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HomeMy WebLinkAbout25-0848Return to: County Use Only: 117 E 5th Street, PO Box 58 Bayfield County Planning and Zoning Department Submission #: LU-013_3a Washburn, WI 54891 LAND USE PERMIT APPLICATION Permit #: 9 WT permits(a)bayfreldcounty.wi.gov Date: i 1 g1 SECTION A: General Information Property Owner Name: Authorized Agent Name (if applicable): David E & Grechen M Brouch Timothy Dykstra Telephone Number: f Telephone Number: 630-276-6239 'O /3o 715-209-5748 E -Mail Address: E -Mail Address: Davidebrouch©gmail.com tdykstra(a)dykstraconstructionino.rom Mailing Address: Mailing Address: 3719 Candeur DR 50181 St Hwy 13, City, State, Zip: City, State, Zip: Naperville, IL 60564 Ashland, WI 54806 Contractor: Telephone Number: E -Mail Address: Dykstra Construction Inc 715-682-9599 info@dykstraconstructioninc.com SECTION B: Property Information, Project Address (if different from mailing address): 65350 county Hwy H Iron River WI 54847 Legal Description (if additional space is needed attach a separate sheet): Lot lof CSM #350 v.3 p.199 (located in Govt Lot 4) in v.838 p.728 578g1 Section, Township, Range: 528 T47N R0BW Town of: Iron River Tax ID #: 19853 Lot Size (Acres/Square Feet): 1.050145,7sa sqa SECTION C: Project Information (check all that apply) Project Use is: O Residential O Commercial O Municipal Project Type is: O New Construction O Addition/Alteration (existing structure) ❑ Change Use (existing structure) O Relocate (existing structure) O RV Placement 21+ days ❑ Sign ❑ Establishing a Business ❑ Temporary (12 or less months) ❑ Shoreland Grading, Class A ❑ RV Placement 4+ months, Class A O Other (describe): required Total sq ft): required SECTION D: Structure Information (Does not apply to RVs and Signs,go oSection E Structure Type is: O Residence ❑ Principal Structure (describe): ❑ Accessory Structure (describe): O Shoreland Exempt Structure (describe): ❑ Mobile Home (provide manufactured date): ❑ Shipping Container O Other (describe): Foundation Type: ❑ Basement O Walkout Basement O Slab ❑ Crawlspace O Ground ❑ Skids ❑ Other (explain): Existing Structure: Length: Width: Height: Proposed Structure (Provide Sq Ft based on outside dimensions, including unfinished areas, attached garages/above grade decks/porches): Basement Sq Ft 1e Floor Sq Ft Loft Sq Ft: 20dFloor Sq Ft: 3td Floor Sq Ft: 1558 sqft 1558 sgft Garage Sq Ft: Porch Sq Ft: Deck Sq Ft: Other Sq Ft (describe): Other Sq Ft (describe): 532 sqa patio: 286sgft 373 sqa Total Sq Ft: 4,309 sqn Overall Height (finished grade to peak): 17'- 7' # of Stories: 1 Existing # of Bedrooms on property: Proposed//of Bedrooms in project: 3 SECTION E: RV and. Sign Information check all that apply) Sign is: RV is: ❑ New O Replacement ❑ New O Replacement ❑ On -premise ❑ Off -premise ❑ 1 -sided O 2 -sided Year: Vin #: ❑ On -building O Multi -Tenant Length: Width: height: Make: ModelfECEIVLD 3 0 2025 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) 0 Existing Structures 0 Well (W) O Septic Tank (ST) ❑ Drain Field (DF) ❑ Holding Tank (HT) 0 Privy (P) O Lake El River ❑Stream/Creek OPond ❑Floodplain ❑Wetlands ❑Sloes over 20% N $jr ra.IDa C I. 34.1 C' i0 , .. _. Y.e, 0 .a, 1 NF aPOU[n :eRoucHTu ID 19d+6 9850 Setback or distance from furthest extent of structure County Use Only including eaves and overhangs to (include on site plan): Verified setbacks Road Centerline 240 ft. E ft. Notes/Comments: Li 0evl.gt a d' Front Lot Line/Right-of-Way 158 ft. e 4 ft. Side Lot Line I 34 ft. ft. orth❑East❑South❑Westp, check one) 3'1 {u apbpif,�1(' Side Lot Line 2 (NorthflEastDSouthDWest[],check one) ft. 57 ft. Rear Lot Line 77 ft. ft. Septic/Holding Tank 12 ft. ii. ft. Drainfield 15 ft. fi' ft. Privy ft. ft. Well 6 ft. j4. ft. Existing Structure/Building ft. ft. u -f C ( wf' t{ CC! 3 U I Wetland ft. ft. Elevation of Floodplain ft_ R Ordinary High -Water Mark (OHWM) 77 ft. Other(describe) ft. ft.thu &,uur ( cJD Planning and Zoning Agency SECTION G: Additional Questions El 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: El Yes ❑ No Did a licensed surveyor mark lot line(s) if project is within 10 feet of required setback? See page 2 of Land Use Application Information for required setbacks. O Yes 0 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 El No Is there an existing sanitary system on the property? If yes, what kind? 0 Drainfield 0 Holding Tank 0 Municipal/Public 0 Other (describe): El Yes 0 No Will pressurized water be installed in the structure? If yes, what kind of sanitary system will be installed or used to manage wastewater? El Drainfield O Holding Tank ❑ Municipal/Public ❑ Other (describe): El 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: O Rezone O Class A Special Use ❑ Class B Special Use O Conditional Use ❑ 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? El Mail to: OR El Email to: O Property Owner Address El Agent Address El Contractor Address ❑ 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 P1at, 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.aov/topidwedands, 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: *am w�. •y F �kn.ot4q VL,' R/ Owner(s) or Authorized Agent Signature: "o" Date: NOTES: 1. If you are signing on behalf of the owner(s) a letter of authorization must accompany this application. 2. spcclfle conditions/Instructions may tie stated on me race orme issued Land Use Permits. Owners, agent,&_do must all be aware of permit details & conditions and permit card must be posted on property prior to s Gui 30 2025 Bayfield Co. Planning and Zoning Agency Dy. =sra� CONSTRUCTION Inc. August 27th, 2025 New Home Project David & Gretchen Brouch 65350 Cty Hwy H Iron River WI 54847 7860 US Hwy 2 - Iron River WI 54847 (715) 682-9599 Info@dykstraconstructioninc.com We, David & Gretchen Brouch, give Tim Dykstra & Dykstra Construction Inc., the authority to sign permit documents, on our behalf, for the duration of the Brouch Project Zayid $'owch David Brouch 4Netcken' 8No-ucGc cThfrhnn Ran, rh Aug 2R MA 1,.54.11 cnn Gretchen Brouch W 4"wl/ BUILDERS ® ASSCCIATCN A171WOO 08/28/2025 Date 08/28/2025 Date RECEIVED LDT 33X'5 Bayfield Co. Planning and Zoning Agency 9�ArrIWLDJNGow ♦ onI.mn o1 Authorize to Sign - Brouch - Final Audit Report 2025-08-28 Created: 2025-08-28 By: Jordan Herlevi(jhedevi@dykstraconstructioninc.com) Status: Signed Transaction ID: CBJCHBCAABAAhvTHdl7c Y5FpDCLLBV91 aOG-zWP3hhR "Authorize to Sign - Brouch " History Document created by Jordan Herlevi(jherlevi@dykstraconstructioninc.com) 2025-08-28 - 1:36:53 PM GMT Document emailed to David Brouch (davidebrouch@gmail.com) for signature 2025-08-28 - 1:36:58 PM GMT E. Document emailed to Gretchen Brouch (gbrouch29@gmail.com) for signature 2025-08-28 - 1:36:58 PM GMT Email viewed by David Brouch (davidebrouch@gmail.com) 2025-08-28 - 4:47:46 PM GMT the Document e -signed by David Brouch (davidebrouch@gmail.com) Signature Date: 2025-08-28 - 4:48:21 PM GMT - Time Source: server Email viewed by Gretchen Brouch (gbrouch29@gmail.com) 2025-08-28 - 5:53:49 PM GMT b© Document e -signed by Gretchen Brouch (gbrouch29@gmail.com) Signature Date: 2025-08-28 - 5:54:11 PM GMT - Time Source: server G Agreement completed. 