HomeMy WebLinkAbout25-0331Return tb:
117 E5r" Street, PC Box 58 Id County Planning and Zoning Department
Washburn, WI 54891 AND USE PERMIT APPLICATION
permitstuafi&dcounty.wi.xo
County Use Only:
Submission #: W"13167L
Permit if: 'L5-0331
Date: Ci 13J, __I 25
SECTION A: General Iiformation
Property Owner Name: \U
� � I j /
Authorized Agent Name (if app4icalIe�
11
Telephone Number: (� 3 g
Telephone Number:
MAY 4 2025
E -Mail Address:
E -Mail Address:
UAA U `] tvtcs I
Bayfleld Co. Zoning Dept
Mailing Address:
Mailing Address:
pug F2
City, State, Zip:
City, State, Zip:
Contractor:
Telephone Number:
E -Mail Address:
SECTION B: Property Information
Project Address (if different from mailing address): j 5-q
£ M ws- S 6
(q R
Legal escription (if additional space is needed attach a separate sheet):
W e A xr. jJuJ Crr CswrV;WP 1r Pee 9afl-S2
Section, Township, Range: '30 -7
Town of:
Tax ID #: pI C( ` "
Lot Size (Acres/Square Feet): ?.C. i S
SECTION C: Project Information (check all that apply)
Project Use is: G3.Residential ❑ Commercial ❑ Municipal
Project Type is: ig New Construction ❑ Addition/Alteration (existing structure)
❑ Change Use (existing structure) ❑ Relocate (existing structure) ❑ RV Placement 21+ days
❑ Sign ❑ Establishing a Business ❑ Temporary (12 or less months)
❑ Shoreland Grading, Class A ❑ RV Placement 4+ months, Class A ❑ Other (describe):
required (Total sft): required
SECTION D: Structure Information (Does not apply to RVs and Signs, go to Section E)
Structure Type is: ❑ Residence ❑ Principal Structure (describe):
❑ Accessory Structure (describe): ❑ Shoreland Exempt Structure (describe): . Mobile Home (provide manufactured
date):
❑ Shipping Container ❑ Other (describe):
2O7/ oZ
Foundation Type:
❑ Basement ❑ Walkout Basement td Slab ❑ Crawlspace ❑ Ground ❑ Skids El Other (explain):
Existing Structure: Length: Width: Height:
Proposed Structure (Provide Sq Ft based on outside dimensions, including unfinished areas, attached garages/above grade
decks/porches):
Basement Sq Ft:
1" Floor Sq Ft:
Loft Sq Ft:
2"d Floor Sq Ft: 3`d Floor Sq Ft:
Garage Sq Ft:
Porch S Ft:
Deck Sq Ft:
Other Sq Ft (describe): Other Sq Ft (describe):
iCs3tt
Total Sq Ft:
Overall Height (finished grade to peak):
# of Stories: ✓�
Existing # of Bedrooms on property: o
Proposed # of Bedrooms in project:
SECTION E: RV and Sign Information (check all that apply)
Sign is:
R V is:
❑ New ❑ Replacement
❑ New ❑ Replacement
❑ On -premise ❑ Off -premise
❑I -sided ❑2 -sided
Year: Vin#:
❑ On -building ❑ Multi -Tenant
Length: Width: Height:
Make: Model:
ties
Ice
SECTION F: Site Plan — attach a site plan or draw site plan in box below (See pages 1 & 2 of Land Use Permit Application
Information for information that is required to be provided on site plan)
Show location of:
❑ Driveways ❑ Frontage Roads (include name) ❑ Existing Structures
❑ Well (W) ❑ Septic Tank (ST) ❑ Drain Field (DF)
❑ Holding Tank (HT) Cl Privy (P) ❑ Lake ❑ River ❑Stream/Creek ❑Pond ❑Flood lain ❑Wetlands ❑Slopes over 20%
N
ati&r
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Co. Zoning Dept.
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Setback or distance from furthest extent of structure
County
Use Only
—
including eaves and overhangs to (include on site plan):
Verified setbacks
Road Centerline
L ft.
ft,
Notes/Comments:
Front Lot Line/Right-of-Way
Set ft.
ft.
Side Lot Line I
ft.
ft.
NorthSEast❑South❑West❑, check one)
Side Lot Line 2
North❑Eat} $outlXWestD, check one
ft.
w 5 e0 ft.
ft.
ft.
Rear Lot Line
Septic/Holding Tank
ClrJ v ft.
ft.
Drainfield
ft.
ft.
Privy
ft.
ft.
Well
)b 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.
ill 'dAY A 2111h.
SECTION G: Additional Questions
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:
Yes
O 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.
i .Yes
O 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
❑ No
Is there an existing sanitary system on the property? If yes, what kind?
