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Home My WebLink About25-0358}-/oLsr .Returnea: 11-7 E 5`" Street, PO Box 58 Ba field County Planning and Zoning Department Washburn, WI 54891 LAND USE PERMIT APPLICATION permitscbavfieIdcounty.wi.g County Use Only: Submission #: (—U Permit #: Date: SECTION A: General Infor `ta_- "-r--'T noflU Property caner Name: Authorized Agent Name (if applieabl 5 U S 1 U L Telephone Munger ,, g_ 730 18 a- 8 Telephone Number: 3 L O E -Mail Address: nib 11)b I e'�' /y l ) . eo m E -Mail Address: a ieco.Zoning ep . Mailing Address: 315 w i d; J 5 At/L Mailing Address: City, State, Zip: PS h la P -O w i 5 I 1 Q o. City, State, Zip: Contractor: cc s v t15h f 1(S Telephone Numb!er:' E -Mail Address: a v- 5f5U- 59 SI,c,I5coNs1 itOG SECTION B: Property Information Project Address (if different from mailin address): co2o ack1 d wz 5`i Legal Description (if additional space is needed attach a separate sheet): 5�/ S _ Section, Township, Range: —J — SO — 1 Town of: +✓I over_ Tax ID #: 3 Lot Size (Acres/Square Feet): a O SECTION C: Project Information check all that apply) Project Use is: Residential ❑ Commercial ❑ Municipal Project Type is: $New Construction ❑ Addition/Alteration (existing structure) ❑ Change Use (existing structure) ❑ Relocate (existing structure) ❑ RV Placement 21+ days ❑ Sign ❑ Establishing a Business ❑ Temporary (12 or less months) ❑ Shoreland Grading, Class A ❑ RV Placement 4+ months, Class A ❑ Other (describe): required (Total sft): required SECTION D: Structure Information (Does not a I toRVsndSig�,g6t6 Section E) Structure 7jpe is: )K Residence ❑ Principal Structure (describe): ❑ Accessory Structure (describe): El Shoreland Exempt Structure (describe): ❑ Mobile Home (provide manufactured date): ❑ Shipping Container ❑ Other (describe): Foundation Type: ❑ Basement ❑ Walkout Basement %Slab ❑ Crawlspace ❑ Ground ❑ Skids ❑ Other (explain): Existing Structure: Length: Width: Height: Proposed Structure (Provide Sq Ft based on outside dimensions, including unfinished areas, attached garages/above grade decks/porches): Basement Sq Ft: 1' Floor Sq Ft:&$._v Loft Sq Ft: 2n° Floor Sq Ft: 3"' Floor Sq Ft: Garage Sq Ft: Porch Sq Ft: .7`6 Deck Sq Ft: Other Sq Ft (describe): Other Sq Ft (describe): Total Sq Ft: 7 Overall Height (finished grade to peak): # of Stories: / Existing # of Bedrooms on property: ,- Proposed # of Bedrooms in project: j — SECTION E: RV and Sign Information (check all that a l ) RVis: is: Sign is: ❑ New ❑ Replacement ❑ New ❑ Replacement ❑ On -premise ❑ Off -premise ❑ 1 -sided ❑ 2 -sided Year: Vin if: ❑ On -building ❑ Multi -Tenant Length: Width: Height: Make: Model: 141 SECTION F: Site Plan — attach a site plan or draw site plan in box below (Sec pages I & 2 of Land Use Permit Application 4 . Information for information that is required to be provided on site plan) Ba Show location of: Driveways 19 Frontage Roads (include name) ❑ Existing Structure s Well (W) ❑ Septic Tank (ST) ❑ Drain Field (DF) Holding Tank (HT) ❑ Privy (P) ❑ Lake O River ❑Stream/Creek ❑Pond ❑Floodplain ❑Wetlands ❑Slopes over 20% N w 3�fi 1 Il 2 Lt .?Q K • X300 P Ppsc+� � i t4.))' t Setback or distance from furthestextent of structure County Use Only including eaves and overhangs to (include on site plan): Verified setbacks Road Centerline ?,2 ft. /x f ft. Notes/Comments: Front Lot Line/Right-of-Way a q ft. ( ft. Sid Lot Line I ft. 3 % V ft. bb -f - o East Sou Wes circle one) I l ft. c �� t ft. e Lot Line 2 North Eas ou West, circle one) Rear Lot Line 1Q5O ft. 00 ft. Septic/HoldingTank