HomeMy WebLinkAbout25-0178Retyrrn to: — 1 County Use Only:
117 E 51h Street, PO Box 58 tBayfield County Planning an o 15 tt e - 1r)
�[� �>�4P� � � �Submissio #: L %FJ
Washburn, WI 54891 LAND USE PERMIT }uiJ PLICATION permit #:
Perm Its@bavfieldtountv.wi.rov APR 042025 - Date:
SECTION A: General Information
Property Owner Name:
Authorized Agent Name (if applicable):
Glasener Family Cabin LLC (Mark Glasener)
Karl Kastrosky
Telephone Number:
Telephone Number:
715-723-8131 (H) / 715-456-2481 (C)
715-580-0157
E-Mail Address:
E-Mail Address:
mark@lakeregiontrailers.com
kastrosky821@gmaii.com
Mailing Address:
Mailing Address:
14151 Cty Hwy 00
14295 McNaught Rd
City, State, Zip:
City, State, Zip:
Chippewa Falls WI 54729
Cable, WI 54821
Contractor:
Telephone Number: E-Mail Address:
Kyle Friermood
385-216-5456 ?
SECTION B: Property Information
Project Address (if different from mailing address):
14050 W Price Lake Rd, Cable WI 54821
Legal Description (if additional space is needed attach a separate sheet):
PAR IN NW SW IN DOC 2018R- 575347 184AA
Section, Township, Range: S 8, T43N, R 7W Town of: Cable
Tax ID #: 8530 Lot Size (Acres/Square Feet): 4.0 acres (+-)
SECTION C: Project Information(check, all that a 1
Project Use is: O Residential ❑ Commercial ❑ Municipal
Project Type is: ❑ New Construction El 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: Structure Information Does not apply to RVs and Signs, o to Section E
Structure Type is: El 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 ❑ Slab ❑ Crawlspace ❑ Ground ❑ Skids O Other (explain): Frostwall
Existing Structure: Length: 72.6 Width: 3a.6 Height: 26WMeik0W
Proposed Structure (Provide Sq Ft based on outside dimensions, including unfinished areas, attached garages/above grade
decks/ orches):
Basem t Sq Ft:
I" Floor Sq Ft:
Loft Sq Ft:
2"d Floor Sq Ft:
3r1 Floor Sq Ft:
M
236 & 132 sq ft
Garage Sq Ft:
Porch Sq Ft:
Deck Sq Ft:
Other Sq Ft (describe):
Other Sq Ft (describe):
Total Sq Ft: 436- 736
Overall Height (finished grade to peak): same ss eklsrng
# of Stories: 1
Existing # of Bedrooms on property: 4
Proposed # of Bedrooms in project: 0
SECTION E: RV and Sign Information check all that apply)
Sign is:
RV is:
❑ New ❑ Replacement
❑ New ❑ Replacement
❑ On -premise ❑ Off -premise
❑ 1-sided ❑ 2-sided
Year: Vin #:
❑ On -building ❑ Multi -Tenant
Length: Width: Height:
Make: Model:
APR 0 a 2025 fJI
SECTION F: Site Plan — attach a site plan or draw site plan in box below (See pages 1 & 2 of Land Use Permit Application
Information for information that is required to be provided on site Ian) Badeld Co. Zoning De
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 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
50
ft.
�" ft.
Notes/Comments: v
, J
CAM
Front Lot Line/Right-of-Way
ft.
ft.
Side Lot Line 1
(North ElEast❑South❑West❑ check one
A r� ft.
42
�,D ft.
Side Lot Line 2
North[jEast❑Southl]West❑ check one
72
Rear Lot Line
481 ft.
7 ft.
Septic/Holding Tank
ft.
ft.
Drainfield
ft.
ft.
Privy
ft.
ft.
Well
5 ft.
ft.
Existing Structure/Building
15.5 ft.
�7 ft.
Wetland
355+-
Elevation of Floodplain
ft.
ft.
Ordinary High -Water Mark (OHWM)
7$ ft.
Other (describe)
ft.
ft.
E G � � V E n
n APR 0 4 2025 lU�
SECTION G: Additional
Questions .,--_ . .., r -
❑ 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?
ElDrainfield ❑ Holdin Tank ❑ Municipal/Public ❑ Other (describe):
O 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 ;!giolding 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
ins ection 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 (aHeehed) ❑ Cash (attached) ❑ debiticreditlecheck (department to call once payment is ready to be taken)
How would you like to receive your permit card?
