HomeMy WebLinkAbout25-0808Retuen to:
Of 117 E 5`" Street, PO Box 58
Washburn, WI 54891
permits bayfieldcounty.wi.gov
Bayfield County Planning and Zoning Department
LAND USE PERMIT APPLICATION
County Use Only:
Submission #: LU'dliSt
Permit #: 3S -OQ,OQ,
Date: l0 / }7/ J•O�S
.SEC,TJON _A,k engrallnt fnatiop
Proper Owner Name:
Authorized Agent Name (if applicable):
Telephone Number:
Telephone Number: -• -
E -Mail Address:
E -Mail Address: P>ninaM2�,��'
Mailin Address:
Mailing Address:
iiccn Q
City, $e, Zip: g
City, State, Zip:
Contractor:
Telephone Number. E -Mail Address:
SECTION B: Proern Information -'•• -,:. ""'--"""...
Project Address (if different from mailaddress):
O7Sd
C) 0 C O �-
Legal Description (if additional space is nee
a attach a separate sheet): p ' g f�o
O J
y P11Oy'0c1
/L
Section, Township, Range: 154 t t(q 1U ,toss4Town of: 4
Tax ID #: ' 7 7 5 Lot Size (Acres/Square Feet.
•ect InfRrmatiott the ,:atl.that a I
Project Use is: Residential ❑ Commercial ❑ Municipal
Project Type is: New Construction ❑ Addition/Alteration (existing structure)
❑ Change Use (existing structure) ❑ Relocate (existing structure) ❑ RV Placement 21+ days
El Sign ❑ Establishing a Business ❑ Temporary (12 or less months)
❑ Shoreland Grading, Class A ❑ 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) -
Siructnre Type is: Residence ❑ Principal Structure (describe):
❑ Accessory Structure (describe): El Shoreland Exempt Structure (describe): ❑ Mobile Home (provide manufactured
date):
❑ Shipping Container ❑ Other (describe):
l'
Type:
MFoundation
Basement El Walkout Basement El Slab El Crawlspace ❑ Ground ❑ Skids El Other (explain):
Existing Structure: Length: " Width: Height: a
Proposed Structure (Provide Sq Ft based on outside dimensions, including unfinished areas, attached garages/above grade
decks/porches):
Basement S Ft:
lg Floor S Ft:
12
Loft Sq Ft:
2na Floor Sq Ft:
3r°Floor Sq Ft:
Garage Sq Ft:
Porch S
Deck Sq Ft:
Other Sq Ft (describe):
Other Sq Ft (describe):
o
O
Total Sq Ft:
Overall Height (finished grade to peak): .J/ 'j/"
# of Stories: 4
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 El Replacement
El New ❑ Replacement
❑ On -premise ❑ Off -premise
❑ 1 -sided ❑ 2 -sided
Year: Vin #:
❑ On -building El Multi -Tenant
Length: Width: Height:
Make: Model:
SECTION F: Site Plan — attach a site plan or draw site plan in box below (See pages I & 2 of Land Use Permit Application
Information for information that is required to be provided on
site plan)
Show location of:
❑ Driveways O Frontage Roads (include name) D Existing
Structures ❑ Well (W) ❑ Septic Tank (ST) ❑ Drain Field (OF)
❑ Holding Tank (HT) ❑ Privy (P) O Lake ❑ River ❑Stream/Creek ❑Pond ❑Floodplain O Wetlands ❑Slopes over 20%
•
0 PL;nrnc - nJL___
a6 90z
Setback or di tance from furthest extent of structure
County Use Only
including eaves and overhangs to (include on site plan):
Verified setbacks
Road Centerline
�jf / ft.
3 ft.
Notes/Comments:
Front Lot Line/Right-of-Way
ft.
ft.
Side Lot Line I l.Ip%f
�Ol) i ft.
-7 71 ft.
(NorthDEastSouthDWestD, check one)
Side Lot Line 2
ft.
7 '7 ft.
North❑East❑South❑West❑, check one)
Rear Lot Line
ft.
ft.
Septic/Holding Tank
ft.
ft.
Drainfield
ft.
ft.
Privy
ft.
ft.
Well Q
i' ft.
ft.
Existing Structure/Building
ft.
ft.
7 C
Wetland
ft.
ft.
Elevation of Floodplain
ft.
ft.
Ordinary High -Water Mark (OHWM)
ft.
ft.
Other (describe)
ft.
ft.
SECTION G: Additional Questions - -
El Yes
El No
Has the location of the proposed project including eaves and overhangs apjl�tge san+tarysystem and well been
staked? If no, what date will this be completed: - - •- 4
Yes
El 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
El No
Is there an existing sanitary system on the property? If yes, what kind?
❑ Drainfteld ❑ Holding Tank ❑ MunicipaVPublic ❑ 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 ❑Holding Tank ❑ Municipal/Public ❑ Other (describe):
es
❑ 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:
El Rezone ❑ Class A Special Use ❑ Class B Special Use O Conditional Use O Variance
Fee payment will be made via:
❑ Check (attached) ❑ Cash (attached) El debiticredit/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:
%Property Owner Address ❑ Agent Address ❑ Contractor Address ❑ Other (provide Name and Email or Address):
Section H: ,4.ckngw►ed - Si nature
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.gov/topic/wetlands, or contact a Department of Natural Resources service
center (715)685-2900.
