HomeMy WebLinkAbout25-0818Return to: County Use Only:
117 E 5`h 5treet, PO eox 58 Bayfield County Planning and Zoning Department Submission #: LU-Oa'o�j
Washburn, WI 54891 LAND USE PERMIT APPLICATION Permit #: a-S-
permits@bayfieldcountv.wi.gov Date: 1°(&1 / d'° eS
Property Owner Name:
YELLOW B LLC / Sandi Eberhard
Authorized Agent Name (if applicable):
Tele hone Number:
Rf0
Telephone Number:
(914204-1665
/'/at
E -Mail Address:
E -Mail Address:
ellowBoyLLC2@gmail.com
Mailing Address:
Mailing Address:
499 VERBANK ROAD
City, State, Zip:
City, State, Zip;
MILLBROOK, NY, 12545
Contractor:
Telephone Number: E -Mail Address:
SIPSAS EXCAVATING 715-372.8221
Shane@SlpsasExcavating.com
Project Address (if different from mailing address):
3795 COUNTY HWY B, IRON RIVER, WI, 54847
Legal Description (if additional space is needed attach a separate sheet):
NENE S28-T48N-R09W 2 PAR IN NE NE IN DOC 2023R-601044
Section, Township, Range: S28 T48N R09W
Town of: Oulu
Tax ID #: 27154
Lot Size (Acres/Square Feet): MS ACRES
Project Use is: 0 Residential El Commercial 0 Municipal
Project Type is: 17 New Construction 0 Addition/Alteration (existing structure)
❑ Change Use (existing structure) 0 Relocate (existing structure) 0 RV Placement 21+ days
❑ Sign ❑ Establishing a Business 0 Temporary (12 or less months)
❑ Shoreland Grading, Class A 0 RV Placement 4+ months, Class A ❑ Other (describe):
required(Total sq ft): required
Structure Type is: ❑ Residence 0 Principal Structure (describe):
a Accessory Structure (describe): 0 Shoreland Exempt Structure (describe): 0 Mobile Home (provide manufactured
MINI STORAGE BUILDING date):
❑ Shipping Container 0 Other (describe):
Foundation Type:
❑ Basement ❑ Walkout Basement O Slab ❑ Crawlspace 0 Ground ❑ Skids ❑ Other (explain):
Existing Structure: APnatu€N1COWLEX Length:"' Width: e Height:"
Proposed Structure (Provide Sq Ft based on outside dimensions, including unfinished areas, attached garages/above grade
decks/porches):
Basement Sq Ft:
I" Floor Sq Ft:
Loft Sq Ft:
2n° Floor Sq Ft:
3b Floor Sq Ft:
2000
Garage Sq Ft
Porch Sq Ft:
Deck Sq Ft:
Other Sq Ft (describe):
Other Sq Ft (describe):
Total Sq Ft: 200°
Overall Height (finished grade to peak): 9'
# of Stories: I Existing # of Bedrooms on property;15 I Proposed # of Bedrooms in project: 0
Sign is:
R V is:
❑ New 0 Replacement
0 New 0 Rcplacement
❑ On -premise 0 Off -premise
❑ I -sided 0 2 -sided
Year: Vin #:
❑ On -building 0 Multi -Tenant
Length: Width:
. �tv � --
Height:
Make: Model:
L11 ZtiLUL
Bayfield Co.
Planning and Zoning Agency
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)
Show location of:
❑ Driveways ❑ Frontage Roads (include name) ❑ Existing Structures ❑ Well (W) ❑ Septic Tank (ST) ❑ Drain Field (DF)
❑ Holding Tank (HT) ❑ Privy (P) ❑ Lake ❑ River ❑Stream/Creek ❑Pond ❑Floodplain ❑Wetlands ❑Slopes over 20%
N
Setback or distance from furthest extent of structure
including eaves and overhangs to (include on site plan):
County Use Only
Verified setbacks
Road Centerline
ft.
v fr.
Notes/Comments:
��' ^O C (1�
, of e) Y
— 1&At l� /�(/��
I 1 U
CI c 1
Front Lot Line/Right-of-Way
ft.
ft.
Side Lot Line�—�s I
orth❑EastQeuth❑West❑, check one
ft.
( tU g,
Side Lot Line 2
North❑East❑South❑West ,check one)
ft.
ft.
Rear Lot Line
ft.
ft.
Septic/Holding Tank
ft.
ft.
Drainfield
ft.
ft.
Privy
ft.
ft.
Well
ft.—
ft.
Existing Structure/Building
ft.
ft.
Wetland
ft.
