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Home My WebLink About25-0233Ritdrnto: Q Q �,(�1�2�2C,,t_ D4ITLIVCATION County Use Only: 117E 5th Street, PD Box 58 Bayt-ieldi'l,OUnty YlammDepartment Submission #' W -01 3 Washburn, WI 54891 Bayfield C¢-LTlritflWTlE(II.EPermit #: -' permits@bavfieldcounty.wl.aov Date: Property Owner Name: Authorized Agent Name (if applicable): Hyttekos LLC Timothy Dykstra Telephone Number: Telephone Number: 651-491-5129 715-209-5748 E -Mail Address: E -Mail Address: Mailing Address: Mailing Address: 1009 Mckuslck Rd Ln n 50181 at Hwy 13, City, State, Zip: City, State, Zip: Still Water, MN 55082 Ashland, WI 54806 Contractor: Telephone Number: E -Mail Address: Dykstra Construction INC 715-682-9599 info@dykstraconstructioninc.com SECTION B: Property Infoormatiot( Project Address (if dillerent fon1 mailing address): 87825 Brickyeard Creek Rd Bayfield 54814 Legal Description (if additional space is needed attach a separate sheet): Rays Point Shore Sub -Div Being a part of Govt Lot I lot 5 in Doc 2024r-803267 Section, Township, Range: s06 t50n r03w Town of: Bayfield Tax ID #: 4249 Lot Size (Acres/Square Feet): 1.530166,646.8 safl Project Use is: El Residential ❑ Commercial O Municipal Project Type is: O New Construction ❑ Addition/Alteration (existing structure) ❑ Change Use (existing structure) ❑ Relocate (existing structure) O RV Placement 21+ days ❑ Sign ❑ Establishing a Business ❑ Temporary (12 or less months) ❑ Shoreland Grading, Class A ❑ RV Placement 4+ months, Class A O Other (describe): I SECTION D: Structure Information (Does not annly to RVs and Siens, eo to Section. E. 'ate Structure Type is: ❑ Accessory Structure (describe): ❑ Shipping Container El Residence O Shoreland Exempt Structure (describe): ❑ Other (describe): ❑ Principal Structure (describe): O Mobile Home (provide manufactured date): Foundation Type: O Basement ❑ Walkout Basement E) Slab O Crawlspace O Ground O Skids ❑ Other (explain): Proposed Structure (Provide Sq Ft based on outside dimensions, including unfinished areas, attached garages/above grade decks/porches): Basement Sq Ft: I" Floor Sq Ft: Loft Sq Ft: 2"a Floor Sq Ft: 3r1 Floor Sq Ft: 1280 Sqft 793.3 Garage Sq Ft: Porch Sq Ft: Deck Sq Ft: Other Sq Ft (describe): Other Sq Ft (describe): 284 sgft 312 sgft Total Sq Ft: 2,669.3 sgft Overall Height (finished grade to peak): 29' # of Stories: 2 Existing # of Bedrooms on property: Proposed # of Bedrooms in project: 3 bedrooms Sign is: is: RVis: ❑ New O Replacement O New ❑ Replacement ❑ On -premise ❑ Off -premise ❑ 1 -sided O 2 -sided Year: Vin #: ❑ On -building O Multi -Tenant Length: Width: Height: Make: Model: liii APR 102025 Bayfield Co Zoning NO 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: O Driveways O Frontage Roads (include name) ❑ Existing Structures O Well (W) ❑ Septic Tank (ST) ❑ Drain Field (DF) O Holding Tank (HT) ❑ Privy.(P) O Lake O River ❑Stream/Creek ❑Pond OFloodplain ❑Wetlands ❑Slopes over 20% NLLL LAR(T & MAR;,(CARLHIII It. DI a.( --- c10 1 �g8 0, ,.1 3q5 ego 77 ••y 7 • POINT H.t111DSLLL •. ib. .:49 ,l^ RY O. 76Th anCKYMD CREEK RL 112 ••I� / IU. 0 A•.Jr1 D.tLO.1111R UST .)GV13RY.FIA{SCREEKI::'- •. 01 40 Setback or distance from furthest extent of structure County Use Only including eaves and overhangs to (include on site plan): Verified setbacks Road Centerline 157' ft. c ft. Notes/Comments: X(4 /„ vu (y. I) lV��Su� v Front Lot Line/Right-of-Way 79' ft. b{— ft. Side Lot Line 1 881 (.7 ft. ft. (North East South West, circle one) Side Lot Line 2 263' ft. .� �_ r_ ft. (North East South West, circle one) )(TI Rear Lot Line 38'/ 28.2' ft. t. r j 3 d iV hch Septic/Holding Tank 30' ft. % 1 ft. Drainfield ft. 1L.t- Privy ft. ft. Well 20' ft. in ft. Existing Structure/Building ft. t ft. Wetland ft. ft. Elevation of Floodplain ft. ft. Ordinary High -Water Mark (OHWM) 88' ft. ft. Other (describe) ft. ft. Cf V LflH 11 D DII At I LJL0 APR 10 2UY Bayfleld Co. Zoning Depf3aeld Co. Zoning Dept. SECTIQNG:Additional Questions ❑ No Has the location of proposed project including eaves and overhangs and the sanitary system and well been 0 Yes staked? If no, what date will this be completed: El 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 El 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 17 No Is there an existing sanitary system on the property? If yes, what kind? O Drainfield O Holding Tank O Municipal/Public O Other (describe): El 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? ❑ Drainfield El Holding Tank ❑ Municipal/Public O Other (describe): El Yes El No Will sleeping occur in the structure? If yes, contact local Uniform Dwelling Code (UDC) for approval and inspection requirements. Is the project associated with any of the following: ❑ Rezone ❑ Class A Special Use O Class B Special Use ❑ Conditional Use ❑ Variance Fee payment will be made via: El Check (attached) O Cash (attached) O debit/credit/echeck (department to call once payment is ready to be taken) How would you like to receive your permit card? El Mail to: OR El Email to: O Property Owner Address O Agent Address O Contractor Address O Other (provide Name and Email or Address): Section fl: Acknowledgement 5n4 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/topichvetlands, 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 thepurpose of inspection. access to the above -described property at any reasonable time forthe Owner(s) or Authorized Agent Printed Name: Jim & 1 k!. ✓ c Owner(s) or Authorized Agent Signature: Z Gy{�,L2 e/ Date: / Dn 2 c NOTES: 1. If you are signing on behalf of the owner(s) a letter of authorization must accompany this application. 