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HomeMy WebLinkAbout25-0296UJ-O300 0rnroV E'(FERfJ 117 E 5's streeifll AUG 3020 F3---YFIELD �oii POBox58 UUuu Washburn, WI 548 P�yfield Co. Zone PLANNING & ZONING DEPARTMENT (715)373-6138 permits @ bavfieldcou nty.wi.Rov www.bayfieldcounty.wi.gov/zon i ng LAND USE PERMIT APPLICATION County Use Only: oning District: ____ oreland: es eePaid: iYL -- Lrr+ W Refund: Permit #: 2.5 - gZa4' Date: 5121125 P pe y Owner Nn'me: hF�h— Authorized Agent y°e (if applicable): C—lnfYei J J C�a�l v� .nwxi, 1 C7� T e hone Number: Asay�-�-YyY& lephone Number: 7_ s_aO6 E -Mail Address: �Df��!/h ®�`� • cain E -Mail Address: L lirlJ �enJa � �"`� (. cqw, Mailing Address: in; 0mm7 rrlq {T'I'&4 SSzlp Mailing Address: SayS0 z City, State, Zip: Ci State, Zip: ' / 4rn a, 1 Contr etorr: J 1 elep ne Number: �i5 -0.67 E -Mail / Address: 1 (ckv& i- Uvutfewa�. faco4tLQ r PROJECT LOCATION Project Address (if different from 'ling address):�J 22 nn r d! sr�D �, Legal Description (if additional space is needed, attach a separate sheet) cot'/,P C lyi amfs °lei Section, Township, Range: Town of: S/% TV10 POW zrr\E.f Tax ID #: ao� a Lot Size (Acres/Square Feet): PROJECT DESCRIPTION check all that apply) Proposed Use: A Residential Structure Type: ❑ Residence/Principal Structure Foundation Type: ❑ Basement ❑ Walkout Basement Slab ❑ Commercial ❑ Detached Garage ❑ Crawlspace ❑ Ground ❑ Skids ❑ Municipal ❑ Boathouse (one story only) ❑ Open-sided/Screened ❑ Other (explain): Proposed Project: Proposed Sign is: ❑ New ❑ Replacement RNew Construction Structure (gazebo, etc.) ❑ On -premise ❑ Off -premise ❑ I -sided ❑ 2 -sided ❑ Addition/Alteration ❑ Stairway to navigable waters ❑ On -building O Multi -Tenant ❑ Change/New Use ❑ Sign Length: Width: Height: ❑ Relocate (existing structure) ❑ RV Placement Proposed RV is: O New ❑ Replacement ❑ Temporary (12 or less months, ❑ Shipping Container does not apply to RV placement) ❑ Shoreland Grading (Class A) Year: Vin #: Other (expl in): Make: Model: PROPOSED PROJECT AREA - Area to nearest square foot of outside dimensions including unfinished area, attached garages and above grade decks or porches does not apply to Signs or RVs) Basement: I" Floor: f Loft: 2 Floor: 3`d Floor: Other: Total Square Footage: (�✓� Overall Height (finished grade to peak): I!6 CC 1 SITE PLAN Bay1 /1 N______ REQUIRED (PLEASE COMPLETE BELOW) County Use Only Overall footprint (including sq. ft. Verified overall footprint sq. ft. eaves/overhangs) All applicable setbacks (include on site plan too) Verified setbacks Road Centerline/Right-of-Way ft. ft. Notes/Comments: North Lot Line .b ft. - ft. South Lot Line aZ ft. ft. West Lot Line ft. ft. East Lot Line ft. ft. Septic/Holding Tank ft. ft. Drainfield ft. ft. Privy AMft. ft. Well 0 ft. ft. Existing Structure/Building 6 ft. ft. Wetland f} ft. ft. Elevation of Floodplain ,{� ft. ft. Ordinary High -Water Mark (OHWM) 7 0ft. ft. Other ft. ft. NOTE: Please indicate "see attached" on this page if submitting site plan as a separate document. Ib:! UHVI Li FLOOR PLAN AUG 30 LUZ4 I Indicate Floor: ❑ Basement X 181 Floor ❑ Loft ❑ 2"a Floor ❑ 3Floor ❑ Other baytleld Go. Lon ng uept. Kl �ll -7, v1 t8 Y to i i I 7- .... l_ JJE bbl L..4.4Li ) ;ly, All applicable County Use Only dimensions need to be shown on the floor Dimensions Square Dimensions Square Comments/Notes., plan and noted below (in feet) Footage (in feet) Footage Floor without attached X r ry C /�a sq. ft. X sq. ft. exterior components with Porch 1 X a t/ sq. ft. X sq. ft. with Porch 2 ( X a W sq. ft. X sq. ft. with Deck 1 X sq. ft. X sq. ft. with Deck 2 X sq. ft. X sq. ft. with Attached Garage X sq. ft. X sq. ft. with Other (explain): X sq. ft. X sq. ft. NOTE; Please indicate "see attached" on this page if submitting floor plan/s as a separate document. 