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HomeMy WebLinkAbout25-0282Return to: County Use Only: 117 E 5`^ Street, PO Box 58 Bavfiekl County Planning and Zoning Department Submission #: W-0 34 Washburn, WI 54891 ARE USE PERMIT APPLICATION Permit #: S- 0222 permitsi�bavfeldcountv.w ^ov L7 'II2y!th Date: 5/7�%2� •'UEb Ii Jit-Hi- flUfl U-ffflUffgf%*Uff -- Property Owner Name:. Authorized Agent Name (if applicable): Josepri'an`arNN/ yann S�ignorelli 4 TelepphhoneNumber: Telephone Number. 218-390-5915 Mailing Address: City, State, Zip: City, State, Zip: Duluth, MN 55804 firnle- is L , VC 22viI /I D -ca / I Ciiucle.5Cnclo/ a r e . SECTION B: Pr perty Information - Project Address (if different from mailing address): 66740 FR 419 Mason, WI 54856 Legal Description (if additional space is needed attach a separate sheet): Lot I CSM#2250 in V13 P 9t As Doc 20228-596538 (Located in NWNW& W 8 SW N% Section, Township, Range: S23, T47N, R07W Town of: (028) Keystone Tax ID #: 38871 Lot Size (Acres/Square Feet): 35.090 Project Use is: ❑ Residential ❑ Commercial ❑ Municipal Project Type is: 21 New Construction ❑ Addition/Alteration (existing structure) ❑ Change Use (existing structure) O Relocate (existing structure) ❑ RV Placement 21+ days ❑ Sign O Establishing a Business O Temporary (12 or less months) ❑ Shoreland Grading, Class A ❑ RV Placement 4+ months, Class A ❑ Other (describe): I SEC'I ION D: Structure Intormation floes not appLy to KVsana signs, o to becnon zz Structure 7}pe is: ❑ Residence ❑ Principal Structure (describe): ❑ Accessory Structure (describe): ❑ Shoreland Exempt Structure (describe): ❑ Mobile Home (provide manufactured date): O Shipping Container O Other (describe): Foundation Type: ❑ Basement i] Walkout Basement O Slab 0 Crawlspace O Ground O Skids O Other (explain): Existing Structure: Storage Building Length: 40 Width: 24 Height: 10 Proposed Structure (Provide Sq Ft based on outside dimensions, including unfinished areas, attached garages/above grade Basement Sq Ft: 1" Floor Sq Ft: Loft Sq Ft: 2n°Floor Sq Ft: 3ro Floor Sq Ft: 960 960 n/a 576 n/a Garage Sq Ft Porch Sq Ft: Deck Sq Ft: Other Sq Ft (describe): Other Sq Ft (describe): 1344 192 280 n/a n/a Total Sq Ft 4312 Overall Height (finished grade to peak): 32 # of Stories: 2 Existing # of Bedrooms on property: 0 Proposed # of Bedrooms in project: 3 SECTI0N`S: RV amlSi Information check-allthata hy) Sign is: RL'is: ❑ New ❑ Replacement ❑ New ❑ Replacement ❑ On -premise ❑ Off -premise f7 1 -sided ❑ 2 -sided Year. Vin #: On -building ❑ 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: 0 Driveways O Frontage Roads (include name) a Existing Structures a Well (W) a Holding Tank (HT) ❑ Privy (P) ❑ Lake S River SStream/Creek 2]Pond ❑Flood Septic Tank (ST) a Drain Field (DF) lain ❑Wetlands aSlopes over 20% N 5e -V AC 8 2025 \ill APR282025 Bayfield Co. Zoning Dept. Setback or distance (mm furthest extent of structure including eaves and overhangs to (include on site plan): County Use Only Verified setbacks Road Centerline 500 ft. ft. Notes/Comments: Front Lot Line/Right-of-Way 500 R ft. Side Lot Line 1 orthEEastDSouthDWestf check one) 900 ft. ft. Side Lot Line 2 (NorthDEastDSouthElWestlj,check one) 750 ft. ft. RearLot Line 120 ft ft. Septic/Holding Tank 30 ft. ft. Drainfield 50 ft. ft. Privy nfa ft. ft. Well 60 ft ft. Existing Structure/Building 285 ft. ft. Wetland n/a ft. ft. Elevation of Floodplain n/a ft. ft. Ordinary High Water Mark (OHWM) t40 ft. ft. Other (describe) n/a ft. ft. SECTION G: Additional estions fl Yes ❑ 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: S ❑ Yes 7 No Did a licensed surveyor mark lot line(s) if project iswqhin 10 feet of required