Zd ft. ft. ft. Drainfield ft. Privy ft. ft. ft. Well 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. !Pt SECTIONG: Additional Questions Yes ❑ No Has the location of the proposed project including eaves and overhangs and the sanitswtfW. bm�� W. staked? If no, what date will this be completed: j — Z ,9 ❑ Yes $_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? ❑ Drainfield ❑ Holding Tank El Municipal/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? ❑ Drainfreld Holding 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 ❑ Class A Special Use ❑ Class B Special Use ❑ Conditional Use El 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? .Mail to: OR Email to: Property Owner Address O Agent Address O Contractor Address O Other (provide Name and Email or Address): Section A 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.gov/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: / Ylo LL7 £. —otso Owner(s) or Authorized Agent Signature: A Date: 1/13 S 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. 1W dadg pM YbnM-0aa b rraM One betel of the Wvmrets BUNnp GNa. U hiss reepxshd y of all cedes bnNusa m nonWelen'verf' aye owThe er Leem of eYr plan redesigner from anyd lms or igecur{slhalmay vbe during the uruhuclkaor a yimb thereafter. Every novel has hater made In prepaegThee plans and chockingrray for becumry, Tire drawings ere provided sew oWa,enenry Mary kind. The drawinga may cofletn nstons or other inaauredes, The do gnerassumes no responsinairy or liability or these eel theseorilnolans and any irddnnml, Mdlred or tensepuenllelaemeeaa whalaoo Intended aiming lean lho Leo uN these drawings capWbornlberraneon determining adai>aMdlsrequ drawings beibrel doing end ehe mad tlMSWclan. All persumm lend strollverify cia lnc d,ereeruicrr codverbs pole lorgnm&YemeIrtolvgh coda repel elya p:reclo to the deiigrver Iv. M1 Mer edits. Pool aced prove sysrarn delano lobeM' Ntt speeded by lhedaWerhpppaer. a lease respn e':Y yrm bolder to verity all yllennalnon prodded bymanubecevwf and Nut systems prodder prIor to vonslrsvlivr. Mr aloralrorrs seavfad by roof Bed boo aYlan&e sopercaed any mmrmybn needed In these draysngt Lai -sue. Hone 1111 JAN 132025 Gene] Ndas: At duemNl6s and mnporen6 In he Ientailed as per enearnvm apecfo lrebumone. -NI ebmentiau are crouch framing unkss elnemise noted. -All slainp c16nginowed lumberspttifiM bysuppfier nsyerceae5 slang deslenaled In These documents. Air edenor wells lobe 2100• NM all isleeve worm lv Iw704 omen amore -SO roloa. -All ededor walls to receive enaseerap. Moumnnp In bbe raped i119ervne. An Nend vans ee d valleys 0 recess led eras W. Shield. slam all window and door epemnen. Seal all wall and canine penewdnneanal connect b ouhmeair. ro An guard rats to be min. 3f APP. -Al bat l pa In oa lot e d sble mle. JUN nc rM ud s b, Mmmerloas on as openings greaterlben 5S( purism lowing) .hralwl hwaused rswbue ofb 00 we lacwny beds above neadeeed pe g .l q'mn ereered pfaro,M ldnsl -unless clamor -else nnled all operirgn. in hewing welte. less S In than a'receive lmin i 2 -fl IT OFneaders.