El Mail to: OR O Email to:
❑ Property Owner Address El Agent Address ❑ Contractor Address ❑ Other (provide Name and Email or Address):
Section H: Acknowledgement and Si atu'
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 construction that violates the law or other penalties or costs. For more information, visit the Department of Natural
Resources wetlands identification web page, dnr.wi.gov/topie/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 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 1 (we) are
providing in or with this application. 1 (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: mm K -ft-ky
i
Owner(s) or Authorized Agent Signature: Date: a4nu2s
NOTES: ig$g ner IDXIVZ5AE14._
1. If you are signing on behalf of the owner(s) a letter of authorization must accompany this application.
2. Specific conditions/instructions may be 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.
4/212025, 6:59:32 PM 1:931
Wetlands 0 0.01 0.02 0.04 mi Approximate Parcel Boundary Building Footprint 2015
Rivers Road Type Building 0 0.02 0.04 0.0"
Lakes ...... Private
BayfelE County Lend R.M. Daparlmenl
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Glasener
R. No.
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SITE PLAN
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u u APR 0 4 2025 L,
Bayfield Co. Zoning Dept.
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Bayfield County, WI [�)
APP 4 2025
4/4/2025, 10:25:35 AM
Zoning Districts Lakes
(Rl) - Residential -1 f Building Footprint 2015
Approximate Parcel Boundary a Building
_" ' Wetlands Road Type
Rivers ...... Private
PR ID/Tax ID # B528
SUSAN CRAY BORMAN
70I1L I11 �)`rl).
PPfCE LAKF_
1:931
0 0.01 0.02 0.04 mi
0 0.02 0.04 0.07 gym,
Baykeid county taxi Raxwa Depax M
eayrwd county Zowg App4meon
xBpollmapaLryeeldmuntywi gmquningwABr
Glasener
Bortvner«owner
24'
SKETCH ADDENDUM
4
II APR 0 4 2025 L
Weld Co. Zoning Dept,
23' ' Derr
Deck Screen
33' Porch
4'
16'
Bedroom Bedroom
Living Room
Master
Bedroom
Bedroom Bath Storage Entry n
Dining 29'
34' 111 Cvd 'j'
Porch 4' Imo'
12'
7'
Yde
EGEovED
APR 0 4 Z025
Bayfield Co. Zoning Dept.
11
FRONT ELEVATION
m
Bayrield Co. Zoning Dept
LEFT ELEVATION
APR 0 4 2025
6ayfield Co. Toning Dept.
MitillillimlIMIL11111iflilm
REAR ELEVATION
Bayffeld Co. Zoning Dept
RIGHT ELEVATION
Legal Description:
r C � n Y E 0
APR 0 4 2025
Parcel 1:
Bayfield Co. Zoning Dept.
That part of the Southeast Quarter of the Southeast Quarter (SE'/4 SE'/4), Section 7, Township
43 North, Range 7 West, lying east of the Chicago, St. Paul, Minneapolis and Omaha Railway
right of way and excepting parcels described in Volume 136 of Deeds, Page 364 and Volume
136 of Deeds on page 446; and
Parcel 2:
That part of the Northeast Quarter of the Southeast Quarter (NE% SE%), Section Seven (7),
Township Forty-three (43) North, Range Seven (7) West, lying East of the Chicago, St. Paul,
Minneapolis and Omaha Railway right of way; and
Parcel 3: CAJS tiff
A parcel of land located in the Northwest Quarter of the Southwest Quarter (NW'/ SWY<) of
Section Eight (8), Township Forty-three (43) North, Range Seven (7) West more particularly
described as follows: Commencing at the Southwest corner of said forty; thence North along
the West line of said forty a distance of 300 feet; thence East on a line parallel with the South
line of said forty a distance of 660 feet; thence South a distance of 300 feet to the South line of
said forty; thence West on the South line a distance of 660 feet to the point of beginning.
Also included in this conveyance is an easement for ingress and egress from the parcel
described above (Parcel 3) to Highway #63 across the Northwest Quarter of the Southwest
Quarter (NW'/4 SW'/4) of Section Eight (8), Township Forty-three (43) North, Range Seven (7)
West and the Southeast Quarter of the Northeast Quarter (SE'/4 NE'/4) of Section Seven (7),
Township Forty-three (43) North, Range Seven (7) West as now laid out and constructed.
