HomeMy WebLinkAbout26-0103Return to: County Use Only:
117 E 5"' Street, PO Box 58 Bayfield County Planning and Zoning Department Submission #: LU-O� I S9
Washburn, WI 54891 LAND USE PERMIT APPLICATION Permit #: a 6 -0) 4
permits@bayfieldcounty.wi.aov Date
SECTION A: General Information
Property Owner Name:
P J .+ to rtrt Crtrlson
Authorized Agent Name (if applicable):
Telephone Number G - ins
aa 86�
Telephone €- Number: E I E D
a6lad
E -Mail Address PBKtht"ect SC l
&Mail Address: MAR 262026
Mailing Address: i �) tic{ (n
ii
Mailing Address: Bayfield co.
Planning
and Zoning Agency
City, State, Zip:OfPC� Fi 3 y,z2i
City, State, Zip:
Contractor:
, �tin2 pvMc-S cn
Telephone Number:
E -Mail Address:
, / Sfl '-113 9gjjcj
SECTION B: Property Information
Project Address (if different from mailing address): 6255 L —j- t_A IC
Legal Description (if additional space is needed attach a separate sheet): nnii11 ``
Section, Township, Range: 73 47 8
Town of: II -c (Z3 --r
Tax ID #: ((16(,q t 7' -j
Lot Size (Acres/Square Feet): %G yy I I
SECTION C: Project Information (check all that apply)
Project Use is: Residential ❑ Commercial ❑ Municipal If Commercial, estimated cost of construction: $
Project Type is: 0 New Construction 0 Addition/Alteration (existing structure)
❑ Change Use (existing structure) 0 Relocate (existing structure) 0 RV Placement 21+ days
❑ Sign 0 Establishing a Business 0 Temporary (12 or less months)
❑ Shoreland Grading, Class A 0 RV Placement 4+ months, Class A O Other (describe): D&k fdpieco'kT
required Total sq ft): required ,rt },on
SECTION D: Structure Information (Does not apply to RVs and Signs, go to Section B)
Structure Type is: X Residence 0 Principal Structure (describe):
❑ Accessory Structure (describe): 0 Shoreland Exempt Structure (describe): ❑ Mobile Home (provide manufactured
date):
❑ Shipping Container 0 Other (describe):
Foundation Type:
0 Basement 0 Walkout Basement 0 Slab 0 Crawlspace QGround ELSkids 0 Other (explain):
Existing 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 Sq Ft:
Loft Sq Ft:
2°a Floor Sq Ft:
31 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: i
Existing # of Bedrooms on property: 3
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:
Make: Model:
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:
0 Driveways 0 Frontage Roads (include name) ❑ Existing Structures 0 Well (W) ❑ Septic Tank (Si) ❑ Drain Field (DF)
❑ Holding Tank (HT) ❑ Privy (P) ❑ Lake ❑ River ❑Stream/Creek ❑Pond DFloodplain ❑ Wetlands ❑Slopes over 20%
N
S MAR 2 6 2026
Bay6eld Co.
planning and Zoning AgenCY
Setback or distance from furthest extent of structure County Use Only
including eaves and overhangs to (include on site plan): Verified setbacks
Road Centerline I ly ft.1 C ft. Notes/Comments:
Front Lot Line/Right-of-Way lap ft. ft. [ �f j JiLQ
Side Lot Line 1 S3 ft. ft. dJ
ast South Wes circle one) ^ _ Jul��
Side Lot Line 2 ft. ,q L ft.
RJnrth Rant C�ot}�i te eircle nnel . z.. J5L A Jj
Rear Lot
I Septic/Holding Tank I I n ft. I n .,L41- Iv, R• I
Drainfield
I Privv I --- ft. I ft. I
I Well coin I 1{ ft. I e1 h+ 1Z4
ft. I ` ft.
I Wetland I — ft. I ft. I
Ordinary High -Water
ft. ft.
85 ft. 157 ft.
ft. ft.
do(K eav�rS ��s`'c4t'•
of G n 61Le plGu'� ��°n 16 I •
Application Page 2
APPROXIMATE
)RDINARY HIGH
WATER MARK
Y."
(INCLUDING ROADR.
