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Home My WebLink About25-0190a� Return to: *11CRTI &4 Is IIl ntY Use Only: 117E 51' Street, Po sox 58 BayTield County Planning ande t mission#: �- 0IleIWashburn, WI 54891 LAND USE PERMIT 2025 irnit #: —Permits0bavfieldcountv.wi.eov Date: Ravfiolrl ('n 7nn'mn f1C'.' SECTION A: GeneralTnformation -- Property Owner Name: DAVID wQA Authorized Agent Name (if applicable): Telephone Number: Telephone Number: (920 4q5-Zsbq E-Mail Address: E-Mail Address: tiEUParetired2o22@ /nall•Com Mailing Address: Mailing Address: 6691 Cfi�rN rv,ND A City, State, Zip: EW. RAQW7 LJI 5`i2o9 City, State, Zip: Contractor: Telephone Number. E-Mail Address: beam TUPA (uc) qq5-2B61 Aoprretl red Zc7.20 SMil XC -SECTION B: Property Information Project Address (if different from mailing address): OLD 13 ROAD Legal Description (if additional space is needed attach a separate sheet): Sec o3.Tq2 Rog, WYz 5W NW SIN IN v-q7o 9.325 Section, Township, Range: 5&.T1ort03T49 ?0q Town of. OPIEN7A Tax ID # 2 5b`I5 Lot Size (Acres/Square Feet): 5A. /Z1-7 BCC saFr. SECTION Ci Pro ect Tn%rmation (check all that a-0010 Project Use is: ❑ Residential ❑ Commercial ❑ Municipal Project Type is. iA 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) ❑ Shorcland Grading, Class A ❑ RV Placement 4+months, Class A ® Other (describe): 12 x IL S=pf Suet, required (Total sq ft): required SECTION D: Structure Information Does not apply to RVs and Signs, go to Section E) Structure Type is: ❑ Residence IR Principal Structure (describe): i2'x ib' 5roen4e 59e1 ❑ 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 ❑ Other (explain): Existing Structure: NA Len Width: Height: Proposed Structure (Provide Sq Ft based on outside dimensions, including unfinished areas, attached garage.Vahove grade decks/ orches): Basement Sq Ft: I a Floor Sq Ft: Loft Sq Ft: 2°d Floor Sq Ft: 31d Floor Sq Ft: Garage Sq Ft: Porch Sq Ft: Deck Sq Ft: Other Sq Ft (describe): Other Sq Ft (describe): 1 )e1v 192Yt Fr. Total Sq Ft: 12'x I(,' 19Z $QJA" FEET Overall Height (finished grade to peak): (I.' # of Stories: ( I Existing # of Bedrooms on property: 0 Proposed # of Bedrooms in project: p SECTION E: RV and Sign information (check all that apply) Sign is: RVis: ❑ New ❑ Replacement ❑ New ❑ Replacement ❑ On -premise ❑ Off -premise ❑ 1-sided ❑ 2-sided Year: Vin #: ❑ On -building ❑ Multi -Tenant Length: Width: Height: Make: Model: HE C E o Y E 0 APR 1 1 2025 av(ield Cn i,,... ,- n, SECTION F: Site Plan —attach a site plan or draw site plan in box below (See pages I & 2 orl-and Use PertnitApplicatiod Infomation for information that is required to be provided on site Ian Show location of: CR Driveways N Frontage Roads (include name) ❑ Existing Structures ❑ Well (W) ❑ Septic Tank (ST) ❑ Drain Field (DF) ❑ Holding Tank (HT) O Privy (P) ❑ Lake ❑ River ElStream/Creek OPond 0 Floodplain ❑Wetlands ❑Slopes over20% N zo` --T ib Tui,A GA. LOT S. rH VIEW we5r VIEW N 1 1 s e kiwy t3 s 3 a ul� LL 1 qo o lZi t6' o`•` Iro.lmrl.ES m - g Setback or distance from furthest extent of structure County Use Only including eaves and overhangs to (include on site plan): Verified setbacks Road Centerline Jbo ft. 7 /10 ft. Notes/Comments: Front Lot Line/Right-of-Way 144 ft. ft. Side Lot Line I '(O ft. ' orth as South We circle one) Side Lot Line 2 2� ft. 7 7 ft. North East South a circle one Rear Lot Line 50.y ft. 7 S ft- Septic/Holding Tank M ft. ft. Drainfield Nn ft. ft. Privy NA ft. ft. Well Np ft. ft. Existing Structure/Building Na ft. ft. Wetland 1Jq ft. ft. Elevation ofFloodplain ifto awca_ Wo ft. ft. Ordinary High -Water Mark (011 W M) fo 2-1 ft. ft- Other (describe) EIIVAnoo,*-.tic l66 ft. ft. EC l��E 0 APk L025 SECTION G: Additional Questions ` X 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: XYes ❑ 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 11ff 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. ❑ Yes Ig No Is there an existing sanitary system on the property? If yes, what kind? ❑ Drainfield ❑ Holding Tank ❑ Municipal/Public ❑ Other (describe): ❑ 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? ❑ Dminfield ❑ Holding Tank ❑ Municipal/Public ❑ Other (describe): ❑ Yes IWNo 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) Xdebit/credit/echeek (department to. call once payment is ready to be taken) How would you like to receive your permit card? X Mail to: OR ❑ Email to: )RProperty Owner Address ❑ Agent Address ❑ Contractor Address ❑ Other (provide Name and Email or Address): Section H: Acknowledgement and Signature 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/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 1(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. I (we) further accept liability which may he 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 the purpose of inspection. Owner(s) or Authorized Agent Printed Name: / _DN.V t D T'-JpA Owner(s) or Authorized Agent Signature: Date: 1I 7S NOTES: 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. Land Use Permit A ' tion Review Checklist f A .A Submission #: — What zoning district