Kastrosky821 LLC
Karl Kastrosky
Land Development & Zoning Consultant
715-580-0157
14295McNaughtRd, Cable W154821
Kastrosky821 @gmailxom
To Whom it may concern,
I hereby authorize Karl Kastrosky to act as my agent to procure permits and
access information pertaining to my property at J gos-k) Frd�R L R�� pu
in the Town of ('AALC County of RAa
Signature Date
My contact information is:
APR 0 4 206
Address:
ayrield Co. Zoning Dept
Phone:
ICE I—)9g1DAII-1141 J� i;�'ES o
Bayfield County
Impervious Surface Calculations
oEGEoVE0
APR 0 4 2025
These calculations are REQUIRED per WI Admin Code NR 115.05(1)(e) and Secti@V''T3 %i g�in9del3-1
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):
Glasener Family Cabin LLC
(Mark & Sheri Glasener)
Mailing Address:
Property Address
14151 County Hwy 00, Chippewa Falls, WI
54729
14050 W Price Lake Rd,
Cable, WI 54821
Legal Description:
Section, Township, Range
P.He raw 1/4, sw
1/4,
Sec a Township 43
N, Range 7 W
Authorized Agent/Contractor
Gov't Lot
Lot #
CSM#
Val & Page
Karl L Kastrosky
Lot(s) #
Block(s) #
Subdivision
Town of:
Cable
Parcel ID # (PIN #)
Tax ID #
Date:
04-
8530
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 13-1-40(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.
Impervious Surface Item Dimensio4 APR 0 4 M5la (Square Footage)
Existing House
72.8 x 38.6 Bayfield Co. Z
ning Dept. 2810.08
Existing Accessory
Building/Garage
30 x 24
720
Existing Sidewalk(s), Patio(s) &
Deck(s)
Existing Covered Porch(es),
Driveway & Other Structures
12 x 300
3,600
Proposed Addition/House
438
Proposed Accessory
Building/Garage
Proposed Sidewalk(s) & Patio(s)
Proposed Covered Porches) &
Deck(s)
Proposed Driveway
Proposed Other Structures
Total:
7568.08
a. Total square footage of lot: 110,774
b. Total impervious surface area:
c. Percentage of impervious surface area: 100 x (b)/a =
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 ( J
Condition(s):
Stormwater
Management Plan Required:
❑ Yes ❑ No
Signature of Inspector:
Date of Approval:
u/formstimpervioussurface
Created: May 2012 (®Apr 2016; Sept 2020) Proofed by:
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GLASENER FAMILY CABIN LLC
TOWN OF CABLE TREASURER STATE OF WISCONSIN - BAYFIELD COUNTY TOWN OF CABLE
SOBBI MCCAULEY REAL ESTATE PROPERTY TAX BILL FOR 2022
PO BOX 476 PAYMENTS should reference: T8X ID: 8530
DOCUMENT RECORDING, or anything else should reference:
CABLE WI 54821 PIN: 04.012-2-43-07-08-3 01-000-20000
Phone: (715) 798-4440 - -- Alternate/LegaID: -- 012-1022-10 000
- � -- � �n �L (� rc � ' cy
E-Mail: bobbi.mccauley@townofcabie.com IIJ) LS lJ 6 !' L Ownership: GLASENER FAMILY CABIN LLC
IIIJI„flsll �
APR U 42025 Il ortant: Be sure this description
p ptl your property. Note
that this description is for tax bills only and may not be a full
'ayfield CO. Zoning I)*al description. See reverse side for Important Information.
Property Description I Location of Prope
GLASENER FAMILY CABIN LLC Site Address: 14050 W PRICE LAKE RD
14151 CTY HWY 00 -
CHIPPEWA FALLS WI 54729 Description: Sec 08 Tn 43 Rg 07 PAR IN NW SW IN DOC
201811- 575347 184AA
Please Include self-addressed, stamped envelope for return receipt. Acrege: 4.000
Please inform your treasurer of any billing
address changes. "DocuhieD
✓- '2018R-575347
Assessed Value
Average
- Net Assessed Value
Real Estate Tax: 4,006.91
Land
Improved
Total
Assessment Ratio
Rate -.
First Dollar Credit: - -19.84
(Does NOT reflect lottery
Lottery Credit:_: -0.00
- $126,500 '
$187,900
014,400
0.73917
or first dollar credit)
Net Real Estate Tax: 3,987.07
. 0.012744592 -
Total Due: - 3,987.07
- (.
Estimated Fair Market Value
An "X" means unpaid
Schcoltaxes reduced by
_ - Land
Improved
.. Total
,prior year taxes.
•school levy tax credit .
