HomeMy WebLinkAbout25-0241Return to: County Use Only:
117 E 5'" Street, PD Box 58 Id County Planning and Zoning Department Submission #:
Washburn, WI 54891 AND USE PERMIT APPLICATION permit #: ( —
Fermits bavfieldccunYy.wE6 iIhA19 Date: CJ
SECTION A: General Information
Property Owner Name:
�Sl1t9NO (9r L
Authorized AA ent Name (if apt licable):
I� I�
C_
/NPNJA-f ,�.� ta/f�/1�JdI l�n
Telephone Nuutber:
Telephone Number: fl
'57-/
—3e6- o3 P c
E -Mail Address:
fG
E -Mail Address;
��i53
Mailing Address:
3o / iG(e EKsr &f
Mailing Address:
43 ,l�,Ll.e"✓e'sT 4,c2
City, State, Zip:.�N1JJVP J 2 ✓1 j �/�
City, State, Zip:,z,� ✓ Ltl1 S- yo j
Contractor: SL Sc
Telephone Number.
E Mail Address:
SECTION B: Property Information
Project Address (if different from mailing address):
I.
4'FY&y eP,To„l ir• n4fl&W
Le a! Description (if additional space is needed attach a separate sheet):
.SL c a� i✓ O 7 T C .r� # /y9/g3/y9/g 36a
Section, Township, Range: .2c2 Tjt/ yV
Town offLjflO
Tax TD #:
Lot Size (Acres/Square Feet): 3,
SECTION C: Project Information (check all that apply)
Project Use is: Skesidential 0 Commercial 0 Municipal
Project Type is: lXNew Construction 0 Addition/Alteration (existing structure)
0 Change Use (existing structure) 0 Relocate (existing structure) 0 RV Placement 21+ days
0 Sign 0 Establishing a Business 0 Temporary (12 or less months)
0 Shoreland Grading, Class A ❑ RV Placement 4+months, Class A 0 Other (describe):
required (Total sq it): required
SECTION D: Structure Information (Does not apply to RVs and Signs, go to Section E)
Structure Type is: 0 Residence 0 Principal Structure (describe):
0 Accessory Structure (describe): Shg(eland Exempt Structure (describe): 0 Mobile Home (provide manufactured
SCof&e tc/y J/r date):
0 Shipping Container ❑ Other (describe):
Foundation Type:
❑ Basement 0 Walkout Basement 0 Slab 0 Crawlspaee j�Ground 0 Skids 0 Other (explain):
Existing Structure: Length: Width: Height:
Proposed Structure (Provide Sq Ft basgd on outside dimensions, including unfinished areas, attached gages/above grade
t
decks/porches): 28'V74.' 1$ U% /dT /� // uf /O
Basement Sq Ft:
l' Floor Sq Ft:
Loft Sq Ft:
2"d Floor Sq Ft:
3"' Floor Sq Ft:
Garage Sq Ft:
Porch Sq Ft:
Deck Sq Ft:
Other Sq Ft (describe):
Other Sq Ft (describe):
Total Sq Ft: 9 a
Overall Height (finished grade to peak):
# of Stories: /
Existing # of Bedrooms on property:
j Proposed # of Bedrooms in project:
SECTION E: RV and Sign Information check all that apply)
Sign is:
RV is:
❑ New 0 Replacement
0 New ❑ Replacement
0 On -premise 0 Off -premise
❑ 1 -sided 0 2 -sided
Year. Vin#:
0 On -building 0 Multi -Tenant
Length: Width: Height:
Make: Model:
SECTION F: Site Plan — attach a site plan or draw site plan In box below (See pages I & 2 of Land Use Permit Application
Information for information that is required to be provided on site plan)
Show location of:
❑ Driveways 0 Frontage Roads (include name) O Existing Structures O Well (W) O Septic Tank (ST) O Drain Field (DF)
❑ Holding Tank(HT) O (P) N Lake O River ❑Stream/Creek ❑Pond Dfloodplain ❑Wetlands ❑Sloes over 20%
N
/"X/�' APR 282025 U
Ba field Co. Zoning Dept.