❑ Drainfield Holding Tank ❑ Municipal/Public ❑ Other (describe):
F�l Yes
O No
Will pressurized water be installed in the structure? If yes, what kind of sanitary system will be installed or used
to manage wastewater?
❑ Drainfield gHolding Tank ❑ Municipal/Public ❑ Other (describe):
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 O Class A Special Use El Class B Special Use O Conditional Use ❑ Variance
Fee payment will be made via:
RI Check (attached) O 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 1 'Email to:
O Property Owner Address O Agent Address O Contractor Address O Other (provide Name and Email or Address):
ature
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.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: f3.C-e-3 IA34 V 1&1
Owner(s) or Authorized Agent Signature: ,'i l(4.ipt— Date:
�U�
NOTES:
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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.
DII MAY .; 4 'l ?a
Zoning Dept.
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Trent Wiesner
From: Jared Van Vlack <vanvlack07@hotmail.com> D
Sent: Wednesday, May 14, 2025 10:39 PM
To: permits
Subject: Jared VanVlack building permit submitted 5-14-25 MAY 14 2025
Attachments: IMG_6516.jpeg; IMG_6517jpeg
Bayfield Co. Zoning Dept
F?
You don't oftengetemailfromvanvlack07@hotmail.com. Learn why this is important
Hi,
Here is the plans for the house I'm hoping to bring onto my property.the house coming has the optional
den.
Thank you
Jared
Get Outlook for iOS
1
Bayfield County, WI
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PRPID/Tax ID # 37691 ,
ROBERT U GALLLK JRE �:f� `'ld'F� >,.'�
U { 5/22/25, 9:25 AM Novus-Wisconsin Access rev. 12.0206 /5/
\ Real Estate Bayfleld County Property Listing Property Status: Current
Today's Date: 5/22/2025 Created On: 3/15/2006 1:15:40 PM
Z Description Updated: 5/3/2021 JR Ownership
Tax ID:
21989
PIN:
04-028-2-47-06-30-2 02-000-10000
Legacy PIN:
028102701000
Map ID:
Municipality:
(028) TOWN OF KEYSTONE
STR:
S30 T47N R06W
Description:
NW NW LESS 4A IN NW COR (SUBJ TO E
V.739 P.208) IN DOC 2021R-588428
206
Recorded Acres:
36.510
Calculated Acres:
35.148
Lottery Claims:
0
First Dollar:
No
Zoning:
(AG -1) Agricultural -1
ESN:
120
r
Tax Districts Updated: 3/15/2006
1
STATE
04
COUNTY
028
TOWN OF KEYSTONE
020170
ASHLAND SCHOOL
001700
TECHNICAL COLLEGE
' Recorded Documents
Updated: 10/14/2008
0 WARRANTY DEED
Date Recorded: 4/30/2021
2021R-588428
0 QUIT CLAIM DEED
Date Recorded: 1/12/2016
2016R-561975 1154-922
0 WARRANTY DEED
Date Recorded: 9/30/2008
2008R-523078 1003-550
0 WARRANTY DEED
Date Recorded: 9/10/2007
2007R-516181 978-845
0 CONVERSION
Date Recorded: 3/15/2006
482422 433-5;630-372;857-939
0 WARRANTY DEED
Date Recorded: 5/30/2003
2003R-482422 857-939
JARED S VAN VLACK
Billing Address:
JARED S VAN VLACK
3114 LAKESHORE DRIVE EAST
ASHLAND WI 54806
Updated: 5/3/2021
ASHLAND WI
Mailing Address:
JARED S VAN VLACK
3114 LAKESHORE DRIVE EAST
ASHLAND WI 54806
11 Site Address * indicates Private Road
N/A
® Property Assessment Updated: 8/17/2015
2025 Assessment Detail
Code Acres Land Imp.
GS -UNDEVELOPED 6.510 1,600 0
G6 -PRODUCTIVE FOREST 30.000 39,000 0
2 -Year Comparison 2024 2025 Change
Land: 40,600 40,600 0.0%
Improved: 0 0 0.0%
Total: 40,600 40,600 0.0%
= Property History
N/A
https://novus.bayfieldcounty.wi.gov/access/master.asp?paprpid=21989 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 JZ1 No
Is lot substandard (does not meet current zoning dimensional requirements)?
Deed of record:
❑ Yes 4 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 CXNo
Is impervious surface required? (Required if riparian lot OR lot is entirely within 300 feet of OHWM of
navigable waterway)
❑ Yes No
Is the project located in the Floodplain?
Zone:
Yes O No
Are there wetlands on the property?
❑ Yes No
Is project associated with a nonconforming use or structure?
❑ Yes No
Is project associated with a variance?
Case #:
❑ Yes No
Is project associated with a Special B or Conditional Use Permit?