(assumed arenas babe .unlms so a'e oared as nwningv m bmMns terns. creator Nanre Io cosine (henJof ea ire OF headers. ldswnea uniform bedl gl .0 in the sob mMnnla is on n. spathes leads.. pedo'mmg lire Nains; fix Trebnnd In ad. lac compute wM all local end crane r balance INAC eyeum end leave ell som' with the regldaemenln d Iecbkal Lone. va 2.. as sys alb wmdag shall cgnyy wM the regdegmnn Code. Oh 515362 to',1T .ed unless a rammed coney Iulnily lines vereedby Ne The conbaclnl b nave Diggs or to any a.GN'bn. reasonable enamel m locale Ica onanc. qbr b auvalbn Molly Scale: As Shown I EExtreme Larson Home APPROVED: WRE re araroawl Buckley Rd CHECKED BY: WRE Cover n A.,.n..I.or era Office Mobile DATE: 12-23-2022 2is-dis,net Herbster, WI 54844 wDrg. No. 22-06-983 ww.eetremeoeasarenllanesom "flubJ N 13U lie d Co. Zoning Dept. 5Concrete Stab /wf #4 Re -Oar r-0^ o.c. Ca way Over 6 mill poly & R-10 foam n..n ekes tee -al ' U ld.t IM nmb a..coa,dp..,, .O.b.b.en..ae,. ,m.msaa,waw„a. a p.r.ea,uu a MY-maab bdae.lr,lra,a Irate ae.sa lined 9/ eorvmM1lhm !:.3Y„1 0.n -s'4• PO.SSYIe-alt 9d..hhen .Ybwe �• r' ilgp9eb p bbdbba Wnquee o b §0 V1 Living Am I B 4 6d e8 --Spasm QF b 1 7 i � II SP TbTfbM9+tl. t 9WMXL Ltt,0° SOC. rt e P n°p.yrd E a �a Maio bw�a,badoxna. I d:.°d. e°a 98 h _; lsa Bath # Covered ... ,,: Bedroom M ae° ^• aaaeh p Pubb ® 3 un V " -------------- reast crane rx-.m,s2 on Zr SaW 84W MAIN FLOOR re It -S Nob: All dimensions are to outside of concrete slab ,aawmuw Unless noted. all dimensions are to rough foaming bsdraebaaskl � fl Ft m abut FOUNDATION Note: Foundation Consauctlon moat comply with all standards set form in SEVASCE 32-01 Design and Construction of Frost Protected Shallow Foundations as well as SPS 321 and SPS 32233 /Ke P9nno Molly Scale: 1/4" = 11-0" APPROVED: WRE Extreme Larson Home Foundation CHECKED BY: WRE nos n Buckley Rd and Floor Plan DATE: 12-23-2022 Office Mobile ia,.,°a 715201 A Herbster, WI 54844 Drg. No. 22-06-983 WWW.Pxhememeasare,etan,.cem Loading Specifications for rfactured Roof Truss Products Plan. Dane. vrec e N ExtrMeReme Aafl ofta Mobile Asia] -509 V6.ne909T! WWW. Q#rtmeMeasnrcsPl ansso m Molly Larson Home Buckley Rd Herbster, WI 54844 Scale: 3/8" = APPROVED: WRE CHECKED BY: WRE DATE: 12-23-2022 Drg. No. 22-06-983 Cross Section Loading Specifications for rfactured Roof Truss Products ioial Loaa = of PST -LL = 40 psf -DL = 17 psf - top cord = 7psf - bottom cord =10 psf 1111 JAN 132015 Bay5Sd Co. Zoning Dept. Ii. n-nest -e le.,YO�le�,we,-ea tl.-an6-2-'4 mmr \5W SMN emun:.r�n Er91nn1ad PmlTwue mae veeY �2V0.t. rye rwYum _ II ii TSII WCA Fremmp me- SF6 e2 Std, LWe9N'OM Fw0 IvrmnirlYrHUYYtl a.:pi.'1 ewwum zz tltrTom raiwmi ngmWW'en �WiMaxe ry..x Nouuverel K II emu wN vocal boldr m:earee Oils, .•••, �•� •�-•�• oww—emmbwtlarua.l> 0116 OSS SeeHNO me -e2 W.5FF ,tl'M/w 0nn�rolmrleronl lens. .1141St 61 HWKu0ee4YMxN4I mFOr+n6xM'ne'NlW Vela 0)2 MeSot Be Foam 15 SW an A l.;s •.: SrOc)1YllMnl re-0er TflrbE+42pM uman4ebaraNtlY Mn ,. Foam o-w"Ymm uw v,mdmum-azlmN) mnrNuow 1 I Nolemwmmn-2b'Sm2J FNFN lvq_______ mW mmm. 1Y 2Ypretl Pm 'E�rml� D,IYVM lY( ecm{aYMVniYrl F IMWIbn Cross Section S rme 1Y1 IN B ww.,ao wr. Scale: 3/0" = 1'-0" o-barcemunw�m ova. b,tlrlm0 u0. WI8N1. E// \`am. a nl Molly Scale: 3/8° = Extreme Larson Home APPROVED: WRE Cross CHECI�DBY: WRE Meaciirpc a,.•„m..�„ Buckley Rd Section B DATE: 12-23-2022 orou Mobile 2 -solo n,.,092977 Herbster, WI 54844 Dr No. 22-06-983 O' WWW..ExtrcmeMeeeu,esellsS.mm RECEIVED =11C. ICI II_I;I:------------------- - ------------------- -------------------------------------_ YS.�Y jrc liii .. I111� lal_iflIb -. . . - uUfl VII JAN '132025 26ff gaff '�f P 0.64'x•4 0.o.3S4'.JAM' iw2tls.2 78wl� Kitchen • Ir Living Rm s • 18 �» I rc I � at at I j m � win IFIf4 Bath Bedroom p[ r ( 1 I BtlGFq E® LkI j 5 °" xixea { < L-- . 