De
%34'cDiw6P
Setback or distance from furthest extent of structure
Including eaves and overhangs to (include on site plan):
County Use Only
Verified setbacks
Road Centerline
ft.
ft.
Notes/Comments:
Front Lot Line/Right-of-Way
ft
ft.
Side Lot Line 1
orth ast❑South❑West❑ check one)
ft.
' y ft.
Side4lot Line 2
(NorthDEastDSouthDWestD, check one)
ft.
ft.
Rear Lot Line
ft.
ft.
Septic/Holding Tank
ft
ft.
Drainfield
ft.
ft.
Privy
ft
ft
Well
ft
ft
Existing Structure/Building
ft.
ft
Wetland
ft.
ft.
Elevation of Floodplain
ft.
ft
Ordinary High -Water Mark (OHWM)
,js fL
fi.
Other (describe)
R
ft.
flu
APR ;,dui
SECTION
G: Additional
Questions
LW Yes
O No
Has the location of the proposed project including eaves and overhangs and the sanitary system and well been
staked? If no, what date will this be completed:
$I 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.
❑ Yes
RNo
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
.No
Is there an existing sanitary system on the property? If yes, what kind?
❑ Drainfield 0 Holding Tank O Municipal/Public ❑ Other (describe):
❑ Yes
No
Will pressurized water be installed in the structure? If yes, what kind of sanitary system will be installed or used
to manage wastewater?
0 Drainfield 0 Holding Tank 0 Municipal/Public ❑ Other (describe):
❑ Yes
9. 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 O Class B Special Use O Conditional Use O Variance
Fee payment will be made via:
Check (attached) ❑ Cash (attached) ❑ debit/credit/echeck (department to call once payment is ready to be taken)
How would you like to receive your permit card?
O Mail to: OR Z Email to: f-Gc)7s'jgsa ,m4//, ep,r9
O Property Owner Address O Agent Address O Contractor Address gOther (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, o.'mi.tnr\ ruhic 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) fiuther 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/fl4 r S46Iyf7.) J
{ —
Owner(s) or Authorized Agent Signature: Date:
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
Impervious Surface Calculations
RRD, APR 28 2025
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):
?rsty io Cu dc.LAG..
Mailing Address: a3 y //,ttc.:,/'s fr 4R
Property Address 5/�i9!c c/ /$,f f,)-3 -1" 4
- /dn11,0A) h/r r9o/p
/J��/n1/Nd�s..o Grit ≤rys,
Legal Description:
Section, Township, Range
1/4, 1/4,
e/
Sec Township y7 N, Range CW
Authorized Agent/Contractor
Gov't Lot
Lot #
CSM#
vol & Page
Lot(s) #
Block(s) #
Subdivision
Town of:
Parcel ID # (PIN #)
�-
Tax ID #
Date:
O4- 0 / 8 - - Yf o )� -.3 c -3
1,4,
439,E
__
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)
r1 (r no IL II 'd!1 iti iri,
u v Lii
Existing House
n
I IH
7fl?�n.3
�0
Existing Accessory
/) 6ea ar E ,
Building/Garage
aId Ci.iJH �.. 30
Existing Sidewalk(s), Patio(s) &
Deck(s)
t«4-
C°enev-'r £cA3� - s
Existing Covered Porch(es),
,Q c€- rrvie. S�rruZ.r,rrrk-
�Dv
Driveway & Other Structures
Wao ov
Proposed Addition/House
Proposed Accessory
Building/Garage
Proposed Sidewalk(s) & Patio(s)
Proposed Covered Porch(es) &
Deck(s)
Proposed Driveway
Proposed Other Structures
,1 9 a
N h
'�ya„�
I, 1I ath v/49,,
Total:
/4. 5y
a. Total square footage of lot: /3.s Odc2
b. Total impervious surface area: /3,387
c. Percentage of Impervious surface area: 100 x (b)/a = 9, 9 2o
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:
Condition(s):
Stormwater
Management Plan Required:
Eves ❑ No
Signature of Inspector:
Date of Approval:
ulforms/iimpervioussurface
Created: May 2012 ()Apr 2016; Sept 2020) Proofed by:
April23, 2025
Dear Mr. Roush
(111 APR 2 8l UL5
Bayfield Co. Zoning Dept.
