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25-0266
Return to: County Use Only: 117E 5th Street, POBox 58 Bapfield County Planning and Zoning Department Submission #: f,U," D1 Washburn, W154891 LAND USE PERMIT APPLICATION I permit #: 25-Oub permits(o�bayfieldcountv_.,i.got' Date: CI IflI //2 I'ropei'ty Owner N,une: Authorized Agent Name (if applicable): 1/fl j0t/2U C• i tf! iLii1ai Telephone N tuber: Telephone Number: ' 4z -1010 E -Mail Address:• E -Mail Address: h n &v,I.(tm Mailing Addre : Mailing Address: City, Sta e, Zip: City, State, Zip: Contractor: Telephone Number: I E \tail Address: 5e IC J-;nn-Tll)11"li)/r;P. Project Address Tax ID C': ling address): attach a Y, Town Of&/yiI/it ' Lot Size (Acrbs/Square Feet): Project Use is: GYResidential ❑ Commercial 0 Municipal Project Type is: 0 New Construction l' Addition/Alteration (existing structure) ❑ Change Use (existing structure) 0 Relocate (existing structure) 0 RV Placement 21t- days ❑ Sign 0 Establishing a Business 0 Temporary (12 or less months) ❑ Shoreland Grading, Class A 0 RV Placement 4+ months, Class A 0 Other (describe): SECTION D: Structure Information (Does not apply to RVs and Signs, go to Section E) S7rtrcna•c i)pe ix: 0 Residence ❑ Principal Structure (describe): l'Accessory Structure (describe): 0 Shoreland Exem t Structure (describe): 0 Mobile Home (provide manufactured iygpk ij1tiC1f9,r"G Cur '1t5 tvitYwtqelo�q. t -this i5 AA date): ❑ Shipping Container Otlier�tlesZ:Filfd)tn9 $)12c(• Foundation Type: 0 Basement 0 Walkout Basement la Slab 0 Crawlspace 0 Ground 0 Skids 0 Other (explain): Existing Structure: Length: 1(r' Width: f Proposed Struclnre (Provide Sq Ft based on outside dimensions, inehtdiirg unfinished areas, anached gars, Basement Sq Ft: 1° Floor Sq Ft: Loft Sq Ft: Deck Sq Ft: 2n° Floor Sq Ft: Other Sq Ft (describe): 3`° Floor Sq Ft: Other Sq Ft (describe): Garage Sq Ft: Porch Sq Ft: Total Sq Ft: Z-14 ! ti70 1 .fr, Overall Height (finished grade to peak): j (, t ;! of Stories: 1 Existing H of Bedrooms on property: Proposed # of Bedrooms in project: SECTION E: RV and Sin Information(check all that a) p y) Sign is: RI' is: ❑ New 0 Replacement 0 New ❑ Replacement ❑ On -premise 0 Off -premise ❑1 -sided 0 2 -sided Year: Vin II: ❑ On -building 0 Multi -Tenant Length: Width: Height: Make: Model: SECTION F: Site Plat — 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: l Driveways l Frontage Roads (include name) .V Existing Structures 5J. Well (W) R Septic Tank (ST) % Drain Field (OF) ❑ Holding Tank (HT) ❑ Privy (P) ❑ Lake 0 River Stream/Creek OPond DFloodplain ❑Wetlands DSlop es over 20% N Setback or distance from furthest extent of structure including eaves and overhangs to (include on site plan): County Use Only Verified setbacks Road Centerline -?S ft. 7f.j ft. Notes/Comments: �1 Ito )(I 4. Cv. �tYMtd Front Lot Line/Right-of-Way LI 3% ft. q n ft. Side Lot Line 1 orthDEast❑South❑West check one) ft. 0 ft. a0)+ Side Lot Line 2 North❑East®South❑West❑ check one) ft. a�f ft. Rear Lot Line f, ft. oo.(- ft. Septic/Bolding Tank ft. ft. Drainfield / 70 ft. W}. ft. Privy ft. IL Well a fl. a I ft. Existing Structure/Building See. p1 ft. ft. Wetland —__ ft. ft. Elevation of Floodplain ---- ft. ft. Ordinary High -Water Mark (OHWM) ft. 49 .f— ft. Other (describe) ft. ft. \'1 \\ 8 Z075 i 3\;;ieLd Co, Zoal iY Dept. A/vr+k prup-erfy 1iv� 346r -r fl Sep r s ysfe \ ni Wood� LJ 7 Dr, . w\r7o it if r Fr+1J ?Olt* Bar^ ` Dti✓e way west l.fhe 7!O Ft No W €Sf PfOllef ly Li4. SECTION G: Additional Qiiesfoiis ❑ Yes 0 No l las 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: ❑ Yes (T 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 INo 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 0 No Is there an existing sanitary system on the property? If yes, what kind? ❑ Drainfield ❑ Holdin Tank ❑ Municipal/Public 9 Other(describe):Y)lp ❑ Yes i No Will pressurized water be installed in the structure? If yes, what kind of sanitary system will bb installed or used to manage wastewater? ❑ Drainfreld ❑Holdin Tank ❑ Municipa /Public ❑ Other (describe): ❑ Yes Q 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 0 Class A Special Use 0 Class B Special Use 0 Conditional Use 0 Variance Fee payment will be made via: LECheck (attached) 0 Cash (attached) 0 debit/credit/echeck (department to call once payment is ready to be taken) How would you like to receive your permit card? Mail to: OR 0 Email to: 19 Property Owner Address 0 Agent Address 0 Contractor Address 0 Other (provide Name and Email or Address): Section H: Acknowledgement and Signature All Land Use Permits expire Teo (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.eov/topic/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: U: i 1rt6'' I' ,20 Owner(s) or Authorized Agent Signatu%/IAMre: 6v" Date:.i L NOTES: 1. If you are signing on behalf of the owner(s) a letter of authorization must accompany this application. 