Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
25-0165
Return to: ABayfield 117 E 5t1 Street, PO Box County Planning and Zonir rp r Washburn, WI 54891 LAND USE PERMIT L P4 f S permits@bayfieldcounty.wi.gov 10 A[ , r) 4 2025 County Use Only: Submission #:u1-(1W6 ermit #: ate: SECTION A: General Information Property Owner Name: Authoriz A eiaf fi4iie(�ii'applicablc): Loujack LLC (Mike (Myron) Brose) Karl Kastrosky Telephone Number: Telephone Number: 715-684-9150 715-580-0157 E-Mail Address: E-Mail Address: mbrose@doardrill.com kastrosky821@gmaii.com Mailing Address: Mailing Address: 1312 89th St 14295 McNaught Rd City, State, Zip: City, State, Zip: New Richmond, WI 54017 Cable, WI 54821 Contractor: Telephone Number: E-Mail Address: Jake Kinnunen (Saw Horse Const) 715-684-9150 ? SECTION B: Property Information Project Address (if different from mailing address): 45530 Marsh Lane, Cable WI 54821 Legal Description (if additional space is needed attach a separate sheet): Govt Lot 8 lying West of Jackson Lake Channel in 2022R-595471 Section, Township. Range: S 4, T43N, R6W Town of: Namakagon Tax ID g: 24423 Lot Size (Acres/Square Feet): 54.89 Acres SECTION C: Project Information check all that appI:i Project Use is: O Residential ❑ Commercial ❑ Municipal Project Type is: O 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 SWIFION D: Structure Information Does not apply to R`Vs and Sig' s. o to Section E) Structure "Type is: O Residence ❑ Principal Structure (describe): ❑ Accessory Structure (describe): ❑ Shoreland Exempt Structure (describe): ❑ Mobile Home (provide manufactured date): ❑ Shipping Container ❑ Other (describe): Foundation Type: ❑ Basement ❑ Walkout Basement El Slab ❑ Crawlspace ❑ Ground ❑ Skids ❑ Other (explain): Existing Structure: Length: Width: Height: Proposed Structure (Provide Sq Ft based on outside dimensions, including unfinished areas, attached garages/above grade decks/ orches): Basement Sq Ft: 1" Floor Sq Ft: Loft Sq Ft: 2n1 Floor Sq Ft: 3ro Floor Sq Ft: 60 x 3a Minus (4x20 66)20) (20W ag ft) 24 x 28 = 672 sg ft Garage Sq Ft: Porch Sq Ft: Deck Sq Ft: Other Sq Ft (describe): Other Sq Ft (describe): 16x18=288sgft Storage/Hall 6x16=96sgft Triang1e16+16+4.3(2)=51sgft Total Sq Ft: 3187 Overall Height (finished grade to peak): 24 it of Stories: 1 + Existing if of Bedrooms on property: 0 Proposed 9 of Bedrooms in project: 1 SECTION E: RV and Sin Information check all that apply) w Sign is: RI'is. ❑ New ❑ Replacement ❑ Ne1r ❑ Replacement ❑ On -premise ❑ Off -premise ❑ I -sided ❑ 2-sided Year: Vin #: ❑ On -building ❑ Multi -Tenant Length: Width: Height: Make: Model: SECTION F: Site Plan — attach a site plan or draw site plan in box below (See pages 1 & 2 of Land Use Permit Applic 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 APR 0 4 2025 lid Bayfield Co. Zoning Dept. See Attachment(s) Setback or distance from furthest extent of structure including eaves and overhangs to (include on site plan): County Use Only Verified setbacks Road Centerline 790 ft. 1,r ft. Notes/Comments: Front Lot Line/Right-of-Way ft. ft. Side Lot Line 1 (North ❑East❑South❑West❑ check one a -'.'bye ft. ft. Side Lot Line 2 orth❑East❑South❑West❑ check one s�daww.� ft. ft. Rear Lot Line 1950 ft. j Q�i ft. Septic/HoldingTank 15 ft. /y ft. Drainfield 30 ft. 3a ft. Privy ft. ft. Well TBD ft. ft. Existing Structure/Building ft. ft. Wetland 85 ft. — ft. Elevation of Floodplain ft. ft. Ordinary High -Water Mark (OHWM) 78.7 ft. ft. Other (describe) ft. ft. �EGEoVE0 APR 0 4 2025 `SECTION G: Additional Questions Eq * Yes ❑ 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: ❑ 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. ❑ Yes ❑ 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. El Yes ❑ No Is there an existing sanitary system on the property? If yes, what kind? ❑ Drainfield ❑ Holding Tank ❑ Municipal/Public El Other (describe): Tanks E Yes ❑ 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): Addn