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HomeMy WebLinkAbout26-0100Docusign Envelope ID: EE85F8F2-72914BBA-811 D-F608DF2F5EFC Return to: County Use Only: 117 E 5t1 Street, PC Box 58 Bayf-ield County Planning and Zoning De r Submission #: t-(i( — Oc J5 Washburn, WI 54891 LAND USE PERMIT APPLICA Permit U: e6 -O DO permits(4lbayfieldcountv.wi.gov ' ' Date: Property Owner Name: Authorized Agent Name (if applicable): Thomas Hinze and Mary Jean Fenske Amber Ericksen, C&S Design & Engineering, Inc. Telephone Number: Telephone Number: 651-274-9723 715-682-0330 E -Mail Address: E -Mail Address: maryjean.fenske@gmail.com amber©csdesignengineering.com Mailing Address: Mailing Address: 16995 Pioneer Rd 2023 6th Street West City, State, Zip: City, State, Zip: Cable, WI 54821 Ashland, WI 54806 Contractor: Telephone Number: E -Mail Address: TBD Project Address (if different from mailing address): Legal Description (if additional space is needed attach a separate sheet): Par in Govt Lot 1 In V.1124 P.588 (Lot 3 of CSM V.3 P.138) 381AA2 Section, Township, Range: Section 34, T44N. R07W Town of: Drummond Tax ID #: 14249 Lot Size (Acres/Square Feet): 0.97 acres Project Use is: El Residential ❑ Commercial ❑ Municipal Project Type is: O New Construction El Addition/Alteration (existing structure) El 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 ❑ RV Placement 4+ months, Class A ❑ Other (describe): is: ❑ Accessory Structure (describe): ❑ Shipping Container El Residence ❑ Principal Structure (describe): El Shoreland Exempt Structure (describe): ❑ Mobile Home (provide manufactured date): ❑ Other (describe): Foundation Type: ❑ Basement El Walkout Basement El Slab ❑ Crawlspace ❑ Ground ❑ Skids ❑ Other (explain): Existing Structure: Residence Length: air Width: 24•-e' Height: Proposed Structure (Provide Sq Ft based on outside dimensions, including unfinished areas, attached garages/above grade Basement Sq Ft: 1 t Floor Sq Ft: Loft Sq Ft: 2"d Floor Sq Ft: 3'd Floor Sq Ft: 165 415 Garage Sq Ft: Porch Sq Ft: Deck Sq Ft: Other Sq Ft (describe): Other Sq Ft (describe): 391 65 Total Sq Ft: 1.036 Overall Height (finished grade to peak): 22'-6" # of Stories: 2 Existing # of Bedrooms on property:3 Proposed # of Bedrooms in project: 3 SECTION E: RV and Sign 7hformation (check all that aooly) Sign is: I? 1' is: ❑ New ❑ Replacement ❑ New ❑ Replacement 0 On -premise ❑ Off -premise ❑ 1 -sided ❑ 2 -sided Year: Vin #: ❑ On -building ❑ Multi -Tenant - c•r-.:�:..,, , Length: Width: Height: Make: Model: 1 II 6 CaytleJd Co. Plannin-- - „_ n„ Sa=npY Docusign Envelope ID: EE85F8F2-72914BBA-811 D-F608DF2F5EFC 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: El Driveways El Frontage Roads (include name) El Existing Structures El Well (W) H Septic Tank (ST) El Drain Field (OF) El Holding Tank (HT) ❑ Privy (P) O Lake ❑ River ❑Stream/Creek ❑Pond ❑Floodplain DWetlands 2JSlopes over 20% N Setback or distance from furthest extent of structure including eaves and overhangs to (include on site plan): County Use Only Verified setbacks Road Centerline 1,729' ft. > ft. Notes/Comments: :. . i ':; EL Front Lot Line/Right-of-Way 41.4' ft. ft. Side Lot Line l (NorthDEast9SouthDWestD, check one) 39 4, ft. ;� ft. " Side Lot Line 2 (North9EastDSouthDWestD, check one 35 9, ft. -- - ft. Rear Lot Line 34.7' ft. ,e /13 ft. Septic/Holding Tank —13' ft. ft. Drainfield .