HomeMy WebLinkAbout25-0213Return to: I County Use On.lyY:'
117 E 5`" Street, PO Box 58 Bayfield County Planning and Zoning Department, 5tflnission #: thoisso
Washburn, WI 54891 LAND USE PERMIT AP C JTION J U p4 jut #: O
permits@bayfieldcounty.wi.gov
APR 01 20 D
SECTION A: General Information
Property Owner Name:
Authorized Agent Name (if applicable):
Ross & Courtney Duncanson
Karl Kastrosky
Telephone Number:
Telephone Number:
507-312-0432
715-580-0157
E -Mail Address:
E -Mail Address:
ross@venombuilds.com
kastrosky821@gmail.com
Mailing Address:
Mailing Address:
23722 Rolling Hills Rd
14295 McNaught Rd
City, State, Zip:
City, State, Zip:
Lewiston, MN 55952
Cable, WI 54821
Contractor:
Telephone Number:
E -Mail Address:
Town and Country Homes
715-834-1279
derrick@townandcountryhousing.com
SECTION B: Property Information
Project Address (if different from mailing address):
16095 County Hwy M, Cable WI 54821
Legal Description (if additional space is needed attach a separate sheet):
Lot 1 of CSM 766 in V.5 P.185 being a par in NW SW & SW SW in Doc 2025R-606142
Section, Township, Range: 515, T43N, R7W
Town of: Cable
Tax ID #: 8695
Lot Size (Acres/Square Feet): 1.23 acres
SECTION C: Project Informatio i 'eck all that apply)
Project Use is: O Residential O Commercial O Municipal
Project Type is: El New Construction O Addition/Alteration (existing structure)
❑ Change Use (existing structure) O Relocate (existing structure) O RV Placement 21+ days
O Sign O Establishing a Business O Temporary (12 or less months)
❑ Shoreland Grading, Class A O RV Placement 4+ months, Class A O Other (describe):
required Total sq ft : required
SECTION D: Structure Information (Does not apply to RVs and Signs, go to Section B)
Structure Type is: O Residence O Principal Structure (describe):
❑ Accessory Structure (describe): O Shoreland Exempt Structure (describe): O Mobile Home (provide manufactured
date):
❑ Shipping Container O Other (describe):
Foundation Type:
❑ Basement O Walkout Basement a Slab O Crawlspace O Ground O Skids O Other (explain):
Existing Structure: Length: Width: Height:
Proposed Structure (Provide Sq F1 based on outside dimensions, including unfinished areas, attached garages/above grade
decks/porches):
Basement Sq Ft:
I" Floor Sq Ft:
Loft Sq Ft:
2n° Floor Sq Ft:
3" Floor Sq Ft:
28.8x58=(1,670.4sgft)
Garage Sq Ft:
Porch Sq Ft:
Deck Sq Ft:
Other Sq Ft (describe):
Other Sq Ft (describe):
12x8=(96sgft)
NEntry8x8=(64sgft)
SideEntry4x8=(32sgft)
Total Sq Ft: 18624
Overall Height (finished grade to peak): 12
# of Stories: I
Existing # of Bedrooms on property: 0
Proposed # of Bedrooms in project: 3
SECTION E: RV and Sign Information (check all that apply)
Sign is:
RV is:
❑ New O Replacement
❑ New O Replacement
❑ On -premise O Off -premise
❑ 1 -sided O 2 -sided
Year: Vin #:
❑ On -building O Multi -Tenant
Length: Width: Height:
Make: Model:
APR 0 1 2025 UU
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 plan)
Show location of:
❑ Driveways ❑ Frontage Roads (include name) ❑ Existing Structures O Well (W) O Septic Tank (ST) O Drain Field (DF)
0 Holding Tank (HT) ❑ Privy (P) ❑ Lake ❑ River ❑Stream/Creek ❑Pond ❑Flood lain ❑Wetlands ❑Sloes 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
45
ft.
y ft.
Notes/Comments:
Front Lot Line/Right-of-Way
ft.
ft.
Side Lot Line 1
(NorthaFastDSouthDWestD, check one
72 ft.
rr ft.
Side Lot Line 2
orth❑East❑Souther West❑ check one)
145 ft.
ft.
Rear Lot Line
ft.
ft.
Septic/Holding Tank
40 ft.
14O ft.
Drainfield
10 ft.
to ft.
Privy
ft.
ft.
Well
115 ft.
( ft.
Existing Structure/Building
ft
ft.
Wetland
ft.
ft.
Elevation of Floodplain
ft.
ft.
Ordinary High -Water Mark (OHWM)
80 ft.
V ft.
Other (describe)
ft.
ft.
