HomeMy WebLinkAbout25-0836Return to: County Use Only:
117 E Ste Street, PO Box 58 Bayfield County Planning and Zoning Department Submission #: LU-0e0H 47
Washburn, WI 54891 LAND USE PERMIT APPLICATION permit#:
permits@bayfieldcounty.wi.aov Date: tt?'/?-abS
SECTION A: General Information
Property Owner Name:
Authorized Agent Name (if applicable): RECEIVED
William Millhausen E co
Brooke Lee
Telephone Number: 11/6 as
Telephone Number:
NOV 06 2025
715-551-4722
218-398-1322
E -Mail Address:
E -Mail Address: BaYfield cu.
crittergetter32@gmall.com
rooke.lee@mortonbuildings.com
Mailing Address:
Mailing Address:
202751 Alicia Ln
34838 US -2
City, State, Zip:
City, State, Zip:
Mosinee, WI 54455
Grand Rapids, MN 55744
Contractor:
Telephone Number:
E -Mail Address:
Morton Buildings
218-398-1322
brooke.lee@mortonbuildings.com
SECTION B: Property Information
Project Address (if different from mailing address):
5865 5TH 13 Port Wing, WI 54865
Legal Description (if additional space is needed attach a separate sheet):
1apMOk bi"TMNwf%L fpry 501pw— IY" IVIMaµ Ia. „to. a.1fl 0CN,'.* s,LE 1pwy K1 *dlM . MO LES9WCa IL,w(1)-14 p1 "C. a,9-MBn Vy,-S& S1saVp IAIW aOms"
Section, Township, Range: 35, 50, 09
Town of: Orienta
Tax ID #: - ci- 3
Lot Size (Acres/Square Feet): 52.9
SECTION C: Project Information (check all that apply)
Project Use is: El Residential ❑ Commercial ❑ Municipal
Project Type is: O New Construction ❑ 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 ❑ RV Placement 4+ months, Class A 0 Other (describe):
required (Total sft): required
SECTION D: Structure Information (Does not apply to RVs and Signs, go to Section E)
Structure Type is: 0 Residence ❑ Principal Structure (describe):
El Accessory Structure (describe): 0 Shoreland Exempt Structure (describe): ❑ Mobile Home @rovide manufactured
Pole Building 42'Wx60'Dx14'H date):
0 Shipping Container 0 Other (describe):
Foundation Type:
❑ Basement 0 Walkout Basement 0 Slab 0 Crawlspace O Ground 0 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
decks/porches):
Basement Sq Ft:
I" Floor Sq Ft:
Loft Sq Ft:
2nd Floor Sq Ft:
3'11 Floor Sq Ft:
Garage Sq Ft:
Porch Sq Ft:
Deck Sq Ft:
Other Sq Ft (describe):
Other Sq Ft (describe):
Total Sq Ft: u2o
Overall Height (finished grade to peak): 22 6.5"
# of Stories:
Existing # of Bedrooms on property:
Proposed it of Bedrooms in project:
SECTION E: RV and Sign Information (check all that apply)
Sign is:
RV is:
❑ New 0 Replacement
❑ New ❑ Replacement
❑ On -premise ❑ Off -premise
❑ I -sided 0 2 -sided
Year: Vinif:
❑ On -building 0 Multi -Tenant
Length: Width: Height:
Make: Model:
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) O Drain Field (DF)
❑ Holding Tank (HT) ❑ Privy (P) O Lake ❑ River ❑Stream/Creek ❑Pond ❑Floodplain OWetlands ❑Slopes over20%
N
tkSEA X o
-Mr
RECEIVED
NOV 0 6 ZOZtl
Bayfield Co.
Planning and Zoning Agency
Setback or distance from furthest extent of structure
including eaves and overhangs to (include on site plan):
County Use Only
Verified setbacks
Road Centerline
C�,t ft.
7 3oft.
R
Notes/Comments:
Front Lot Line/Right-of-Way
O ft.
Side Lot Line 1
(NorthDEastDSouthDWest%checkone)
ft.
&7p
R
730
Side Lot Line 2
arth❑East South❑West❑, check one)
ft.
600
30
7 J
Rear Lot Line
ft.
730&
Septir/Holding Tank
ft
ty ft.
Drainfield
/3 ft.
t'\' ft.
Privy
— ft.
y ft.
Well
XO R
k� ft.
Existing Structure/Building
Wetland
ft.
&
Elevation of Floodplain
ft.
&
Ordinary High -Water Mark (OHWM)
ft.
ft
Other (describe)
ft.
ft.
RECEWED
NOV 062025
Bayfield Co.
SECTION G: Additional Questions
(,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:
O Yes
PJ 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
O 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.
bQ Yes
O No
Is there an existing sanitary system on the property? If yes, what kind?
Dminfield ❑ Holding Tank ❑ 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?
0 Drainfield 0 Holding Tank ❑ Municipal/Public 0 Other (describe):
❑ Yes
A 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 O Class A Special Use O Class B Special Use O Conditional Use O 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 O Email to:
Property Owner Address O Agent Address O Contractor Address O 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, dm.wi.gov/topic/wetiands, 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.