2025-08-28 - 5:54:11 PM GMT K,EC LC..t N an Bayfield Co. Planning and Zoning Agency a Adobe Acrobat Sign 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. Prope Owner(s): yattfd (d -c¼4 rd&O Mailing Address: avide yr )r 6ass� J7 -I PropertyAddress �t ( � i It z4 C tt 1rva. R,,,.�r, (,vI Legal Description: Section, Township,Range 1/4, 1/4, Sec Z 8 Township 7Z' N, Range e& w Authorized Agent/Contractor Gov't Lot Lot # CSM# Vol & Page y 1 330 .3 P. Iq1 V. 43£f P ia8 Lot(s) # Block(s) # Subdivision Town of: Parcel ID # (PIN #) 04 -o14 -Z -y1 -o8 -Z4'-3 o5—oor{-o?000 Tax ID ## to( SS 3 Date: lB (30 (Z 5 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 appli 61 s tback n. requirements in Section 13-1-32. 'RE 2 V Lj.i CIC s o LuL5 hayfield Co. Planning and Zoning Agency Impervious Surface Item Dimension Area (Square Footage) Existing House Existing Accessory Building/Garage Existing Sidewalk(s), Patio(s) & Deck(s) Existing Covered Porch(es), Driveway & Other Structures Proposed Addition/House 15 5 9 Proposed Accessory Building/Garage '-Z Proposed Sidewalk(s) & Patio(s) St sPt� Proposed Covered Porch(es) & Deck(s) - L j Proposed Driveway Z ( Proposed Other Structures Total: a. Total square footage of lot: , 738' )ry �Z I J'w b. Total impervious surface area: 4 ( c. Percentage of Impervious surface area: 100 x (b)/a = to. 1/ 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:,/ /6(i ac l Inspection Record: Zoning District ( ) Lakes Classification ( ) Condition(s): Stormvrater Management Plan Required: ❑ yes A'N0 Signature of lnsoector: ktcLl %#Date of Approval: v v J u/torms/impemioussurface Created: May 2012 (®Apr 2016: Sept 2020) L1.T J U LUTU Bayfield Co. Proofed by: Planning and Zoning Agency 69 oct eayfiOd CO. P�nnln9 and Zoning ggBnc/ BROUCH LAKE HOME 66350 COUNTY HWY H, IRON RIVER WI 54847 PROJECT NUMBER: 25-3968 PROJECT SUMMARY: A NEW 1,558 SQUARE FOOT SINGLE STORY RESIDENCE PATH WALKOUT BASEMENT STANDARD ABBREVIATIONS nfl PROJECT DATA Oe ..,.. INDEX % oRAwlwos fin, n fin nfl- I. a. flwnnn flnnfl I I 2fl61 Q'ka,n� a Ian mwm..w en .,a ATS w o W Y O Y z 5 a U w 0 w o m m m RECEIVED CCT 30ZG 5 Bayfield Co. planning and Zoning Agency 8 KLC.E"I�E® 3 U 2025 Bayfield Co. Planning and Zoning Agency of • I I I I I I I I I I I I I' I I DESIGN GN & rc BROUCH HOME o tai 16 ENGINEERINGIi FLOOR PLAN = lit - sl al .� rH i � y RECEIVED CJc 30 2025 Bayfield Co. Planning and Zoning Agency i tfm:v" I 14 /1NORTH ELEVATION us••iw .ON cnKI- _ A.MPPN4! VaT IL_ SOUTH ELEVATION vr• w TA NN IA. 41Cfd RECEIVED Li 3 u LLCJ Bayfield Co. Planning and Zoning Agency LU 0 Z Y C ) g€ a g�g 0 LU Of m qP_ 0n'A.IW_- QLuw '4 P M.P 'h- YYupIf.MKSWYL EAST ELEVATION ELEVATION U ELEVATION :1. _ 1W.P �D.4PypF,nmsi_wru _ lA 3flfftI [Y .A PA f P!'W J .6i-wlL4 .. _ O WEST ELEVATION RECEIVED Bayfield Co. Planning and Zoning Agency W U) Y O U S W 0 En m Its mn A201 RECEIVED Bayfield Co Planning and i�n;nrn,pency SAGM_ W.µl1. SaRa M RECEIVED ' vanmiomu I? ItAIISI IRR j aI as I. ct7t5tkP*-SSS'—SMPs-n L ioansamRc _l ee mii0b w,e.