2. Specific conditionslinstructions 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 MAY 1 4 Z025 These calculations are REQUIRED per WI Admin Code NR 115.05(1)(e) and Sectiong)j h$FJ i^a 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): FlmdA d'C i' W reept Mailing Address: Property Address 33709' % rD,n24 RA W shbtu w 00r,os&n 2n RA £49s4h ugh w ' $'-I24 Legal Dggcription: nrr' S 48q/ JW 1/4, ,V Section, Township, Range Sec LA? Township Li 9i N, Range 0 W Authorized Agent/Contractor Gov't Lot Lot # CSM# Vol & Page a q RS f42ac Lot(s) # Block(s) # Subdivision Town of: /3 W Parcel ID # (PIN #) Tax ID # Date: 04- OO 8'- 2 - u(q -0z(-.2(- 03-oov -4'aoa &, St(( Y ( 3 - (3 ' 1 O C 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 (Sp4iarr F�t1 i Existing Housed-{�r�l (morn y X a �� room atk 33 8 MAY 1, 4 [025 Existing Accessory Building/Garage 82 r k 53 X 3 b Bayfilsld Co. Zoning Dep ( 9 0 S' Existing Sidewalk(s), Patio(s) & Deck(s) w y Sx a 5x/ 5>< 30S Existing Covered Porch(es),Ga7ebo Driveway & Other Structures / 4/ c /6 2 2,'-( Proposed Addition/House Proposed Accessory Building/Garage _S ou. e Shed /6 x Ifr 88 Proposed Sidewalk(& & Patio(s) Prod Covered Porch(es) & Deck(s) beck (3 k / i) /p 3 • Driveway J Other Structures Pole Barn 30x l350 Pole 82e Utiewy S 16 Total: a. Total square footage of lot: 320J2 '7R 8 Spy. 1. b. Total impervious surface area: /O / 67 c. Percentage of impervious surface area: 100 x (b)/a = 2.62 If the proposed impervious surface area is greater than 15% mitigation is required. Total square footage of additional impervious surface allowed: @ 15% @ 30% Issuance Information (County Use Only) Date of Inspection: Inspection Record: Zoning District ( ) Lakes Classification ( ) Condition(s): Stormwater Management Plan Required: ❑ Yes ❑ No Signature of Inspector: Date of Approval u/forms/impervioussurface Created: May 2012 (®Apr 2016; Sept 2020) Proofed by: 5/15/25, 10:48 AM Novus-Wisconsin Access rev. 12.0206 Real Estate Bayfield County Property Listing Today's Date: 5/15/2025 S Description Tax ID: PIN: Legacy PIN: Map ID: Municipality: STR: Description: Recorded Acres: Calculated Acres: Lottery Claims: First Dollar: Zoning: ESN: V Tax Districts 1 04 008 046027 001700 Property Status: Current Created On: 3/15/2006 1:14:59 PM Updated: 9/23/2004 ; Ownership Updated: 3/15/2006 6541 TIMOTHY 3 & CINDY WARREN WASHBURN WI 04-008-2-49-04-21-1 03-000-40000 008102507000 (008) TOWN OF BAYVIEW S21 T49N R04W PAR IN SW NE IN V.357 P.270 (LOT 2 OF CSM V.3 P.205) 191B 8.730 8.721 1 Yes (R-RB) Residential -Recreational Business 106 �* Recorded Documents Updated: 3/15/2006 STATE COUNTY TOWN OF BAYVIEW SCHL-WASHBURN TECHNICAL COLLEGE Updated: 8/3/2010 © TRANSFER ON DEATH Date Recorded: 7/8/2009 2009R-527648 1021-684 Billing Address: Mailing Address: TIMOTHY 3 & CINDY WARREN TIMOTHY J & CINDY 33700 FROSTMAN RD WARREN WASHBURN WI 54891 33700 FROSTMAN RD WASHBURN WI 54891 P Site Address * indicates Private Road 33700FROSTMAN RD WASHBURN 54891 Property Assessment 2025 Assessment Detail Code G1 -RESIDENTIAL G6 -PRODUCTIVE FOREST Updated: 8/8/2023 Acres Land Imp. 2.000 20,000 239,400 6.730 10,800 0 2 -Year Comparison 2024 2025 Change Land: 30,800 30,800 0.0% Improved: 239,400 239,400 0.0% Total: 270,200 270,200 0.0% MProperty History https://novus.bayfiieldcounty.wi.gov/access/master.asp?paprpid=6541 1/1 Bayfield County, WI Bayfield County, WI 5/15/2025, 10:48:55AM 1:1,237 Rivers Building Footprint 2015 0 Approximate Parcel Boundary ' Road Type Building Town 0 0.01 0.03 0.06 mi 0 0.02 0.04 0.09 km Bayflek County Lend Records OepaNnent BeMeid County Zoning Application pnpallmnpe.Cayflelernunlywi. goviZoning WABI