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24-0019R
Eo LO -0614 ECE�VE0 Z 25 APR 1 8 202.5 Permit#Zq 0M BAYFIELD COUNTY PLANNING AND ZONING -t ND 0SEP M 4frPPLICATION Property Owner: Authorized Agent (if applicable): Jason and Stephanie Hotujec Telephone Number: Telephone Number: 715-225-4453 E -Mail Address: E -Mail Address: hotujecj@gmail.com Mailing Address: Mailing Address: S402 County Road JJ City, State, Zip: City, State, Zip: Nelson, Contract .ac coun ry on alner ele : I I mmansfi Id@backcountrycontainers.com TBD for platform, Self for Yurt 281-219-7855 Project Address (if different from mailing address): 19320 Mountain Ash Rd Ext, Herbster, WI, 54844 Legal Description (if additional space is needed, attach a separate sheet): PLAT OF ROCKY SHORES LOCATED IN GOVT LOT 3 LOT 3 IN DOC 2O2OR-584172 TOG WITH EASE Section, Township, Range: Town of: S31 T51 N R06W (010) TOWN OF BELL Tax ID #: Lot Size (Acres/Square Feet): 8247 2.160 Project Description (Detached garage, deck, bunkhouse, mobile home, etc.): Traditional Yurt Proposed Use: Proposed Project: Structure Type: Foundation Type: 10 Residential 0 New Construction IR Residence ❑ Basement ❑ Commercial DAddition/Alteration ❑ Accessory ❑ Crawlspace ❑ Municipal ❑ Change/New Use ❑ Other (explain) ❑ Slab ❑ Relocate (existing structure) 52 Other Platform Area to nearest square foot (Outside dimensions including unfinished area, attached Pagesand above grade decks or ore e`.fi� Basement: IFloor: I160ft 2o' Floor: 3"' Floor: n/a 470sqft Sg n/a n/a Total Square Fo Overall Height (finished grade to peak): I Fair Market Value of pro 470sqft 160sgft o nearest dollar): $27000 estimated 1) Will this be the first strulI i h I'i 'SflYeAv f1d 2) What is the total number of bedrooms on the property once this project is complete t ? 3) Is there a proposed/existing sanitary system on the property? ❑ Proposed - Type l Existing - Type Privy 4) Will any of the following occur within the proposed project/structure? ❑ New Electrical Installation ❑ New Plumbing Installation I a Sleeping 5) Has the location of the proposed project been staked including structure, sanitary system, and well? 0 Yes ❑ No 6) If required, who marked the property lines? ❑ Applicant/Property Owner ❑ Licensed Surveyor 7) Is the property in the shoreland, within 300 feet of a river/stream/landward side of floodplain or 1000 feet of a lake/pond/flowage? ❑ Yes ❑ No ❑ Unsure 8) Is there wetland located on or near the property? ❑ Yes ❑ No ❑ Unsure 9) Is there floodplain located on or near the property? ❑ Yes ❑ No 0 Unsure 10) Is this project associated with any of the following: 0 Rezone ❑ Conditional Use ❑ Special Use ❑ Variance 11) Did you contact the town to see if any permits/requirements apply to your project? ❑ Yes ❑ No 6 I SITE PLAN See Attached Bayfield Co. Zoning Dep All applicable setbacks need to be shown on the site plan and noted below (in feet) County Use Only — verified setbacks Road Centerline/Right-of-Way 175 ft. loo# ft. Notes/Comments: (�FOYUV 6ijtbtn AAA r,�� vw (7-t �t CtoStr k ut&E A-hgn l ) Pb 5taKfa 6O atu,ldfl- �01�fr� N 1 L(6 1 ^D(I elbu�� gtGm p;� O re is len Gi 11xm +o North Lot Line 88 ft. d ft. South Lot Line 54 ft. ft West Lot Line 236 ft. ioc - ft East Lot Line 390 ft. ft. Septic/Holding Tank n/a ft. ft. Drainfield /a ft. ft. Privy 36 ft. ft. Well /a ft. ft. Existing Structure/Building 30 ft. ft. Wetland /a ft. ft. Elevation of Floodplain n/a