HomeMy WebLinkAbout25-0284Return to: *582yfield
County Use Only:
117 F5t^ Street, PO Box County Planning and Ztlj�na)trtAet'. rIm
ission #: rte' ,pWashburn, WI 54891 LAND USE PERMIT APII U mit#: l 0tpermits@bayfieldcounty.wi.gov APR 0 1 2025 e: 5 Si
IV
.SEC'CI=QN..A,:,, ng Infprtnation - ,,.-• ....., ..:.Sufi1rt.Cn7nninnflPpt. ..n::'.t .
Prope Owner Name • Authorized Agent Name (if applicable):
1
OM/J- , J. ,1-"4d i CC ,tStA
Telephone Number:
Telephone Number:
SO3-668-40c, e
E -Mail Address:
dOfl
E -Mail Address:
—rVni MGS,'c_'/ Q GM II- C
Mailing Address:
Mailing Address:
/8 S r/8 s oo,(d,nda
City, State, Zip: I
od iJr S y8 5 6
City, State, Zip:
Contractor: Telephone Number:
E -Mail Address:
Sr- 3O -"8-90e 8
SECTION B: Pro
Project Address (if different from maili/tgadd ess): 1 '/
Legal Description (if ddition��ce i needed ach a separate sJteet):
/A
Section, Township, Range:
Town of: din/
Tax ID #: O833
Lot Size (Acres/Square Feet): /0 � t
SECTION C: Project Information (check all thatapply)
Project Use is: El Residential ❑ Commercial ❑ Municipal
Project Type is: NI New Construction ❑ Addition/Alteration (existing structure)
❑ Change Use (existing structure) ❑ Relocate (existing structure) ❑ RV Placement 21+ days
❑ Sign El Establishing a Business ❑ Temporary (12 or less months)
❑ Shoreland Grading, Class A El RV Placement 4+ months, Class A ❑ Other (describe):
required Total sq ft): required
SECTION D: Structure Information (Does not apply to RVs and Signs, go to Section E)
Structure Type is: N Residence ❑ Principal Structure (describe):
El Accessory Structure (describe): ❑ Shoreland Exempt Structure (describe): ❑ Mobile Home (provide manufactured
date):
❑ Shipping Container El Other (describe):
Foundation Type:
❑ Basement El Walkout Basement ❑ Slab M Crawlspace El Ground ❑ Skids 0 Other (explain):
Existing Structure: Length: Width: Height:
Proposed Structure (Provide Sq Ft bas d on outside dimensions, including unfinished areas, attached garages/above grade
decks/porches): 3 / ) Vl o+'}' f
B er�tetn5SFt
1 Floor Sq Ft:
Loft Sq F :
2"d Floor S Ft:
3'd Floor S Ft:
/V6 e
Garage Sq Ft:
Porch Sq Ft:
Deck Sq Ft-
Other Sq Ft escribe):
Other Sq Ft describe):
boaTotal
6
�J
Sq Ft: .3//
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 a$plyj
Sign is:
RV is:
❑ New ❑ Replacement
0 New ❑ Replacement
❑ On -premise ❑ Off -premise
❑ I -sided ❑ 2 -sided
Year: Vin #:
❑ On -building ❑ Multi -Tenant
Length: Width: 1-leight:
Make: Model:
Il APR 012025
WE
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 O Frontage Roads (include name) ❑ Existing Structures
O Well (W) ❑ Septic Tank (ST) ❑ Drain Field (OF)
❑ Holding Tank (HT) ❑ Privy (P) ❑ Lake ❑ River ❑Stream/Creek ❑Pond ❑Floodplain ❑Wetlands DSlopes over 20%
N
C 044
1kuJ „E.
is6'+oCE„4Eric
i
t
&�
-649Lds Sol
IN
bJ E4L
Setback or distan a from urthest extent of structure
County
Use Only
including eaves and overhangs to (include on site plan):
Verified setbacks
- -
Road Centerline
ft.
ft.
Notes/Comments:
Front Lot Line/Right-of-Way
ft.
ft.
Side Lot Line I
/ ft.
ft.
(NorthlEastDSouthDWestD, check one)
Side Lot Line 2
ft.
ft.
(NorthDEastDSouthDWest, check one)
Rear Lot Line
ft.
ft.