-7' ft. ft. Privy ft. ft. Well 0 ft. ft. Existing Structure/Building 10.5ft. ft. Wetland ft. ft. Elevation of Floodplain ft. ft. Ordinary High -Water Mark (OHWM) 78.6' ft. 7 [q.ft. Other (describe) fhb ' ft. L4L ft. FIAR I / LULD Docusign Envelope ID: EE85FBF2-7291ABBA-811 D-F608DF2F5EFC SECTION G: Additional Questions -- - - - - 0 Yes El 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: El 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. ❑ 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. E1 Yes ❑ No Is there an existing sanitary system on the property? If yes, what kind? ElDrainfield ❑ Holding Tank ❑ Municipal/Public ❑ Other (describe): ❑ Yes 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? ❑ Drainfield ❑Holding Tank ❑ Municipal/Public ❑ Other (describe): El Yes El 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: O Rezone O Class A Special Use O Class B Special Use O Conditional Use ❑ Variance Fee payment will be made via: O Check (attached) ❑ 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? O Mail to: OR El Email to: O Property Owner Address El Agent Address O Contractor Address ❑ Other (provide Name and Email or Address): Section11:Acknowled entent.and.S' 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/toDic/wetlands, v/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: m.K h Stmt by: alan Owner(s) or Authorized Agent Signature:��-F{o.. -1' un;.ov-- 1 Date: 3/17/2026 /7— NOTES: sacF9� i ie duo - �ea:enssoe2EFa6F.. 1. If you are signing on behalf of the owner�sra ?etter of authorization must accompany this application. 2. Specific conditions/instructions may be stated on the face of the issued Land Use Permits. Owners, agents, & contractgrs must all be aware of permit details & conditions and permit card must be posted on property prior to start of project: C NIAR 17 2026 Bayfield C,. Planninq z.. Bayfield County Impervious Surface Calculations 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): Thomas Hinze and Mary Jean Fenske Mailing Address: Property Address 16995 Pioneer Rd, Cable, WI 54821 16995 Pioneer Rd, Cable WI 54821 Legal Description: Section, Township, Range 1/4, 1/4, Sec m Township UN N, Range v W Authorized Agent/Contractor Gov't Lot Lot # CSM# Vol & Page Amber Ericksen, C&S Design & Engineering, Inc. 1 3 v.3 p.138 v.1124 p.588 Lot(s) # Block(s) # Subdivision Town of. Drummond Parcel ID # (PIN #) Tax ID # Date: 04- o,8-2..O-0SOO,- 14249 03-16-26 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. MAR 17 2026 usyf�,d cn Impervious Surface Item Dimension Area (Square Footage) Existing House 1,858 Existing Accessory Building/Garage 540 Existing Sidewalk(s), Patio(s) & Deck(s) 529 Existing Covered Porch(es), Driveway & Other Structures 1,891 Proposed Addition/House 198 Proposed Accessory Building/Garage 409 Proposed Sidewalk(s) & Patio(s) 52 Proposed Covered Porch(es) & Deck(s) Proposed Driveway 303 Proposed Other Structures Total: 5,780 a. Total square footage of lot: 42,a3 b. Total impervious surface area: 5.mo c. Percentage of impervious surface area: 100 x (b)/a = 13.7 If the proposed impervious surface area is greater than 15% mitigation is required. Total square footage of additional impervious surface allowed: @ 15% 55945 @ 30% 6.999 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 Approval: ulformsfimpervioussurface MAR 1 12026 Created: May 2012 (®Apr 2016; Sept 2020) Proofed by: Pl?.rnmn.. - Michelle Kainz From: amber@csdesignengineering.com Sent: Tuesday, March 17, 2026 3:51 PM To: permits Cc: Scott Roush; Mary Jean Fenske'; 'Tom Hinze' Subject: Hinze-Fenske Addition 16995 Pioneer Rd, Cable WI - TaxID14249 Attachments: Hinze-Fenske_Land_Use_Application_SIGNED.pdf; Hinz-Fenske Impervious Surface.pdf; Fenske Cabin Addition - drawings.pdf Good afternoon, Attached please find the signed land use permit application, site plan, floor plans and elevations, and the