ft. ft. Ordinary High -Water Mark (OHWM) 126 ft. `T {- ft. Other: ft. ft. NOTE: Please indicate "see attached" on this page if submitting site plan as a separate document. N *Drawing NOT to scale Container Cabin = 20 x 8 ft (new) Privy = 6 x 6 ft (existing) W Shed = 8 x 12 ft (existing) 19320 Mount Ash Rd Ext 5 O ^236ft -88ft z -126ft Container -175ft 03 -166ft -390ft w m —36 E r —30ft Driveway X b0 O a Privy ■ Shed 54ft E �650ft j iQ � I m D�u-J n Cs� o o O o N O (a N (D FLOOR PLAN 111 APR 182025 Indicate Floor: ❑ Basement 2 1" Floor ❑ Loft 0 2n° Floor ❑ 3`d Floor 0 Other Bayfield Co. Zoninq Depti See Attached All applicable County Use Only dimensions need to be 20ft x 8ft 160sgft shown on the floor Dimensions I Square Dimensions I Square loor 24ft X roun 452 sq. ft. X sq. ft. withPorch I 6 18 q. ft. X sq. ft. with Porch 2 q. ft. X sq. ft. with Deck 1 X sq. ft. X sq. ft. with Deck 2 X sq. ft. X sq. ft. with Attached Garage X sq. ft. X sq. ft. with X sq. ft. X sq. ft. )TE: Please indicate "see attached" on this naae if submittin¢ floor plan/s as a separate document. VA ;pt. THE HOTUJEC PROJECT PROPOSAL POINT OF CONTACT Micah Mansfield Ph: 281.219.7855 1409 N River St. Spooner, WI 54801 23419 FM 1462, Damon, TX 77461 mmansfield@backcountrycontainers.com www.backcountrycontainers.com liii APR 18 2027 Bayfield Co. Zoning Dept. DII APR 18 2025 Bayeld Co. Zoning Dept. APR 1 8 ?Uc5 Bayfield Co. Zoning Dept LAND USE PERMIT APPLICATION REVIEW The following items are included with the application: l Site Plan l Building Elevations 1O Floor Plan/s 12 Fees 1111 APR 1 8 2025 Bayfield Co. Zoning Dept. All Land Use Permits expire Two (2) Years from the date of issuance if construction or use has not begun. Sanitary Permit, if required, issuance 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 construction of one- & two-family dwellings and new plumbinglelectrical installation for residential use structures (accessory/principal) require review and approval by the local Uniform Dwelling Code (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/tonic/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 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. 04/15/2025 Owner/s or Authorized Agent: 5 * A1' Date: 11/26/23 NOTE: If you are signing on behalf of the owner(s) a letter of authorization must accompany this application Address to Send Permit: S402 County Road JJ, Nelson, WI, 54756 Bayfield County Impervious Surface Calculations [fi APR 182025 These calculations are REQUIRED per WI Admin Code NR 115.05(1)(e) and SeotI nel1Co. 1 32(g)9andi13-1- 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): Jason and Stephanie Hotujec Mailing Address: Property Address S402 County Road JJ, Nelson, WI, 54756 19320 Mountain Ash Rd Ext, Herbster, WI, 54844 Legal Description: Section, Township, Range 1/4, 1/4, Sec 31 Township 51N N, Range 06 W Authorized Agent/Contractor Gov't Lot Lot # CSM# Vol & Page 3 3 Lot(s) # Block(s) # Subdivision Town of. Rocky Shores Bell Parcel ID # (PIN #) Tax ID # 8247 Date: 11/26/23 04/15/2025 04- 010-2-51-06-31-4 00-267-30000 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 Dimension Area (Square Footage) Existing House APR1 8 10 Existing Accessory Building/Garage 8ft x 12ft storage shed 96sqft Zoning Co. Zo n 9 Dept Existing Sidewalk(s), Patio(s) & Deck(s) 180ft x 9ft driveway + 30ft x 60ft parking + 166ft x 10ft road 1620sqft + 1800sgft + 1660sgft All gravel, is