APR n 1 71175
SITE PLAN
LOT 1. CSM 177, LOCATED IN THE NW 1/4
OF THE SW 1/4, AND THE SW 1/4 OF THE
SW 1/4, ALL IN SECTION 15, TOWN 43
NORTH, RANGE 7 WEST, TOWN OF CABLE,
BAYFIELD COUNTY, WISCONSIN.
1 PAeppRy �
''7
\ ors
\
JO ANN LAKE \
\
NOTE
THE ORDINARY HIGH WATER LINE OF
JO ANN LAKE IS APPROXIMATE NO
FOR REFERENCE ONLY
Bayfield Co. Zoni g Dept.
PROJECT NORTH
DRIVEWAY
PRoenvFn IMIE
Im 50. rt.
e'
Ir W
,e
1
I
LOT 1
CSM NO. 766
iy
PROPETv LINE
0
0
i
SCALE: I INCH - 30 FEET
30 60 90
I SITE ADDRESS: 76095
DATE ORAFlE0.: 3/212COUNIY MW M. CARL[ 54621 I
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APR 012025
SECTION G: Additional Questions
O Yes
❑ No
Has the location of the proposed project including caves and overhangs and the sanitary system and well been
staked? If no, what date will this be completed:
O Yes
O 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.
O 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.
El Yes
O No
Is there an existing sanitary system on the property? If yes, what kind?
O Drainfield O Holding Tank O Municipal/Public 0 Other (describe):
❑ Yes
O No
Will pressurized water be installed in the structure? If yes, what kind of sanitary system will be installed or used
to manage wastewater?
#163905
O Drainfield O Holding Tank O Municipal/Public ❑ Other (describe):
O 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 O Class A Special Use ❑ Class B Special Use O Conditional Use O Variance
Fee payment will be made via:
O Check (attached) ❑ Cash (attached) O debit/credittecheck (department to call once payment is ready to be taken)
How would you like to receive your permit card?
O Mail to: OR El Email to:
❑ Property Owner Address El Agent Address O 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, dncwi.sovhopichcetlands or contact a Department of Natural Resources service
center (715)685-2900.
I (we) declare that this application, including any accompanying information, has been examined by me (us) and to the best of my
(our) knowledge and belief it is true, correct, and complete. I (we) acknowledge that I (we) am (are) responsible for the detail and
accuracy of all information that I (we) are providing and that will be relied upon by Bayfield County in determining whether to
issue a permit. I (we) further accept liability which may be a result of Bayfield County relying on this information I (we) are
providing in or with this application. I (we) consent to county officials charged with administering county ordinances to have
access to the above -described property at any reasonable time for the purpose of inspection.
Owner(s) or Authorized Agent Printed Name: Kid ms
Owner(s) or Authorized Agent Signature: xan I. Ka Date: M+rznzs
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.
Bayfield County, WI
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2/18/25, 10:00 AM
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Bayfield Co. Zoning Dept.
https://mail.google.com/mail/u/0/#inbox/FMfcgzQZTMKgdppQTPnXkmJHSfPXW hV?projector=1 &messagePartld=0.1
111
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APPROVED
DATE 12/14/22
PFS CORPORATION
Cottage Grove. WI
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REAR ELEVARON
FOR 9056 SWPEO LOU FOR a1 STE NS1kUl1N BY ODCAS
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IRIS ABE 9Wat a01 TYPICAL ROOF Rid. OPTAYRAA ROOF RIM ME AVAlIAaE-
(AS ME WT WL CB ALL UCL(1&
SUZY, 940X1 AS C LM OTHER PRCfILS ARE AVADSE. NSYAa VNB 5MPC PER DNRACUBLRS 461AO0005
N ROa OF Shit DY a SAPPED L004 {at PELO NSINLAICN BY ORAe5.
S 14 MAY BE LEFT Off AND NASo&MY, MG *tE$ OR OBIT SO C e51kW) ON STE BY OMIR 9MC1 10 Lock AOi1NAtt HISS AIR.�ICro t
ROOF W%R. UCN 9Mli BE A MN. OF I/3W Or f0OF ARIA RM PER HALT PPURIK MORE INM SOS (BUT LESS MM J5%) OF
Reel Ventlle8on Calculation:
Attic Area -1493.3 sq. ft.
Req d Ventilation = Attic Area x 1/309 = 4.98 sq. ft = 717 sq. in. total
Ridge vent net free area - 12.7 sq. In. A ft. Soffit vent net free area = 4.8 el). In. I ft.
Ridge vent provides 711 sq, in. (58% of total) and eltlewall eoftll provides 515 el). In.
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Roof Ventilation Calculation:
Attic Area - 1493.3 sq. ft.