14-1 V 2tff Wall Bracing Plan E/�Ct°a Men. Done. Extreme snldoeltllcnnetelcitee .ydwd° Office Mobile 715.6S2.5e19 715-289-39n WWW.tatremeMeuolesPlans.cam Unless notedall dimensions are to rough framing Continuously Sheathed with wO Co. Zoning Dept f�G f sWctural panel, ]/16• minimum sheathing (24' send spacing) or 3/e' wood structural Was (16' stud spacing), on one side of studs. Block ConllnumsN sheathed Well all edges of braced wall panel and nell II wkh Sdnallsat 6'O.O. at ell edges and 12' O.C. at Intermediate supports. Wood Structural Panel III 1111111 III' 11111 reeetledL.alas Gypsum board with a minimum 1/2' thickness placed on studs a metlmum of iii O.C. and fastened Sheetrock at panel edges. Including top and ._M bottom plates, at r a.c. with Sd cooler nails or N6285AV5 as Par Table 321.25-G tmwdPb.l na1 Pw•1 Pr.l Length of Braced Wall Panels °"°""' wee Check �• a �, is Brava mpece. 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Lldlwml•p, lx meNlrl PoW2Ibeet d.a let rep, pl.t lee It lyl. Larson Home Buckley Rd Herbster, WI 54844 Scale: 1/40 = 1l APPROVED: WRE I CHECKED BY: WRE Drg. No. 22-06-983 Wall Bracing Bayfield County Impervious Surface Calculations These calculations a REQUIRED per WI Admin Code NR 115.05(1)(e) and Section 13-1-32(g) and 13-1- 40(h) of the Bayfield ounty Code of Ordinances. The undersigned hereby makes application for construction, reconstruction, expa sion, replacement or relocation of any impervious surface within 300 feet of the ordinary high water mark and agrees that all activities shall be in accordance with the requirements of the Bayfield County Code of Ordi I ances and all other applicable ordinances and the laws of the State of Wisconsin. Pursuant to Chapter ji, Title 13, Section 13-1-106(d) of the Bayfield County Zoning Ordinance(s), Planning and Zoning Departmentemployees assigned to inspect properties shall have access to said properties to make inspections. Property Owner(s): O f ! y Lp Mailing Address: Property Address -�-- 3/5 w, lI, 5,vr A1gn r w/ s as b c f £,i - Legal Description: S ('s- S Section, Township, Range /4, 1/4, d ') �j'Q W Sec / Township N, Range Authorized Agent/Con ctor Gov't Lot Lot # CSM# Vol & Page ` Oso/) She !s :: Ji_________ Lot(s) # Block(s) # Subdivision Town of Parcel ID # (PIN #) 04- n 1 q , ,2 — 5o - O i— O,% 4 03 000 -20Oo Tax ID # I I q �3 Date: / /' Z o 2s Impervious Surfac : An area that releases as runoff all or a majority of the precipitation that falls on it. "Impervious surface" excludes frozen soil but includes rooftops, sidewalks, driveways, parking lots and streets unless specifically dE signed, constructed and maintained to be pervious. Calculation of Impi rvious Surface: Percentage of impervious surface shall be calculated by dividing the surface area of exist ng and proposed impervious surfaces on the portion of a lot or parcel that, is within 300 feet of the ordinary high water mark by the total surface area of the lot or parcel, multiplied by 109. --Impervious Surfac ' Standard: Allow up to 15% impervious surface but not more than 30% impervious surface on the portio of a lot or parcel that is within 300 feet of the ordinary high water mark. A permit can be issued for developm nt that exceeds 15% impervious surface but not more than 30% impervious surfaces with a mitigation plan thati meets the requirements of the Bayfleld County Ordinance(s). Existing Imperviou Surfaces: For existing impervious surfaces that were lawfully placed when constructed "bkrTit do not comp y with the standards in Section(s) 13-1-32(g) and Section 13-1-40(h), the property owner may do any of the fo owing: a. Maintenance nd repair of all impervious surfaces: b. Replacement) of existing impervious surfaces with similar surfaces within the existing building