Impervious Surface Calculations for the additions to the Hinze-Fenske Residence at 16995 Pioneer Rd, Cable WI (Tax ID14249). The new additions have been staked out as close as possible considering the recent snows. Please let us know approximately when you will be making the site visit to verify the locations on site so that we can reset anything that may shift as the snows begin to melt. If you have any questions, please email me or call and leave a message on my direct line at 715-685- 1062. Sincerely, Amber Ericksen, NCARB Licensed Architect —Wisconsin & Michigan C&S Design & Engineering, Inc. 2023 6th Street West Ashland, WI 54806 General Office: 715-682-0330 ext. 4 Direct: 715-685-1062 amber@csdesignengineering.com www.csdesignengineering.com CONFIDENTIAL NOTICE: This e-mail message and any attachment(s) (collectively, this'Email') are intended only for the confidential use of the recipient(s) named above. If the reader of this message is not the intended recipient named above or an agent responsible for delivering it to the intended recipient named above, you have received this Email in error. Please notify the sender immediately and permanently delete this Email and any copies thereof. RECEIVED MAR 172075 Bayfield Co. Planning ad Zoning Agency (ThDETAILED SITE PLAN N RECEIVED -MARi17 2026 252991 /1SITE PLAN N ®FIRST FLOOR PLAN i N r SECOND FLOOR PLAN m W III I MR 17 2026 z - 0 I- C O Q z z z a z₹ o S LL z Z W LL ca OI1 NEW EW WEST vE w mmwyrto�° NEWNEW S0ELEVATI0N 4 ve•ra z 0 I- C C a z m s 0 0 U � Q g8 > z W _\ W z w LL z N w C 994991 A200 7 Z026 MAP OF SURVEY LOT 3 OF CSM NO. 315 LOCATED IN GOVT LOT 1 OF SECTION 34, T. 44 N., R. 7 W., IN THE TOWN OF DRUMMOND, BAYFIELD COUNTY, WISCONSIN 1 BFAPoNCS ARE BASED ON THE EAST UNE OF SECTION 34 BEMEEN THE MEWDER CORNER MID THE EAST 1/4 CORNER. BEING N 021045' E ZONING INFORYAIION PARCEL ZONED: R-RB SEIBILT(5: IPNE NES/75 FEET SRJE O 10 FEET PRNAIT TE ROAD - '0 ROAD - 40 FEET (FROM C/L) NOTE: THE ORDINARY HIGH WATER LINE OF LACE tAKWNI, IS APPROBMTE AND FOR REFERENCE ONLY. ANY LAND BELOW ME ORDINARY HIGH WATER UNE OF A WE OR NANGAEEE STNEAN IS SUBJECT TO THE PUBUC TRUST IN NANGABLE WATERS THAT I5 ESTABLISHED UNDER ARTICLE 1. SECOON IN, OF THE STATE CONSITIRON. SUFMYOR'S CERTIFlCATE PIONEER RDIliv, 9' LOT 2 CSM #000315 i LOT 3 CSM NO. 315 h3�•v� �o' 42,300 SO. fT.t �B�o° /h I WaW4 0 0.97 ACREt �b5'� suw E^ \ I I w \Tj 1 7� C, i HXSE \ IRON PIPE I a \ \ \ \ \\ R/W LINE TAX ID #14249 1-1/2 WON PE I. PETER A NELSON. PROFESSIONAL LAND SURVEYOR IN THE STATE OF VASCGNSN. HEREBY CERTIFY: C.. \ `� TON THE ORDER OF WISCONSIN. HEREBY CERFY: HAT THAT ON THE ORDER OF TOY HINZE AND MARY JEAN FENSKE I HAVETOT \ SURVEYED AND MAPPED LOT 3 OF CSM NO. 315 LOCATED IN GOVT LOT a µ SEC 4ONSN R. ] W.. IN THE TOWN Of gEMMYgID. .•y Ck \ U Nry. THAT 1115 YAP IS A TRUE REPRESENTATION OF SAD SURVEY;\ THAT SOD SURVEY AND YAP FULLY COMPLY WITH PROWOF SIONS `' CHAPTER A -E 7 OF THE WISCONSIN ADYNISTiATNE CODE: AND THAT SAID SURVEY KNOWLEDGE AHDJ SURFACE LEGEND IEffiliIflN DECK DGRAVEL SURFACE PVL9T5 M[WISIT UUYIIx CORRECT TO THE BEST OF M \ I-I(i' tlMN RPE � \ � N Qa o w.\ \ + \ SEC TR N 34 SEC' 39 LINETABLE 2IR' WnI. PARE SCALE: 1 INCH = 40 FEET 0 40 80 120 UNE BEARING DISTANCE Li $ 3670'23 E 58.78' LT REC N 36'25'11' W 59.34' ROY v 2RTME MEIW ® sarcWR II. — s — WmuEAIEI 334636 EGISTER'S OFFICE k S.S ayfield County. Wis. ,ECORDED AT 2 ,N JUN 16 1980 :I. ,� ^ofC≤/'LPagem. irLGISTER OF DEEDS CERTIFIED SURVEY MAP NO. Oa 6cv. loot • l 3'l- ggw'7 /38 PART OF GOV'T LOT I, SECTION 34, TOWNSHIP 44 NORTH, RANGE 7 WEST, TOWN OF DRUMMOND, BAYFIELD COUNTY, WISCONSIN ' S86°29'08"E S ,,,840,241.b070 %1�� N2°27 50 W 3'b N.oA5 5 58.31 0 BEARINGS BASED ON EAST SECTION LINE OF SEC. 34, BEARING N2°13'40"W i 2 126.62' ZO ,9C° u' 20' S 87° 54 48 W N 6eo24' g9' a LOT I .70 AC C ` qkE EAST 1/4, 21/2" R CAPPED IRON PIPE 60 35'02" E 34 O 35 M 391.32' 33 02' 4 34.85' 8goo/.pelf 297.97 a S2°34'00'E LOT 2 Oo0000�06� 89.40' .94 AC `e ti - 99°3451 4, 0 142.65 . 