Req'd Ventilation - Attic Area x 11300 - 4.98 sq. ft = 717 sq. In, total
Ridge vent net free area = 12.7 sq. In. I ft. Sof01 vent net free area = 4.8 sq. In. 18.
Ridge vent provides 711 sq. in. (58% of total) and sidewall soffit provides 515 sq. in.
RIGHT ELEVATION
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Wilt SONG MAY W Tin OE NO MASOIWY, BROW MNffll, OR 0MER SAVC 1614110001 511 BY OHM S$.R1 TO LOCk MMDNIY MAWMD AIRS tro$..
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PFS CORPORATION
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Bayfield County
Impervious Surface Calculations
APR 01 2025
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):
Ross & Courtney Duncanson
Mailing Address:
Property Address
23722 Rolling Hills Rd, Lewiston, MN 5595
16095 County Hwy M,
Cable WI
54821
LegWsgpfion: and SW SW
IV W 1/4,
Section, Township, Range
1/4,
15 43
7
Sec Township
N, Range W
Authorized Agent/Contractor
Gov't Lot
Lot #
CSM#
Vol & Page
Karl L Kastrosky
1
766
V 5 P 185
Lot(s) #
Block(s) #
Subdivision
Town of:
Cable
Parcel ID # (PIN #)
Tax ID #
Date:
O-
8695
4/1/2025
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 Bayfleld 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 Dimension APR 0 1 20ireaa(Square Footage)
Existing House
Existing Accessory
Building/Garage
Existing Sidewalk(s), Patio(s) &
Deck(s)
Existing Covered Porch(es),
Driveway & Other Structures
Proposed Addition/House
28.8 x 58
1670.4
Proposed Accessory
Building/Garage
Proposed Sidewalk(s) & Patio(s)
Proposed Covered Porch(es) &
Deck(s)
12 8
8 x 8
192
Proposed Driveway
10 x 40
400
Proposed Other Structures
Total:
2,262.4
a. Total square footage of lot:
b. Total impervious surface area:
53,597
2,262.4
c. Percentage of impervious surface area: 100 x (b)/a =
4.22
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:
L1Yes LINo
Signature of Inspector:
Date of Approval:
u/fonnslmpervioussurface
Created: May 2012 (®Apr 2016: Sept 2020) Proofed by:
PERPETUAL EASEMENT
Title
Document Number
• The undersigned Salvadore A.
Borsellino, Jr., and Leroy A. Borsellino
(hereafter grantors) hereby grant to Ruth E. Walters a.k.a. RuthEllyn
Walters (hereafter grantee) perpetual easements for both access and
utilities, as follows:
Access Easement:
a. The grantee, her heirs and assigns shall have an
easement for ingress and egress over the currently
existing driveway as described/located on survey map
Exhibit I incorporated by this reference. The
driveway provides access from Bayfield County M.
b. The access easement includes any area from the
described line to Lot 1 of Bayfield County Certified
Survey Map (CSM) 00766 located in the NW 1/4
SWI/4 and the SWl/4 SWl/4 in Sec. 15, T43N,
R7W, Town of Cable, Bayfield County, WI.
c. This easement goes south along the existing driveway
and ends at a point 75 feet from the southeast comer
of the above mentioned Lot I of CSM 00766.
d. The servient estate for purposes of both of these
easements shall include all of the land of the grantors
that is specifically referenced related to either the
access easement or the utilities easement. The land
that is owned by the grantors is more specifically
PATRICIA A OLSON
BATFIELD UNTY WI
AP k ` i YL5REGISTER OF DEEDS
2009R-527703
07/13/2009 10a00AM
TF EXEIPT 3:
REIWDI € FEE: 17.11
Pit6E.tT: 4
Recording Area
Name and Return Address LJ' Rb
Michael F. Fauerbach
P.O. Box 486
Ashland, WI 54806
04-012-2-43-07-15-3-02-000-10000 & 06000
Parcel Identification Number (PIN)
described in attached Exhibit 2. It is not the intent of this easement to provide access through all
of that land, but only that portion of the land that includes the driveway easement and the utilities
easement as described herein.
2. Utilities Easement:
a. Grantor also grants a perpetual easement for electrical power from the power pole presently
located southeast of the aforementioned Lot 1 of CSM 00766. This is the pole that is on the
grantor's property north of the older residence and presently includes a transformer. The exact
location of the electrical line is to be where the grantee decides, but generally a straight line to the
location of the small power pole on aforementioned Lot 1. The actual width of the easement will
be as required by the power company. The line must be buried. Any expense for the line
installation or transformer shall be paid for by the grantee.
b. Grantee's electrical easement shall also include the power line or any replacement coming from
Hwy. M to the location of the above referenced pole on grantee's property or if the line is buried
to that same location.
c. Both grantor and grantee have the benefit of a telephone easement from Hwy. M to Lot 1 and
beyond, as the line is currently located and including any replacement lines.
d. All of the above referenced easements are perpetual, non-exclusive, and shall run with the land.
