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Home My WebLink About25-0816Return to: 117 E 5`h Street, PO Box 58 Washburn, WI 54891 permits@bayfieldcou nty.wi.aov Bayfield County Planning and Zoning Department LAND USE PERMIT APPLICATION r1 County Use Only: Submission #: LU- 0a.0o-O Permit#: aS-v� Date: l o (�A X03 nerat Information Property Owner Name: Authorized Agent Name (if applicable): James & Rachael Krivinchuk Telephone Number: Telephone Number: ,-ft CEIVED 218-830-8999 Jim, 715-919-7299 Rachael E -Mail Address: E -Mail Address: G t'd0Z5 jknvinchuk@email.com- Jim, rrkrivinchuk@yahoo.com- Rachael '' L O Mailing Address: Mailing Address: Ba Id o. 11669 S. County Rd. Y PnriJg and A��ncY City, State, Zip: au Lu.nirgmgoflcy City, State, Zip: Solon Springs, WI 54873 Contractor: Telephone Number: E -Mail Address: SECTION B: Property Information Project Address (if different from mailing address): 4770 Lake Ahmeek Road, Iron River, WI 54847 Legal Description (if additional space is needed attach a separate sheet): NE NE LESS THAT PART LYING W& S OF TOWN ROAD IN DOC 2024R-605488 Section, Township, Range: S27-T47N-Ro9W Town of: Hughes Tax ID #: 37894 Lot Size (Acres/Square Feet): 6.330 SECTION C: Prp'ect.Information check all thatappIy Project Use is: El Residential ❑ Commercial ❑ Municipal Project Type is: ❑ New Construction O Addition/Alteration (existing structure) ❑ Change Use (existing structure) O Relocate (existing structure) ❑ RV Placement 21+ days ❑ Sign O Establishing a Business O Temporary (12 or less months) ❑ Shoreland Grading, Class A O RV Placement 4+ months, Class A El Other (describe): Storage Building required (Total sft): required preconstructed, on skids ;SECTION D: Structure Information (Does not apply to RVs and Signs, go to Section E) Structure Type is: O Residence El Principal Structure (describe): O Accessory Structure (describe): ❑ Shoreland Exempt Structure (describe): El Mobile Home (provide manufactured Storage Building - Preconstructed date): El Shipping Container ❑ Other (describe): Foundation Type: ❑ Basement ❑ Walkout Basement El Slab ❑ Crawlspace 0 Ground O 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: I5 Floor Sq Ft: Loft Sq Ft: 2"e Floor Sq Ft: 3'° Floor Sq Ft: N/A 160 2 storage lofts @ 40 sq ft /ea.= 80 N/A N/A Garage Sq Ft: Porch Sq Ft: Deck Sq Ft: Other Sq Ft (describe): Other Sq Ft (describe): N/A 96 N/A Total Sq Ft: 336 Overall Height (finished grade to peak): 12.5 Ft. of Stories: 1 Existing ;; of Bedrooms on property: 0 Proposed # of Bedrooms in project: o SECTION E: RVllitn Information (check all that apply) Sign is: I?! is: El New ❑ Replacement ❑ New ❑ Replacement ❑ On -premise El Off -premise ❑ I -sided ❑ 2 -sided Year: Vin #: ❑ On -building ❑ 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: a Driveways a Frontage Roads (include name) ❑ Existing Structures El Well (W) 0 Septic Tank (ST) ❑ Drain Field (DF) ❑ I-(oldingTank (HT) El Privy (P) ❑ Lake 0 River ❑Stream/Creek E]Pond ❑Floodplain ❑Wetlands OSlopes over 20% N RECEIVED OCT 222025 Bayfield Co. SEE ATTACHED SITE PLAN Planning and Zoning Agency Setback or distance from furthest extent of structure County Use Only including eaves and overhangs to (include on site plan): Verified setbacks Road Centerline 193 ft. Jnor ft. Notes/Comments: I/ i4 x to .Si e(6t1 (J6v LIr1 Front Lot Line/Right-of-Way 160 ft. %6 ft- Side Lot Line 1 (North East South West, circle one) 210.89 ft. (% r ft. ISO Side Lot Line 2 ft. 325.9 a ft. (North East South West, circle one) l bt 'S 5I f.w, Q l i.Va� Q��(� n 1s-7 D Rear Lot Line 275.30 