1 (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: ,'(r SA e %L/l4h
Owner(s) or Authorized Agent Signature: fI( Z//, L Date:t4
NOTES:
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.
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Bayfield County, WI
M ARYLOUISE CHILOS T RUSTEE �,.. ,�`I ELI EC LI; !EP. SHE -LEA
Tax ID# 28626 ' 7ax lD0 ?952' �'ti C�J.l � 1 ...
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LIE ¢ LI� IE RISHETLER ,.p9
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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-1 ❑ F-2 ❑ W ❑ M -M
❑ Yes [*No
Is lot substandard (does not meet current zoning dimensional requirements)?
Deed of record:
❑ Yes o
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 cNo
Is impervious surface required? (Required if riparian lot OR lot is entirely within 300 feet of OHWM of
navigable waterway)
❑ Yes o
Is the project located in the Floodplain? Zone:
❑ Yes o
Are there wetlands on the property?
❑ Yes'9.Alo
Is project associated with a nonconforming use or structure?
❑ Yes'44o
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?
es ❑ No
Does the project require sanitary?
0 Existing New 0 Intercept 0 Reconnect ❑ Non -Plumbing ❑ Public
Sanitary Permit #: ?S- o$07 # of Bedrooms:
❑ YesNo
Does the project require mitigation?
Implementation Deadline: Date of Compliance:
❑ Yes,'o
Does the project require an affidavit? Affidavit #:
aye 0 No
Did licensed surveyor mark lot line(s), if project is within 10 feet of required setback?
❑ Yes 4Jo
Did applicant/property owner mark lot line(s), if project is within 30 feet of required setback?
Project use is? FResidential ❑ Commercial ❑ Municipal
Project type is? New Construction ❑ Addition/Alteration ❑ Change Use ❑ Relocate ❑ RV Placement ❑ Sign
0 Establishing a Business ❑ Temporary ❑ Shoreland Grading ❑ Other, describe:
Structure Type is:? Residence ❑ Principal Structure 0 Accessory Structure 0 Boathouse (one story only)
❑ Open-sided/Screened Structure (gazebo, etc.) 0 Stairway to navigable waters ❑ Mobile Home
❑ Shipping Container 0 Other, describe
Total Sq. Ft. of Project: Number of Stories: Overall Height:
Fee Type
Calculation
Fee Amount
❑ Dwelling Enclosed Areas —all enclosed areas within
dwelling except attached non -habitable garages
$0.75 x ' /!'
(2 R q ft
(minimum $125)
$ i Z3
❑ Dwelling Unenclosed Areas (decks, patios, etc.) or
Attached Non -Habitable Garages
$0.20 x 7.85 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 + $0.005 x
cost of construction
(minimum $150)
$
❑ Return Inspection 0 Land Use Revisions 0 Special Use Permit - Class A 0 Floodplain 0 Shoreland - Impervious
Surface ❑ Shoreland - Non -Conforming, etc. 0 Tower Siting/Collocation 1 ❑ Tower Collocation 2 ❑ Metallic
Mine
❑ After -the -Fact (ATF)
$
Inspected by: _ //
Date of Inspection:
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.
4For personal residence only.
❑ Not for human habitation or sleeping purposes.
17-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.
IA 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.
,To be constructed per plan.
Adhere to privy agreement.
0 Temporary permit allowing existing structure for a period of less than 1 year.
❑ RV may not be used for permanent residence or storage.
0 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
jeAwred
anitation 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:
$-YFIELD Bayfield County
Planning & Zoning Department
117 E 50, Street
P.O. Box 58
Washburn, WI 54891
Phone: 715-373-6138
Fax: 715-373-0114
Property Owner: Submission Number:
SHETLER, ELI E & LIZZIE R LU-01958
81850 MORRISON RD
PORT WING, WI 54865 Transaction Number.
LU-01958-35117
Description Amount
Habitable Residential Principal Structures - enclosed $2,352.00
areas $0.75/square foot (minimum $125)
Habitable Residential Principal Structure - $57.00
unenclosed area or non -habitable garage
$0.20/square foot (minimum $125)
Total: $2,409.00
Payment Amount: $2,345.00
Reference: 4411 Co
FJ�'I u,td % y G7C L(N3
Paid by: EliShetler ��rla�n�n�
Payment Type: Check VS W
Transaction Date: 10/27/2025
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 I Wetlands - No
Mitigation - No I Affidavit #:
LAND USE -X
SANITARY — New 25-0807
SPECIAL A -
SPECIAL B/CONDITIONAL -
BOA -
BAYFIELD COUNTY
PERMIT
WEATHERIZE AND POST THIS PERMIT
ON THE PREMISES DURING CONSTRUCTION
No. 25-0808 Tax ID: 27875
Issued To: SHETLER, ELI E & LIZZIE R
Location: S04 - T49N - R08W
Town of Port Wing
Legal Description: NW NE 100 IN DOC 2025R-607882
Residential Structure in A-1 zoning district
For: New Construction [2 - Story ], Residence on a Basement [3421 Total sq. ft. ] Height of 211?
(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 27, 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.
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.
Adhere to privy agreement.
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)