°1ex 'soj1± u,oi# T _ SS I+ .vii MI ufR� 7-7mwm xx .r r _-,y� -"rodf-- —raS— ham weiw muareasr TAr --b - ,irtr MGt--.. Bayteid Co. Planning and Zoning Agency /-5W-I /1 DOORJAMB & HEAD, TYP- vr-lw 4Q FLASHING DETAIL, ,r. w 52 0 O_ tiE Y y❑ Y � W JQ w w m � r"55J,am - H m,rcw,°M -k l Un WINDOW JAMB & HEAD, TYP. J sv+-ro R254M] wueraa..raw WB L WW MIOWM171Mf0LR103707 MS lUMO Y1MIlWPW1M@W'1107I SCPN6N/b. L0S. na&coMl*lalIMI. 77.51571 RGAIHIMNHf WILJIIT C 075 017050 RaMIo. I iRRaRyi X,XM IVM441VM x 9 DOSS RAL74NRRYRI0M MWIt A500 rn L_..J L I imI � I III moo. l� N O FOUNDATION RECEIVED Bayfield Co. planning and Zoning Agency FOUNDATION DETAIL, TYP. ..I QCJSONO DETAIL, TYP. 1•-1'A /1 FROST WALL DETAIL TYP. -vv O INTERIOR BEARING WALL FOOTING vz-1a cvn„w Fkfl mmun -- xcrIo,euu.m m400rtWwn oM, M 0G F/IV.r.. CMGW9W \ Z W yy w W 16 � W F rl CONTROL JOINT, TYP. .�.1a m RCCEtVED asaem CDT 3 u ?06 Bayfield Co. Planning aI �G Zol,iag Agency RECEIVED LOT 3 t 2025 Bayfield Co. planning aid Zoning Agency C PIN: 04-024-2-47-08-28-305-004-07000 Tax ID: 19853 1.050 Ac. aJ 528T47N-R08W GOVT LOT 4 Owners: DAVID E & GRETCHEN M BROUCH 3719 CANDEUR DR NAPERVILLE IL 60564 Site: 65350 COUNTY HWY H Real Estate Bayfield County Property Listing Today's Date: 8/27/2025 44 Description Updated: 2/19/2015 Tax ID: 19853 PIN: 04-024-2-47-08-28-3 05-004-07000 Legacy PIN: 024107902000 Map ID: Municipality: (024) TOWN OF IRON RIVER SIR: 528 T47N R08W Description: LOT 1 OF CSM #350 V.3 P.199 (LOCATED IN GOVT LOT 4) IN V.938 P.728 57861 Recorded Acres: 1.050 Calculated Acres: 1.068 Lottery Claims: 0 First Dollar: Yes Zoning: (R-1) Residential -1 ESN: 118 J Tax Districts Updated: 3/15/2006 1 . STATE 04 COUNTY 024 TOWN OF IRON RIVER 163297 SOIL -MAPLE 001700 TECHNICAL COLLEGE i Recorded Documents a CONVERSION Date Recorded: 0 WARRANTY DEED Date Recorded: 2/21/2006 Property Status: Current Created On: 3/15/2006 1:15:34 PM is Ownership Updated: 2/19/2015 DAVID E & GRETCHEN M BROUCH NAPERVILLE IL BjJjJg Address: Mailing Address: DAVID E & GRETCHEN M DAVID E & GRETCHEN M BROUCH BROUCH 3719 CANDEUR DR 3719 CANDEUR DR NAPERVILLE IL 60564 NAPERVILLE IL 60564 I' Site Address * Indicates Private Road 65350 COUNTY HWY H IRON RIVER 54847 ® Property Assessment 2025 Assessment Detail Code G1 -RESIDENTIAL 2 -Year Comparison Land: Improved: Total: Updated: 3/15/2006 Property History N/A 358-15;561-318 2006R-505198 938-728 Updated: 8/19/2024 Acres Land Imp. 1.050 240,500 163,900 2024 2025 Change 240,500 240,500 0.0% 163,900 163,900 0.0% 404,400 404,400 0.0% 11/5/25, 7:57 AM Novus-Wisconsin Access rev. 12.0206 Real Estate Bayfield County Property Listing Today's Date: 11/5/2025 t14 Description Tax ID: PIN: Legacy PIN: Map ID: Municipality: SIR: Description: Recorded Acres: Calculated Acres: Lottery Claims: First Dollar: Zoning: ESN: I Tax Districts 1 04 024 163297 001700 Property Status: Current Created On: 3/15/2006 1:15:34 PM Updated: 2/19/2015 f9 Ownership Updated: 2/19/2015 19853 DAVID E & GRETCHEN M BROUCH NAPERVILLE IL 04-024-2-47-08-28-3 05-004-07000 024107902000 (024) TOWN OF IRON RIVER S28 T47N R08W LOT 1 OF CSM #350 V.3 P.199 (LOCATED IN GOVT LOT 4) IN V.938 P.728 578G1 1.050 1.068 0 Yes (R-1) Residential -1 118 Recorded Documents 0 CONVERSION Date Recorded: O WARRANTY DEED Date Recorded: 2/21/2006 Updated: 3/15/2006 STATE COUNTY TOWN OF IRON RIVER SCHL-MAPLE TECHNICAL COLLEGE Updated: 3/15/2006 358-15;561-318 2006R-505198 938-728 Billing Address: DAVID E & GRETCHEN M BROUCH 3719 CANDEUR DR NAPERVILLE IL 