Septic/Holding Tank
ft.
ft.
Drainfield
ft.
ft.
Privy
ft.
ft.
Well
—r ft.
ft.
Existing Structure/Building
— ft.
ft.
Wetland
ft.
ft.
Elevation of Floodplain
ft.
ft.
Ordinary High -Water Mark (OHWM)
ft.
ft.
Other (describe)
ft.
ft.
P
R
0
P
L
Sc
L
APR 0 1 2025
SECTION
G: Additional Questions - _
9J No Has the location of the proposed project including eaves and gverhanpes cnd the sanitary s>4tem an 'we n
❑ Yes
staked? If no, what date will this be completed: 1 l
90 Yes
❑ No
Did a licensed surveyor mark lot line(s) if project is 'thin 10 feet of required setback? See page 2 of Land Use
Application Information for required setbacks.
❑ Yes
1% 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
N No
Is there an existing sanitary system on the property? If yes, what kind?
❑ Drainfield ❑ Holding Tank ❑ Municipal/Public ❑ Other (describe):
DO Yes
❑ No
Will pressurized water be installed in the structure? Ifyes, what kind of sanitary system will be installed or used
to manage wastewater?
❑ Drainfield 1W Holding Tank ❑ Municipal/Public ❑ Other (describe):
00 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:
O Rezone ❑ Class A Special Use ❑ Class B Special Use O Conditional Use ❑ Variance
Fee payment will be made via:
1. 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?
❑ Mail to: OR IN Email to:
Property Owner Address ❑ Agent Address ❑ Contractor Address O Other (provide Name and Email or Address):
`w1edg ententond_Si2 natu--.
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 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: // 8 A _.J.. S r C_ 4
f
Owner(s) or Authorized Agent Signaturc - - /// Date: nnn''' ` [ ZZ
...
NOTES: I
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.
Cu
Letter of Authorization
APR 08 2025
Bayfield County Planning & Zoning Department 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, David Dvmesich (property owner), authorize Tom Dvmesich
(authorized agent) to submit a land use (Example: land use, 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.) construction of residence application on my behalf for
the following described property:
Legal description of subject property: Parcel #: 04032246060720200013000 Bavfield C
Address of subject property: 19151 County Hiahwav E Mason WI 54856
Signature
April 9, 2025
Dated
-Tor? ,b�rl�stc14
384 Qr} li /_9 D APR 0 � 025
Dl) APR 01 2D25 fUJ
�✓° 44 /k.Ye; C o% 80.2, 66 Bay6eld Co. Zoning Dept.
303- 668-9068
-7-0rt sb yrlEsrc/4 a Giv4iz.COA
4 ac44la-dr o -'; a55i/i I� tlu:/J: /g/S/ Covd/J//fo4c/ /l%Sc,✓ . 5/856
Ezisii[Jf KID//. 44'4 ko'o�aJ 4-6\-&,t 46 4-
Sao . Ma e rdo/ btOlJ: aJ. / D No2Y//✓a2�t 16�
P.teo nad Aid -r Ta..'•E- Lec_4-1ion': 30• -YD .Jc%-k a -Q MgJ,.,';cc-l2°ogy
A14;1 /,J on'.4t 4 7A.vn! �G^� o 1Z.3s,/adc, _ ! 4i4- �=l c, -i4 n r 4 -� h
-144' 47(/( wok- 6cc�.-...4a2 O))JGI oa-r-'ia /CDOQ
4a4
aA uy sQc toG. Krtc '-'z .L .✓a..C/Q- /i 5R. Sr•g rS 6,( �i;sT_+t.TZd/LOO'4-
A/LI.ot /i 4-kw.cOLJ r_2 �'D,Zc iz02.5 y //.✓Gj
� k/moto �la\/ 4- . U4 Wi
/f t-.