this impervious? Existing Covered Porch(es), Driveway & Other Structures 6ft x 6ft privy 36sqft Proposed Addition/House Proposed Accessory Building/Garage Proposed Sidewalk(s) & Patio(s) en x 3ft yurt deck 18s ft Proposed Covered Porch(es) & Deck(s) Proposed Driveway Proposed Other Structures Total: 5682sgft I --' --1-- I a. Total square footage of lot: 107,900sqft (166ft x —650ft) b. Total impervious surface area: 5682sqft (includes gravel driveway, parking area, road) 5372sgft c. Percentage of impervious surface area: 100 x (b)/a = 5.3% 4.9% 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: 4/3e Ga rr�� Inspection Record; Zoning District ( ) Lakes Classification ( ) Condition(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: IS Outlook FW: Hotujec - Revised Land Use Permit From permits <permits@bayfieldcounty.wi.gov> Date Tue 4/22/2025 3:30 PM To Emily Macgillivray <emily.macgillivray@bayfieldcounty.wi.gov> Trent Wiesner I Clerk I Planning and Zoning Department 117 E 5th Street, PO Box 58 Phone: 715-373-3515 $YFIELD From: Jason Hotujec <hotujecj@gmail.com> Sent: Monday, April 21, 2025 11:35 AM To: permits <permits@bayfieldcounty.wi.gov> Subject: Re: Hotujec - Revised Land Use Permit You don't often get email from hotujgrj�a gmail.com. Learn why this is important Trent, Thank you for the additional explanation. I will add that the proposed location of the structure, while not yet staked out, is further back away from the shoreline than the red flags marking the offset distance that were installed by the County last year with the original permit. I don't know if that makes a difference but I wanted to mention it in case that made the review easier. Thank you, Jason On Mon, Apr 21, 2025 at 11:20 AM permits <permits an bayfieldcounty.wi.gov> wrote: Good morning, There is a $25 revision fee, but if the inspector needs to go to the site and re -inspect it the fee comes to $100 total. Once the inspector has reviewed it, we will contact you to take payment over the phone. Regards, Trent Wiesner I Clerk I Planning and Zoning Department 117 E 5th Street, PO Box 58 Phone: 715-373-3515 I*YFIELD From: Jason Hotujec <hotujficj@gmail.com> Sent: Friday, April 18, 2025 4:56 PM To: permits <permits bayfieldcounty.wi.ggv> Subject: Hotujec - Revised Land Use Permit You don't often get email from hotujgcj@a gmail.com. Learn why this is important Hello, Please see the attached files that contain changes to a previously approved land use permit. I know there is a $25 change fee but I couldn't find a place to pay that online through the county website. Can you please let me know if it is possible to pay online so I can get that completed as well. Feel free to reach out with any questions about the forms. Thank you, Jason Hotujec 715-225-4453 4/25/25, 2:53 PM Real Estate Bayfield County Property Listing Today's Date: 4/25/2025 Novus-Wisconsin Access rev. 12.0206 Property Status: Current Created On: 3/15/2006 1:15:03 PM Z Description Updated: 9/30/2020 Tax ID: 8247 PIN: 04-010-2-51-06-31-4 00-267-30000 Legacy PIN: 010111802003 Map ID: Municipality: (010) TOWN OF BELL STR: 531 TS1N R06W Description: PLAT OF ROCKY SHORES LOCATED IN GOVT LOT 3 LOT 3 IN DOC 2020R- 584172 TOG WITH EASE Recorded Acres: 2.160 Calculated Acres: 2.168 Lottery Claims: 0 First Dollar: Yes Zoning: (R-1) Residential -1 ESN: 107 4 Tax Districts Updated: 3/15/2006 1 STATE 04 COUNTY 010 TOWN OF BELL 044522 SCHL-SOUTHSHORE 001700 