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Return to: 117 E 5th Street, PO Box 58 Washburn, WI 54891 permits@bayfieldcounty.wi.gov Bayfield County Planning and Zoning Department LAND USE PERMIT APPLICATION County Use Only: Submission #: LU 04065 Permit#: Date: I rho r�a6 SECTION A: General Information Proper�y Owner Name: Authorized Agent Name (il'applicable): c W t° � o R Telephone Number: Telephone Number: � II 937-7 c9fl9� E -Mail Address: e1' rq-"n -704 (-M4,'l.Ca,n, E -Mail Address: Mailing Address: ,,p q -34(O —91)`4 Lhu/lV ic7j Mailing Address: ""'�' A,_ „t Panolo', - .. City, State, Zip: g iv City, State, Zip: 50'" wZ c Contractor: , Telephone Number: E -Mail Address: o % flo wetf h as 709 �c'G�Ati,ca S P TION B: Property Information Pro'ect Address (if different from mailing address): 4o1TAeA,- a fiD M4ft 4 L {q4� Legal Description (if additional space is needed attach a separate sheet): Section, Township, Range: — — Town of: .4 �O4' (4) I Tax ID 0: a3 7 1 i Lot Size (Acres/Square Feet): p 1t e 5 SECTION C: Project Information (check all that apply) .. =. _ Project Use is: 2F Residential ❑ Commercial ❑ Municipal Project Type is: New Construction ❑ Addition/Alteration (existing structure) ❑ Change Use (existing structure) ❑ Relocate (existing structure) ❑ RV Placement 21+ days ❑ Sign ❑ Establishing a Business ❑ Temporary (12 or less months) ❑ Shoreland Grading, Class A ❑ RV Placement 4+ months, Class A ❑ Other (describe): required (Total sft): required SECTION D: Structure Information (Does not apply to RVs and Signs, go to Section E),, Structure Type is: Residence ❑ Principal Structure (describe): ❑ Accessory Structure (describe): ❑ Shoreland Exempt Structure (describe): ❑ Mobile Home (provide manufactured date): ❑ Shipping Container ❑ Other (describe): Foundation Type: ❑ Basement ❑ Walkout Basement IX Slab ❑ Crawlspace ❑ 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/ arches: Basement Sq Ft: 1St Floor Sq Ft: % - Loft Sq Ft: 2"^ Floor Sq Ft: 3'° Floor Sq Ft: ,coo Garage Sq Ft: Porch Sq Ft: Deck Sq Ft: Other Sq Ft (describe): Other Sq Ft (describe): Total Sq Ft: ' So O Overall Height (finished grade to peak): # of Stories: 1 Existing # of Bedrooms on property: O Proposed # of Bedrooms in project: SECTION E: RV and Sign Information (check all that apply) Sign is: RV is: 9SNew ❑ Replacement ❑ New ❑ Replacement ❑ On -premise ❑ Off -premise ❑I -sided ❑2 -sided Year: Vin#: ❑ On -building ❑ Multi -Tenant Length: Width: Height: Make: Model: ED d.S 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 thatis required to be provided on site plan) Show location of: ❑ Driveways ❑ Frontage Roads (include name) ❑ Existing Structures ❑ Well (W) ❑ Septic Tank (ST) 0 Drain Field (DF) ❑ Holding Tank (HT) ❑ Privy (P) ❑ Lake ❑ River ❑Stream/Creek ❑Pond ❑Floodplain ❑Wetlands ❑Slopes over 20% N RECEIVED NOV 252025 Bayfiet-i Cc Planning and'. - 7 �[b Setback or distance from furthest extent of structure ounty 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 1 9y ft. ft. Side Lot Line 1 ( ft. ft. orth❑East❑South West❑, check one) Side Lot Line 2 ft. ft. (NorthDEastSouthDWestD, check one) Rear Lot Line ( (6 ft. ft. Septic/Holding Tank 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. sRfoCEii`D NOV 252025 SECTION G: Additional Questions _ '❑ Yes P No Has the location of the proposed project including eaves and overhangs and the sanitary system and' F5'@k�9en staked? If no, what date will this be completed: flY ❑ 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 19'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 S No Is there an existing sanitary system on the property? If yes, what kind? 0 Drainfield ❑ Holding Tank ❑ Municipal/Public ❑ Other (describe): t 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): IF -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 ❑ Class A Special Use ❑ Class B Special Use ❑ Conditional Use ❑ Variance t1O 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? rfd7Mail to: OR Email to: q Property 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'[Iwo (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.r;ov/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 reasonable time for the purpose of inspection. Owner(s) or Authorized Agent Printed Name: a °9 l 14 £4'W.We I / Owner(s) or Authorized Agent Signature: $)/ A,! /,.t,r 'J Date: t f _ i 52 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. *ewer nw I I 1 1 P � FRONT ELEVATION N0V 25 2UL. planning arc I I 8 8 un LEFT ELEVATION RIGHT ELEVATION H H U -I RANDY WEISS ELEVATIONS BACK ELEVATION Cam RECEIVED JAN 18 2026 Bayfield Co. Planning and Zoning Agency e 50.0-0 27-6-0 „J -0-0e„ 17-6-0 si Randy Weiss 8256 W Squires Rd Ojibwa, WI 54862 ROOF LAYOUT 8/12 Slope h 12" Overall Heel 2FT Overhang $ O a 111111 :iiiiiiiiii: W � U r:::::::::::::! (9 W Q __ Q I. 50-0-0 Root Loading Account Tony Lumber TC Live: 40.00 pst Job: Job200471 TC Dead: 7.00 pst Designer. BC ore: o10..00 per Dar. INC. WISCONSIN TRUSS INC. DLead: p� Date: 07-14-20 ,. TC Stress Inc: BC Stress Inc: 15.00 Spacing: 2-0-0 o.c. rur UrediUU WIUI PUrrauvJy uio1 vciow' 00 rn In U U Top �2X loan Cot imn 0(00 Oa cat folic• 4 m'4.00 A -1 0.27 ]31St 1-10- , 1 -, 0.10 7113 tts t.tis R -00 0.00 t]nc ,- t 0-1 0,09 3201 II 21 4 M-1900 et -1 0.90 31140 t- 0-te I -a 0.13 0331T A2 ,r a tir-Ii5a i -C 0.04 2$9'C 3- 3- 2 C -L 0.00 3117E Na. 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IT 1,15 Version: 50,0,070 Spaoiaq 24.0 10. ora.inq: C) C) U 7- C Lu 1 Tracy Pooler From: Tracy Pooler Sent: Friday, January 9, 2026 2:38 PM To: Randy Weiss Subject: RE: 22430 sutherland rd - Tax # 23714 Randy, I am looking for dwelling plans that do not have a second floor And A permit from this office for the septic to be installed issued to the installing plumber 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: tracy.peoLer@bayfieLdcountywi gov $AYFIELD 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@bayfieldcou ty.wi. ov or 715 373-6138 with any questions or concerns. From: Randy Weiss <weissrandy708@gmail.com> Sent: Friday, January 9, 2026 1:13 PM To: Tracy Pooler<tracy.pooler@bayfieldcounty.wi.gov> Subject: Re: 22430 sutherland rd - Tax # 23714 So what else do you need from me for it to be complete? On Thu, Jan 8, 2026 at 2:04 PM Randy Weiss <weissrandy708mail.com> wrote: With a set of green gates On Thu, Jan 8, 2026 at 2:02 PM Randy Weiss <weissrandy708(6 gmail.com> wrote: Yes, that's it. On Thu, Jan 8, 2026 at 1:18 PM Tracy Pooler <tract'.pooler(cbbayfieldcounty.wi.gov> wrote: Randy, There is an opening through the trees with a sign near the road. Is this not the access point? Did I look at the wrong location upon your property? 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: tracy.poolerCbavfiel i Qunty.wi.gov i2 VI+ IELD Fraudulent Billing Alert: Be aware that individuals submitting applications to our department have received scam emails. Bayfield County wilt NOT ask applicants to wire any funds. Please contact our office at zoning(a)bayfieldcounty.wi.gov or 715 373-6138 with any questions or concerns. From: Randy Weiss <weissrandy708@gmaiI.com> Sent: Thursday, January 8, 2026 11:29 AM To: Tracy Pooler<trace.pooler@bayfieldcounty.wi.gov> Subject: Re: 22430 sutherland rd - Tax # 23714 The driveway is on top of the hill, so there is no Blindspot On Thu, Jan 8, 2026 at 9:27 AM Randy Weiss <weissrandy708Ca�gmail.com> wrote: I'm not doing the upstairs with the engineered trust they're just gonna be regular trust and I did talk to the township of Mason On Thu, Jan 8, 2026 at 8:56 AM Tracy Pooler <tracy pooler(abayfieldcounty.wi.gov> wrote: Where do the stairs in the middle of the building go to? 