HomeMy WebLinkAbout26-00074TEMENT AND FEE TO:
Bayfieid County
Planadng and Zoning Depart.
PO Box 58
Washburn, WI 54891
(715) 373-6138
INSTRUCTIONS: No permits will be issued until all fees are paid.
Checks are made payable to: Bayfleld County Zoning Department.
DO NOT START CONSTRUCTION UNTIL ALL PERMITS HAVE BEEN ISSUED TO APPLICANT. Original Application MUST be submitted FILL OUT IN INK (NO PENCIL)
APPLICATION FOR PERMIT
BAYFIELD COUNTY, WISCONSIN
DEC 26 2025 LU
Bayfield Co.
1 and Zoning Agency
Permit#:
-6-000l
Date:
�, �' /?•OO6
Amount Paid:
�ta8q
Other:
Refund:
TYPE OF PERMIT REQUESTED R LAND USE U
SANITARY U PRIVY I CONDITIONAL USE -_ SPECIAL USE ❑ B.O.A.
LL OTHER
Owner's Name:
FF�
�2f 1' N Ls
Ma�Iing Address:
'6675 t:isj S/taakF
I City/State/Zip:
I i
SVf'73
Telephone:
iQ)
gweo WI
Address of Property:
eta'(' 9' ORS R A
Cit../State/Zip:
t5AJ NQ $ f % / 5183
Cell Phone:
-3D&S
0
121,63 175
Email: (print clearly)
Coe hbwtes LU LJ 't1t00 ,cbvh
Contractor:
C ntre rPhone:
Plumber.
Plumber Phone:
4 Yz t03 oii6
Authorized Agent: (Person Signing Application on behalf of
Agent Phone:
Agent Mailing Address (Include City/State/Zip):
written Authorization
Owner(s)l
Required (for Agent)
PROJECTI
Legal Description: (Use Tax Statement)
Tax ID#
Recorded Document: (ShowGing�Ownershl
c233 L�e ',
LOCATION
U13
Gov't Lot I
I Lots) I
CsM/
Vol &CIS ge
GM Doc #
Lot(s) #
Block #
Subdivision:
1/4, 1/4
5
iZ
J a�
k N�q
Section ,Township N,Range l
W
Town of'
try d -N t'5
Lot Size
Sc
,'-
Acreage
❑ Shoreland
Ii Is Property/Land within 300 feet of River, Stream )Ind. Intermittent)
Creek or Landward side of Floodplain? If yes —continue --►
I Distance Structure is from Shoreline :
feet
I Is your Property
in Floodplain
Zone?
Yes
; No
IAre Wetlands
Present?
Yes
iK No
l Is Property/Land within 1000 feet of Lake, Pond or Flowage
If yes —continue —►
Distance Structure is from Shoreline :
feet
w Non-
Shoreland
Value at Time
Total # of
What Type of
Type of
of Completion
* include
donated time
& material
Project
Project
# of Stories
Project
Foundation
bedrooms
on
property
Sewer/Sanitary System(s)
is on the property or
Will be on the property?
Water
on
property
I New Construction
G. 1 -Story
I.I Basement
11 1
L Municipal/City
11 City
g Addition/Alteration
CA 1 -Story +
❑ Foundation
2
1_ (New)Sanitary Specify Type:
H Well
❑
❑ Conversion
❑ 2 -Story
K Slab
3
I Sanitary (Exists) Specify Type:
I Relocate (existing bldg)
❑
❑
i
- —_
ri (Pit) or L' Vaulted (min 200 gallon)
I' Run a Business on
Use
bL None
ortab ( service contract)
Property
R Year Rourid
UCoMppstToii�t
HN
None
Existing Structure: (if addition, alteration or business is being applied for)
Length: Coo 11
—Width:
Height: i 2
Proposed Construction: (overall dimensions)
Length: Qq
Width: 36
Height: ip'
Proposed Use
✓
Proposed Structure
P
Dimensions
Square
Footage
Principal Structure (first structure on property)
( X
Residence (i.e. cabin, hunting shack, etc.)