ft. jq t ft. Septic/Holding Tank ft. ft. Drainfield ft. ft. Privy ft. ft. Well ft. ft. Existing Structure/Building ft. ft. Wetland ft. ft. Elevation of Floodplain ft. ft. Ordinary High -Water Mark (OHWM) 75 ft. ft. Other (describe) ft. tt. RECEIVED OCT 222025 SECTION G: Additional Questions Planning and Zoning Agency H Yes ❑ No Has the location of the proposed project including eaves and overhangs and the sanitary system and well been staked? If no, what date will this be completed: H 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. H 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 H No Is there an existing sanitary system on the property? If yes, what kind? O Drainfield ❑ Holding Tank ❑ Municipal/Public ❑ Other (describe): ❑ Yes H 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): El Yes H No Will sleeping occur in the structure? Ifyes, 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 El Class B Special Use O Conditional Use ❑ Variance Fee payment will be made via: ❑ Check (attached) O Cash (attached) 12 debit/creditlecheck (department to call once payment is ready to be taken) How would you like to receive your permit card? ❑ Mail to: ORE Email to: ❑ Property Owner Address ❑ Agent Address ❑ Contractor Address 12 Other (provide Name and Email or Address): Email: 1rkrivinchkyahoo.com Section H: Acknowledgement and Signatur` `-_ 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.eov/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: •.•.,a 10-22-25 '"—` Owner(s) or Authorized Agent Signature: Date: NOTES: I. 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. SITE PLAN: Jim & Rachael Krivinchuk SITE ADDRESS: 4770 Lake Ahmeek Rd. Iron River, WI 54847 LEGAL DESCRIPTION: NE, NE S27-T457N-R9W, Town of Hughes 3" Brass Capped Pipe S8926.50 -E „ 2147.53' N W 8 S Savings are gild Eased WCCS-cayaWd County utt the NOM One oil NEy of NEy of Scion 27 measured to beer see'2e5PE ** NOT TO SCALE** LEGEND O Found Section Comer as noted • Found 1-1/4' Iron Pipe O Set 1"OD x 20" Iron Pipe 589'26'50"E 508.61' D.3{ 488.30' 33'_ 3 ff1 •0 W Nm, to NONOF 16F1. SHED DRIVEWAY poach 193 Ft. from CLot Roatl len. 296867 sh. Feet 6.68 Atres OHWM \S '�P �OPOND \ W. " F 33' `� \Ra \ TO 275.30 Ff. RECEIVED OCT 2 2 2025 Bayfield Co. Planning and Zoning Agency Found & Verified 3" Brass Capped Pipe to N MAP OF SURVEY located in NE -NE Section 27, Township 47 North, Range 9 West Town of Hughes. Bayfield County, Wisconsin LEGAL DESCRIPTION per Deed 12024R-805488: The Northeast Quarter of the Northeast Quarter of Section 27. Township 47 Noah. Range 9 West. Town of Hughes, Baytteld County, Wisconsin. EXCEPT that part lying South and West of Lake Mmeek Road, North Quarter Corner Northeast Comer FoSection 27 Section 27 3 -Brad scapaed 589'26'50'E Found & VerRed ]• B2u lipped Pipe 4147.53 S8926'50'E 508.61' 3' Brass Capped Pipe I 0.3 468.30' 33' m^rvma nom^b NONOti I al _ m 4 ,I dr '4' eaannw are gad based wccs-eyemd crony the Nash Lw of "E NEX of NE X 01 senImP aaauured in bear sae'nso-E 0 120 240 Scale In Feet l'=120' LEGEND O Found Section Corner as noted • Found 1-1/4' Iron Pipe O Sett"ODx20" Iron Pipe RECEIVED ECG OCT 222025 Bayfield Co. Planning and Zoning 290867 Sq. Feet 6.68 Acres ,�0\4 \ B q 737949• \Ro � � \ � C3 os cgs• � � 7g08W 0367 \� 55., FOR ThE THIS BROCK R. FRIERM000. WISCONSIN PROFESSIONAL LAND DIRECTION OF JAMES KRIVINCHLJ}c, REQUIREMENTSP IS R R SURVEYS UNDER E-7OF W SCONE OF M3 N IZVA IA 3195 DATED THINI S hw1 el, _ S-RNES DAY J x20? BARNES, WIS. CK BROFRIERMOOD %C.. un m N nN 04 b W 04 n v z w n do nn dN ' z^ East