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Home My WebLink About25-0352Return to: County Use Only: 117 E 5th Street, PO Box 58 Bayfield County Planning and Zoning Department Submission # LV'01S66 Washburn, WI 54891 LAND USE PER MI4Pr,L tTION D Permit#: �_ l� 2 D35 permitsObayfieldcounty.wi.gov n Date: &—L-l--Z075 SECTION At General Information Property Owner Name: Authorized Agent Name (if applicable): Head Space HQ, LLC Sarah Gjertson Telephone Number: Telephone Number: 303.520.7805 same E -Mail Address: E -Mail Address: sarah.gjertson@gmail.com same Mailing Address: Mailing Address: 30875 Wedal Rd City, State, Zip: City, State, Zip: Washburn, WI 54891 Contractor: Telephone Number: E -Mail Address: TBD SECTION B: Property Information Project Address (if different from mailing address): New address application submitted, will be 30805 Wedal Rd (adjoins 30875 Wedal Rd) Legal Description (if additional space is needed attach a separate sheet): W15A OF E35A OF NE SE IN Section, Township, Range: Sec 13, TN 48, Fig 05 Town of: Barksdale Tax ID #: 140 Lot Size (Acres/Square Feet): 15acres SECTION C: Project Information (check all that a Project Use is: ❑ Residential XCommercial ❑ Municipal Project Type is: ❑ 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 Placing '1 non -permanent structures for small lodging business 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 E Other (describe): 4 "Pods" (not permanent structures) to be placed on' gravel pads Foundation Type: ❑ Basement ❑ Walkout Basement ❑ Slab ❑ Crawlspace ❑ Ground E Skids ❑ Other (explain): Existing Structure: N/A 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: 3rd Floor Sq Ft: Garage Sq Ft: Porch Sq Ft: Deck Sq Ft: Other Sq Ft (describe): Other Sq Ft (describe): 68.3 sq tt Pods are 168 sq ft (16' x 106') Total SgFt: 236sgn fop #z Overall Height (finished grade to peak): 96" # of Stories: r\/q I Existing # of Bedrooms on property: Proposed # of Bedrooms in project: SECTION E: RV and SIgn Information (check all that apply) Sign is: RV is: ❑ New ❑ Replacement ❑ New ❑ Replacement ❑ On -premise ❑ Off -premise ❑ I -sided ❑ 2 -sided Year: Vin #: ❑ On -building ❑ Multi -Tenant Length: Width: Height: Make: Model: • C,. Si _ b- Cr (N 8958'54" W) N 8949'33" € n.cw gOAWrt1al R-)\ 3b'a� drive W C�cc<y5 = plane -CA 6Vtt ey idea 6wuoZ o a Pla!�[.8 r� 5Z0d> 0 add o 0 SECTION F: Site Plan —attach a site plan or draw site plan in box below (See pages 1 R 2 ofofLand)sPrMit4jilication Information for information that is rc uired to be provided on site plan) Show location of: a Driveways ❑ Frontage Roads (include name) a Existing Structures ❑ Well (W) ❑ Septic Tank (Si) ❑ Drain Field (DF) ❑ Holding Tank (HT) ❑ Privy(P) ❑ Lake ❑ River RStreant/Creek ❑Pond DFloodplain ❑Wetlands ❑Slopes over 20% N 5cc a�}o�ulyi plan Setback or distance from furthest extent of structure including eaves and overhangs to (include on site plan): County Use Only Verified setbacks Road Centerline 180 ft. ft. Notes/Comments: Front Lot Line/Right-of-Way 180 ft. ft. Side Lot Line I (North ❑East❑South❑ West, check one) 232 ft. ft. Side Lot Line 2 North❑East9South❑West❑, check one) ft. ft. Rear Lot Line 1115 ft. ft. Septic/Holding Tank n/a ft. ft. Drainfield n/a ft. ft. Privy C �Ai G 40 ft. ft. Well n/a ft. ft. Existing Structure/Buildin 0� C 112 ft. ft. Wetland n/a ft. ft Elevation of Floodplain n/a ft. ft. Ordinary High -Water Mark (OHWM) n/a ft. ft. Other (describe) ft. ft. (N 8958'54" W) N 8949'33" E - W e AA X 503.16' 33.00' N 89'49 