HomeMy WebLinkAbout26-0092Return to: County Use Only:
117 E 5th Street, PO Box 58 Bayfield County Planning and Zoning Department Submission #: L U.- 0215/
Washburn, WI 54891 LAND USE PERMIT APPLICATION Permit #: a toga.
permitsr bayfieldcounty.wi.gov Date: 3 0 aoa6
SECTION A: General Information.
Property Owner Name:
Authorized Agent Name (if applicable):
EyerLv
r
Telephone Number:
Telephone Number: C
I S- ao - 1037
E -Mail Address:
E -Mail Address: MAR 1 8 2026
\ e s- e+ts\ . Ow-
Mat ing Address:
Mailing Address: Bayfield Co.
p P.o. dX 32']
Planning and Zoning Agency
City, State, Zip:
City, State, Zip:
Gtochuc0 t0. W\ S4$27
Contractor: 11I Telephone Number:
k)Atr 1o\vWflst 5-2 — 20 3
E -Mail Address:
SECTION B: Property Information
Project Address (if different from mailine address):_
Zo815 S ia�{i wt-\ S'hoces
Legal Description (if additional space is needed attach a separate sheet):
"-t I c.5 840 N .,s @Z2 IV -t Lot l IN t/ 91P- P.9107200
Section, Township, Range:
Town of: tae( I
Tax ID #: 7I_(49
Lot Size (Acres/Square Feet): I of re
SECTW ..C: Project lnlormation chgck,all,tbat a 1, ,
Project Use is: INCResidential ❑ Commercial ❑ Municipal
Project Type is: ❑ New Construction ❑ Addition/Alteration (existing structure)
❑ Change Use (existing structure) Relocate (existing structure) ❑ RV Placement 21+ days
❑ Sign ❑ Establishing a Business ❑ Temporary (12 or less months)
❑ Shoreland Grading, Class A ❑ RV Placement 4+ months, Class A ❑ Other (describe):
required Total sq ft): required
SECTION D: Structure Information (Does not apply to RVs and Signs, go to Section E)
Structure Type is: ❑ Residence ❑ Principal Structure (describe):
Q'Accessory Structure (describe): ❑ Shoreland Exempt Structure (describe): ❑ Mobile Home (provide manufactured
3'beA 8""(101 date):
❑ Shipping Container ❑ Other (describe):
Foundation Type:
❑ Basement ❑ Walkout Basement ❑ Slab ❑ Crawlspace ❑ Ground ' Skids ❑ Other (explain):
Existing Structure: Length: t Width: IO Height:
Proposed Structure (Provide Sq Ft based on outside dimensions, including unfinished areas, attached garages/above grade
decks/porches):
Basement Sq Ft:
lst Floor Sq Ft:
Loft Sq Ft:
2nd Floor Sq Ft:
3rd 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: j Proposed # of Bedrooms in project:
SECTION E: RV and Sign Information checic'a 'a ra"
Sign is:
RV is:
❑ New ❑ Replacement
❑ New ❑ Replacement
❑ On -premise ❑ Off -premise
❑ I -sided ❑ 2 -sided
Year: Vin #:
❑ 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 ❑ Frontage Roads (include name) ❑ Existing Structures ❑ Well (W) ❑ Septic Tank (ST) ❑ Drain Field (OF)
❑ Holding Tank (HT) ❑ Privy (P) ❑ Lake ❑ River ❑Stream/Creek ❑Pond ❑Floodplain ❑Wetlands ❑Slopes over 20%
N
te
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:
hif d On 4)(Qckc dS`II U1&l
e__ ( '
]l r�l� (WLf. tj at
Ste
��((
Front Lot Line/Right-oT-Way
ft.
It
Side Lot Line I
(NorthDEast check one)
ft.
ft.
Side Lot Line 2
(NorthDEastDSouthDWestD, check one)
ft.
ft.