60564 Mailing Address: DAVID E & GRETCHEN M BROUCH 3719 CANDEUR DR NAPERVILLE IL 60564 P Site Address * indicates Private Road 65350 COUNTY HWY H Property Assessment 2025 Assessment Detail Code G1 -RESIDENTIAL IRON RIVER 54847 Updated: 8/19/2024 Acres Land Imp. 1.050 240,500 163,900 2 -Year Comparison 2024 2025 Change Land: 240,500 240,500 0.0% Improved: 163,900 163,900 0.0% Total: 404,400 404,400 0.0% tiff Property History N/A https://novus.bayfieldoounty.wi.gov/access/master.asp?paprpid=19853 1/1 Bayfield County, WI 11/5/2025, 7:57:33 AM 1:540 Wetlands Approximate Parcel Boundary Rivers Road Type Lakes County Building Footprint 2015 4 Building 0 0.01 0.01 0.02 ml 0 0.01 0.02 0.04 km eaylleld County Land Records oepadmenl Bayridd County Zon ng Application blips'.//mops.baylleldcoulny WI gov/Zo nmgWA9J Land Use Permit Application Review Checklist Submission #: O� W at zoning district is the project located in? R-1 ❑ R-2 ❑ R-3 ❑ R-4 ❑ R-RB ❑ C ❑ 1 ❑ M ❑ A-1 ❑ A-2 ❑ F-1 ❑ F-2 ❑ W ❑ M -M ❑ Yes A No Is lot substandard (does not meet current zoning dimensional requirements)? Deed of record: Yes El No Is the project located in the Shorelands (Shorelands are lands within 300 feet of a river/stream OR landward side of floodplain OR 1000 feet of a lake/pond/flowage, whichever is greater)? es ❑ No Is impervious surface required? (Required if riparian lot OR lot is entirely within 300 feet of OHWM of navigable waterway) ❑ Yes jo Is the project located in the Floodplain? Zone: El Yes No Are there wetlands on the property? El Yes Colo Is project associated with a nonconforming use or structure? 0 Yes E1lo Is project associated with a variance? Case #: El Yes 0410 Is project associated with a Special B or Conditional Use Permit? Permit #: ❑ es o Is the project associated with a Special A Use Permit? Yes ❑ No Does the projep require sanitary? ❑ Existing New ❑ Intercept ❑ Reconnect ❑ Non -Plumbing ❑ Public Sanitary Permit #: 91s - t5S S # of Bedrooms: ❑ Yes o Does the project require mitigation? Implementation Deadline: Date of Compliance: ❑ Yes No Does the project require an affidavit? Affidavit #: FrYes ❑ No Did licensed surveyor mark lot line(s), if project is within 10 feet of required setback? es ❑ No Did applicant/property owner mark lot line(s), if project is within 30 feet of required setback? Project use is? Re ' ential ❑ Commercial ❑ Municipal Project type is? LaMew Construction ❑ Addition/Alteration ❑ Change Use ❑ Relocate ❑ RV Placement ❑ Sign ❑ Establishing a Busipess ❑ Temporary ❑ Shoreland Grading ❑ Other, describe: Structure Type is: gResidence ❑ Principal Structure ❑ Accessory Structure ❑ Boathouse (one story only) ❑ Open-sided/Screened Structure (gazebo, etc.) ❑ Stairway to navigable waters ❑ Mobile Home El Shipping Container ❑ Other, describe Total Sq. Ft. of Project: I41O Number of Stories: }Wad verallHeight: 27 Fee Type Calculation Fee Amount El Dwelling Enclosed Areas — all enclosed areas within dwelling except attached non -habitable garages '21 q $0.75 xs ft (minimum $125) '7 $ 31 El Dwelling Unenclosed Areas (decks, patios, etc.) or Attached Non -Habitable Garages $0.20 x r]_ sq ft (minimum $125) $ 6c ❑ Habitable Residential Accessory Structures $0.50 x sq ft (minimum $75) ❑ Non -Habitable Residential Principal and Accessory Structures $0.20 x sq ft (minimum $75) $ ❑ Commercial/Municipal Principal Structures $250 + $0.005 x cost of construction (minimum $250) $ ❑ Commercial/Municipal