33" � � cARacE � x503.16' D urn � � nUn z o APR 0 3 2025 M Bayfield Co. Zoning Dept. O N N Cz��5 = hc�avtdres55i3n •— 30505 wth-I I -A IC f�c� (rUm r (orjl� dr�vewa�.u��ccegh J 232 �c' ct '& rWtf" anti o>s� TAX ID: 140 653,400 SQ. FT. 15.00 ACRES oNi o n & Er< of O _ o O VJ O v O 503.17' 2 _1,30.16 304.78' i — 168.23' y 1Ac'\\rl TGY in. 1 SECTION G: Additional Questions D 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: NI _W fl t.t & wl ttiC Fiyr 1 a Yes ❑ No Did a licensed surveyor mark lot line(s) if project is within fO feet of required setback? See page 2 of Land Use Application Information for required setbacks. k �e a Yes ❑ No Did property owner or applicant mark lot line(s) if project is within 30 feet of i bSck? See page of Land Use Application Information for required setbacks. ❑ Yes a No Is there an existing sanitary system on the property? If yes, what kind? ❑ Drainfield El Holding Tank ❑ Municipal/Public ❑ Other (describe): ❑ Yes a No Will pressurized water be installed in the structure? If yes, what kind of sanitary sy (e r e 'r used to manage wastewater? ❑ Drainfield ❑ Holding Tank ❑ Municipal/Public ❑ Other (describe): a 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: a Rezone ❑ Class A Special Use O Class B Special Use O 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? ❑ Mail to: OR a Email to: O Property Owner Address ❑ Agent Address ❑ Contractor Address ❑ Other (provide Name and Email or Address): sarahgjertson@gmail.com 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.eovitouichvetlands, 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 tthe purpose of inspection. cje/4r`" Owner(s) or Authorized Agent Printed Name, S __..54'A1' ��11 Owner(s) or Authorized Agent Signat Date: "1 1• Zvi NOTES: 1. If you are signing on behalf of the owner(s) a lette 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. {i CCr[ ►►U[ D APR U 4 2025 AFFIDAVIT OF AUTHORITY (Trust) Bayfield Co. Zoning Dept. PURPOSE. This Affidavit of Authority is used to certify the individual submitting an application is authorized when the property is owned by a Trust. STATE OF WISCONSIN ) ss. BAYFIELD COUNTY The undersigned affirms and states as follows: 2 #- 7� �� '^ 1. Address of Subject Property: 30'o� Wed tl P-cIIWGI&L/1l.9W(Y\lnJI JLt��I 2. The Subject Property is owned by: +1 c4kCl SDUCe a 1 Li-- e1 - (Name f Trust) 3. The name(s) of the current Trustee(s): 4. I certify that the Trust named in paragraph 2 is valid and in effect on the date signed below. I am the duly appointed agent of the Trust named above in paragraph 2, and I have the authority under the terms of said authorization to submit an application to the Bayfield County Zoning Department concerning the Property described in paragraph 1. I further certify that the information and statements made within this affidavit are true, accurate, and complete to the best of my knowledge. 5. I am authorized by the above -named Trust to apply for and bind the Trust to the terms and conditions of any decision or permit that may be issued by the Bayfield County Zoning Department. 6. By signing this affidavit, I attest that I am unaware of any known or unknown person(s) who would contest this application. I agree to indemnify Bayfield County or such person or legal entity suffering a damage resulting from any illegalities of the application. Dated: 1'i' 4') ) Print Name flarnnr11, Subscribed and sworn to before me this y .``Jr1TY C4If., day of ' 2Q2.r Be" �V: SEAL o�N ta(y P ___________county, Wisconsin (y.