2. Specific conditions/instructions maybe stated on the face of the issued Land Use Permits. Owners, agents, & contractors must all be aware of permit details & conditions and permit card must be posted on property prior to start of project. 3 c FRONT -LEFT VIEW LEFT VIEW M'.1'C REAR VIEW I4.It RIGHT VIEW Rv.ra ROOF PLAN W.Y. VENT CALCIMnoNS Nana Area Efnanm bWL Ven& fP) L%e Vent ng Req*.elfl') Ftl adV Om Pg. Pon WAJ eM (W AvdaS P4gevS Bm 6Dt ROOF LOADINI CUSTOMER APPROVAL WEAPPROVET IS PLAN AS sNOWNPNv U9ERSGNG T1T NO RUCNRpCNFNCEWILL.WIBE WOE ONCE ED.. APPROVED. SIONBO' W1E CUSTOMER SIGNATURE CMECIS BELOW IF WPUCABLE'. CERIIFIEO WINED AND CEALEO TRUSS DRAWINGS FOR THE STATE OF FULL BE REONRE➢ FOR PFALITIMG PURPO PTO SNPMENT OF1CME PLEASE SIGN AND RETURN THIS COPY TO AMWOOD 'N__N — aMa. _______ - riii__I * IuiI__ FRONT VIEW JO) Uflfl ll A H ; U 2025 Bayfield Co. Zoning Dept. Sr OOPPE GO Wi PIMSTI5Ci tsr\ wain wuL \ PurmE � S n• >uns.Plxcas PMRWRTO FA[IER rmIcazxs K4R NE Aw sTwwwAuwmmrsxu5sEFxxG FCR415653E >r 881.6 FFMM5ORITES alsenN4eT5cgEx4PExuwbFlm r. 5lbxoeE abwdw .v.. . ... ... .: - cow .. b1REN5et1• •1 •.LTlO1KWM R8TYL®Wilt ILCOP8FQSS*wbbTGEFAST9 TOWOOS P9ETEK0VEw1E5 STAIR SECTION M5bGiFNL� i SS FY$ 5 c3 lY qbq� Mt6LWpW STAIR SECTION 2 Sr. Y- FLOOR PIAN NOTES CUSTOMER APPROVAL (Ti FLOOR SG ARE FOTAGEIS WLLUIFD TGSNEATRI.G FACE III EXIERIGRGIMENEIGKARETO Slit FACE 515005 80100 WE IPFROVE This PLM'AS 580801 ARID INIERIOP GIxfN510AL51SFID 5005 FACT IINOEPbiPNOTHAT NOOTp11LNRgLCWW4t:i j)wILLLINEIM¶Ox GY011mt9-PYNWOLOIN35L818 C08*104 wILLGENP➢EGNCEAPPRPIED. M'O 111BIIWAESASEAS 111LPWO5 GOMR000000w1£WFRST0GEOIAtl R6 &GNED WIE� OIR SFF 505015 xpTF➢ CUSI005R 5GUUNPE CNELILBBOW IFIPPUCPOLF: CERTIFIEO&GNEOiI95EALED lqu550RAv.1NGs FSR TRESTATEOG WILL RE REQUIRED FOR IIY PPAMTTINGPU OSE5PRIOR TO SXIPNENT OF Ib Ela PY in- * DROMOVESEE PLEASE SIGN DETAL AND RETURN Y ii THIS COPY TO / / i AMWOOD �v cAL• IyF Asle _ AAA _ I'EE J . 1'0011' :,� ' 4-11 tS ISy V!' rFI• S-tT YY 2ND FLOOR PLAN FLOOR PLAN OT. YP JOB N0. Project Numbed 091J1 AMW000. WC. 4W2625 3:01:45 PM ALLIMTEPCR WALLS TO HAVEA P.T. BOTTOM PLATE WELDOR RADIANT HEAT NOTE: ALL INTERIOR WADS MUST BE GLUED DOWN, ONLY. NO ORILUNG INTO THE RJDOR. OR POWER ACTUATED FASTBBNG ALLOWED. D rUflwk APR , -. 2025 Bayfleld Co. Zoning Dept. RooN Puu NOTES 111 FI R IO WAE FOGbyE A CkW AI 1m HFATmU F/LE IaALLLLVF IEO)4 MEm RW FACE (AE SS NOISE NL M 3-AYNDm E3NRW ACWIF HI LRMEWOW EOORMON1wOWIWAD 5m BE IIU*ERS BMMFWFSRNOB® ALLWINDOW HEADER HEIGHT TO BE7'•I1 l/Y U,N.O. 1ST FLOOR PLAN W mid 1STROOR 12BSSF L ykstraa CONSTRUCTION Inc. November 1st, 2024 Hyttekos, LLC Custom Home Project 87825 Brickyard Creek Rd, Bayfield, WI 54814 1111 APR 1 0 2025 Bayfield Co. Zoning Dept. 50181 State Hwy 13 South Ashland, WI (715) 682-9599 Info@dykstraconstructioninc.com Hyttekos, LLC, gives Tim Dykstra & Dykstra Construction Inc., the authority to sign any documents for permits, on our behalf, for the Hyttekos Custom Home project. Hyttekos, LLC ' II / Z62-4 Date F . WISCONSIN - —BA Age Arrow BUILDERS Amwoo BBB • BUB.BI® R ASSOCIATION r.l A D1Of on of 10/31/24, 9:42 AM Real Estate Bayfield County Property Listing Today's Date: 10/31/2024 Novus-Wisconsin Access rev. 12.0206 Property Status: Current Created On: 3/15/2006 1:14:53 PM 9' Description Updated: 6/6/2024 a Ownership Updated: 6/6/2024 Tax ID: 4249 HYTTEKOS LLC STILLWATER MN PIN: 04-006-2-50-03-06-1 00-269-50000 Legacy PIN: 006100010005 Billing Address: Mailing Address: Map ID: HYTTEKOS LLC HYTTEKOS LLC Municipality: (006) TOWN OF BAYFIELD 1009 MCKUSICK RD LN N 1009 MCKUSICK RD LN N SIR: 506 T50N R03W STILLWATER MN 55082 STILLWATER MN 55082 Description: ROY'S POINT SHORE SUB-DIV BEING A PART OF GOVT LOT 1 LOT 5 IN DOC 7 'r Site Address * indicates Private Road 2024R-603267 Recorded Acres: 1.530 87825 BRICKYARD CREEK RD * BAYFIELD 54814 Calculated Acres: 1.525 ® Property Assessment Updated: 7/9/2019 Lottery Claims: 0 First Dollar: No 2024 Assessment Detail Zoning: (R-RB) Residential -Recreational Business Code Acres Land Imp. ESN: 105 Gl-RESIDENTIAL 1.530 152,700 0 � Tax Districts Updated: 3/15/2006 2 -Year Comparison P 2023 2024 Change g 1 ----- STATE Land: 152,700 152,700 0.0% 04 COUNTY Improved: 0 0 0.0% 006 TOWN OF BAYFIELD Total: 152,700 152,700 0.0% 040315 SCHL-BAYFIELD 001700 047060 TECHNICAL COLLEGE PIKES BAY SANITARY I� tli' Property History N/A 4 Recorded Documents Updated: 11/12/2013 0 QUIT CLAIM DEED Date Recorded: 5/16/2024 2024R-603267 0 WARRANTY DEED Date Recorded: 2/22/2024 2024R-602317 0 CONVERSION Date Recorded: 3/15/2006 760-929;779-835 APR'2O75 2025 Bayfield Co. Zoning Dept. https://novus.bayfieldcounty.wi.gov/access/master.asp?paprpid=4249 1/1 APR 1 0 2025 Bayfield County Bayfield Co. Zoning Dept. Impervious Surface Calculations 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): 1 , , r ' n ►\tipl nC' Wi. Mailing Address: Property Address k C',r s4(►a4w,p Soft g ZS gscCwk its, a f:U wS sr a Legal Description: Section, Township, Range 1/4, 1/4, . Sec OG Township ad N, Range Ow Authorized Agent/Contract to�or '\k Gov't Lot Lot # CSM# Vol & Page &M & Lot(s) # Bloc (s) # Subdivision Town of. I Parcel ID # (PIN #) ^- i Tax Io # F q Date: // 4`,S/ZaZc 04-WG-L-Co-OL-66- 00`24-$000d t.