V1021 P941
r,
tea_ o EGEnVE D
APR 0 1 2025
Salvadore A. Borsellino, Jr.
Bayfield Co. Zoning Dept.
STATE OF WISCONSIN)
) ss
COUNTY OF ASHLAND)
Personally came before me this 1.2 day of 46%dt4 , 2009,the above named Salvadore
A. Borsellino, Jr., to me known to be the person *ho executed the foregoing instrument and
acknowledged the same.
Ii�IC;�iI('iPt
*
Notary Public, State of Wisconsm ?`�J ��•
My commission expires 7 /0901/ ;_
Co.
OF wiSGCo
STATE OF WISCONSIN)
) ss
COUNTY OF ASHLAND)
Personally came before me this & day of Jt� c__ , 2009,the above named Leroy A.
Borsellino, to me known to be the person who executed the foregoing instrument and acknowledged the
same.
-•7Y-
Notary Public, State of Wisconsin : x 1, z
My commission expires) —I o -a-c;,
" OF W\`'G,?
This instrument was drafted by Attorney Michael F. Fauerbach, P.O. '?i W4'd'b' Ashland, WI 54806.
V1021 P942
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IF ra is IMPRINTED IN SED
NELSON SURVEYORS
ROUTE I,
BOX 53
SANBORN
AVE.
ASHLAND,
WISCONSIN
PH. 715-682-2692
NELSON SUAVE'
v1021 P943
ro cnv B
1111 APR
Bayfleld Co. Zoning Dept.
South right of way boundary line of said Hiehwav to the point it Intererecta
the centerline of thesaid town road and the polntof beginning. Subject to
the right of way 25 feet in width for the town road on the Easterly
boundary line of the herein described Parcel
EXCEPTING THEREFROM: Part of the NWYSW'/4, and part of the
SWYSWY.. Sec. 15-43-7 described as Lot I recorded In Vol. 5 of Certified
Survey Maps, page 185, Survey No. 766.
ALSO EXCEPTING: A parcel of land located in the NEYSW'/., Sea 15-43-7 described as follows: Beginning at a point in the
NEYSW'/., In said Sec. l5,where the South ROW line of County Trunk Highway "M" intersects the centerline of the Town
Road bearing Southwest; thence Southwest along said centerline, 600.00 feet; thence bearing due West to a point intersecting
the West line of the NEYSW'/. In Sec. 15; thence bearing North along said West line to a point intersecting the South ROW line
of County Trunk Highway "M"; thence bearing Southeasterly along said ROW line to the point of beginning.
All of the Northwest Quarter of the Northwest Quarter (NW'ANW'/.) Section Twenty-two (22), Township Forty-three (43)
North, Range Seven (7) West, lying North of the Namakagon River EXCEPTING THOSE PARCELS DESCRIBED ON
ATTACHED EXHIBIT 'A'. .
EXHIBITC
v1O21 P944.
Z/lblZb, 9:b(AM
lMU_bs3b.lp9
Kastrosky821 LLC
Karl Kastrosky
and Qev'elepmeat &lorfrg Conswrart
r 715-580-0157
14295 hicNouaht R4 (abte RI 5482
Kastrosky821@gmail.com
To Whom it may cona+n.
I hereby authorise Karl Kas"sky to xt as my anent to procure permits and
access lntamatlon pertainu+gromy propetty at 1K•o1T C?H-A1 k wr, S'In'r
intheTownol County of F,4 A
$icp atu.O Date
hey contact information is
Address: 23722 iZolt, nil:ii; V,3: LeL_Jl.,,, rNti ≤S c2
phone: co -7-3,2• ntl3
Email: 15tJenor k.