Permit #:
❑ es No
Is the project associated with a Special A Use Permit?
Yes No
Doejhe project require sanitary?
xisting O New O Intercept ❑ Reconnect O Non -Plumbing O Public
Sanitary Permit if: —
❑ Yes No
Does the project require mitigation?
Implementation Deadline: Date of Compliance:
❑ Yes 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 No
Did applicant/property owner mark lot line(s), If project is within 30 feet of required setback?
Project use is? Residential ❑ Commercial ❑ Municipal
Project type is? ew Construction ❑ Addition/Alteration ❑ Change Use ❑ Relocate ❑ RV Placement ❑ Sign
❑ Establishing a Business ❑ Temporary ❑ Shoreland Grading O Other, describe:
Structure Type is• Residence ❑ Principal Structure O Accessory Structure ❑ Boathouse (one story only)
❑ Open-sided/Screened Structure (gazebo, etc.) O Stairway to navigable waters ❑ Mobile Home
❑ Shipping Container ❑ Other, describe
Total Sq. Ft. of Project: cff0 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 Accessory Structures - $0.20/square foot (minimum $75)
Calculated Fee Amount: 7I"
Additional Fees: O Return Inspection O Land Use Revisions O Special Use Permit - Class A O After -the -Fact (ATF)
❑ Floodplain O Shoreland - Impervious Surface O Shoreland - Non -Conforming, etc. O Tower Siting/Collocation 1
❑ Tower Collocation 2 ❑ Metallic Mine
ATF Fee Amount:
Inspected by:
Date of Inspection: �y
Re -Inspected by:
Date of Re -Inspection:
Denied by:
Date of Denial:
Reason for Denial:
Date Denial Letter Mailed:
Approved by: Date of Approval:
Condition(s):
❑ Must meet and maintain setbacks from furthest extension of structure including eaves and
overhangs.
❑ For personal storage only.
For personal residence only.
❑ Not for human habitation or sleeping purposes.
Y'o n/State/DNR/Federal may require permitting
.zrA 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.
❑ Sin must meet the requirements of Article E of the Bayfield County Zoning Ordinance.
To be constructed per plan.
❑ Adhere to privy agreement.
❑ Temporary permit allowing existing structure for a period of less than 1 year.
❑ RV may not be used for permanent residence or storage.
❑ RV allowed for
❑ RV must be removed by
❑ No sewer and pressurized water allowed in the structure.
❑ No plumbing or plumbing fixtures allowed.
❑ No additional sleeping areas allowed without obtaining necessary sanitary permit(s).
❑ Land use permits shall be required for any new residence, any building or structure erected,
relocated, rebuilt, or structurally altered
❑ Land use permits shall be obtained prior to the initiation of construction or a change in land use
❑ Requirements (e.g., permits/licensing/tax) of Local Town, Village, City, State or Federal agencies are
required
❑ Sanitation requirements must be met (if applicable)
❑ Additional conditions may be placed and need to be adhered to at the time of permit issuance
Other Conditions:
B'-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.
VAN VLACK, JARED S LU-01672
3114 LAKESHORE DRIVE EAST
ASHLAND, WI 54806 Transaction Number.
LU-01672-2B284
Description Amount
Residential Principal Structures - $0.75/square foot $1,560.00
(minimum $125)
Total: $1,560.00
Payment Amount: $1,560.00
Reference: 1300
Paid by: JARED S VANVLACK, 3114 LAKE SHORE DR E, ASHLAND, WI 54806
Payment Type: Check
Transaction Date: 5/30/2025
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
Substandard — No / Nonconforming — No
Shoreland - No! Impervious Surface - No
Floodplain - No / Wetlands - Yes
Mitigation - No / Affidavit #:
IAG1�II11L9a1
SANITARY — Existing 23-72S
SPECIAL A -
SPECIAL B/CONDITIONAL -
BOA -
BAYFIELD COUNTY
WEATHERIZE AND POST THIS PERMIT
ON THE PREMISES DURING CONSTRUCTION
No. 25-0331 Tax ID: 21989
Issued To: VAN VLACK, JARED S
Location: S30 - T47N - R06W
Town of Keystone
Legal Description: NW NW LESS 4A IN NW COR (SUBJ TOE V.739 P.208) IN DOC 2021 R-588428 206
Residential Structure in A-1 zoning district
For: New Construction [1 - Story], Residence on a Slab [2080 Total sq. ft.] Height of 25'
(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 30, 2025
This permit may be void or revoked if any performance conditions are not Date
completed or if any prohibitory conditions are violated.
Condition(s): For personal residence only.
Town/State/DNR/Federal may require permitting
A Uniform Dwelling Code (UDC) Permit from the locally contracted UDC Inspection Agency must be obtained
prior to the start of construction.
To be constructed per plan.