footprint; c. Relocation on modification of existing impervious surfaces with similar or different impervious surfaces, provided that the relocation or modification does not result in an increase in the percentage that existed on the effective date of the county shoreland ordinance, and meets the applicable setback requirements in Section 13-1-32. Impervious Surface Item Dimension Area (Square Footage) Existing House Existing Accessory Building/Garage Existing Sidewalk(s), Patio(s) & Deck(s) Existing Covered Porch(es), Driveway & Other Structures Proposed Addition/House 78 X a (o 7 2 S Proposed Accessory Building/Garage X 2 6j 0 Proposed Sidewalk(s) & Patio(s) 2S x (o 78 s 2 oS S Proposed Covered Porch(es) & Deck(s) Q Cx l3 (1jCZ�j 'YZUO sP Proposed Driveway / ZX 350 �/ Proposed Other Structures Total: p �� d a. Total square footage of lot: b. Total impervious surface area: c. Percentage of impervious surface area: ;-go s12 100x(b)/a= If the proposed impervious surface area is greater than 15% mitigation is required. Total square footage of additional impervious surface allowed: @ 15% -. , _ @ 30% Issuance Information (County Use Only) Date of Inspection: Inspection Record: Zoning District ( ) Lakes Classification ( ) Condition(s): Stormwater Management Plan Required: ❑Yes ❑No Signature of Inspector: Date of Approval: u/forms/im pervioussurface Created: May 2012 (®Apr 2016; Sept 2020) Proofed by: 1117/25, 10:31 AM Real Estate Bayfield County Property Listing Today's Date: 1/17/2025 Novus-Wisconsin Access rev. 12.0206 Property Status: Current Created On: 3/15/2006 1:15:12 PM Description Updated: 4/5/2023 Tax ID: 11433 PIN: 04-014-2-50-07-07-4 03-000-20000 Legacy PIN: 014103007991 Map ID: Municipality: (014) TOWN OF CLOVER STR: 507 T50N R07W Description: S 1/2 SW SE Recorded Acres: 20.000 Calculated Acres: 19.112 Lottery Claims: 0 First Dollar: No Zoning: (F-1) Forestry -1 ESN: 109 r '3 Tax Districts Updated: 3/15/2006 1 STATE 04 COUNTY 014 TOWN OF CLOVER 044522 SCHL-SOUTHSHORE 001700 TECHNICAL COLLEGE Recorded Documents Updated: 3/15/2006 ® CONVERSION Date Recorded: 521-7 S Ownership Updated: 4/5/2023 MOLLY B LARSON ASHLAND WI Billing Address: Mailing Address: MOLLY B LARSON MOLLY B LARSON 315 WILLIS AVE 315 WILLIS AVE ASHLAND WI 54806 ASHLAND WI 54806 31 Site Address * indicates Private Road 86020 BUCKLEY RD HERBSTER 54844 ® Property Assessment Updated: 7/13/2017 2024 Assessment Detail Code Acres Land Imp. G6 -PRODUCTIVE FOREST 20.000 24,000 0 2 -Year Comparison 2023 2024 Change Land: 24,000 24,000 0.0% Improved: 0 0 0.0% Total: 24,000 24,000 0.0% S Property History l�G https://novus.bayfieldcounty.wi.gov/access/master.asp?paprpid=11433 1/1 Bayfield County, WI :-IL #T11429 PRPIDlTax ID 1132 t :z -;. * .i 4I- EDgRDUN SOHN M. d DIXIE DYKSTRA . e' _.. tir + ... ,, .i ". yip,.. �. •_R . y] Y 4Y1 ` 39 - i � K �y +tt 4 �> . -.. ae F ,'al' t PRPID/Tax ID # 11433 MOLLY & CARSON 0lEI,Ct L ,Fb, .r# _ ,,, gy .,^kr ` y ' •mow. '''.r Bayfield County, WI PRPID/Tax ID # 11432 JOHN M A DIXIE DYKSTRA PRPID/Tax ID # 11433 MOLLY B LARSON Land Use Permit Application Review Checklist Submission #: What zoning district is the project located in? ❑R-1 ❑R-2 ❑R-3 DR -4 ER-RB DC ❑I ❑M ❑A-1 ❑A-2 IZ 1 ❑F-2 OW ❑M -M ❑ Yes lP1io Is lot substandard (does not meet current zoning dimensional requirements)? Deed of record: Cures ❑ 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)? es ❑ No Is impervious surface required? (Required if riparian lot OR lot is entirely within 300 feet of OHWM of navigable waterway) ❑ Yes L-ITo Is the project