HomeMy WebLinkAbout26-0107Return to: County Use Only:
117 E 5`" Street, PO Box 58 Bayfield County Planning and Zoning Department Submission #: LU-02.1 a'e
Washburn, WI 54891 LAND USE PERMIT APPLICATION Permit #: -O IcY?
permits@bayfieldcounty.wi.gov Date:
SECTION A: General Information
Property Owner Name:
Authorized Agent Name (if applicable):
Phillip Trebatoski and Sarah Ritterspach
Telephone Number:
Telephone Number: RC E 11/D
612-799-8845
E -Mail Address:
E -Mail Address: FEB 2 4 2026 a��� D
trebatoskiphillip@yahoo.com
Mailing Address:
Mailing Address: Bayfield Co.
PO BOX 103
City, State, Zip:
City, State, Zip:
Cornucopia. MN 54827
Address:
Superior Sauna
"SECTION B: Property Infor ninon
Project Address (if different from mailing addfgss):
Legal Description (if additional space is needed attach a separate sheet):
PAR IN GOVT LOT 2 IN DOC 2025R-610154 452A
Section, Township, Range: Township Town of: Bell
Tax ID #: 7767 Lot Size (Acres/Square Feet): 1.17
SECTION C: Project Information (check all that apply)
Project Use is:❑ Residential El Commercial El Municipal If Commercial, estimated cost of construction: $
Project Type is: ❑� New Construction ❑ Addition/Alteration (existing structure)
❑ Change Use (existing structure) ❑ Relocate (existing structure) ❑ RV Placement 21-1- days
❑ Sign El Establishing a Business El Temporary ( 12 or less months)
❑ Shoreland Grading, Class A ❑ RV Placement 4+ months, Class A O Other (describe):
Structure Type is: ❑ Residence O Principal Structure (describe):
❑2 Accessory Structure (describe): El Shoreland Exempt Structure (describe): ❑ Mobile Home (provide manufactured
Sauna date):
❑ Shipping Container O Other (describe):
Foundation Type:
O Basement O Walkout Basement Slab ❑ Crawlspace ❑ Ground O Skids O Other (explain):
Proposed Structure (Provide Sq Ft based on outside dimensions, including unfinished areas, attached garages/above grade
decks/ arches):
Basement Sq Ft: ]n Floor Sq Ft: Loft Sq Ft: 2nd Floor Sq Ft: 3° Floor Sq Ft:
Garage Sq Ft: Porch Sq Ft: Deck Sq Ft: Other Sq Ft (describe): Other Sq Ft (describe):
Total Sq Ft: 48 Overall Height (finished grade to peak): 87 1/4 lnt lE
# of Stories: 1 Existing # of Bedrooms on property:2 Proposed # of Bedrooms in project: 0
SECTION E: RV and Sign Information (check all that a ).
Sign is: RI' is:
❑ New ❑ Replacement ❑ New ❑ Replacement
❑ On -premise ❑ Off -premise
❑ 1 -sided ❑ 2 -sided Year: Vin #:
❑ On -building O Multi -Tenant
Length: Width: Height: Make: Model:
Application Page I
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 IZ Frontage Roads (include name) ❑ Existing Structures O Well (W) O Septic Tank (ST) ❑ Drain Field (OF)
EL! Holding Tank (HT) ❑ Privy (P) ] Lake ❑ River ❑Stream/Creek ❑Pond ❑Floodplain ❑Wetlands Ll Slopes over 20%
N
RECEIVED
FEB 247026
' Bayfield Co.
Planning and Zoning Agency
Setback or distance from furthest extent of structure
including eaves and overhangs to (include on site plan):
County Use Only
Verified setbacks
Road Centerline
135 ft.
ft.
Notes/Comments:
^ `(
�.
_ SI'cc & 1 nw d _
�'QS/ �6�� ji�1 Q(�( U
! V Il^J
rj (1 C �lAJI V 1(/ jw"
�j An
Front Lot Line/Right-of-Way
85 ft.
ft.
Side Lot Lin
(North Eas oath West circle one)
40 ft.
ft.
Side Lot LineT'
orth ast South West, circle one)
105 ft.
v II�ft.
T
Rear Lot Line
ft.
ft.
Septic/Holding Tank
35 ft.
O ft•
Drainfield
ft.
ft.
Privy
ft.
ft.
Well
10 ft.
ft.
Existing Structure/Building
6 ft.
ft.
