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HomeMy WebLinkAbout25-0363Return to: �5 . County Use Only: �M 117 E 5"' Street, PO Box 58 ayfield County Planning and ni e1�r ent Submission #/ : U—{ 1CJNcI Washburn, WI 54891 LAND USE PERMIT A L f01 Permit t E*iJ ? 23 3_� " 11 permitsanbayfieldcountv.wi.¢ov _ APR 122025 Date: SECTION A; General Information Ravijeld Co. Zon', Property Owner Name: R\9 a lc( a c evi l� I Authorized Agent Name (if applicable): /2 gg- '7Telephone Telephone Number: -7S / - 7 12. Number: E -Mail Address: / I . (en.q(gvI , I_n� /�� `YU:& Un/ E -Mail Address: Mailing Address: I I I �Q 1� / Mailing Address: (�C City, State, Zip: �^ `e�/ Z/ 11 hNumber City, State, Zip: Contractor: Telephone N� ea r( -11-SSg �ZC E -Mail Address: SECTION B: Property Information Project Address (if different from mailing address): I.1 2-5S S ,f I ye r (,J I t L / 0( , Lccbt/ '' � 4 InU I S/ Legal Description (if additional space is needed attach a separate sheet): 5 1 / f Section, Township, Range: Town of: Tax ID #: I i Lot Size (Acres/Square Feet): SECTION C: Project Information (check all that apply) Project Use is: �Residential ❑ Commercial ❑ Municipal Project Type is: IN New Construction ❑ Addition/Alteration (existing structure) ❑ Change Use (existing structure) ❑ Relocate (existing structure) ❑ RV Placement 21+ days ❑ Sign 0 Establishing a Business ❑ Temporary (12 or less months) ❑ Shoreland Grading, Class A ❑ RV Placement 4+ months, Class A ❑ Other (describe): required (Total sti): required SECTION D: Structure Information (Does not apply to RVs and Signs, go to Section B) Structure Type is: ® Residence ❑ Principal Structure (describe): ❑ Accessory Structure (describe): 0 Shoreland Exempt Structure (describe): 0 Mobile Home (provide manufactured date): ❑ Shipping Container 0 Other (describe): Foundation Type: 0 Basement 0 Walkout Basement 11 Slab 0 Crawlspace 0 Ground ❑ Skids 0 Other (explain): Existing Structure: Length: Width: Height: Proposed Structure (Provide Sq Ft based on outside dimensions, including unfinished areas, attached garages/above grade decksiporches): Basement Sq Ft: t" Floor Sq Ft: 1 Loft Sq Ft: _ 2"a Floor Sq Ft: 3'a Floor Sq Ft: Garage Sq Ft: Porch Sq Ft: _- Deck Sq Ft: -.-_ Other Sq Ft (describe): Other Sq Ft (describe): Total Sq Ft: I 1 I a Overall Height (finished grade to peak): 9 of Stories: Existing # of Bedrooms on property: Proposed # of Bedrooms in project: SECTION E: RV and Sign Information (check all that apply) Sign is: R 1, is: ❑ New ❑ Replacement 0 New 0 Replacement ❑ On -premise 0 Off -premise ❑ I -sided 0 2 -sided Year: Vin #: ❑ On -building 0 Multi -Tenant Length: Width: Height: Make: Model: APR 1 2 2025 SECTION F: Site Plan — attach a site plan 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) .i:+viit: Show location of: ❑ Driveways 0 Frontage Roads (include name) 0 Existing Structures ❑ Well (W) 0 Septic Tank (Si') ❑ Drain Field (OF) ❑ Holdin Tank 0 Privy (P) 0 Lake 0 River ❑Stream/Creek OPond ❑Flood lain ❑Wetlands ❑Sto esover20% N y2 I LiiJ' Qn 3((CL 0 ✓�� Setback or distance from furthest extent of structure County Use Only including eaves and overhangs to (include on site plan): Verified setbacks fi Road Centerline Z ft. 7Wi Notes/Comments: ) pt fWe, t.