Dk0 70 3o oO y t6-oO6
0q(y; �(')-17o8aa3o5oa35000c)
/ /
/ HART LAKE RD_
' C a 1
PLAT OFSURVEY
P44
LAND LOCATED IN GOVERNMENT LOTS 384.
,OV
N NTJ
SECTION 22. TONNSHIP47 NORTH RANGE 8 (NEST
U 57
TOWN OF IFONRIHER, BAYFIELO COUNTY, K15CONSIN
)5 42 Q'
CO?
iS
t
e
BEARINGS ARE G/✓ID9MED
MCCS- BAYFELO COMTY-oU`BB`OIN RIIH -�
THEE ONE OF THE MAIN EEA31/RFD TOBFAR
SWYBtlf£
LEGAL DESCRIPTION:
A PARCEL OF LAND LOCATED IN GOVT LOT 4, SECTION 22. T47N. ROW, TOµH OF
IRON RIVER BAYFIELD COUNTY. WSCONSIM MORE PARTICULARLY DESCRIBED AS
FOLLOWS
PARCEL I
COMMENCING AT THE 5Y CORNER OF SAID SECTION THENCE N51'ST41 'WA
DISTANCE OF 1,54554 FEET: THENCE NO2'le'MWA DISTANCE OF 33807 FEET TO
THE NE CORNER OF GOVT LOT 3: (HENCE 554.59]484 ALONG THE SOUTH LINE OF
GOVTLOT4 A DISTANCE O' 25E FEET TO THE POINT OF BEGINNING. THENCE
SM.' WALONG SAID SOUTH ONE A DISTANCE OF 11830 FEET TO T¢ WESTERLY
RIGHT OF WAY OF HART LAKE NO, THENCE N54'5SIOWALONG SAID SOUTH UNEA
'84774'
5UDO, 1�,
DISTANCE OF27908FEET, THENCEN8Y392WALOAG SAID SOUTHUNEA
S PARCEL)
463'
DISTANCE OF 57.47 FEET TO A MEANDER CORNER SAID COBEING SOS'JSJ2E
ADISTANCE OF 2FEET MORE OR LESS FROM THE ORDINARY HIGH WATER MARX OF
7j'E' 49, COB 54 Rte
1
LAKE+�.wF '9,174 RwArnai
LAKE MILLICENT, THENCE N44Y1'JBE ALONG A MEANDER LINE A DISTANCE OF 14811
�i aYG F (wtLUOUVG.PoaO ROW)
FEET TO A MEANDER CORNER SAID CORNERBEING Sw'SV14£A DISTANCE DES
MILLICENT '^J''
FEET MORE OR LESS FROM THE ORDINARY HIGH WATER MARK OF LAKE MILUCENT
j
THENCE S8T59Y4£ADISTANCE OF 72880 FEET TO TIE POINT OF BEGINNINGTHE
PARCEL TAUMSP,TWSOUAFL FEET REOR
ON FETE
/aFyLOKIWDI
LESS LESSIAND
M 1IS0.88 ACMORE ORLNG BE
5INEANDT MOFF ORIESS THATUNAKEMILBETWEENVENT
MIRL �
THE MEANDER LINE AND THE ORDINARY HIGHWATERMARN OFUKEMILLCENTAND
THE MEANDERHWATER
a
NDUll 05CK ONIVEWNV 'K'
THE EXTENSION OF RESIDE L➢tLMES TO SLID ORDINARY HIGH WATERMARK
184 840.0 A �p (489°53'30•E 279.92')
4895 '10" r. 279.98' L2
LEGAL DESCRIPTION:
/ N84'35'32"W559°58'34"84°116.50'
AVARCEt08LANDLOGIED INGOVT LOT J SECt40N2$T4TN ROW NWTe OF
TI' (S84'36'' 'E PARCEL2 y (499'53'3084 116557
IRON RIVER. El YFIELD COUNTY. WISCONSIN MORE PARTILUUP1YDESCF18ED A5
C,AWELLf
FOLLOWS
ffCK 30808• .2� //
) ' /
PARCEL
(1NCLIIGING FOAOR Owl
/'D'
COMMENCING AT THE SY CORNER OF SAID SECTION: THENCE NN'OS41WA
DISTANCE OF FEET THENCE AV2'14'wW A DISTNSCE OF 33807 FEET TO
//
/
164584
HARTLAKERD_
THE NE CORNER OF GOVT LOTS THENCE $®'55OI 'NWALG THE NORTH LINE D`
GOVT LOTJ A DISTANCE OF 14.77 FEET TO THE NORTHERLYPoONTOF WAY CF
