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HomeMy WebLinkAbout25-0345Return to: 117 E 5th Street, PO Box 58 Washburn, WI 54891 permitsCa'bayfieldcou nty.wi.goy Bayfield County Planning and ZonintDeent LAND USE PERMIT APPLICATION County Use Only: Submission #: l..t%—OI fDt1 Permit #: Date: SECTION A: General Information Prop ty Owner Na Authorized Agent Name (if applicable): Telephone N tuber: G,7Pi I Telephone Number: E -Mail Address: , E -Mail Address: NAY d 2025 CCfl' l COR .. COQ Mailin Addr ss: Mailing Address: Bayfiefri Co. Zoning Dept. i State, Zip: ' w 1! � t/g - City, State, Zip: W J Contractor: Telephone Number: E -Mail Address: SECTION B: Property Information Project Address (if different from mailing address): Legal Description (if additional space is needed attach a separate sheet): Section, Township, Range: _ 41 Town of: Tax ID #: Lot Size (Acres/Square Feet): Z SECTION C: Project information check all that a 11 Project Use is:V Residential ❑ Commercial ❑ Municipal Project Type is: P New Construction 0 Addition/Alteration (existing structure) 0 Change Use (existing structure) 0 Relocate (existing structure) 0 RV Placement 21+ days ❑ Sign 0 Establishing a Business 0 Temporary (12 or less months) 0 Shoreland Grading, Class A 0 RV Placement 4+ months, Class A ❑ Other (describe): required Total sq ft): required SECTI N Ii: Structure information Does not a 1 tb RVs and Si ns, o to Section Ei' a. Structure Type is: ❑ Residence ❑ Principal Structure (describe): Accessory Structure (describe): 0 Shoreland Exempt Structure (describe): ❑ Mobile Home (provide manufactured Pale. &ACA) date): ❑ Shipping Container ❑ Other (describe): Foundation Type: ❑ Basement ❑ Walkout Basement 0 Slab 0 Crawlspace 2f Ground 0 Skids ❑ 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: I a Floor Sq Ft: Loft Sq Ft: 2"d Floor Sq Ft: 3rd Floor Sq Ft: Garage Sq Ft� Porch Sq Ft: Deck Sq Ft: Other Sq Ft (describe): Other Sq Ft (describe): a Total Sq Ft: Z Overall Height (finished grade to peak): ItJ4 W of Stories: I Existing # of Bedrooms on property: Proposed #of in project: SECTION E: RV and Sign Information check all that apply) Sign is: I?Iis: ❑ New ❑ Replacement ❑ New ❑ Replacement ❑ On -premise ❑ Off -premise ❑ I -sided ❑ 2 -sided Year: Vin #: ❑ On -building ❑ Multi -Tenant Length: Width: Height: Make: Model: '9tt/n MAY 2 8 2025 BRvfiolrl (:n 7nninn font SECTION F: Site Plan — attach a siteplan 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) 0 Existing Structures 0 Well (W) 0 Septic Tank (ST) 0 Drain Field (DF) ❑ Holding Tank (HT) ❑ Privy (P) 0 Lake 0 River OStream/Creek OPond ❑Floodplain D Wetlands OSlopes over 20% N el &IJ2 «sr, Setback or distance from furthest extent of structure County Use Only including eaves and overhangs to (include on site plan): Verified setbacks Road Centerline 0 ft. ft. Notes/Comments: Front Lot Line/Right-of-Way ft. ft. Side Lot Line 1 ft. ft. North❑East❑South❑West check one) C — Side Lot Line 2 ft. ft. (NorthDEastDSouthDWestD,check one) RearLot Line �j ft. ft. Septic/Holding Tank 'Z7 ft. ft. Drainfield 715 ft. It. Privy ft. ft. Well 'L ft. ft. Existing Structure/Building cc) ft. ft. Wetland ft. ft. Elevation of Floodplain ft. ft. Ordinary High -Water Mark (OHWM) 35o ft. ft. Other (describe) ft. ft. 2 MAY 287025 Bayfield Co. Zoning Dept SECTION G: Additional Questions ❑ Yes No I-las the location of the proposed project including eaves and overhangs and the sanitary system and well been staked? If no what date will this be completed: ❑ Yes 0 No Did a licensed surveyor mark lot line(s) if project is within 10 feet of required setback? See