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: tracy,.po0ler@b� ieldcoun .wi. ov B-AYFIELD 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 nning(a�bayfieldcounty.wi.gov or 715 373-6138 with any questions or concerns. From: Randy Weiss <weissrandy708@gmail.com> Sent: Thursday, January 8, 2026 10:23 AM To: Tracy Pooler <trace.Pooler@bayfieldcountv.wi.gov> Subject: Re: 22430 sutherland rd - Tax # 23714 There is not a second story And Butteld's doing the septic and well On Wed, Jan 7, 2026 at 9:11 AM Tracy Pooler <tracy.pooler(abbay eldcounty.wi.gov> wrote: Randy, In looking into your dwelling application there are a couple of questions. Have you had your driveway approved by the Town for use as a residential driveway? There is a rise in the road creating a potential blind spot from the east. • The application declares the structure to be 1 story, but structure sketches indicate a second floor. Is there to be a second story and what is the size of the second story? • We do not see an application in office by the installing plumber for the septic system that will serve the structure. 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: tracy.poolerCabbayfieldcounty_wi. ov P YFIELD Fraudulent Billing Alert: Be aware that individuals submitting applications to our department have received scam emaits. Bayfield County will NOT ask applicants to wire any funds. Please contact our office at zoning@bayfieldsioiinty.Lwtgp3L or 715 373-6138 with any questions or concerns. Bayfield County, WI 71 -/2/25, 8:17 AM (1V� Novus-Wisconsin Access rev. 12.0206 Real Estate Bayfield County Property Listing Property Status: Current = Today's Date: 12/2/2025 Created On: 3/15/2006 1:15:45 PM l Description Updated: 8/28/2025 4i Ownership Updated: 8/28/2025 Tax ID: 23714 RANDY JACK WEISS MASON WI PIN: 04-032-2-46-06-27-2 04-000-10000 Legacy PIN: 032105304000 Billing Address: Mailing Address: Map ID: RANDY JACK WEISS RANDY JACK WEISS Municipality: (032) TOWN OF MASON 23480 FAITH CHURCH RD 23480 FAITH CHURCH RD STR: $27 T46N R06W MASON WI 54856 MASON WI 54856 Description: SE NW 459 (MFL-CLOSED 50 YRS YR OF ENTRY 1999) IN DOC 2025R-608369 Site Address * indicates Private Road Recorded Acres: 40.000 22430 SUTHERLAND RD MASON 54856 Calculated Acres: 38.262 Lottery Claims: 0 ® Property Assessment Updated: 4/22/2014 First Dollar: No Zoning: (F-1) Forestry -1 2025 Assessment Detail ESN: 122 Code Acres Land Imp. W7-MFL - OPEN - BEFORE 40.000 52,000 0 Tax Districts Updated: 3/15/2006 2005 1 STATE 2 -Year Comparison 2024 2025 Change 04 COUNTY Land: 52,000 52,000 0.0% 032 TOWN OF MASON Improved: 0 0 0.0% 041491 SCHL-DRUMMOND Total: 52,000 52,000 0.0% 001700 TECHNICAL COLLEGE 'i Recorded Documents B MFL TRANSFER ORDER Date Recorded: 8/19/2025 B SPECIAL WARRANTY DEED Date Recorded: 7/18/2025 © SPECIAL WARRANTY DEED Date Recorded: 10/5/2012 ® CONVERSION Date Recorded: 3/15/2006 Updated: 11/29/2012 09 Property History 2025R-608828 N/A 2025R-608369 2012R-546142 1092-406 757-303 https://novus.bayfieldcounty.wi.gov/access/master.asp?paprpid=23714 111 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 ❑ I ❑ M ❑ A-1 OA -27f1 ❑ F-2 ❑ W ❑ M -M El Yes 9..N6 Is lot substandard (does not meet current zoning dimensional requirements)? Deed of record: ❑ Yeso 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 ,O'No Is impervious surface required? (Required if riparian lot OR lot is entirely within 300 feet of OHWM of navigable waterway) ❑ Yes No Is the project located in the Flood plain? Zone: ❑ Yes 0 No Are there wetlands on the property? Is project associated with a nonconforming use or structure? ❑ Yes L2190 ❑ Yes p'No Is project associated with a variance? Case #: ❑ Yes p4o Is project associated with a Special B or Conditional Use Permit? Permit #: ❑ Yes o Is the project associated with a Special A Use Permit? _.21es ❑ No Does the project require sanitary? 