is the prof ct located in? ❑ R-1 2❑ R-3 ❑ R-4 ❑ 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: ❑ Yeslo Is the project located in the Shorelands (Shorelands are lands within 300 feet of a river/stream OR landward side of Foodplain OR 1000 feet of a lake/pond/flowage, whichever is greater)? ❑ YesNo 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: es ❑ No Are there wetlands on the property? ❑ Yes o Is project associated with a nonconforming use or structure? ❑ Yes ;i6No Is project associated with a variance? Case #: ❑ Yes Flo Is project associated with a Special B or Conditional Use Permit? Permit #: ❑ Yes o Is the project associated with a Special A Use Permit? ❑ Yes Mo Does the project require sanitary? ❑ Existing ❑ New ❑ Intercept ❑ Reconnect ❑ Non -Plumbing ❑ Public Sanitary Permit #: ❑ Yes Does the project require mitigation? / Implementation Deadline: Date of Compliance: ❑ Yes P&No Does the project require an affidavit? Affidavit #: Oyes ❑ No 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? Rnesidential ❑ Commercial ❑ Municipal Project type is? ew Construction ❑ Addition/Alteration ❑ Change Use ❑ Relocate ❑ RV Placement ❑ Sign ❑ Establishin a Business ❑ Temporary ❑ Shoreland Grading ❑ Other, describe: Structure Type is: ❑ Residence ;Vrincipal Structure ❑ Accessory Structure ❑ Boathouse (one story only) ❑ Open-sided/Screened Structure (gazebo, etc.) ❑ Stairway to navigable waters ❑ Mobile Home ❑ Shipping Container ❑ Other, describe Le Total Sq. Ft. of Project: Number of Stories: Overall Height: Calculated Fee Category: ❑ Residential Principal Structures - $0.75/square foot (minimum $125) ❑ Habitable Residential Accessory Structures - $0.50/square foot (minimum $75) WhIon-Habitable Residential Principal and Accessory Structures -$0.20/squarefoot (minimum $75) ❑ Commercial/Municipal Principal Structures -$0.75/square foot (minimum $125) c s ❑ Commercial/Municipal Acsory Structures - $0.20/square foot (minimum $75) Calculated Fee Amount: , 00 Additional Fees: ❑ Return Inspection ❑ Land Use Revisions ❑ Special Use Permit - Class A ❑ After -the -Fact (ATF) ❑ Floodplain ❑ Shoreland -Impervious Surface ❑ Shoreland - Non -Conforming, etc. ❑ Tower Siting/Collocation 1 ❑ Tower Collocation 2 ❑ Metallic Mine ATF Fee Amount: Inspected by:� Date of Inspection: Ce Re -Inspected b Date of Re -Inspection: Denied by: Date of Denial: Reason for Denial: Approved by: Date of Approval: Condition(s): Must meet and maintain setbacks from furthest extension of structure including eaves and overhangs. 71"or personal storage only. ❑ For personal residence only. 15-Not for human habitation or sleeping purposes ❑ Town/State/DNR/Federal may require permitting ❑ A Uniform Dwelling Code (UDC) Permitfrom the locally contracted UDC Inspection Agency must be obtained prior to the start of construction. ❑ A Uniform Dwelling Code (UDC) Permitfrom 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. ,&-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 /IVo sewer and pressurized water allowed in the structure. .ENO plumbing or plumbing fixtures allowed. ,;4Jo 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 ❑ 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: B'_'FIELD Property Owner: TUPA, DAVID B & SHARON 6691 COUNTY ROAD A EGG HARBOR, WI 54209 Description Verified Fee Amount Bayfield County Planning & Zoning Department 117 E 5th Street P.O. Box 58 Washburn, WI 54891 Phone: 715-373-6138 Fax: 715-373-0114 Non -Habitable Residential Principal and Accessory Structures -$0.20/squarefoot (minimum $75) Submission Number: LU-01613 Transaction Number: LU-01613-2956E Amount $0.00 $75.00 Total: $75.00 Payment Amount: $76.95 Reference:2698229135 Paid by: David Tupa 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 — No / Impervious Surface — No Floodplain — No / Wetlands — Yes Mitigation — No / Affidavit #: LAND USE — X SANITARY — SPECIAL A — SPECIAL B/CONDITIONAL — BOA — No. 25-0190 Tax ID: 25645 Issued To: TUPA, DAVID B & SHARON Location: S03 - T49N - R09W Town of Orienta BAYFIELD COUNTY PERMIT WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION Legal Description: W 1/2 SW NW SW IN V.970 P.325 244A IM 2003R-486305 IM 2003R-486306 Residential Structure in R-2 zoning district For: New Construction [1 - Story], Principal Structure on a Crawlspace [192 Total sq. ft.] Height of 16' (Oiselairner): Y„ii ,re responsible toi complying with state and tederai 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 Scott Roush work or land use has not begun. Authorized Issuing Official 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. April 24, 2025 This permit may be void or revoked if any performance conditions are not Date completed or if any prohibitory conditions are violated. Condition(s): Must meet and maintain setbacks from furthest extension of structure including eaves and overhangs. For personal storage only. Not for human habitation or sleeping purposes. Use best management practices to limit and prevent erosion during construction. To be constructed per plan. No 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