Quarter Comer Section 27 Found & Verified 3" Brass Capped Pipe BY CERTIFY THAT THIS MAP WAS MADE ATTHE PARCELS, AND THE INFORMATION SHOWN ON ND MEETS THE MINIMUM STANDARD — L.nen[: James Xnanda} '•nn•. LANDS LOCATED IN Northeast Quarter of Northeast Completion of Field Work anorzms 6mdr fl. Fdmnood, Pty sseo FLYIN GOOSE Quarter of Section 27, Township 47 North, Range 9 West, Town of Hughes, Bayfieftl County, Addle56:ncanl land, LakaANnaek Rd,4m co HN'I N 871681&44 3 - LAND Wisconsin Job: z5d17 itrkgonsala®gmae.am SURVEYING SLB Floor Plan STANDARD RECEIVED 0CT 2212025 Bayfield SLB Side Lofted Barn - Standard Features Planning and Zo 6'6" Under Loft Height. Two Reinforced Lofts Located on Opposite Ends of Interior, Two 2'x3Windows with Latches/Screens, 70" Door Opening & Double Wooden Doors. Door Lock and Keys, High -End Durable Hinges, Spring Latch Hooks Top and Bottom of Left Door Ensures Security. RECEIVED 07 2 2 2025 Premier Buildings Planning and Lenigg Agency PHONE 8448791468 EMAIL ¼YIe@PTCmIeUItOus `ugh ORDER SHEET (REQUIRED ON ALL ORDERS) Dealer Name ��_Vrsua Building Size x Cijj Building Style ,w•wouc`"sh". J Building Diagram (Please draw Placement of options here, Required on ALL Orders):.) as shown in brochure 5'8E(t(-rL C('ti.r C t. •t.y � I �.xosl nJ� 317 East State Line, South Fulton, TN 38Premier 257 PHONE 1a8le -879dt46 ,_ _. 834-879-T46 30 -year metal roofing. x'6" floor joists set into notched 4" x 6" ground skids. 5/8" tongue and groove flooring. 3/4" tongue and groove flooring in All Garages. 3/8" industry leading siding. All buildings are sprayed with colored urethane coating. Truss plates on doors & trusses for maximum durability. Standard wooden doors are 70" wide and double -opening. Diamond -Plate thresholds. Excluding Cabins 10/23/25, 10:19 AM Novus-Wisconsin Access rev. 12.0206 Real Estate Bayfield County Property Listing Today's Date: 10/23/2025 Property Status: Current Created On: 1/2/2019 1:50:47 PM L+ Description Updated: 11/25/2024 12 Ownership Updated: 11/25/2024 Tax ID: 37894 JAMES & RACHAEL KRIVINCHUK SOLON SPRINGS WI PIN: 04-022-2-47-09-27-1 01-000-11000 Legacy PIN: Billing Address: Mailing Address: Map ID: JAMES & RACHAEL JAMES & RACHAEL Municipality: (022) TOWN OF HUGHES KRIVINCHUK KRIVINCHUK STR: 527 T47N R09W 1169 S COUNTY RD Y 1169 S COUNTY RD Y Description: NE NE LESS THAT PART LYING W & S OF SOLON SPRINGS WI 54873 SOLON SPRINGS WI 54873 TOWN ROAD IN DOC 2024R-605488 Recorded Acres: 0.000 rr� P Site Address * indicates Private Road Calculated Acres: 6.330 4770 LAKE AHMEEK RD IRON RIVER 54847 Lottery Claims: 0 First Dollar: No ® Property Assessment Updated: 6/11/2019 ESN: 116 2025 Assessment Detail Code Acres Land Imp. Tax Districts Updated: 1/2/2019 G6 -PRODUCTIVE FOREST 7.500 10,500 0 1 STATE 04 COUNTY 2 -Year Comparison 2024 2025 Change 022 TOWN OF HUGHES Land: 10,500 10,500 0.0% 163297 SCHL-MAPLE Improved: 0 0 0.0% 001700 TECHNICAL COLLEGE Total: 10,500 10,500 0.0% ,V Recorded Documents Updated: 1/2/2019 O WARRANTY DEED F� tli' Property History Date Recorded: 11/14/2024 2024R-605488 Parent Properties Tax ID O WARRANTY DEED 04-022-2-47-09-27-1 01-000-10000 18754 Date Recorded: 10/1/2018 2018R-574789 04-022-2-47-09-27-1 01-000-20000 18755 HISTORY O Expand All History White=Current Parcels Pink=Retired Parcels 0 Tax ID: 18755 Pin: 04-022-2-47-09-27-1 01-000-20000 Leg. Pin: 022107210000 0 Tax ID: 18754 Pin: 04-022-2-47-09-27-1 01-000-10000 Leg. Pin: 022107209000 37894 This Parcel t Parents Children https://novus.bayrieldcounty.wi.gov/access/master.asp?paprpid=37894 1/1 RECEIVED Bayfield