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HomeMy WebLinkAbout25-0674RReturn to: County Use Only: 117 E 5:h Street, PO Box 58 field County Planning and Zoning Department Submission #: 01 s Washburn, WI 54891 LAND USE PERMIT APPLICATION Permit#: 07S'- t�b74 2s Date: g - ,2D2 — SECTION SECTION A: General Information Property Owner Name: Authorized Agent Name (if applicable): Telephone Number: C2r - )-cam a Telephone Number: ifs l- E-- ail Address: E -M '1 Address: Mailing Address: Mailing A[d3dress/• —� ?d City, Sta Zip: City, State, Zip: 1 Contractor: Telephone Number: E -Mail Address: SECTION B: Property Information Project Address (if different from mailing address): Legal Description (if additional space is needed attach a separate sheet): 1}llsr i 4CP1F Hof Section, Township, Range: A' y 7, 0 r Town of: r,•e^ P Tax ID #: ( q 6 Lot Size (Acres/Square Feet): 7, c SECTION C: Project Information (check all that apply) Project Use is Residential ❑ Commercial ❑ Municipal Project Type is: ew 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 sq I): 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): Syr, ❑ Shipping Container ❑ Other (describe): Q f5 lu1 l5 M U 1 Foundation Type: liii JUL L ❑ Basement ❑ Walkout Basement Slab ❑ Crawlspace ❑ Ground ❑ Skids ❑ Other explain): Existing Structure: Length: Width: ei Proposed Structure (Provide Sq Ft based on outside dimensions, including unfinished areas, attached garages/above grade decks/porches): Basement Sq Ft: l' Floor Sq Ft: 7� U Loft Sq Ft: 2nd Floor Sq Ft: 3`d Floor Sq Ft: Garage Sq Ft: Porch Sq Ft: Deck Sq Ft: Other Sq Ft (describe): Other Sq Ft (describe): Total Sq Ft: Overall Height (finished grade to peak): # of Stories: Existing # of Bedrooms on property: Proposed # of Bedrooms in project: SECTION E: RV and Sign Information (check all that apply) Sign is: RV is: ❑ New ❑ Replacement ❑ New ❑ Replacement ❑ On -premise ❑ Off -premise ❑ 1 -sided ❑ 2 -sided Year: Vin #: ❑ On -building ❑ Multi -Tenant Length: Width: Height: Makc: Model: Return to; County Use Only: 117 c 5th Street, PO Box 58 Bayfield County Planning and Zoning Department Submission #: L_-OIySR Washburn, WI 54891 LAND USE PERMIT APPLICATION Permit #: -0 7H R permits@bayfieldcounty.wi.gov AtyrS/Jr, 4'. L UP ?S — 0679- Date: SECTION A: General Information Pronerty/Owner Name: Authorized Agent Name (if applicable): t Ar I`s (/I% Telephone Number: )j - 31/- e)- k L Telephone Number: -,/ - 34/ - E -Mail Address: 3 /O € E -Mail Address: £0 7 /( r y 4A , ca /T n r Mailing Address: E Mailing Address: D/9 $ ,</ R City, State, Ziq: 6 INS !. City, State, Zip: t o Contractor: Telephone Number: E -Mail Address: SECTION B: Property Information Project Address (if different from mailing address): t 6 6 / 7 / f o,n f ©r, SyY rr$h ro 'Vt.. Legal Description (if additional space is needed attach a separate sheet): l/ IT( -CJ �6Y 5 w Section, Township, Range: 1 `'l 7 6 f f Town of: Trp A ,' , Tax ID #: / Q 6 3?. Lot Size (Acres/Square Feet): 7, s SECTION C: Project Information (check all that apply) Project Use is: IQResidential ❑ Commercial ❑ Municipal If Commercial, estimated cost of construction: $ Project Type is: WNew 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 sq ft): required SECTION D: Structure Information(Does not apply to RVs and Signs, go to Section E) Structure Type is: lvhesidence ❑ Principal Structure (describe): ❑ Accessory Structure (describe): ❑ Shoreland Exempt Structure (describe): ❑ Mobile Home (provide manufactured date): ❑ Shipping Container ❑ Other (describe): Foundation Type: ❑ Basement ❑ Walkout Basement 5/Slab ❑ Crawlspace ❑ Ground ❑ Skids ❑ Other (explain): Eristing Structure: Length: Width: Height: Proposed Structure (Provide Sq Ft based on outside dimensions, including unfinished areas, attached garages/above grade decks/porches): Basement Sq Ft: 1" Floor S Ft:, Loft Sq Ft: 2nd Floor Sq Ft: 3'a Floor Sq Ft: Garage Sq Ft: Porch Sq Ft: Deck Sq Ft: Other Sq Ft (describe): Other Sq Ft (describe): Total Sq Ft: Overall Height (finished grade to peak): # of Stories: Existing # of Bedrooms on property: Proposed # of Bedrooms in project: SECTION E: RV and Sign Information (check all that apply) Sign is: RV is: ❑ New ❑ Replacement ❑ New ❑ Replacement ❑ On -premise ❑ Off -premise �-'V�D R ❑ 1 -sided ❑ 2 -sided Year: Vin #: 10 2026 ❑ On -building ❑ Multi -Tenant MAR Length: Width: Height: Make: gayiteld co • Model: flat!z.nn7 A9encY '7 Application Page 1 SECTION F: Site Plan — attach a site plan or draw site plan in box below (See pages i & 2 of Land Use Permit Application Information for information that is required to be provided on site plan) Show location of: © Driveways ❑ Frontage Roads (include naive) ❑ Existing Structures ❑ Well (W) ❑ Septic Tank (ST) ❑ Drain Field (DF) D Holding Tank (HT) O Privy (P) O Lake O River ❑Strcani/Creek C] Pond C] Floodplain ❑Wetlands C] Slopes over 20% i . c N Setback or distance from furthest extent of structure including eaves and overhangs to (include on site plan): Road Centerline / S o Ii. Front Lot Line/Right-of-Way ( 5 d ft, Side Lot inc i it, (North East South❑WestD, check one) �d Side Lot Line 2 ft• tT�nrthr-IFactl--ISnlhI WCStD. check one) I d Rear Lot Line r it. it. Septic/Holding Tank fl, Drainfield it. ft. Privy ft. ft. Well ft. ft. Existing Structure/Building ft. tt. Wetland ft. ft. County Use Only Verified setbacks 00 ' ft• I Not es/CommentsJ�1T_J ft. `f''eft f Lo L;nt 3 1)o tt. Lb 1" Wgy",1 Prapt- Elevation of Floodplain it. ft. Ordinary High -Water Mark (OHWM) 1 . 7( ft. Other (describe) it. fi. JUL 2 5 2025 Bayfield Co. Zoning Dept. • 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 ❑ Frontage Roads (include name) ❑ Existing Structures ❑ Well (W) ❑ Septic Tank (ST) ❑ Drain Field (DF) ❑ Holding Tank (HT) ❑ Privy (P) ❑ Lake ❑ River ❑Stream/Creek ❑Pond ❑Flood lain ❑Wetlands ❑Sloes over 20% N L6 -f -------±±----- Q Pr$rty ID r,r W dT( - __ � a H I T .s `) 7 C Setback or distance from furthest extent of structure County Use Only including eaves and overhangs to (include on site plan): Verified setbacks Road Centerline / 5 o ft. ft. Notes/Comments: Ft,o n i r f Lire ; Front Lot Line/Right-of-Way (SD ft. ft. Side Lot Line 1 ft. ft. (North East South West, circle one) 0 kS� /�• � Y �y PrI Side Lot Line 2 3O pi (North East South West, circle one) _ RECEIV-D Rear Lot Line ft. ft. Septic/Holding Tank ft. ft. MAR 10 2026 Drainfeld ft. ft. Privy ft. ft. Bayfield Co. Planning and Zoning Agency Well ft. ft. Existing Structure/Building ft. ft. &mflpu'rt' W1 1 ON Ifla!t om Wetland ft. ft. `�()' (Ju [WeUa r(0r late, - lw rWQ Elevation of Floodplain ft. ft. Ordinary High -Water Mark (OHWM) ft. ft. Other (describe) ft. ft. 5pt�i u Application Page 2 SECTION G: Additional Questions Yes 0 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 rr A Application Information for required setbacks. ❑ Yes No Did property owner or applicant mark lot line(s) if project is within 30 Ibet of required setback? See page 2 of ✓1 Land Use Application Information for required setbacks. 