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HomeMy WebLinkAbout26-0060Return to: 117 g 5t^ Street, PO Box 58 Washburn, WI 54891 Perm itsia)bayfieldcou nty.wi.gov Bayfield County Planning and Zoning Department LAND USE PERMIT APPLICATION County Use Only: Submission #: _____ 46 Permit #: - __ 6 Date: Ia-0 _ SECTION A; General Information Properfty Owner N e: Authorized Agent Name appli le): ft r .e JackSwt cs Telephon umber: Telephone Number: cots RECEIVED E -Mail Address: E -Mail Address: �J� �- Mailing Address: Mailing Address: �-- Bayfield Co. City, State, Zip: a/ S3v City, State, Zip: nnmg and Zoning Agency Contractor:/7 :E Teleplyt/�Nu 12Y -Mail Add pes. / 126 � U1� SECTION B: Pi1operty Information Project Address (if differ t fr m ling addre ): /� �� sr a j e al De ipt sp ce s neede attach a separate sheet): ��additional CC t /15 Section, Township, Range: 3 2 Oi Town of: C/al & 'L Tax ID # "'' ' Q, TJ1 O Lot Size (Acres/Square Feet): w s SECTION c: •tro ect Information (check all that iply) Project Use is: 2 esidential ❑ Commercial ❑ Municipal If Commercial, estimated cost of construction: $ Project Type is: O'New Construction ❑ Addition/Alteration (existing structure) ❑ Change Use (existing structure) El Relocate (existing structure) ❑ RV Placement 21+ days ❑ Sign ❑ Establishing a Business ❑ Temporary (12 or less months) ❑ Shoreland Grading, Class A El RV Placement 4+ months, Class A ❑ Other (describe): required Total sq ft): required SECTION 1): Structure Information. oes_not apply to RVs and Signs, go to Section E) Structure Type is: Residence /�jj' )& El Principal Structure (describe): ❑ Accessory Structure (describe): ❑ Shoreland Exempt Structure (describe): ❑ Mobile Home (provide manufactured date): ❑ Shipping Container El Other (describe): Foundation Type: S ❑ Basement ❑ Walkout Basement El Slab aCrawlspace 0 Ground ❑ Skids ❑ Other (explain): tructure. (Z Length: 32' Width: ?ES' Height: Proposed Structure (Provide Sq Ft based on outside dimensions, including unfinished areas, attached garages/above grade decks/porches): Basement Sq Ft: 1" Floor Sq Ft:�� Loft Sq Ft:_ 2°a Floor Sq 3'' Floor S�: Garage Sq Ft: Porch Sq Ft: / IJ6r Deck Sq Ft: Other Sq Ft (d�nbe): Other Sq F(describe): Total Sq Ft: 13$ ON Overall Height (finished grade to peak): /7' # of Stories: Existing # of Bedrooms on property: 0 Proposed # of Bedrooms in project: (z) e.g. SECTION E: RV and Sign Information (check all that apply) Sign is: RV is: ❑ New ❑ Replacement ❑ New El Replacement ❑ On -premise ❑ Off -premise ❑ I -sided El 2 -sided Year: Vin#: ❑ On -building ❑ Multi -Tenant Length: Width: Height: Make: Model: :RED Application Page 1 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) 0 Septic Tank (ST) O Drain Field (DF) ❑ Holding Tank (HT) ❑ Privy (P) ❑ Lake ❑ River ❑Stream/Creek ❑Pond ❑Floodplain OWetlands OSlopes over 20% N RECEIVED JAN 14 2026 Bayfield Co. Planning and Zoning Agency Setback or distance from furthest extent of structure including eaves and overhangs to (include on site plan): County Use Only Verified setbacks Road Centerline ft. ft. Notes/Comments: t U% <� iJf�t U Front Lot Line/Right-of-Way 5rbrp ft. SOt. ft. Side Lot Line l North as outh West, circle one) �ft. R. Side Lot the 2 (North East South West, circle one) 17 ft. i ft. Rear Lot Line 53ft. ft. Septic/Holding Tank I ft. 5* ft. Drainfield ft. ft. Privy 2 %p ft. ft. Well Ckn2 'ft. ft. Existing Structure/Building i ft. ft. Wetland i ft. ft. Elevation of Floodplain i ft. ft. Ordinary High -Water Mark (OHWM) .— ft. ft. Other (describe) — ft. ft. Application Page 2 Z_ 2�i�u3z Ql eQ1--' 2 - t 4? _1y ((9 ;I s� � �v� 4tSV RECEIVED ��j JAN 14 2026 `� Hayfield Co. planning and Zoning Agency 32� 2` day 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 N. 