+AP'E �F �o �m hC is Front Lot Line/Right-of-Way Z H D ft. ft. Side Lot Line l ft. 3 L ft. (North ast❑South❑West❑. check one Side LotLine2 ,t� ft. Vh mvke%I• (NorthoEastDSouthSWestD. check one) 9 71 -IS) .A%¢e)4.ytiw� - N 4o Rear Lot Line ItOD It 10 ft. Septic/Holding Tank ft. ft. Drainfield ft. ft. ? V ist9 J Privy ft. ft. Well ft. ft. Existing Structure/Building ft. ft. Wetland O ft. 71 ft. Elevation of Floodplain ft. ft. Ordinary High -Water Mark (OHWM) ft. 7'j �ft. Other (describe) ft. ft. R ECNHVN0 APR 1? 202ti IUUII SECTION G: Additional Questions 1� Yes 0 No Has the location of the proposed project including eaves and ove5hangs and the s diary system and well beeir'-; staked? If no, what date will this be completed: n,.. Y' U — I K— L * Yes 0 No Did a licensed surveyor mark lot line(s) if project is within 10 feet of equired setback? See page 2 of Land Use Application Information for required setbacks. N 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? 0 Drainfield 0 Holding Tank ❑ Municipal/Public ❑ Other (describe): IWYes ❑ No Will pressurized water be installed in the structure? If yes, what kind of sanitary system will be installed or used to manage wastewater? H Drainfield ❑Holdin Tank ❑ Munici al/Public ❑ Other (describe): Yes 0 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: 0 Rezone 0 Class A Special Use 0 Class B Special Use 0 Conditional Use 0 Variance Fee payment will be made via: ❑ Check (attached) 0 Cash (attached) fl debit/credidecheck (department to call once payment is ready to be taken) How would you like to receive your permit card? I t ) L G vU tc) L / ^^ " ❑ Mail to: OR P1 Email to: 1 t _ Lc ce/-N o ( tV ❑ Property Owner Address 0 Agent A dress 0 Contractor Address 0 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 g r�ppic/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. l (we) consent o county officials charged with administering county ordinances to have access to the above -described property at any r o able time f r the purpose of i pection. r l//rte C Owner(s) or Authorized Agent Printed Name: " Owner(s) or Authorized Agent Signature: Date: NOTES: 1. If you are signing on behalf of the owner(s) a letter of authorization must accompany this application. 2. Specific conditions/instructions maybe 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. APR 1 2 2025 Legal Description of 17255 Silver Birch I Lot 1 CSM Number 2360 In Volume 13 2O24R-604353 Cable, WI 54821: Bayfield Co. Zoning Dept. 353 As Document Number FRONT ELEVATION REAR ELEVATION RIGHT ELEVATION LEFT ELEVATION IS V IS II V I� I I� APR 1 2 2025 Bayfield Co. Zoning Dept. SALES ORDER 5555 a a Ui za J 9 0- 2 a z b 2 O LL cij\ flu U ll APR 12 2025 SALES OR Bayfield Co. Zoning Dept. 5555 SHFFT NIN A2 $9 raxa 141 vmra 1110 94114'J 11' J319 Wo et'9 $9 rpra 74' Y6ra Ya• rona rig 13'101/1' '/14 3' f 33/1' 3Y0 3oeo WO I/ -I' LIVING 134.136 YLT r.. -- ... t•1 UP '1: i s ®: 3W 1961/4' MASTER BEDROOM IHelv4 ve 9131' 104• 3'13/1' 1 fl W.IL. MASTER S '-4BATH _ 1 O L. Li a a 4 9 y $ Ot ______ 1143/1 BEDROOM 2 t u4,o-e cm,.,, NtY WEOHI W.IL. PANTRY AP 1 6b tl9' ve Pf UTILITY ve 114:610 ti ` amiss ..MLW .W 910111' LWY 9 -TL 1_83/0' Ito 19101 tuft' fd acmes 319 rmra $9 emra td mva ft wma t<' 04 151 &00R 9W/AP F00Te0C• 1176 151 R.OOR WALL IEIONM • 91.01 ® L%L KRCra6. YLroa. IIX11G.IM wrry9Y IO 4t nit LOCAIW Mr YoWl ML 01150410450411 ML ITOIR 1155 4117011 flY (1155 07451144W o o _J J V LL ll 8 U I � r APR 122025 Bayfield Co. Zoning Dept. SATES ORDER 