HomeMy WebLinkAbout25-0259Return to:' County Use Only:
117 E;5th Street, PO Box 58 Bayfield County Planning and Zoning Department Submission #: j -
Washburn, WI 54891 LAND USE PERMIT APPLICATION Permit #: 2. i5
permits@bayfieldcounty.wi.gov 5/LJ_2b Date:
\u� l
SECTION A: General Information -
Property Owner Name:
Authorized Agent Name (if applicable):
.1 ..i.. e-
Telephone N tuber:
Telephone Number:
7/C —b 7-62 a 7
E -Mail Address:
E -Mail Address:
/L 4 ,w+tl I
Mailing Address:
Mailing Address:
yvS vc'
Cjt,y, State, Zip:
City, State, Zip:
PA: //, 4Ji: 3f S55
Contractor:
Oki
Telephone Number: E-Mail'Address:
;C
7/6 Cc? 2— PizS ecn c e,,cLckey
SECTION B: Property Information
Project Address (if different mailing address): L32 �� �D�
sA /ti.�C
Legal Description (if additional space is needed attach a separate sheet):
5 9& zt
Section, Township, Range: Se 3 a Ty S Town of:
Tax ID #: /G Lot Size (Acres/Square Feet): Voce -'Cs
SECTION C: Project Information check all that apply):
Project Use is: Residential ❑ Commercial ❑ Municipal
Project Type is: h1 New Construction ❑ Addition/Alteration (existing structure)
El Change Use (existing structure) ❑ Relocate (existing structure) ❑ RV Placement 21+ days
❑ Sign ❑ Establishing a Business El Temporary (12 or less months)
❑ Shoreland Grading, Class A ❑ RV Placement 4+ months, Class A ❑ Other (describe):
required (Total sft): required
SECTION D: Srtructure Information (Does not apply to RVs and Signs, eo $Section E)
Structure Type is: (xl Residence ❑ Principal Structure (describe):
❑ Accessory Structure (describe): ❑ Shoreland Exempt Structure (describe): ❑ Mobile Home (provide manufactured
date):
El Shipping Container ❑ Other (describe):
Foundation Type:
❑ Basement El Walkout Basement 'Slab ❑ Crawlspace ❑ Ground ❑ Skids ❑ Other (explain):
Existing Structure: Length: Width: Height:
Proposed Structure (Provide Sq Ft based on outside dimensions, including unfinished areas, attached garages/above grade
decks/porches):
Basement S t:
I" Floor Sq Ft:
Loft Sq Ft:
2"d Floor Sq Ft:
3`d Floor Sq Ft
is
Garage Sq Ft:
Porch Sq Ft:
Deck Sq Ft:
Jther Sq Ft (describe):
Other Sq Ft (describe):
yy�
a
SO X...AA., c...
D
Total Sq Ft: ,38
Overall Height (finished grade to peak): 9'
# of Stories: / Existing # of Bedrooms on property: Q
Proposed # of Bedrooms in project:
SECTION E: RV and Sign Information (check all thata 1 ) -
Sign is:
RV is:
El New ❑ Replacement
El New ❑ Replacement
❑ On -premise ❑ Off -premise
❑ 1 -sided El 2 -sided
Year: Vin #:
❑ On -building El Multi -Tenant
Length: Width: Height:
Make: Model:
SECTION F: Site Plan — attach a site plan or draw site plan in box below (See pages 1 & 2 of Land Use Permit Application
Information for information that is required to be provided on
site plan)
Show location of:
❑ Driveways ❑ Frontage Roads (include name) ❑ Existing
Structures ❑ Well (W) ❑ Septic Tank (ST) ❑ Drain Field (DF)
❑ Holding Tank (HT) ❑ Privy (P) ❑ Lake ❑ River ❑Stream/Creek
❑Pond ❑Floodplain ❑Wetlands ❑Slopes over 20%
N
l`S4cres
L _Z?
e
ti
/te
h t 1. t t dl 11q w>; G �„f� soo X54
-9'-'..