Wetland
ft.
ft.
Elevation of Floodplain
ft.
ft.
Ordinary High -Water Mark (OHWM)
75 ft.
7cft.
Other (describe)
ft.
ft.
Application Page 2
RECEIVED
FEB 242026
Bayfield Co.
Planning aid Zoning Agency
/ '<'( it,' .,. ,�a kU1 (co' RI w)
I'111. 76:
Apfrok. ONWL.
Line Sur'ior
RECEIVED
FEB 242026
Hayfield Co.
Planning and Zoning Agency
= ON -G:. Additional Questions - - — -
❑ Yes
❑O No
Has the location of the proposed project including saves and overhangs and the sanitary system and well been
staked? If no, what date will this be completed: April 15, 2026 (approximate)
Did a licensed surveyor mark lot line(s) if project is within 10 feet of r&gquired"setbatk? See page 2 of Land Use
Z Yes
❑ No
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 sanitary system on the property? If yes, what kind?
❑ Drainfield Holding Tank ❑ Municipal/Public ❑ Other (describe):
❑ Yes
❑O 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 ❑ Class A Special Use O Class B Special Use ❑ Conditional Use O Variance
Fee payment will be made via:
❑ Check (attached) ❑ Cash (attached) 0 debit/creditlecheck (department to call once payment is ready to be taken)
How would you like to receive your permit card?
❑ Mail to: OR RI Email to:
Property Owner Address O Agent Address O 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/topiuwetlands, or contact a Department of Natural Resources service
center (715)685-2900.
1 (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: PHIwP 1REaATO5O&s M1PJrTERSPAcH
Owner(s) or Authorized Agent Signature: KT. J. 14 Date: F.w za.m6
NOTES:
I. 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
FEB 242026
Bayfield County
Impervious Surface Calculations Bayfield Co
Planning and Zoning Agency
These calculations are REQUIRED per WI Admin Code NR 115.05(1)(e) and Section 13-1-32(c) 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. The calculations are also REQUIRED in the case of a
land division where the lot to be created or reconfigured will be reduced in lot area.
Pursuant to Chapter 1, Title 13, Section 13-1-106(d) of the Bayfield County Zoning Ordinance(s), Planning and Zoning
Department emolovees assiqned to inspect properties shall have access to said properties to make inspections.
Property Owner(s):
Phillip Trebatoski and Sarah Ritterspach
Mailing Address:
Property Address:
PO BOX 103, Cornucopia WI 54827
89400 E Romans
Point Road
Legal Description:
Section, Township, Range
1/4, 1/4,
Sec 29 Township 51 N, Range 06 W
PAR IN GOVT LOT 2 IN DOC 2025R-610154 452A
Authorized Agent/Contractor
Gov't Lot
Lot #
CSM#
Vol & Page
Lot(s) #
Block(s) #
Subdivision
Town of.
Bell
Parcel ID # (PIN #)
Tax ID #
Date:
04- 010251062940500220000
7767
2/23/2026
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. Impervious surface standards shall apply to the construction,
reconstruction, expansion, replacement or relocation of any impervious surface that is or will be located within 300 feet of
the ordinary high water mark of any navigable waterway on any riparian lot or parcel and any nonriparian lot or parcel that
is located entirely within 300 feet of the ordinary high-water mark of any navigable waterway.
Calculation of Impervious Surface: Percentage of impervious surface shall be calculated by dividing the surface area
of the existing and proposed impervious surfaces on the lot or parcel by the total surface area of that lot or parcel and
multiplying by 100. If an outlot lies between the ordinary high-water mark and the developable lot or parcel described in
subd. 1. and both are in common ownership, the lot or parcel and the outlot shall be considered one lot or parcel for the
purposes of calculating the percentage of impervious surfaces.
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 or
land division approved 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(c) and Section 13-1-40(h), the property owner may do any of the
following:
a. Maintenance and repair all impervious surfaces:
b. Replace existing impervious surfaces with similar surfaces within the existing building footprint;
c. Relocate or modify 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 13-1-22.
Impervious Surface Item Dimension Area (Square Footage)
Existing House
33feet212 inchesx26' 11 Inchesx 19 feet 3 l2 inchesxlOfeet
d 1/4 inhhes x 13 feet 11 Inches x 37 feet 7 inches
1,038.30 sq ft.