3 LAND USE PERMIT APPLICATION REVIEW Vii AI Ir. 2r 1) Will this be the first structure on the site? O Yes A No Bayfield Co. Zoning Dept. 2) What is the total number of bedrooms on the property once this project is complete ? 3) Is there a proposed/existing sanitary system on the property? O Proposed - Type 19 Existing - Type 4) Will any of the following occur within the proposed project/structure? K New Electrical Installation 11 New Plumbing Installation O Sleeping 5) Has the location of the proposed project been staked including structure, sanitary system, and well? is Yes Cl No 6) If required, who marked the property lines? ■ Applicant/Property Owner ❑ Licensed Surveyor 7) Is the property in the shoreland, within 300 feet of a river/stream/landward side of floodplain or 1000 feet of a lake/pond/flowage? 10 Yes O No ❑ Unsure 8) Is there wetland located on or near the property? O Yes O No a Unsure 9) Is there floodplain located on or near the property? O Yes O No i Unsure 10) Is this project associated with any of the following: ❑ Rezone O Conditional Use ❑ Special Use ❑ Variance 11) Did you contact the town to see if any permits/requirements apply to your project? ® Yes ❑ No The following items are included with the application: W Site Plan 9 Building Elevations 0 FloorPlan/s I R Fees All Land Use Permits expire Two (2) Years from the date of issuance if construction or use has not begun. Sanitary Permit, if required, issuance 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 construction of one- & two-family dwellings and new plumbing/electrical installation for residential use structures (accessory/principal) require review and approval by the local Uniform Dwelling Code (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: ._..J - I or Owner/s or Authorized Agent Signature: Date: e NOTE: If you are signing on behalf of the o r(s) a letter of authorization ormust gccompanyyttthhiis application Address to Send Permit: So2'SO csh@ e ofea e 0- l f Zf il AUG 3LYUY4 Li 8/22/2024 Bayfield Co. Zoning Dept. To whom it may concern: Justin Christenson is my builder and agent. I give him authority to act on my behalf for the purpose of securing building permits. Thank you, Peter Conklin Bayfield County Impervious Surface Calculations ll AUG Bay These calculations are REQUIRED per WI Admin Code NR 115.05(1)(e) and Section p 13-1-32(g) an13-1- 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 r(s1: thman' C !k on/�/-/ice Mailing Address: ��y �/ / /073 &t/1 C/ SS�, Property Address �%/f / y !IuefP Ci�vl . C haf`f I�,U Legal Description: Section, Township, Range 114, 1/4, Sec 1T Township 7 N, Range9'_w Authorized Agentl n ctor Gov't Lot I Lot # I V CSM# I k8nis Vol & Page &1/'7Y Lot(s) # Block(s) # Subdivision Town of: Parcel ID # (PIN #) Tax ID # Date: 04-00y a-�y o9 /� OS -00! -5-MW oe2li o rl 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 (Squ a