� ya ag- ..... anto: I-8 n,.F:_.. ..._:cl��• ''lulls U: + NW 4t vW.vw rF�N u�h�ii c ea trn� �e�a My commission: PROCESSING INFORMATION INITIAL PROCESSING. Once the department receives your affidavit, the department will review It for completeness. If the Information Is not complete, the department may reject your affidavit and the application. REQUEST FOR MORE INFORMATION. The department may request that you provide more Information or evidence to support your affidavit. DECISION. The department will review all documents submitted as part of the application for registration and title, this form Included, and may approve, deny or request more Information. Bayfield County, WI ej r$ t a N T Y 1lkw .S * "3 .. ♦ ' v:7x tr,� v A+- -t . w+ k , . 1 y t 5 � Y 'rat r w « `�' rl � L i PRPID/TaxdD # 114 r,,T'� '- FIL'.lr I1� #-i;:5 1SKI RICHARD TLINDA 6USKI "ir Mt �, ' rlR ENE J EI LE _ .5� r, �� . ..�. .t• 3 Wl&T �. Y4.� 3 .Att'.b I*Y�.Fb 17 r' �+ N 3 y1, . .#r I $, ' - •-,,aaewniL5tw 'iA; F . r- r *.' ____ t .(T� w ''� ,�. �} Y- ( hPT PRPIDTax ID # 141 �., 1' MICHAEL LAZORIK PRPID/Tax ID # 140 si HEAD SPACE HQ.LC � :=� " ♦, 't? 'F 4 . 5121/25, 9:11 AM Novus-Wisconsin Access rev, 12.0206 Real Estate Bayfleld County Property Listing Property Status: Current Today's Date: 5/21/2025 Created On: 3/15/2006 1:14:41 PM P Description Updated: 4/22/2025 Qa Ownership Updated: 6/6/2024 Tax ID: 140 HEAD SPACE HQ LLC WASHBURN WI PIN: 04-002-2-48-05-13-4 01-000-20000 Legacy PIN: 002101210000 Billing Address: Mailing Address: Map ID: HEAD SPACE HQ LLC HEAD SPACE HQ LLC Municipality: (002) TOWN OF BARKSDALE 30875 WEDAL RD 30875 WEDAL RD SIR: S13 T48N RO5W WASHBURN WI 54891 WASHBURN WI 54891 Description: W 15A OF E 35A OF NE SE IN DOC 2024R-603354 78B P Site Address * indicates Private Road Recorded Acres: 15.000 30805 WEDAL RD WASHBURN 54891 Calculated Acres: 15.077 Lottery Claims: 0 ® Property Assessment Updated: 6/24/2021 First Dollar: Yes Zoning: (AG -1) Agricultural -1 2025 Assessment Detail ESN: 103 Code Acres Land Imp. G1 -RESIDENTIAL 2.000 16,500 49,500 Tax Districts Updated: 3/15/2006 G6 -PRODUCTIVE FOREST 13.000 20,800 0 1 STATE 2 -Year Comparison 2024 2025 Change 04 COUNTY Land: 37,300 37,300 0.0% 002 TOWN OF BARKSDALE Improved: 49,500 49,500 0.0% 046027 SCHL-WASHBURN Total: 86,800 86,800 0.0% 001700 TECHNICAL COLLEGE y Recorded Documents Updated: 7/8/2013 Property History a WARRANTY DEED Date Recorded: 5/24/2024 2024R-603354 N/A D TERMINATION OF DECEDENT'S INTEREST Date Recorded: 10/16/2023 2023R-600833 a TRANSFER ON DEATH Date Recorded: 5/14/2007 2007R-513844 970-179 a TERMINATION OF DECEDENT'S INTEREST Date Recorded: 5/14/2007 2007R-513843 970-175 D CONVERSION Date Recorded: 3/15/2006 445-89 a WARRANTY DEED Date Recorded: 10/2/1987 371660 459-353 https://novus.bayfieldcounty.wi.gov/access/master.asp?paprpid=140 1/1 Denied by: Reason for Denial: Date Denial Letter Ma Approved byr /f, Date of Approval: 21 Condition(s): ❑ Must meet and maintain setbacks from furthest extension of structure including eaves and overhangs. ❑ For personal storage only. ❑ For personal residence only. ❑lNNot for human habitation or sleeping purposes. XJ Town/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 priorto the start of construction (if applicable). e best management practices to limit and prevent erosion during construction. ❑ This permit cannot be transferred if property is sold. _ayfield 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. fa'I` 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 0 RV must be removed by ❑ No sewer and pressurized water allowed in the structure. El No plumbing or plumbing fixtures allowed. 