County Impervious Surface Calculations 2 ZO2IO Bayfield Co. These calculations are REQUIRED per WI Admin Code NR 115.05(1)(e) and'I8ead®n4t34'8 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. Property Owner(s): James & Rachael Krivinchuk Mailing Address: Property Address 11669 S. County Rd, Y, Solon Springs, WI 57873 4770 Lake Ahmeek Road, Iron River, WI 54847 Legal Description: Section, Township, Range NE 1/4, NE 1/4, Sec 27 Township 47 N, Range oe W Authorized Agent/Contractor '. Gov't Lot Lot # CSM# Vol & Page N/A Lot(s) # Block(s) # Subdivision Town of: Hughes Parcel ID # (PIN #) Tax ID # Date: 04- 022-2-47-os-27-1-o,-000-1,000 37894 10-25-25 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 REC"V ea (Square Footage) Existing House 0 Bafield Co. Existing Accessory 0 dpi oningAgency Building/Garage Existing Sidewalk(s), Patio(s) & 0 Deck(s) Existing Covered Porch(es), 0 Driveway & Other Structures Proposed Addition/House 0 Proposed Accessory 10Ft.X16Ft. 160 Building/Garage Proposed Sidewalk(s) & Patio(s) 0 Proposed Covered Porch(es) & 0 Deck(s) Proposed Driveway 0 Proposed Other Structures 0 Total: 160 a. Total square footage of lot: 290,867(6.66Acres) b. Total impervious surface area: c. Percentage of impervious surface area: 100 x (b)/a = 0.06 If the proposed impervious surface area is greater than 15% mitigation is required. Total square footage of additional impervious surface allowed: @ 15% 43,630 @ 30% 87,260 Issuance Information (County Use Only) Date of s cti iot j1�ecdon Record: p� pri ��"7y !titt) (Vtlj0(0LALL4S �� o� / j t LJTh l��d%tuetoc{A/ /1S STiI' 1 ZoningDistrict ) •�'n 1 1,G� i Lakes Classification ( ) Condition(s): Stormwater Management Plan Required: ❑ Yes alUo Signature of Inspector: rnl , 1� ll � tot Date fApproval: 1/1/ ,�i o �J U u/fomisiimpervioussurface Created: May 2012 (®Apr 2016; Sept 2020) Proofed by: Emily Macgillivray From: Emily Macgillivray Sent: Tuesday, October 28, 2025 3:40 PM To: 'Rachael Krivinchuk'; Dylan Ortman Cc: Rachael Krivinchuk Subject: RE: Impervious Hi Rachael, I visited the site today. Everything looked good in terms of setbacks. Just as an FYI for future permit applications, while the driveway is a two -track, it does count as impervious surface (if you plan to continue to drive on it and park on it) and should be included on the form. I measured approximately 160' by 15' for the driveway/two-track. Overall, this still makes the total impervious surface at less than 1 %, so I went ahead and approved your application. Our clerk, Dylan, will reach out to you for payment ($100). If you'd prefer, you can call Dylan when it's convenient for you at 715-373-3515. Let me know if you have any questions, Kind regards, Emily Macgillivray (she/her) Assistant Zoning Administrator Planning and Zoning Department Bayfield County 117 E 5th Street, PO Box 58 Washburn, WI 54891 Phone: 715-373-3511 emily.macgillivray a,bayfieldcounty.wi.gov Fraudulent Billing Alert: Be aware that individuals submitting applications to our department have received scam emails. Bayfield County will NOT ask applicants to wire any funds. Please contact our office at zo i Cabayfieldcounty wi gov_ or 715 373-6138 with any questions or concerns. From: Rachael Krivinchuk <Rachael.Krivinchuk@enbridge.com> Sent: Monday, October 27, 2025 8:19 AM To: Emily Macgillivray<emily.macgillivray@bayfieldcounty.wi.gov>; Dylan Ortman <dylan.ortman@bayfieldcounty.wi.gov> n @ bayfieldcounty.wi.gov> Cc: Rachael Krivinchuk <rrkrivinchuk@yahoo.com> Subject: RE: Impervious IYou don't often get email from