5555 3 SHEET NUMBER A3 J L APR 12 2025 Bayfield Co. Zoning Dept '"LtS 55 UK 5555 SHEET NOM A4 orasino«I no s3�mtf `dd/ltd at. lK WA4N MR APR 2 2025 Bayfield Co. Zoning Dept 5555 A4-1 a 5 6 :.6.11 Method PF - Penal Frame Brace Construction IX1eWT6lOntO twit Ka$E Pq(r4:RYE1(i iMao w*u. Pi. Ls: iA1b1614 W 1 rlN Sw6E Mlfh --a Ott CaO w.Y1 PN61 IfltCCDMDixOr Ot *3__ _ rae Irani fN CwYaiwru frMG 5111N1]d VMrtE5fecs _ _ OEArmG. \ PLot"-. E aL10E PAW ri/ A;'91,snearol©ItYlalrm C :nna m avexi®watuarram 4aCAnOeS As awl e - saw. a wosrs'oafFstArlan. +% TTW ciflfftt MILL LOS Aatn al a m WOPolna+u a .. wr Banana srw.t.werwsarm. wl $• r.rfrll}iOfD s'PoKIIMKIWtl S r w,aaoxrtxmfLE.la naav rE� aoaltaa Arr Oc NNLf tiS d1Os t snore Nma.slw �K1rit Y S IC II t1 x a n r L sm Is •; IAA)1 Adman aou5 amailnrtat min umtx oval coWiaTE at sassy eL Bell rntllYalMr srm®rw ¢mma ar.Al tats. s -nine ,, • f BEM rot k.0a sy,Rsyry SAA4sraEMTEA Ill IDar aRllgsT�x }I /1PPa�JJ]] toa TIQN rat't Ran TPIG{EW camomo?Y'r aAAA Ai!' ` III ( a! ' aosovat.ro APPCmIX at 104 MC AOTraI �y\nrV'`ja1{L/�®.'.''aaajllr wwnar nano saacw.L wn Nr� aIL, aLob M OVFa tFD VaaaER16 OOa.OMa�1Gt RIn (TEaEVATM 21' rmx } 12'-8" D1rfltRlifll V I I V ,a BRACED Bracing applied to walls visible in elevation WILL PANEL to each side of floor plan at each story level PA,121 T1➢%AE to xA£t aI"TW SUIT OF lM 9p2F WL3FTr SC r» xwML :IACTVA.PNt. flGlPals fr0 at&t Teem, it TO SAI 15W'? Y A1.E rail TO nstrnTAvas U a o4m -- NLIflOLZMAfl TO amT Pa AIR s NOO M -IC swnnn 1111 EGEoVE 0 APR 122025 Bayfield Co. Zoning Dept. Table 321.25-8 MNL\It'.NI NN 11)TDS OF METHOD CS-WSP AND CS -SIB BRACED WALL PANELS Maximum Opening height Adjacent to Braced Wall Panel Minimum Length of Braced Wall Panel (inches) 8' W l wan 9' tall wall 10' 111l wall 12' tall wall tJpto3'-4" 24 27 30 36 11 m6'-8" 32 30 30 36 Upton, 48 41 38 36 Uplo9' 54 46 41 10 10' 60 48 to 12' 72 C,) F th we 0 o C J C ij 41 ALES ORDER >≤ 5555 1EET NUMBER WB-1 I aDu 321.4.+1 LENGTH OF COYTLN-COPS BRACING ON EY ERIOR WALLS Tn r Ira Derr l ent r cmr IT r s run nnn rn -ti eAa•4 Ridge Weight Wnl Soppy ti .wgthefperpettdx±dde4fextr 10 20 30 40 50 60 70 80 (feet) 8oa(ad ceiivg -17 2.0 33 5.0 6.0 75 90 10.5 129 10 3.3 6.3 9.0 12.0 14.5 17.0 199 22.6 d..�.,. H 5.0 9.5 133 IZ5 ≥75 25.5 292 33.4 Tap floc. roofaad -eehag ttt]]] Q 8aofi,,, aelmB OFir 26 4.6 6.3 78 99 II.? 13.7 15.7 15 q R C 4.0 ?.5 104 138 16.7 19.6 22.9 26.2 0.8oa' ad av T. Boa:. roofaad H f 5.5 105 14.9 19.3 23.7 27.3 32.1 36.7 Ratrta 29 5.2 73 88 11.1 132 15.4 17.6 20 4.5 8.3 ll.$ IS -6 189 22.1 259 29.5 � H 62 119 16$ 218 273 31.1 36.3 41.5 7w fay:, rafad ?bobad Twlm m baadma n amI 'e1Ihey!1a R 10 fret Pa oaunal weB uei(Erc aa3&m IC Sa xtt Fly tleeaPgreaimFdm iradq•. bvthe Shc wez6faaas: 0Db a het 095 6 9 feet. 1036:I frn. a 1.10 12 iK °0.3ae amm': ETpst1 Tall be draevaf ,aisacprarded da regirnd hodz 6 the efrtad ,eca a. stie smII beadtpdadG 1.40 RcpenicMta elves to c 4a eater stdet sibad n grin Papmticda sides tote loth as rfl odes ae the fran adnr sides See P1gw. 32123-B. p EG CIE D APR 12 2025 Bayfield Co. Zoning Dept. Table 32125-G BRACING METHODS' 31W®13eae Caoeroaa Caieaa Method 3SateotI �zmlw' B.aeM 'al em 3 75pacieg kb .,i a5&e F, Maim mem7kmgdfedaod: lsdT®dlra vgda®mnil: 11W ax6m Laeg4 and a34d ba n"!; (2- Rxd ad 1sT -in ma®E Izate traeinaOMpmm e 10' a®I6' V?"lmgx 0.113 rA ire o.c xadap � ) - aaesem) DAB 'c<r cs6.i13- Ar and d Die aI beaaa®14 !0 S dimaa)al-I- tapadhoam wocdbmda oc. mdwotmg 3'4'lag16pge gate 3SSn 6d. F. 6-, ta- ASP 16ac ad Sdhosoal(2-!