of Mound- #24-156S El Yes ❑ 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: El Check (attaehed) ❑ Cash (attached) ❑ debit/credit/echeck (department to call once payment is ready to be taken) How would you like to receive your permit card? O Mail to: OR 17 Email to: ❑ Property Owner Address El Agent Address ❑ Contractor Address ❑ Other (provide Name and Email or Address): Section H: Acknowledgement and Signature All Land Use Permits expire Two (2) Years front 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 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. og v/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 Bayfreld County in determining whether to issue a permit. I (we) further accept liability which may be a result of Bayfreld 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: Kw"skt1r,,���� �d Owner(s) or Authorized Agent Signature: 3 ax1 j a•1Lxo1 Date: 411=5 NOTES: Signer ID: vz e3 t 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, WI WNID/Tm•ID # pRDIO# 21390 M2AEL T 6 AE NOSE TAU]TEES MNN ARSE OUJ LOUTACR ,1 i g r O g� 23 1� pM LOWACK•LLC C .lapst : i F N i NAMEKAGON LAKE PRnID/Ta[ ID u 0 •�a nrc,n ul g ORDID/Taz•[D#2AA26 LOUJACICLLC �s. pRD[D/Tax 1D #•20395 "t F� AMANDA J STAUDEMEYER REV UST Y361'.iASH:�N NIpID/Tas•1D # 9A601 i FOR THE 6IRL5' 4/4/2025, 10:38:42 AM j� E 9 E n „„ „, D 008 �' Wetlands IIIIJII IIu(IJ u U IlS} 0 0.04 0.0a 0.I C� Approximate Parcel Boundary Building Footprint 2015 _, . Rivers Road Type Building 2025 0 0.05 0.1 0.2 km APR 0 4 Lakes Private EayfeW county La�W Re Ws Depadment Bayfield Co. Zoning Dept. SW.WCounty Zo IWApplke9on nllps9lmeps.tayflNdmun".govaonlgWAeI 4:-Y A Dcsrrr� I1Ay 5ectlon'A-A' 1/4".1*-& Section "cG, 1/4'd-D' t� IQ gut 9 b 9 u T APR 0 4 ?R5 Bayfield Co. Zoning Dept. 0 11u .'D-D' 1/4'.I'0' catt3ge Secllcn Pima 10-:-3d TI Meetm Bedoos -. •�+ t V—L--E--- 0 LI I� ..:.. Kle Fe --N � � o 4.2 r 1" r 11 )� Ind. • •II1.4 ( I A. . �y. 1 M.fln Laval Floc, Plea I,e'.f O. �J APR 0 4 2025 U Bayfield Co. Zoning Dept, at per Level Floo• f'Lm 114 4 0' E Cottage Floor Plena N" - _g rsNeed IE35 W ob Pol L L iti OW //9/494 NOto� mnlenlon from auleiM 1" foam Inwintlon, ' el all oxlarloe unlln _ unaxeeveled ;� u�rcaea`°d t� , „ h( ' i � rn�nvwe..n�� �il ( •••• � NOIB. M1f+� •., I i� � dlnAnloM (rOm Cu�lela6 ] !O nWlallOn, li: 1 0 {yRtOrlOr walla 1 l' � II Ir• � U � 'I'1 fWMMIon Pinn V4".I'-0" E ��Il�fill_Jlllilfl APR L0 4 2025� IIIIL�IIIJIIIIj'I� "�e W \ Bayfield Co. Zoning Dept, Gotlago FcunrAnucn vino �ovlaed L6?5 okoirl "Coltegs TOPOGP,APPIC SURVEY LOCATED IN GOVERNMENT LOT 8 OF SECTION 4. - =.S .., ?, o W., eras IN THE TOWN OF NAMAKAGON, SAYFIELD COUN, �, t�Y ffaad�)) ^aadu r . • -� . ww..s rna • • I •\ , - / \� �� ---- RXLJI .mm[uvCl I o N cs cl- U d a d � . eavt ,v�•uc aa.vw xrardmma �[rn ar +�ti damn rows .sxx NOR ucw� LUENI.'VR'kAFL 3ROSE .va a/^'ae HEART OF THE �'�ORTH SURVEYING OF HAYli`ARD, I -VC FLOOD ELEVATION SURVEY PART OF GOVERNMENT LOT 8 OF SECTION 4, z3 c N., !N THE TOWN OF NAMAKAGON, BAYFIELG � - •. ns V. . u'. Rn'.�_ >.+.w ...mom_. � •y. rnn,w»m>mrr.aras ors � / i nm' i rrtr r�m[sxr/@�ev.o �[ro- - _ -®rn ric v>so-ve nutty ___ ___ �rn (�' � /r / /'`• -.Or rN YL .Inf't Za M 9 %rvn> � c,av .rrus nmiwv ea>ncx oGON Lo r� n N C o co a . �.. _>.na " 1. HEART OF THE NORTH _ r �wQ nn'vt'/'n t N � Hr 9a .qt nI.RRJM SURVEYING OF HAYWARD, INC. /%rV/6lr'SMl DEPARTMENT OF HOMELAND SECURITY - FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.S. NO.1560.0015 PROPERTY INFORMATION FORM Expires February 28, 2014 PAPERWORK BURDEN DISCLOSURE NOTICE Public reporting burden for this data collection is estimated to average 1.63 `a.s per response. The burden estimate includes the time for reviewing instructions, searching existing data sources, gathering and maintaining me needed care. and cxmo:eting and submitting the form. This collection Is required to obtain or retain benefits, you are not required to respond to