located in the Floodplain? Zone: ❑ Yes ji4 Are there wetlands on the property? ❑ Yes 4Io Is project associated with a nonconforming use or structure? ❑ Yes o Is project associated with a variance? Case #: ❑ Yes 24o Is project associated with a Special B or Conditional Use Permit? Permit #: ❑ Ys W4& Is the project associated with a Special A Use Permit? es ❑ No Does the projjectt quire sanitary? ❑ Existing 63 -New ❑ Intercept ❑ connect ❑ Non -Plumbing ❑ Public SanitaryPermit #: 95- - ❑ Yes ci1, Does the project require mitigation? Implementation Deadline: Date of Compliance: ❑ Yes 13LL46 Does the project require an affidavit? Affidavit #: ❑ Yes o Did licensed surveyor mark lot line(s), if project is within 10 feet of required setback? ❑ Yes Etio Did pplicant/property owner mark lot line(s), if project is within 30 feet of required setback? Project use is? 4esjdential ❑ Commercial 0 Municipal Project type is? ew Construction O Addition/Alteration ❑ Change Use O Relocate O RV Placement ❑ Sign ❑ Establishing a Busins ❑ Temporary O Shoreland Grading O Other, describe: Structure Type is: esidence ❑ Principal Structure 0 Accessory Structure O Boathouse (one story only) ❑ Open-sided/Screened Structure (gazebo, etc.) O Stairway to navigable waters ❑ Mobile Home ❑ Shipping Container O Other, describe Total Sq. Ft. of Project: Number of Stories: Overall Height: CaIc fated Fee 'hesidential 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: Additional Fees: O Return Inspection ❑ Land Use Revisions ❑ Special Use Permit - Class A ❑ 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: Imd I &(( Date of Inspection: O` Re -Inspected by: Date of Re -Inspection: Denied by: Date of Denial: Reason for Denial: Date Denial Letter Mailed: Approved by: /�,, Date of Approval: gm 'I I lC( I (uVJu �ilSloa S Condition(s): VMust meet and maintain setbacks from furthest extension of structure including eaves and overhangs. ❑ For personal storage only. O For personal residence only. ❑ N%t for human habitation or sleeping purposes. Vrpwn/State/DNR/Federal may require permitting !XA 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. ❑Sign must meet the requirements of Article E of the Bayfield County Zoning Ordinance. uA 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: 13 'FIELD 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: LARSON, MOLLY B 315 WILLIS AVE ASHLAND, WI 54806 Description Verified Fee Amount Residential Principal Structures - $0.75/square foot (minimum $125) Submission Number: LU-01462 Transaction Number: LU-01462-2D006 Amount $0.00 $546.00 Total: $546.00 Payment Amount: $546.00 Reference: 2542 Paid by: MOLLY B LARSON, 5215 OTSEGO ST, DULUTH, MN 55804 Payment Type: Check 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 — No I Impervious Surface — Yes Floodplain — No / Wetlands — No Mitigation — No / Affidavit #: LAND USE —X X SANITARY — New 25-44S SPECIAL A — SPECIAL B/CONDITIONAL — BOA — No. 25-0358 Tax ID: 11433 Issued To: LARSON, MOLLY B Location: S07 - T50N - R07W Town of Clover Legal Description: S 1/2 SW SE BAYFIELD COUNTY PERMIT WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION Residential Structure in F-1 zoning district For: New Construction [1 - Story], Residence on a Slab [728 Total sq. ft.] Height of 17' (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. Emily Macgillivray Authorized Issuing Official June 05, 2025 Date Condition(s): Must meet and maintain setbacks from furthest extension of structure including eaves and overhangs. 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.