( X 1
with Loft
( X 1
N Residential Use
with a Porch
( X )
with (2nd) Porch
( X )
with a Deck
(x) )
with (2nd) Deck
( X )
❑ Commercial Use
with Attached Garage
( X
17
Bunkhouse w/ (❑ sanitary, or ❑ sleeping quarters, or I-, cooking & food prep facilities)
( X
-- -- --
- -
Mobile-Heme(menufectured date)----- —
❑ Municipal Use
L
Addition/Alteration (explain
( X
AccessoryBuilding(e ain) 02 E
( 2.y X 3b )
664
U
Accessory Building Ad itie Alteration (ex
( X
Special Use: (explain)
( X
LI
Conditional Use: (explain)
( X
Other: (explain)
( X
FAILURE TO OBTAIN A PERMIT or STARTING CONSTRUCTION WITHOUT A PERMIT WILL RESULT IN PENALTIES
I Iwe) declare that this application (Including any accompanying Information) has been examined by me (us) and to the best of my lour) knowledge and bellefit is true, correct and complete. I Iwe) acknowledge that I (we) am
(are) responsible forthe detail and accua fall Information I (welam (areproviding and that it will be relied capon by Bayfleld county in determining whether to issue a permit. I(we)furtheraccept liability which may bea
result of Bayfleld County relying on this fa atlon I (wel am lam) provldi or with ap -lion. I(we) consent to county officials charged with administering county ordinances to have access to the above described
property at anyre ble time se ofinapecnon. 0
Owner(s) • - Date ,2/�`��
(If there a ti a ners ed on the Deed All Owners must sig r letters) of authorization must accompany this application)
Authorized Agent: (See Note below) Date
(If you are signing on behalf of the owner(s) a letter of authorization must accompany this application)
Attach
Address to send permit Copy of Tax Statement
Ifyou recently purchased the property send your Recorded Deed
Turn Over
APPLICANT - PLEASE COMPLETE PLOT PLAN
In the box below: Draw or Sketch your Property (regardless of what you are applying for)
(1) Show Location of: Proposed Construction
(2) show/Indicate: North (N) on Plot Plan Fill Out in Ink — NO PENCIL
(3) Show Location of ("): (") Driveway and (") Frontage Road (Name Frontage Road)
(4) Show: All Existing Structures on your Property
(5) Show: (") Well (W); (") Septic Tank (ST); (") Drain Field (DF); (") Holding Tank (HT) and/or (") Privy (P)
(6) Show any ("): (•) Lake; (") River; (") Stream/Creek; or(t) Pond
(7) Show any ("): (") Wetlands; or (") Slopes over 20%
Please complete (1) — (7) above (prior to continuing)
Changes in plans must be approved by the Planning & Zoning Dept.
(8) Setbacks: (measured to the closest point)
Description
Setback
Measurements
Description
Setback
Measurements
Setback from the Centerline of Platted Road
Feet
Setback from the Lake (ordinary high-water mark)
Feet
Setback from the Established Right-of-way
Feet
Setback from the River, Stream, Creek
Feet
Setback from the Bank or Bluff
Feet
Setback from the North Lot One
30 Feet
Setback from the South Lot Line
1,110 Feet
Setback from Wetland
Feet
Setback from the West Lot Line
1w7 Feet
20% Slope Area on the property
U Yes ❑ No
Setback from the East Lot Line
f'1t Feet
Elevation of Floodplain
Feet
Setback to Septic Tank or Holding Tank—
Feet
-
Setback to Well
- Feet
Setback to Drain Field
Feet
Setback to Privy (Portable, Composting) Feet
Prior to the placement or construction of a structure within ten (10) feet of the minimum required setback, the boundary line from which the setback must be measured must be visible from one prevlouslysurveyed corner to the
other previously surveyed corner or marked bye licensed surveyor at the owner, expense.
Prior to the placement or construction of a structure more than ten 110) feet but less than thirty (50) feet from the mini m required setback, the boundary line from which the setback must be measured must be visible from
one previously surveyed corner to the other previously surveyed comer, or verifiable by the Department by use of a corrected compass from a known corner within 500 feet of the proposed site of the structure, or must be
marked by a licensed surveyor at the owner's expense.
(9) Stake or Mark Proposed Location(s) of New Construction. SepticTank (ST). Drain field (DA, Holding Tank (HT). Privy P and Well (W).
NOTICE(s): All Land Use Permits Expire One (1) Year from the Date of Issuance if Construction or Use has not begun.