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.
s
SFCflON P: 9h P —attach a Ste p a K draw dm pm Shot bdow (Sa pa8a 1 & 201 land Use Pa mil AppEataa
mramNm bur mfamstm tba is robe on.9t
Sbow Salle. at:
/Ddvcways 0 Frontage Roads (include name) m'Fiieing S*uennrz ki Well (W) Q' Septic Tank (Sf) ❑ main (DF)
0 Hokb Tank ( ❑ (P) O' Lake 0 Rim 0Sneom,Lleek OPond OFloodplam O Wedsods OSbpcs ov 20%
N t ^is •. ivt yva• C.v.i ��
•� In�r�ne
4
' oar
.?
pear ,t'i31
\,. .9
+ coff,
%a10
7
Setback or distaste (rota format cities of straetam
Cooaty Um Only
ladadiag care and ovakaap W (ladode on site plan):
VetW attb db
Road Caacrlfnc
R.
ft
NoteslCammats:
Front Lot Line/Rigbtof-WaY
ft.
ft
Side Line l
5% f ft
o+ fL
NaN SoutbW ciicleane
O
Z
Side Lor inc 2
ft
ft
outh irtk aae
c
- ft
ft
g Tank
--_.
ft
L
FD=ffield
ft.
ft
It
ft.
—. _.
R.
ft
caudBuiWmg _
R
ft
ft
ft.
lilcvation ofFlaadplain
R.
ft
O,dinwy Nigh -Water Mark(OHWM)
ft
ft.
..�.... , I n. I a. I
RECEIVED
MAR 18 2026
Bayfield Co,
SECTION G: Additional Questions
❑ Yes
No
Has the location of the proposed project including eaves and overha�ggsand the sanitary system and well been
'ht
staked? If no, what date will this be completed: 5 t+6W Cj1r�` rs o>J'EToo c\
O Yes
Z No
Did a licensed surveyor mark lot line(s) if project is within 10 feet of required setback? See page 2 of Land Use
Application Information for required setbacks.
Yes
❑ 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.
21 Yes
❑ No
Is there an existing sanitary system on the property? If yes, what kind?
❑ Drainfield L2'Holding Tank ❑ Municipal/Public O Other (describe):
❑ Yes
)2'NTo
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
VNo
Will sleeping occur in the structure? If yes, contact local Uniform Dwelling Code (UDC) for approval and
inspection requirements.
Is the project associated with any of the following:
❑ Rezone ❑ Class A Special Use ❑ Class B Special Use O Conditional Use O Variance
Fee payment will be made via:
❑ Check (attached) O Cash (attached) R 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 ❑ Agent Address ❑ Contractor Address O Other (provide Name and Email or Address):
h$ection.H: Ackno,wIed enteu AndSi nature
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.
:7
Owner(s) or Authorized Agent Printed Name: Lt/
Owner(s) or Authorized Agent Signature: ". "' C Date: /O! /
e.c
NOTES:
1. If you are signing on behalf of the owner(s) a letter of authority {on 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 pennit card must be posted on property prior to start of project.
Land Use Permit Application Review Checklist
Submission #: S
W t zoning district is the project located in?
R-1 ❑ ❑ R-3 ❑ R-4 ❑ R-RB ❑ C ❑ 1 ❑ M ❑ A-1 ❑ A-2 ❑ F-1 ❑ F-2 ❑ W ❑ M -M
❑ Yes No
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)?
❑ Yes lo
Is impervious surface required? (Required if riparian lot OR lot is entirely within 300 feet of OHWM of
navigable waterway) Yb rviL. trLor
❑ Yes No
Is the project located in the Floodplain? Zone:
❑ Yes OY4Vo
Are there wetlands on the property?
❑ Yes r41p
Is project associated with a nonconforming use or structure?
❑ Yes EWfIo
Is project associated with a variance? Case #:
❑ Yes tJNp
Is project associated with a Special B or Conditional Use Permit? Permit #:
❑ Yes N
Is the project associated with a Special A Use Permit?
❑ Yes s4o
Does the project require sanitary?