D
� �l well
s"xtst;� _
Gay.c
�Cto f
l
Setback or distance from furthest extent of structure
County Use Only
including eaves and overhangs to (include on site plan):
Verified setbacks
Road Centerline
2 V6L ft.
ft.
Notes/Comments:
Front Lot Line/Right-of-Way
e o f ft.
ft.
Side Lot ne 1
5�a h ft.
ft.
No East outh West, circle one
Side Lo me 2
h. ft.
ft.
(North East South es circle one)
v0
Rear Lot Line
2'/O i- ft.
ft.
Septic/Holding Tank
ft.
ft.
Drainfreld
ft.
ft.
Privy
N- ft.
ft.
Well
r'o ft.
ft.
Existing Structure/Building
ft.
ft.
Wetland
� ft.
ft.
Elevation of Floodplain
ft.
ft.
Ordinary High -Water Mark (OHWM)
ft.
ft.
Other (describe) it i
too ft.
ft.
j 4
SECTJDJN.4:. Additional Questions
Fg Yes
❑ No
Has the location of the proposed project including eaves and overhangs and the sanitaryfystem and well been
staked? If no, what date will this be completed:
❑ 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
71 No
Did property owner or applicant mark lot line(s) if project is within 30 feet of required setback? See page 2 of
Land Use Application Information for required setbacks.
El Yes
7 No
Is there an existing sanitary system on the property? If yes, what kind?
❑ Drainfield ❑ Holding Tank ❑ Municipal/Public ❑ Other (describe):
Yes
El 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 ❑ Holding Tank El Municipal/Public $ Other (describe): M✓..n.L
lYes
❑ No
Will sleeping occur in the structure? If yes, contact local Uniform Dwelling Code (IJDC) for approval and
inspection requirements.
Is the project associated with any of the following:
El Rezone ❑ Class A Special Use ❑ Class B Special Use ❑ Conditional Use ❑ Variance
Fee payment will be made via:
❑ Check (attached) El Cash (attached) ❑ debit/credit/echeck (department to call once payment is ready to be taken)
How would you like to receive your permit card?
N Mail to: OR ❑ Email to:
OS Property Owner Address ❑ Agent Address ❑ Contractor Address 0 Other (provide Name and Email or Address):
Section H: Acknowledgement and Signature
All Land Use Permits expire Two (2) Years from the date of issuance if construction or use has not begun. Sanitary Permit
issuance, if required, needs to occur prior to Land Use Permit issuance. Failure to obtain a permit or starting construction without a
permit will result in penalties.
The local Town, Village, City, State or Federal agencies may also require permits. The new construction of one- & two-family
dwellings requires review and approval by the local Uniform Dwelling Code (UDC) authority. Additions and alterations to one -
and two-family dwellings may require review and approval by the UDC authority. All municipalities are required to enforce the
UDC.
If subject property is part of a Condominium Plat, applicant hereby certifies and represents that applicant has all necessary
approvals and recorded documents required to complete the project for which this permit is sought including requirements set forth
in Wisconsin statutes pertaining to condominium associations, the Declaration of the Condominium Association in which the
property is located, and all other rules, regulations and requirements pertaining to that Condominium Association.
You are responsible for complying with state and federal laws concerning construction near or on wetlands, lakes, and streams.
Wetlands that are not associated with open water can be difficult to identify. Failure to comply may result in removal or
modification of construction that violates the law or other penalties or costs. For more information, visit the Department of Natural
Resources wetlands identification web page, dnr.wi.gov/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.
Owner(s) or Authorized Agent Printed Name: Points.. w..-.er,c<
Owner(s) or Authorized Agent Signature: f 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 roject.