Fta9f)LUZ4 Existing House �Q1C� / ayfield Co. Zoning D �d Existing Accessory Building/Garage Existing Sidewalk(s), Patio(s) & Deck(s) .3'x/S1 a)r/ 7'Y©' 41ey, Existing Covered Porch(es), Driveway & Other Structures aaX /a t /3r K/ 2 7S/K/71 ac y gsa0 l Proposed Addition/House Proposed Accessory Building/Garage /Px ay Proposed Sidewalk(s) & Patio(s) � /? Gxov aqo Proposed Covered Porch(es) & Deck(s) Proposed Driveway Proposed Other Structures Total: a. Total square footage of lot: z/? a6L? b. Total impervious surface area: 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% @ 30% Pt. 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: VI u/forms/impervioussurface Created: May 2012 (®Apr 2016; Sept 2020) Proofed by: Tracy Pooler From: Tracy Pooler Sent: Wednesday, December 18, 2024 10:46 AM To: Justin Christenson Subject: Conklin - tax 2042 - 49228 river rd Justin, We still have the above permit open looking for an application indicating how the septic is going to be treated. 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: tracy=ps�er@bayfieldcr]y.wv.o.v {_ooZ2t �ru,rveyr Wisconsin De rtmentof Safe & Professional Services Pa e 1� is Division of u ervices ty j`/`; 9 1 of 2 t�= ' SOIL EVALUATION REPORT y1 r In accordance with BPS 385, Wis. Adm. Code County Beyfield Attach complete site plan on paper not less than 8 1/2 x 11 Inches in size. Plan must Include, but not limited to vertical and horizontal reference point (BM), direction and percent slope, Parcel I.D. O scale or dimensions, north arrow, and location and distance to nearest road. 04-004-2-44-09-17-3 05-001-50000 Please print all Information. Revie '/ y Date Personal information you provide may be used for secondary purposes (Privacy Law, s. 15.04(1)(m)). /1 / I I/A Property Owner Property Location 0 Peter C. & Susan H. Conklin Govt. Lot ''A '/, S 17 T 44 N R 09 E (or)® Property Owners Mailing Address Site Address or CSM and Lot tk 1073 Rosemary Ct 49228 River Rd City, State, Zip I Phone Number ❑ City ❑ Village ® Town I Nearest Road Chaska, MN 55318 I( ) Barnes River Rd ❑ NewConstructon Use: Rf Residential/Numberofbedrooms 3 Code derived deslgnflow rate 450 GPD ❑Replacement ❑ Public or commercial — Describe: Flood Plan elevation If applicable N/A ft. Parent material Sandy outwash (RubiconSayner complex) General comments and recommendations: Soil boring verification for existing System. Existing system elevation = 95.0' Boring# ❑Boring ®Pit Ground surface elev. 96.8 ft. Depth to limiting factor 84 in. / elev. 89.8 ft. Rnir Annllraenn Dara Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 *Eff#1 •Eff#2 1 0-3 10YR 2/2 — Is 0sg ml cs 2vf 0.7 1.6 2 3-8 7.5YR 3/3 — Is 0sg ml cb 1f/1vf 0.7 1.6 3 8-25 7.5YR4/4 — Is 0sg ml cw 1f/1vf 0.7 1.6 4 25-63 7.5YR 5/4 — s Osg ml aw — 0.7 1.6 5 63-69 10YR 6/4 — s Osg ml aw — 0.7 1.6 6 69-84 10YR 6/4 — cos Osg ml — — 0.7 1.6 ❑ Boring # ❑Boring ❑Pit Ground surface elev.ft. Depth to limiting factorin.! etev._ft. end Data Horizon Depth In. Dominant Color Munseli Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft2 E11#1 •Eff#2 CST Name (Please Print) Signature CST Number Keith Wiley 654921 Address Date E ua0on Conducted Telephone Number 11623 E Larson Dr. Lake Nebagamon, WI 54849 4/26/2025 218-451-2611 Effluent#1 = BOD > 30 s 220 mg/L and TSS > 30 s 150 mg/L * Effluent #2 = BOD, s 30 mg/L and TSS s 30mg/L SBD-8330 (R03122) Conklin (3 bedroom) Soil Verification Plot Plan North .moo• J 2 II Proposed ulldin to Middle Eau Claire lake 3 bedroom house Sr DF 100' 10.5% 98j,,,,/" 96' 9 Peter C. & Sush H. Conklin 49228 River Lot 4 of C5 00715 V.5 P.78 517 T44 R 9W Town of B roes Tax ID 20/2 1.085 ac/es �a MAY a i L a° F Scale 1:40 4 0 NOTES: $1 Bench Mark = Top of concrete landing - Middle Eau Claire lake elev z 88' Elev =100.0' - System elev = 95.0' CST 119900002 -SP Page 2 of 2 Tracy Pooler From: Tracy Pooler Sent: Monday, May 19, 2025 10:21 AM To: Justin Christenson Subject: RE: Conklin permit Justin, On the application it did not indicate if there was to be sleeping within the new building. Or how many total bedrooms/sleeping areas are to be on the property. Tracy From: Justin Christenson <jchristensonconstruction@gmail.com> Sent: Friday, May 16, 2025 12:11 PM To: Tracy Pooler<tracy.pooler@bayfieldcounty.wi.gov> Subject: Conklin permit What is the status of the permit for Pete and Sue Conklin??? Last I was asked was you needed soil test for reconnect in Dec. I know soil test has been completed a couple of weeks ago. Can I get this pushed • through soon? • Justin Christenson Construction L.L.C 1 Tracy Pooler From: Justin Christenson <jchristensonconstruction@gmail.com> Sent: Friday, May 16, 2025 12:11 PM To: Tracy Pooler Subject: Conklin permit What is the status of the permit for Pete and Sue Conklin??? Last I was asked was you needed soil test for reconnect in Dec. I know soil test has been completed a couple of weeks ago. Can I get this pushed through soon? Justin Christenson Construction L.L.C Tracy Pooler From: 7 Justin Christenso christensonc Sent: 19, 2025 10:26 AM To: Tracy Pooler Subject: Re: Conklin permit No steeping. It'ssjust a art studio. n Mon-, May 19, 2025, 10:21 AM Tracy Pooler <trace.pooler@bayfleldcounty.wi.gov> wrote: Justin, On the application it did not indicate if there was to be steeping within the new building. Or how many total bedrooms/sleeping areas are to be on the property. Tracy From: Justin Christenson<jchristensonconstruction(agmail.com> Sent: Friday, May 16, 2025 12:11 PM To: Tracy Pooler <trace.000lert@bavfieldcounty.wi.gov> Subject: Conklin permit What is the status of the permit for Pete and Sue Conklin??? Last I was asked was you needed soil test for reconnect in Dec. I know soil test has been completed a couple of weeks ago. Can I get this pushed through soon? Justin Christenson Construction L.L.C LAND USE - INFORMA77ON NEEDED C TO: RUTH DAB' FRANKI T CY / MCKENZIE DATE CONTACTED: C+" 0 PHONED YIN -PERSON 0 ANSWERING MACHINE ❑ MAIL 0- POKE WITH: OWNER 0 AGENT 0 CONTRACTOR 0 OTHER NEED: 0 AFFIDAVIT 0 INSPECTOR NOTES/SIGNATURE ❑ PLOT PLANS 0 ZRNING DISTRICT D BLUE PRINTS ❑ LAND USE APP ANITARYf` Ffd�ITHER D CONDITION(S) ❑ LEGAL DESCRIPTION 0 SOIL TEST ❑ DEED (Type) ❑ LETTER ❑ SQ. FOOTAGE. ❑ D FEE 0 LETTER OF AUTH ❑ STORM WATER PLAN D ❑ FLOOR PLAN 0 MITIGATION ❑ TAX STATEMENT 0 D IM/PERVIOUS SURFACE SHEET 0 PARCEL ID# 0 TBA 0 � mmmmemme e•ammm+vmme vmmeeemvmmmemmmu, mm ygm9Yme ++ mmm +m• mamma Ymm•®mmmmmameeeemmemv ❑ NON -CONFORMING STRUCTURE: FOOTPRINT OF EXISTING BLDG DWELLING SPACE of EXISTING BLDG OVER HANG OF EXISTING BLDG OOiF TPRINT ALLOWED DWELLING SPACE ALLOWED OVER HANG ALLOWED S --DWELLING FOOTPRINT PREVIOUSLY SPACE PREVIOUSLY OVERHANG PREVIOUSLY FOOTPRINT REQUESTED DWELLING SPACE REQUESTED OVER HANG REQUESTED FOOTPRINT REMAINING - DWELLING SPACE REMAINING OVER HANG REMAINING -.