For the construction of New One & Two Family Dwelling: ALL Municipalities Are Required To Enforce The Uniform Dwelling Code.
The local Town, Village, City, State or Federal agencies may also require permits.
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 or contact a department of natural resources service center (715) 685-2900.
Issuance Information (County Use Only)
Sanitary Number:
ft of bedrooms:
Sanitary Date:
Permit Denied (Date):
Reason for Denial:
Permit U:
Permit Date:
Is Parcel a Sub -Standard Lot
Is Parcel in Common Ownership
Is Structure Non -Conforming
❑ Yes toted of Record) -,�?'fJo
❑ Yes (Fused/Contiguous Logs))
PYes
Mitigation Required
Mitigation Attached
I ❑ Ves yNo
❑ Yes I�No
Affidavit Required
Affidavit Attached
byes - No
C Yes 1`No
Granted by Variance (B.O.A.)
L2 Yes% No Case If:
Previously Granted by Variance (B.O.A.)
Yes ,IN'No Case U:
Was Parcel Legally Created
Was Proposed Building Site Delineateds
s I No
I No
Were Property Lines Represented by Owner
Was Property Surveyed
❑ Yes ❑ No
El Yes ❑No
Inspection Record:
Zoning District ( )
Lakes Classification ( I
Date of Inspection:
Inspected by:
Date of Re -Inspection:
Condition(s): Town, Committee or Board Conditions Attached? G Yes ❑ No — (I o they need to be attached.)
Signature of Inspector:
Date of Approval:
Hold For Sanitary:
Hold For TEA:
Hold For Affidavit: I
Hold For Fees: I
I
e®7onutry 2000 (/August 2021)
KARIHUFFNAGLENESE
3360 COUNTY HWY N
BARNES WI 54873
Phone: (715) 795-2782
JEFFREY L & MILDRED A JOHNSON CO -TRUSTEES
STATE OF WISCONSIN - BAYFIELD COUNTY
REAL EST A E ROPERTY TAx BILL R 2024 TOWN OF BARNES
PAYMENTS should reference: Tax ID: 2013
DOCUMENTRECOR
JEFFREY L & MILDRED A JOHNSON CO -TRUSTEES
49675 EAST SHORE RD
BARNES WI 54873
Please include self-addressed, stamped envelope for return receipt.
Pleaselease inf°rasurer of any h0unn .,,,,.._-_ _,.
and
$13,300
PIN: na-nnA_I DING, or anything else
L & MILDRED
•IllPortant: Be sure this description covers our ro e
that this description is for tax bills only and may not be kill
legal description. See reverse side for Important Information.
Site Address: PropeitY Description / Location of a
3025 EAST SHORE R— p � gip,
IN SW
Description; Sec 16 Tn 44 Rg 09 LOT 3 CSM #1269 V,7 P.420
7/3/2007)/) IN IM 20 3R-487943 V.995 P.831 (THE SOCO ESTATES REV TRUST
avers a Imp- LuudR-520870 995-F
verb Total Assessment Ratio Net Assessed Value Real Estate Tax:
Rate First Dollar Credit:
$35,200 $48,500 0.60691 (Does NOT reflect lottery Lotter Credit:
0r first dollar credit Net Real al ; c
Land
Improved Total
An "x" means unpaid
0.014069125
School taxes reduced bi
21 900
58 00 79 900
prior year taxes,
❑
school levy tax credit.
$32.96
Estimated State Aids
Taxing Jurisdiction
Altocated�x
pia Net
% Tax
Tax
COUNTY
TOWN OF BARNES
2 23
191,920
2024
197,576 2223
252.49
Change
2224
SCHL-DRUMMOND
459,854
461,126
273.89 L� 8.5
TECHNICAL COLLEGE
216,011
217,056 123.88
247.�1l 6.6
293,471
304,004 17.69
247.60
98.3
19.16
First
Toxin Jurisdiction
Total
Total Addnl Taxes
""nests ONLY - Voter-APProve— d 7empo'ary
SCHL-DRUMMOND
Addni Taxes
312,027
lied to Pro a
y�r
Increase Ends
SCHL-DF BARNES
TOWN OF BARNES
526,284
45.40
76.58
2027
61,959
9.02
2044
2025
0Th
-31.95
For payment in full
Pay to TOWN OF BARNES TREASURER by
January 31, 2025
Warning
If not paid by due dates, installment
Jtion Is lost and total tax is delinquer
id subject to interest and if applicable
penalty. O (See I reverse)
iL
I`k3.