20 ft x 10 ft
200 sq ft
Existing Accessory Building/Garage
20 ft X 10 ft
200 sq ft
Existing Sidewalk(s), Patio(s)
10ftx4ft7in,10ftx19ft31/2in,16ftx10
398.75 sq ft
Existing Covered Porch(s), & Deck(s)
ft
125ftx10ft,35ftx10ftparking pad
1600sgft
Existing Driveway
Other Structures
Proposed Addition/House
Proposed Accessory Building/Garage
FEB 242026
Proposed Sidewalk(s) & Patio(s)
BCo.
arid
Planning Zon g Agen y
Proposed Covered Porch(s) & Deck(s)
Proposed Driveway
10 ft x 10 ft
100 sq ft
Proposed Other Structures
3,537.05
Total:
a. Total square footage of lot: 50,965.2
b. Total impervious surface area:
c. Percentage of impervious surface area:
100 x (b)/a = 6.94 %
If the proposed impervious surface area is greater than 15% mitigation is required.
Total square footage of additional impervious surface allowed: @ 15% @ 30%
(County Use Only)
Date of Inspection:v/ /i//( /I/ 03V
1 V
Inspection Record:
Zoning District ( )
Condition(s):
Stormwater
Management Plan Required:
❑ Yes ❑ No
Signature of Inspector:
&
Jt�
Date of Appro al:
-j u
J
u/fofmsfimpervioussurface
Created: May 2012 (®Sept 2016, Sept 2020, Feb 2026)
Proofed by:
%ECEIVED
FEB 242026
Bayfield Co.
Planning and Zoning Agency
8714
72
FEB 242016
Bayld Co.
planning and Zoning Agency
O O O O
O
O
2
654
O
89
O O O O
III
��V tiIV"�Ci
FEB 2 4 2026
Sayfieid Co.
Planning and Zoning Agency
96
RECEIVED
FEB 2 4 2026
8ayfield Co.
planning and Zoning Agency
3
� 16
RECEVED
FEB 242 026
Applicant Checklist
❑ Yes
No
Will new electrical installation occur with project/structure? If yes, contact State or inspection r quirements.
❑ Yes
cNo
Will new plumbing installation occur with project/structure? If yes, contact State for inspection requirements.
❑ Yes
'CNo
Is the project/structure to be used for commercial purposes? If yes, contact the State of Wisconsin Commercial
Buildings & Structures to determine if they_require_review_and_approval.
❑ Yes
No
Is the project located in the Floodplain? If yes, additional materials and fee will be required. Reference the
FEMA Map (https://msc.fema.gov/portal/home) and Title 13, Chapter 2 of Bayfield County Zoning Ordinance
htts:// vww.ba fieldcoun .wi. ov/711/Title-l3---Zonino-Code .
Q'Yes
O No
Is the project located in the Shorelands, within 300 feet of a river/stream OR landward side of floodplain OR
1000 feet of a lake/ ond/flowage whichever is reater ? If yes,_shoreland_regulations_will_apply.
Yes
❑ No
Is your property a waterfront lot and will any part of your project be located within 300 feet of the water OR is
your entire lot located within 300 feet of the water? If yes to either, complete and include Impervious Surface
Form (httns://www.bavfleldcountv.wi.20v/DocumentCenter/View/3 159/lmervious-Surface-PDF .
❑ Yes
❑ No
Are there wetlands on the property. If yes, wetland regulations will apply. A 25 -foot setback is required to any
mapped wetlands. Reference Department of Natural Resource Surface Data Viewer Map
(httns://dnrmaps.wi.gov/115/?Viewer=SWDV). -
Li Yes
ZNo
If applicable, did you contact the road authority to see if a driveway permit or regulations apply to placement of
driveway?
D(Yes
❑ No
Was the property purchased recently? If yes, include a recorded deed. A copy of recorded deed can be acquired
from the Bayfield County Register of Deed's office.
- Yes
❑ No
Is a site plan included with all information requested on Page I of the Land Use Permit Application
Information? If no a site plan with all applicable information on Page 1 is required for all submissions.
❑ Yes
QT No
Is a floor plan(s) included with all information requested on Page 4 of the Land Use Permit Application
Information? Floor plans are required for residences, commercial buildings, or additions/alterations to these
structures.
❑ No
If structure is in Shorelands, have building elevations with all information requested on Page 5 of the Land Use
,%-Yes
Permit Application Information been included?
❑ Yes
No
Is this application to correct a violation or has the project already commenced? If yes, at minimum an after -the -
fact fee will apply. If not permittable, the structure will need to be removed.