HART LANE RD WHICHISTHE POINT OF BEGINNING THENCE 515.69'O2WALMA
SAID RIGHT OF WAY A DISTANCE OF 41.06 FEET, THENCE 8484 353284A DISTANCE OF
308.18 FEET TO A MEANDER CORNER SAID CORNER BEING SBPJSR£ A DISTANCE
OF 2 FEET MORE OR LESS FROM TIE ORDINARY HIGH WATER MARK OF LAKE
MILLICENT THENCE 588 34'JYE ALONG THE NORTH ONE OF GOVT LOTJA
DISTANCE OF 57.43 FEET THENCE 594'551 OE ALONG THE 5V D NORTH LINE A
DISTANCE OF 27948 FEET TO THE POINT OF BEGINNING
THE ABOVE DESCRIBED PARCEL OF LAND CONTAINS 1800 SQUARE FEET MORE OR
LESS INNCH IS 611 ACRES MORE OR LESS INCLUDING TATLND LYING BETWEEN
THE MEANDER LINE AND THE ORDINARY HIGH WATERMARK OF LAKE MILLICENT AND
THE EXTENSION OF THE SIDE LOT LINES TO SAID ORDINARY HIGH WA TER MARK
BWYYUiSfERfl4TE
I. PATRI CRA MOWER. IYLSCOHSM FRCFE99GW L (MS SUQVEYCR $.28 W. 00 HEREBY
CERTIFY T AT TINE MAP WAS SHOE Al THE 0MEC21W OF PAIL O8FJ.S N, AGEHTFOQ TIE
ABOVE DEBCRIBFD AN TAPPED PRCa4 AND THE MORMATKAN 5)408484081 THIS MAPS
CORRECTANDACOJPATE 70 THE BEET OF MINNOW'LEDGEAND BELPEFAND LEETB THE
MINIMUM 5TANTJARDREQUIREMEN78 FOR SURVEYS LINDEN WISCONSIN ADIAMI5NWTNE
LEGEND
• —FO. 1 1/Y 0,0. IRON PIPE
(UNLESS NOTED OTHERWISE)
( ) —PREVIOUSLY RECORDED AS
200 0 200' 400' 600'
SCALE FEET
9NNETORe NOTE
THE OWMMV loll VENTER MNIRBMWORWRMB
FOR REFERENCE OMV
All (#880 eELEW MEORO8MY HON MMTERMMY.q
A WIE ORNW WHLE 57007140 RLS.FCTTO THE
,I .lC TRV lT w NAVE VBLE YNRRS TNr 6
ESTABLLy0O 180CR ARTICLE IS, SECTION I R 118
STATE CaxSTTR4x
LINE TABLE
LINE
BEARING
DISTAN
LI
546.515221
41.95
FNT'IJJJIy
(41.817
L2
599.583484
2822
(SUIITW)
I34.m)
ESN I2'wm
178405
13
SOO.391TE
57.43'
1517 5TbM1
1ST 40)
NORTH V.. CORER l�
SEC 22 T47N. ROW
FD. 3- CAPPED IRON RFE^' tr
�IIS1n
Wlw
CENTER CORNER
SEC 27 TON ROW
FD2YL'IRON PPE
FD. 274 CAPER IRON PIPE
ii
ECEIVED
MAR 262026
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
❑ 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.
❑ Yes
❑ No
Is there an existing sanitarysystem on the property? If yes, what kind?
Eg'Drainfield ❑ 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?
53 Drainfield N Holding Tank ❑ Mumici a /Public ❑ Other (describe):
® Yes
0 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 ❑ Class A Special Use O Class B Special Use O Conditional Use O Variance
Fee payment will be made via:
❑ Check (attached) 0 Cash (attached) C3 debit/credit/echeck (department to call once payment is ready to be taken)
How would you like to receive your permit card?