/cis, ,✓O 4o.lR2 L-' C/r0.2c 4 S ir4 JC-. tr.u'c/.r, ov�c �6 �v.i i eJt U .¢
c CN4- c . Ofd_ Jo A,9
could o1rCrfti,daw.J 4-4 -}'a2.-•.-4t
td 2 }b4ao,>_ otJT�aakr� 1a4J.Zo.,�
r A�
(,J
it' l-(-ce� cr:i/.d/s ,v 1/er �Jr .,< /i Jt;5,t t, n- ,y^%c/%u/ 2vo+t "-
JAGS �cF/S h) St.�Yc /I AS. IW *-S r• -- qrL-4 ,.]c '7i _ice .E.csi•�' ",.e .+t tr c� .�a LC
co.f•/d �IHJ•� t^.f 4 �El li1�5. t sicd°�•4r`4t.
roS4i2t•. �1
ro.2 c J) -eo "�1 f4/5 6, Vim%• cLa o 2',�I ar.2) eJ( ..ti o ..J S e fl -3/ �(rR ,Li! /a c,rn 1 E
-k 4- i -v TE.��q e�, .I ..ice Iixq ,j/4't`('-`t-h 4 4" t k 4bv ..? -.U.. �4. �oM.y'uwe
r�.r4-&//.f .i v JR/ / 0 -k- or L- ,i.. �.J- � 0c _.� 7 t � � �L i'YA Or[ i-b'Y/ cY 4 4 ≥ f$
CpY/� t5 r=K R''Si J,r 4.'- prs' #Z2Z. 4/.sa -4-4r /' ",.>> ,g e -r( iw-.:r/ o'e.
\. 004 w1 5 J,/ fl.H,; t, .; �/ L &I
E/i,5r ELrw9rio1V
wgsr
No c�E•ir ;fTSa n/ -5.- 4. E$�
G.7.,✓d Ov7S o.t. acc.2c
1
of
I.
y I
D f
17R — At0 A on IVIF, . [(o/, .c
MI 4t11z +o ?ooVaJ. :NS/R i /,:,: /
;2c/Md;,r G /d/rs.r
A accn
�g NJ3 Nei% d <a&hcZ-
G A R'4G E 906 Sf. "-l"C/aaefe
%'4 8' ,oe sf.F�«4 :./
,a MEc
/r sa /on 8y r{-
1 pa /°firc44NiGN(
IF �i M
Ia 50-rr}
;I Bc!7RooNl
' !INay 1„ij 4 a.+-2,
td
D w t 8'x/A'/
B IC,L�...
lOaf 'a
w I i ST
y /C'irc ik l�
/,7 ' X /2?
/A K t
/O'X /0'
CLO4K
ROOM
y'o'/x a'c):r
D rie c\ 07%dx
S;zF c,Nko,/
SG v92E F^" -r Tmi3A
/008
Coact t Pgc/<.a? 638
anal APRCi2025
Bayfield Co. Zoning Dept
r
f
/B
COD,Ya9i tE
3/8 5;.'*
/O' COVET ED
n
1afl
n
fl
C,
a
�
b
_
e
-
N
M1J
C)
�
U
�
v
¢
tM
ktTcll it L.AH,Ju K� So ���Ih ed H L H
8 J 1' p
y•a
Salk n T'. I. ----
92.E d� /'4c a2'
� o
_ N
jv
! ARECRM EASED
M.CLS- NO COUNTY
NWRN THE NORM
MNEOEJliE NO E.ISTYMEASURm 10 SEAR
mSenlYtl£
LEGAL DESCRIPTION:
A PARCEL OF LAND IDGT®m REEAS7% OF THENWY-MYY
SECTION 7, T4M4, ReW, TOWN OF MASON, SAYNEW COUNTY,
WISCONSIN, MORE PARTCULARLY DESGUSED AS FOLLOWS
PARCEL I:
COMMENCING AT THE NORTH WEST CORNER OF SAID SECTION
THENCE a07'31'I0'EALONG THE AORRI LINE OP T IE NORTHEAST
Y OF SAID SECTd4A DISTANCE OFEEfe FEET.' TIFAOE
Sari rl 'E AND CONPNUING ALONG SAID AORTHUWEA
DISTANCE OF 66118 FEET TO THE N14, MVCORNER; THENCE
SW'1C4TWALONG THE LAST LINEO'TO=MVY-NWYA
DISTANCE OF!01,67 FEET,' THENCE NST'46D'WA DISTANCE OF
05544 FEET: TVEN'CEAN0'0SV5'E A DITANCEOF554.87FEET 70
THE NORTI UNEOF THE NORTIMSSTY ANJ ME POINT OF
EEC/ANNE
THE ABOVE DESCRIGED PARCEL OF LAND CONTAINS 444SPo
SQUARE FEET, OR IO31 ACRES INCLUDING THE RIGHTOF WAY OF
cix. x.