TECHNICAL COLLEGE &I Ownership Updated: 9/30/2020 JASON A & STEPHANIE A HOTUJEC NELSON WI Billing Address: Mailing Address: JASON A & STEPHANIE A JASON A & STEPHANIE A HOTUJEC HOTUJEC 5402 COUNTY ROAD JJ 5402 COUNTY ROAD J3 NELSON WI 54756 NELSON WI 54756 11 Site Address * indicates Private Road 19320 MOUNTAIN ASH EXT HERBSTER 54844 ® Property Assessment Updated: 9/22/2022 2025 Assessment Detail Code Acres Land Imp. G1 -RESIDENTIAL 2.160 127,300 1,800 2 -Year Comparison 2024 2025 Change Land: 127,300 127,300 0.0% Improved: 1,800 1,800 0.0% Total: 129,100 129,100 0.0% qJ' Property History Recorded Documents Updated: 3/15/2006 O WARRANTY DEED N/A Date Recorded: 9/10/2020 2020R-584172 © CONVERSION Date Recorded: 497058 910-738 ® WARRANTY DEED Date Recorded: 1/17/2005 2005R-497058 https:/Inovus.bayfiieldcounty.wi.gov/access/master.asp?paprpid=8247 1/1 Bayfield County, WI /ro*- ^ ARVID/Tert ID # 8245iSA M1� _ gam, 5EAN C pRESNAIL IY ,i.uJ' a Y .y. - :....x IT yv -//'{• pRMD/Tax ID #8246 :/ CH RISTODHER A eEVOL - - - > -'t:. i so.- m ! Aa. uspyae'sTE HAt E '1ionrEc '� ry.?.` ^�� pppID/Tax ID#•98302 `�. it .r ,1 STEVEN LEANNEIK•HOMA LI 0 q,. 4/2512025, 2:53:25 PM 1:781 Rivers Flood Plain Boundaries Active Dec 16th, 2011 0 0.01 0.01 0.03 Ti .._�' Approximate Parcel Boundary AE = Base floodplain where base flood elevations are provided. 0 0.01 0.03 0.06 km Road Type — Lake Superior Proposed Setback Line BayAetl County Land RawNa oepaNnent "•' Private Building Footprint 2015 Lake Superior Shoreline Recession Segments R Building The average annual rate of bluff recession in this reach of shoreline is approximately 0.5 feet. Bayfald Camp/ Zoning Application hapa:/Inupa.bayfeldcounty.wl.gw/ZoningWABI Bayfield County, WI <. / / f �, ✓/ I i y � 4/2512025, 2:53:43 PM 'Approximate Parcel Boundary — Lake Superior Proposed Setback Line Road Type Building Footprint 2015 Private Building 1:391 0 0 0.01 0.02 ml 0 0.01 0.01 0.03 km Daynetl County land Record• Deparnnent Daynee County Zaning Won nnpllmapabayneldcountywi pvRoningWAN Land Use Permit Application Review Checklist Submission #: What zoning district is the project located in? O'R-1 ❑ 2 ❑ R-3 ❑ R-4 ❑ R-RB ❑ C Ell ❑ M DA -1 ❑ A-2 ❑ F-1 ❑ F-2 ❑ W ❑ M -M ❑ Yes No Is lot substandard (does not meet current zoning dimensional requirements)? Deed of record: Yes ❑ 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 O No Is impervious surface required? (Required if riparian lot OR lot is entirely within 300 feet of OHWM of / navigable waterway) ❑ Yes fl6io Is the project located in the Floodplain? Zone: ❑ Yes o Are there wetlands on the property? ❑ Yes No Is project associated with a nonconforming use or structure? ❑ Yes No Is project associated with a variance? Case #: ❑ Yes Xo Is project associated with a Special B or Conditional Use Permit? Permit #: ❑ Yes dNo Is the project associated with a Special A Use Permit? Yes ❑ No Do,s the project require sanitary? H Existing 0 New 0 Intercept 0 Reconnect ❑ Non -Plumbing 0 Public Sanitary Permit #: 1- oc., y ❑ Yes 4o Does the project require mitigation? Implementation Deadline: Date of Compliance: ❑ Yes Ca' loo Does the project require an affidavit? Affidavit #: ❑ Yes ❑ No Did licensed surveyor mark lot line(s), if project is within 10 feet of required setback? ❑ Yes O No Did applicant/property owner mark lot line(s), if project is within 30 feet of required setback? Project use is? 2Re idential ❑ Commercial