0 Yes Ga'No Is there an existing sanitary system on the property? If yes, what kind? ❑ Drainfield ❑ Holding Tank ❑ Municipal/Public ❑ Other (describe): ❑ Yes l!'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 0 Class A Special Use ❑ Class B Special Use ❑ Conditional Use ❑ Variance Fee payment will be made via: 'Check (attached) ❑ Cash (attached) 0 debit/credit/echeck (department to call once payment is to be taken) ready Howo w uld you^ l o receive your permit card? A/1 e_ J54 O&07 tt� ❑ Mail to: O mail to: � C ❑ Property Owner Address ❑ Agent Address 0 Contractor Address ❑ 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, , or contact a Department of Natt> R�oprc s efd center (715)685-2900. WI Lb66 I (we) declare that this application, including any accompanying information, has been examined by me ) ani tl3e &ZW6m (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 Hayfield County in d§i fi"a ui lltiel9Aept. issue a permit. I (we) further accept liability which may be a result of Bayfeld 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: n'% G./1 4.r / Op /it,. Owner(s) or Authorized Agent Signature: ,Q�" Date: 7 " - - 1 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. Bayfield County Impervious Surface Calculations These calculations are REQUIRED per w ^.,^..-, __-, ,^ , ^ __I (J A4111111 C' _I_ IVI\ 11J.VJt I/1Oj._ V-I'JL`l_ u J IJ 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 C .., _t ______ __ _II „^ 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 Ownc,;:.;: IN \CQ -4 i rv, Dc k Mailing Address: Q ?a r Property Address / /Sor7 e tot 5 q0l 9 E L&rlcl 2d �-�, 2 � tl�2r Ws ..::nship, Range 1/4, 1/4, Sec - / Township -! 7 N, Range _____w Authorized Agent/Conhaciui Gov't Lot Lot a C'mm Voi a raye Lot(s) # Block(s) # Subdivision Townnr of: Parcel ID # (PIN #) f Tax ID # Date: 04- 9 b.),L Impervious Surface: An area that releases as runoff all or a majority of the precipitation that falls on it. r ... ..� :. ..-c c r `.cps, -dc..alks, 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 1911 r aw rnu vj v: o ` .. 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 plq�edrr�w.hgn ,cones, ry,ct but that do not comply with the standards in Section(s) 13-1-32(g) and Section 13-1-40), t0e,brp1rtcM,n may do any of the following: /.�� UM JUL 252025 „+ a. Maintenance and repair of all iIIIpGrvious surfacca: Bayfield Co. Zoning Dept. 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, ^r^io t"t the rclnrafion or modification does not result in an increase in the percentage that existed and meets the applicable setback requirements in Section 13-1-32. Impervious Surface Item Dimension Area (Square Footage) Existing House Existing Accessory Building/Garage -`:-; r:z ;walk(s), Patio(s) & Deck(s) Existing Covered Porch(es), Driveway & Other Structures Proposed Add: '::__::: Proposed Accessory Building/Garage Ornnncgd c.dewalk(s) & Patio(s) Proposed Covered Porch(es) & Deck(s) Proposed Driveway /6 b X / © / 6 C) 0 Proposed Other Structures Total: U l5l�L�U a. Total square footage of lot: y 41 o 5 202 b. Total impervious surface area: oZ a / f@Co. Zoning Dept. c. Percentage of impervious surface area: 100 x (b)/a If the prn;►nsed impervious surface area is greater than 15% mitigation is required. Total square footage of additional impervious surface allowed: @ 15% J Q @30% . L ��, .._....