PARCEL 2
COMMENCING ATTIENORTIAEST WRNS OF SIVD SECIIDY,
THENCE CEALONE TIE NORTH NINE OF THE
Y OF SAID D SECT S*CT7IO N A DISTANCE OP 1,375 32 FEET 70 T E N $, NW
CORNER, THENCE SW'I6'4WALONG THE EAST UNE OF TIE Y
Y-NWY ADISTANGEOP 651.67FEET TOWEPdMOF
BEGINNING: THENCE SW'IC4TWANG CANTNYMG ALONG SAID
EASTLINEADISTANLEOFESI.STFEETTO MECI4LNWWRNER
THENCE AAS OIWALDNG P, SOUTH NNE OF THE NWY-NW
Y Ada7FEET. F6m,n PEEP, THENCE MrANCEO aDISTANCE
OF 654.57 FEET, THENCE SBr46OrEA DISTANCE OF E8544 FEET
TO THE EAST MNEOF THENWY-NWY AND THE POINT OF
SEGINMNG
THEAEOVEOESGRIEED PARCEL OF LAND CONTAINS 447,200
SQUARE FEET. DRIE2TACRES
SURVEYORS CERTTCATE'
L PATRICI(A MCNUEN, WISCONSM PROFESSIONAL LAND SURVEYORS
CEflY iWIT THIS MAP WAS N4DE AT T f E C RECTTO N OF DAVID DUO
PLAT OFSURVEY
THE EAST 14 OF THE NORTHWESTY OF TIE NORTHWEST V5
SECTION 7, TOWNEHIP45 NORTH, RA/IDES WEST,
-- 387°31'10"E TOWN OF MASON, SAYPLEW COUNTY, N15WN9N.
"H'-- S87 3-1.10"E
\
SEC. 7, T46N, REIN
M. SERNSTEN SWIG=
MEETS THE
TUCNA MIXVENI pa
urrrr I ,(
LEGEND
O -SET 1 1/4" O.D. N 18" IRON PIPE
150' 0 150 300 450'
SCALE FEET
SECTION BREAKDOWN
NOT TO SCALE
NYI,NWCRN.
µzal
(NOISE;)
2,729.62'
689.16 '
---- .16
---- \
1,61.30'--%
33.02'
---
NORTHY CORNER
SEC, 7, T46N, R6W
FD. RS/KS
0.
33' WIDE
INGRESS & .(
M EGRESS ,tV�!\V o Oj I
EASMENT E'
O .\�\\(�\\� ci n3
J �L° C
•� PARCELI '0
448,990 sq.Ft, 5 D
10.31 Acres
(INCLUDING ROAD R.O.W.) 14
S
S
N87°46'37"W 686.44'
J
W
SURVEYORS NOTE:
PARCEL 2 UPON CONVUVADEOF
PERPETUASNNRES
PERPETUAL
447,290 Sq,Ft' BECO1AiEYEOSOM °�
CO 10.27Acres PPRCELI TO PARCE1E
WI Co
eq
p, FK
o La
C 10
2 0 ~ :�
N ma €
CX. NW CRN.
Tracy Pooler
From:
Tracy Pooler
Sent:
Thursday, April 17, 2025 9:55 AM
To:
tomdymesich@gmail.com
Subject:
Land Use Permit needs - tax 38833
Tom,
I was at your site on 19151 cnty E the other day. I did not have any issues at the site.
I am looking for an approved septic permit from the installer of the system that will service your dwelling.
At this time I am not seeing an application for such.
Tracy Pooler - AZA
Planning and Zoning Department
117 E 5th Street, PO Box 58
Washburn, WI 54891
Phone: 715-373-3512
Fax: 715-373-0114
Email: trecy ooler@bayfie1dcQuntv.tiv_i.gov
Tracy Pooler
From: Tom Dymesich <tomdymesich@gmail.com>
Sent: Thursday, April 17, 2025 9:59 AM
To: Tracy Pooler
Subject: Re: Land Use Permit needs - tax 38833
Tracy- Thank you for the prompt service. I am on my way back to Denver now but when I arrive I will
contact an accepted provided and have that completed. As I am driving and have just left Benoit an hour
ago this wilt take a couple of days.