C)
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FH..nd/.null nnnnln nnm/.nni1A JAN{in6nv/CI.A{hTTI,AIlnMnn(\TOnYL.n II OfDV1AIF\HnrnlnMn.-1 P.,, nnnnD.N1A—A A III
Z/16/O, 1 U:4O AM NOVUs-wlsconsln Access rev. 12.02U6
Real Estate Bayfield County Property Listing Property Status: Current
Today's Date: 2/18/2025 Created On: 3/15/2006 1:15:04 PM
4 Description Updated: 2/6/2025 a Ownership Updated: 2/6/2025
Tax ID: 8695 ROSS E & CORTNEY A DUNCANSON LEWISTON MN
PIN: 04-012-2-43-07-15-3 02-000-40000
Legacy PIN: 012103905001 lijl_Iing Address; Mailing Address:
Map ID: ROSS E & CORTNEY A ROSS E & CORTNEY A \ \
Municipality: (012) TOWN OF CABLE DUNCANSON DUNCANSON
SIR: 515 T43N R07W 23722 ROLLING HILLS RD 23722 ROLLING HILLS RD
Description: LOT 1 OF CSM 766 IN VS P185 BEING A LEWISTON MN 55952 LEWISTON MN 55952
PAR IN NW SW & SW SW IN DOC
2025R606142 P $ite Address * indicates Private Road
Recorded Acres: 1.230 16095 COUNTY HWY M CABLE 54821
Calculated Acres: 1.222
Lottery Claims: 0
First Dollar: No ® Property Assessment Updated: 7/23/2010
Zoning: (R-1) Residential -1 2025 Assessment Detail e
(/t(ESN: 108 Code Acres Land Imp.
Cl-RESIDENTIAL 1.230 54,200 0 C S Tax Districts Updated: 3/15/2006 ✓5 5k-1
1 STATE 2 -Year Comparison 2024 2025 Change
Land: 54,200 54,200 0.0%
04 COUNTY
012 Improved: 0 0 0.0%
TOWN OF CABLE
Total:
041491 SCHL-DRUMMOND 54,200 54,200 0.0%
001700 TECHNICAL COLLEGE
Pro (story
'+� Recorded Documents Updated: 1 13 ---
WARRANTY DEED --- --- -
Date Recorded: 1/8/2025 2025R-606142 /
0 QUIT CLAIM DEED L
Date Recorded: 9/25/2020 2020R-584460 J
0 WARRANTY DEED l 2 Zj 4
Date Recorded: 12/14/2012 2012 -547253 1097-291 L \ c J !
0 CONVERSION • t q�e5 W
Date Recorded: 3/15/2006 566-101 a` !
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SA rt LDCOUNTY
SAJ'OTARY PERMIT APPLICATION
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.._____ ___-
BAYFIELD COUNTY
SANITARY PERMIT APPLICATION
(Please Print All Information)
Prorp�erty Owner's Name:
C;'r J/1e�c Oc'nc7/)..`ioti
ddressss o': Property.
'roperty Owners Mailing Address:F, / (J O/
23722 /?<>//r/)lf �,1/5 it ,
iry, State Zjp Code Phc
Levy/� n MAi
II. TYPE OF BUILDING: - (Check p
❑ State Owned
❑ Public (Explain the usetpurpose
I or 2 Family Dwniflnn - Kin
County:
zoning District
Lakes Class
County
Permit No: /6 3 JD
Bayfield
N4r/'/ SW Y., S /5 T 43 N. R
Iwnship:. Gov. Lot#:
e (. /)/e
.t # Block #: CSM #: CSM Doc #
I 7r,4,
x ID#: g4.9S
c7
A) U New
f� ❑ Replacement ❑ County Private Interceptor
Lf Reconnection ❑ Repair ❑ Revision
" ❑ Transfer of Owner (List Previous Owner below)
❑ A Sanitary Permit was previously issued. Prevfous Perrrrit Number.
IV. TYPE OF NON -PLUMBING SYSTEM: (Check One) ' Replacements need previous permit numberanddate filled out above
C) ❑ Pit Privy ❑ Vault Privy (Vault size:
_gallons or _cubic yards)
❑ Portable Privy ❑ Camping Transfer Unit Container
❑ Composting Tolets ❑ Incinerating Toilet
V. ABSORPTION SYSTEM INFORMATION:
1. Gallons 2. Absorp. Area 3. Absorp, Area 4. Loading Rate
Per Day Required (Sq.Ft.) Proposed (Sq. Ft.) (Gals. / Da / sq.Fc) s M,�. a. System 7. Final Grad)
¢70 ( Inch) Elev.(Feet) Elev. (Feet)
uanorxs Totat a of Manufacturer's
Net+' Existing Gallons Tanks Prefab. Stle Fiber
Tanks Tanks Name Concrete Constructed Steel - Plastic Ever.
or glass APp.
k, /VOO / QnriQ.j
VII. RESPONSIBILITY STATEMENT:
I the undersigned, assume responsibility for installation of the on.
Owner'sName(s): (Print) Ireppryragrarsecvonceaore
�oss G'arvEr OQ'vcdvs"caY
°lumber's Name: (Print) uappry ag rar secaan A oralODOM Plu
'lumbers Address: (Street, City State, Zip Code) Sy9 Z I
Ka.vtvy4UCN RD . CA/ IN/
/ill. COUNTY / DEPARTMENT USE ONLY
❑ Disapproved Sanitary perm
❑ APRroved ❑ Owner Given Initial
Adverse Determination
on the
ome Phone:
7'S
l
s/ness Phone:
7/S' S.o •os.-F
on
? 7
i?osy s+ Fear el' at'4/ vsav "wool Lr
SITE PLAN
LOT I, CSId #77, LOCATED l,V THE NW 1/4
OF THE SW 1/4, AND THE SW 1/4 OF THE
SW 1/4, ALL /N SECTION 15, TOWN 43
NORTH, RANCE 7 WEST TOWN OF CABLE.