setb k? S� pa,g2 of Land:Use A L Applicationlnformationforrequiledsethacks. .4q,4 ) LI L 0 ❑ Yes ❑ No Did property owner or applicant mark lot line(s) if project is wi in 30 feet of required setback? See pa,ge 2 of Land Use Application Information for setbacks. N Bayfield Co. Zoning wept. ❑ Yes O No Is there an existing sanitary system on the property? If yes, kind? ❑ Drainfield ❑ Holding Tank ❑ Munici lic ❑ Other (describe): N Yes ❑ No Will pressurized water be installed in the structure?If yes, what kind of sanitary system wilt be installed or used to manage wastewater? J@ Drainfield ❑ Holding Tank ❑ Municipal/Public ❑ Other (describe): El Yes ❑ 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 DClassASpecialUse oClassBSpecialUse ❑ Conditional Use ❑ Variance Fee payment will be made via: a Check (attached) ❑ Cash (attached) ❑ debiticreditlecheck (department to call once payment is ready to be taken) How would you like to receive your permit card? O Mail to: OR El Email to: El Property Owner Address O Agent Address ❑ Contractor Address O 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/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 Hayfield 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 f the pwof inspection Owner(s) or Authorized Agent Printed Name: Owner(s) or Authorized Agent Signature: C Date: a a/ttc NOTES: 1. If you are signing on behalf of the o r(s) a letter of authorization must accompany this application. 2. Specific conditionsrnstructions may be stated on the face of the issued Land Use Permits. Owners, agents, & contractors must all be aware of pennit details & conditions and permit card must be posted on property prior to start of project Addy 667yb fR Yl9 TwY id : 38t71 /st /te, APR 282025 set cks- ` \\ NNSj N�+se to Au'i4. 5/ 1! ,.r In ' 1 t -PJ Bayfield Co Zoning Dept. St# S• U P�Pe 1� : !a°� S Pr Line 760' ^%t •SA �jP�d:�ya' 6� Ek roe Bt.: 22' j44 s'kS' bne sy\ Lo+ t v'e� T, { PI G6 L % Coriie�ibr l C 0) WRE I \ -J _ fk II Elevations o ( w;ae w( aye -%.,,.s t4l WRE Elevations in �j0 Ssew�• WRE Basement fl O N Q) p C Oaa cV O o p c' d ^� 4 41 ICJ 0 `NORTH NaN, (It rdw,II AMnm1 mbWWhfnmMg. l vs dam C 4 i Main Floor WRE 7 Vti --....... 2Or c=-= B II I I� - 11 Bubmfled II WRE C Q csE � O a 0 me 0 .0) Second Floor Letter of Authorization H E 0 E� Jt Bayfield County Planning & Zoning Department APR 282025 Bayfield Co. Zoning Dept. PURPOSE. This Letter of Authorization is used to authorize a single property owner to act on behalf of multiple property owners or a designated agent to act on behalf of the property ownerls. If multiple property owners, each property owner must submit this signed letter. I, (property owner), authorize a (authoriz agent) submit a xample: lanuse, special use, conditional use, rezone/map amendment, appeal, variance, text amendment, etc.) for the following described project (Example: construction of residence or other structure, short-term rental or other use change, etc.) ('i n on ,rF +7S ide&i P application on my behalf for the following described property: Legal description of subject property:7Th 38T7I /0i' 2CS,44 2:2SD Dt) 11. 