-iz'i i Impervious Surface: An area that releases as runoff all or a majority of the precipitation that falls on it. "Impervious surface" excludes frozen soil but includes rooftops, sidewalks, driveways, parking lots and streets unless specifically designed, constructed and maintained to be pervious. Calculation of Impervious Surface: Percentage of impervious surface shall be calculated by dividing the surface area of existing and proposed impervious surfaces on the portion of a lot or parcel that is within 300 feet of the ordinary high water mark by the total surface area of the lot or parcel, multiplied by 100. Impervious Surface Standard: Allow up to 15% Impervious surface but not more than 30% impervious surface on the portion of a lot or parcel that is within 300 feet of the ordinary high water mark. A permit can be issued for development that exceeds 15% impervious surface but not more than 30% impervious surfaces with a mitigation plan that meets the requirements of the Bayfield County Ordinance(s). Existing Impervious Surfaces: For existing impervious surfaces that were lawfully placed when constructed but that do not comply with the standards in Section(s) 13-1-32(g) and Section 13-1-40(h), the property owner may do any of the following: a. Maintenance and repair of all impervious surfaces: b. Replacement of existing impervious surfaces with similar surfaces within the existing building footprint; c. Relocation or modification of existing impervious surfaces with similar or different impervious surfaces, provided that the relocation or modification does not result in an increase in the percentage that existed on the effective date of the county shoreland ordinance, and meets the applicable setback requirements in Section 13-1-32. uH APP, 102025 Impervious Surface Item D(r*$ylSno. Zoning Dept. Area (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 6 y/ W 3 ` i rj H 8 Proposed Accessory Building/Garage Proposed Sidewalk(s) & Patio(s) Proposed Covered Porch(es) & Decks) 2 q L + Cj Z c� 1 Proposed Driveway 2 X Proposed Other Structures Total: 31 R rf� a. Total square footage of lot: 0c/ 346 ��ii L b. Total impervious surface area: , Qdb p C. Percentage of impervious surface area: 100 x (b)/a = S• `isf, 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 I Condition(s): Stormwater Management Plan Required: ❑ Yes ❑ No Signatureof Inspector. DateofApproval: u/fomrs/impervioussurface Created: May 2012 (®Apr 2016; Sept 2020) Proofed by: �ECEo�E0 APR iuzDzb Bayfield Co. Zoning Dept. AFFIDAVIT OF AUTHORITY (Corporation, LLC, etc.) PURPOSE. This Affidavit of Authority is used to certify the individual submitting an application is authorized when the property is owned by a corporate/business entity. STATE OF \M8GQ*SIN WASttIN&4FD14 ) ss. BAY•P=D COUNTY The undersigned affirms and states as follows: 1. Address of Subject Property: U v ✓ r(( Kl ��1�� QC_d ) 1 Y,iU 2. The Subject Property is owned by: IU 7 tkOS , Name of Company) � 3. The name(s) of the current President or Managing Member: T t Y I {�P l7 . /i 4. I 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. I further certify that the information and statements made within this affidavit are true, accurate, and complete to the best of my knowledge. 5. I am authorized by the above -named Company to apply for and bind the Company to the terms and conditions of any decision or permit issued by the Bayfield County Zoning Department. 6. By signing this affidavit, I attest that I am unaware of any known or unknown person(s) who would contest this application. I agree to indemnify Bayfield County or such person or legal entity suffer'ng damage resulting from any illegalities of applicati n Dated: iTYlht� G. t?Ybin Print Name ttQ Subscribed and sworn to before me this �' day of 4 0.1 20155 Notary Public, 4oc4..,r&. County, Wicoonsin My commission: 1131 ZZ02Qi ■fl.M. MMMMMA...............M■ KAY � `' 2029 • KATHLEEN J SCHOLLMEIER • dc.4�t,F NOTARY PUBLIC MINNESOTA P" My Commission Eapl es Jan. 31, 2029 . n, Bayfield County, WI 4/15/2025, 2:12:49 PM 1:391 0 0 0.01 0.02 mi 1 . 