HomeMy WebLinkAbout26-0005-' Return to:
117 E 5`^ Street, PO Box 58
Washburn, WI 54891
permits(@baVfieldcountV.wi.gov
Bayfield County Planning and Zoning Department
LAND USE PERMIT APPLICATION
County Use Only:
Submission #:1.U- 0≥07 7
Permit B: -000S
Date: I 1 7/2-od'6
SECTION A: General Information
Property Owner Name: M& &1 �
t •
Authorized Agent Name (if applicable):
JJ t
Telephone Number:
Telephone Number: RECEIVED
E -Mail Ad ess:
E -Mail Address: EBiE
DEC 117025
Mailing Address: I I h l(� 1 D I^ I
Mailing Address:
Bayfield Co.
L J
L LL � U C �J �J
City, State, Zip:'* tf`h'\ntl
�l
City, State, Zip:
a
Contrtor: a jd (d
T"IIUIhJoneN
-MailAddre s:
rer:
m
SECTION B: Property Information
Project Address (if different from mailing address): r_ i
Legal Description (if additional space is needed attach a separate sheet):
Section, Township, Range:
Town of: —(en
7
Tax ID n': 4\
Lot Size (Acres/Square Pee
'SECTION C: Project nformation (check all that apply)
Project Use is: Residential ❑ Commercial El Municipal If Commercial, estimated cost of con action: $
Project Type is: New Construction ❑ Addition/ teration (existing structure)
❑ Change Use (existing structure) ❑ Relocate (existing structure) ❑ RV Pla men[ 21+ days
❑ Sign ❑ Establishing a Business ❑ Tern rary (12 or less months)
El Shoreland Grading, Class A ❑ RV Placement 4+ months, Class A Ot r (describe):
re uired (Total st ft): required
SECTION D: Structure Information (Does not apply to RVs an $ins, go to S ction '
St-ucnu-e Type is: El Residence / Principal Structure (describe):
Accessory Structure (describe): ❑ Shoreland Exempt Structure (describe): ❑ Mobile Home (provide manufactured
ccdate):
��Incr
❑ Shi ❑ Other (describe):
Foundation Type:
❑ Basement ❑ Walkout Basement Slab El Crawlspace ❑ Ground Skids El Other (explain):
Existing Structure: Length: Width: Height:
Proposed Structure (Pry, vide Sq Ft ased on outside dimensions, including nfinished areas, attached garages/above grade
decks/porches): ,L.
Basement Sq Ft:
P' loor q Ft:
Loft Sq Ft:
2,d Floor Sq Ft:
3`d Floor Sq Ft:
Garag Sq Ft:
Porch Sq Ft:
Deck Sq Ft:
Other Sq Ft (describe):
Other Sq Ft (describe):
Total q tQg
Overall Height (finished grade to peak): 1/7
# of Stories:
Existing # of Bedrooms on property: • "l
Proposed # of Bedrooms in project: d
SECTION E: RV and Sign Information (check all that apply)
Sign is:
RV is:
❑ New ❑ Replacement
❑ New ❑ Replacement
El On -premise El Off -premise
❑ 1 -sided El 2 -sided
Year: Vin #:
0 On -building El Multi -Tenant
Length: Width: Height:
Make: Model:
IED
3
Application Page I
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 Ibr information that is required to be provided on site plan)
Show location of:
IxDriveways ❑ Frontage Roads (include name) 0 Existing Structures l Well (W) It Septic Tank (ST) 0 Drain Field (DF)
Holding Tank (HT) 0 Privy (P) ❑ Lake ❑ River ❑Stream/Creek OPond ❑Floodplain ❑Wetlands ❑Slopes over 20%
I�OY-th(West LoftUnes DEC 11 2025
a � ko ac. away
l3ayfiold Co.
Ci F Planning and Zoning Agency
t{aV
0
'C kry
XI ,�
a� _3R3' fYME w}Line —
Fbwea- -0 — c�9 _ _
gax 4 t- -z8'.3Z, Cove'
Cnt r1d I nl I no 120 FI Dm S � �
Setback or distance from furthest extent of structure County Use Only
including eaves and overhangs to (include on site plan): Verified setbacks
Road Centerline ft. ft. Notes/Comments:
Front Lot Line/Right-of-Way ft. ft.