Owners) or Authorized Agent Printed Name: "to 4! zC& I
Owner(s) or Authorized Agent Signature:/L '*A/l/L-- 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 may be stated on the face of the issued Land Use Permits. Owners, agents, & contractors
must all be aware of pennit details & conditions and permit card must be posted on property prior to start of project.
Power
Propane Tank
North
REC VNED
NOV 062025
Bayfield Co.
planning and Zonln9 Agency
71
lz� -% z& 65"
ct &AN I?'
12' X jZ' 1a x I�
OUc 06-W rOUE/CI{> 01
DooLs Doo2S
FQo1.IT./ NOP-T
Lj wIp6
EAST SI.hE
Go' Lor\f[
RECEIVED
NOV 062025
Bayfield Co.
planning and Zoning Agency
:s"
c ECE➢VED
NOV 062025
Bayfield County
Impervious Surface Calculations Bayfield Co.
Planning and Zoning Agency
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.
Property Owner(s):
William B. Milihausen
Mailing Address:
Property Address
202751 Alicia Ln, Mosinee, WI 54455
5865 STH 13,
Port Wing, WI 54865
Legal Description:
Section, Township, Range
1/4, 1/4,
Sec n Township �N, Range" W
Authorized Agent/Contractor
Gov't Lot
Lot #
CSM#
Vol & Page
1
Less 1-2
1350
V8 P182
Lot(s) #
Block(s) #
Subdivision
Town of:
Orients
Parcel ID # (PIN #)
Tax ID/S
Date:
04- 03&2-50-0935.105.001-10000
26392
1116125
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
33x30 plus 16.5x10
1155
Existing Accessory
Building/Garage
26'x26' Detached Garage
Shop to be tom down for new building
676
. % +. EIVED
Existing Sidewalk(s), Patio(s) &
Deck(s)
13x30 and 10x20 Patio
590 N0V 06 2025
Existing Covered Porch(es),
Driveway & Other Structures
Barfield Co.
Planning and Zoning Agency
Proposed Addition/House
Proposed Accessory
Building/Garage
42'Wx60'Lx14'H
2520
Proposed Sidewalk(s) & Patio(s)
Proposed Covered Porch(es) &
Deck(s)
Proposed Driveway
Proposed Other Structures
Total:
4941
a. Total square footage of lot: 2.304,324„ nor52.9 acres
b. Total impervious surface area:
c. Percentage of impervious surface area: 100 x (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):
/S
Stormwater
a C CX ti b(i Cq
Management Plan Required:
�,2� ,✓lStli,�
❑Yes
Signature of Inspector:
Date of Ap o :
u/forms/im pa rviouss u rface
Created: May 2012 (®Apr 2016; Sept 2020) Proofed by:
RECEIVED
AFFIDAVIT OF AUTHORITY NOV 062025
(Trust) Bayfield Co.
Planning and Zoning Agency
PURPOSE. This Affidavit of Authority is used to certify the individual submitting an application is
authorized when the property is owned by a Trust.
STATE OF WISCONSIN
ss.
BAYFIELD COUNTY
The undersigned affirms and states as follows:
1. Address of Subject Property: 5865 .W 3 /P4 L%rd f . c.1s sy�
2. The Subject Property is owned by: 40 l/✓tdM.e % t Dried dOV64, 19, ,2o2i
(Name of Trust)
3. The name(s) of the current Trustee(s): 6(1/1/44 6. ,r;? //A.E (hQrf
4. I certify that the Trust named in paragraph 2 is valid and in effect on the date signed below. I am
the duly appointed agent of the Trust 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 Trust to apply for and bind the Trust to the terms and
conditions of any decision or permit that may be issued by the Bayfield County Zoning
Department.
6. By signing this affidavit, I 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: ZS
MI/MM
Print Name
(�ApY L V/C
Subscribed and sworn to before me this r ,
day of _ _ b,i eCber 20�. m` � •�p4ARY
Notary Public _ M ( _ n County, Wisconsin
��''•. OF W�5,
My commission: \.k- '1— k.-,
PROCESSING INFORMATION
INITIAL PROCESSING. Once the department receives your affidavit, the department will review it for
completeness. If the information is not complete, the department may reject your affidavit and the
application.
REQUEST FOR MORE INFORMATION. The department may request that you provide more information
or evidence to support your affidavit.
DECISION. The department will review all documents submitted as part of the application for registration
and title, this form included, and may approve, deny or request more information.
RECEIVED
NOV 0 6 202b
Bayfield Co.
Planning and Zooing Ad_n.y
Legal Description
Government Lot One (1), Section Thirty-five (35), Township Fifty (50) North, Range Nine (9)
West, Town of Oriente, Bayfield County, Wisconsin LESS Highway Right of Way.
AND LESS
Lots One (1), Two (2) and Three (3) of Certified Survey Map #929 in Volume 6 of CSMs on
Pages 139-140 as Document Number 429343, Town of Orients, Bayfield County,
Wisconsin.