page 2 of Land Use Application Information for required setbacks. ❑ Yes ❑ 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? rainfield ❑ Holding Tank ❑ Municipal/Public 0 Other (describe): ❑ Yes No ill pressurized water be installed in the structure? If yes, what kind of sanitary system will be installed or used to manage wastewater? ❑ Drainfield ❑ Holding Tank ❑ Municipal/Public ❑ Other (describe): ❑ Ye No Will sleeping occur in the structure? If yes, contact local Uniform Dwelling Code (UDC) for approval and inspection requirements. Is th r ' associated with any of the following: ❑ Rezone ❑ Class A Special Use ❑ Class B Special Use O Conditional Use ❑ Variance Fee payment will be made via: ❑ 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? 44 ail to: OR ❑ Email to: 'roperty Owner Address O Agent Address O Contractor Address ❑ 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. ogv/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 reason le time for th urpose of inspection. Owner(s) or Authorized Agent Printed Name • 7 Owner(s) or Authorized Agent Signature: Date: v v NOTES: 1. If you are signing on behalf of the own r(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. Bayfield County, WI -----I Ish .`� T .1,J5 t V �r Y3 e-dI .dr .d fI ';rX PRPIU/.Tax IU u 22!64 'h3 t l . T4 r'*' LINDA M W ITCnALEK COTRUSTEE t �t: LD N b ____ w 6/212025, 11:31:07AM Wetlands C Approximate Parcel Boundary Rivers Road Type Building Footprint 2015 ... Building Private 1:773 0 0.01 0.01 0.03 mi 0 0.01 0.03 0.06 km Bayfield Countyland Records Department aeyf S County Zoning Applimtlon Mips:llmaps.bayteldmuMywl.IF+C<onln9WA& Bayfield County, WI ,4'4/2/25. 11:29 AM Novus-Wisconsin Access rev. 12.0206 ; Real Estate Bayfield County Property Listing Property Status: Current Today's Date: 6/2/2025 Created On: 3/15/2006 1:15:40 PM Z Description Updated: 5/30/2013 Tax ID: 22159 PIN: 04-028-2-47-07-22-1 01-000-30000 Legacy PIN: 028104306990 Map ID: Municipality: (028) TOWN OF KEYSTONE SIR: 522 T47N R07W Description: LOT 1 OF CSM #849 IN V.1106 P.668 (LOCATED IN NE NE) Recorded Acres: 4.290 Calculated Acres: 4.271 Lottery Claims: 1 First Dollar: Yes Zoning: (R-1) Residential -1 ESN: 120 I Tax Districts Updated: 3/15/2006 I STATE 04 COUNTY 028 TOWN OF KEYSTONE 020170 ASHLAND SCHOOL 001700 TECHNICAL COLLEGE "a ' i Recorded Documents Updated: 10/13/2009 ® TRUSTEES DEED Date Recorded: 5/10/2013 2013R-549442 1106-668 © QUIT CLAIM DEED Date Recorded: 3/13/2009 2009R-525525 1012-878 © CONVERSION Date Recorded: 3/15/2006 627-227;690-58 &I Ownership Updated: 5/30/2013 CORY M & KATIE 3 SMITH MASON WI Billing Address: Mailing Address: CORY M & KATIE) SMITH CORY M & KATIE 3 SMITH 16925 BADGER RD 16925 BADGER RD MASON WI 54856 MASON WI 54856 10 Site Address * indicates Private Road 16845 BADGER RD * MASON 54856 16925 BADGER RD * MASON 54856 ® Property Assessment Updated: 9/27/2012 2025 Assessment Detail Code Acres Land Imp. Cl-RESIDENTIAL 0.270 4,100 191,800 GS -UNDEVELOPED 4.020 100 0 2 -Year Comparison 2024 2025 Change Land: 4,200 4,200 0.0% Improved: 191,800 191,800 0.0% Total: 196,000 196,000 0.0% I f Property History N/A g/2 https://novus.bayfieldcounty.wi.gov/access/master.asp?paprpid=22159 1/1 Land Use Permit Application Review Checklist Submission #: What zoning district is the project located in? 1 ❑R-2 ❑R-3 ❑R-4 DR-RB ❑C ❑I ❑M ❑A-1 ❑A-2 ❑F-1 ❑F-2 ❑W DM -M '0 Yes,J21cIo 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)? ❑ Yes o 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 4jio 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 #: ❑ Yes No Is the project