Accessory Structures $150 + $0.005 x cost of construction (minimum $150) $ ❑ Return Inspection ❑ Land Use Revisions ❑ Special Use Permit - Class A El Floodplain 'foreland - Impervious Surface ❑ Shoreland - Non -Conforming, etc. ❑ Tower Siting/Collocation 1 ❑ Tower Collocation 2 ❑ Metallic Mine ❑ After -the -Fact (ATF) $ Inspected by: Dateof1n;0pecjioaQa� )L C I lJ Re -Inspected by: U Date of Re -Inspection: Denied by: Date of Denial: Reason for Denial: Date Denial Letter Mailed: Approved by: Date of Approval: / t Con on(s): Must meet and maintain setbacks from furthest extension of structure including eaves and overhangs. ❑ Fpr personal storage only. For personal residence only. ❑ No) for human habitation or sleeping purposes. o /State/DNR/Federal may require permitting 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 obtad 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. ❑ Sjgn must meet the requirements of Article E of the Bayfield County Zoning Ordinance. EfTo be constructed per plan. ❑.Adhere to privy agreement. O Temporary permit allowing existing structure for a period of less than 1 year. ❑ RV may not be used for permanent residence or storage. ❑ RV allowed for ❑ RV must be removed by ❑ No sewer and pressurized water allowed in the structure. ❑ No plumbing or plumbing fixtures allowed. ❑ No additional sleeping areas allowed without obtaining necessary sanitary permit(s). ❑ Land use permits shall be required for any new residence, any building or structure erected, relocated, rebuilt, or structurally altered ❑ Land use permits shall be obtained prior to the initiation of construction or a change in land use ❑ Requirements (e.g., permits/licensing/tax) of Local Town, Village, City, State or Federal agencies are required ❑ Sanitation requirements must be met (if applicable) ❑ Additional conditions may be placed and need to be adhered to at the time of permit issuance Other Conditions:&Arfs4 sh41I be tetttwsd dariv Ca1S{-ucIr6n proaa.d 13 TFILLD 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: BROUCH, DAVID E & GRETCHEN M LU-02032 3719 CANDEUR DR NAPERVILLE, IL 60564 Transaction Number: LU-02032-3861C Description Amount Shoreland - Impervious Surface $25.00 Habitable Residential Principal Structures - enclosed $2,337.00 areas $0.75/square foot (minimum $125) Habitable Residential Principal Structure - $238.60 unenclosed area or non -habitable garage $0.20/square foot (minimum $125) Total: $2,600.60 Payment Amount: $2,600.26 Reference: 37142 Paid by: Dykstra Construction Inc Payment Type: Check Transaction Date: 11/19/2025 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 / Wetlands - No Mitigation - No I Affidavit #: LAND USE - X SANITARY — New 25-155S SPECIAL A - SPECIAL B/CONDITIONAL - BOA - BAYFIELD COUNTY PERMIT WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION No. 25-0848 Tax ID: 19853 Issued To: BROUCH, DAVID E & GRETCHEN M Location: S28 - T47N - R08W Town of Iron River Legal Description: LOT 1 OF CSM #350 V.3 P.199 (LOCATED IN GOVT LOT 4) IN V.938 P.728 578G1 Residential Structure in R-1 zoning district For: New Construction [1 — Story + Walkout ], Residence on a Basement [4309 Total sq. ft. ] Height of 27' 7" (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. November 19, 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 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. Current dwelling shall be removed during construction process.