this collection of information unless a vend OMB control number is displayed on this form. Send comments regarding the accuracy of the burden estimate and any suggestions for reducing this burden tc:.nfermdon Collections Management, Department of Homeland Security, Federal Emergency Management Agency, 1800 South Bell Street, Arlington, VA Z0594, ?S5, Paperv:ork Reduction Project (1660-0015). NOTE: Do not send your completed form to this address. This form may be completed bythe property owner, property owners agent. ', ce-se: a— serveyor, or registered professional engineer to support a request for a Letter of Map Amendment (LOMA), Conditional Letter of Map Amendment iCLCVAI, Letter of Map Revision Based on Fill (LOMR-F), or Concitionai Letce, c` Map Revision Based on Fill (CLOMR-F) for existing or proposed, single or muitipte o! /V..rucures. in order to process your request, all information on this form must be completed In its entirety, unless stated as optional. Incomplete submissions will result in processing delays. Please check the item below that describes your request: ® LOMA A letter from DHS-FEMA stating that an existing structure or parcel of land that has not beer. elevated by fill (natural grade) would not be inundated by the hale flood. ❑ CLOMA A lettef from DHS-FEM,A stating that a proposed structure that is not to be elevated by fill (natural grade) would not be inundated by the base flood if built as proposed. ❑ IOMR-F A letter from DHS-FEMA stating that an existing structure or parcel of land that has been elevated by fill would not be inundated by the base flood. A letter from DHS-FEMA sta--, that a parcel of land or proposed structure that will be elevated by ❑ CLOMR-F BII would not be inundated c. < oase flood if fill is placed on the parcel as proposed or the structure is built as proposed Fill is defined as material from any source (including the subject probe,tyl Or, =. . to or above the Base Flood Elevation ISFE). The common construction practice of removing unsuitable existing material (topsoil) and be c ri j ing ;,:-. sE ec,. siracturai material Is not considered the placement of fill if the Practice does not alter the existing (natural grade) elevation, which is at or above the BFE. Fill that is placed before the date of the first National Flood Insurance Program (NFIP) map showing the area in a Special Flood Hai Area (SFHA) is considered natural grade. Has fill been placed on your property to raise ground that was previously below the BRIE? ❑ Yes ® No if yes, when was fill placed? I month/year Will fill be placed on your property to raise ground that is below the BFE? Yes' ® No If yes, when will fill be placed? I monthlyear ' If yes, Endangered Species Act (ESA) compliance must be documented to FEMA prior to issuance of the CLOMR-F determination (please refer page 4 to the MT-1 instructions). Street Address of the Property (if request is for multiple structures or units, please attach additional she�(-�efer187tcl ejCh f lici ssed IF1. street names below):III�uIJIJI(`jJILLCS(�U 45530 Marsh Lane Cable, WI 54821 APR 0 4 2025 2. Legal description of Property (Lot, Block, Subdivision or abbreviated description from the Deed): Part of Government Lot 8 of Sec. 4, T43N, R6W, Town of Cable, Bayfield Co, WI Bayfield Co. Zoning Dept. 3. Are you requesting that a flood zone determination be completed for (check one): ❑ Structures on the property? What are the dates of construction? (MM/YYYY) ® A portion of land within the bounds of the property? (A certified metes and bounds description and map of the area to be removed, certified by a licensed land surveyor or registered professional engineer, are required. For the preferred format of metes and bounds descriptions, please refer to the MT-1 Form 1 Instructions.) ❑ The entire legally recorded property? 