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Home My WebLink About26-0051RECEIVED Return to: C 11 77 ,n 117 E 5th streeE PO 8ok JJ)25 Bayfeld County Planning and Zoning Department Washburn, WI 5wiew Co. USE PERMIT APPLICATION perm its(rz@Iapfeahi Qdu`j Mi�socy UEREU -I•5 County Use Only: Submission#: )_0I�%61 Permit •OoS Date: a14/'d' SECTION A: General lnforma -' Property Owner Name: > Ancov r Authorized Agent Name (if applicable): ►�tTc Telephone rube g' (35___7 Telephone Number: l07 I I SSt O E-MaillreeAAddjai C , E -Mail Address: MathngAdress: +1 t tl CJ TI3llIS d C Mailin Ad s: 0b a(C 64 �� Cityyate, ip: I sy°I / Ci State, Zip: ` �n , 01 5 SCa Contractor: n! Telephone Number: E-Ma4lAddress: SECTION B: Property Information Project Address (if different fro mailin 'address): d ln≥Ji Sy�85Ca Sod sack al Legal Descry'ptiya Soh IioF (if additional space is n ed attach a separate sheet): u�YlCasa w'%p5�+h.est($112S y$liJ�� I�IgSc�#al � % Section, Township, Range: 34 1 Town of: q'} h •7 ujt 41 Tax ID #: 1'3 l4 4 Lot Size (Acres/Squar Feet): ,g SECTION C: Project Information (check all that apply) Project Use is: S Residential ❑ Commercial ❑ Municipal Project Type is: ❑ New Construction Addition/Alteration (existing structure) L7 Change Use (existing structure) ❑ Relocate (existing structure) ❑ RV Placement 21+ days ❑ Sign ❑ Establishing a Business ❑ Temporary (12 or less months) ❑ Shoreland Grading, Class A 0 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: 4.3 ❑ Basement ❑ Walkout Basement Slab Crawlspace ❑ Ground ❑ Skids ❑ Other (explain): Existing Structure: Len 9 Width: Height: o Proposed Structure (Provide Sq Ft based on outside dimensions, including unfinished areas, attached garages/above grade decks/porches): Basement Sq Ft: la floor s Ft: Loft Sq Ft: _ O _ 2°d Floor Sq Ft: 3id Floor $q Ft: Garage Sq Ft: Porch Sq Ft: 6 _ Deck Sq Ft: Other Sq Ft (describe): Other Sq Ft (describe): Total Sq Ft 131,) { Overall Height (finished grade to peak): )p' # of Stories: Existing # of Bedrooms on property: Proposed # of Bedrooms in project: 3, SECTION E: RV and Sign Information (check all that apply) Sign is: ❑ New ❑ Replacement J RV is: ' f ❑ New IV %- 0 Replacement ❑ On -premise ❑ Off -premise J T� ❑1 -sided ❑2 -sided Year: yin 11: ❑ 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 1 & 2 of Land Use Permit Application Information 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 (OF) ❑ Holding Tank (HT) O Privy P ❑ Lake O River ❑Stream/Creek ❑Pond ❑Floodplain ❑ Wetlands DSlopes over 20% N C43u, A,44 a 1 wvij s A, 6,%, D a �� is aO cict< &c/'wl 1S cc �ttlt SvrrwntAtd ok t3:.c a.utS u.+ ae jpr;vu+e.� O-49 So+ln.Qse rcc •,u.S cdv rto* pct a rUloflt tt"A Setback or distance from furthest extent of structure including eaves and overhangs to (include on site plan): County Use Only cc row Verified setbacks Road Centerline N ft. ft. Notes/Comments: Front Lot Line/Right-of-Way MA ft. ft. Side Lot Line I (North East South West,circle one) ft. ft. Side Lot Line 2 (North East South West, circle one) ft. ft. RearLot Line ft. ft. Septic/Holding Tank ft. ft. Drainfield ft. Privy ft. ft. Well too ft. ft. Existing Structure/Building 3O ft. ft. Wetland k Elevation of