0 0.01 0.01 0.03 km — Top of Bluff Road Type 2 ft. Contours from 2009 IIDAR Lake Superior I mile Inland from the shoreline Private Index 2 ft. Lake Superior Shoreline Recession Segments "-_ Intermediate loft The average annual rate of bluff recession In this reach of shoreline is approximately 0.2 feet. Rivers Lake Superior Proposed Setback Line Approximate Parcel Boundary Building Footprint 2015 • Building Bayfield County Land Records Department Bayteld County Zoning Apol®Gun hllpsllmapabaygoldwunly wi.gov/oning WAB! Bayfield County, WI PRPIIVTox ID # 4248 T MA C ) LAPS TA MARY E CA RLSON l � RR CID/TaI3D p 4241• , , LIYTTEKOS LLC 42 626 Si mG I PCI D/Tux ID 6 420 MAUREEN OA{ L1,REN TRUST 66 4/15/2025, 2:13:58 PM — Top of Bluff Road Type 2 ft. Contours from 2009 UDAR Lake Superior 1 mile Inland from the shoreline Private Index 2 ft. Lake Superior Shoreline Recession Segments Intermediate 10 ft The average annual rate of bluff recession in this reach of shoreline is approximately 0.2 feet Rivers — Lake Superior Proposed Setback Line Approximate Parcel Boundary Building Footprint 2015 1:391 0 0 0.01 0.02 mi I 1 0 0.01 0.01 0.03 km eayleb County Land Records Deparunent Building Bayteld CowllZonbgAppllmticn hllps:llnaps.ba,1lMtlmuntyigovlZcningWAel SS - oos2o r' , l :7 • ( ` Industry Sen'ices Division t 4822 Madison Yards Ways Coum f,' /d Sanilar) Perit l umber(Io be tiled in by Co.) Madison. WI 53705 P.O. Dox 7302 Madison, WI 5302 2S— I S S Sanitary Permit Application State Trmus ctim, Nun,lxr I,, accordance with SPS 3%3.21(2). Wis. Adm. Code, submission alibis form to the appropriate govemrhotal Cain ifferent th• a marlin' Project Address (ifdn7�G is required prior to obtaining a sanimg permit. Note: Application fors for state-owned POWTS arc submiiied to the Deparuncnt or Safetyand Professional Services. Personal inforntion you proviJ Qy I,u d7 fo?iccondir eaddress) as 7 S S �J rkynN_eL purposes in accordance with the Privacy low, s. 15.04(U(m). Snits. _ a ,,, k) y i. Application Information - Please Print All information Property Owner: Name .. .. I'arc p LL q 9cJ os ro n)• cane 's Moiling Address l'ropcny Location C/ + W o /Q Ci Gaul. Lot / State Zip Code Phone Number `Cityy. e'er, ��y/�{ \ -A (f) -y r" • kV Zi 75- ) -r eel/' - /pr —�/., !.. Section O T J� N R f: oO 11. Type of Building (check all that apply) Lot t: l_nr 2 Family Dulling- Number ofllcdmums 3 Subdivision Name PcIS PO( n+ S' -none Risk I/ ❑ I'ublic/Commcrsial - Describe Use ❑ City of 0 Village of ❑ Stec Owned - Describe Use CSM Number �j *own of CJ T F; , jp Ill. Type of POWTS Permit•. (Checlr either "New" or "Replacement" and other applicable on line A. Check one box on line B. Complete fine C If a licable. :1' News stem Rc imxment5 stem p y ❑Od,cr Modification to Existing System (explain) Additional Pretreatment Unit (explain) Ii. tluldin'•Tank In -Ground At -Grade Mound Individual Site Design I Olher'type(explain) (conventional) C. Renewal herons 0 Revision Clmngc of Plumber Transfer to New owner list Previous Permit Number mid Date Issued 1(xpirminn IV. Dis ersaVPrcatment Area and Tank Information: Design Flow (gpd) Design Soil Application Rnte(gpd/s0 I Dispersal Area Required (sD I Dispersal Area Proposed (sf) S):dem Rkvation Capacity in Total gnf Manufacuuer 'Tank Infi+raliun Gallons Gallons Units , '= New Tanks C%isling Tants c U v, It en T U E Scptic.ulloldinpTmrk 0 0 t! V �' ls't�Q A no.ing Chaniwr V. Responsibility Statement- I, the undersigned, assume rcsn,lblllty for Installation of the POWTS shown an the attached plans. I'hnber s Name (Print) I Plw Si c J MP/MPRS Number I Rosiness Phone Number ? �ra w .iii MP. 0 9 37 '7/S - 9-6 Plun,hc Address (Stan. City. State, Zip Code) r 97 V1. Countyy/DepnNment Use Only Approve.i a Disapproved Permit Fee S4a Data Ismetl I Ismia Agept Sianulwv 0 Owner Given Reason fur Dcmiai kJn/zD Conditions of Approval/Reasons for Disapproval $t4o0•O0 5(l,L9-S F= 5y . o c .c to C4y /"� SS �/0� 0SP -^ �)�' Industry Services Division adison Yards Way ZF$fadisonWI53705 O. Box 7302ison, Count t /Qr SanilaPermit umber(to be Bled in by Co.) WI 5302 'Sa tary Permit Application State Transaction Number In accordance with SPS 383.21(2), Wis. Adm. Code, submission of this form to the appropriate governmental unit is required prior to obtaining a sanitary permit. Note: Application forms for state-owned POWTS are submitted to Project Address (if different than mailin address) (lie Department of Safety and Professional Services. Personal information you provi4 p' bb iicd fbr secondnry � g 7 S as gr—/ c_)ye ra5C" -ek purposes in accordance with the Privacy Law, s. I5.04(l)(m), Slats. - - ) a '(,J�, ¶9 I. Application Information— Please. Print All Information-- Property Owner' Name Pare # e cs LLC 42-99 rop rty wner's Mailing Address Property Location t O CJl� Govt. Lot / j O City, State Zip Code Phone Number v (11> —Qy� I• ` Q S�O Ll5-1' S�OZ '/.. Section fJ T S' N, R F nO H. Type of Building (check all that apply) Lot # 4or 2 Family Dwelling —Number of Bedrooms Subdivision Name Block /I ❑ Public/Commercial — Describe Use 0 City of 0 Village of ❑ State Owned— Describe Use CSM Number aoayR G0321o7 ( Tmwnof_ R°-'iR -? 