❑Mailto:OR®Emai1to: polcmU+Os AQ y4 &a. C&'mil\ 4x0 fl -cc
O Property Owner Address O Agent Address ❑ Contractor Address O Other (provide name and email or address):
Section H: Acknowledgement and Signature
All Land Use Permits expire Two (2) Years from the date of issuance if construction or use has not begun. Sanitary permit
issuance, if required, needs to occur prior to Land Use Permit issuance. Failure to obtain a permit or starting construction without a
permit will result in penalties.
The local Town, Village, City, State or Federal agencies may also require permits. The new construction of one- & two-family
dwellings requires review and approval by the local Uniform Dwelling Code (UDC) authority. Additions and alterations to one -
and two-family dwellings may require review and approval by the UDC authority. All municipalities are required to enforce the
UDC.
If subject property is part of a Condominium Plat, applicant hereby certifies and represents that applicant has all necessary
approvals and recorded documents required to complete the project for which this permit is sought including requirements set forth
in Wisconsin statutes pertaining to condominium associations, the Declaration of the Condominium Association in which the
property is located, and all other rules, regulations and requirements pertaining to that Condominium Association.
You are responsible for complying with state and federal laws concerning construction near or on wetlands, lakes, and streams.
Wetlands that are not associated with open water can be difficult to identify. Failure to comply may result in removal or
modification of construction that violates the law or other penalties or costs. For more information, visit the Department of Natural
Resources wetlands identification web page, dnr.wi.gov/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 reasonable time for the purpose of inspection.
11
` 1 so n 1 f L S
Owner(s) or Authorized Agent Printed Name:
Owner(s) or Authorized Agent Signature: Date: t— 16
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.
Application Page 3
RECEIVED
Bayfield County
Impervious Surface Calculations MAR 26 2026
These calculations are REQUIRED per WI Admin Code NR 115.05(1)(e) and Sect ign,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.
Properly Owner(s):
P\ (\s
r\vn
Mailing Address:
Property Address
Tfnn
11 IA
6C ass 1-4t L;%LC
P. . CJ
S`/c(Y7
Legal Description:
Section, Township, Range
Sr"L Aa 7, 47 1/4, S& -L 22
Tn OB 1/4,
^
L�
_
%
S
Rq oV Lat' y R.c,c
Lct 3
Sec ___ Township
N, Range W
Authorized Agent/Contractor
Gov't Lot
3—.snSg
Lot #
CSM#
Vol & Page
`1,R2 pyME51C�
.lZ
y-vild3
Lot(s) #
I Block(s) #
I Subdivision
Town of:
22o Q.JC-
ParcellD#(PIN#) oy-o.4-a-47-e8-aa-3
Tax ID#
Date:
04 ac oc3 - ya oo
X6?
3_6-26
ty�r✓
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.
Impervious Surface Item Dimension Area (Square Footage)
Existing House
Existing Accessory
Building/Garage
z 1' X 22 .75'
t
7O c• as
g ca
Existing Sidewalk(s), Patio(s) &
Deck(s)
1a tt c1 cmss+ ^S
0«K'^4
9
Existing Covered Porch(es),
Driveway & Other Structures
G 23 P - t
22 x
Proposed Addition/House
Proposed Accessory
Building/Garage
Proposed Sidewalk(s) & Patio(s)
Proposed Covered Porch(es) &
Deck(s)
Sec gk+ncLc Propose -2
Occe,�
3 �,
Proposed Driveway
Proposed Other Structures
Total:
lJ qSa .2
a. Total square footage of lot: ,L +.H acre (:29) U y i H&
b. Total impervious surface area:
c. Percentage of impervious surface area:
100 x (b)/a = I S r c
If the proposed impervious surface area is greater than 15% mitigation is required.
Total square footage of additional impervious surface allowed: @ 15% @ 30%
Issuance (County Use Only)
Date of Inspection:
`Information
Inspectionco rd:
L
��, q
ti� `^6 f �'J%t0/ � Wu t( &. b b ri YViI, t%
ilukk \�.
l �F'
Co itionlsi:
Stormwater
Management Plan Required:
❑Yes ❑No
Signature of Inspector:
Date of Approval:MAP
,T
7R?11?R
0
u/forms/impervioussurface Bayfield Co.
