HomeMy WebLinkAbout26-0031Return to: County Use Only:
117 E 5th Street, Po Box 58 Bayfield County Planning and Zoning Department Submission #: L LL O?I00
Washburn, WI 54891 LAND USE PERMIT APPLICATION Permit #: G- 003 I
permits@bayfieldcounty.wi.gov Date: 1 I2'l /d'6
SECTION A: General. Information
Propcv O ner Name:
Authorized Agent Na�9e (if applicpbIC)): �(, �
0. G T t
1 yt.
Telephone Number:
kL
Telephone Number
s. 08 13rotar►
15.41q•34I
E -Mail Address:
d5teY►tS�.f�n Mk$�C ®, �0.'I.COM
E -Mail A dress:
of a 1Glou,d
Mailing Address:
Mailing Address: RED
O
-" 1
_
City, State, Zip 1 �u$
City, State, Zip:
bnA.mflon G
Contractor:
tier
Telle hone Number.
1•q'1lip
E -Mail Address:
bi1atrstqn@cna.I.cqjrtcr
SECTION B: Property Information
Project Address (if different ron nailing address):
j�re
2q nClarl
Legal Description (if additional space t ne� gded attach a separate sheet):
Sec29Tn'Ib o7 W ANeStllIN V.2SL P•v+t, Liss ladD65r-1N DC(,2oz5R•4o74s1468
Section, Township, Range: 29 .f y r, Q O7
Town of: D eA j-0.
Tax ID #: 13083 OIV
Lot Size (Acres/Square Feet): s.gg
£SECTION C: Project Information_ _check all that apply)
Project Use is: XResidential O Commercial O Municipal
Project Type is: ❑ New Construction WAddition Iteration (existing structure)
❑ Change Use (existing structure) ❑ Relocate (existing structure) /, El RV Placement 21+ days
❑ Sign ❑ Establishing a Business e El Temporary (12 or less months)
❑ Shoreland Grading, Class A ❑ RV Placement 4+ months, Class A Other (describe): Re,.roof i n
required (Total sft): required &c. L (Piith
SECTION D: Structure Information (Does not apply to RVs and Signs, go to Section E)
Structure Type is: ,Residence ❑ Principal StructurA(tdescdbelrED
❑ Accessory Structure (describe): ❑ Shoreland Exempt Structure (describe): ❑ Mobile Home (proyjQq n}ptAttt�bWd
date): JJ/-'ilM II oD UULLUU
❑ Shipping Container ❑ Other (describe): sayfeld Co.
Planning and Zoning Agency
Foundation Type:
$,Basement ❑ Walkout Basement ❑ Slab ❑ Crawlspace El Ground ❑ Skids ❑ Other (explain):
Existing Structure 29,` 3?. Go -e ' Length: 32 7 Width• % Hei ht: 1
Proposed Structure (Provide Sq Ft based on outside imensions, including unfinished areas, a c garaje /above grade
decks/porches):
Basement Sq Ft:
t" Floor Sq Ft:
Loft Sq Ft:
2na Floor Sq Ft:
3`^ Floor Sq Ft:
Garage Sq Ft:
Porch Sq Ft:
Deck Sq Ft:
Other Sq Ft (describe):
Other Sq Ft (describe):
Total Sq Ft: S0.IpQ,
Overall Height (finished grade to peak): 3 Z
a or Stories:
Existing = of Bedrooms on property: _
Proposed # of Bedrooms in project:
SECTION E: RV and Sign Information (check all that apply)
RV is:
Sign is:
El New El Replacement
❑ New ❑ Replacement
❑ On -premise El Off -premise
El 1 -sided ❑ 2 -sided
Year: Vin #:
El On -building ❑ Multi -Tenant
Length: Width: Height:
Make: Model:
SECTION F: Site Plan — attach a site plan or draw site plan in box below (See pages I & 2 of Land Use Permit Application
Inforniation for information that is required to be provided on
site plan)
Show location of:
❑ Driveways O Frontage Roads (include name) O Existing
Structures ❑ Well (W) ❑ Septic Tank (ST) ❑ Drain Field (DF)
❑ Holding Tank (HT) O Privy (P) ❑ Lake ❑ River ❑Stream/Creek ❑Pond [7Floodplain ❑Wetlands ❑Slopes over 20%
N ND (J1t7�A e 'to �roab
flint' l PIt(� pt&So
t�`th
coigz door -to be- 4. door o.nd tuirtdoku..