DEC 2 6 2024
_T0P OF PLA _
R
0'
TOP OF 6U8FL00
_ _ _TOP OF PLOT
9
TOP OF &1BFLOO
4
TION \ 5
TOP OF PLAT
TOPOFP T
m 0
TOP OF &10FL O
CROSS SEC
K1J) SCALE: 1/S" - 1'-O"
SOUTH ELEVATION
SCALE: O,O45211 II_O11
NORTH ELEVATION
SCALE: 0.0482" = 11 O11
WEST ELEVATION
SCALE: 1/16" - I' -O"
IL
EAST ELEVATION
SCALE: O.OSOO" = 11 O11
f .7
Bayfield County, WI
1/9/2025, 11:55:59 AM 1:1,396
Wetlands Road Type 0 0.02 0.04 0.07 ml
State Building Footprint 2015 0 I 0.03 0.0 0.11 km
Approximate Parcel Boundary • Building
Town
BaNeN County Land Row,ds Department
Bayfeld County Zoning Application
Mips/Imapt.bayfeldwunrywi govloningWAB!
I/1/9/25, 11:55 AM Novus-Wisconsin Access rev. 12.0206
Real Estate Bayfield County Property Listing Property Status: Current
Today's Date: 1/9/2025 Created On: 3/15/2006 1:15:24 PM
BDescription
Tax ID:
PIN:
Legacy PIN:
Map ID:
Municipality:
STR:
Description:
Recorded Acres:
Calculated Acres:
Lottery Claims:
First Dollar:
Zoning:
ESN:
Updated: 9/18/2018 a Ownership Updated; 9/18/2018
16055 RODNEY DYMESICH PHILLIPS WI
04-020-2.47-05-32-3 04-000-10000
020106809000
(020) TOWN OF EILEEN
532 T47N R05W
SE SW IN V.885 P.203 570 IM 2004R-
489659
40.000
39.669
0
Yes
(AG -1) Agricultural -1
113
i
Tax Districts Updated: 3/15/2006
1
STATE
04
COUNTY
020
TOWN OF EILEEN
020170
ASHLAND SCHOOL
001700
TECHNICAL COLLEGE
4 Recorded Documents Updated: 3/15/2006
O CONVERSION
Date Recorded: 489659 714-31;787-146;885-203
Billing Address:
RODNEY DYMESICH
405 SOUTH AVON AVE
PHILLIPS WI 54555
Mailing Address:
RODNEY DYMESICH
405 SOUTH AVON AVE
PHILLIPS WI 54555
11 Site Address * indicates Private Road
26260 STATE HWY 118
ASHLAND 54806
® Property Assessment
Updated:
3/13/2024
2024 Assessment Detail
Code
Acres
Land
Imp.
G4 -AGRICULTURAL
37.000
8,400
0
G5 -UNDEVELOPED
2.000
200
0
G7 -OTHER
1.000
4,100
14,300
2 -Year Comparison
2023
2024
Change
Land:
11,800
12,700
7.6%
Improved:
14,300
14,300
0.0%
Total:
26,100
27,000
3.4%
] Property History /
Land Use Permit Application Review Checklist
Submission #: q
What zoning district is the project located in?
❑ R-1 ❑ R-2 ❑ R-3 ❑ R-4 ❑ R-RB ❑ C ❑ 1 ❑ M ,8 A-1 ❑ A-2 ❑ F-1 ❑ F-2 ❑ W ❑ M -M
❑ Yes 11 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 ,l No
Is impervious surface required? (Required if riparian lot OR lot is entirely within 300 feet of OHWM of
navigable waterway)
❑ Yes No
Is the project located in the Floodplain?
Zone:
❑ Yes No
Are there wetlands on the property?
❑ Yes ItNo
Is project associated with a nonconforming use or structure?
❑ Yes INo
Is project associated with a variance?
Case #:
❑ Yes No
Is project associated with a Special B or Conditional Use Permit?
/
Permit #:
❑ Yes ONO
Is the project associated with a Special A Use Permit?
_Yes ❑ No
Does the pro�jec require sanitary?
❑ Existing JQNew ❑ Intercept 0 Reconnect 0 Non -Plumbing ❑ Public
Sanitary Permit #: 16 — oC d +S
Does the project require mitigation?
❑ Yes C'No
Implementation Deadline: Date of Compliance:
❑ Yes No
Does the project require an affidavit?
Affidavit it:
❑ Yes ❑"No
Did licensed surveyor mark lot line(s), if project is within 10 feet of required setback?
