HomeMy WebLinkAbout25-0806County Use Only:
Return to:
117 E 5°' Street, PO Box 58 Bayfleld County Planning and Zoning Department
Submission #:LU-C}ol H
�_O�O
Washburn, WI 54891 LAND USE PERMIT AP ATION
permit#:
Ia / a'oa•
permits bayfieldcounty.wi.gov RED
Date: f .1
1 le do
SECTION A: General Information '"
Authorize gent Name (if applienhie):
Property Owner Natge• _
rk S
Telephone Number:
Telephone umber:
E -Mail Address:
E -Mail 4ddress:/
Mailing Addre :Zr¢
. t
Mailing Address:
City, State ip:
City, State, Zip:
Contracto : Telephone Number: E -M kl ddress:
n��z 5'ret�Cu`,�e�S �►S k13 ZSzL_
SECTION B: Property Information
Project Address (if different from mailing address):
Wt
'1321,0 tIock Ct. bk. 6g121
Le a1 Description (if additional space is needed attach a separate sheet):
Lzu )..o4 Addz4t -Ic WJ o V /o3' P. %43 1297
Section, Township, Range: C /S R R0161 Town of:
_ Lot Size Ac . Sgwre-Feet): 0. loo AC.t-eS
Tax ID 4: Jo Z
-
'SSECTIQN-C. Project Information check alhthat 1 •)
Project Use is: Tal Residential ❑ Commercial O Municipal —
Project Type Is: O New Construction L(Additian/Alteration (existing structure)
❑ Change Use (existing structure) ❑ Relocate (existing structure) ❑ RV Placement 21+ days
❑ Sign 0 Establishing a Business 0 Temporary (12 or less months)
❑ Shoreland Grading. Class A O RV Placement 4+ months. Class A O 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 O Principal Structure (describe):
❑ Accessory Structure (describe): ❑ Shoreland Exempt Structure (describe): 0 Mobile Home (provide manufactured
date):
❑ Shipping Container El Other (describe):
F0'41'plSr'
Aa{;i•, n h C7A e
Foundation Type: ' /
❑ Basement ❑ Walkout Basement lASlab O Crawlspace O Ground ❑ Skids O Other (explain):
Existing Stuucture: Length: Width: Height:
Proposed Structure (Provide Sq Ft based on outside dimensions, including unfinished areas, attached garages -above grade
decks orches):
Basement Sq FC
I" Floor Sq y
Loft Sq Ft:
2n° Floor Sq Ft:
3'" Floor Sq Ft:
S
Garage Sq Ft:
Porch Sq Ft:
Deck Sq Ft:
Other Sq Ft (describe):
Other Sq Ft (describe):
Total Sq Ft: a
Overal I I leight (finished grade to peak):
= of Stories: Existing *' of Bedrooms on property:
Proposed 7 of Bedrooms in projectSECTION
E: RY.and Sign Information(check all that apply)
Sign is:
RI is:
❑ New O Replacement
❑ New ❑ Replacement
❑ On -premise ❑ Off -premise
❑ I -sided O 2 -sided
Year: Vin 0:
❑ On -building O Multi -Tenant
Length: Width: Height:
Make: Model:
RECEIVED
OCT 202025
Bayfid Co.
Planning and Zoning Agency
SECTION F: Site Plan — attach a site plan or draw site plan in box below (See pages I & 2 of band Use Permit Application
Infomtation for information that is required to be provided on
site plan) _
Show location of:
❑ Driveways O Frontage Roads (include name) Cl Existing Structures O Well (W) ❑ Septic
Tank (ST) O Drain Field (DF)
❑ Holding Tank (HT) ❑ Privy (P) O Lake O River ❑Stream/Creek ❑Pond ❑Floodplain ❑Wetlands ❑Slopes over 20%
N
- -
Nrn'1Locr Cr,
Setback or distance from furthest extent of structure
County Use Only
including eaves and overhangs to (include on site plan):
Verified setbacks
Road Centerline
dL ft.
ft.
Notes/Comments:
Front Lot Line/Right-of-Way
ft.
ft.
Side L t ine l
Q
ft.
Oft.
(North ast❑South❑West❑, check one)
`
Side LotLine2 yL
North❑East❑SouthtafWest❑,checkone)
35
J
ft.
ID ft.
Rear Lot Line
! ft.
'a ft.
Septic/Holding Tank
I. Pli,
ft.
Drainfield
ft.
ft.
Privy
,j>i ft.
ft.
Well
C ft.
ft.
Existing Structure/Building - R�
ft.
ft.