❑ Yes
rK.4o
If addition, does the existing structure meet required setbacks, see Page 2 of the Land Use Permit Application
Information? If no, be aware that it is the property owner's responsibility to show the structure was legally
placed and there may be limitations to expansion of the structure, see Bayfield County Section 13-1-40
(https://www.bayfleldcounty.wi.gov/7 1 I/Title-l3---Zoning-Code).
$Yes
❑ No
Is the use of the project/structure allowed per Bayfield County Section 13-1-62
(https://www.bayfieldcounty.wi.pov/711/Title-13---Zoninn-Code). If no, be aware it is the property owner's
responsibility to show the use was legally established and there may be limitation to expansion of the use, see
Bayfield CounSection 13-1-40 (https://www.bayfieldcountv.wi.uov/7 fieldcoun .wi. ov/711/Tide-13---Zonin -Code.
(�9(Yes
❑ No
Have all fees been included with the completed application? See Fee Schedule on website
(hops://www.bayfieldcountv.wi.gov/1389/Fee-Schedule). If no, all applicable fees need to be paid before permit
can be issued.
❑ Yes
PT No
Is property owned by multiple owners or is someone aside from the property owner applying? If yes, a Letter of
Authorization Form needs to be included. Form available on website
(httns://www.bavfieldcountv.wi.gov/l fieldcoun .wi.gov/1340/A lications-Forms .
Yes
No
Is property owned by a Trust or Business entity (LLC, Corp., etc.)? If yes to either, an Affidavit of Authority
needs to be included. Forms available on website (https://www.bayfieldcounty.wi.pov/1340/Applications-
:El
Forms).
Yes
❑ No
Is Land Use Application completed and signed?
Land Use Permit Application Information Page 6
3/5/26, 7:54 AM
Nows-Wisconsin Access rev. 12.0206
Real Estate Bayfleld County Property Listing
Today's Date: 3/5/2026
IS Description Updated: 12/29/2025
Tax ID:
7767
PIN:
04-010-2.51-06-29.4 05-002-20000
Legacy PIN:
010106101000
Map ID:
Municipality:
(010) TOWN OF BELL
STR:
S29 T51N RO6W
Description:
PAR IN GOVT LOT 2 IN DOC 2025R-
610154 452A
Recorded Acres:
1.170
Calculated Acres:
1.173
Lottery Claims:
0
First Dollar:
Yes
Zoning:
(R-1) Residential -1
ESN:
107
r
Tax Districts Updated: 3/15/2006
1
STATE
04
COUNTY
010
TOWN OF BELL
044522
SCHL-SOUTHSHORE
001700
TECHNICAL COLLEGE
Property Status: Current
Created On: 3/15/2006 1:15:02 PM
m Ownership Updated: 12/29/2025
PHILLIP TREBATOSKI CORNUCOPIA WI
SARAH RITTERSPACH CORNUCOPIA WI
Billing Address:
Mailing Address:
PHILLIP TREBATOSKI
PHILLIP TREBATOSKI
PO BOX 103
PO BOX 103
CORNUCOPIA WI 54827
CORNUCOPIA WI 54827
10 Site Address * indicates Private Road
89400 E ROMANS POINT RD
V Property Assessment
HERBSTER 54844
Updated: 7/15/2025
2026 Assessment Detail
Code
Acres
Land
Imp,
G1 -RESIDENTIAL
1.170
168,100
176,900
2 -Year Comparison
2025
2026
Change
Land:
168,100
168,100
0.0%
Improved:
176,900
176,900
0.0%
Total:
345,000
345,000
0.0%
�a Recorded Documents
Updated: 3/15/2006 S Property History
® WARRANTY DEED
N/A
Date Recorded: 12/2/2025
2025R-610154
® WARRANTY DEED
Date Recorded: 1/31/2022
2022R-593218
® CONVERSION
Date Recorded:
429-199;714-409
https://novus.bayfieldcounty.wi.gov/access/master.asp?paprpid=7767 1/1
Bayfield County, WI
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3/5/2026, 7:54:04 AM 1:669
Rivers Flood Plain Boundaries Active Dec 16th, 2011 0 0.01 0.01 0.03 ml
—. Approximate Parcel Boundary AE = Base floodplain where base flood elevations are provided. 0 0.01 0.03 0.05 km
Road Type — Lake Superior Proposed Setback Line
9ayfeld County Land Records Department
Town Building Footprint 2015
Lake Superior Shoreline Recession Segments • Building
Approximate average annual rate of bluff recession in this reach of shoreline is 0.3 feet.