❑ Yes 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? P'Ftew Construction ❑ Addition/Alteration O Change Use 0 Relocate O RV Placement 0 Sign
❑ Establishing a Business 0 Temporary O Shoreland Grading O Other, describe:
Structure Type is: O Residence Principal Structure 0 Accessory Structure O 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. 3482, Number of Stories: Overall Height:
Calculated Fee Category:
sidential 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: 2Z667
Additional Fees: ❑ Return Inspection 0 Land Use Revisions O Special Use Permit - Class A ❑ After -the -Fact (ATF)
O Floodplain O Shoreland - Impervious Surface O Shoreland - Non -Conforming, etc. O Tower Siting/Collocation 1
❑ Tower Collocation 2 ❑ Metallic Mine
ATF Fee Amount:
Inspected by
Date ofIns ectio
z� zs
Re -Inspected by:
Date o Re -Inspection:
Denied by:
Date of Denial:
Reason for Denial:
Date Denial Letter Mailed:
Approved Date of Approval:
Condition(s):
❑ Must meet and maintain setbacks from furthest extension of structure including eaves and
overhangs.
❑ Fgr personal storage only.
fl'For personal residence only.
❑ Not for human habitation or sleeping purposes.
own/State/DNR/Federal may require permitting
,ZiUniform Dwelling Code (UDC) Permit from the locally contracted UDC Inspection Agency must be
obtained prior to the start of construction.
❑ A Uniform Dwelling Code (UDC) Permit from the locally contracted UDC Inspection Agency must be
obtained prior to the start of construction (if applicable).
❑ Use best management practices to limit and prevent erosion during construction.
❑ This permit cannot be transferred if property is sold.
❑ A Bayfield County Health Dept permit is required.
❑ Check with Town regarding room tax.
❑ Short -Term Rental is for a maximum occupancy of persons.
❑ Si n must meet the requirements of Article E of the Bayfield County Zoning Ordinance.
To be constructed per plan.
❑ Adhere to privy agreement.
❑ Temporary permit allowing existing structure for a period of less than 1 year.
❑ RV may not be used for permanent residence or storage.
❑ RV allowed for
❑ RV must be removed by
❑ 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
❑ 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 -4-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:
DYMESICH, RODNEY
405 SOUTH AVON AVE
PHILLIPS, WI 54555
Description
Verified Fee Amount
Residential Principal Structures - $0.75/square foot
(minimum $125)
Submission Number:
LU-01447
Transaction Number:
LU-01447-2B069
Amount
$0.00
$2,865.75
Total: $2,865.75
Payment Amount: $2,865.75
Reference: 2102
Paid by: RODNEY DYMSEICH
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 — No / Impervious Surface - No
Floodplain - No I Wetlands - No
Mitigation - No / Affidavit #:
LAND USE -X
X
SANITARY - New 25-22S
SPECIAL A -
SPECIAL B/CONDITIONAL -
BOA -
BAYFIELD COUNTY
PERMIT
WEATHERIZE AND POST THIS PERMIT
ON THE PREMISES DURING CONSTRUCTION
No. 25-0259 Tax ID: 16055
Issued To: DYMESICH, RODNEY
Location: S32 - T47N - R05W
Town of Eileen
Legal Description: SE SW IN V.885 P.203 570 IM 2004R-489659
Residential Structure in A-1 zoning district
For: New Construction [1 - Story], Principal Structure on a Slab [3882 Total sq. ft.] Height of 19'
(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 Tracy Pooler
work or land use has not begun.
Authorized Issuing Official
Changes in plans or specifications shall not be made without obtaining approval.
This permit may be void or revoked if any of the application information is found
to have been misrepresented, erroneous, or incomplete. May 13, 2025
This permit may be void or revoked if any performance conditions are not Date
completed or if any prohibitory conditions are violated.
Condition(s): For personal residence only.
Town/State/DNR/Federal may require permitting
A Uniform Dwelling Code (UDC) Permit from the locally contracted UDC Inspection Agency must be obtained
prior to the start of construction.
To be constructed per plan.