13 P.J/ As y c.. aoaa —s96 53S Lrxk ,nPW ,ctiJ w e ScJMO Address of subject property: &'710 F2 L/ (t' M Son. ws 5L/y56, Signs c Dated Letter of Authorization Inj II U ID Bayfield County Planning & Zoning Department �J U APR 282025 Bayfield Co. Zoning Dept. PURPOSE. This Letter of Authorization is used to authorize a single property owner to act on behalf of multiple property owners or a designated agent to act on behalf of the property owner/s. If multiple property owners, each property owner must submit this signed letter. I, A l (property owner), authorize 4 (autho ized agent) t submit a / a. J Usc Rerw, i* (Example: land u e, special use, conditional use, rezone/map amendment, appeal, variance, text amendment, etc.) for the following described project (Example: construction of residence or other structure, short-term rental or other use change, etc.) �'�,{ync'�1" 0rP c1`1i iet application on my behalf for the following described property: yr Legal description of subject roperty:TnhAY YY7I Lt---2.C-SM asa j,U V.13 P.Vl ,4s .Doc aka —s9 c38' (L cAkd ;^ ?J) "'-A)CA) SWnIW Address of subject property: ((o7'IO F Si Lure u�aaJ,Aas- Dated Hayfield County 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 Bayfielc 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): << Mailing Addres . DRu4'MN r1 1 Property J4idTeSS SIS 6r-e.q colon Boa GCa7ya p.glq ,14&≤& WI S s Legal Description: NLn) 1/4, S+.0 NuJ 114, Section, Township, Range /1N.4) Sec 23 Township _l7 N, Range 07 w Authorized Agent/Contractor Govt Lot Lot # CSM# Vol & Page ,o `e fltczkq Cofi2eijv'i- a2S0 V,13 P t1 Lot(s) # Block(s) # Subdivision Town of Parcel ID # (PIN #) Tax ID # Date: 04- oa7 -� "1-D7 �3 -2 oa-o tl 37 N aA 2oa5- Impervious Surface: An area that releases as runoff all or a majority of the precipitation that falls on it. "Impervious surface" excludes frozen soil but includes rooftops, sidewalks, driveways, parking lots and streets unless specifically designed, constructed and maintained to be pervious. Calculation of Impervious Surface: Percentage of impervious surface shall be calculated by dividing the surface area of existing and proposed impervious surfaces on the portion of a lot or parcel that is within 300 feet of the ordinary high water mark by the total surface area of the lot or parcel, multiplied by 100. Impervious Surface Standard: Allow up to 15% impervious surface but not more than 30% impervious surface on the portion of a lot or parcel that is within 300 feet of the ordinary high water mark. A permit can be issued for development that exceeds 15% impervious surface but not more than 30% impervious surfaces with a mitigation plan that meets the requirements of the Bayfield County Ordinance(s). Existing Impervious Surfaces: For existing impervious surfaces that were lawfully placed when constructed but that do not comply with the standards in Section(s) 13-1-32(g) and Section 13-1-40(h), the property owner may do any of the following: a. Maintenance and repair of all impervious surfaces: b. Replacement of existing impervious surfaces with similar surfaces within the existing building footprint; c. Relocation or modification of existing impervious surfaces with similar or different impervious surfaces, provided that the relocation or modification does not result in an increase in the percentage that existed on the effective date of the county shoreland ordinance, and meets the applicable setback requirements in Section 13-1-32. Impervious Surface Item Dimension Area (Square Footage) Existing House Existing Accessory Building/Garage ( K 2 y Existing Sidewalk(s), Patio(s) & Deck(s) _ Exitii Covered Porch(es), riveway & Other Structures 11 (o X f o) /,7 S3 Proposed Addition/House G X L1 3 Proposed Accessory Building/Garage 5j' ?c SC I g C Proposed Sidewalk(s) & Patio(s) y / D C Proposed Covered Porch(es) & Deck(s) /gc/ /' / Proposed Driveway 300 7c 3 (p CC Proposed Other Structures — Total: - ) 5 ? L/ a. Total square footage of lot: b. Total impervious surface area: Y-,3 () c. Percentage of impervious surface area: 100 x (b)/a = If the proposed impervious surface area is greater than 15% mitigation is required. Total square footage of additional impervious surface allowed: @ 15% (90) tq9t( @ 30% L/32 Issuance Information (County Use Only) - Date oflnspect)on: Inspection. Record: Condition(s): Stormwater Management Nan Required: Yes No Signature of inspector. .! Date of Approval: Bayfield County, WI 515/25, 3:12 PM Novus-Wisconsin Access rev. 12.0206 .