rachael.krivinchuk@enbridge.com. Learn why this is important Thanks so much, Emily! I apologize again for all the "empty" emails. My personal email just did not like the size of the PDF. Please feel free to reach out with any questions. Rachael From: Emily Macgillivray<emily.macgillivray@bayfieldcounty.wi.gov> Sent: Monday, October 27, 2025 8:11 AM To: Rachael Krivinchuk <Rachael.Krivinchuk@enbridge.com>; Dylan Ortman<dylan.ortman@bayfieldcounty.wi.gov> Cc: Rachael Krivinchuk <rrkrivinchuk@yahoo.com> Subject: [External] RE: Impervious CAUTION! EXTERNAL SENDER Were you expecting this email? TAKE A CLOSER LOOK. Is the sender legitimate? DO NOT click links or open attachments unless you are 100% sure that the email is safe. This email was sent from emily.macgillivray@bayfieldcounty.wi.gov. Thanks, Rachael! I'm hoping to make it out to the site tomorrow. Even less developed driveways, like two tracks, are usually added to an impervious surface form, as are any parking areas, since they get compacted and end up acting as impervious surfaces. I'll take a took at the site and let you know what I think. If the driveway needs to be added, I don't anticipate it being an issue, it's just something state regulations require us to track. Let me know if you have any questions. Kind regards, Emily Macgillivray (she/her) Assistant Zoning Administrator Planning and Zoning Department Bayfield County 117E5th Street, POBox 58 Washburn, WI 54891 Phone: 715-373-3511 emilv.macgill ivraybayfieldcounty.wi.gov Fraudulent Billing Alert: Be aware that individuals submitting applications to our department have received scam emails. Bayfield County will NOT ask applicants to wire any funds. Please contact our office atzoning@bayfieldcounty.wi.gov or 715 373-6138 with any questions or concerns. From: Rachael Krivinchuk <Rachael.Krivinchuk@enbridge.com> Sent: Sunday, October 26, 2025 6:33 AM To: Emily Macgillivray<emily.macgillivray@bayfieldcounty.wi.gov>; Dylan Ortman <dvlan.ortman@bayfieldcounty.wi.gov> Cc: Rachael Krivinchuk <rrkrivinchuk@yahoo.com> Subject: Impervious Some people who received this message don't often get email from rachael.krivinchuk@enbridge.com. com. Learn why this is important Land Use Permit Application Review Checklist Submission #: Q What zoning district is the project located in? ❑ R-1 ❑ -2 ❑ R-3 ❑ R-4 ❑ R-RB ❑ C ❑ 1 ❑ M ❑ A-1 ❑ A-2 -1 ❑ F-2 ❑ W ❑ M -M ❑ Yes No Is lot substandard (does not meet current zoning dimensional requirements)? 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 m4o Is the project located in the Flood plain? Zone: ❑ Yes N Are there wetlands on the property? ❑ Yes ii4j Is project associated with a nonconforming use or structure? ❑ Yes N Is project associated with a variance? Case #: ❑ Yes Blip Is project associated with a Special B or Conditional Use Permit? Permit #: ❑ Yes L3"N,e Is the project associated with a Special A Use Permit? ❑ Yes No Does the project require sanitary? 0 Existing ❑ New 0 Intercept ❑ Reconnect ❑ Non -Plumbing ❑ Public Sanitary Permit #: # of Bedrooms: ❑ Yes ❑ No Does the project require mitigation? Implementation Deadline: Date of Compliance: ❑ Yes iVro Does the project require an affidavit? Affidavit #: ❑ Y No Did licensed surveyor mark lot line(s), if project is within 10 feet of required setback? uS'es ❑ No Did applicant/property owner mark lot line(s), if project is within 30 feet of required setback? Project use is? Re i ential ❑ Commercial ❑ Municipal Project type is? New Construction ❑ Addition/Alteration ❑ Change Use ❑ Relocate ❑ RV Placement ❑ Sign ❑ Establishing a Business ❑ Temport ❑ Shoreland Grading ❑ Other, describe: Structure Type is: O Residence 4rincipaI Structure 0 Accessory Structure 0 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: Number of Stories: Overall Height: 7 Fee Type Calculation Fee Amount ❑ Dwelling Enclosed Areas — all enclosed areas within $0.75 x sq ft (minimum $125) dwelling except attached non -habitable garages $ ❑ Dwelling Unenclosed Areas (decks, patios, etc.) or $0.20x sq ft (minimum $125) Attached Non -Habitable Garages $ ❑ Habitable Residential Accessory Structures $0.50 x sq ft (minimum $75) Non -Habitable Residential Principal and Accessory $0.20 x 33 sq ft i (minimu $75) Structures $ ❑ Commercial/Municipal Principal Structures $250 + $0.005 x (minimum $250) cost of construction $ ❑ Commercial/Municipal Accessory Structures $150 + $0.005 x (minimum $150) cost of construction ❑ Return Inspection ❑ Land Use Revisions ❑ Special Use Permit - Class A 0 Floodplain horeland - Impervious Surface ❑ Shoreland - Non -Conforming, etc. ❑ Tower Siting/Collocation 1 ❑ Tower Collocation 2 ❑ Metallic Mine ❑ After -the -Fact (ATF) $ Inspected by: Date of Inspection: t'm( ucic'r i oa Re -Inspected by: V Date of Re -Inspection: Denied by: Date of Denial: Reason for Denial: Date Denial Letter Mailed: Approve by: ' Date of Approval: Con(s):�j XU st meet and maintain setbacks from furthest extension of structure including eaves and over angs. For personal storage only. ❑ Fo1 personal residence only. '1pt for human habitation or sleeping purposes. GYFown/State/DNR/Federal may require permitting ❑ A Uniform Dwelling Code (UDC) Permitfrom 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 obtat j d prior to the start of construction (if applicable). l '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. ❑�Si must meet the requirements of Article E of the Bayfield County Zoning Ordinance. f o 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 ❑ Rymust be removed by I24o 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: A 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: Submission Number: KRIVINCHUK, JAMES & RACHAEL LU-02020 1169 S COUNTY RD Y SOLON SPRINGS, WI 54873 Transaction Number: LU-02020-372C1 Description Amount Shoreland - Impervious Surface $25.00 Non -Habitable Residential Principal and Accessory $75.00 Structures - $0.20/square foot (minimum $75) Total: $100.00 Payment Amount: $102.38 Reference: 2577757455 Paid by: James Krivinchuk Payment Type: Credit Card Transaction Date: 10/29/2025 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 — Yes I Impervious Surface - Yes Floodplain - No I Wetlands - No Mitigation - No / Affidavit #: LAND USE -X X SANITARY - SPECIAL A - SPECIAL B/CONDITIONAL - BOA - BAYFIELD COUNTY PERMIT WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION No. 25-0816 Tax ID: 37894 Issued To: KRIVINCHUK, JAMES & RACHAEL Location: S27 - T47N - R09W Town of Hughes Legal Description: NE NE LESS THAT PART LYING W & S OF TOWN ROAD IN DOC 2024R-605488 Residential Structure in F-1 zoning district For: New Construction [1 - Story ], Principal Structure on Skids [336 Total sq. ft. ] Height of 12.5' (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 Emily Macgillivray 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 29, 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 storage only. Not for human habitation or sleeping purposes. Town/State/DNR/Federal may require permitting Use best management practices to limit and prevent erosion during construction. To be constructed per plan. No sewer and pressurized water allowed in the structure.