BA WIELD COUNTY, WISCONSIN.
1
PROJECT NORTH
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JO ANN LAKES CSM NO. 766
\ q , EX LIST/hey
\\ $ /00¢76AI—
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NOTE
THE ORD'HARY HIGH YMTER LNE OF
JO AROXIMgiE MD
REERENCE ONLY
FOR
I4WY U. CABLE, 31821 KASIROSKY821 LLC
IAND dc'l<lOPNfNT 440 2DW/G CONSULIAAIF
C.'
BAYFIELD COUNTY CERTIFIED SURVEY MAP N0:��
LOCATED IN THE NW 1/4 OF THE SW 1/4, AND THE SW 1/4 OF THE
SW 1/4, ALL IN SECTION 15, TOWN 43 NORTH, RANGE 7 WEST,
TOWN OF CABLE, BAYFIELD COUNTY, WISCONSIN,
�': P - 1992 j' :�'-'` •., C'c O^N
Is1 ./ f �. • rt. } �i. %IGL�7V1�
�� sUR�ti
� 1
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1 `�--S 85' 25 16"
q6_-200
154.09'
"( 1
z LOT!
� Jw 3972/ SO. FT. 0.91 ACRES
L% TO MEANOERLINE VENT
i'41 0
�bY / ' 53597 SO. FT. £23 ACRES'
y�� TO WATERS EDGE
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NORTH REFERENCE TO
THE WEST LINE OF
SECTION 15.
I S I//6Ih`_
i S 8s•
LEGEND
0 _ 1/14" 3O' LP. WEIG4
L13 CBS PER LIN, FT
• = FO IRON MONUMENT
/6 /S
21 22
N
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TAW
54
12J6•
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529.96'
SURVEY
LARRY T. NELSON. RLS - 1275
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NELSON
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MALE r. co•
AND �litui4 u1 buoe
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ENGINEERING.
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'`V
_1L1-�i� SANITARY PERMIT APPLICATION
'� In accord with ILHR 83.05, Wis. Adm. Code CO
-Attach complete plans (to the county copy only) for the system, on paper not less than STATE SANITARY PERMIT #
8Th x 11 inches in size. i b 3 5
-See reverse side for Instructions for completing this application. e / ii ❑ Checkflrevision to previous appiicati'on
I. APPLICApiT INFORMATION - PLEASE PRINT ALL INFORMATION. °z 8g STATE PLAN I.D. NUMBER
PROPERTY OWNER PROPERTY LOCATION
SA ina IV t+/ 34 S i Y, S IST T PR PERTY OWNERS MAILING ADDRESS LOT # 3 . N, R ��
aX BLOCK #
C STA ZIP CODE PHONE NUMBER
L S�� SUBDIV)8tON NAME OR CSM NUMBER
II. TYPE OF BUILDING: (Check one) ❑ State Owned C NEAREST ROAD
VILLAGE
Public ® 1 or 2 Fam. Dwelling-¢ of bedrooms A ' Co. N
til. BUILDING USE: (If building type is public, check all that apply)
1 ❑ Apt/Condo
2 O Assembly Hall 6 ❑ Medical Facility/Nursing Home 10 ❑ Outdoor 3 ❑ Campground 7 ❑ Merchandise: Sales/Repairs i 1 O RRecreational Facility
4 ❑ Church/School 8 O Mobile Home ParktauranUBar/Dining
5 ❑ Hotel/Motel 9 O Office/Factory 12 ❑ Service Station/Car Wash
13 O Other: Specify
W. TYPE OF PERMIT: (Check only one in line A. Check line B if applicable)
A) 1. ❑ New 2. ® Replacement 3. ❑ Replacement of 4. ❑ Recon i System sect en of 5. ❑ Repair of an
System Tank Only Existing System Existing System
B) ❑ A Sanitary Permit was previously issued. Permit ## Date Issued
V. TYPE OF SYSTEM: (Check only one)
Non -Pressurized Distribution Pressurized Distribution Experimental
11 ® Bed Seepage eOther
p g 21 O Mound 30 O Specify Type 41 ❑ Holding Tank
12 O Seepage Trench 22 ❑ In -Ground
14 ❑ Seepage Pit Pressure 42 ❑ Pit Privy
13 O System -in -Fill 43 ❑ Vault Privy
VI. ABSORPTION SYSTEM INFORMATION:
1. GALLONS PER DAY 2. ABSORp. AREA 3. ABSORP. AREA 4. LOADING RATE 5. PERC. RATE 6. SYSTEM E REQUIRED (sq. ft.) PROPOSED (sq. ft.) (Gals/day/sq. R.) (Min./inch) p LEV. 7. FINA GRADE
TON 3OO
g° 7 1 d g5 / Feet ,
LCAPACITY eat
INFORMATION
VII. TANK in ellons Total Prefab. Site
New n Gallons Tanks
oManufacturer's Name ncret Con_ Steel Fiber- Plastic Exper•
Tanksr
anks strutted 9 ass App.