{Kj Real Estate Bayfleld County Property Listing Property Status: Current Today's Date: 5/5/2025 Created On: 10/6/2022 3:29:55 PM S Description Tax ID: PIN: Legacy PIN: Map ID: Municipality; STR: Description: Recorded Acres: Calculated Acres: Lottery Claims: First Dollar: Zoning: ESN: Updated: 10/6/2022 a Ownership Updated: 10/6/2022 38871 JOSEPH J & RYANN M SIGNORELLI DULUTH MN 04-028-2-47-07-23-2 02-000-11000 (028) TOWN OF KEYSTONE S23 T47N R07W LOT 1 CSM #2250 IN V.13 P.91 AS DOC 2022R-596538 (LOCATED IN NW NW & SW NW) 35.090 35.090 0 Yes (F-1) Forestry -1 120 V Tax Districts Updated: 10/6/2022 1 STATE 04 COUNTY 028 TOWN OF KEYSTONE 020170 ASHLAND SCHOOL 001700 TECHNICAL COLLEGE r 4 Recorded Documents Updated: 3/15/2006 O CERTIFIED SURVEY MAP Date Recorded: 9/29/2022 2022R-596538 13-91 © WARRANTY DEED Date Recorded: 6/23/2022 2022R-595203 ® CERTIFIED SURVEY MAP Date Recorded: 10/19/2021 2021R-591577 12-454 O QUIT CLAIM DEED Date Recorded: 1/11/2018 2018R-571540 0 WARRANTY DEED Date Recorded: 5/22/2017 2017R-568452 O CONVERSION Date Recorded: 641-362;642-421;642-416 Billing Address: Mailing Address: JOSEPH J & RYANN M JOSEPH J & RYANN M SIGNORELLI SIGNORELLI 3515 GREYSOLON RD 3515 GREYSOLON RD DULUTH MN 55804 DULUTH MN 55804 11 Site Address * indicates Private Road 66740 FR 419 MASON 54856 11 Property Assessment Updated: 6/17/2024 2025 Assessment Detail Code Acres Land Imp. GI -RESIDENTIAL 2.000 6,500 13,100 G6 -PRODUCTIVE FOREST 33.090 33,100 0 2 -Year Comparison 2024 2025 Change Land: 39,600 39,600 0.0% Improved: 13,100 13,100 0.0% Total: 52,700 52,700 0.0% ' Property History Parent Properties Tax ID 04-028-2-47-07-23-2 02-000-10000 22194 04-028-2-47-07-23-2 03-000-11000 37610 04-028-2-47-07-23-2 02-000-31000 38667 04-028-2-47-07-23-2 02-000-21000 38668 04-028-2-47-07-23-2 02-000-41000 ( 38669 Zi'4 5h/? ' HISTORY © Expand All History White=Current Parcels Pink=Retired Parcels ® Tax ID: 22197 Pin: 04-028-2-47-07-23-2 02-000-30000 Lea. Pin: 028104604003 O Tax ID: 22196 Pin: 04-028-2-47-07-23-2 02-000-20000 Lea. Pin: 028104604002 ® Tax ID: 37610 Pin: 04-028-2-47-07-23-2 03-000-11000 ® Tax ID: 22194 Pin: 04-028-2-47-07-23-2 02-000-10000 Leg. Pin: 028104604000 38871 This Parcel t Parents 4 Children https:llnovus.bayrieldcounty.wi.gov/access/master.asp?paprpid=38871 1/1 Land Use Permit Application Review Checklist Submission #: What zoning district is the project located in? ❑ R-1 ❑ R-2 ❑ R-3 ❑ R-4 ❑ R-RB ❑ C ❑ 1 ❑ M ❑ A-1 ❑ A-2 F-1 ❑ F-2 ❑ W ❑ M -M ❑ Yes j≥iC Is lot substandard (does not meet current zoning dimensional requirements)? Deed of record: ❑ Yes p'IGo 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 No Is impervious surface required? (Required if riparian lot OR lot is entirely within 300 feet of OHWM of navigable waterway) ❑ Yes p410 Is the project located in the Floodplain? Zone: ❑ Yes 2iio Are there wetlands on the property? ❑ Yes .aio Is project associated with a nonconforming use or structure? ❑ Yes No Is project associated with a variance? Case #: ❑ Yes o Is project associated with a Special B or Conditional Use Permit? Permit #: ❑ Yes 71'jo Is the project associated with a Special A Use Permit? Yes ❑ No Does the project r quire sanitary? ❑ Existing Y 4 w ❑ Intercept ❑ Reconnect 0 Non-Plqibing 0 Public Sanitary Permit #: 2. y — ,2 1 B ❑ Yes La1cIo Does the project require mitigation? Implementation Deadline: Date of Compliance: ❑ Yes Q44o Does the