TO` WN OF BARN°c raEe,ir ER
KARL HUFNAGLE STATE OF WISCONSIN - BAYFIELD JfiFFREY L & MILDREDJOHNSON CO -
3360 COUNTY HWY N i . STATE' COUNTY .A TRUSTEES ..
BILL FO 2024 i TOWN OF BARNES"
BARNES WI 54873 PAYMENTS"ShOUId
RECORDING,
o T. ID:' 2013
Phone: (715) 795-2782 DOCUMENT RECORDING, or an
PIN:04-0O4-214..09162
-- 03-0 0 51)Q ( ouId reference:
Alternate- a ID:
Ownership: JEFFREY L 8< MILD '1'1112-04 003
RE4 A JOHN M CO -TRUES
p� 9e sure this description cover Y ur pro
that this d scnption. is for tax bills on and Percy. Nate
i al d only may not�be a full JEFFREY L & MILDRED A JOHNSONSc ptian• See reverse side for im i
! information.
49675 EAST SHORE RD COCO"TRUSTEES : Site AddMs;f'y b
BARNES WI 54873 EAST SHO
IN Tn 44 R9 09 LOT 3fN#1269 U.7 P.420 L
SUIT NWT IN V.995 8831 ( OCATED Please include self-addressed slam 7/3/2007) �M CO3R=487943 E S(?Cpi ESTATES REV TRUST DTD
Please inform our stamped envelope
treasurer of an bill addm r return receipt.
Assessed Value ress cha es. e: 4 550
Docurrnentz 2008R520 70 995
Average Net Assessed Value , 831
$13,300 Assessment RatioRate heat ar Tak'
$35,20Q $48,5`00 b.691 tPoe5 NOt reflect lottery LOtteFirst Dollar 682.36
or first "dollar credit 'Credit 1 ' -31.95
Estlma# Fair Market Value 0,01' 91 Nest Rea1..I Tax: -0.00
o� "X"'means :un aid 25 " " Total Due: dS0.41
prior P S� tarts reduced by 65Q4Z,
year taxes.
21900 58 000 f I levy tax credit.. rr�
79 900_ $32.9b �', ent in full
Pak to TOWN O
mated Aids , :. o a P A _ ARNES
TREASURER by
on , Dl /b Tax CDR
ng
COUNTY 2� a max a
.L19e
TOWN OF BARNES 191,920 197 0 3 1`11"
SCHL-DRUMMOND 459,$54 461,126 132.98 2g• ' . 8.5 If not paid by d e dates Installment
TECHNICAL. COLLEGE 293 471 216,011 1
217,056 123.88 2471 t� 6.6 Option is lost and otal ,
47.60 tax is delinquent
1 3o4,Qo4 17.696 s.3 and subject to int zest and if applicable
PP cable,
penalty. reverse)
Totalsl,L'1.
First Dollar Credit 161256 179 762
527.04
LoLte & Gamin Credit j 682.3 ,'29.5 3
Net Pro 19.87
Tax .0.00 31,.9 608
507.17 Oa 0.0
R INFORfNgi7bNAL PU 6504 28 2
Total Total Addnl T ONLY - Vater-gpProVed Tent
Toxin lurisdictlan -Addnl : ' patary. Tax Increases
SCHL-DRUMM0ND es A 1ied.to`ProIncrease
Year
SCHL-DRUMM0ND " 312,027 Ina se Ends
45:40,
TOWN OF BARNES S26,284 76.58 2027
61,959 9.02 r 2044"
2025 y .
aZ' �y n ��,� _ /?zlff' RECEIVED
Tracy Pooler
From: Tracy Pooler
Sent: Wednesday, January 7, 2026 9:54 AM
To: 'cozyhomesllc@yahoo.com'
Subject: 3025 east shore rd
Jeffery,
In Looking into your Land Use Permit request, could you clarify the site drawing as to which direction is
north on your site sketch and existing building orientation. See airphoto and image of application sketch.