111. Type of POWTS Permit: (Cheek either "New" or "Replacement" and other applicable on line A. Check one box on line B. Complete line C if a licable.). A' New S stem Re lacement System p y ❑ Other Modification to Existing System (explain) Additional Pretreatment Unit (explain) B. HoldTank In -Ground At -Grade I Mound Individual Site Design OtherTypc (explain) (conventional) C. Renewal Before ❑ Revision Change of Plumber 'transfer In New Owner List Previous Permit Number and Date Issued Expiration IV. Dispersal/Trcatment Area and Tank information: Design Flow (gpd) Design Soil Application Rate(gpd/sf) Dispersal Area Required (so Dispersal Area Proposed (sf) System Elevation Capacity in Total # of Manufacturer Tauklnfonnation Gallons Gallons Units = o ` 9 NerwTanls Existing Tanks _ A 21 c, UU o, h - i 3 c. Septic or Holding Tank V V 0 0 �- t,pii. , �LsC • A Dosing Chamber V. Responsibility Statement- I, the undersigned, assume res risibility for installation ofthe POWTS shown on the attached plans. Plumber's Name (Print) I Plot b is Si MPRvIPRS Number Business Phone Number G-rs er tJt1 WI.P. 737 " S — q —U Plutnher Address (Street, City, State, Zip Code) /O c7ft-rn,fr-C2/,`f7 VI. County/Department Use Only - - - Approved 0 Disapproved Permit Fee Date Issued Issuing Agent Signature S 0 Owner Given Reason for Denial Conditions of Approval/Reasons for Disapproval soil Test # 15 -2 5 Bayfield County Waiver of a Thorough Soil & Site Evaluation (subject to 15-1 -1 0(d)) I I I Yt' 1 i)il f(.5 �� a certified soil tester determine that in my professional judgment the foil ing site (see below) is unsuitable for any treatment component other than holding tanks. Due to soil & site conditions, a thorough soil and site evaluation is not needed to make such a determination. Property Owner Property Address 87,R s BnrlcvaeJ Creek. ( J cw,g Telephone E S1 " y9%' svq Contractor vk51v - cs^s " -"� Authorized Agent Y•Sl G — Agent's Telephone 75 -c709- 5-71 Written Authorization Attached:OY or N Accurate Legal Description is requested: 114 of 114 Section 06 Townshipy..S0N. Range O3 W. Town of J Imo+ Additional Legal Description: 1 0V �Dt n bvf Lot 2 ,< rrgg )2oy'5 Per } sA . Sib Govt. Lot .L Lot 5 Block Subdivision Lot CSM#_ Vol. Page CSM Doc # of -' Volume Page of Deeds Tax I.D# yay9 Acreage LL53 Indicate reasoning for your determination: rltl A A _. Ii n I . ii .)a_I...L..:.. r(4. ICecax itY ( ('itU Signature of cJounty Official 4)zl lz5 Date Signature of ertified Sod Tester 3/ s/mss Date Certification # (Submit a Plot Plan & Fee) Vi � FEi F G l I' l�a APR i ulforms/soilteswJu n 1 �1 June 2018 i•LUC:: Baylield Co. Zoning Dept. p0., so• ca gijs las R144 YeSI)x- BayfieldI Soil Test # County Waiver of a Thorough Soil & Site Evaluation (subject to 15-1-10(d)) I iwi fyks /ivy a certified soil tester determine that in my professional judgment the folloWing site (see below) is unsuitable for any treatment component other than holding tanks. Due to soil & site conditions, a thorough soil and site evaluation is not needed to make such a determination. Property Owner 1 (l/ircCZSLLC Contractor Property Address "]&oi�s�; 8ne,kyaej Authorized Agent Ilrrt 3/Asl'v'4 &ee 'i' DR_!`r� 1 W�- S-,wiy Agent's Telephone7i;-7p9' Telephone 6,1-'W/- S724 Written Authorization Attached:®or N Accurate Legal Description is requested: 1/4 of 114 Section 06 Township SUN. Range O3 W. Town of___________ Additional Legal Description: t o 5 rDtv\.y �:)MfV Jub — O1V 1)eIh h larf oP (rovf Lof 2 L,I- c /n Govt. Lot .I Lot 5 Block Subdivision Rays arn 1 SVb Lot CSM# Vol. Page CSM Doc # k)36 '7 Volume Page of Deeds Tax I.D# 7Oy9 Acreage '/l 13 Indicate reasoning for your determination: 5*e OOPS Ait+ /Wy A f/ `l. 11 Q A' n 7� '1 1,1 4eL4 .n M.,JUO.r R0 U.4 (ihrJ.liV�v/w.. L("M. 1CeAow rcc400,j Signature of tertified Soil Tester 3/ s/mss Date �al3�s s Certification # Signature of County Official (Submit a Plot Plan & Fee) Date APb' ; "U1a u/forms/solltestwaiver(KLK) June 2018 81_9as^, srr "PA 176 0 9,yle�Gt�4 P� II t w <ti K eo cwzk r�L � SiY.VI Puvcr W1 Szf� a'1. w. s De`' wS S9s/y / C5F9 Q085S ��`` ,'71 . c$ 1 \ IOIYyI O�yF f/�j/l/G! I� (j5 z �.�.r ri �� fl �T}'�dS �td`Y •�', % � \\\ N APR 1 J L025 a8 R,w �� f \ C v ! Bayyfi^Id'�^. 7nvlfl�; Ijyr¢. s c - IY y raPPOPO � t i'4 .EII-�QS ,� { t r ,}QTY a i 1 �O, 'A5+�"��.,.. w� •t d+ it?^ :CREFLIYE OF ,.,N ) /(/�Q�Q.,� LI �. •Tw. K�.�.w ♦.T'{`j�`�I r-„ I �iPAt EL_ON>t E� r l+N'.�6i� Ih �-;.. ✓ •1. � Iron loo i..: t . r r 1Yr� %� /rt. DRPID/Tax ID # 4250 - 4 v • \..,. `d"' MARK 5 SILVER .�. - nLr° fl :. ; : , YA PAGE 1 OF 4 Holding Tank Plan Index & Cover Sheet t" Component Manual Design References: • Holding Tank Version 2.1 (May 2022-2027) Pg 1 of 4 Index & Cover Sheet Pg 2 of 4 Plot Plan Pg 3 of 4 Holding Tank Specifications Pg 4 of 4 Management Plan APR 17 [(i' Attachments: Enclosures: POWTS Application for Review Soil Evaluation Report & Site Map (if ap Holding Tank Pumping Contract (if appli Holding Tank Agreement (if applicable) Project Name! Description plicable) cable) Owner Name(s): $/(O5 — Phone: S/ - - Owner Address: 3ogy 4p,00) C, IV . St (✓.// Zip: 5.5 r; S Project Address: 8'7?2.S- Ck %cl �c�dZ. S7y% Govt. Lot: 7 . 1/4 of —1/4, Section O C , T S —C 1-R C 3 E 0or W W Township: 13c `J,J t County: e lJ Project Parcel ID #: 4-&)c t,p a 92 qc''1 Designer Information Designer Name: L u^xe Dove Designer Address: /Z( / (2 717 E-mail: v-ebvn License Number. 1/4. IJ # 1 C/ Phone: 7/5- - Z0'/ - O) t- t.', k) -' Zip: S 2 4I'7 This space reserved for approval stamp. Remarks: 2 0 cr /t2�? �4(G✓v �_ ≤v fo.A , //900 hdl i� lla 1'I/ Signature: y �' —� Date: /{ /d 2 Origin/signature required on each submitted copy. L k / SPS 9i& ald G�EG�G Ap'uzed Pile 3 a� APR '�1Gicunv t M-Cii-{.�i LX�s�fly nudnT >lDes,.m 4r pkac ci :-;� . �1� i ° {alt 1} ) _ 4 Dana, 7-0f,eoove 'L'c u?a:� f! 774 a6 d tx3{$ r tank 2S tzscas on* ROB] MM'ra -d Gads r7'1 2025HOLDING TANK — MANAGEMENT PLAN The Private Onsite Waste Treatment System (POWTS) has been designed and is to be installed and maintained according to SPS 383, Wisconsin Administrative Code, Holding Tank Component Manual for Private Onsite Waste Treatment Systems (SBD-10571-P)(R.6/99) and the Bayfield County Zoning Department Sanitary and Private Sewage Ordinance. 