Floodplain jj ft. ft. Ordinary High -Water Mark (OHWM) j.j Jk ft. ft. Other (describe) A ft. ft. ,ts RECEIVED SEP 17 2025 Bayf e6d Co. SECTI on uestions ❑ Yes 1lNo Has the location of the proposed project including paves and overhangs and the snitaiy system and well been staked? If no, what date will this be corn leted: i i a4flW0 ❑ Yes lIo Did a licensed surveyor mark lot line(s) if project is within 10 et of required setback? See page 2 of Land Use Application Information for required setbacks. AlA ❑ 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. &A I9'Yes ❑ No Is there an existing sanitary system on the property? If yes, what kind? grainfield 'Holding Tank ❑ Municipal/Public ❑ Other (describe): 2'Yes ❑ No Will pressurized water be in talled in the ssucture? If yes, what kind of sanitary system will be installed or used tojnanage wastewater? tCi5 ?K5 t<°') Drainfield Holding aok ❑ Municipal/Pub c ❑ Other (describe): es ❑ No Will sleeping occur in the cture? If y�s, 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 Iii"Eonditional Use ❑ Variance Fee payment will be made via: Check (attached) O Cash (attached) 0 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: ❑ Property Owner Address XI 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 reasonable time for the purpose of inspection. Owner(s) or Authorized Agent Printed Name: Owner(s) or Authorized Agent Signature: r l Date: -/a - S 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. RECEIVED SEP 172025 Bay5eld Co. - p( Planning and Zoning Agency s$ �w Q rI m 24� RECENED SEP 17 2025 Baytleldch Planning and Zoning AgaocY 4- n t } Ll k, lam) it 1aA S24c41w) zra RECEIVED oP ��r 17 2025 ?o P4. Planning andZon gAgency — PS vWo w1 I V1 a I n Lewc CJ 1 l l� • RECEIVED SEP 1 /2025 Bay � Co. / -, p planning and Zoning Agency in - 01 '4 RECEIVED SEP 17 2025 Bayfield Co. Planning and Zoning Agency Dated RECEIVED SEP 17 2025 Bayfield Co. planning and Zoning Agency Letter of Authorization Bayfeld County Planning & Zoning Department PURPOSE. This Letter of Authorization is used to authorize a single property owner to act on behalf of multiple property owners or a designated agent to act on behalf of the property owner/s. If multiple property owners, each property owner must submit this signed letter. 1 Ckel�\ �.erftvt- t-WI(property owner), authorize i-OW )U (oec (authorized agent) to submit a lu-A uS< rn,cJr c I Use (Example: land use, special use, conditional use, rezonelmap amendment, appeal, variance, text amendment, etc.) for the following described project (Example: construction of residence or other structure, short-term rental or other use change, etc.) CVtcn USC RX application on my behalf for the following described property: htxhrc Legal description of subject property: Tux' ) i1 131 44 S(9ln i6& '(rev Read ,l aQC4-- c.A 64&S& I JKe `y Cro ss u) ood 6, -c . l Fk+ c vcc.k R+. z BOA ?9 5 Mason, cis ..548slo C-71,57 9 7/ S Ya1 t.t)"4` S331 T'!oN, k' 7frV trCe� C,l b' - /c (,f O/ - -F p 3 Town o4' .De/4a. Q Id • A B M = loo'.. . -torn ,P- wool s t 4c N uJ C.mrr er- o&ova C. .' a!o oVQ . E(e�a_+ioh5 rg (3z- 8(•5' k:- f••... .••.. ..... E�uSi1i1� - • •T/E1'L:.: Scf� 3o3y PVC - CZ) Rasw�c_ _. ,cssen _.... ...._ .