APPLICANT - PLEASE COMPLETE PLOT PLAN
In the box below: Dray: of Sketch your Property (regardless of what you are applying for)
(1) Show Location of: Proposed Construction
(2) Show / Indicate: North (N) on Plot Plan Fill Out
(3) Show Location of (*): (*) Driveway and (*) Frontage Road (Name Frontage Road)
(4) Show: All Existing Structures on your Property
(5) Show: (*) Well (W); (*) Septic Tank (ST); (*) Drain Field (DF); (*) Holding Tank (HT) i
(6) Show any (*): (*) Lake; (*) River; (*) Stream/Creek; or() Pond
(7) Show any (*): (*) Wetlands; or (*) Slopes over 20%
Please complete (1) — (7) above (prior to continuing)
Changes in plans must be
(8) Setbacks: (measured to the closest point)
Description Setback
. Description
Tracy Pooler - AZA
Planning and Zoning Department
117 E 5th Street, PO Box 58
Washburn, WI 54891
Phone: 715-373-3512
Fax: 715-373-0114
Email: trace•p9_o_ljr@bayfieldcountv.wi•goy
V*YFIELD
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 zoning() bayfieldcounty wi gov or 715 373-6138 with any questions or concerns.
Tracy Pooler
From: Jeff Johnson <cozyhomesllc@yahoo.com>
Sent: Wednesday, January 7, 2026 12:55 PM
To: Tracy Pooler
Subject: Re: 3025 east shore rd
North is the driveway side
/ Sent from my iPhone
On Jan 7, 2026, at 10:54 AM, Tracy Pooler <tracy.pooler@bayfieldcounty.wi.gov>wrote:
Jeffery,
In looking into your Land Use Permit request, could you clarify the site drawing as to which
direction is north on your site sketch and existing building orientation. See airphoto and
image of application sketch.
<image003.png>
<image0ol.png>
Tracy Pooler - AZA
Planning and Zoning Department
117 E 5th Street, PO Box 58
Washburn, WI 54891
Phone: 715-373-3512
Fax:715-373-0114
Email: trace.poolerCcabayfieldcounty.wi.gov
<image002.png>
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 zoning�bayfieldcounty.wi.gov or 715 373-6138
with any questions or concerns.
Bayfield County, WI
3:00 PM Novus-Wisconsin Access rev. 12.0206
Real, Estate Bayfield County Property Listing
Today's Date: 1/5/2026
il Description Updated: 11/12/2015
Tax ID: 2013
PIN: 04-004-2-44-09-16-2 03-000-50000
Legacy PIN: 004111204003
Map ID:
Municipality: (004) TOWN OF BARNES
STR:
S16 T44N R09W
Description:
LOT 3 CSM #1269 V.7 R420 (LOCATED
IN SW NW) IN V.995 P.831 (THE SOCO
ESTATES REV TRUST DTD 7/3/2007) IM
2003R-487943 IM 2003R-486205
Recorded Acres:
4.550
Calculated Acres:
4.548
Lottery Claims:
0
First Dollar:
Yes
Zoning:
(R-2) Residential -2
ESN:
104
3 Tax Districts Updated: 3/15/2006
1
STATE
04
COUNTY
004
TOWN OF BARNES
041491
SCHL-DRUMMOND
001700
TECHNICAL COLLEGE
v' Recorded Documents Updated: 3/15/2006
O QUIT CLAIM DEED
Date Recorded: 5/21/2008 2008R-520870 995-831
® CONVERSION
Date Recorded:
487943 879-427
Property Status: Current
Created On: 3/15/2006 1:14:46 PM
all Ownership Updated: 11/12/2015
JEFFREY L & MILDRED A JOHNSON CO- BARNES WI
TRUSTEES
Billing Address:
JEFFREY L & MILDRED A
JOHNSON CO -TRUSTEES
49675 EAST SHORE RD
BARNES WI 54873
Mailing Address:
JEFFREY L & MILDRED A
JOHNSON CO -TRUSTEES
49675 EAST SHORE RD
BARNES WI 54873
P Site Address * indicates Private Road
3025 EAST SHORE RD BARNES 54873
® Property Assessment
Updated: 10/4/2016
2025 Assessment Detail
Code
Acres
Land
Imp.