226° 59'09"W 203.50' LOT 3 SCI J lk'S�7� mss; 1.0 AC /6y 105°14'56 � r ,� .•4 � ,4 LADD.0. • GOULD k q OD ati s 6` �y. ° 5.1171 • i91 21 31 HAYWARD 1 - LEGEND • I" X 30" IRON PIPE SET THIS SURVEY o MONUMENT IN PLACE SCALE 100 50 0 100 FEET N �•WIS. o., c 0 w PIPE IS .08' OFF LINE 0 N 0� O \ MC 2 1/2" CAPPED w Gs' IRON PIPE a CERTIFIED SURVEY MAP NO. 0D0.3/ST Part of Gov't. Lot 1, Section 34, Township 44 North, Range 7 West, Town of Drummond, Bayfield County, Wisconsin. I, Ladd D. Gould, Registered Land Surveyor, do hereby certify: That I have surveyed, divided and mapped part of Gov't Lot 1, Section 34, T 44 N, R 7 W, Town of Drummond, Bayfield County, Wiscon- sin, bounded and described as follows: Commencing at a capped iron pipe buried in a town road and marking the East 1/4 Corner of Section 34, T 44 N, R 7 W; thence S 2° 13' 40" E, 34.55 feet to a buried 1 inch iron pipe and the Point of Beginning; thence S 2° 13' 40" E, 471.20 feet to a capped iron pipe marking the meander corner on the North shore of Lake Takodah and on the East Section Line of Section 34, T 44 N, R 7 W; thence N 200 16' 30" W, 106.07 feet along the meander line of Lake Takodah to an iron pipe; thence N 25° 03' 40" W, 177.39 feet along the meander line of Lake Takodah to an iron pipe; thence N 36° 25' 11" W, 59.34 feet along the meander line of Lake Takodah to a 1 inch iron pipe;thence N 36° 25' 11" W, 94.34 feet along the meander line of Lake Takodah to an iron pipe; thence N 820 59 ' 09" W, 142.65 feet along the meander line of Lake Takodah to a 1 inch iron pipe; thence N 82° 59' 09" W, 60.85 feet along the meander line of Lake Takodah to an iron pipe; thence N 68° 00' 55" W, 124.49 feet along the meander line of Lake Takodah to an iron pipe; thence S 87° 54' 48" W, 126.62 feet along the meander line of Lake Takodah to an iron pipe; thence N 2° 27' 50" W, 58.31 feet to an iron pipe; thence S 86° 29' 08" E, 241.10 feet to an iron pipe; thence S 86° 35' 02" E, 60.33 feet to a 1 inch iron pipe; thence S 86° 35' 02" E, 297.97 feet to an iron pipe; thence S 86° 35' 02" E, 33.02 feet to a 1 inch iron pipe and the Point of Beginning. Including all of the lands between the meander line and lot lines extended to the waters edge of Lake Takodah. That I have made such survey and map by the direction of the owner of said lands; That such map is a correct representation of all exterior boundaries of the land surveyed and the subdivision thereof made. That I have fully complied with the provisions of Chapter 236 of the Wiscon- sin Statutes and the subdivision regualtions of Washburn County in surveying and mapping same. Parcels are subject to easements and reservations of record. S�N , t s Ladd D . Gould • Wisconsin R.L.S. No. S-1171 Np SUR%J Dated this/day of (jG//7 e._. , 1980 Bayfield County Approval I3 J41_ 1980 Qnurid.'rC. i4.. (Date) PAGE 2 OF 2 W RECEIVED APR 062025 FLOWS AN'b OADS '' ency AFFIDAVIT Legal Description: _1/4, 1/4, Section 34 , Township 44 N, Range 07 W Addt'l Legal par in govt lot 1 in v 1124 D 588 11 3/5 (lot 3 of CSM v.3. P.138)381AA2 Gott Lot 1 Lot 3 Block Subdivision or CSM CSM Doc # (required) 3 3'-/ 6 3L CSM Vol/Page v.3, p.138 Tax to # 14249 Township Drummond Property Owner Mailing Address 16995 Pioneer Rd Jean