__ n—�-.� Issuance Infnr:�".�.. ,__ __---. - - _ _ --- Date of Inspection: p Inspection Record: Condition(s): 5tormwater Management Plan Required: {;Yes I;No Signature of Inspector: Date of Approval: u/forms/impervio ussu rface Created: May 2012 (®Apr 2016; Sept 2020) Proofed by: Impervious Surface Item Dimension Area (Square Footage) Existing House REC Existing Accessory Building/Garage Existing Sidewalk(s), Patio(s) 6ayfieid Co. PlRr1flinn&,a=c:EngAency Existing Covered Porch(s), & Deck(s) Existing Driveway Other Structures Proposed Addition/House 3 Z G Proposed Accessory Building/Garage Proposed Sidewalk(s) & Patio(s) Proposed Covered Porch(s) & Deck(s) Proposed Driveway J l 6 i1 X / U / / 0 00 Proposed Other Structures Total: a. Total square footage of lot: q B ; d du b. Total impervious surface area: e2 � k c. Percentage of impervious surface area: 100 x (b)/a = Z,%Ym l ot . If If the proposed impervious surface area is greater than 15% mitigation is required. Total square footage of additional impervious surface allowed: @ 15% III VO @ 30% 2.y 6 Pd (County Use Only) Date of Inspection: _.._—> Inspection Record: Zoning District l J Condition(s): Stormwater Management Plan Required: ❑ Yes glMo Signature of Inspector: Date A proval: k U u/forms/impervioussurface Created: May 2012 (®Sept 2016, Sept 2020, Feb 2026) NJ Proofed by: C 0 U 17' 3,2- —J Ji Q ) —_oF7 /1 7 4 LIII k 1* N Drg. No. 26-01-1901 l ----- ---------------------------- : ! P49 na.e �e•e eMe sc rw.rw�a.r ICI •Extreme ^rcaa.rsre r` �' ..ee.�w�wm-- a.-' dM31waa2Oaa.eway _.. Owrend pdy82bm� M 10.11 . in _ , T1568ayoap '!45'aa9'39T! I t I a WWW.Extem.JC.auresPlaawmm 41 a FauWonmr.�ib P.Ml. 1ram rnrrabvprl. —maap..p Y.Y11?x1r ada- - �� Nb Faulk aanW wt Si a Coned — qpa Ad an a.fl0(5 ! dnae 5201 eleMe. snpi.0sya< doer apaip. 1..1 raPsffi1 IS. 1032 a,.&&,S pa Taq. 1082 r.rnrrwv% r.ertr...m �r� r� Kbnwra •C•n�vb Kbse•y : • .OVYeY iCGi rer�wtw w. Ias,erw,/ m =.n 09 rn 2 ass noted, all rm are to rough framing. C u_ o Lt Z z � o'2 Scale: 1/4' 1•.0 APPROVED: WREWEECHECK D BY: W Foundation & Floor Plan Bayfield County, WI 713012025. 7:56:21 AM 1:1,500 Wetlands I --I Approximate Parcel Boundary Rivers 1 Lakes Building Footprint 2015 • Building 0.02 0.00 0.07 mi 0.03 0.06 0.11 km Bayge4d Cpun7 Land Remrds Cepulmenl eeyneu County Zoning Applkadsn nnps'//naps.Eayneldunryvn gwrlpningWAW Bayfield County, WI 7/30/2025, 7:56:34 AM 1:3,000 Road Type 0 0.04 0.07 0.15 ml Wetlands Building Footprint 2015 I .. I i , Rivers County 0 0.05 0.1 0.2 km • Building Lakes Town --- : Approximate Parcel Boundary Private 9ayfietl Caunly Land Records D"MW Bayfield Candy Zor ng Applarmn aupa:llnnpe Eayrceldcwnry ei.gov/ZoninaWA& 7/30/25, 7:56 AM Novus-Wisconsin Access rev. 12.0206 Real Estate Bayfleld County Property Listing Today's Date: 7/30/2025 Oil Description Tax ID: 19632 PIN: 04-024-2-47-08-21-4 00-327-50000 Legacy PIN: 024105803005 Map ID: Municipality: (024) TOWN OF IRON RIVER STR: 521 T47N R08W Description: ALLISON'S ACRES LOT 5 IN DOC 2020R- 583991 Recorded Acres: 7.500 Calculated Acres: 7.587 Lottery Claims: 0 First Dollar: No Zoning: (R-1) Residential -1 ESN: 118 Updated: 9/1/2020 as Ownership i Tax Districts Updated: 3/15/2006 1 STATE 04 COUNTY 024 TOWN OF IRON RIVER 163297 SCHL-MAPLE 001700 TECHNICAL COLLEGE v� Recorded Documents 0 WARRANTY DEED Date Recorded: 8/31/2020 0 QUIT CLAIM DEED Date Recorded: 6/17/2020 ® CONVERSION Date Recorded: 0 PLAT Date Recorded: 7/27/2004 MICHAEL J & AMY E DOLLER Property Status: Current Created On: 3/15/2006 1:15:34 PM Updated: 9/1/2020 POPLAR WI Billing Address: Mailing Address: MICHAEL J & AMY E DOLLER MICHAEL J & AMY E DOLLER 8019 E BAYFIELD RD 8019 E BAYFIELD RD POPLAR WI 54864 POPLAR WI 54864 P Site Address * indicates Private Road 66174 NORTH POINT DR IRON RIVER 54847 ® Property Assessment Updated: 8/11/2024 2025 Assessment Detail Code Acres Land Imp. G1 -RESIDENTIAL 7.500 103,800 0 2 -Year Comparison 2024 2025 Change Land: 103,800 103,800 0.0% Improved: 0 0 0.0% Total: 103,800 103,800 0.0% Updated: 3/15/2006 1* Property History N/A 202OR-583991 2020R-582665 493189 172-2;523-189 2004R-493189 https://novus.bayfiieldcounty.wi.gov/access/master.asp?paprpid=19632 1/1 Land Use Permit Application Review Checklist Submission #: What zoning district is the project located in? El R-2 ❑ R-3 O R-4 O R-RB ❑ C ❑ I El M ❑ A-1 El A-2 ❑ F-1 ❑ F-2 ❑ W El M -M El Yes Ei4o 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) El Yes No Is the project located in the Floodplain? Zone: Yes ❑ No Are there wetlands on the property? ❑ Yes No Is project associated with a nonconforming use or structure? ❑ Yes !'lo Is project associated with a variance? Case #: El Yes No Is project associated with a Special B or Conditional Use Permit? Permit #: El Y s l4io Is the project associated with a Special A Use Permit? es ❑ No Does the project require sanitary? Non O Existing ❑ New ❑ Intercept ❑ Reconnect -Plumbing O Public Sanitary Permit #: t # of Bedrooms: El Yes No Does the project require mitigation? k.. SoloMtS5tu'\ Implementation Deadline: Date of Compliance: ❑ Yes No Does the project require an affidavit? Affidavit #: El Yes El No Did licensed surveyor mark lot line(s), if project is within 10 feet of required setback? El Yes ❑ No D'd applicant/property owner mark lot line(s), if project is within 30 feet of required setback? Project use is? Residential El Commercial ❑ Municipal Project type is? New Construction ❑ Addition/Alteration ❑ Change Use ❑ Relocate ❑ RV Placement ❑ Sign ❑ Establishing a Business O Temporary ❑ Shoreland Grading ❑ Other, describe: Structure Type is: ❑ Residence O Principal Structure ❑ 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: iao Number of Stories: Overall Height: (a Fee ype Calculation Fee Amount L/�welling Enclosed Areas — all enclosed areas within $0.75 x 720 s ft q (minimum $125) dwelling except attached non -habitable garages $ C) ❑ 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 $0.20 x s ft q (minimum $75) Structures $ El 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 ❑ Land Use Revisions O Special Use Permit - Class A ❑ Floodplain ≤Iioreland - Impervious Surface ❑ Shoreland - Non -Conforming, etc. ❑ Tower Siting/Collocation 1 O Tower Collocation 2 ❑ Metallic Mine El After -the -Fact (ATF) $ Inspected by: Date of Inspection: O / Od Y►I o/ Re -Inspected by: Date of Re -Inspection: Denied by: Date of Denial: Reason for Denial: Date Denial Letter Mailed: Approved by: i}l dJ� Date of Approval: to