Wetland
ft.
ft.
Elevation of Floodplain
ft.
ft.
Ordinary High -Water Mark(O1-IWM)
ft.
ft.
Other (describe)
ft.
ft.
RECEIVED
OCT 202025
Bayfield Co.
Planning and Zoning Agency
SE c TION G: Additional Questions
(9 Yes
O 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
kNO
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
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
0 No
Is there an existing sanitary system on the property? lfyes, what kind?
NDrainfield ❑ Holdin,-Tank ❑ Munici al/Public ❑ Other (describe):
❑ Yes
&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 ❑ Holdin Tank ❑ Munici aitPublic ❑ 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 O Class B Special Use ❑ Conditional Use O Variance
Fee payment will be made via: /
❑ 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 ❑ Email to:
O Property Owner Address O Arent Address Contractor Address O Oilier (provide Name and Email or Address):
yfl7. fir, J he, QA. i D:aw ntOt s WI _ q32
:Section H: Acknowledgement and Signature
All Land Use Permits expire Two (2) Year; iron, 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 arc 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. og v/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.
1 II
baL. Sr✓it7S /o / i��
Owner(s) or Authorized Agent Printed Nam L G
`` r
Owner(s) or Authorized Agent Signature: ' J2 f S ' Date: Ja-/9-a
NOTES:
I. If you are signing on behalf of the owner(s) a leper 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.
RECEIVED
OCT 202025
Bayfield Co.
Planning and Zoning Agency
v
z
U
,o1
W
L \
4
1 FRONT PERSPECTIVE
Al N.T.5. Z
n. N
o = p
� oL IV
L ,BACK PERSPECTIVE
Al N.T.S.
SHEET I O6
Al
ISSUED: 05/50/35
9EVEE9: 0S/35/35
SCALE SFE PLPN
INNWNEY: LRS.
CHECKED 9Y J.R.M.
.roar 25-053
IL
0
LL
z
'
F
Q �
1
7-
0,th
0L1 -fl
tu
Q -I IL
NELSON
DESIGN
12
YUNDOW 5GHEDULE
45RK TY.
42E
rzGXNCPp.m6
BR/J0
STYLE
P ]
eD x50
SEE M9W LIST
MNtVN
FllO
5 2
36 50 35
5E nOEl IJST
MMiVI
LA95'RTT
0 3
WSTOH
5=WPTY LIST
WRVI
Fl)$
v
z
O
it DOOR 5L __ IL
HARK Tt. 9]P RQ.CW CR51W6 RE5t Jc6 ^,
1 3 56' x W S9'/T x 5T E%T DRRY EL
.ausrow.m ear 3 1 9]x N' 36"x D]I/T NT,F46O
NOTES TO LONTRPLTOR: U-.
• v5wt u1 ROI6H O^H65 6 alI^v PROR
TO Qtp@iNO PNY/N.L 0.'VR9 I fl2Y6 1' 1
• VERIFY AU 55651. DME5e10NS EL' PIW OSEO D
PRIOR TO cptERM&MY/N1 HAISRIAL5 rIl
z
0
0
v
0
z
I o'er r .. . -.
-------------------J ------__________. -___- _-
------------
/ 1 ADDITION ELEVATION
A2 1/4" = 1'-0"
SHEET 20F6•
L2
ISSUE: 05/50/25
RESEED: 06/25/25
SCALE: SEE PLAN
DRAWN 9Y: L.RS.
CHECKED BY: J.RM.
BI. 25-052
NELSON
DESIGN
IWIH M01 $E 60.
661555, II, 5191]
PINK: 7151 634-5505
14.YLLUI9YP.W1
0
C)
N
0
N
O
N
27
Fill
C.)
M
m
v
fHEET 30F6
ISSUED:
REVISED:
SCALE:
BMWN BY:
CHECKED BY:
OE t:
fHEST 4OF6
DRAWN BY:
CHECKED BY:
rid
NELSON
DESIGN
iH
0
ISSUED
SE VIE E S
SCALE
JOB
NELSON
DESIGN
O
DRAWN BY:
CHECABO BY:
NELSON
DESIGN
Land Use Permit Application Review Checklist
Submission #:-ely
What zoning district is the project located in?
-1 ❑ R-2 ❑ R-3 ❑ R-4 ❑ R-RB ❑ C ❑ 1 ❑ M ❑ A-1 ❑ A-2 ❑ F-1 ❑ F-2 ❑ W ❑ M -M
s ❑ No
Is lot substandard (does not meet current zoning dimensional requirements)?