Set oJtac:he_c1
ek✓alien.
RECEIVED
JAN 16 2026
Barfield Co.
Planning and Zoning Agency
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 I
ft.
ft.
(NorthDEastDSouthDWestD, check one)
Side Lot Line 2
ft.
ft.
North❑East❑South❑ West❑, check one)
Rear Lot Line
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.
SECTION G. Additional Questions
❑ Yes
J2 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.
If 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
El 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 ❑ Class A Special Use El Class B Special Use ❑ Conditional Use ❑ Variance
Fee payment will be made via:
J2'Check (attached) El Cash (attached) El debit/credit/echeck (department to call once payment is ready to be taken)
How would you like to receive your permit card?
Z'Mail to: OR El Email to:
ZProperty Owner Address ❑ Agent Address ❑ Contractor Address O Other (provide Name and Email or Address):
Wo-lK'ro.on: pa B's 184 %wrnmor4 WZ �q3i
.:;Section Ht: Acknowled ement and Signatuzj
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 or one- & two=t'amily
dwellings requires review and approval by the local Uniform Dwelling Code (UDC) authority. Additionsd 4Ijer4}() to one -
and two-family dwellings may require review and approval by the UDC authority. All municipalities am dd I4G4�rce the
UDC. Bay1 eld Co.
Planning and Zonina A ency
If subject property is part of a Condominium Plat, applicant hereby certifies and represents that applicant has all neCess�ary
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 reasonable time for the purpose of inspection.
Owner(s) or Authorized Agent Printed Name: b1 n c 00_10'r6''ie ✓o- o W n
,
I' /f0' ?50
Owner(s) or Authorized Agent Signature: Date:
NOTES:
I. 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.
RECEIVED
JAN 16 ZUZb
Bayfield Co.
Pknning and Zoning Agencqy
HjJi
I I
I
RECEIVEDRECEIVED
JAN 16 2026 0CT 3120Z5
Bayfield County
Impervious Surface Calculatt��npnrtgg aarfiea Co Bayfield Co.
Pla(rrllhg and Zoning and Zoning Age ,Y
These calculations are REQUIRED per WI Admin Code NR 115.05(1)(e) and Section 13-1-32(g) and 13-1-
40(h) of the Bayfield County Code of Ordinances. The undersigned hereby makes application for construction,
reconstruction, expansion, replacement or relocation of any impervious surface within 300 feet of the ordinary
high water mark and agrees that all activities shall be in accordance with the requirements of the Bayfield
County Code of Ordinances and all other applicable ordinances and the laws of the State of Wisconsin.
Pursuant to Chapter 1, Title 13, Section 13-1-106(d) of the Bayfield County Zoning Ordinance(s), Planning and
Zoning Department employees assigned to inspect properties shall have access to said properties to make
inspections.
Property Owner(s):
Diane Walker
Mailing Address:
Property Address
14285 Brennan Rd Delta, WI 54856
14285 Brennan Rd Delta, WI 54856
Legal Description:
Section, Township, Range
1/4,
1/4,
Sec 29 Township 46N N, Range _0LW
Authorized Agent/Contractor
Gov't Lot
Lot #
CSM#
Vol & Page
Foley Quinn/ Next Energy Solution
Lot(s) #
Block(s) #
Subdivision
Town of:
Delta
Parcel ID # (PIN #)
Tax ID #
Date:
04-016-2-46-07-29-3 01-000-30000
13083
10/31/2025
Impervious Surface: An area that releases as runoff all or a majority of the precipitation that falls on it.
"Impervious surface" excludes frozen soil but includes rooftops, sidewalks, driveways, parking lots and streets
unless specifically designed, constructed and maintained to be pervious.
Calculation of Impervious Surface: Percentage of impervious surface shall be calculated by dividing the
surface area of existing and proposed impervious surfaces on the portion of a lot or parcel that is within 300
feet of the ordinary high water mark by the total surface area of the lot or parcel, multiplied by 100.