Condition(s): Must meet and maintain setbacks from furthest extension of structure including eaves and overhangs. ❑ For personal storage only. l+ "For personal residence only. ❑ ijlot for human habitation or sleeping purposes. ZTo n/State/DNR/Federal may require permitting 4 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). [.Fuse 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. E❑ Si 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 to 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: Land Use Permit Application Review Checklist Submission #: i_-u- Q Wh zoning district is the project located in? 1 DRA ❑ R-3 ❑ R-4 ❑ R-RB DCLI ❑ M ❑ A-1 ❑ A-2 ❑ F-1 ❑ F-2 ❑ W ❑ M -M ❑ Yes 4Jo 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)? l/Ies ❑ No Is impervious surface required? (Required if riparian lot OR lot is entirely within 300 feet of OHWM of navigable waterway) ❑ 'es No Is the project located in the Floodplain? Zone: Yes ❑ i,jo Are there wetlands on the property? ❑ Yes No Is project associated with a nonconforming use or structure? ❑ Yes Yfip Is project associated with a variance? Case #: ❑ Yes E3iJ9 Is project associated with a Special B or Conditional Use Permit? Permit #: ❑ 't'5 Q4o Is the project associated with a Special A Use Permit? es ❑ No Does the project quire sanitary? O Existing ltJ4ew O Intercept ❑ Reconnect ❑ Non -Plumbing ❑ Public Sanitary Permit #: # of Bedrooms: ❑ Yes No Does the project require mitigation? Uj Ac_- (XV 7 . 6 L6 rcx(a Implementation Deadline: Date of Compliance: ❑ Yes L2tNo 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 applicant/property owner mark lot line(s), if project is within 30 feet of required setback? Project use is? Re ' ential ❑ Commercial ❑ Municipal Project type is? New Construction ❑ Addition/Alteration O Change Use ❑ Relocate ❑ RV Placement O Sign ❑ Establishing a Businflss ❑ Temporary ❑ Shoreland Grading ❑ Other, describe: Structure Type is: Residence ❑ Principal 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: 71g4tNumber of Stories: Overall Height: Fee Type Calculation Fee Amount ❑ Habitable Residential Principal and Accessory Structures - Enclosed Areas— all enclosed areas within dwelling except attached non -habitable garages $0.50 x sq ft (minimum $125) $ ❑ Dwelling Unenclosed Areas (decks, patios, etc.) or Attached Non -Habitable Garages $0.20 x sq ft (minimum $125) $ ❑ Non -Habitable Residential Principal and Accessory Structures $0.20 x sq ft (minimum $75) $ ❑ Commercial Principal Structures $250 + $0.005 x cost of construction (minimum $250) $ ❑ Commercial Accessory Structures $150 + $0.005 x cost of construction (minimum $150) $ ❑ Municipal Principal and cessory Structures n/a $0 (exempt from fees) ❑ Return Inspection Jand Use Revisions ❑ Special Use Permit - Class A ❑ Floodplain ❑ Shoreland - Impervious Surface ❑ Shoreland - Non -Conforming, etc. O Tower Siting/CoIlocation 1 ❑ Tower Collocation 2 O Metallic Mine ❑ After -the -Fact (ATF) $ On ll( hJI-4 ►5 Inspected by: /lYl� v M t7/2, Date of Inspection: cY 1aV a Re -Inspected by. Date of Re -Inspection: Denied by: Date of Denial: Reason for Denial: Date Denial Letter Mailed: Approved by: Date of Approval: 4'n'ifj '�IZ4j [I/a Cond' on(s): llv1ust meet and maintain setbacks from furthest extension of structure including eaves and overhangs. Dfrer personal storage only. For personal residence