Please find enclosed applications for a screen house and impervious surface calculations
for our screen house project at 48464 Larson Road, Drummond. A check for $240
(Application $215 and Impervious calculation $25) is enclosed
Please contact me with any questions at 715-308-0320. Please contact my caretaker Ted
Desrosiers at 218-580-0482 to inform him of the date and approximate time of your site
visit so he would be available if you have any questions.
Thank you for your assistance.
Sincerely,
Tom Johnson
2307 Hillcrest Drive ,Hudson, Wi 54016
1111 MAY 1 3 2025
AFFIDAVIT OF AUTHORITY
(Corporation, LLC, etc.)
Bayfield Co. Zoning DepL
PURPOSE. This Affidavit of Authority is used to certify the individual submitting an application is
authorized when the property is owned by a corporate/business entity.
STATE OF WISCONSIN
) ss.
BAYFIELD COUNTY
The undersigned affirms and states as follows:
1. Address of Subject Property: Y8Vc `/ oa2.r-" .E�vAD
ws
2. The Subject Property is owned by: —'�"`2'0 �v✓Fr 4G C -
(Name of Company)
3. The name(s) of the current President or Managing Member: j1j4
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
sufferiny a damage resulting from any illegalities of the application.
Dated: ��
Print Name
74-h
Subscribed and sworn to before me this 7
day of rne, , 2Q&.
Notary Public, County, Wisconsin OTA9 .
My commission: p; r 5 ' ci !v r)r' ) = * ; Jf
wiRGOtY
Land Use Permit Application Review Checklist
1
Submission #:L_LI{-
What zoning district is the project loca ed in?
flR-1 ❑R-2 ❑R-3 ❑R-4 DR-RB ❑C ❑I ❑M ❑A-1 ❑A-2 ❑F-1 ❑F-2 ❑W DM -M
❑ Yes ,fl'No
Is lot substandard (does not meet current zoning dimensional requirements)?
Deed of record:
S es ❑ 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)?
l I`Yes ❑ No
Is impervious surface required? (Required if riparian lot OR lot is entirely within 300 feet of OHWM of
navigable waterway)
❑ Yes gislo
Is the project located in the Floodplain?
Zone:
Yes ❑ No
Are there wetlands on the property?
❑ Yes "No
Is project associated with a nonconforming use or structure?
❑ Yes 'too
Is project associated with a variance?
I
Case #:
❑ Yes [ No
Is project associated with a Special B or Conditional Use Permit?
Permit #:
❑ Yes No
Is the project associated with a Special A Use Permit?
❑ Yes 'No
Does the project require sanitary?
❑ Existing ❑ New 0 Intercept ❑ Reconnect ❑ Non -Plumbing ❑ Public
Sanitary Permit #:
❑ Yes I No
Does the project require mitigation?
/
Implementation Deadline: of Compliance:
❑ Yes No
-Date
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?
Eyes O No
Did applicant/property owner mark lot line(s), if project is within 30 feet of required setback?