project require an affidavit? Affidavit #: ❑ Yes 410 Did licensed surveyor mark lot line(s), if project is within 10 feet of required setback? ❑ Yes o Did applicant/property owner mark lot line(s), if project is within 30 feet of required setback? Project use is? aidentiaI ❑ Commercial ❑ Municipal Project type is? ew Construction ❑ Addition/Alteration ❑ Change Use ❑ Relocate ❑ RV Placement ❑ Sign ❑ Establishing a Business ❑ Temporary ❑ Shoreland Grading ❑ Other, describe: Structure Type is:1sidence ❑ Principal Structure ❑ 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: 1/5/2.. Number of Stories: 3 Overall Height: 3 2, CaIc3Jated Fee Category: esidential 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/sq re foot (minimum $75) Calculated Fee Amount: 373 t RS Additional Fees: ❑ Return Inspection ❑ Land Use Revisions ❑ Special Use Permit - Class A ❑ After -the -Fact (ATF) ❑ Floodplain Shoreland - Impervious Surface ❑ Shoreland - Non -Conforming, etc. ❑ Tower Siting/Collocation 1 ❑ Tower Collocation 2 ❑ Metallic Mine ATF Fee Amount: Inspected by: Date of Inspection: Re -Inspected by: Date of Re -Inspection: Denied by: Date of Denial: Reason for Denial: Date Denial Letter Approved byL, Date of Approval: -fflfust meet and maintain setbacks from furthest extension of structure including eaves and overhangs. ❑ For personal storage only. r personal residence only. ❑ Not for human habitation or sleeping purposes. 2'twn/State/DNR/Federal may require permitting Uniform Dwelling Code (UDC) Permitfrom 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 priorto the start of construction (if applicable). .2115e 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. El Sign must meet the requirements of Article E of the Bayfield County Zoning Ordinance. ,0' fo 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 priorto 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) 0 Additional conditions may be placed and need to be adhered to at the time of permit issuance Other Conditions: F 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: SIGNORELLI, JOSEPH J & RYANN M LU-01634 3515 GREYSOLON RD DULUTH, MN 55804 Transaction Number: LU-01634-2B847 Description Amount Shoreland - Impervious Surface $25.00 Verified Fee Amount $0.00 Residential Principal Structures - $0.75/square foot $3,234.00 (minimum $125) Total: $3,259.00 Payment Amount: $3,259.00 Reference: 10214 Paid by: JOSEPH J & RYANN M SIGNORELLI, 3515 GREYSOLON RD, DULUTH, MN 55804 Payment Type: Check Transaction Date: undefined Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit. r Feder Substandard — No / Nonconforming — No Shoreland — Yes / Impervious Surface — Yes Floodplain — No / Wetlands — No Mitigation — No / Affidavit #: LAND USE — X SANITARY — New 25-24S SPECIAL A — SPECIAL B/CONDITIONAL — BOA — No. 25-0282 Tax ID: 38871 Issued To: SIGNORELLI, JOSEPH J & RYANN M Location: S23 - T47N - R07W Town of Keystone WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION Legal Description: LOT I CSM #2250 IN V.13 P.91 AS DOC 2022R-596538 (LOCATED IN NW NW & SW NW) Residential Structure in F-1 zoning district For: New Construction [3 - Story], Residence on a Walkout Basement [4312 Total sq. ft.] Height of 32' (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 20, 2025 This permit may be void or revoked if any performance conditions are not completed or if any prohibitory conditions are violated. Date Condition(s): Must meet and maintain setbacks from furthest extension of structure including eaves and overhangs. 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. Use best management practices to limit and prevent erosion during construction. To be constructed per plan.