O Municipal Project type is? ew Construction ❑ Addition/Alteration O Change Use O Relocate O RV Placement O Sign O Establishing a Business ❑ Temporary O Shoreland Grading O Other, describe: Structure Type is: esidence ❑ Principal Structure O 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: Overall Height: Calculated Fee Category: UResidential 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: I Return Inspection 'Cand Use Revisions O Special Use Permit - Class A O After -the -Fact (ATF) ❑ Floodplain O Shoreland - Impervious Surface ❑ Shoreland - Non -Conforming, etc. O Tower Siting/Collocation 1 ❑ Tower Collocation 2 ❑ Metallic Mine ATF Fee Amount: Inspected by: Em jly lfltzccj Ii' I rya Date of Inspection: 30 / Aow;' Re -Inspected by: Date of Re -Inspection: Denied by: Date of Denial: Reason for Denial: Approved by: Rw ,u /) arn, 1I1 \)rn (n Date of Approval: 611 I 7 _1 Cond' ion(s): u U \J 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. I�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. 0 A Uniform Dwelling Code (UDC) Permit from the locally contracted UDC Inspection Agency must be obtajped 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. ❑ SS' n must meet the requirements of Article E of the Bayfield County Zoning Ordinance. Ed '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 ❑ R)4must be removed by o sewer and pressurized water allowed in the structure. ❑ No plumbing or plumbing fixtures allowed. ❑ No additional sleeping areas allowed without obtaining necessary sanitary permit(s). ❑ Land use permits shall be required for any new residence, any building or structure erected, relocated, rebuilt, or structurally altered ❑ Land use permits shall be obtained prior to the initiation of construction or a change in land use ❑ Requirements (e.g., permits/licensing/tax) of Local Town, Village, City, State or Federal agencies are required ❑ Sanitation requirements must be met (if applicable) ❑ Additional conditions may be placed and need to be adhered to at the time of permit issuance Other Conditions: 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. HOTUJEC, JASON A & STEPHANIE A LU-01610 5402 COUNTY ROAD JJ NELSON, WI 54756 Transaction Number: LU-01610-29FDD Description Amount Land Use Revisions $25.00 Verified Fee Amount $0.00 Residential Principal Structures - $0.75/square foot $0.00 (minimum $125) Total: $25.00 Payment Amount: $26.95 Reference: 4482868315 Paid by: Jason Hotujec 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 I Impervious Surface - Yes Floodplain - No / Wetlands - No Mitigation - No / Affidavit #: LAND USE - X SANITARY - SPECIAL A - SPECIAL B/CONDITIONAL — BOA — No. 24-0019R Tax ID: 8247 Issued To: HOTUJEC, JASON A & STEPHANIE A Location: S31 - T51 N - R06W Town of Bell BAYFIELD COUNTY PERMIT WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION Legal Description: PLAT OF ROCKY SHORES LOCATED IN GOVT LOT 3 LOT 3 IN DOC 2020R-584172 TOG WITH EASE Residential Structure in R-1 zoning district For: New Construction [1 - Story ], Residence on a Other [160 Total sq. ft. ] Height of 10.5' (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. Emily Macgillivray Authorized Issuing Official May 02, 2025 Date Condition(s): Must meet and maintain setbacks from furthest extension of structure including eaves and overhangs. 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 sewer and pressurized water allowed in the structure.