For full payment pay to TOWN OF CABLE treasurer
$168.41
by
171 100
$254,200
$425,300,
January 31, 2023
. -.... -
- - - Estimated State Aids - % Tax
Allocated Tax District
Net Tax change
Warning If not paid by due dates,
Taxing .Jurisdiction
-
2021
2022
2021 2022installment
option is lost and total tax IS
COUNTY
80,552
91,061
1,361.76 1,569.61 15.3
TOWN OF CABLE
235,582
240,483-
1,498.80 1,496.87 -0,1
delinquent and subjecttointerest and If
SCHL-DRUMMOND
-
123,625
- 132,518
788.11 824.25 4.6
applicable, penalty. (See reverse)
TECHNICAL COLLEGE
165,207
180,625
114.23 - 116.18 1.7
Totals -
604,966
644,687
3,762.90 4,006.91 6.5
'. - -
'. rt null..- r-..du in 4o 10 Od- .. _n 9
Trent Wiesner
From: Karl &Cyndi Kastrosky <kastrosky821@gmail.com>
Sent: Thursday, April 10, 2025 9:52 AM
To: permits
Subject: Re: Glasener App
Same as the first floor without the eaves
On Thu, Apr 10, 2025, 9:50 AM permits <patmlts-@-b_ ieldcou_aty.wLgov> wrote:
Can do. What is the square footage of the full basement?
Regards,
Trent Wiesner I Clerk I
Planning and Zoning Department
117 E 5th Street, PO Box 58
Phone: 715-373-3515
From: Karl & Cyndi Kastrosky <kastroskv821@email.com>
Sent: Monday, April 7, 2025 9:05 AM
To: Trent Wiesner<trent.wiesner@bayfieldcounty.wi.Rov>
Subject: Glasener App
Trent:
I apologize but I need you to change the Glasener foundation to a Full Basement.
1
141
If you have any questions or concerns please let me know.
Thank you in advance.
Karl Kastrosky
Kastrosky821 LLC
Land Development and Zoning Consultant
1 715-580-0157
I Cyndi Kastrosky
I Camp David Realty, Inc
Broker Associate
1715-292-3352
N
FLOWS AND LOADS
AFFIDAVIT
Legal Description:
-A[_1/4,�// 1/4, SectionL 9 Township }2__N,Range L•/ 1,1
Addt'I Legal /$4/A
Gov't Lot
Lot Block - Subdivision or
CSM Doc # (required) CSM Vol/Page
Tax ID # 06;40 Township Cable
Property Owner CL ase hcY Y�ami�y(zb�h 4LC
Mailing Address 41 / 67Y MX Y0Q
APR 21 7075
3ayfield Co. Zoning Dept
Recording Area
�L/
Return To:
City, State, Zip 66i.4a#—,2 Andy b(II S`f72�% Planning and Zoning Dept
It has been determined that the existing private sewage system (or components thereof) located on the
above described parcel of land is sized for # bedrooms and gallons per
day. Therefore the POWTS is not adequately sized to accommodate an increase in the number of
bedrooms for the dwelling served or to be served. To resolve this situation without replacing the private
sewage system at this time, the owner(s) of the above described property agree to the following
stipulations:
1. Occupancy exceeding this number may constitute a violation of State and County private sewage
system regulations. The Governmental Unit may issue orders to correct and/or may commence
legal action if at any time it is determined that occupancy exceeds the maximum listed number
contrary to this agreement.
2. It is understood when the existing POWTS fails it shall be replaced with a properly sized and
code compliant private sewage system. This information is on file in the office of the County
Planning & Zoning Department.
3. This Agreement is binding upon the Owner and his/her heirs, successors, and assignees. The
Owner shall have this Agreement filed and recorded with the County Register of Deeds in a
manner which will permit the existence of the Agreement to be determined by reference to the
Property containing the sewage system.
4. This Agreement will remain in effect until the Governmental Unit, responsible for the issuance of
sanitary permits for POWTS, certifies that this restriction is no longer required.
D 6 gallons per day or 8 persons (maximum occupancy for structure)
D _ gallons per day or persons (child occupancy for day care in structure)
Owner(s) Name(s) — Please Print
Subscribed and swom to before me on ttais date:
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Notarized Owner(s)—Signatures)
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Date:
ulto ms/sanitary/8omandloadsrjuly2014(®May 2018)
AFFIDAVIT OF AUTHORITY
(Corporation, LLC, etc.)
E C E I V E D APR 2 1 20?5
Bayfield Co. Zoning Dept
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: %410 6_0 Gf%
2. The Subject Property is owned by: Gr L A4A�
(Name of Company)
3. The name(s) of the current President or Managing Member: ± !�
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 I 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. lam 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: /�-62 /•
Subscribed
day of b
Notary Public,
My commissic
before e this ��
120
Z�
Print Name
NOTARY
PUBLIC
PROCESSING INFORMATION
INITIAL PROCESSING. Once the department receives your affidavit, the department will review it for
completeness. If the information is not complete, the department may reject your affidavit and the
application.