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. 19 Yes O 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. IN Yes ❑ No Is there an existing sanitary system on the property? If yes, what kind? LIN Drainfield ❑ Holding Tank ❑ Municipal/Public ❑ Other (describe): RYes 0 No Will pressurized water be installed in the structure? If yes, what kind of sanitary system will be installed or used to manage wastewater? N,Drainfield ❑ Holding Tank ❑ Municipal/Public ❑ Other (describe): Yes O 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 ❑ Variance Fee payment will be made via: Is 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? '�tiii I , ❑ Mail to: OR' Email to: C0ry l'; 3 at-ioG 1 p I k . ❑ Property Owner Address O Agent Address O Contractor Address O Other (provide name and email or address): Section H:.Acknowledgement andSi nature All Land Use Permits expire Two (2) Years from the date of issuance if constriction 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 on dwellings requires review and approval by the local Uniform Dwelling Code (UDC) authority. Additions and a teratiions to one - and two-family dwellings may require review and approval by the UDC authority. All municipalities are requiretJdp,enlfo4ct UDC. ddMuVV Bayfield Co. If subject property is part of a Condominium Plat, applicant hereby certifies and represents that applicant hap&k&*�4Wing Agency 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/tonic/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 reaso able time f2theurpose of inspection. Owner(s) or Authorized Agent Printed Name: Owner(s) or Authorized Agent Signature: Date: //Y ? 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 pennit details & conditions and permit card must be posted on property prior to start of project. Application Page 3 1?.e• 14.1013ct �._�._%'• _._._-.. _._.... 23�h'xa'.5-h' 23 h'xa,5.h• _ yy G 0' RECEIVED I . JAN 142026 ne• § 4 Bayfield Co. Planning and Zoning Agency t so' � ii U. -5'h'• . 'h' 25r 65'M 16-0' 1e-0' 1/13/26, 5:26 PM 3d2.jpg a) RECEIVED JAN .142026 13ayfield Co. Planning and Zoning Agency https://mall.google.com/mail/u/0/?tab=rm&ogbl#lnbox/FMfcgzQBGjMfnRmgwhJQWfpnrNHMGrR?projector=l &messagePartld=0.3 1/1 1/13/26, 5:25 PM 3dl .jpg RECEIVED JAN 14 2026 Bayfield Co. Planning and Zoning Agency https://mail.google.mm/mall/u/0/?tab=rrn&ogbl#inbox/FMfcgzQfBGjMfnRmgwhJQWfpnrNHMGrR?projector-1&messagePartld=0.2 1/1 Letter of Authorization Bayfield 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. I, IIYIlet. J 1 rope owner), authorize CC,Y`/ ✓ QL�✓1 (authorized agent) to submit a R vr l r Se (Example: land use, special use, conditional use, rezone/map amendment, appeal, variance, text amendment, etc.) for the following described project (Example: constructipn of residence or other structure, short-term rental or other use change, etc.) Yes j {*ytep application on my behalf for the following described property: Legal description of subject property: kLE Cti%' /98O %&. '/'<'I114) Vi 53f /SY/zoy Address of subject property: /1O&C /So//L Signature Dated RECEIVED JAN 141U16 Bayfield Co. planning and Zoning Ajer1Gy Land Use Permit Application Review Checklist Submission #: What zoning district is the project I9�ated in? ❑ R-1 ❑ R-2 ❑ R-3 ❑ R-4 -RB ❑ C ❑ 1 ❑ M ❑ A-1 ❑ A-2 ❑ F-1 ❑ F-2 ❑ W ❑ M -M ❑ Yes DJMo 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 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 Floodplain? Zone: ❑ Yes R214o Are there wetlands on the property? ❑ Yes tMo Is project associated with a nonconforming use or structure? ❑ Yes [WNo Is project associated with a variance? Case #: ❑ Yes EVo Is project associated with a Special B or Conditional Use Permit? Permit #: ❑ Y No Is the project associated with a Special A Use Permit? Yes ❑ No Does the project require nitary?CS-ac ) y (p A -p0S ❑ Existing O New Intercept ❑ Reconnect ❑ Non -Plumbing ❑ Public SanitaryPermit #: q— (a # of Bedrooms: ❑ Yes No Does the project require mitigation? Implementation Deadline: Date of Compliance: ❑ Yes o Does the project require an affidavit? Affidavit #: ❑ Yes No Did licensed surveyor mark lot line(s), if project is within 10 feet of required setback? Yes ❑ No Did plicant/property owner mark lot line(s), if project is within 30 feet of required setback? Project use is? R dential O Commercial O Municipal Project type is? EVNew Construction ❑ Addition/Alteration O Change Use ❑ Relocate ❑ RV Placement ❑ Sign ❑ Establishing a Busine s ❑ Temporary ❑ Shoreland Grading O Other, describe: Structure Type is: esidence ❑ Principal Structure ❑ Accessory Structure O 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 O Dwelling Enclosed Areas — all enclosed areas within dwelling except attached non -habitable garages $0.75 xci sq ft (minimum $125) $ (0 a ❑ Dwelling Unenclosed Areas (decks, patios, etc.) or Attached Non -Habitable Garages I,T (0 $0.20 x sq ft (minimum $125) $ /I ❑ 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 O Land Use Revisions ❑ Special Use Permit - Class A O Floodplain ❑ Shoreland - Impervious Surface ❑ Shoreland - Non -Conforming, etc. O Tower Siting/Collocation 1 ❑ Tower Collocation 2 ❑ Metallic Mine ❑ After -the -Fact (ATF) $ �3x Inspected by: Date of Inspection: Re -Inspected by: U Date of Re -Inspection: Denied by: Date of Denial: Reason for Denial: Date Denial Letter Mailed: Approved by: q in 'I Date of Approval: l r I / Cond)tion(s): ust meet and maintain setbacks from furtest extension of structure including eaves and overhangs. ❑ For personal storage only. ❑ For personal residence only. ❑l Not for human habitation or sleeping purposes. n/State/DNR/Federal may require permitting LUUniform niform 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). 0 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. ❑ Sjgt1 must meet the requirements of Article E of the Bayfield County Zoning Ordinance. B'To 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. 0 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: Iz YFIELD 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: Submission Number. JACKSON, CORY & JESSICA LU-02096 30684 JOHNSON LAKE DR DANBURY, WI 54830 Transaction Number. JACKSON ,ANDREW & KRISTIN LU-02096-3B85E 27979 LEE RD WEBSTER, WI 54893 Description Amount Habitable Residential Principal Structures - enclosed $672.00 areas $0.75/square foot (minimum $125) Habitable Residential Principal Structure - $91.20 unenclosed area or non -habitable garage $0.20/square foot (minimum $125) Total: $763.20 Payment Amount: $763.20 Reference: 1825 Paid by: A -Jackson Concrete LLC Payment Type: Check Transaction Date: 2/18/ 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 / Wetlands — No Mitigation — No / Affidavit #: LAND USE - X SANITARY — Intercept 26-0058 & 24-122S SPECIAL A - SPECIAL B/CONDITIONAL - BOA - BAYFIELD COUNTY PERMIT WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION No. 26-0060 Tax ID: 12177 Issued To: JACKSON, CORY & JESSICA & JACKSON , ANDREW & KRISTIN Location: S35 -T51N - R07W Town of Clover Legal Description: LOT 15 CSM #1080 (LOCATED IN W 1/2 NW NW) IN DOC 2024R-603363 Residential Structure in R-RB zoning district For: New Construction [1 - Story ], Residence [Cabin — B] on a Slab [1352 Total sq. ft. ] Height of 17' (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. Emily Macgillivray Authorized Issuing Official February 18, 2026 Date Condition(s): Must meet and maintain setbacks from furthest extension of structure including eaves and overhangs. 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.