Land Use Permit Application Review Checklist Submission #: What zoning district is the project toted in? ❑R-1 ❑R-2 ❑R-3 ❑R-4 I,4RB ❑C ❑I ❑M ❑A-1 ❑A-2 ❑F-1 ❑F-2 ❑W DM -M ❑ Yes No Is lot substandard (does not meet current zoning dimensional requirements)? Deed of record: Ves ❑ 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 1610 Is the project located in the Floodplain? Zone: ❑ Yes 624 Are there wetlands on the property? ❑ Yes RNft Is project associated with a nonconforming use or structure? ❑ Yes 4jo Is project associated with a variance? Case #: ❑ Yes No Is project associated with a Special B or Conditional Use Permit? Permit #: ❑ Yes Is the project associated with a Special A Use Permit? ❑ Yes C4o Does the project require sanitary? ❑ Existing ❑ New O Intercept O Reconnect ❑ Non -Plumbing ❑ Public Sanitary Permit #: ❑ Yes No Does the project require mitigation? Implementation Deadline: Date of Compliance: ❑ Yes fflXo Does the project require an affidavit? Affidavit #: ❑ Yes I '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? ❑ New Construction Addition/Alteration ❑ Change Use ❑ Relocate ❑ RV Placement ❑ Sign ❑ Establishing a Business ❑ Temporary ❑ Shoreland Grading ❑ Other, describe: Structure Type is: ❑ Residence O Principal Structure G1/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: ❑ Residential Principal Structures - $0.75/square foot (minimum $125) ❑� Habitable Residential Accessory Structures - $0.50/square foot (minimum $75) 11J'14n-Habitable Residential Principal and Accessory Structures - $0.20/square foot (minimum $75) O 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: ❑ Return Inspection ❑ Land Use Revisions ❑ Special Use Permit - Class A ❑ After -the -Fact (ATF) ❑ Floodplain Xhoreland - Impervious Surface ❑ Shoreland - Non -Conforming, etc. ❑ Tower Siting/Collocation 1 ❑ Tower Collocation 2 ❑ Metallic Mine ATF Fee Amount: Inspected by: eml R(61:I I vr41y j, 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: MA4 flacmIUiicti GE2i / a.o ate' Condjion(s): Must meet and maintain setbacks from furthest extension of structure including eaves and overhangs. O For personal storage only. ❑ For personal residence only. 2'(Vf t for human habitation or sleeping purposes. 6�'I'own/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). ❑ Use best management practices to limit and prevent erosion during construction. ❑ This permit cannot be transferred if property is sold. ❑ A Bayfield County Health Dept permit is required. ❑ Check with Town regarding room tax. ❑ Short -Term Rental is for a maximum occupancy of persons. ❑ Sign must meet the requirements of Article E of the Bayfield County Zoning Ordinance. ❑ To be constructed per plan. ❑ Adhere to privy agreement. ❑ Temporary permit allowing existing structure for a period of less than 1 year. ❑ RV may not be used for permanent residence or storage. ❑ RV allowed for ❑ 5y -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: HAYFIELD 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. WARREN, TIMOTHY J & CINDY LU-01660 33700 FROSTMAN RD WASHBURN, WI 54891 Transaction Number: LU-01660-2B356 Description Amount Shoreland - Impervious Surface $25.00 Verified Fee Amount $0.00 Non -Habitable Residential Principal and Accessory $75.00 Structures - $0.20/ square foot (minimum $75) Total: $100.00 Payment Amount: $100.00 Reference: 12503 & 12502 Paid by: TIMOTHY J & CYNTHIA GARNICH WARREN 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 I Nonconforming - No Shoreland — Yes / Impervious Surface - Yes Floodplain - No / Wetlands - No Mitigation - No / Affidavit #: LAND USE - X SANITARY - SPECIAL A - SPECIAL B/CONDITIONAL — BOA — No. 25-0266 Tax ID: 6541 Issued To: WARREN, TIMOTHY J & CINDY Location: S21 - T49N - R04W Town of Bayview dYtX14 I4 _ WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION Legal Description: PAR IN SW NE IN V.357 P.270 (LOT 2 OF CSM V.3 P.205) 191B Residential Structure in R-RB zoning district For: Addition/Alteration [1 - Story], Accessory Structure on a Slab [288 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. Emily Macgillivray Authorized Issuing Official May 16, 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. Town/State/DNR/Federal may require permitting No sewer and pressurized water allowed in the structure.