Created: May 2012 ((Apr 2016; Sept 2020) Planning ar,,. Zoning Agency Proofed by:
'-' :, IX %\ 41l%t 4rt,! S -
I.
- i +
•. �
f Imo•.. �:Y.
e,r
y�
M
;F
A�" ` • A ! L CL €LELb
70
12
C,el5k,n.� DeckI�5
20 FICA 3.O
�x5 33O
j2x IC i2o
6 x 2 6 I ,56
N
b g x �6
208
j2x i8
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L440
6 x 6
34
2x12
1 `{ `(
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AII I�B�(
I /
3/30/26, 11:22 AM
Novus-Wisconsin Access rev. 12.0206
Real Estate Bayfleld County Property Listing
Today's Date: 3/30/2026
l Description Updated: 8/12/2024
Tax ID:
19669
PIN:
04-024-2-47-08-22-3 05-003-50000
Legacy PIN:
024106106000
Map ID:
Municipality:
(024) TOWN OF IRON RIVER
STR:
522 T47N R08W
Description:
PAR IN GOVT LOT 3 IN V.958 P.427 492A
(INCLUDES ASSESSMENT FOR 22-305-
004-15000) IN DOC 2024R-604304
Recorded Acres:
0.780
Calculated Acres:
0.720
Lottery Claims:
0
First Dollar:
Yes
Zoning:
(R-1) Residential -1
ESN:
118
V Tax Districts Updated: 3/15/2006
1
STATE
04
COUNTY
024
TOWN OF IRON RIVER
163297
SCHL-MAPLE
001700
TECHNICAL COLLEGE
' Recorded Documents
® WARRANTY DEED
Date Recorded: 8/9/2024
0 WARRANTY DEED
Date Recorded: 4/14/2014
® WARRANTY DEED
Date Recorded: 11/16/2006
0 CONVERSION
Date Recorded:
® WARRANTY DEED
Date Recorded: 2/17/2005
Updated: 3/15/2006
2024R-604304
2014R553931 1123-658
2006R-510552 958-427
497599 474-175;642-
395;912-387
2005R-497599 912-387
Property Status: Current
Created On: 3/15/2006 1:15:34 PM
a Ownership Updated: 8/12/2024
PAUL A AND KAREN M CARLSON OSPREY FL
Billing Address:
Mailing Address:
PAULA AND KAREN M
PAUL A AND KAREN M
CARLSON
CARLSON
11 LANDLUBBER LN
11 LANDLUBBER LN
OSPREY FL 34229
OSPREY FL 34229
P Site Address * indicates Private Road
66255 HART LAKE RD
® Property Assessment
IRON RIVER 54847
Updated: 8/19/2024
2026 Assessment Detail
Code
Acres
Land
Imp.
G1 -RESIDENTIAL
0.780
189,800
193,900
2 -Year Comparison
2025
2026
Change
Land:
189,800
189,800
0.0%
Improved:
193,900
193,900
0.0%
383,700
383,700
0.0%
yTotal:
81 Property History
N/A
https://novus.bayfeldcounty.wi.gov/access/master.asp?paprpid=19669 111
Land Use Permit Application Review Checklist
Submission #:
Why zoning district is the project located in?
R-1 ❑R- ❑R-3 ❑R-4 DR-RB ❑C ❑1 ❑M ❑A-1 ❑A-2 ❑F-1 ❑F-2 ❑W DM -M
❑ Yes D4Co
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 ❑ 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 u4io
Are there wetlands on the property?
❑ Yes O4.Jo
Is project associated with a nonconforming use or structure?
❑ Yes QI'Jo
Is project associated with a variance? Case #:
❑ Yes Q4cIj
Is project associated with a Special B or Conditional Use Permit? Permit #:
❑ Yes U4io
Is the project associated with a Special A Use Permit?
❑ Yes 9,p6
Does the project require sanitary?
O Existing ❑ New ❑ Intercept ❑ Reconnect O Non -Plumbing ❑ Public
SanitaryPermit #: # of Bedrooms:
Does the project require mitigation?
❑ Yes Ei1A0
Implementation Deadline: Date of Compliance:
❑ Yes i4o
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 O No
Did pplicant/property owner mark lot line(s), if project is within 30 feet of required setback?