(7 t ft.
Elevation of Floodplain
ft.
ft.
Ordinary High -Water Mark (OHWM)
ft.
ft.
Other (describe)
ft.
ft.
z
5Rp lc/U l�'
N /A
A//A
Yes
O No
Has the location of the proposed project including eaves and overhangs and the sanitary system and well been
staked? If no, what date will this be completed:
❑
o
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.
es21C
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.
RYes
0 No
Is there an existing sanitary system on the property? If yes, what kind? f /
S
❑ Drainfield ❑ Holding Tank ❑ Municipal/Public Other (describe): O o nCL s/cp
❑ 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 0 Municipal/Public 0 Other (describe):
❑ Yes
allo
Will sleeping occur in the structure? If yes, contact local Uniform Dwelling Code (UDC) for approval and
inspection requirements.
Is the project associated with any of the following:
❑ Rezone O Class A Special Use Class B Special Use ❑ Conditional Use O Variance
Fee payment will be made via:
Check (attached) ❑ Cash (attached) ❑ debit/credit/echeck (dartment to call once payment is ready to be taken)
How would you like to receive your permit card? `` q
❑Mailto:OR Emailto:Mt)e5ebefh0.rLe ✓ma;1%C-O/1
❑ Property Owner Address O Agent Address ❑ Contractor Address O Other (provide Name and Email or Address):
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 stare and federal laws concerning construction near or on wetlands, lakes, and streams,
Wetlands that are not associated with open water can be difficult identify.
to Failure to comply may result in removal or
modification of construction that violates the low 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 (arc) 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 resao ableyne7 p7ose of spection.
Owner(s) or Authorized Agent Printed Nametc t
Owners) or Authorized Agent Signature: LY Date: % Z f
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,'&ct�
must all be aware
of permit details & conditions and permit card must be posted on property prior to start of` io
CST 28 2020
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3798 COUNTY HIGHWAY
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20 x 100' x 8'-6' GABLE
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14661-38080
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Ii i i i l i r 1 i i i 1/ i 1 i • I I I
REAR ELEVATION
1 t¢t ( r t t
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LEFT ELEVATION
i 3
FRONT ELEVATION
iI,i1ii
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RIGHT ELEVATION
EXTERIOR ELEVATIONS
14661-38080
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3796 COUNTY 11101M YB
IRON RIVER WI64847
20' N 100'x 8'-6' GABLE
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19661.38080
N/A
N)?
A licant Checklist
.
❑ Yes
X No
Will new electrical installation occur with project/structure? If yes, contact State for inspection requirements.
❑ Yes
WNo
Will new plumbing installation occur with project/structure? If yes, contact State for inspection requirements.
E Yes
❑ No
Is the project/structure to be used for commercial purposes? If yes, contact the State of Wisconsin Commercial
Buildings & Structures to determine if they uire review and approval.
❑ Yes
XNo
Is the project located in the Floodplain? If yes, additional materials and fee will be required. Reference the
FEMA Map (htms: msc.(emLeov� orrrl'home) and Title 13, Chapter 2 of Bayfield County Zoning Ordinance
htt s: wuw buNtieldcnunit' coy 711Title- l3---Zonin -( ode .
❑ Yes
No
Is the project located in the Shorelands, within 300 feet of a river/stream OR landward side of floodplain OR
1000 feet of a lake/ ond/flowa a whichever is reater ? If es shoreland lations will a I .
❑ Yes
No
Is your property a waterfront lot and will any part of your project be located within 300 feet of the water OR is
your entire lot located within 300 feet of the water? If yes to either, complete and include Impervious Surface
Form hu n. un uha+i ieldcaunn.s .cum Document( CI. sq Im ervious-Surface-PDF).
XYes
0 No
Are there wetlands on the property. If yes, wetland regulations will apply. A 25 -foot setback is required to any
mapped wetlands. Reference Department of Natural Resource Surface Data Viewer Map
(hum: dnnna s.wi.eov'II5. 'V fewer-Sli'DV .
,` Yes
O No
If applicable, did you contact the road authority to see if a driveway permit or regulations apply to placement of
driveway?
O Yes
��
$ No
Was the property purchased recently? If yes, include a recorded deed. Note: a copy of recorded deed can be
acquired from the Bayfield County Register of Deed's office.
XYes
O No
Is a site plan included with all information requested on Page I of the Land Use Permit Application
Information? If no, a site lan with all a licable information on Pa e I is re uired for all submissions.