Septic Tank or Holding Tank X —. h.a , Li IL.
VIII. RESPONSIBILITY STATEMENT
1, the undersigned, assume responsibility for installation of the onsite sewage system shown on the attached plans.
Plumber's Name (Print): Plumber's Signature: (No Stamps)
PRSW No.: Business Phone Humber: 4y1 4k' sV I] Plumber's Address (Street, City, State, Zip Code): a/S —
IX. COUNTY/DEPARTMENT USE ONLY
L7 Approved Disapproved Sanitary Permit Fee (tnctuasa =W"I9 - Adverse Dote nineties
Owner Given Initial gee e Issuing Agent Signature (No Stamps)
L2T9,'lmQ.
X. CONDONS OF APPROVAL/REASONS FOR DISAPPROVAL: ��
;8D-838 (formerly Pib-87) (R. 11188) DISTRIBUTION: Original to County. One Copy To: satety 8 Buildings Division, Owner, Piumbor
DEPARTMENT OF INDUSTRY, INSPECTION REPORT FOR
_A809 & HUMAN RELATIONS PRIVATE SEWAGE SYSTEMS
'.O. Box 7969
MADISON. WI 53707
OC0NVENTI0NAL LJALTERNATIVE
El Holding Tank D In.Ground Pressure
C! Mound
:EPTIC TANK/HOLDING TANK-
Mitil!r nC rr)uf N
(DIFFERENCE BETWEEN ! NUMBER 01
PUMP ON AND OFF I I- FEET FRO&
_!YES I_J NO NEAREST —
All ABSORPTION SYSTEM Check the soil moisture ar (he depth of plowing —,..I •
v ezcavanon (II soil can be rolled info a wire, construct an shall cease umll FORCE
he sell is dry enouqh to continue.( MAIN
.ONVENTIONAL SYSTEM:
nrtnN LL'.Gn• NO nr
BED/TRENCH
DIMENSIONS° ` I ` In
PIT
. tv.l.. nL OELrtn `.•
41,: Nr,14l tlnVl '(IvfN 1'I IIV I,NI ,II IIIGI,r PN`I S n IV Mn fnlp, ( ,
w I yrr — Nn : I.I NUMBER OF
RI' FEET FROM
NEAREST—
AOUNOSYSTEM:
Mound site plowed perpendicular to slope
and furrows thrown upslope' Check the texture of the fill material for
mound systems to make certain that it
meets the criteria for medium sand
DYES I IA.n
rICOJL•mLeu t
BED/TRENCH
DIMENSIONS
ELEVATION At
DISTRIBUTION
INFORMATION
ikerch System on
averse 51de.
d L HR 58 0 6 710 901/821
"` ` `•tilt Wort N,nl N,t 1.
I r,.. ILfV
SAFETY & BUILDINGS
DIVISION
BUREA OF PLUMBING
sr.r. w.a to.
I,r .Nry`rnX,
/G39o.s
[LLV MAflNiNG tAl L TIoC.u.o COVfA
pefV OEo PnOJIpN]
DYES LNO DYES ❑t
c'rMry ELL unoiN. vrNr ru+
mt A•R wLrr
WARNING LABEL LOCKING COVED
ROviOEu PROVpOE0
DYES ❑NO DYES ON
N„; `1,11• WEt�O`IILr)IH,. (APR Pj6T
APR wLf t
L VIf
PROVIDE A DIAGRAM OF SYSTEM
ON RE VERSE SIDE. SHOW ELEVA-
TIONS MEASURED.
Retain in county file for audit.
SOM a&5EL.L,No
IRT I, aak 7G�5"'
,vvti s w 4 5 is-., T41 R 7 ti/
Co, BL.E
SAYPiZZ6
#4 C'o , WI
I evm1)o,b1s
1-99.3r•
8g.—" '7-
J33
Sys. ELW47.�. 95 /r'
4 r 4 jP r /DO ' 0 loo Ci4P76 ,Y Sip
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01PC .