Project use is? U4esidentiaI ❑ Commerci I O Municipal
Project type is? ❑ New Construction ddition/Alteration ❑ Change Use ❑ Relocate ❑ RV Placement ❑ Sign
❑ Establishing a Businpss ❑ Temporary O Shoreland Grading O Other, describe:
Structure Type is: Vhesidence O Principal Structure O Accessory Structure O Boathouse (one story only)
❑ Open-sided/Screened Structure (gazebo, etc.) O Stairway to navigable waters ❑ Mobile Home
❑ Shipping Container O Other, describe
Total Sq. Ft. of Project: I a4H Number of Stories: Overall Height:
Fee Type Calculation Fee Amount
❑ Habitable Residential Principal and Accessory
(minimum $125)
Structures - Enclosed Areas — all enclosed areas within
$0.50 x sq ft
$
dwelldweIlpg except attached non -habitable garages
welling Unenclosed Areas (decks, patios, etc.) or
I �N ¶
(minimum $125)
Attached Non -Habitable Garages
$0.20 x s rt
q
$
❑ Non -Habitable Residential Principal and Accessory
$0.20 x s ft
q
(minimum $75)
Structures
$
❑ Commercial Principal Structures
$250 + $0.005 x
(minimum $250)
cost of construction
$
❑ Commercial Accessory Structures
$150+$0.005 x
(minimum $150)
cost of construction
$
❑ Municipal Principal and Accessory Structures
n/a
$0 (exempt from fees)
❑ Return Inspection ❑ Land Use Revisions O Special Use Permit - Class A ❑ Floodplain §Q Shoreland - Impervious
Surface O Shoreland - Non -Conforming, etc. ❑ Tower Siting/Collocation 1 O Tower Collocation 2 O Metallic Mine
❑ After -the -Fact (ATF)
I $
Inspected by:
Date of Inspection:
C
Re -Inspected by:
Date of Re -Inspection:
Denied by:
Date of Denial:
Reason for Denial:
Date Denial Letter Mailed:
Approved by:
��ld
Date of Approval:
k5
/Ij$
Cond�'tion(s):
Q'Must meet and maintain setbacks from fu est extension of structure including eaves and
overhangs.
❑ For personal storage only.
❑ For personal residence only.
❑ fiat for human habitation or sleeping purposes.
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.
dA Uniform Dwelling Code (UDC) Permit from the locally contracted UDC Inspection Agency must be
obtained prior to the start of construction (if applicable).
IXUse 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.
'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.
❑ 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
P 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:
CARLSON, PAUL A AND KAREN M
LU-02159
11 LANDLUBBER LN
OSPREY, FL 34229
Transaction Number.
LU-02159-43A7E
Description Amount
Shoreland - Impervious Surface $25.00
Habitable Residential Principal Structure - $256.80
unendosed area or non -habitable garage
$0.20/square foot (minimum $125)
Total: $281.80
Payment Amount: $288.51
Reference: 1483098085
Paid by: Paul Carlson
Payment Type: Credit Card
Transaction Date: 4/9/2026
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 I Nonconforming — No
Shoreland — Yes / Impervious Surface — Yes
Floodplain — No / Wetlands — No
Mitigation — No / Affidavit #:
LAND USE —X
X
SANITARY -
SPECIAL A -
SPECIAL B/CONDITIONAL -
BOA -
BAYFI ELD COUNTY
PERMIT
WEATHERIZE AND POST THIS PERMIT
ON THE PREMISES DURING CONSTRUCTION
No. 26-0103 Tax ID: 19669 & 19674
Issued To: CARLSON, PAULA AND KAREN M
Location: S22 - T47N - R08W S22 - T47N - R08W
Town of Iron River
Legal Description: PAR IN GOVT LOT 3 IN V.958 P.427 492A (INCLUDES ASSESSMENT FOR 22-305-004-15000) IN DOC 2024R-
604304 & PAR IN GOVT LOT 4 DESC IN V.1123 P.655 IN DOC 2024R-604304
Residential Structure in R-1 zoning district
For: Addition/Alteration, Residence on a Slab [1284 Total sq. ft.]
(Disclaimer): You are responsible for complying with state and tederal 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. April 09, 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.
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.