Bay Red Cary Zocdng Appfrslbn
hops-/!mnpe.Eayaekmuny w+.gov/zontngwABI
3/9/26, 8:50 AM
Novus-Wisconsin Access rev. 12.0206
Real Estate Bayfeld County Property Listing
Today's Date: 3/9/2026
Description Updated: 12/29/2025
Tax ID:
7767
PIN:
04-010-2-51-06-29-4 05-002-20000
Legacy PIN:
010106101000
Map ID:
Municipality:
(010) TOWN OF BELL
STR:
S29 T51N RO6W
Description:
PAR IN GOVT LOT 2 IN DOC 2025R-
610154 452A
Recorded Acres:
1.170
Calculated Acres:
1.173
Lottery Claims:
0
First Dollar:
Yes
Zoning:
(R-1) Residential -1
ESN:
107
J Tax Districts Updated: 3/15/2006
1
STATE
04
COUNTY
010
TOWN OF BELL
044522
SCHL-SOUTHSHORE
001700
TECHNICAL COLLEGE
Property Status: Current
Created On: 3/15/2006 1:15:02 PM
a Ownership Updated: 12/29/2025
PHILLIP TREBATOSKI CORNUCOPIA WI
SARAH RITTERSPACH CORNUCOPIA WI
Billing Address: Mailing Address:
PHILLIP TREBATOSKI PHILLIP TREBATOSKI
PO BOX 103 PO BOX 103
CORNUCOPIA WI 54827 CORNUCOPIA WI 54827
P Site Address * indicates Private Road
89400 E ROMANS POINT RD
® Property Assessment
HERBSTER 54844
Updated: 7/15/2025
2026 Assessment Detail
Code
Acres
Land
Imp.
GS -RESIDENTIAL
1.170
168,100
176,900
2 -Year Comparison
2025
2026
Change
Land:
168,100
168,100
0.0%
Improved:
176,900
176,900
0.0%
Total:
345,000
345,000
0.0%
Recorded Documents Updated: 3/15/2006 ,r
r Property History
a WARRANTY DEED N/A
Date Recorded: 12/2/2025 2025R-610154
O WARRANTY DEED
Date Recorded: 1/31/2022 2022R-593218
O CONVERSION
Date Recorded: 429-199;714-409
https://novus.bayfiieldcounty.wi.gov/access/master.asp?paprpid=7767 1/1
Bayfield County, WI
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3/9/2026, 8:51:10 AM 1:335
Rivers Flood Plain Boundaries Active Dec 16th, 2011 0 0 0.01 0.02 ml
--. Approximate Parcel Boundary AE = Base floodplain where base flood elevations are provided. 0 0.01 0.01 0.02 km
Road Type - - Lake Superior Proposed Setback Line
BaySetl County land nem,Cs oepaNnent
Town Building Footprint 2015
Lake Superior Shoreline Recession Segments 9 Building
Approximate average annual rate of bluff recession in this reach of shoreline is 0.3 feet.
Beynea county Zoning>ntngWA n
mips:nmaw. beynelomunty wl. gov/ZortngWAnt A B!
Land Use Permit Application Review Checklist
Submission #:
Wh zoning district is the project located in?
K14-1❑ R- ❑ R-3 ❑ R-4 ❑ R-RB ❑ C DIEM ❑ A-1 ❑ A-2 ❑ F-1 ❑ F-2 ❑ W ❑ M -M
❑ Yes EU6o
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)?
es ❑ No
Is impervious surface required? (Required if riparian lot OR lot is entirely within 300 feet of OHWM of
-
navigable waterway)
❑ Yes
Is the project located in the Floodplain? Zone:
❑ Yes Q4o
Are there wetlands on the property?
❑ Yeso
Is project associated with a nonconforming use or structure?
❑ Yes O44o
Is project associated with a variance? Case #:
❑ Yes 21io
Is project associated with a Special B or Conditional Use Permit? Permit #:
❑ Yes o
Is the project associated with a Special A Use Permit?
❑ Yes o
Does the project require sanitary?
O Existing ❑ New 0 Intercept ❑ Reconnect O Non -Plumbing ❑ Public
Sanitary Permit #: # of Bedrooms:
❑ Yes E3Mo
Does the project require mitigation?
