HomeMy WebLinkAbout26-0111Return to: County Use Only
117 E 5t° Street, PO Box 58 Bayfleld County Planning and Zoning Department Submission #:1.11 _ Q?169
Washburn, WI 54891 LAND USE PERMIT APPLICATION Permit #: 0 U I
permitsr)oavfieldcounty.wi.aov Date: )t{ Zoe
SECTION A: General Information
Property Owner Na e:
Authorized Agent Name (if applicable):
St'EPne4 rettKI CRICKS➢N
Telephone Number:
Telephone Number: .. E
�EL'itivt
74r--71ir-17(a4
E -Mail Address:
E -Mail Address:
cracks (47_® A;1 . cow.APR
1
Mailing Address:
Mailing Address:
OI 23 t -r)+ . (•J •
sacs
City, State, Zip!:
City, State, Zip: rianning and oning Agency
Pt51t t� WS 5-L# o
Contractor,
Telephone Number:
E -Mail Address:
SECTION B: Property Information
Project Address (if different from mailing address):
4/.T pjotrti SHa4E Ja_t✓c s/eort rl✓ Wr
Legal Description (if additional s ace is needed attach a separate sheet):
Lb -I --I-1 CSM t21 it V. i P. 1-18' CLoctt'tED 1.3 G'✓'r tvr 3)113 Do- aR—S(N7/
Section, Township, Range: S Tg7N R$8W
Townof: Otto,.J ,elvi1'Z
Tax ID #: jq I q r
Lot Size (Acres/Square Feet): I. (o A
SECTION C: Project Information (check all that apply)
Project Use is: esidential ❑ 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 ❑ Establishing a Business ❑ Temporary (12 or less months)
❑ Shoreland Grading, Class A ❑ RV Placement 4+ months, Class A 0 Other (describe):
required potal s (0: required
SECTION D: Structure Information (Does not apply to RVs and Signs, go to Section E)
Structure Type is: 1KResidence 0 Principal Structure (describe):
❑ Accessory Structure (describe): 0 Shoreland Exempt Structure (describe): 0 Mobile Home (provide manufactured
date):
❑ Shipping Container ❑ Other (describe):
Foundation Type:
❑ Basement 0 Walkout Basement ((Slab 0 Crawlspace 0 Ground 0 Skids 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): WN ER t t R Re a 'Z — P T1-nt:,J Ocp Saes t -t p 8Ei A.PZ
Basement Sq Ft:
1" Floor Sq Ft:
Loft Sq Ft:
2"a Floor Sq Ft:
3"" Floor Sq Ft:
Garage Sq Ft:
Porch Sq Ft:
Deck Sq Ft:
Ojhp Sq Ft describe):
Other Sq Ft (describe):
SED4&OM
Total Sq Ft: /l3 CrIo'.ce,J(r E
Overall Height (finished grade to pc
k):
# of Stories: / Existing # of Bedrooms on property: /
Proposed # of Bedrooms in project: Z
SECTION E: RV and Sign Information (check all that apply)
Sign is:
RV is:
❑ New 0 Replacement
❑ New 0 Replacement
❑ On -premise ❑ Off -premise
❑ 1 -sided ❑ 2 -sided
Year: Vin #:
❑ On -building 0 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 I & 2 of Land Use Permit Application
Information for information that is required to be provided on
site plan)
Show location of:
❑ Driveways 0 Frontage Roads (include name) 0 Existing Structures 0 Well (W) 0 Septic Tank (ST) 0 Drain Field (DF)
❑ Holding Tank (HT) 0 Privy (P) 0 Lake 0 River ❑Stream/Creek OPond ❑Flood lain ❑Wetlands ❑Sloes over 20%
N- I ,'.--
Nl kTFF S t" oew
✓r'
RECEIVED
APR 10 2026
eaYfleW co.
Planning and Zwingggency
Lip PPrRK.Ji
V
�tC
ti
L,q"7t
Setback or distance from furthest extent of structure
County Use Only
including eaves and overhangs to (include on site plan):
Verified setbacks
Road Centerline
ft.
ft.
Notes/Comments:
Front Lot Line/Right-of-Way
it
ft.
Ff lQ iD/L— W1)/LAC.
Side LotLine I
R.
ft.
(North East South West, circle one)
O �y
Side Lot Line 2
ft.
ft.
(North East South West, circle one)
Rear Lot Line
ft.
ft.
Septic/Holding Tank
ft.
R
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.
Application Page 2
RECEIVED
APR 10 2026
Bayfold Co.
Plannina and Zonina Aaencv
SECTION.G:•Additional
Questions
❑ Yes
o
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
o
Did a licensed surveyor mark lot lines) if project is within 10 feet of required setback? See page 2 of Land Use
Application Information for required setbacks.
❑ Yes
_.aljo
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.
71 Yes
❑ No
Is there an existing sanitary system on the property? If yes, what kind?
Drainficld ❑Holding Tank ❑ Municipal/Public ❑ Other(describe):
es
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 O Other (describe):
Yes
❑ No
Will steeping occur in the structure? If yes, contact local Uniform Dwelling Code (UDC) for approval and
inspection requircnients.