4. Is this request fora (check one): ❑ Single structure ® Single lot ❑ Multiple structures (How many structures are involved in your request? List the number: 0) ❑ Multiple lots (How many lots are involved in your request? List the number: ) DHS -FEMA Form 086-0-26, FEB 111 Property Information Form MT-1 Form 1 Page 1 of 2 In addition to this roan tVd 1 For- 1). o'ease cor o!ete the AeckLst Se!ow. ALL requests must include one coov of the fonowirg ® Ccoy of the effective F:RN. panel on which the siruucre andfor property location has been accurately plotted ( ,00erty inadvertently located in the NFT reeulatgry floodway A J! require Section 3 cs!Y.T 1 corm 3! ❑ Copy of the Subdivision Plat Mao for the property (with recordation data and Stamp of the Recorder's Office) OR ® Copy of the Property Deed (with recordation data and stamp of the Recorder's Office), accompanied by a tax assessor's map or other certified map showing the surveyed location of the oncce-.- enve to lcpal streets and watercourses. The map should Include at least one street Intersection that is shown on the FIRM panel. ® Form 2-Elevation Form. If the •eq�n : r = . structure. and an Elevation Certificate has already been completed for this property, it may be submitted in lieu of Form 2. If t6r- -- -.- r "+e entire legally recorded property, or a portion thereof, the lowest lot elevation must be provided on Form 2. ® Please Include a map scale a--`+ - --cs submitted. For LOMR-Fs and CLOMR-Fs, the folb,-;5 -- =r-:-..-= addition to the items listed above: ❑ Form 3- Community Acknowiedgc=-0o- For CLOMR.Fs, the following must be sub- = -. _v.. _.-.:ems listed above: []DOCUmenteIESACOMPIhice, r.-_=.=:.o: an Incidental Take Permit, an Incidental Take Statement, a -not likely to adversely affect" determinationfrom the NPaa x'.'. -- - .._.ce NMFS)or the U.S. Fish and Wildlife Service(USFWS), or an official letter from NMFS or USFWS concurring that the project has so -'foci- on orcoosed Prince! species or designated critical habitat. Please refer to the MT-1 instructions for additional; information. Please do not submit original documents. Please retain a copy of all submitted documents for your records. DHS-FEMA encourages the submission of all required data in a digital former (e.g. scanned documents and images on Compact Diu [CD]). Digital submissions help to further OHS-FEMA's Digital Vision and also may facilitate the processing of your request. Incomplete submissions will remit in processes delays. For addloonat Information regarding this form, Including where to obtain the supporting documents listed above, please refer W the MT-1 Form Instructions located athttP-// fem !gl / t/ih /tll t-lshtm. Processing Fee (see instructions for appropriate mailing address; or visit http-//www.fema.gov/fhm/frm fees.shtm for the most current fee schedule) Revised fee schedules are published periodically, but no more than once annually, as noted In the Federal Register. Please note: single/multiple lots)/structurels) LOMAS are fee exempt. The current review and processing fees are listed below: tltltllll^^^111���III �)(j r[ (m� Check the fee that apolies to your request: IUI ,If 0 ❑ $325 (single lot/structure LOMR-F following a CLOMR-F) Ilul I`ul APR 0 4 2025 ❑ $425 (single lot/structure LOMR-F) ❑ $500 (single Iot/structure CLOMA or CLOMR-F) Bayfield Co. Zoning Dept, ❑ $700 (multiple lot/structure LOMR-F following a CLOMR-F, or multiple lot/structure CLOMA) ❑ $800(multiple lot/structure LOMR-F or CLONI Please submit the Payment Information Form for remittance of applicable fees, Please make your check or money order payable to: National Flood Insurance Program. All documents submitted in support of this request are correct to the best of my knowledge. I understand that any false statement may be punishable by fine or imprisonment under Title 18 of the United States Code, Section 1001. Applicant's Name (required): Jason R. Nelson. Authorized Rep. Mailing Address (required): 10339N Duffy Road Hayward, WI 54843 E-Mail Address (optional): E3 By checking here you may receive