-- COMMENTS: Bayfield County, WI 4t -L,= EAUCLAIW_ LAKE fRnIU`y~ ID n 20<I , _y. �. may- JOHNEIRIIRRLF �„ - PETER c d su_AN H coNKD[N_ MIDDLE EAU CLAIRE LAKE �...Y- Pp T- .:- PUID/TuxID#LAKE ;t 'F r e.ffP44 ''_"i` �'"y,,. �r�yY.� 3i�':I . SA1 IL�Jf 2DdD tiqyyd • +E: 1 ri 41 LI, ) C6 FFV CII1TRIH T4.EEAIEN$J "�. s s �,4 rs• >✓r ` IOHN EDWARD PETERSON REV�mU5T 4*Ft ;±: a r DRDID/Tae ID#2039 �j K � r . KEbTH A d HELEN C CROMER REV lSVIN6 TRUST AEREEMENT ,.� • ty1�° s_.� �r •y 9/3/2024, 7:59:19 AM 1:717 Flood Plain Boundaries Active Dec 16th. 2011 0 0,01 0.01 0.03 mi w Wetlands II..,.,.I, • .I, Rivers AE = Base floodplain where base flood elevations are provided. 0 0.01 0.03 0.05 km Lakes Building Footprint 2015 eeynek Cauntylend Remrds Department Approximate Parcel Boundary * Building Baynee county zoning Applimtion Nips: lmepe.bayneidmunty.wl.gw/InningWAei //24, 8:01 AM Novus-Wisconsin Access rev. 12.0206 Real Estate Bayfield County Property Listing Property Status: Current Today's Date: 9/3/2024 Created On: 3/15/2006 1:14:46 PM L Description Updated: 7/8/2013 a Ownership Updated: 7/8/2013 Tax ID: 2042 PETER C & SUSAN H CONKLIN CHASKA MN PIN: 04-004-2-44-09-17-3 05-001-50000 Legacy PIN: 004111402004 Billing Address: Mailing Address: Map ID: PETER C & SUSAN H CONKLIN PETER C & SUSAN H Municipality: (004) TOWN OF BARNES 1073 ROSEMARY CT CONKLIN STR: 517 T44N R09W CHASKA MN 55318 1073 ROSEMARY Cr Description: LOT 4 OF CSM #000715 V.5 P.78 BEING A CHASKA MN 55318 PART OF GOVT LOT 1 Recorded Acres: 0.950 P Site Address * indicates Private Road Calculated Acres: 1.085 49228 RIVER RD * GORDON 54838 Lottery Claims: 0 First Dollar: Yes ® Property Assessment Updated: 10/4/2016 Zoning: (R-1) Residential -1 ESN: 104 2024 Assessment Detail Code Acres Land Imp. G1 -RESIDENTIAL 0.950 233,100 235,300 Tax Districts Updated: 3/15/2006 1 STATE 2 -Year Comparison 2023 2024 Change 04 COUNTY Land: 233,100 233,100 0.0% 004 TOWN OF BARNES Improved: 235,300 235,300 0.0% 041491 SCHL-DRUMMOND Total: 468,400 468,400 0.0% 001700 TECHNICAL COLLEGE ,V Recorded Documents Updated: 3/15/2006 FO Property History 91 CONVERSION N/A Date Recorded: 575-324;614-30 1 7- or.& Nd Y/e0, iy a5 owneeO https://novus.bayfieldcounty.wi.gov/access/master.asp?paprpid=2042 1/1 Land Use Permit Application Review Checklist Submission #: Wha 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 7No 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)? id'Yes ❑ No Is impervious surface required? (Required if riparian lot OR lot is entirely within 300 feet of OHWM of navigable waterway) ❑ Yes lZ No Is the project located in the Floodplain? Zone: ❑ Yes 0 No Are there wetlands on the property? ❑ Yes 4 No Is project associated with a nonconforming use or structure? ❑ Yes fZNo Is project associated with a variance? Case #: ❑ Yes CYNo Is project associated with a Special B or Conditional Use Permit? / Permit #: ❑ Yes a No Is the project associated with a Special A Use Permit? Yes ❑ No Does the project require sanitary? 