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La
/ Land Use Permit Application Review Checklist
. & if �
Subm' ion #:
-'O\-,o'-
Wh,4 zoning dis ' is the project located in?
R-1 R- ❑ R-3 ❑ R-4 ❑ R-RB ❑ C ❑ I ❑ M ❑ A-1 ❑ A-2 ❑ F-1 ❑ F-2 ❑ W ❑ M -M
❑ Ye o
Is lot substandard (does not meet current zoning dimensional requirements)?
Deed of record:
Yes o
Is the project located in the Shorelands (Shorelands are lands within 300 feet of a river/stream OR
land rd side of floodplain OR 1000 feet of a lake/pond/flowage, whichever is greater)?
E124es EJ No
impervious surface required? (Required if riparian lot OR lot is entirely within 300 feet of OHWM of
navigable waterway)
❑ Y t4o
Is the project located in the Floodplain?
Jane:
Yes ❑ N
Are there wetlands on the property?
❑ Yes cHy
Is project associated with a nonconforming use or structure?
❑ Yes ljo
Is project associated with a variance?
Case #•
❑ Yes JA0
roject associated with a Special B or Conditional Use Permit?
Permit #:
❑ Y No
Is the project associated with a Special A Use Permit?
Yes ❑ No
Does the project require sanitary?
Existing 0 New ❑ Intercept connect 0 Non -Plumbing ❑ Public
Sanitary Permit #: 0 S
❑ Yes No
Does the project require mitigation?
Implementation Deadline: Date of Compliance:
❑ Yes 10
Does the project require an affidavit?
Affidavit #:
o
Did licensed surveyor mark lot line(s), if project is within 10 feet of required setback?
Yes ❑ No
Di plicant/property owner mark lot line(s), if project is within 30 feet of required setback?
Project use is? fleidential 0 Commercial 0 Municipal
Project type is? New Construction ❑ Addition/Alteration ❑ Change Use ❑ Relocate ❑ RV Placement ❑ Sign
❑ Establishing a Businjsc 0 Temporary ❑ Shoreland Grading ❑ Other, describe:
Structure Type is: EWResidence 0 Principal Structure ❑ Accessory Structure ❑ Boathouse (one story only)
❑ Open-sided/Screened Structure (gazebo, etc.) ❑ Stairway to navigable waters ❑ Mobile Home
❑ Shippingcsi1tainer ❑ Other, describe
Total Sgii. of Project: I 2. Number of Stories: ( Overall Height:
CaI94ted Fee Category:
Residential 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: 4 I j I6 .
Additional Fees: ❑ Return Inspection ❑ Land Use Revisions 0 Special Use Permit - Class A ❑ After -the -Fact (ATF)
❑ Floodplain 0 Shoreland - Impervious Surface ❑ Shoreland - Non -Conforming, etc. ❑ Tower Siting/Collocation 1
❑ Tower Collocation 2 ❑ Metallic Mine
ATF Fee Amount:
Inspected by:
Date of Inspection:
Re -Inspected by:
Date of Re -Inspection:
Denied by:
Date of Denial:
Reason for Denial:
Date Denial Letter Mailed:
Approved by: To i
s C �z�G
Date of Approval:
Condition(s):
Must 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
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.
❑ 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.
O 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.
Jo additional sleeping areas allowed without obtaining necessary sanitary permit(s).
rand 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
equirements (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=YFIELD Bayfield 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:
DUNCANSON, ROSS E & CORTNEY A LU-01560
23722 ROLLING HILLS RD
LEWISTON, MN 55952 Transaction Number:
LU-01560-269DA
Description Amount
Shoreland - Impervious Surface $25.00
Verified Fee Amount
$0.00
Residential Principal Structures - $0.75/square foot
$1,396.80
(minimum $125)
Total:
$1,421.80
Payment Amount:
$1,455.64
Reference: 1408482655
Paid by: Ross Duncanson
Payment Type: Debit
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 - Reconnect 163905
SPECIAL A -
SPECIAL B/CONDITIONAL -
BOA -
BAYFIELD COUNTY
PERMIT
WEATHERIZE AND POST THIS PERMIT
ON THE PREMISES DURING CONSTRUCTION
No. 25-0213 Tax ID: 8695
Issued To: DUNCANSON, ROSS E & CORTNEY A
Location: S15 - T43N - R07W
Town of Cable
Legal Description: LOT 1 OF CSM 766 IN V5 P185 BEING A PAR IN NW SW & SW SW IN DOC 2025R-606142
Residential Structure in R-1 zoning district
For: New Construction [1 - Story], Residence on a Slab [1862.4 Total sq. ft.] Height of 12'
(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 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 30, 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 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.
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)