correspondence electronically at the email address provided): Company (if applicable): Heart of the North Surveying Daytime Telephone No. (required): (715)634-2442 Fax No. (optional): signature of Applicant (required) DHS • FEMA Form 086-0.26, FES 11 Property Information Form MT-1 Form 1 Page 2 of 2 DEPARTMENT OF HOMELAND SECURITY - FEDERAL EMERGENCY MANAGEMENT AGENCY I O.M.B. NO. 1660-0015 ELEVATION FORM Expires February 2S, 2014 PAPERWORK BURDEN DISCLOSURE NOTICE Public reporting burden for this data collection is estimated to average 1.25 hours x• •esponse. The burden estimate includes the time for reviewing instructions, searching existing data sources, gathering and maintaining me needed data, ad mmoleting and submitting the form. This collection is required to obtain o, retain benefits. you are not required to respond to this collection of'informaticr un:ess a va :d OMS control number is displayed on this form. Send comments regarding the accuracy of the burden estimate and any suggestions for reducing this burden to nformattinCollections Management, Department of Homeland Security, Federal Emergency Management Agency. 1800 South Bell Street,Arlington, VA 20598.Ka5. Diearvork ,Reduction Project(1660-0015). NOTE: Do not send your completed form to this address. This form must be completed for requests and must be completed and signed by a regateree professional engineer or licensed land surveyor. A DHS- FEMA National Flood Insurance Program INFIP) Elevation Certificate may be submitted in lieu of this torn for single structure requests. For requests to remove a structure on natural grade OR on engineered fl'.'. -. - .- . -.. _ -._ r. -_ -: Area (SFHA), submit the lowest adjacent grade (the lowest ground touching the structural, Including on attached deck or garage. Fe --r__.'..-'--c:-- -- a parcel of land from the SFHA, provide the lowest lot elevation; or, K the request involves an area described by metes and bounds, prove .-. .., ,.:,:rain the metes and bounds description. All measurements are to be rounded to nearest tenth of a foot In order to process your request all Lr- _._ :.i'isform must be completed In Its entirety. Incomplete submissions will mutt In processing delays. 1. NFIP Community Number. 550539 Property Name c r Address: 45530 Marsh Lane Cable, WI 54821 2. Are the elevations listed below based on ® existing or ❑ proposed conditions? (Check one) 3. For the existing or proposed structures listed below, what are the types of construction? (check all that apply❑ H crawl space ❑ ❑ slab on grade basement/enclosure ❑ other (explain) APR 0 4 2025 4. Has DHS - FEMA identified this area as subject to land subsidence or uplift? (see instructions) [:]Yes ®No If yes, what is the date of the current re -leveling? I (month/year) Bayfield Co. Zoning Dept 5. What is the elevation datum? ❑NGVD 29 ® NAVE, SSE] Other (explain) If any of the elevations listed below were Computed using a datum different than the datum used for the effective Flood Insurance Rate Map (FIRM) (e.g., NGVD 29 or NAVD 88), what was the conversion factor? Local Elevation +/- ft. = FIRM Datum 6. Please provide the Latitude and Longitude of the most upstream edge of the structure (in decimal degrees to the nearest fifth decimal place): Indicate Datum: ❑ WGS84 ❑NAD83 ❑NAD27 Lat. Long. Please provide the Latitude and Longitude of the most upstream edge of the property (in decimal degrees to the nearest flfth decimal place): Indicate Datum: O WG584 ❑ NAD83 ❑ NAD27 Lat. 46.02355 Long.91. 