0 Existing O New ntercept ❑ Reconnect ❑ Non -Plumbing ❑ Public Sanitary Permit It: 0 9 ❑ Yes C7No Does the project require mitigation? Implementation Deadline: Date of Compliance: ❑ Yes f] No 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? ❑ Yes o Did applicant/property owner mark lot line(s), if project is within 30 feet of required setback? Project use is? esidential ❑ Commercial ❑ Municipal Project type is? 42iew Construction 0 Addition/Alteration ❑ Change Use ❑ Relocate ❑ RV Placement ❑ Sign ❑ Establishing a Business ❑ Temporary 0 Shoreland Grading ❑ Other, describe: Structure Type is: ❑ Residence 0 Principal Structure J21ccessory 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: Z- Number of Stories: Overall Height: Calculated Fee Category: ❑ R sidential Principal Structures - $0.75/square foot (minimum $125) bitable 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 p.20/square foot (minimum $75) Calculated Fee Amount: 27.6 !' .l c i 7 oZ Additional Fees: ❑ Return Inspection 0 Land Use Revisions 0 Special Use Permit - ClassA ❑ After -the -Fact (ATF) ❑ Floodplain �oreland - Impervious Surface ❑ Shoreland - Non -Conforming, etc. 0 Tower Siting/Collocation 1 ❑ Tower Collocation 2 ❑ Metallic Mine ATF Fee Amount;,, — Inspected by: )Vd Date of Inspection: ,3/<>// 3/ /� Re -Inspected by: Date of Re -Inspection: Denied by: Date of Denial: Reason for Denial: Date Denial Letter Approved by Date of Approval: ❑ Must meet and maintain setbacks from furthest extension of structure including eaves and overhangs. OForpersonal storage only. ersonal residence only. Not for sleeping purposes. wn/State/DNR/Federal may require permitting 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. -Toe 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: $'FIELD Bayfield County Planning & Zoning Department 117 E 5w Street P.O. Box 58 Washburn, WI 54891 Phone: 715-373-6138 Fax: 715-373-0114 Property Owner: Submission Number: CONKLIN, PETER C & SUSAN H LU-01300 1073 ROSEMARY CT CHASKA, MN 55318 Transaction Number: LU-01300-2BC68 Description Amount Shoreland - Impervious Surface $25.00 Verified Fee Amount $0.00 Habitable Residential Accessory Structures - $216.00 $0.50/square foot (minimum $75) Total: $241.00 Payment Amount: $111.00 Reference: 5373 Paid by: JUSTIN CHRISTENSON CONSTRUCTION LLC, 52450 LAKE RD, BARNES, WI 54873 Payment Type: Check Transaction Date: undefined Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit. 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: Submission Number: CONKLIN, PETER C & SUSAN H AP -00028 1073 ROSEMARY CT CHASKA, MN 55318 Transaction Number: AP-00028-2BC5E Description Amount Additional Fee Amount $130.00 Total: $130.00 Payment Amount: $133.09 Reference: 7127207705 Paid by: Justin Christensen Payment Type: Credit Card Transaction Date: 5/22/2025 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 Shoreland, Impervious Surface LAND USE - X SANITARY — Intercept 25-0295 SPECIAL A — SPECIAL B/CONDITIONAL — BOA — No. 25-0296 Tax ID: 2042 Issued To: CONKLIN, PETER C & SUSAN H BAYFIELD COUNTY PERMIT WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION Location: S17 - T44N - R09W Town of Barnes Legal Description: LOT 4 OF CSM #000715 V.5 P.78 BEING A PART OF GOVT LOT 1 Residential Structure in R-1 zoning district For: New Construction [1 - Story ], Accessory Structure on a Slab [432 Total sq. ft. ] Height of 16' (Disclaimer): 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 22, 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. Not for 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. To be constructed per plan.