1. This POWTS has been designed to accommodate a maximum daily flow of gallons of domestic wastewater per day. 2. The owner of this POUTS is responsible for system operation and maintenance, locking device, alarm and access. 3. The owner or owners agent is required to submit reports as required by SPS 383.55(1), Wis. Adm. Code, to the Bayfield County Zoning Department. 4. Design approval and site inspections before, during and after the construction are accomplished by the county or other appropriate jurisdictions in accordance with SPS 383 of the Wis. Adm. Code. 5. Maintenance Cycle. The holding tank must be serviced by licensed pumpers. An alarm system is to be installed to activate when the tank is < 90% full. 6. Performance monitoring. At the time of servicing, the service provider files a report with the department of designated agent. 7. A User's Manual will accompany the component. It will include the names and phone numbers of local health authorities, component manufacturer or POWTS service provider to be contacted in the event of component malfunction or tailure. 8. In the event that this POWTS or a component of this POWYS fails and cannot be repaired the owner will find in the User's Manual the names and telephone numbers of property licensed individuals to contact for such repairs. This agreement shall be binding on all assignees and heirs 1/4 of -'-1/4 SecGon�Townships0 N. Range_93N. Town of SBlock Subdivision +1 c.k9 .-d cEyeA CSM# z1J I tt fun iit APR i i M RSnsr aarIt [mac t as m'oz. • II E sonml a a srantts 7�CAIo W, EI aRfF[E MW Fa,gc in L� i�rreS� �e ccW& tanZ1ss sR+tas a �t£L�aS 1cl l ORap a � sxs itZR nisma TR335 Wi(VAcj I CON am -M ft i z 's a r�- caoat Document Number/Plan I.D. No. HOLDING TANK AGREEMENT Owner Name (s) Owner(s) Mailing Address N I-fe kvg 4CG. 309q /l,}000A at ;Ilwc r Pity °S3" Parcel Identifier Number (PIN) Agreement Date (same as Notary Date) D'/ oom 2-,0-O3 ofr l oo•acti sotxv '//14/av2/ on the following property or that continued use of the existing premises requires that a holding tank be installed on the property for the purpose of proper containment of sewage. Also, the property cannot now be served by a municipal sewer, or any other type of private onstte wastewater treatment system as permitted under Ch. SPS 383, Wis. Adm. Code or Ch. 145, Wis Stats. ✓ 1/4 of — 1/4 section Township 5O N. Range W. Town of Additional Legal Description: Gov't Lot _ LoL.CBlock? Subdivision o,' f 511 G�li CSM#� Lol_CSM # — Vol '' Page _CSM Doc# ay c7, p-6D3a U 1 DOCUMENT NUMBER 2025R-607202 DANIEL J. HEFFNER REGISTER OF DEEDS BAYFIELD COUNTY. WI RECORDED O4/17/2O25 AT 9:42 AM RECORDING FEE: $30.00 PAGES: 1 Return To: �a�i�alll� APR 212025 '-3Baylieid Cu. Zoning Dept. As an Inducement to Bayfield County to issue a sanitary permit for a holding lank on the above described property, we agree to do the following: 1. Owner agrees to conform to all applicable requirements of Ch. SPS 383, Wis. Adm. Code relating to holding tank Installation and maintenance. If the owner fails to have the holding tank properly serviced in response to orders issued by Bayfeld County or the Department of Commerce to prevent or abate a human health hazard as described in S. 254.59, Stets., Bayfield County may enter upon the properly and service the tank or cause to have the tank to be serviced and charge the owner by placing the charges on the tax bill as a special assessment for current services rendered. The charges will be assessed as prescribed by s.66.0703, Slats. 2. Owner agrees to pay all charges and coals incurred by Bayfield County for inspection, pumping, hauling, or otherwise servicing and maintaining the holding tank in such a manner as to prevent or abate any human health hazard caused by the holding tank. Bayfield County shall notify the owner of any costs which shall be paid by the owner within thirty (30) days from the date of notice. In the event the owner does not pay the costs within thirty (30) days, the owner specifically agrees that all the costs and charges may be placed on the tax roll as a special assessment for the abatement of a human health hazard, and the tax shall be collected as provided by law. 3. The owner agrees to contract with a person who is licensed pursuant to s.281.17 (3) Wis. Slats., and chapter NR 114 Wis. Adm. Code, to have the holding tank serviced in accordance with Ch. NR113, Wis. Adm. Code, and to file a copy of the contract with Bayfield County. The owner further agrees to file a copy of any changes to the service contract, or a copy of a new service contract, with the county within 30 days from the date of change to the service contract. 4. The owner agrees to contract with a person licensed pursuant to s. 281.48 (3) Wis. Stats., and Ch. NR 114, WI's Adm. Code who shall submit to the county within 30 days a report detailing the servicing of the holding tank. Bayfield County may enter upon the property to Investigate the condition of the holding tank when pumping reports and meter readings may indicate that the holding tank is not being properly maintained. 