0 No additional sleeping areas allowed without obtaining necessary sanitary permit(s). El 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: &/e' 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 ❑ I ❑ M ❑ A-1 ❑ A-2 ❑ F-2 ❑ W ❑ M -M ❑ Yes 1Io Is lot substandard (does not meet current zoning dimensional requirements)? Deed of record: ales El 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 �J-No Is impervious surface required? (Required if riparian lot OR lot is entirely within 300 feet of OHWM of navigable waterway) �/ El Yes .CJ No Is the project located in the Floodplain? Zone: ❑ Yes 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 associatedwitha Special B or Conditional Use Permit? Permit #: 25- 03150 ❑ Yes 71 No Is the project associated with a Special A Use Permit? ❑ Yes No Does the project require sanitary? 0 Existing ❑ New ❑ Intercept ❑ Reconnect O Non -Plumbing El Public Sanitary Permit #: IS - Does the project require mitigation? ❑ Yes No / Implementation Deadline: Date of Compliance: El Yes Does the project require an affidavit? ,JtNo Affidavit #: ❑ Yes No Did licensed surveyor mark lot line(s), if project is within 10 feet of required setback? El Yes No Did applicant/property owner mark lot line(s), if project is within 30 feet of required setback? Project use is? ❑ Residential El 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: ❑ Residence j2lrincipalStructure ❑ Accessory Structure ❑ Boathouse (one story only) ❑ Open-sided/Screened Structure (gazebo, etc.) ❑ Stairway t9 navigable waters ❑ Mobile Home ❑ Shipping Container ❑Other, describe ao�Yy 4c4 Total Sq. Ft. of Project: fi 56 Numbe of ories: Overall Height: O Calculated Fee Category: El 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) )ommercial/Municipal Principal Structures - $0.75/square foot (minimum $125) ❑ Commercial/Municipal Acces ory Structures - $0.20/square foot (minimum $75) Calculated Fee Amount: /77 Additional Fees: ❑ Return In pection El Land Use Revisions ❑ Special Use Permit - Class A El 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 b Date of Inspection: Re -Inspected by: Date of Re -Inspection: 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: HEAD SPACE HQ LLC LU-01566 30875 WEDAL RD WASHBURN, WI 54891 Transaction Number: LU-01566-2CF9E Description Amount Verified Fee Amount $0.00 Commercial/Municipal Principal Structures - $177.00 $0.75/square foot (minimum $125) Total: $177.00 Payment Amount. $177.00 Reference: 3002 &2008 Paid by: HEAD SPACE HQ LLC, WASHBURN, WI 54891 Payment Type: Cash Transaction Date: undefined 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 — New 25-0289 SPECIAL A - SPECIAL B/CONDITIONAL - 25-0350 BOA - BAYFIELD COUNTY I:1►'iIii WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION No. 25-0352 Tax ID: 140 Issued To: HEAD SPACE HQ LLC Location: S13 - T48N - R05W Town of Barksdale Legal Description: W 15A OF E 35A OF NE SE IN V.411 P.300 78B IN DOC 2024R-6043354 Commercial Structure in F-1 zoning district For: New Construction [1 - Story], Camping Cabin on Skids [236 Total sq. ft.] Height of 10' (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. June 04, 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): 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. A Bayfield County Health Dept permit is required. To be constructed per plan. Adhere to privy agreement. Adhere to CUP conditions.