Implementation Deadline: Date of Compliance:
❑ Yes VDIo
Does the project require an affidavit? Affidavit #:
❑ es No
Did licensed surveyor mark lot line(s), if project is within 10 feet of required setback?
Yes ❑ No
Did pplicant/property owner mark lot line(s), if project is within 30 feet of required setback?
Project use is? idential ❑ Commercial O Municipal
Project type is? New Construction O Addition/Alteration ❑ Change Use O Relocate O RV Placement ❑ Sign
❑ Establishing a Business ❑ Temporary ❑ Shoreland Gra . g ❑ Other, describe:
Structure Type is: O 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 ❑ Other describe
Total Sq. Ft. of Project:
Number of Stories: Overall Height: f7 kg (ncl/-1
Fee Type
Calculation
Fee Amount
0 Dwelling Enclosed Areas — all enclosed areas within
$0.75 x sq ft
(minimum $125)
dwelling except attached non -habitable garages
$
❑ Dwelling Unenclosed Areas (decks, patios, etc.) or
$0.20 x sq ft
(minimum $125)
Attached Non -Habitable Garages
$
❑ HEable Residential Accessory Structures
$0.50 x sq ft
(minimum $75)
Non -Habitable Residential Principal and Accessory
$0.20 xft
sq
(minimu 75)
Structures
$ 7
❑ 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 ❑ Special Use Permit - Class A O Floodplain C4ti6iind - Impervious
Surface ❑ Shoreland - Non -Conforming, etc. O Tower Siting/Collocation 1 O Tower Collocation 2 ❑ Metallic
Mine
❑ After -the -Fact (ATF)
$
Inspected by:
Date g#,Igs ect'on:
/Vi'i//
Re -Inspected by: U
Date of Re -Inspection:
Denied by:
Date of Denial:
Reason for Denial:
Date Denial Letter Mailed:
Approved by: lilA
Date of Approval:
iifq 4flaqi//iJ'-c
G C,
Condi ' n(s):
lIi"fiust meet and maintain setbacks fr furthest extension of structure including eaves and
overhangs.
❑ For personal storage only.
❑Foersonal residence only.
e7o.fro'-;human habitation or sleeping purposes.
wn/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
obta' prior to the start of construction (if applicable).
I'tise best management practices to limit and prevent erosion during construction.
❑ This permit cannot be transferred if property is sold.
O A Bayfield County Health Dept permit is required.
❑ Check with Town regarding room tax.
❑ Short -Term Rental is for a maximum occupancy of persons.
❑ Si� must meet the requirements of Article E of the Bayfield County Zoning Ordinance.
L�"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
❑ R1be be removed by
o 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:
$ 1YFIELD 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:
TREBATOSKI, PI-IILLIP
LU-02122
PO BOX 103
CORNUCOPIA, WI 54827
Transaction Number.
RITTERSPACH, SARAH
LU-02122-3EF75
PO BOX 103
CORNUCOPIA, WI 54827
Description Amount
Shoreland - Impervious Surface $25.00
Non -Habitable Residential Principal and Accessory $75.00
Structures - $0.20/square foot (minimum $75)
Total: $100.00
Payment Amount: $102.38
Reference: 8408561865
Paid by: Phillip Trebatoski
Payment Type: Credit Card
Transaction Date: 2/25/2026
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 — Yes
Floodplain — No! Wetlands — No
Mitigation — No / Affidavit #:
LAND USE -X
SANITARY -
SPECIAL A -
SPECIAL B/CONDITIONAL -
BOA -
BAYFIELD COUNTY
PERMIT
WEATHERIZE AND POST THIS PERMIT
ON THE PREMISES DURING CONSTRUCTION
No. 26-0107 Tax ID: 7767
Issued To: TREBATOSKI, PHILLIP & RITTERSPACH, SARAH
Location: S29 - T51 N - R06W
Town of Bell
Legal Description: PAR IN GOVT LOT 2 IN DOC 2025R-610154 452A
Residential Structure in R-1 zoning district
For: New Construction [1 - Story ], Accessory Structure on a Slab [48 Total sq. ft. ] Height of 7' 3"
(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. April 13, 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.
Not for human habitation or sleeping purposes.
Town/State/DNR/Federal may require permitting.
Use best management practices to limit and prevent erosion during construction.
To be constructed per plan.
No sewer and pressurized water allowed in the structure.