Daniel Kelner Payment Type: Credit Card Transaction Date: undefined Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit. Town, City, Village, State or Federal Permits May Also Be Required Substandard — No / Nonconforming — No Shoreland — Yes / Impervious Surface — Yes Floodplain — No / Wetlands — No Mitigation — No / Affidavit #: LAND USE — X SANITARY — SPECIAL A — SPECIAL B/CONDITIONAL — BOA — No. 25-0112 Tax ID: 22173 Issued To: KELNER, WENDY Location: S22 - T47N - R07W Town of Keystone Legal Description: PAR IN SE NE IN 2016R-566409 355 BAYFIELD COUNTY PERMIT WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION Residential Structure in R-1 zoning district For: New Construction [1 - Story], Accessory Structure on a Slab [1152 Total sq. ft.] Height of 15' (Disclaimer): You are responsible for complying with state and federal laws concerning construction near or on wetlands, lakes, and streams. Any future expansions or development would require additional permitting. Condition(s): See back of card 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. Tracy Pooler Authorized Issuing Official March 28, 2025 Date Condition(s): For personal storage only. Not for human habitation or sleeping purposes. Town/State/DNR/Federal may require permitting A Uniform Dwelling Code (UDC) Permit from the locally contracted UDC Inspection Agency must be obtained prior to the start of construction (if applicable). Use best management practices to limit and prevent erosion during construction. No sewer and pressurized water allowed in the structure.