AND LESS
Lots One (1) and Two (2) of Certified Survey Map #1350 in Volume 8 on Page 162-163 as
document number 2005R-497266, Town of Orients, Bayfield County, Wisconsin.
RECEIVED
NOV 062025
Bayfield Co.
Planning and Zoning Agency
Land Use Permit Application Review Checklist
Submission #: e
What zoning district is the project located in?
❑ R-1 -2 ❑ R-3 ❑ R-4 ❑ R-RB ❑ C Dl ❑ M ❑ A-1 ❑ A-2 ❑ F-1 ❑ F-2 ❑ W ❑ M -M
❑ Yes o
Is lot substandard (does not meet current zoning dimensional requirements)?
Deed of record:
es 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)?
es ❑ No
Is impervious surface required? (Required if riparian lot OR lot is entirely within 300 feet of OHWM of
navigable waterway)
❑ Yes o
Is the project located in the Floodplain? Zone:
❑ Yes o
Are there wetlands on the property?
❑ Y o
Is project associated with a nonconforming use or structure?
❑ Yes o
Is project associated with a variance? Case #:
❑ Yes o
Is project associated with a Special B or Conditional Use Permit? Permit #:
❑ Yes o
Is the project associated with a Special A Use Permit?
❑ Yeso
Does the project require sanitary?
0 Existing 0 New 0 Intercept 0 Reconnect ❑ Non -Plumbing 0 Public
Sanitary Permit #: # of Bedrooms:
❑ Yes 1No
Does the project require mitigation?
Implementation Deadline: Date of Compliance:
❑ Yes o
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 No
Did applicant/property owner mark lot line(s), if project is within 30 feet of required setback?
Project use is3tesidential ❑ Commercial ❑ Municipal
Project types? New Construction ❑ Addition/Alteration ❑ Change Use ❑ Relocate ❑ RV Placement ❑ Sign
❑ Establishing a Business ❑ Temporary ❑ Shoreland Grading ❑ Other, describe:
Structure Type is: ❑ Residence ❑ Principal Structure ['cessory Structure ❑ 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:
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)
❑ Non -Habitable Residential Principal and Accessory
$0.20 x ?-5�sq ft
minim uom $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 0 Land Use Revisions 0 Special Use Permit - Class A ❑ Floodplain I7fShoreland - Impervious
Surface ❑ Shoreland - Non -Conforming, etc. 0 Tower Siting/Collocation 1 0 Tower Collocation 2 ❑ Metallic
Mine
❑ After -the -Fact (ATF)
$
Inspected by: r
fl
Dat of nsp ction:
or^s
ii
Re -Inspected by:
Date of Re -Inspection:
Denied by:
Date of Denial:
Reason for Denial:
Date Denial Letter Mailed:
Approved by:
Date of A r
Condition(s):
ust meet and maintain setbacks from furthest extension of structure including eaves and
overhangs.
or personal storage only.
❑ For personal residence only.
of for human habitation or sleeping purposes.
❑ 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.
❑ A Uniform Dwelling Code (UDC) Permit from the locally contracted UDC Inspection Agency must be
obtained prior to the start of construction (if applicable).
se 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.
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
No sewer and pressurized water allowed in the structure.
Tlo plumbing or plumbing fixtures allowed.
o additional sleeping areas allowed without obtaining necessary sanitary permit(s).
and 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 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:
4M INCOME TRUST
202751 ALICIA LN
MOSINEE, WI 54455
Description
Shoreland - Impervious Surface
Non -Habitable Residential Principal and Accessory
Structures - $0.20/square foot (minimum $75)
Submission Number:
LU-02048
Transaction Number:
LU-02048-380BB
Amount
$25.00
$504.00
Total: $529.00
Payment Amount: $529.00
Reference: 2206
Paid by: Ludwig B Millhausen
Payment Type: Check
Transaction Date: 11/12/2025
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 / Impervious Surface — Yes
Floodplain — No / Wetlands — No
Mitigation — No I Affidavit #:
LAND USE - X
SANITARY -
SPECIAL A -
SPECIAL B/CONDITIONAL —
BOA —
No. 25-0836 Tax ID: 26392
Issued To: 4M INCOME TRUST
Location: S35 - T50N - R09W
Town of Orienta
BAYFIELD COUNTY
PERMIT
WEATHERIZE AND POST THIS PERMIT
ON THE PREMISES DURING CONSTRUCTION
Legal Description: GOVT LOT 1 IN V422 P404 LESS HWY & LESS LOTS 1-2 CSM 1350 V8 P182 & LESS LOTS 1-3 CSM 929 V6
P139 790A (4M INCOME TRUST DID 11/19/2024) IN DOC 2025R-608726
Residential Structure in R-2 zoning district
For: New Construction, Accessory Structure on Ground [2520 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.
Scott Roush
Authorized Issuing Official
November 12, 2025
This permit may be void or revoked if any performance conditions are not
completed or if any prohibitory conditions are violated.
Date
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.
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.
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.