DOCUMENT NUMBER 2026R-61 1 646 DANIEL J. HEFFNER REGISTER OF DEEDS BAYFIELD COUNTY. WI RECORDED 04/02/2026 AT 1 1 :55 AM RECORDING FEE: $30.00 PAGES: 1 Recording Area City. state, Zip Cable, W( 54821 I Return To: Planning and Zoning Dept It has been determined that the existing private sewage system (or components thereof) located on the above described parcel of land is sized for # ;2.. bedrooms and :300 gallons er day. Therefore the POWTS is not adequately sizedto accommodate an increase in the numbs!ofbedrooms for the dwelling served or to be served. To resolve this situation without replacing the private sewage system at this time, the owner(s) of the above described property agree to the following stipulations: 1. Occupancy exceeding this number may constitute a violation of State and County private sewage system regulations. The Governmental -unit may issue orders to correct and/or may commence legal action if at any time it is determined that occupancy exceeds the maximum listed number contrary to this agreement. 2. It is understood when the existing POWTS fails it shall be replaced with a properly sized and code compliant private sewage system. This Information is on file in the office of the County Planning & Zoning.Department. 3. This Agreement is binding upon the Owner and his/her heirs, successors, and assignees. The Ownershall have this Agreement filed and recorded with the County Register of Deeds in a manner which will permit the existence of the Agreement to be determined by reference to the Property containing the sewage system. 4. This Agreement will remain in effect until the Govemmental Unit, responsible for the issuance of sanitary permits for POWTS, certifies that this restriction is no longer required. > .33QQ gallons per day or 4 persons (maximum occupancy for structure) __ gallons per day or persons (child occupancy for day care in structure) Owner(s) Name(s) _ Please Print Thomas Hinze Subscribed and sworn to before me on this date: Mary Jean Fenske ,. Pii/ ` 2U2tI/ Notarized Oyyer(sure ) — nat(s) 99 uuuu o ry public ��� y C sin 6(oires: NOTA Drafted by: jjjjflj� &/ ckSr4oare; 3/30) Zo2 6 u/(ones/sanilaryNlowsandloads4uly2014(®May 2019) Land Use Permit Application Review Checklist 2 Dl 'no r'Z Submission #: What zoning district is the project located in? ❑ R-1 ❑ R-2 ❑ R-3 ❑ R-4 -RB DCCI ❑ M ❑ A-1 ❑ A-2 ❑ F-1 ❑ F-2 ❑ W ❑ M -M �f.Yest .,No Is lot substandbrd (does not meet current zoning dimensional requirements)? Deed of record: CSy'i — CO l Yes 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 ❑ 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 flNo Are there wetlands on the property? ❑ Yes No Is project associated with a nonconforming use or structure? El Yes o Is project associated with a variance? Case It: ❑ Yes(1No Is project associated with a Special B or Conditional Use Permit? Permit #: ❑ Yes4'4o Is the project associated with a Special A Use Permit? l�4Ges 0 No Does the project require sanitary? Existing 0 New ❑ Interce t 0 Reconnect 0 Non -Plumbing ❑ Public SanitaryPermit #: 6o #of Bedrooms: Z ❑ Yes No Does the project require mitigation? Implementation Deadline: Date of Compliance: ,)yes Jlo Does the project require an affidavit? Affidavit #: oa6K- 61164 es 0 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? esidential ❑ Commercial 0 Municipal Project type is? ❑ New Construction 8-Addition/Alteration ❑ Change Use ❑ Relocate ❑ RV Placement ❑ Sign ❑ Establishing a Business ❑ Temporary ❑ Shoreland Grading 0 Other, describe: Structure Type is: 1I 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: fe3Number 