G1 -RESIDENTIAL
4.550
13,300
35,200
2 -Year Comparison
2024
2025
Change
Land:
13,300
13,300
0.0%
Improved:
35,200
35,200
0.0%
Total:
48,500
48,500
0.0%
l� Property History
N/A
https://novus.bayreldcounty.wi.gov/access/master.asp?paprpid=2013 1/1
Land Use Permit Application Review Checklist
Submission #:
What zoniflg district is the project located in?
❑ R-1 R-2 ❑ R-3 ❑ R-4 ❑ R-RB ❑ C ❑ I ❑ M ❑ A-1 ❑ A-2 ❑ F-1 ❑ F-2 ❑ W ❑ M -M
❑ Yes_.2'No
Is lot substandard (does not meet current zoning dimensional requirements)?
Deed of record:
❑ Yes Cp-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 ;R'No
Is impervious surface required? (Required if riparian lot OR lot is entirely within 300 feet of OHWM of
navigable waterway)
❑ Yes 0110
Is the project located in the Floodplain? Zone:
❑ Yes !co
Are there wetlands on the property?
❑ Yes )21Qo
Is project associated with a nonconforming use or structure?
❑ Yes
Is project associated with a variance? Case #:
❑ Yes No
Is project associated with a Special B or Conditional Use Permit? Permit #:
❑ Yes No
Is the project associated with a Special A Use Permit?
❑ Yes Ja1Qo
Does the project require sanitary?
❑ Existing O New ❑ Intercept ❑ Reconnect O Non -Plumbing O Public
Sanitary Permit #: # of Bedrooms:
❑ Yes No
Does the project require mitigation?
Implementation Deadline: Date of Compliance:
❑ Yes RTNo
Does the project require an affidavit? Affidavit #:
❑ Yes aiio
Did licensed surveyor mark lot line(s), if project is within 10 feet of required setback?
❑ Yes aio
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? ❑ New Construction Addition/Alteration ❑ Change Use ❑ Relocate ❑ RV Placement ❑ Sign
❑ Establishing a Business ❑ Temporary ❑ Shoreland Grading O Other, describe:
Structure Type is: ❑ Residence rincipal Structure O Accessory 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
$0.20x s ft
ri to
(minimum S75)
y.2
(Structures
S
q
$ /7o
❑ 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)
$
Inspected by:
Date of Inspection: /##/_'
Re -Inspected by:
Date of Re -Inspection:
Denied by:
Date of Denial:
Reason for Denial:
Date Denial Letter Mailed:
Approved by:
Date of Approval: / ti
�✓f'
Condition(s):
0 Must meet and maintain setbacks from furthest extension of structure including eaves and
overhangs.
or personal storage only.
❑ For personal residence only.
,2iclot for human habitation or sleeping purposes.
6,2town/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.
,Zto 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.
❑ 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:
IL34YFIELD 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:
JOHNSON CO -TRUSTEES, JEFFREY L &
MILDRED A
49675 EAST SHORE RD
BARNES, WI 54873
Description
Non -Habitable Residential Principal and Accessory
Structures - $0.20/square foot (minimum $75)
Amount:
Reference: 4604
Paid by: J & M Storage
Payment Type: Check
Transaction Date: 1/7/ 2026
Submission Number:
LU-02086
Transaction Number:
LU-02086-3A654
Amount
$172.80
$172.80
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 - No
Mitigation - No I Affidavit #:
LAND USE - X
SANITARY -
SPECIAL A -
SPECIAL B/CONDITIONAL —
BOA —
No. 26-0007 Tax ID: 2013
Issued To: JOHNSON CO -TRUSTEES, JEFFREY L & MILDRED A
Location: S16 - T44N - R09W
Town of Barnes
BAYFIELD COUNTY
WEATHERIZE AND POST THIS PERMIT
ON THE PREMISES DURING CONSTRUCTION
Legal Description: LOT 3 CSM #1269 V.7 P.420 (LOCATED IN SW NW) IN V.995 P.831 (THE SOCO ESTATES REV TRUST DTD
7/3/2007) IM 2003R-487943 IM 2003R-486205
Residential Structure in R-2 zoning district
For: Addition/Alteration [1 - Story ], Principal Structure on a Slab [864 Total sq. ft. ] Height of 12'
(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.
Tracy Pooler
Authorized Issuing Official
January 07, 2026
Date
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.