Side Lot Line 1 .. ft. ft.
(North East South West, circle one)
Side Lot Line 2 _, ,.. ft. ft.
Rear Lot Line
ft.
ft.
Septic/Holding Tank
Q 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)
ft.
ft.
Other (describe)
ft.
ft.
Application Page 2
RECEIVED
DEC 1 1 2025
Gcyfiuti 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:
❑ 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.
❑ 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
�
ur1 'No
Is there an existing sanitary system on the property? If yes, what kind?
❑ Drainfield ❑ 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?
❑ Drainfield ❑ Holding Tank ❑ Municipal/Public ❑ Other (describe):
❑ Yes
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 ❑ Conditional Use O Variance
Fee payment will be made via:
I \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 ❑ Email to:
J4Property Owner Address ❑ 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, dnr.wi.gov/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 r[ time for the purposeofinspection.
/4easonable
Owner(s) or Authorized Agent Printed Name: 1 J4
Owner(s) or Authorized Agent Signature .IW)i ' 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 permit details & conditions and permit card must be posted on property prior to start of project.
Application Page 3
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RECEIVED
DEC 1 1 2025
Hayfield Co.
Planning and Zoning Agency
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1/5/26, 2:08 PM Novus-Wisconsin Access rev. 12.0206 G
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Real Estate Bayfeld County Property Listing Property Status: Current
Today's Date: 1/5/2026 Created On: 3/15/2006 1:15:23 PM
LI Description
Updated: 9/22/2021
Tax ID:
15808
PIN:
04-020-2-47-05-20-3 03-000-10000
Legacy PIN:
020104505000
Map ID:
Municipality:
(020) TOWN OF EILEEN
SIR:
520 T47N ROSW
Description:
SW SW LESS STRIP 1 ROD WIDE ALONG
E SIDE DESC IN DOC 2021R-590671
374
Recorded Acres:
39.500
Calculated Acres:
39.454
Lottery Claims:
0
First Dollar:
No
Zoning:
(AG -1) Agricultural -1
ESN:
113
r -
Tax Districts Updated: 3/15/2006
1 STATE
04 COUNTY
020 TOWN OF EILEEN
020170 ASHLAND SCHOOL
001700 TECHNICAL COLLEGE
a Ownership Updated: 9/22/2021
MATT G & TIA M MILANOWSKI MASON WI
Billing Address:
Mailing Address:
MATTG&TIAM
MATTG&TIAM
MILANOWSKI
MILANOWSKI
66040 US HWY 63
66040 US HWY 63
MASON WI 54865
MASON WI 54865
P Site Address * indicates Private Road
26250 SICKICH RD
® Property Assessment
MASON 54856
Updated: 3/6/2025
2025 Assessment Detail
Code
Acres
Land
Imp.
5m -AGRICULTURAL FOREST
10.000
7,300
0
G4 -AGRICULTURAL
29.500
5,800
0
2 -Year Comparison
2024
2025
Change
Land:
14,000
13,100
-6.4%
Improved:
0
0
0.0%
Total:
14,000
13,100
-6.4%
y'* Recorded Documents
Updated: 10/8/2009
,
Property History
0 WARRANTY DEED
Date Recorded: 9/1/2021
2021R-590671
N/A
0 WARRANTY DEED
Date Recorded: 9/30/2009
2009R-529022 1026-770
0 CONVERSION
Date Recorded: 3/15/2006
497-407
https://novus.bayfieldcounty.wi.gov/access/master.asp?paprpid=15808 1/1
Land Use Permit Application Review Checklist
Submission #:
What zoning district is the project located in?
❑ R-1 ❑ R-2 ❑ R-3 ❑ R-4 ❑ R-RB ❑ C Dl ❑ MM1 ❑ A-2 ❑ F-1 ❑ F-2 ❑ W ❑ M -M
❑ Yeso
Is lot substandard (does not meet current zoning dimensional requirements)?
Deed of record:
❑ Yes,]'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 do
Is impervious surface required? (Required if riparian lot OR lot is entirely within 300 feet of OHWM of
navigable waterway)
❑ Yes .