11883 Lowest Address Lot Number Block Number Lowest Lot Elevation* Adjacent Grade To Base Flood Elevation BFE Source Structure Area to be removed 1398-0 1397.68 Bayfleld Co. Zoning This certification Is to be signed and sealed by a licensed land surveyor, registered professional engineer, or architect authorized by law to certify elevation information. All documents submitted in support of this request are correct to the best of my knowledge. I understand that any false statement may be punishable by fine or Imprisonment under Tide 18 of the United States Code, Section 1001. Cemfier's Name: Jason R. Nelson License No.: PLS No. 3092 Expiration Date: January 31, 2024 Comparry Name: Heartof the North Surveying Telephone No.: (715)682-2692 Email. Fax No. (715) 682-530D Signature: Date: February 24, 2022 • For requests involving a portion of property, include the lowest ground elevation within the metes and bounds description. Seal (optional) Please note: If the Lowest Adjacent Grade to Structure is the only elevation provided, a determination will be issued for the structure only. DHS - FEMA Form 086-0-26A. FEB 11 Elevation Form MT-1 Form 2 Page 1 of 2 Continued from Page 1. Address :owes[Lo[ I L'o+est Adjacent BaseIccc Lot Number Block Nu'vicer Elevation' i Grade —o Elevauan -' structure I I I I 1 I 1 i I I I I � i I i I This certification is to be signed and sewed by a licensed land surveyor, registered professional engineer, orarchitect authorized bylaw to certify elevation information. All documents submitted in support of this request are correct to the best of my knowledge. I understand that any false statement maybe Punishable by Fine or imprisonment under Title I8 of the United States Code. Section 1001. Certifier's Name: Jason R. Nelson License No.: PLS No, 3092 Expiration Date: January 31, 2024 Company Name: Heart of the Norh Surveying Telephone No.:(715) 634.2442 Seal (optional) Email: Fax No. (715) 634-6444 Signature: Date: February 24, 2022 ` For requests involving a portion of property, include the lowest ground elevation within the metes and bounds description. Please note: if the Lowest Adjacent Grade to Structure is the only elevation provided, a determination will be issued for the structure only. E G � o V E D APR 0 4 Z025 DHS - FEMA Form 086.0.26A, FEB 11 Elevation Forth MT-1 Form 2 Page 2 of 2 Bayiield Co. Zoning Dept. Bayfield County Impervious Surface Calculations [Di����� APR 0 4 2025 These calculations are REQUIRED per WI Admin Code NR 115.05(1)(e) and SectioniijWl-32(g) andz -1- 40(h) of the Bayfield County Code of Ordinances. The undersigned hereby makes application for constru Ion, 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): Loujack LLC (Myron (aka Mike) & Barbara Brose Trustees) Mailing Address: Property Address 1312 89th St, New Richmond, WI 54017 45540 Marsh Ln, Cable WI 54821 Legal Description: Section, Township, Range 1/4, 1/4, Sec 4 Township 43 N, Range 6 w Authorized Agent/Contractor Gov't Lot Lot # CSM# Page Karl L Kastrosky = Lot(s) # Block(s) # Subdivision Town of: Namakagon Parcel ID # (PIN #) Tax ID # Date: 04- 24423 4/4/2025 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 13-140(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. Impervious Surface Item Dimension Area (Square Footage) Existing House D Ill , I Existing Accessory Building/Garage APR 0 4 2025 Existing Sidewalk(s), Patio(s) & Deck(s) Bayfield Co. Zoning Dept. Existing Covered Porch(es), Driveway & Other Structures 12 x 800 9600 Proposed Addition/House Irregular 3187 Proposed Accessory Building/Garage Proposed Sidewalk(s) & Patio(s) Proposed Covered Porch(es) & Deck(s) Proposed Driveway Proposed Other Structures Total: 12,787 a. Total square footage of lot: b. Total impervious surface area: c. Percentage of impervious surface area: 100 x (b)/a = 2.33 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 ( ) Condltion(s): Stormwater Management Plan Required: ❑ Yes ❑ No Signature of Inspector: Date of Approval: u/forms/impervioussurface Created: May 2012 (®Apr 2016; Sept 2020) Proofed by: I E 9 V � v E 0 Karl Kas osk f APR 0 4 2025 Land Devel opmont & IGning ConiUftafWoning Dept. 14291 MCNwgh1 Rd, Cable, WI5A8i1 715 5@0-0157 _ "-�` ka#trertl�stl�gnn�il,�am Tta W"m % MtAy erwfesfw, r harab that re KWIN XoctraWy fa stt es M, ;ap wI to p IXWe PWRIM *nd A tnhrr+rt4#ry p drIg lam+ tvtyr at 7 i %c :4+ ci-r ._ im