•'1" 6ddt;_aT.i And Lo. 4s, Imgz0113" 3" 6 :mc1e4 ?1166 m Bda)a746 0401.) rand 24 cc. aam16 pre aed m 4 scs 1- TMggx012 d� ': f. d®m Ph.d 3" 6 b1n 16nr m1 10' 4g- .m6e6 oaks l" SM A.at�6 sPa'mE aoml6e i-i 4' 1p7.aa6aad !3' 5d codaoah a rsr Sdd (imalsdm 2-rocad to' 96 ed:aew- (aslodag to bah cried aPame ad ha�v LP? so- It PCP !C6r pga7'l6 mass 6ocma9 Padad 16ocad I0' 48' hadnai a7T £ commt➢loan yam! Iag. 16 pp mm6rt Cmmeaa taaadllm sleAni CS-ASF- lCnc and Caaaac +16-6 Sn an ASP San an ASe` :heaped AS4 masm®?4'oc t_"SB and CS -SW ; aa® Caunaa.: 16 oc and snags sores;Sh3 a n�sPe ae Pad T-atlLame Y36 - 32125-A 321.25-A I 311.23-a lb.u...a.A.mi..e eJ.4 k edYrw:e?.e.ilbW M,MJ. atn.a o....4.uuoWaa i.e.. Yh.o.-i.; . wa.m.e..uw. �.a,a�.aro.e�r. ✓. r. ...'aeM.LaM.•Wu.- d.um.a.e+w m.... V...ie T..Ja.Y..en),' a[Ml, S..,)1 ,O.n MM6 l.e 4'ro.NW..WOY I. dsYW.Wa—.. —•Naei. nai ..Tg,3E t.: a TY Th2aI Meo-- n.mw..v...r-i•.o_ ind.a....wies.......au...w..a s........s.....�.. i...., .. uar • 'eeY.mr W'U-tSYa M.w.1.d.Y—Ste i.sa4tr...u. w..•i.i. N b....d..oe,. .e4�.Yio ...usaix— en, r.nw..q N J a w 0 a 2 U a J a 3 5555 HEET NUMBER WB-2 '�+'. 7♦j� ,$,. + '.,'+ter 1a 4 . L 1 4P.. '��� M! .�, a. .� 7•.. j :yam w �,. S.. d/..C M. Y' f,. .. L°dw ,y Jam. • ...� _• �� 'j •K . 1I::4 fl: CtiiRlAlvllrinY'11LL:L.l[!A - ♦ a i JA • tMcsAp ! 1 - ' { :it s ),p, .. �L' dy Y � S y 'br A♦ �iF� mfr •it .C ACA �� ,. / i J . ♦ ,. i A 'LSjMA,. ..:. Jk '7s3L" 1 °l y + r Bayfield County Impervious Surface Calculations These calculations are REQUIRED per WI Admin Code NR 115.05(1)(e) and Section 13-1-32(g) and 13-1- 40(h) of the Bayfield County Code of Ordinances. The undersigned hereby makes application for construction, reconstruction, expansion, 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 Ordinances and all other applicable ordinances and the laws of the State of Wisconsin. Pursuant to Chapter 1, Title 13, Section 13-1-106(d) of the Bayfield County Zoning Ordinance(s), Planning and Zoning Department employees assigned to inspect properties shall have access to said properties to make inspections. Properly Owner(s): Barbara Grevich Mailing Address: Property Address 16100 Eagle Knob Rd Cable, WI 54821 17255 Silver Birch Drive Cable, WI 54821 Legal Description: Section, Township, Range 114, 114, Sec m Township se N, Range =W Authorized AgentiContractor Gov't Lot Lot # CSM# Vol & Page Matt Cairns / Lauren Grevich 1 2360 13 & 353 Lot(s) # Biock(s) # Subdivision Town of. Cable Parcel ID # (P1N #) Tax ID # Date: 04- o+ - omim= 36653 04/18/2025 Impervious Surface: 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 designed, constructed and maintained to be pervious. Calculation of Impervious Surface: Percentage of impervious surface shall be calculated by dividing the surface area of existing 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 100. Impervious Surface Standard: Allow up to 15% Impervious surface but not more than 30% impervious surface on the portion of a lot or parcel that Is within 300 feet of the ordinary high water mark. A permit can be issued for development that exceeds 15% impervious surface but not more than 30% impervious surfaces with a mitigation plan that meets the requirements of the