Yes
0 No
Is a floor plan(s) included with all information requested on Page 4 of the Land Use Permit Application
Information? Floor plans are required for residences, commercial buildings, or additions/alterations to these
structures.
es
If structure is in Shorelands, have building elevations with all information requested on Page 5 of the Land Use
Permit Application Information been included?
❑ Yes
No
Is this application to correct a violation or has the project already commenced? If yes, at minimum an after -the -
fact fee will a t . If not ermittable, the structure will need to be removed.
es
❑
If addition, does the existing structure meet required setbacks, see Page 2 of the Land Use Permit Application
Information? If no, be aware that it is the property owner's responsibility to show the structure was legally
placed and there may be limitations to expansion of the structure, see Bayfield County Section 13-1-40
c ldcoum .wi. Qov 711 Title- I 3---Zon dc).
Yes
O No
Is the use of the project/structure allowed per Bayfield County Section 13-1-62
( t r.._ieWcoumv wiov'II'fill,-I?---,' -- l.). If no, be aware it is the property owner's
responsibility to show the use was legally established and there may be limitation to expansion of the use, see
Bayfield County Section 13-IA0 hup- /' i. n -t ede .
Yes
❑ No
Nate all fees been included with the completed application? See Fee Schedule on website
(i. I..i e,�. I ,=;_hcdule . Ifno, all applicable fees need to be paid before permit
can be issued.
❑ Yes
J"lo
Is property owned by multiple owners or is someone aside from the property owner applying? If yes. a Letter of
Authorization Form needs to be included. Form available on website
i. !-Idcountv.wi.0 ov 13411%A lication.s-Forms .
Yes
O No
Is property owned by a Trust or Business entity (LLC, Corp., etc.)? If yes to either, an Affidavit of Authority
needs to be included. Forms available on website (h s:' +r +tu.at Ik'ldnmi .+vLuet I ) 1�rAnnlicatipns-
Forms).
Z Yes
❑ No
Is Land Use Application completed and signed?
RECEIVED
OCT 28 2025
Bayaeld Co.
Planning and Zoning Agency
AFFIDAVIT OF AUTHORITY
(Corporation, LLC, etc.)
PURPOSE. This Affidavit of Authority is used to certify the individual submitting an application Is
authorized when the property is owned by a corporate/business entity.
STATE OF WISCONSIN
)ss.
BAYFIELD COUNTY
The undersigned affirms and states as follows:
1. Address of Subject Property: s(O/ ,�l_ /T 8, 2a� &'Z fY FYI
2. The Subject Property is owned by: y /zpt" .4 /L C
(Name of Company)
3. The name(s) of the current President or Managing Member: S,.V{J 49 G £/ C
4. I certify that the company named in paragraph 2 is valid and in effect on the date signed below. I
am the duty appointed agent of the Company named above in paragraph 2. and I have the
authority under the terms of said authorization to submit an application to the Bayfield County
Zoning Department concerning the Property described in paragraph 1. I further certify that the
Information and statements made within this affidavit are true, accurate, and complete to the best
of my knowledge.
5. I am authorized by the above -named Company to apply for and bind the Company to the temis
and conditions of any decision or permit issued by the Bayfield County Zoning Department
6. By signing this affidavit, 1 attest that I am unaware of any known or unknown person(s) who would
contest this application. I agree to indemnify Bayfield County or such person or legal entity
suffering a damage resulting from any illegalities of the application.
Dated: __ K
Print Name
Subscribed and sworn to before me this '4
day of Dims !Lr , 2072
if Public, Con , Wiccurrein la1C ksJ
)mmission: LttStOoaC
Jill M. Astrologo
Notary Public State ofNew York
No. 01AS6207674
_Qualified in Dutches Count
ryn G, /icl ntn-no.
RECEIVED
CCT 2o �Lo
Bayfield Co.
Planning and Zoning Agency
Land Use Permit Application Review Checklist
Submission #: of v�q
What zoning district is the project located in?
❑ R-1 ❑ ❑ R-3 ❑ R-4 ❑ R-RB ❑ C ❑ 1 ❑ M ❑ A-1 ❑ A-2 1wF-1 ❑ F-2 ❑ W ❑ M -M
❑ Yes 2S10
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 114o
Is impervious surface required? (Required if riparian lot OR lot is entirely within 300 feet of OHWM of
navigable waterway)
❑ Y s o
Is the project located in the Floodplain? Zone:
Yes ❑ No
Are there wetlands on the property?
❑ Yes 1D419
Is project associated with a nonconforming use or structure?
❑ Ys lWo
Is project associated with a variance? Case #:
es O N,p
Is project associated with a Special B or Conditional Use Permit? Permit #: _ b
❑ Yes Bie
Is the project associated with a Special A Use Permit?