- _. _ _ _ _ ANDR"Y N AND SoNW..-._ ...• .... 66 . , WI 54821 _. . M zZ-o i 73 1. CA6,dC�mSrwG� 2. VJeu. 3. C�4'✓w (&xcsswG) 1k. SeOric r-/Io.e.. c- 466;,L5 J. GM 964 �' /' u5 1. c46in 8, — C4jiN (6x15rPv4) 9. c0. cA0,N(FQr� fr4L.) it i. cs rce(Excsrt',ac) /4. C 4.ti Ae<ExisrrNC) c5 tcgrN t,bcji I I �5�NC�XcsraJ G ) l. UV'c'ry j�,�� N4�T�,� 21. — I?."J t cAL 3 23. CA5vJ(kXr5rcNG) l Zc{ bq 0Mr 6ui b 4 CExrri4al 19. �� 6� o t Jam,),cl4 ( xis vJC) 2 C _ z&, C�43r1 CtXc5rl.(C� 2e. G j,N ( J 21. CAoIN Bayfield County, WI PRPID Tax ID-#, 13140 "�� ', '"-�PRPID/Tax ID #13139 _ -,� tM1ytC0'02ALLC Pr ��f 4 ": CHERYL JIPERRON Kr1UFER •tr �:� , yy x S' 1 GRGID/Tax IU # 13141 � '5 � FRPIU/Tax Ib# 13143 CHERYL J PERRON-KAUFER. - CHERYL J PERRON-KAUFER I/a r.• tr * , ; 1 � e 7 - :- fl �hZ S is 1 a � PRPID,T-x_Uti.131 2 - -y DRP:Drrc IL `; 144 1 •.•x v ` CHERYL JGE^.RON-KAUFE,ra - n NERYL 7 ERzON Ya11FE^ ll+ �' Y r•i. dry hf 1'ii ♦ � to � � �`� BROADAX LAKE �'� 10/23/25, 7:56 AM Novus-Wisconsin Access rev. 12.0206 j/rl� Re I Estate Bayfield County Property Listing Property Status: Current Today's Date: 9/23/2025 Created On: 3/15/2006 1:15:16 PM Description Updated: 6/6/2019 Tax ID: 13144 PIN: 04-016-2-46-07-33-3 04-000-20000 Legacy PIN: 016106603000 Map ID: Municipality: (016) TOWN OF DELTA STR: 533 T46N R07W Description: S 1/2 SE SW IN DOC 2019R- 577657 540A Recorded Acres: 20.000 Calculated Acres: 19.778 Lottery Claims: 0 First Dollar: Yes Zoning: (F-1) Forestry -1 ESN: 110 J Tax Districts Updated: 3/15/2006 I STATE 04 COUNTY 016 TOWN OF DELTA 041491 SCHL-DRUMMOND 001700 TECHNICAL COLLEGE Recorded Documents Updated: 3/15/2006 O QUIT CLAIM DEED Date Recorded: 2/25/2025 2025R-606660 O WARRANTY DEED Date Recorded: 6/3/2019 2019R-577657 O CONVERSION Date Recorded: 611-208;637-135 IS Ownership Updated: 3/12/2025 CHERYL) PERRON-KAUFER ELLSWORTH WI Billing Address: Mailing Address: CHERYL) PERRON-KAUFER CHERYL) PERRON-KAUFER N3615 COUNTY RD C N3615 COUNTY RD C ELLSWORTH WI 54011 ELLSWORTH WI 54011 T Site Address * indicates Private Road 15010 BLACK BEAR RD MASON 54856 19 Property Assessment Updated: 8/29/2011 2025 Assessment Detail Code Acres Land Imp. Cl-RESIDENTIAL 3.000 75,000 358,300 G5 -UNDEVELOPED 4.000 100 0 G6 -PRODUCTIVE FOREST 13.000 41,000 0 2 -Year Comparison 2024 2025 Change Land: 116,100 116,100 0.0% Improved: 358,300 358,300 0.0% Total: 474,400 474,400 0.0% Cam' Property History N/A https:/Inovus.bayfieldcounty.wi.gov/access/master.asp?paprpid=13144 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 ❑ 1 ❑ M ❑ A-1 DA -221-1 ❑ F-2 ❑ W ❑ M -M ❑ Yes f No Is lot substandard (does not meet current zoning dimensional requirements)? Deed of record: s 0 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 p -no Is impervious surface required? (Required if riparian lot OR lot is entirely within 300 feet of OHWM of navigable waterway) ❑ Yes a1Go Is the project located in the Floodplain? Zone: B*es ❑ No Are there wetlands on the property? fd'fes ❑ No Is project associated with a nonconforming use or structure? 