only. ❑Not for human habitation or sleeping purposes. VT n/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 ob "ied 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. �ign must meet the requirements of Article E of the Bayfield County Zoning Ordinance. be constructed per plan. �To M 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 ❑ g)1 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: K: Applications and Forms/Applications/Land Use/Updated 2/25/2026 mdk AYFIELD Bayfield County Planning & Zoning Department 117E 5th Street P.O. Box 58 Washburn, WI 54891 Phone: 715-373-6138 Fax: 715-373-0114 Property Owner: DOLLER, MICHAEL J & AMY E 8019 E BAYFIELD RD POPLAR, WI 54864 Description Land Use Revisions Habitable Residential Principal Structures - enclosed areas $0.75/square foot (minimum $125) Submission Number: LU-01845R Transaction Number. LU-01845R-4190E Amount $25.00 $0.00 Total: $25.00 Payment Amount: $25.00 Reference: 3873 Paid by: Michael J Doller / Amy E Doller Payment Type: Check Transaction Date: 3/23/2026 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 1 Nonconforming — No Shoreland — Yes 1 Impervious Surface — Yes Floodplain — No 1 Wetlands — Yes Mitigation — No I Affidavit #: LAND USE —X X SANITARY — Non -Plumbing Composting Toilet SPECIAL A - SPECIAL B/CONDITIONAL — BOA — No. 25-0 Tax ID: 19632 Issued To: DOLLER, MICHAEL J & AMY E BAYFIELD COUNTY Location: S21 - T47N - RO8W Town of Iron River Legal Description: ALLISON'S ACRES LOT 5 IN DOG 2020R-583991 PERMIT WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION Residential Structure in R-1 zoning district For: New Construction [1 - Story ], Residence on a Slab [720 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. Emily Macgillivray Authorized Issuing Official 09108/2025 Date Condition(s): Must meet and maintain setbacks from furthest extension of structure including eaves and overhangs. For personal residence only. Town/State/DNRIFederal 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. Use best management practices to limit and prevent erosion during construction. To be constructed per plan. Adhere to privy agreement. No sewer and pressurized water allowed in the structure. Town, City, Village, State or Federal Permits May Also Be Required Substandard - No / Nonconforming - No Shoreland — Yes I Impervious Surface — Yes Floodplain — No / Wetlands — Yes Mitigation — No / Affidavit #: LAND USE - X SANITARY — New 25-0672 SPECIAL A - SPECIAL B/CONDITIONAL - BOA - BAYFIELD COUNTY PERMIT WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION No. 25-0674R Tax ID: 19632 Issued To: DOLLER, MICHAEL J & AMY E Location: S21 - T47N - R08W Town of Iron River Legal Description: ALLISON'S ACRES LOT 5 IN DOC 2020R-583991 Residential Structure in R-1 zoning district For: New Construction [1 - Story ], Residence on a Slab [768 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 Emily Macgillivray 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. March 23, 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): Must meet and maintain setbacks from furthest extension of structure including eaves and overhangs. 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. Use best management practices to limit and prevent erosion during construction. To be constructed per plan. Adhere to privy agreement. No sewer and pressurized water allowed in the structure.