Deed of record: a .c s&Ai o
❑ Yes JJjo
/
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 IJ0
/
Is impervious surface required? (Required if riparian lot OR lot is entirely within 300 feet of OHWM of
navigable waterway)
❑ Yes 7No
Is the project located in the Floodplain? Zone:
❑ Yes o
Are there wetlands on the property?
❑ Yes No
Is project associated with a nonconforming use or structure?
❑ Yes o
Is project associated with a variance? Case #:
❑ Yes o
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 ,No
Does the project require sanitary?
O Existing O New O Intercept O Reconnect ❑ Non -Plumbing 0 Public
Sanitary Permit #: # of Bedrooms:
❑ Yes o
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)esidential O Commercial ❑ Municipal
Project type is? 0 New Construction,Cddition/Alteration O Change Use O Relocate O RV Placement O Sign
❑ Establishing a Business ❑ Temporary ❑ Shoreland Grading O Other, describe:
Structure Type isy,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: QJj Number of Stories: Overall Height:
Fee Type
Calculation
Fee Amount
welling Enclosed Areas — all enclosed areas within
welling except attached non -habitable garages
$0.75 x 2 rb sq ft
(minimum $125)
aa
$
❑ Dwelling Unenclosed Areas (decks, patios, etc.) or
Attached Non -Habitable Garages
$0.20 x sq ft
(minimum $125)
$
❑ Habitable Residential Accessory Structures
$0.50 x sq ft
(minimum $75)
❑ Non -Habitable Residential Principal and Accessory
Structures
$0.20 x sq ft
(minimum $75)
$
❑ Commercial/Municipal Principal Structures
$250 + $0.005 x
cost of construction
(minimum $250)
$
❑Commercial/Municipal Accessory Structures
$150+$0.005x
cost of construction
(minimum $150)
$
❑ Return Inspection O Land Use Revisions ❑ Special Use Permit - Class A O Floodplain O Shoreland - Impervious
Surface O Shoreland - Non -Conforming, etc. O Tower Siting/Collocation 1 O Tower Collocation 2 O Metallic
Mine
O After -the -Fact (ATF)
$
Inspected by: II
Date of Inspect' n:
7z,
Re -Inspected by:
Date of Re- nspection:
Denied by:
Date of Denial:
Reason for Denial:
Date Denial Letter Mailed:
Approved by:
-if
Date of Approv I:
c p, S
O 2 L)'
Condition(s):
ZVlust meet and maintain setbacks from furthest extension of structure including eaves and
overhangs.
❑ For personal storage only.
PFor personal residence only.
0 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.
%A Uniform Dwelling Code (UDC) Permit from the locally contracted UDC Inspection Agency must be
/obtained prior to the start of construction (if applicable).
se best management practices to limit and prevent erosion during construction.
❑ This permit cannot be transferred if property is sold.
❑ A Hayfield 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.
❑ 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.
to additional sleeping areas allowed without obtaining necessary sanitary permit(s).
kand 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
equirements (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:
P 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:
SMITS, JEFFREY D & BRENDA L
PO BOX 626
CABLE, WI 54821
Description
Habitable Residential Principal Structures - enclosed
areas $0.75/square foot (minimum $125)
Submission Number:
LU-02014
Transaction Number:
LU-02014-371BA
Amount
$192.00
Total: $192.00
Payment Amount: $196.57
Reference: 2976555465
Paid by: Jeffrey Smits
Payment Type: Credit Card
Transaction Date: 10/24/2025
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 - Yes / Nonconforming - No
Shoreland — No / Impervious Surface - No
Floodplain - No / Wetlands - No
Mitigation - No
LAND USE -X
SANITARY -
SPECIAL A -
SPECIAL B/CONDITIONAL -
BOA -
BAYFIELD COUNTY
PERMIT
WEATHERIZE AND POST THIS PERMIT
ON THE PREMISES DURING CONSTRUCTION
No. 25-0806 Tax ID: 10236
Issued To: SMITS, JEFFREY D & BRENDA L
Location: S15 - T43N - R07W
Town of Cable
Legal Description: LAKE LODGE ADD TO WILDE RIVER LOT 10 IN V.1036 P.763 1297
Residential Structure in R-1 zoning district
For: Addition/Alteration [1 - Story ], Residence on a Slab [256 Total sq. ft. ] Height of 17' 8"
(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 Scott Roush
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. October 24, 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): Must meet and maintain setbacks from furthest extension of structure including eaves and overhangs.
For personal residence only.
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.
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