0 Yes zo Is project associated with a variance? Case #: Yes ❑ No Is project associated with a Special B or Conditional Use Permit? Permit #: ❑ Yes (d'No Is the project associated with a Special A Use Permit? Does the project require sanitary? Existing 0 New 0 Intercept ❑ Reconnect 0 Non -Plumbing 0 Public anitaryPermit#: 3.t%Az y 9 #of Bedrooms: S'O 6 s ❑ No ❑ Yes o Does the project require mitigation? Implementation Deadline: Date of Compliance: ❑ Yes la -No Does the project require an affidavit? Affidavit #: ❑ Yes ,pro Did licensed surveyor mark lot line(s), if project is within 10 feet of required setback? ❑ Yes B'No Did applicant/property owner mark lot line(s), if project is within 30 feet of required setback? Project use is?J2Residential ❑ Commercial 0 Municipal Project type is? ❑ New Construction 0 Addition/Alteration Change Use 0 Relocate 0 RV Placement 0 Sign ❑ Establishing a Business 0 Temporary 0 Shoreland Grading 0 Other, describe: Structure Type is:.0'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: 2 Overall Height: Fee Type Calculation Fee Amount Dwelling Enclosed Areas — all enclosed areas within dwelling except attached non -habitable garages $0.75 x / 36/ s ft q (minimum $125) $ f o2O. ❑ Dwelling Unenclosed Areas (decks, patios, etc.) or Attached Non -Habitable Garages $0.20 x sq ft (mini um $125) $ ❑ Habitable Residential Accessory Structures $0.50 x sq ft (minimum $75) ❑ Non -Habitable Residential Principal and Accessory Structures $0.20 x s ft q (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 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 ❑ Metallic Mine %After -the -Fact (ATF) CS yafv4 / / $ Ia 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. or personal residence only. ❑ Not for human habitation or sleeping purposes. fd"t'own/State/DNR/Federal may require permitting JC 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. 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) 0 Additional conditions may be placed and need to be adhered to at the time of permit issuance Other Conditions: P YFIELD 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: PERRON-KAUFER, CHERYL J LU-01961 N3615 COUNTY RD C ELLSWORTH, WI 54011 Transaction Number. LU-01961-3528E Description Amount Habitable Residential Principal Structures - enclosed $1,020.75 areas $0.75/square foot (minimum $125) Total: $1,020.75 Payment Amount: $1,020.75 Reference: 2654 Paid by: CrossWoods Adventure Camp Inc Payment Type: Check Transaction Date: 2/4/2026 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 — Yes Shoreland — Yes / Impervious Surface — No Floodplain — No / Wetlands — Yes Mitigation — No / Affidavit #: LAND USE —X X SANITARY — Existing 327224 (1999) & 25-0869 SPECIAL A - SPECIAL B/CONDITIONAL - 26-0049 BOA — No. 26-0051 Tax ID: 13144 Issued To: PERRON-KAUFER, CHERYL J Location: S33 - T46N - R07W Town of Delta Legal Description: S 1/2 SE SW IN DOC 2019R- 577657 540A BAYFIELD COUNTY LJ I :t_1!11fl WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION Residential Structure in F-1 zoning district For: Change Use [2 - Story ], Residence on a Slab [1361 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. February 04, 2026 This permit may be void or revoked if any performance conditions are not completed or if any prohibitory conditions are violated. 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.