Is the project located in the Floodplain? Zone:
❑ Yes j2lSlo
Are there wetlands on the property?
❑ Yes ;3'IGo
Is project associated with a nonconforming use or structure?
❑ Yes 1Vo
Is project associated with a variance? Case #:
❑ Yes 2'No
Is project associated with a Special B or Conditional Use Permit? Permit #:
❑ Yes P -No
Is the project associated with a Special A Use Permit?
❑ Yes p -No
Does the project require sanitary?
0 Existing 0 New ❑ Intercept ❑ Reconnect ❑ Non -Plumbing 0 Public
Sanitary Permit #: # of Bedrooms:
❑ Yes J≥'No
Does the project require mitigation?
Implementation Deadline: Date of Compliance:
❑ Yes o
Does the project require an affidavit? Affidavit #:
❑ Yes 24o
Did licensed surveyor mark lot line(s), if project is within 10 feet of required setback?
❑ Yes o
Did applicant/property owner mark lot line(s), if project is within 30 feet of required setback?
Project use is? esidential ❑ Commercial ❑ Municipal
Project type is? f,-I(ew Construction ❑ Addition/Alteration ❑ Change Use ❑ Relocate ❑ RV Placement ❑ Sign
❑ Establishing a Business ❑ Temporary O Shoreland Grading ❑ Other, describe:
Structure Type is: O Residence ❑ Principal Structure Accessory Structure O 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: ff7 Number of Stories: I 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
l7 Cs i
$0.20 ft
(minimum $75)
Structures
x sq
$
❑ 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 O Land Use Revisions O Special Use Permit - Class A ❑ Floodplain ❑ Shoreland - Impervious
Surface ❑ Shoreland - Non -Conforming, etc. ❑ Tower Siting/Collocation 1 ❑ Tower Collocation 2 ❑ Metallic
Mine
❑ After -the -Fact (ATF)
$
I
Inspected by:
Date of Inspection: % Z
Re -Inspected by:
Date of Re -Inspection:
Denied by:
Date of Denial:
Reason for Denial:
Date Denial Letter Mailed:
Approved by:
Date of Approval:
6
Condition(s):
❑ Must meet and maintain setbacks from furthest extension of structure including eaves and
overhangs.
-afor personal storage only.
❑ For personal residence only.
J-Pfot for human habitation or sleeping purposes.
wn/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.
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
0 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:
13.AZYFIELD Bayfield County
Planning & Zoning Department
117 E 5w Street
P.O. Box 58
Washburn, WI 54891
Phone: 715-373-6138
Fax: 715-373-0114
Property Owner: Submission Number:
MILANOWSKI, MATT G & TIA M LU-02077
915 11th Ave W
Ashland, WI 54806 Transaction Number.
LU-02077-3A103
Description Amount
Non -Habitable Residential Principal and Accessory $179.20
Structures - $0.20/square foot (minimum $75)
Total: $179.20
Payment Amount: $180.45
Reference: 1269645845
Paid by: Tia MILANOWSKI
Payment Type: Other
Transaction Date: 1/7/2026
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 I Wetlands — No
Mitigation — No I Affidavit #:
LAND USE -X
SANITARY -
SPECIAL A -
SPECIAL B/CONDITIONAL -
BOA -
BAYFIELD COUNTY
PERMIT
WEATHERIZE AND POST THIS PERMIT
ON THE PREMISES DURING CONSTRUCTION
No. 26-0005 Tax ID: 15808
Issued To: MILANOWSKI, MATT G & TIA M
Location: S20 - T47N - R05W
Town of Eileen
Legal Description: SW SW LESS STRIP I ROD WIDE ALONG E SIDE DESC IN DOC 2021R-590671 374
Residential Structure in A-1 zoning district
For: New Construction [1 - Story ], Accessory Structure on a Slab [896 Total sq. ft. ] Height of 20'
(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 Tracy Pooler
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. January 07, 2026
This permit may be void or revoked if any performance conditions are not Date
completed or if any prohibitory conditions are violated.
Condition(s): For personal storage only.
Not for human habitation or sleeping purposes.
Town/State/DNR/Federal may require permitting.
To be constructed per plan.