❑ Yes No
Does the project require sanitary?
❑ Existing ❑ New O Intercept ❑ Reconnect 0 Non -Plumbing ❑ Public
Sanitary Permit #: # of Bedrooms:
❑ Yes No
Does the project require mitigation?
Implementation Deadline: Date of Compliance:
❑ Yes 06o
Does the project require an affidavit? Affidavit #:
Yes ❑ No
Did licensed surveyor mark lot line(s), if project is within 10 feet of required setback?
❑ Yes ❑ No
Did applicant/prop y owner mark lot line(s), if project is within 30 feet of required setback?
Project use is? O Re i ential Commercial ❑ Municipal
Project type is? New Construction ❑ Addition/Alteration ❑ Change Use ❑ Relocate ❑ RV Placement O Sign
❑ Establishing a Business O Temporar El Shoreland Grading ❑ Other, describe:
Structure Type is: O Residence 4incipal Structure ❑ Accessory Structure ❑ Boathouse (one story only)
❑ Open-sided/Screened Structure (gazebo, etc.) O Stairway to navigable waters ❑ Mobile Home
❑ Shipping Container ❑ Other, describe
Total Sq. Ft. of Project: Number of Stories: Overall Height:
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
$0.20 x sq ft
(minimum $125)
Attached Non -Habitable Garages
$
❑ Habitable Residential Accessory Structures
$0.50 x sq ft
(minimum $75)
ONon-Habitable Residential Principal and Accessory
$0.20 x sq ft
inimum $75)
Structures(minimum
$
ommercial/Municipal Principal Structures
$250 + $0.005 x 140 ooO
(minimum $250)
cost of construction
$ 7O
❑ Commercial/Municipal Accessory Structures
$150 + $0.005 x
(minimum $150)
cost of construction
$
❑ Return Inspection O Land Use Revisions ❑ Special Use Permit - Class A O Floodplain O Shoreland - Impervious
Surface O Shoreland - Non -Conforming, etc. O Tower Siting/Collocation 1 O Tower Collocation 2 ❑ Metallic
Mine
❑ After -the -Fact (ATF)
$
7M II.. Jvt.- Ii.,....
Inspected by:
Date of Inspection:
An
Re -Inspected by:
Date of Re -Inspection:
Denied by:
Date of Denial:
Reason for Denial:
Date Denial Letter Mailed:
Approved by:
Date of Approval:
%t t(ll Qt
l0
Cond' ion(s):
tvlust meet and maintain setbacks from furthest extension of structure including eaves and
overhangs.
0 For personal storage only.
0 For personal residence only.
qt for human habitation or sleeping purposes.
g'fown/State/DNR/Federal may require permitting
❑ A Uniform Dwelling Code (UDC) Permit from the locally contracted UDC Inspection Agency must be
obtained prior to the start of construction.
❑ A Uniform Dwelling Code (UDC) Permit from the locally contracted UDC Inspection Agency must be
obtained prior to the start of construction (if applicable).
❑ 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.
t 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
❑ RV must be removed by
Ito 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:
YELLOW B LLC
LU-02029
499 VERBANK RD
MILLBROOK, NY 12545
Transaction Number:
LU-02029-378B3
Description Amount
Commercial/ Municipal Principal Structures - $250.00, $750.00
plus $5.00/$1,000 cost of construction
Total: $750.00
Payment Amount: $767.85
Reference: 3511165825
Paid by: Tammy Sipsas
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 - No / Impervious Surface - No
Floodplain - No / Wetlands - Yes
Mitigation - No / Affidavit #:
LAND USE - X
SANITARY -
SPECIAL A -
SPECIAL B/CONDITIONAL - 25-0817
BOA —
No. 25-0818 Tax ID: 27154
Issued To: YELLOW B LLC
Location: S28 - T48N - R09W
Town of Oulu
Legal Description: 2 PAR IN NE NE IN DOG 2023R-601044
BAYFIELD COUNTY
PERMIT
WEATHERIZE AND POST THIS PERMIT
ON THE PREMISES DURING CONSTRUCTION
Commercial Structure in F-1 zoning district
For: New Construction [1 - Story ], Principal Structure on a Slab (2000 Total sq. ft. ] Height of 9'
(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
October 29, 2025
Date
Condition(s): Must meet and maintain setbacks from furthest extension of structure including eaves and overhangs.
Not for human habitation or sleeping purposes.
Town/State/DNR/Federal may require permitting
To be constructed per plan.
No sewer and pressurized water allowed in the structure.