Bayfield County Ordinance(s). Existing Impervious Surfaces: For existing impervious surfaces that were lawfully placed when constructed but that do not comply with the standards in Section(s) 13-1-32(g) and Section 13-1-40(h), the property owner may do any of the following: a. Maintenance and repair of all impervious surfaces: b. Replacement of existing impervious surfaces with similar surfaces within the existing building footprint; c. Relocation or 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 ' y �ScY X % 3/ 000 Proposed Addition/House 28 x 42 1,176 Proposed Accessory Building/Garage Proposed Sidewalk(s) & Patio(s) Proposed Covered Porch(es) & Deck(s) Proposed Driveway Proposed Other Structures Total: 28 x 42 N L a. Total square footage of lot: b. Total impervious surface area: c. Percentage of impervious surface area: 100 x (b)/a = 0 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 ( j Ickes Classification ( Condition(s): Stormwater Management Plan Required: ❑ Yes jlo Signature of Inspector. Date of Approval: utfonnslimparviousourface Created: May 2012 (®Apr 2016; Sept 2020) Proofed by: . Land Use Permit Application Review Checklist Submission#: -f7 — ve.y, What zoning district is the project jptited 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 Is lot substandard (does not meet current zoning dimensional requirements)? ,.%o Deed of record: es ❑ 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 ❑ No 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 ❑ No Are there wetlands on the property? Is project associated with a nonconforming use or structure? Is project associated with a variance? Case It: l'o LED]Yes Is project associated with a Special B or Conditional Use Permit? Permit #: Is the project associated with a Special A Use Permit? Yes ❑ No Does the project require sanitary? 0 Existing *ew ❑ Intercept O Reconnect ❑ Non -Plumbing ❑ Public Sanitary Per it It: 5 ❑ Yes o _ Does the project require mitigation? Implementation Deadline: Date of Compliance: ❑ YesNo Does the project require an affidavit? Affidavit It: 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 i esidential ❑ Commercial ❑ Municipal Project typ is?New Construction ❑ Addition/Alteration ❑ Change Use ❑ Relocate ❑ RV Placement ❑ Sign ❑ Establishing a Business ❑ Temporary ❑ Shoreland Grading ❑ Other, describe: Structure Type is:, Residence ❑ Principal Structure ❑ Accessory Structure O Boathouse (one story only) ❑ Open-sided/Screened Structure (gazebo, etc.) ❑ Stairway to navigable waters ❑ Mobile Home ❑ Shipping Container ❑ Other, describe Total Sq. Ft. of Project: S Number of Stories: Overall Height: Calculated Fee Category: D 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) ❑ Commercial/Municipal Principal Structures - $0.75/square foot (minimum $125) ❑ Commercial/Municipal Accessory Structures - $0.20/square foot (minimum $75) Calculated Fee Amount: 4811 * .ttr 'i0 7 Additional Fees: ❑ Return Inspection O Land Use Revisions ❑ Special Use Permit - Class A ❑ After -the -Fact (ATF) ❑ Floodplain ahoreland - Impervious Surface O Shoreland - Non -Conforming, etc. ❑ Tower Siting/Collocation 1 ❑ Tower Collocation 2 ❑ Metallic Mine ATF Fee Amount: Inspected by: v Cam(/ -t -'� R" 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 Ap royal: 0 Z Condition(s): vlust meet and maintain setbacks from furthest extension of structure