Thank You, Tom
On Thu, Apr 17, 2025 at 9:55 AM Tracy Pooler <tracy.pooler(albavfieldcounty wi gov> wrote:
Tom,
I was at your site on 19151 cnty E the other day. I did not have any issues at the site.
I am looking for an approved septic permit from the installer of the system that will service your dwelling.
At this time I am not seeing an application for such.
Tracy Pooler - ALA
Planning and Zoning Department
117 E 5th Street, PO Box 58
Washburn, WI 54891
Phone: 715-373-3512
Fax: 715-373-0114
I
Bayfield County, WI
TONY J & BERNICE TRAYNOR
Tax ID# 12421
Section 1
18810 E COUNTY HWY H
a
E County H•....
D
DON R & LORRAINE BENSON
Tax ID# 12685
242.00'
a 0
0 o A
N O
w
I-
'-0
m
I-
JOHN S & JULIE A BRILLA
Tax ID# 23310
I _
0 19151 COUNTY Hy41 E
/ THOMAS DYMESICH
I Tax ID# 38833
Section 6
ra JEREMY J & MARIE A OTT
Section 12 o Tax ID# 38089 Section 7
—_-
RICHARD & TRISTA NEFF
Tax ID# 38834
Bayfield County, WI
. JOHNS &JULI-JA ERILLA ¢ �'
Tax IµDd23310',r... ' ,✓ r � Section
f ' fr +:
i I yy 1Yy l i "1 I y� i�t
I
Y1
o
ax. IDrt :S333
JEREMY J & rv1ARIE -. ., ;
Tax ID# 380&9 ..._
14 RICHr•RD t:. TR15- HEFF
. Tax ID# 3S834
3
4/10/25, 3:45 PM Novus-Wisconsin Access rev. 12.0206
�t
`� Real Estate Bayfeld County Property Listing Property Status: Current
Today's Date: 4/10/2025 Created On: 8/30/2022 9:10:31 AM
S Description
Updated: 8/23/2024
Tax ID:
38833
PIN:
04-032-2-46-06-07-2 02-000-13000
Legacy PIN:
Map ID:
Municipality:
(032) TOWN OF MASON
SIR:
507 T46N R06W
Description:
E 1/2 NW NW IN DOC 2024R-604417
LESS PAR
Recorded Acres:
0.000
Calculated Acres:
10.310
Lottery Claims:
0
First Dollar:
Yes
Zoning:
(AG -1) Agricultural -1
ESN:
122
Tax Districts
Updated: 8/30/2022
1
STATE
04
COUNTY
032
TOWN OF MASON
041491
SCHL-DRUMMOND
001700
TECHNICAL COLLEGE
31 Recorded Documents
Updated:
' Ownership Updated: 8/23/2024
THOMAS DYMESICH NORTHGLENN CO
DAVID TANNER DYMESICH BROOKLYN NY
Billing Address:
Mailing Address:
THOMAS DYMESICH
THOMAS DYMESICH
ATTN: DAVID TANNER DYMESICH
ATTN: DAVID TANNER DYMESICH
387 BILL LN
387 BILL LN
NORTHGLENN CO 80260
NORTHGLENN CO 80260
P Site Address * indicates Private Road
19151 COUNTY HWY E MASON 54856
® Property Assessment
Updated: 4/5/2023
2025 Assessment Detail
Code
Acres
Land
Imp.
Gl-RESIDENTIAL
1.000
8,000
14,700
G6 -PRODUCTIVE FOREST
9.000
10,800
0
2 -Year Comparison
2024
2025
Change
Land:
18,800
18,800
0.0%
Improved:
14,700
14,700
0.0%
Total:
33,500
33,500
0.0%
0 WARRANTY DEED
Date Recorded: 8/20/2024
2024R-604417
(�
LN Property History
0 QUIT CLAIM DEED
Parent Properties Tax ID
Date Recorded: 7/15/2024
2024R-603970
04-032-2-46-06-07-2 02-000-11000 38088
0 QUIT CLAIM DEED
Date Recorded: 6/9/2022
2022R-594977
111
0 WARRANTY DEED
Date Recorded: 10/9/2019
2019R-579470
In]
HISTORY 0 Expand All History White=Current Parcels Pink=Retired Parcels
4.