0 Existing 0 New ❑ Intercept ❑ Reconnect ❑ Non -Plumbing O Public Sanitary Permit It: 26'- 2 5 # of Bedrooms: j ❑ Yes !a No Does the project require mitigation? Implementation Deadline: Date of Compliance: ❑ Yes J2No 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 O_No 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? W1w Construction ❑ Addition/Alteration ❑ Change Use ❑ Relocate ❑ RV Placement ❑ Sign ❑ Establishing a Business ❑ Temporary O Shoreland Grading O Other, describe: Structure Type is: esidence ❑ Principal Structure ❑ Accessory Structure El 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: /5C -t7 Number of Stories: Overall Height: Fee Type Calculation Fee Amount Dwelling Enclosed Areas — all enclosed areas within welling except attached non -habitable garages /��f s qft $0.75 x (minimum $125) $ ,A$ a, ❑ Dwelling Unenclosed Areas (decks, patios, etc.) or Attached Non -Habitable Garages $0.20 x sq ft (minimum $125) $ ❑ 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 O Land Use Revisions O Special Use Permit - Class A ❑ Floodplain ❑ Shoreland - Impervious Surface O Shoreland - Non -Conforming, etc. O Tower Siting/Collocation 1 O 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: Condition(s): ❑ Must meet and maintain setbacks from furthest extension of structure including eaves and overhangs. ❑ For personal storage only. For personal residence only. ❑ Not or human habitation or sleeping purposes. own/State/DNR/Federal may require permitting niform Dwelling Code (UDC) Permitfrom the locally contracted UDC Inspection Agency must be obtained prior to the start of construction. ❑ A Uniform Dwelling Code (UDC) Permitfrom 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. El 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. ❑ 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 El 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: IL3AYFIELD 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: WEISS, RANDY JACK LU-02065 23480 FAITH CHURCH RD MASON, WI 54856 Transaction Number: LU-02065-39022 Description Amount Habitable Residential Principal Structures - enclosed $1,125.00 areas $0.75/square foot (minimum $125) Payment Amount: $1,126.25 Reference: 6847381335 Paid by: Randy Weiss Payment Type: Other Transaction Date: 1/20/2026 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 I Nonconforming — No Shoreland — No / Impervious Surface — No Floodplain — No / Wetlands — No Mitigation — No / Affidavit #: LAND USE —X X SANITARY — New 26-2S SPECIAL A - SPECIAL B/CONDITIONAL — BOA — No. 26-0029 Tax ID: 23714 Issued To: WEISS, RANDY JACK BAYFIELD COUNTY PERMIT WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION Location: S27 - T46N - R06W Town of Mason Legal Description: SE NW 459 (MFL-CLOSED 50 YRS-YR OF ENTRY 1999) IN DOC 2025R-608369 Residential Structure in F-1 zoning district For: New Construction [1 - Story ], Residence on a Slab [1500 Total sq. ft. ] Height of 25' (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 20, 2026 Date Condition(s): 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. To be constructed per plan.