O Existing 0 New ❑ Intercept ❑ Reconnect 0 Non -Plumbing ❑ Public
Sanitary Permit #: # of Bedrooms:
❑ Yes El4�o
Does the project require mitigation?
Implementation Deadline: Date of Compliance:
❑ yes No
Does the project require an affidavit? Affidavit #:
Yes O No
Did licensed surveyor mark lot line(s), if project is within 10 feet of required setback?
Yes O No
Did pplicant/property owner mark lot line(s), if project is within 30 feet of required setback?
Project use is? D4esidentiaI O Commercial ❑ Municipal
Project type is? ❑ New Construction ❑ Addition/Alteration ❑ Change Use elocate ❑ RV Placement ❑ Sign
❑ Establishing a Business ❑ Temporary ❑ Shoreland Grading O Other, describe:
Structure Type is: ❑ Residence O Principal Structure Accessory Structure O Boathouse (one story only)
❑ Open-sided/Screened Structure (gazebo, etc.) ❑ Stairway to navigable waters ❑ Mobile Home
❑ Shipping Container O Other, describe
Total Sq. Ft. of Project: Number of Stories: Overall Height: 71
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
Att ed Non -Habitable Garages
$0.20 x sq ft
(minimum $125)
$
U4J0n-Habitable Residential Principal and Accessory
Structures
$0.20 x s ft
q
(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 Accessory Structures
n/a
$0 (exempt from fees)
❑ Return Inspection O Land Use Revisions O Special Use Permit - Class A O Floodplain O Shoreland - Impervious
Surface O Shoreland - Non -Conforming, etc. O Tower Siting/Collocation 1 ❑ Tower Collocation 2 O Metallic Mine
❑ After -the -Fact (ATF)
$
Inspected by:
Date of Inspection:
Re -Inspected by:
Date of Re -Inspection:
Denied by:
Date of Denial:
Reason for Denial:
Date Denial Letter Mailed:
Approved by:
Date of Approval:
ro1c O
Con ion(s):
Must meet and maintain setbacks from furthest extension of structure including eaves and
ov angs.
For personal storage only.
❑� personal residence only.
�For
i✓IN t for human habitation or sleeping purposes.
LLfTown/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
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.
❑ Sigrymust meet the requirements of Article E of the Bayfield County Zoning Ordinance.
�o be constructed per plan.
❑ Adhere to privy agreement.
❑ Temporary permit allowing existing structure for a period of less than 1 year.
❑ RV may not be used for permanent residence or storage.
❑ RV allowed for
❑R/Vmustberemoved by
Q'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
13- =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:
EYERLY, JOHN E & LIISA A LU-02151
PO BOX 327
CORNUCOPIA, WI 54827 Transaction Number.
LU-02151-42464
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: 8425486815
Paid by: John Eyerly
Payment Type: Credit Card
Transaction Date: 3/30/2026
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 / Impervious Surface — No
Floodplain — No / Wetlands — No
Mitigation — No I Affidavit #:
LAND USE —X
X
SANITARY —
SPECIAL A —
SPECIAL B/CONDITIONAL —
BOA —
No. 26-0092 Tax ID: 7442
Issued To: EYERLY, JOHN E & LIISA A
Location: S20 - T50N - R06W
Town of Bell
BAYFIELD COUNTY
PERMIT
WEATHERIZE AND POST THIS PERMIT
ON THE PREMISES DURING CONSTRUCTION
Legal Description: LOT I CSM #840 IN V.5 P.329 (LOCATED IN GOVT LOT 1) IN V.967 P.910 260
Residential Structure in R-1 zoning district
For: Relocate [1 - Story ], Accessory Structure on Skids [808 Total sq. ft. ] Height of 7'
(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
March 30, 2026
Date
Condition(s): Must meet and maintain setbacks from furthest extension of structure including eaves and overhangs.
For personal storage only.
Not for human habitation or sleeping purposes.
Town/State/DNR/Federal may require permitting.
To be constructed per plan.
No sewer and pressurized water allowed in the structure.