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) O Cash (attached) O 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 Owncr 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.,uwwatu w ctl mds, 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! (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: 1E to WE,") E 141 GKS 0
p ti
Owncr(s) or Authorized Agent Signature: ' Date: 7—j0 —t&
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
NiE
STS RPM 4t /v�VP.4-00M
NEW
Y
RECEIVED
APR 10 2026 R�e��rct
Bayfield Co. W' I'RTI 0 V D J
Planning and Zoning Agency
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Land Use Permit Application Review Checklist
Submission #:
W t zoning district is the project located in?
R-1 ❑ -2 ❑ R-3 DR -4 ❑ R-RB ❑ C DI ❑ 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:
LJ4es ❑ 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) ylj7 lVl C.
❑ Yes
Is the project located in the Floodplain? Zone:
❑ Yes
Are there wetlands on the property?
❑ Yes RNo
Is project associated with a nonconforming use or structure?
❑ Yes No
Is project associated with a variance? Case #:
❑ Yes No
Is project associated with a Special B or Conditional Use Permit? Permit #:
❑ 'es No
Is the project associated with a Special A Use Permit?
Yes ❑ No
Does the project require sanitary?
/ C� Existing ❑ New ❑ Inter^l�ce t ❑ Reconnect ❑ Non -PI bing ❑ Public
Sanitary Permit #: uol # of Bedrooms:
❑ Yes l4Jo
Does the project require mitigation?
Implementation Deadline: Date of Compliance:
❑ Yes rtIcio
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 Is74Io
Did pplicant/property owner mark lot line(s), if project is within 30 feet of required setback?
Project use is? Residential ❑ Commercial ❑ Municipal
Project type is? ❑ New Construction ❑ Addition/Alteration Change Use ❑ Relocate ❑ RV Placement ❑ Sign
❑ Establishing a Busirj�s ❑ Temporary ❑ Shoreland Grading ❑ Other, describe:
Structure Type is: Residence ❑ Principal Structure ❑ Accessory Structure ❑ Boathouse (one story only)
❑ Open-sided/Screened Structure (gazebo, etc.) ❑ Stairway to navigable waters ❑ Mobile Home
❑ Shipping Container ❑ Other, describe
Total Sq. Ft. of Project: Number 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 �________sgft
(minimum $125)
$
❑ Dwelling Unenclosed Areas (decks, patios, etc.) or
Attached Non -Habitable Garages
$0.20 x sq ft
(minimum $125)
$
❑ Non -Habitable Residential Principal and Accessory
Structures
$0.20 x 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 ❑ Land Use Revisions ❑ Special Use Permit - Class A 0 Floodplain ❑ Shoreland - Impervious
Surface 0 Shoreland - Non -Conforming, etc. ❑ Tower Siting/Collocation 1 ❑ Tower Collocation 2 ❑ Metallic Mine
❑ After -the -Fact (ATF)
$
1►1SiCLf WirK cv k/
Inspected by:
Date of Ins ection:
Re -Inspected by:
Date of Re -Inspection:
Denied by:
Date of Denial:
Reason for Denial:
Date Denial Letter Mailed:
Approved by:
Date of Approval:
'f? ilq 4W2 Cq(ff(i(cj
O( U
Cond' . n(s):
Must meet and maintain setbacks from fu extension of structure including eaves and
overhangs.
For personal storage only.
�❑
0"For personal residence only.
�❑ NN9 for human habitation or sleeping purposes.
' o n State DNR Federal may require
/ /
permitting
q P g
A Uniform Dwelling Code (UDC) Permit from the locally contracted UDC Inspection Agency must be
P g Y
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.
❑ Sjgrimust meet the requirements of Article E of the Bayfield County Zoning Ordinance.
�To be constructed plan.
P lan.
❑ 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
13 Y F I E L D 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.
ERICKSON, STEPHEN P & TERRI L LU-02169
923 14TH AVE W
ASHLAND, WI 54806 Transaction Number.
LU-02169-43CC1
Description
Amount
Habitable Residential Principal & Accessory
$125.00
Structures - enclosed areas $0.50/ square foot
(minimum $125)
Total:
$125.00
Payment Amount:
$127.98
Reference: 3477849085
Paid by: Stephen Erickson
Payment Type: Credit Card
Transaction Date: 4/14/2026
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 / Affidavit #:
LAND USE -X
SANITARY — Existing 235429
SPECIAL A -
SPECIAL B/CONDITIONAL -
BOA -
BAYFIELD COUNTY
PERMIT
WEATHERIZE AND POST THIS PERMIT
ON THE PREMISES DURING CONSTRUCTION
No. 26-0111 Tax ID: 19195
Issued To: ERICKSON, STEPHEN P & TERRI L
Location: S08 - T47N - R08W
Town of Iron River
Legal Description: LOT 17 CSM #21 IN V.1 P.278 (LOCATED IN GOVT LOT 3) IN DOC 2020R-586171 305A3
Residential Structure in R-1 zoning district
For: Change Use [1 - Story ], Residence on a Slab [88 Total sq. ft.]
(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 14, 2026
This permit may be void or revoked if any performance conditions are not Date
completed or if any prohibitory conditions are violated.
Condition(s): Must meet and maintain setbacks from furthest extension of structure including eaves and overhangs.
For personal residence only.
Town/State/DNR/Federal may require permitting.
A Uniform Dwelling Code (UDC) Permit from the locally contracted UDC Inspection Agency must be obtained
prior to the start of construction.
To be constructed per plan.