5. This agreement will remain in effect only until Bayfield County certifies that the property is served by either a municipal sewer or a private onsite wastewater treatment system that complies with Ch. SPS 383, WI's Adm. Code. In addition, this agreement may be cancelled by executing and recording said certification with reference to this agreement in such manner which will permit the exirj ofwwe certification to be determined by reference to the property. § u1 V- 6. This agreement shall be binding upon the owner, the heirs of the owner, and assignees of the owner. The owner s agreement to the register of deeds, and the agreement shall be recorded by the register of deeds in a manner which existence of the agreement to be determined by reference to the property where the holding tank is installed. I n,.mndcy n1a.n>te _ meece Print I Subscribed and sworn to before me on this date: e k as, L -Lc Drafted by; ---_i-_Ct S' Date: Personal Inbm,atbn you pr0Nda maybe used tar secondary purposes (Privacy Law. a.15.04 (Ixmjj u/ormsrsanitsry.tddmgtonkagmemnnt.docdune 2018 HOLDING TANK SERVICING CONTRACT Contract Date V/1 2.Dz< This contract is made between the Holding Tank Owner(s) Name(s) W �-ke 1CO5 LLC APR 1 % 2025 ia)4iefd Co. Zoning Dept. Pumper's Name (Pdnt) p r' ature Pumpers' Registration # SS�-- We acknowledge the Installation of (a) holding tank(s) on the following property: (Provide COMPLETE legal descriptions) PROJECT Legal Description: 11/4, _ 1/4, LOCATIONONN (usetaxstateenicnt). . .. _ . . .. Section 6 // PO ,TownshiptT N, Fange__Q�22 W Town of - Lot - Areag• f:e.�: GoJ(tLot LatH CSMN Vol. Page. CSMDocli Lot(s)No;. Blockls)No.• 5ubdlvson, . . .> ' --+— - .. :4 . . .. . , , .. 'S 771 1 J: avaKt�-ao3a6� 1. The owner agrees to file a copy of this contract with Bayfield County as required In SPS 383.55, Wis. Adm. Code. 2, The owner agrees to have the holding tank(s) serviced by the pumper and guarantees to permit the pumper to have access and to enter upon the property for the purpose of servicing the holding tank(s). The owner agrees to maintain the access road or drive so that the pumper can service the holding tank(s) with the pumping equipment. The owner further agrees to pay the pumper for all charges Incurred in servicing the holding tank(s) as mutually agreed upon by the owner and pumper. 3. The pumper agrees to submit to the local government unit which has signed the pumping agreement required by SPS 383.55, Wis. Adm. Code, and the County, a report for the servicing of the holding tank(s) on a semiannual pumper further agrees to include the following in the semiannual report: a. The name and address of the person responsible for servicing the holding tank; p b. The name of the owner of the holding tank; z S oA c. The location of the property on which the holding tank is Installed; ma w d. The sanitary permit number issued for the holding tank; e. The dates on which the holding tank was serviced; r o f. The volumes in gallons of the contents pumped from the holding tank for each servicing; ¢ Z g. The disposal sites to which the contents from the holding tank were delivered. 4. This agreement will remain in effect until the owner or pumper terminates this contract. In the event of a change j. contract, the owner agrees to file a copy of any changes to this service contract or a copy of a new service c with the local government unit and the County named above within (10) business days from the date of change 11t,t7 service contract. .w, v..w,. LLC Subscribed and Sworn to me: on this __ day of A1,__,2015 by: otary Public expires on: Revised: May 2016 (®May 2018) Drafted by Personal Information you provide may be used for secondary purposes (Privacy Law, s.16.04 (I)(m)) 5/2/25, 4:23 PM CarmodyTM BAYFIELD COUNTY SANITARY PERMIT (#04)-25-15S STATE SANITARY PERMIT OWNER: HYTTEKOS LLC GOVT LOT: LOT: 5 BLK: SUBDIVISION: Roy's Point Shore 1/4 1/4 SEC: 6, T 50 N, R 3 W TOWNSHIP: Bayfield SOIL TEST: 15-25 NEW SYSTEM SYSTEM TYPE: Holding Tank PLUMBER: Greg Brown CECE RUDNICKI Authorized Issuing Officer DATE: 5/2/2025 CHAPTER 145.135(2) WISCONSIN STATUTES a. The purpose of the sanitary permit is to allow Installation of the private sewage system described in the permit. b. The approval of the sanitary permit is based on regulations in force on the date of approval. c. The sanitary permit is valid and may be renewed for specified period. d. Changed regulations will not impair the validity of a sanitary permit. e. Renewal of the sanitary permit will be based on regulations in force at the time renewal is sought, and that changed regulations may impede renewal. f. The sanitary permit is transferable. History: 1977 c. 168; 1979c.34,221;1981 c. 314 Note: If you wish to renew the permit, or transfer ownership of the permit, please contact the county authority. PREVIOUS PERMIT #: LICENSE: # 699374 Condition: Properly Maintain System Per Recorded Agreement. THIS PERMIT EXPIRES 5/2/2027 POST IN PLAIN VIEW MUST BE VISIBLE From ROAD FRONTING THE LOT DURING CONSTRUCTION htlncllwuwrnrmnd,inr rnm/PprmilAnn/Permit Sinn acnv9Print-lRnprmitnnnirt_7dF7 t/9 4e Land Use Permit Application Review Checklist Submission #: ted in? What zoning district is the projVR-Ral ❑ R-1 ❑ -2 0 R-3 O R-4 El C 0 I ❑ M ❑ A-1 ❑ A-2 0 F-1 O F-2 ❑ W ❑ M -M ❑ Yes No Is lot substandard (does not meet current zoning dimensional requirements)? Deed of record: Yes ❑ No Is the project located in the Shorelands (Shorelands are lands within 300 feet of a river/stream OR landward side of floodplain OR 1000 feet of a lake/pond/flowage, whichever is greater)? Yes O No Is impervious surface required? (Required if riparian lot OR lot is entirely within 300 feet of OHWM of navigable waterway) ❑ Yes l4s10 Is the project located in the Floodplain? Zone: ❑ Yes iNg Are there wetlands on the property? ❑ Yes J4I9 Is project associated with a nonconforming use or structure? ❑ Yes E.