Impervious Surface Standard: Allow up to 15% impervious surface but not more than 30% impervious
surface on the portion of a lot or parcel that is within 300 feet of the ordinary high water mark. A permit can be
issued for development that exceeds 15% impervious surface but not more than 30% impervious surfaces with
a mitigation plan that meets the requirements of the Bayfield County Ordinance(s).
Existing Impervious Surfaces: For existing impervious surfaces that were lawfully placed when constructed
but that do not comply with the standards in Section(s) 13-1-32(g) and Section 13-1-40(h), the property owner
may do any of the following:
a. Maintenance and repair of all impervious surfaces:
b. Replacement of existing impervious surfaces with similar surfaces within the existing building footprint;
c. Relocation or modification of existing impervious surfaces with similar or different impervious surfaces,
provided that the relocation or modification does not result in an increase in the percentage that existed
on the effective date of the county shoreland ordinance, and meets the applicable setback
requirements in Section 13-1-32.
RECI�IVED RECEIVED
JAN 16 2026
OCT 312025
Impervious Surface Item Planning ��jq� Bayfield Co Area (Square Footage)
Existing House
704
Existing Accessory
Building/Garage
400
Existing Sidewalk(s), Patio(s) &
Deck(s)
700
Existing Covered Porch(es),
Driveway & Other Structures
Proposed Addition/House
Proposed Accessory
Building/Garage
Proposed Sidewalk(s) & Patio(s)
Proposed Covered Porch(es) &
Deck(s)
Proposed Driveway
Proposed Other Structures
935
Total:
2739
a. Total square footage of lot: 236.966
b. Total impervious surface area:
c. Percentage of impervious surface area: 100 x (b)/a = 1.16%
If the proposed impervious surface area is greater than 15% mitigation is required.
Total square footage of additional impervious surface allowed: @ 15% @ 30%
Issuance Information (County Use Only)
Date of Inspection:
Inspection Record:
Zoning District ( )
Lakes Classification ( )
Condition(s):
Stormwater
Management Plan Required:
❑ Yes ❑ No
Signature of inspector:
Date of
u/formsiimpervloussurface
Created: May 2012 (®Apr 2016; Sept 2020) Proofed by:
AFFIDAVIT OF AUTHORITY
(Trust)
PURPOSE. This Affidavit of Authority is used to certify the individual applying for a permit is authorized
when the property is owned by a Trust.
RtUEIVtD
STATE OF WISCONSIN
) 6s. OCT 312025
BAYFIELD COUNTY )
Bazfie;d Co.
Planning and Zoning Agency
The undersigned affirms and states as follows:
1. Address of Subject Property: /9 2 v s (J'inai rr ! y J- W
2. The Subject Property is owned by: R e A _i &n ci j i 2 Lt -SL.
(Name of Trust)
3. The name(s) of the current Trustee(s): S�AflQ n E Pf'cn s s ?r0 fl
i o.tye Ellenn 00-t'�.ar
4. I certify that the Trust named in paragraph 2 is valid and in effect on the date signed below. I am
the duly appointed agent of the Trust named above in paragraph 2, and I have the authority under
the terms of said authorization to apply for permits from the Bayfield County Zoning Department
concerning the Property described in paragraph 1. I further certify that the information and
statements made within this affidavit are true, accurate, and complete to the best of my
knowledge.
5. I am authorized by the above -named Trust to apply for and bind the Trust to the terms and
conditions of any permit that may be issue by the Bayfield County Zoning Department.
6. By signing this affidavit, I attest that I am unaware of any known or unknown person(s) who would
contest this application. I agree to indemnify Bayfield County or such person or legal entity
suffering a damage resulting from any illegalities of the application for permit.
Dated: 0 1:3 Zd25
Subscribed nd sworn to before me this
dayof —,
Notary Public; C County, Wisconsin
My commission:
Land Use Permit Application Review Checklist
Submission #:
What zoning district is the project located in?
ICJ 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 (VIVO
Is lot substandard (does not meet current zoning dimensional requirements)?
Deed of record:
es ❑ 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)?
❑ YesJ2-1&
Is impervious surface required? (Required if riparian lot OR lot is entirely within 300 feet of OHWM of
navigable waterway)
Cl Yes No
Is the project located in the Floodplain? Zone:
❑ Yes p -No
Are there wetlands on the property?