38833 This Parcel T Parents ' W Children
https://novus.bayfiieldcounty.wl.gov/access/master.asp?paprpid=38833 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 ER-RB ❑C ❑1 DM11 ❑A-2 ❑F-1 ❑F-2 ❑W EM -M
❑ Yeso
Is lot substandard (does not meet current zoning dimensional requirements)?
Deed of record:
❑ Yes f,] -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 Qjo
Is impervious surface required? (Required if riparian lot OR lot is entirely within 300 feet of OHWM of
navigable waterway)
❑ Yes J2110
Is the project located in the Floodplain?
Zone:
O Yes,2
Are there wetlands on the property?
❑ Yes 24o
Is project associated with a nonconforming use or structure?
❑ Yes o
Is project associated with a variance?
Case #:
❑ Yes No
Is project associated with a Special B or Conditional Use Permit?
Permit #:
❑ Y s gj,
Is the project associated with a Special A Use Permit?
Yes ❑ No
Does the proj�t require sanitary?
❑ Existing ew 0 Intercept 0 Reconnect 0 Non -Plumbing O Public
Sanitary Permit #: r?S
❑ Yes O'go
Does the project require mitigation?
Implementation Deadline: Date of Compliance:
❑ Yes ,DNo
Does the project require an affidavit?
Affidavit #:
❑ Yes .
Did licensed surveyor mark lot line(s), if project is within 10 feet of required setback?
❑ Yes No
Did pplicant/property owner mark lot line(s), if project is within 30 feet of required setback?
Project use is? Residential ❑ Commercial ❑ Municipal
Project type is? 2iiw Construction ❑ Addition/Alteration ❑ Change Use ❑ Relocate ❑ RV Placement ❑ Sign
❑ Establishing a Business ❑ Temporary O Shoreland Grading ❑ Other, describe:
Structure Type is: esidence O Principal Structure ❑ Accessory Structure ❑ Boathouse (one story only)
❑ Open-sided/Screened Structure (gazebo, etc.) ❑ Stairway to navigable waters ❑ Mobile Home
❑ Shipping Container ❑ Other, escribe
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)
❑ 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 Ac ory Structyres - $0.20/square foot (minimum $75)
Calculated Fee Amount: 2ru5,
Additional Fees: O Return Inspection ❑ Land Use Revisions O Special Use Permit - Class A ❑ After -the -Fact (ATF)
❑ Floodplain O Shoreland - Impervious Surface ❑ Shoreland - Non -Conforming, etc. ❑ Tower Siting/Collocation 1
❑ Tower Collocation 2 ❑ Met is 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 Maile
Approved b Date of Approval: �^
Con ion(s):
Must meet and maintain setbacks from furthest extension of structure including eaves and
overhangs.
❑ For personal storage only.
or personal residence only.
❑ Not for human habitation or sleeping purposes.
—wn/State/DNR/Federal may require permitting
.2IUniform Dwelling Code (UDC) Permit from the locally contracted UDC Inspection Agency must be
obtained prior to the start of construction.
0 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.
❑>ign must meet the requirements of Article E of the Bayfield County Zoning Ordinance.
tl 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.
0 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:
.*, "' y, fir'?tinge, State or Federal
�bz Required
Substandard - No I Nonconforming - No
Shoreland - No / Impervious Surface — No
Floodplain — No / Wetlands — No
Mitigation — No / Affidavit #:
LAND USE —X
X
SANITARY — New 25-22S
SPECIAL A —
SPECIAL B/CONDITIONAL —
BOA —
No. 25-0284 Tax ID: 38833
Issued To: DYMESICH, DAVID TANNER DYMESICH, THOMAS
Location: S07 - T46N - R06W
Town of Mason
Legal Description: E 1/2 NW NW IN DOC 2024R-604417 LESS PAR
-.. MIT
WEATHERIZE AND POST THIS PERMIT
ON THE PREMISES DURING CONSTRUCTION
Residential Structure in A-1 zoning district
For: New Construction [2 - Story], Residence on a Crawlspace [3114 Total sq. ft.] Height of 22'
(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.
Tracy Pooler
Authorized Issuing Official
May 20, 2025
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.
To be constructed per plan.