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) $ 2 do ❑ Dwelling Unenclosed Areas (decks, patios, etc.) or Attached Non -Habitable Garages $0.20 x sq ft (minimum $125) $ pl b u u ❑ 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 Accessory Structures n/a $0 (exempt from fees) ❑ Return Inspection 0 Land Use Revisions ❑ Special Use Permit - Class A 0 Flood plain 2!Shorelancl - Impervious Surface ❑ Shoreland - Non -Conforming, etc. 0 Tower Siting/Collocation 1 ❑ Tower Collocation 2 0 Metallic Mine ❑ After -the -Fact (ATE) $ Inspected by: Date of I spection: , Re -Inspected by: Date of Re -Inspection: Denied by: Date of Denial: Reason for Denial: Date Denial Letter Mailed: Approved by: cCh ft- o Date of Approval: Condition(s): Must meet and maintain setbacks from furthest extension of structure including eaves and overhangs. ❑ For personal storage only. ❑ For personal residence only. ❑ Not for human habitation or sleeping purposes. Sown/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). �dse 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. 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 ❑ 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). rand use permits shall be required for any new residence, any building or structure erected, relocated, rebuilt, or structurally altered and use permits shall be obtained prior to the initiation of construction or a change in land use equirements (e.g., permits/licensing/tax) of Local Town, Village, City, State or Federal agencies are equired ❑ Sanitation requirements must be met (if applicable) Additional conditions may be placed and need to be adhered to at the time f permit issuance Other Conditions: r,y f (�PP(y �uf tj." /9' ' ` 'o a v.'/— flows / $ loo.ds I Pa K: Applications and Forms/Applications/Land Use/Updated 2/25/2026 mdk 3J° t B--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: HINZE, THOMAS G LU-02150 16995 PIONEER RD CABLE, WI 54821 Transaction Number: FENSKE, MARY J LU-02150-42EBB 16995 PIONEER RD CABLE, WI 54821 Description Amount Shoreland - Impervious Surface $25.00 Habitable Residential Principal & Accessory $290.00 Structures - enclosed areas $0.50/square foot (minimum $125) Habitable Residential Principal Structure - $91.20 unenclosed area or non -habitable garage $0.20/square foot (minimum $125) Total: $406.20 Payment Amount: $406.20 Reference: 1017 Paid by: Thomas G Hinze, Mary Jean Fenske Payment Type: Check Transaction Date: 4/6/2026 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 — Yes I Nonconforming — No Shoreland — Yes / Impervious Surface — Yes Floodplain — No! Wetlands — No Mitigation — No / Affidavit #: 2026R-611646 LAND USE -X SANITARY — Existing 5608 (1980) SPECIAL A - SPECIAL B/CONDITIONAL — BOA — No. 26-0100 Tax ID: 14249 Issued To: HINZE, THOMAS G & FENSKE, MARY J BAYFIELD COUNTY PERMIT WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION Location: S34 - T44N - R07W Town of Drummond Legal Description: PAR IN GOVT LOT 1 IN V.1124 P.588 (LOT 3 OF CSM V.3 P.138) 381AA2 Residential Structure in R-RB zoning district For: Addition/Alteration [2 - Story ], Residence on a Walkout Basement [1036 Total sq. ft. ] Height of 22' 6" (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. Scott Roush Authorized Issuing Official April 06, 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 (if applicable). Use best management practices to limit and prevent erosion during construction. To be constructed per plan. 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. Additional conditions may be placed and need to be adhered to at the time of permit issuance. Must apply for flows & loads affidavit.