Project use is? Residential ❑ Commercial O Municipal
Project type is?11 New Construction O Addition/Alteration O Change Use O Relocate ❑ RV Placement O Sign
❑ Establishing a Business ❑ Temporary O Shoreland Grading O Other, describe:
Structure Type is: O Residence O Principal Structure O Accessory Structure ❑ Boathouse (one story only)
,'Open-sided/Screened Structure (gazebo, etc.) O Stairway to navigable waters ❑ Mobile Home
❑ Shipping Container 0 Other, describe
Total Sq. Ft. of Project: Z Number of Stories: Overall Height: /
Calculated Fee Category:
❑ Residential Principal Structures - $0.75/square foot (minimum $125)
❑ Habitable Residential Accessory Structures - $0.50/square foot (minimum $75)
son -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 St uctures - $0.20/square foot (minimum $75)
Calculated Fee Amount: j 2- '('b
Additional Fees: O Return Inspection O Land Use Revisions ❑ Special Use Permit - Class A O After -the -Fact (ATF)
❑ Floodplain O Shoreland - Impervious Surface ❑ Shoreland - Non -Conforming, etc. ❑ Tower Siting/Collocation 1
❑ Tower Collocation 2 ❑ Metallic Mine
ATF Fee Amount:
Inspected by: .c�yf 0 I
Date of Inspection:
Re -Inspected by:
Date of Re -Inspection:
Denied by:
Date of Denial:
Reason for Denial:
Date Denial Letter Mailed:
Approved by: Date of Approval:
0U b -6-
Condition(s):
ivlust meet and maintain setbacks from furthest extension of structure including eaves and
overhangs.
❑ For personal storage only.
0 For personal residence only.
Not for human habitation or sleeping purposes.
❑ Town/State/DNR/Federal may require permitting
❑ A Uniform Dwelling Code (UDC) Permit from the locally contracted UDC Inspection Agency must be
obtained prior to the start of construction.
❑ A Uniform Dwelling Code (UDC) Permit from the locally contracted UDC Inspection Agency must be
obtained prior to the start of construction (if applicable).
75 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.
pJo be constructed per plan.
❑ Adhere to privy agreement.
❑ Temporary permit allowing existing structure for a period of less than 1 year.
❑ RV may not be used for permanent residence or storage.
❑ RV allowed for
❑ RV must be removed by
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
'n 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-tYFIELD 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.
ISLAND COVE LLC LU-01635
2307 HILLCREST DR
HUDSON, WI 54016 Transaction Number:
LU-01635-2A778
Description Amount
Gazebo $215.00
Shoreland - Impervious Surface $25.00
Verified Fee Amount $0.00
Total: $240.00
Payment Amount: $240.00
Reference: 5508
Paid by: THOMAS & BARBARA JOHNSON, 2307 HILLCREST DR, HUDSON, WI
54016
Payment Type: Check
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 -
SPECIAL A -
SPECIAL B/CONDITIONAL —
BOA —
No. 25-0241 Tax ID: 33982
Issued To: ISLAND COVE LLC
Location: S22 - T44N - R07W
Town of Drummond
BAYFIELD COUNTY
PERMIT
WEATHERIZE AND POST THIS PERMIT
ON THE PREMISES DURING CONSTRUCTION
Legal Description: LOT 1 CSM #1447 IN V.8 P.362 (LOCATED IN GOVT LOT 2) IN V.987 P.693 TOG WITH 29.31' X 150' PAR
DESC IN V.1152 P.422 188G
Residential Structure in R-1 zoning district
For: New Construction [1 - Story], Open-sided/Screened Structure (gazebo, etc.) on Ground [192 Total sq. ft.] Height of 16'
(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.
Scott Roush
Authorized Issuing Official
May 06, 2025
Date
Condition(s): Must meet and maintain setbacks from furthest extension of structure including eaves and overhangs.
Not for human habitation or sleeping purposes.
Use best management practices to limit and prevent erosion during construction.
To be constructed per plan.
No sewer and pressurized water allowed in the structure.
No plumbing or plumbing fixtures allowed.
No additional sleeping areas allowed without obtaining necessary sanitary permit(s).
Land use permits shall be required for any new residence, any building or structure erected, relocated, rebuilt,
or structurally altered
Land use permits shall be obtained prior to the initiation of construction or a change in land use