�o Is project associated with a variance? Case #: ❑ Yes o Is project associated with a Special B or Conditional Use Permit? Permit #: Y s @No Is the project associated with a Special A Use Permit? Yes ❑ No Does the project equire sanitary? ❑ Existing l4Iew O Intercept ❑ Reconnect ❑ Non -Plumbing ❑ Public Sanitary Permit #: - ❑ Yes EI410 Does the project require mitigation? Implementation Deadline: Date of Compliance: ❑ Yes 4io Does the project require an affidavit? Affidavit #: Yes O No Did licensed surveyor mark lot line(s), if project is within 10 feet of required setback? ❑ Yes ❑ No Di pplicant/property owner mark lot line(s), if project is within 30 feet of required setback? Project use is? Residential 0 Commercial O Municipal Project type is? New Construction ❑ Addition/Alteration ❑ Change Use ❑ Relocate O RV Placement El Sign ❑ Establishing a Busipess El Temporary O Shoreland Grading ❑ Other, describe: Structure Type is: Residence ❑ Principal Structure O Accessory Structure O Boathouse (one story only) ❑ Open-sided/Screened Structure (gazebo, etc.) O Stairway to navigable waters ❑ Mobile Home El Shipping Container ❑ Other, describe Total Sq. Ft. of Project: a3 Number of Stories: Overall Height: a Cal u fated Fee Category: 5d 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) El Commercial/Municipal Accessory Structures - $0.20/square foot (minimum $75) Calculated Fee Amount: Additional Fees: El Return Inspection O Land Use Revisions ❑ Special Use Permit - Class A O After -the -Fact (ATF) ❑ Floodplain 'Shoreland - Impervious Surface ❑ Shoreland - Non -Conforming, etc. 0 Tower Siting/Collocation 1 ❑ Tower Collocation 2 0 Metallic Mine ATF Fee Amount: Inspected by: pMli `� Date of Inspection: Ou Re -Inspected by: Date of Re -Inspection: Denied by: Date of Denial: Reason for Denial: Date Denial Letter Mailed: Approved by: I Date of Approval: O/a r Ah I (v An � .. Il uiia , Condition(s): I (J " Must meet and maintain setbacks from furthest extension of structure including eaves and overhangs. ❑ For personal storage only. ❑ For personal residence only. O Not for human habitation or sleeping purposes. fVA wn/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). se 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. O 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. O RV allowed for O RV must be removed by O No sewer and pressurized water allowed in the structure. O 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 O Requirements (e.g., permits/licensing/tax) of Local Town, Village, City, State or Federal agencies are r uired [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: Fr-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: HYTTEKOS LLC LU-01583 1009 MCKUSICK RD LN N STILLWATER, MN 55082 Transaction Number: LU-01583-2A54E Description Amount Shoreland - Impervious Surface $25.00 Verified Fee Amount $0.00 Residential Principal Structures - $0.75/square foot $2,001.98 (minimum $125) Total: $2,026.98 Payment Amount: $1,698.95 Reference: 36901 & 36902 Paid by: DYKSTRA CONSTRUCTION, INC., 50181 STATE HWY 13, ASHLAND, WI 54806 Payment Type: Check Transaction Date: undefined Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit. 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: HYTTEKOS LLC 1009 MCKUSICK RD LN N STILLWATER, MN 55082 Description Additional Fee Amount Submission Number: AP -00025 Transaction Number: AP -00025-2A568 Amount $328.03 Total: $328.03 Payment Amount: $329.28 Reference: 5571491065 Paid by: undefined Payment Type: Other Transaction Date: undefined Receipt of payment does not guarantee approval. Town, City, Village, State or Federal Permits May Also Be Required Substandard — No / Nonconforming — No Shoreland — Yes / Impervious Surface — Yes Floodplain — No / Wetlands — No Mitigation — No / Affidavit #: LAND USE - X SANITARY — New 25-15S SPECIAL A — SPECIAL B/CONDITIONAL — BOA — No. 25-0233 Tax ID: 4249 Issued To: HYTTEKOS LLC Location: S06 - T50N - R03W Town of Bayfield BAYFIELD COUNTY PERMIT WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION Legal Description: ROY'S POINT SHORE SUB-DIV BEING A PART OF GOVT LOT I LOT 5 IN DOC 2024R-603267 Residential Structure in R-RB zoning district For: New Construction [2 - Story], Residence on a Slab [2669.3 Total sq. ft.] Height of 29' (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 05, 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. Sanitation requirements must be met (if applicable)