including eaves and /overhangs. ❑ For personal storage only. For personal residence only. ❑ Not for human habitation or sleeping purposes. Town/State/DNR/Federal may require permitting Uniform Dwelling Code (UDC) Permit from the locally contracted UDC Inspection Agency must be btained 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). PUse 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. .t`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. �iNo additional sleeping areas allowed without obtaining necessary sanitary permit(s). rand use permits shall be required for any new residence, any building or structure erected, relocated, rebuilt, or structurally altered sand 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 1 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: 4. l. 4-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: GREVICH, BARBARA LU-01599 14509 INDIGO LAKES CIR NAPLES, FL 34119 Transaction Number: LU-01599-28F1E Description Amount Shoreland - Impervious Surface $25.00 Verified Fee Amount $0.00 Residential Principal Structures - $0.75/square foot $882.00 (minimum $125) Total: $907.00 Payment Amount: $908.25 Reference: 1575942515 Paid by: Barbara Grevich Payment Type: Electronic Funds Transfer Transaction Date: undefined Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit. DOCUMENT NO. I AFFIDAVIT OF CORRECTION SEP 18 2025 STATE OF WISCONSIN ) )ss Bayfield Co. COUNTY OF BAYFIELD ) planning and Zoning Agency I, Patrick A. McKuen, Professional Land Surveyor No. 2992, employed by Pine Ridge Land Surveying, LLC. hereby certify that the Plat of Woodcrest Addition to Wilde River as recorded within the Bayfeld County Register of Deeds office as Document No. 284145 in Volume 5 of Plats on Pages 22-26 has the following restrictions: On Sheet 1 of 5 the plat states that "No buildings for human habitation shall be erected and no soil absorption systems for septic tank effluent disposal shall be constructed on Outlots 1, 2, 3, 4, 5 & 6." The restriction is to be amended in that the following language "No buildings for human habitation shall be erected and no soil absorption systems for septic systems for septic tank effluent disposal shall be constructed on Outlots 1, 2, 3, 4, 5 & 6" shall apply to Outlot 6 (Lot I of CSM #2360) and shall consider it waived as allowed by Wis. Adm. Code Chapter SPS 383.03(4). the letter from the Wisconsin Department of Safety and Profession Services dated May 7, 2025 which releases the restriction. 3— 2Z ZS Patrick A. McKuen Date PLS #2992 STATE OF WISCONSIN ) ) ss COUNTY OF BAYFIELD ) Personally came before me on this M a day of Men, V' 2025, the above named A�! J`. CK b YI 1C I {t(o me known to be the person who executed the afore said affidavit and acknowledged the same. Notary Public County, Wisconsin My commission Expires b DOCUMENT NUMBER 2025R-609221 DANIEL J. HEFFNER REGISTER OF DEEDS BAYFIELD COUNTY. WI RECORDED O9/17/2O25 AT 10: 1 2 AM RECORDING FEE: $30.00 PAGES: 2 RECORDING AREA NAME AND RETURN ADDRESS RA HulSkvoM q-17-202-5 B/ay I County Zoning Administrator Date n cKti SHEET 1 OF2 W iseonsm Department of Safety and Professional Services Division of Industry Services 4822 Madison Yards Way PO Box 7302 Madison, WI 53707 May 7, 2025 CUST IDNO.: 1598410 LAUREN GREVICH 16100 EAGLE KNOB RD CABLE, WI 54821 CONDITIONAL APPROVAL REVISED LETTER i ' Phone: 608-266-2112 T Web: htto://dsps.wi.eov 0 y Email: dsps(u�.wisconsin.gov 1S ` PS Tony Evers, Governor �q Dan Hereth, Secretary Identification Numbers Plan Review No.: PWTS-012500008-M Application No.: DIS-012504636 Site ID No.: SIT -141118 Please refer to all identification numbers in each correspondence with the Department. RECEIVED MUNICIPALITY: SEP j B 2025 TOWN OF CABLE BAYFIELD COUNTY Ba Id Co. Planning and Zoning Agency SITE: GREVICH LAND OUTLOT WAIVER 17255 SILVER BIRCH DRIVE CABLE, WI 54821 LOT 1 CSM NUMBER 2360 IN VOLUME 13 PAGE 353 AS DOCUMENT NUMBER 2024R-604353 Conditionally APPROVED DEPT. OF SAFETY AND PROFESSIONAL SERVICES D SIGN OF I TRY SERVICES SEE CORRESPOND CE 05107/2025 SUBJECT: Outlot 6 (Lot 1) CSM No. 2360 "...NO BUILDINGS FOR HUMAN HABITATION SHALL BE ERECTED AND NO SOIL ABSORPTION SYSTEMS FOR SEPTIC TANK EFFLUENT DISPOSAL SHALL BE CONSTRUCTED ON OUTLOTS....& 6" RESTRICTION WAIVER WOODCREST ADDITION TO WILDE RIVER PLAT S23 T43N R7W TOWN OF CABLE, BAYFIELD COUNTY The Division of Industry Services has reviewed the request to waive the restriction on the above -mentioned property. The restriction is "that no buildings for human habitation shall be erected and no soil absorption systems for septic tank effluent disposal shall be constructed on outlots 1, 2, 3, 4, 5, & 6." The Division hereby has no objection to the removal of the above restriction as it applies to Outlot 6 (Lot I on CSMNo.2360) and shall consider it waived as allowed by Wis. Adm. Code Chapter SPS 383.03(4). Per Wis. Adm. Code Chapter SPS 383.03(4), the proposed POWTS shall comply with Wis. Adm. Code Chapter SPS 383. All necessary Plan Approvals and Permits required by the City, Village, Township, County or other governmental agency shall be obtained prior to installation. This release does not guarantee the outlots above are buildable. City, Village, Township, County or other governmental agencies may have further rules restricting building and/or POWTS placement. A Correction Instrument may be required under s. 236.295, Wis. Scats. You may want to contact Plat Review concerning those procedures. In granting this approval, the Division of Industry Services reserves the right to require changes or additions, should conditions arise making them necessary for code compliance. The Division does not take responsibility for the design or construction of the reviewed items. SHEET 2 OF 2 Town, City, Village, State or Federal Permits May Also Be Required Substandard — No / Nonconforming — No Shoreland — Yes / Impervious Surface — Yes Floodplain — No / Wetlands — Yes Mitigation — No / Affidavit #: LAND USE - X SANITARY — New 25-45S SPECIAL A - SPECIAL B/CONDITIONAL — BOA — No. 25-0363 Tax ID: 36653 Issued To: GREVICH, BARBARA Location: S23 - T43N - R07W Town of Cable BAYFIELD COUNTY PERMIT WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION Legal Description: LOT 1 CSM 2360 V13 P353 DESC IN DOC 2024R-604353 IM 2025R-606838 Residential Structure in R-RB zoning district For: New Construction [I - Story], Residence on a Slab [1176 Total sq. ft.] (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. Scott Roush Authorized Issuing Official June 05, 2025 Date 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. Use best management practices to limit and prevent erosion during construction. To be constructed per plan. 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).