associated with a Special A Use Permit? ❑ Yes o Does the project require sanitary? ❑ Existing 0 New ❑ Intercept ❑ Reconnect ❑ Non -Plumbing ❑ Public Sanitary Permit #: ❑ Yes 2io Does the project require mitigation? Implementation Deadline: Date of Compliance: ❑ Yes ,aici o 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 sijo 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? New Construction ❑ Addition/Alteration ❑ Change Use ❑ Relocate ❑ RV Placement ❑ Sign ❑ Establishing a Business ❑ Temporary ❑ Shoreland Grading ❑ Other, describe: Structure Type is: ❑ Residence 0 Principal Structure _cessory Structure ❑ Boathouse (one story only) ❑:Open-sided/Screened Structure (gazebo, etc.) 0 Stairway to navigable waters ❑ Mobile Home El Shipping Container ❑ Other, d scribe Total Sq. Ft. of Project: LtV' of Stories: Overall Height: .2 .Z_. Calculated Fee Category: ❑ Residential Principal Structures - $0.75/square foot (minimum $125) ❑ Habitable Residential Accessory Structures - $0.50/square foot (minimum $75) on -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: Additional Fees: 0 Return Inspection 0 Land Use Revisions 0 Special Use Permit- Class A ❑ After -the -Fact (ATF) ❑ Floodplain 0 Shoreland - impervious Surface ❑ Shoreland - Non -Conforming, etc. 0 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 Mai Approved by: �Q Date of Approval: Cond' ion(s): ,ust meet and maintain setbacks from furthest extension of structure including eaves and overhangs. or personal storage only. ❑�For personal residence only. J2�Not for human habitation or sleeping purposes. _2 1own/State/DNR/Federal may require permitting ❑ A Uniform Dwelling Code (UDC) Permitfrom the locally contracted UDC Inspection Agency must be obtained prior to the start of construction. Uniform Dwelling Code (UDC) Permit from the locally contracted UDC Inspection Agency must be obtained priorto the start of construction (if applicable). ,Eftse 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. fd'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 orstructure 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: cosAV-7 tinl t2w r 46 d,,vew7p4«tee, ]3 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: SMITH, CORY M & KATIE J LU-01709 16925 BADGER RD MASON, WI 54856 Transaction Number: LU-01709-2C546 Description Amount Non -Habitable Residential Principal and Accessory $480.00 Structures - $0.20/square foot (minimum $75) Total: $480.00 Payment Amount: $491.42 Reference: 7264273325 Paid by: Cory Smith Payment Type: Credit Card Transaction Date: 6/4/2025 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 — Yes / Impervious Surface - No Floodplain - No / Wetlands - No Mitigation - No / Affidavit #: LAND USE - X SANITARY - SPECIAL A - SPECIAL B/CONDITIONAL — BOA — No. 25-0345 Tax ID: 22159 Issued To: SMITH, CORY M & KATIE J BAYFIELD COUNTY PERMIT WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION Location: S22 - T47N - R07W Town of Keystone Legal Description: LOT 1 OF CSM #849 IN V.1106 P.668 (LOCATED IN NE NE) Residential Structure in R-1 zoning district For: New Construction [1 - Story], Accessory Structure on Ground [2400 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 June 04, 2025 Date Condition(s): Must meet and maintain setbacks from furthest extension of structure including eaves and overhangs. For personal storage only. Not for human habitation or 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 (if applicable). Use best management practices to limit and prevent erosion during construction. To be constructed per plan. Contact road authority about driveway placement.