ft*T~ at IT�s a. a �Cacst[ty 7i 6• 4,r" I ti My emme Ptr enf" I Ed 7- PO T' y 72=021 Ncvus-�,laconsin Access rev. 12.0206 Real Estate Bayfield County Property Listing Today's Date: 7/29/2021 Description Tax ID: PIN: Legacy PIN: Map ID: Municipality: STR: Description: Recorded Acres: Calculated Acres: Lottery Claims: First Dollar: Zoning: ESN: Updated: 5/31/2013 24423 04-034-2-43.06-04-1 05-008-10000 034104804990 (034) TOWN OF NAMAKAGON SO4 T43N R06W GOVT LOT 8 LYING WEST OF 3ACKSON LAKE CHANNEL (BROSE REV TRUST) 2002R-477903 54.890 50.939 0 Yes (R-1) Residential-1 123 Tax Districts Updated: 3/15/2006 STATE I 04 COUNTY 034 TOWN OF NAMAKAGON 041491 SCHL-DRUMMOND 001700 TECHNICAL COLLEGE Recorded Documents © CONVERSION Date Re_orrdlec: Property Status: Current Created On: 3/15/2006 1:15A7 PM r Ownership Updated: 5/31/2013 MYRON 3 & BARBARA L BROSE TRUSTEES CABLE WI Billing Address: MYRON 18, BARBARA L BROSE TRUSTEES PO BOX 537 CABLE WI 54821 Mailing Address: MYRON 3 & BARBARA L BROSE TRUSTEES PO BOX 537 CABLE WI 54821 r Site Address * indicates Private Road N/A xi Property Assessment -J Updated: il/9/2007 2021 Assessment Detail Code Acres Land Imp. G1-RESIDENTIAL 1.000 48,800 69,600 GS-UNDEVELOPED 12.000 3,600 0 G6-PRODUCTIVE FOREST 41.890 146,600 0 2-Year Comparison 2020 2021 Change Land: 199,000 199,000 0.00% Improved: 69,600 69,600 0.0% Total: 268,600 268,600 0.0% Updated: 3/15/2006 IA Property History 477903 532-48;840-1036 N/A APR 0 4 2025 Bayfield Co. Zoning Dept. Bayfield County, WI ra qc JJACKSON LAKE 0 pHiI�29Q] ';'Glr.c}H lq .K LLG • UTU :0129124 e r NAMEKACON LAKE DRDr0/Ta. ID 4 0 qbi A N p ti� � • �y r a r l � $ao w•,y� e ,:;_ , • � • � taro ,G c �� - /' DRDiD/Tar.IDk :y� BFTI'I KAY DVMMERMUIYI TRUS' 0 4" Y„ 4110/2025, 3:45:30 PM ' Wetlands """ Private Rivers Flood Plain Boundaries Active Dec 16th, 2011 Lakes AE = Base floodplain where base flood elevations are provided. Approximate Parcel Boundary Building Footprint 2015 Road Type • Building Town ,c oce 1:6,278 0 0.07 0.15 0.3 mi 0 0.13 0.25 0.5 km Baym,ld County Land Remmg Deparlmml Baypeld County Zoning Applicalion hunsalmnpa,bnyllelucounty, W l,govaouingWABY AFFIDAVIT OF AUTHORITY (Corporation, LLC, etc.) PURPOSE. This Affidavit of Authority is used to certify the individual submitting an application is authorized when the property is owned by a corporate/business entity. STATE OF WISCONSIN ) ) ss. BAYFIELD COUNTY ) The undersigned affirms and states as follows: 1. Address of Subject Property: -1 S (/© o h ,A 4n - 2. The Subject Property is owned by: Zxn,� J°.-& L L L (Name of Company) 3. The name(s) of the current President or Managing Member: � a e_t 4. 1 certify that the company named in paragraph 2 is valid and in effect on the date signed below. I am the duly appointed agent of the Company named above in paragraph 2, and 1 have the authority under the terms of said authorization to submit an application to 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 Company to apply for and bind the Company to the terms and conditions of any decision or permit issued by the Bayfield County Zoning Department. 6. By signing this affidavit, I attest that I am unaware of any known or unknown person(s) who would contest this application. I agree to indemnify Bayfield County or such person or legal entity suffering a damage resulting from any illegalities of the application. Dated: / Print Name /� 'Yh ...... to before me this _, 20 25. r� Land Use Permit Application Review Checklist Submission #: i What zoning district Is the project located in? -1 ❑ R-2 ❑ R-3 ❑ R4 ❑ R-RB ❑ C ❑ 1 ❑ M ❑ A-1 ❑ A-2 ❑ F-1 ❑ F-2 ❑ W ❑ M-M ❑ Yes �o 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 OH WM of navigable waterway) ❑ Yes ❑ No Is the project located in the Floodplain? Zone: Yes ❑ No Are there wetlands on the property? ❑ Yes J2Ro Is project associated with a nonconforming use or structure? ❑ Yes 5Mo Is project associated with a variance? Case #: ❑ Yes PkNo Is project associated with a Special B or Conditional Use Permit? Permit#: ❑ Yes No Is the project associated with a Special A Use Permit? PIVes ❑ No Does the project require sanitary? ,Existing ❑ New ❑ Intercept ❑ Reconnect ❑ Non -Plumbing ❑ Public Sanitary Permit #: 2 -I S-6 S ❑ Yes ' RINo Does the project require mitigation? Implementation Deadline: Date of Compliance: ❑ Yes li,No Does the project require an affidavit? Affidavit #: ❑ Yes ANO Did licensed surveyor mark lot line(s), if project is within 10 feet of required setback? ❑ Yes j�.No Did applicant/property owner mark lot line(s), if project is within 30 feet of required setback? Project use is Residential ❑ Commercial ❑ Municipal Project type is? flew Construction ❑ Addition/Alteration ❑ Change Use ❑ Relocate ❑ RV Placement ❑ Sign ❑ Establishing a Business ❑ Temporary ❑ Shoreland Grading ❑ Other, describe: Structure Type is;Amesidence ❑ Principal Structure ❑ Accessory 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: Number of Stories: N Overall Height: Calculated Fee Category: esidential Principal Structures - $0.75/square foot (minimum $125) Habitable Residential Accessory Structures - $0.50/square foot (minimum $75) ❑ Non -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 "horeland - Impervious Surface ❑ Shore land - Non -Conforming, etc. ❑ Tower Siting/Collocation 1 ❑ Tower Collocation 2 ❑ Metallic Mine ATF Fee Amount: Inspected by: C4 Date of Inspection: �S Re -inspected by: Date of Re -Inspection: Denied by: Date of Denial: IWO Reason for Denial: Date Denial Letter Mailed: Approved by: k Date of Approval: .- Condition(s): Must meet and maintain setbacks from furthest extension of structure including eaves and overhangs. ❑ For personal storage only. P�Por personal residence only. /❑ Not for human habitation orsleeping purposes. )2I'fown/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. 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. ❑ 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. ,;EbTo 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 ❑ No sewer and pressurized water allowed in the structure. ❑ No plumbing or plumbing fixtures allowed. o 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 and 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 anitation 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: B A ,YFIELD Bayfield County Planning & Zoning Department 117 E 5w Street P.O. Box 58 Washburn, W1 54891 Phone: 715-373-6138 Fax: 715-373-0114 Property Owner. Submission Number: LOUJACK LLC LU-01576 1312 89TH ST NEW RICHMOND, WI54017 Transaction Number: LU-01576-2940D Description Amount Shoreland - Impervious Surface $25.00 Verified Fee Amount $0.00 Residential Principal Structures - $0.75/square foot $2,390.25 (minimum $125) Total: $2,415.25 Payment Amount: $2,415.25 Reference: 1037 Paid by: MICHAEL J & ANN E BROSE,1312 89TH ST, NEW RICHMOND, WI 54017 Payment Type: Check 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 — / Wetlands — Yes Mitigation — No / Affidavit #: LAND USE — X SANITARY — Existing 24-156S SPECIAL A — SPECIAL B/CONDITIONAL — BOA — No. 25-0165 Tax ID: 24423 Issued To: LOUJACK LLC Location: SO4 - T43N - R06W Town of Namakagon BAYFIELD COUNTY WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION Legal Description: GOVT LOT 8 LYING WEST OF JACKSON LAKE CHANNEL IN 2022R-595471 Residential Structure in R-1 zoning district For: New Construction [1.5 - Story], Residence on a Slab [3187 Total sq. ft.] Height of 24' (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. Scott Roush Authorized Issuing Official April 21, 2025 Date Condition(s): Must meet and maintain setbacks from furthest extension of structure including eaves and overhangs. For personal residence only. 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. 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. To be constructed per plan. 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)