REQUEST FOR MORE INFORMATION. The department may request that you provide more information
or evidence to support your affidavit.
DECISION. The department will review all documents submitted as part of the application for registration
and title, this form included, and may approve, deny or request more information.
2
0.
Land Use Permit Application Review Checklist
Submission #: 6
What zoning district is the project located in?
R-1 ❑ R-2 ❑ R-3 ❑ R-4 ❑ R-RB ❑ C ❑ 1 ❑ M ❑ A-1 ❑ A-2 ❑ F-1 ❑ F-2 ❑ W ❑ M-M
❑ Yes O%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)?
es ❑ No
Is impervious surface required? (Required if riparian lot OR lot is entirely within 300 feet of OHWM of
navigable waterway)
❑ Yes )$No
Is the project located in the Floodplain?
Zone:
27yes []No
Are there wetlands on the property?
❑ Yes o
Is project associated with a nonconforming use or structure?
❑ Yes o
Is project associated with a variance?
Case M
❑ Yes r1No
Is project associated with a Special B or Conditional Use Permit?
Permit M
❑ Yes o
Is the project associated with a Special A Use Permit?
Yes ;o
Does the project require sanitary?
❑ Existing ❑ New ❑ Intercept Aeconnect ❑ Non -Plumbing ❑ Public
f
Sanitary Permit #: 2-7 NS
❑ Yes o
Does the project require mitigation?
Implementation Deadline: Date of Compliance:
❑ Yes lJo
Does the project require an affidavit?
((
Affidavit M
❑ Yes 1,25No
Did licensed surveyor mark lot line(s), if project is within 10 feet of required setback?
❑ Yes o
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? ❑ New Construction^ddition/Alteration ❑ Change Use ❑ Relocate ❑ RV Placement ❑ Sign
❑ Establishing a Business ❑ Temporary ❑Shoreland Grading ❑ Other, describe:
Structure Type is: Residence ❑ 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: 736 Number of Stories: Overall Height: 1:1-4
Calculated Fee Category:
AbResidential 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 Ksfioreland - Impervious Surface ❑ Shoreland - Non -Conforming, etc. ❑ Tower Siting/Collocation 1
❑ Tower Coll cation 2 ❑ Metallic Mine
ATF Fee Amount:
Inspected by:
Date of Inspection: y�,
CO b S�
2 S-
Re-Inspected by:
I Date of Re -Inspection:
Denied by:
Date of Denial:
Reason for Denial:
Date Denial Letter Mailed:
Approved by: Date of Approval:
Condition(s): If
PW ust meet and maintain setbacks from furthest extension of structure including eaves and
/overhangs.
❑ For personal storage only.
$For personal residence 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.
;" Uniform Dwelling Code (UDC) Permit from the locally contracted UDC Inspection Agency must be
obtained prior to the start of construction (if applicable).
�ilse 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.
o 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.
,5�3do additional sleeping areas allowed without obtaining necessary sanitary permit(s).
16LLand use permits shall be required for any new residence, any building or structure erected,
/relocated, rebuilt, or structurally altered
,wand 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:
BTFIELD sayfield County
Planning & Zoning Department
117 E 5th Street
P.O. Box 58
Washburn, WI 54891
Phone: 715-373-6138
Fax: 715-373-0114
Property Owner: Submission Number:
GLASENER FAMILY CABIN LLC LU-01575
14151 COUNTY HWY 00
CHIPPEWA FALLS, WI54729 Transaction Number:
LU-01575-27619
Description Amount
Shoreland - Impervious Surface $25.00
Verified Fee Amount $0.00
Residential Principal Structures - $0.75/square foot $552.00
(minimum $125)
Total: $577.00
Payment Amount: $590.73
Reference:1800803955
Paid by: Mark Glasener
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 — Yes
Mitigation — No / Affidavit #:
LAND USE — X
SANITARY — Existing #27745
SPECIAL A —
SPECIAL B/CONDITIONAL —
BOA —
No. 25-0178 Tax ID: 8530
Issued To: GLASENER FAMILY CABIN LLC
Location: S08 - T43N - R07W
Town of Cable
Legal Description: PAR IN NW SW IN DOC 2018R- 575347 184AA
BAYFIELD COUNTY
PERMIT
WEATHERIZE AND POST THIS PERMIT
ON THE PREMISES DURING CONSTRUCTION
Residential Structure in R-1 zoning district
For: Addition/Alteration [1 - Story], Residence on a Basement [736 Total sq. ft.] Height of 26'
(Disclaimer), You are responsible foi 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 22, 2025
Date
Condition(s): Must meet and maintain setbacks from furthest extension of structure including eaves and overhangs.
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).
For personal residence only.
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