❑ Yes 2"No
Is project associated with a nonconforming use or structure?
❑ Yes P1No
Is project associated with a variance? Case #:
❑ Yes C1No
Is project associated with a Special B or Conditional Use Permit? Permit #:
❑ Yes 2 No
Is the project associated with a Special A Use Permit?
❑ Yes 1Jo
Does the project require sanitary?
0 Existing ❑ New ❑ Intercept 0 Reconnect 0 Non -Plumbing 0 Public
Sanitary Permit #: # of Bedrooms:
❑ Yes ja'No
Does the project require mitigation?
Implementation Deadline: Date of Compliance:
❑ Yes 4Io
Does the project require an affidavit? Affidavit #:
❑ Yes gflo
Did licensed surveyor mark lot line(s), if project is within 10 feet of required setback?
❑ Yes p-pj
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? 0 New Construction jMddition/Alteration ❑ Change Use ❑ Relocate ❑ RV Placement ❑ Sign
❑ Establishing a Business ❑ Temporary ❑ Shoreland Grading 0 Other, describe:
Structure Type is:Q'Residence 0 Principal Structure 0 Accessory Structure 0 Boathouse (one story only)
❑ Open-sided/Screened Structure (gazebo, etc.) 0 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
$
0 Habitable Residential Accessory Structures
$0.50 x sq ft
(minimum $75)
rNon-Habitable Residential Principal and Accessory
$0.20 x r? sq ft
(minimum $75)
tructures
- .
$ 7,
❑ Commercial/Municipal Principal Structures
$250 + $0.005 x
(minimum $250)
cost of construction
$
❑ Commercial/Municipal Accessory Structures
$150 + $0.005 x
(minimum $150)
cost of construction
$
❑ Return Inspection 0 Land Use Revisions 0 Special Use Permit - Class A 0 Floodplain ❑ Shoreland - Impervious
Surface 0 Shoreland - Non -Conforming, etc. 0 Tower Siting/Collocation 1 0 Tower Collocation 2 0 Metallic
Mine
0 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.
❑ Fqr personal storage only.
rpr personal residence only.
Not 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
obtai ed prior to the start of construction.
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.
El Short -Term Rental is for a maximum occupancy of persons.
❑ Sin must meet the requirements of Article E of the Bayfield County Zoning Ordinance.
J2To 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
El 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).
El 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:
B-�YFIELD Bayfield County
Planning & Zoning Department
117E 5w Street
P.O. Box 58
Washburn, WI 54891
Phone: 715-373-6138
Fax: 715-373-0114
Property Owner:
Submission Number:
REDAMANCY TRUST
LU-02100
PO Box 188
Drummond, WI 54832
Transaction Number:
LU-02100-3BE09
Description Amount
Non -Habitable Residential Principal and Accessory $75.00
Structures - $0.20/square foot (minimum $75)
Total: $75.00
Payment Amount: $76.95
Reference: 9786895485
Paid by: Diane Walker
Payment Type: Credit Card
Transaction Date: 1/21/2026
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 — Yes I Impervious Surface — No
Floodplain — No I Wetlands — No
Mitigation — No / 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. 26-0031 Tax ID: 13083
Issued To: REDAMANCY TRUST
Location: S29 - T46N - R07W
Town of Delta
Legal Description: W 1/2 E 1/2 NE SW IN V.232 P.246 LESS W 100' DESC IN DOC 2025R-607681 488
Residential Structure in R-1 zoning district
For: Addition/Alteration [Attached Garage Roof Alteration], Residence on a Basement [832 Total sq. ft.]
(Disclaimer): You are responsible for complying with state and federal laws concerning construction near or on wetlands, lakes, and streams. Any
future expansions or development would require additional permitting.
Condition(s): See back of card
NOTE: This permit expires two years from date of issuance if the authorized construction 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 21, 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): Not for human habitation or sleeping purposes.
Town/State/DNR/Federal may require permitting.
A Uniform Dwelling Code (UDC) Permit from the locally contracted UDC Inspection Agency must be obtained
prior to the start of construction (if applicable).
To be constructed per plan.