HomeMy WebLinkAbout26-0116Return to: County Use Only:
117,E 5th Street, Po Box 58 Bayfield County Planning and Zoning Department Submission : I.1( 119
Washburn, WI 54891 LAND USE PERMIT APPLICATION Permit #: 1
permits@bayfieldcountV.wi.aov Date: I7Ii ,
SECTION A: General Information
Property Owner Name:
Authorized Agent Name (if applicable):
-t' v S .A -aic m v
Telephone Number:
Telephone Number:
Its' 82g
E -Mail Address:
E -Mail Address:
Mailing Address: O
So. etc t t'Jt ueAl D2.
Mailing Address:
City, State, Zip:
C.4. /3 L /f Gai/ "S4 8 Z- I
City, State, Zip: ED
y//s
Contractor:
Telephone Number:
E -Mail Address:
SECTION B: Property Information
Project Address (if different from mailing address):
APR
Legal Description (if additional space is needed attach a separate sheet): 142026
Nit/NW Less*a"a r
Section, Township, Range: tj' - !r/ - O 7
Town of: ( nning and Zoning Agee
Tax ID #: fC77
Lot Size (Acres/Square Peet): 37 A t4tf f
SECTION C: Project Information (check all that apply)
Project Use is: ❑residential ❑ Commercial ❑ Municipal [f Commercial, estimated cost of construction: $
Project Type is: WNew Construction ❑ Addition/Alteration (existing structure)
❑ Change Use (existing structure) ❑ Relocate (existing structure) ❑ RV Placement 21+ days
❑ Sign ❑ Establishing a Business ❑ Temporary (12 or less months)
❑ Shoreland Grading, Class A ❑ RV Placement 4+ months, Class A ❑ Other (describe):
required Total sq ft): required
SECTION D: Structure Information (Does not aIto. RVs and Si o to Section E)
Structure Type is: ❑ Residence ❑ Principal Structure (describe):
'Accessory Structure (describe): ❑ Shoreland Exempt Structure (describe): ❑ Mobile Home (provide manufactured
ZO c 30 , 51tre. -L date):
❑ Shipping Container ❑ Other (describe):
Foundation Type:
❑ Basement ❑ Walkout Basement ❑ Slab ❑ Crawlspace ktiround ❑ Skids ❑ 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:
I' Floor Sq Ft:
Loft Sq Ft:
2 Floor Sq Ft:
3r° Floor Sq Ft:
Garage Sq Ft:
Porch Sq Ft:
Deck Sq Ft:
Other Sq Ft (describe):
Other Sq Ft (describe):
Total Sq Ft: x7
Overall Height (finished grade to peak):
# of Stories: J
Existing # of Bedrooms on property: Z.
Proposed # of Bedrooms in project:
SECTION E: RV and Sign Information (check all that apply)
Sign is:
R 1 is:
❑ New ❑ Replacement
❑ New ❑ Replacement
❑ On -premise El Off -premise
❑ 1 -sided El 2 -sided
Year: Vin #:
❑ On -building El 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 1 & 2 of Land Use Permit Application
Informationfor information that is required to be
provided on
site plan)
Show location of:
❑ Driveways ❑ Frontage Roads (include name) ❑ Existing Structures ❑ Well (W) ❑
Septic Tank (ST) ❑ Drain Field (DF)
❑ Holding Tank (HT) ❑ Privy (P) ❑ Lake ❑
River ❑Stream/Creek ❑Pond ❑Floodplain ❑Wetlands ❑Slopes over 20%
N$
APR 14 2026
Sayfeld Co.
Planning and Zoning Agency
I
R1
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.
') 6 ft.
Notes/Comments:
Front Lot Line/Right-of-Way
- ft.
ft.
Side Lot Line l
/ ftZZ).
ft.
Iv
(North East Sout es circle one)
Side Lot Line
So� ft.
ft.
North East gjI& West, circle one)
O
Rear Lot Line
— ft.
ft.
Septic/Holding Tank
d ft.
>p ft.
Drainfield
jp(4 ft.
b ft.
Privy
— ft.
rft.
Well
4v ft.
1O ft.
Existing Structure/Building
ft.
ft.
Wetland
'or ft.
S ft.
Elevation of Floodplain
— ft.
ft.
Ordinary High -Water Mark (OHWM)
_ ft.
ft.
Other (describe)
" ft.
ft.
Application Page 2
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
'9, 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
JNo
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
El No
Is there an existing sanitary system on the property? If yes, what kind?
5Drainfield ❑ Holding Tank El Municipal/Public ❑ Other (describe):
❑ Yes
No
Will pressurized water be installed in the structure? If yes, what kind of sanitary system will be installed or used
to manage wastewater?
El 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:
0 Rezone ❑ Class A Special Use 0 Class B Special Use ❑ Conditional Use 0 Variance
Fee payment will be made via: �j ��!!
Check (attached) ❑ Cash (attached) ❑ debit/credit/echeck (department to call once payment is ready to beeakeIvED
How would you like to receive your permit card?
APR 14 2026
❑ Mail to: OR ❑ Email to:
0 Property Owner Address ❑ Agent Address ❑ Contractor Address ❑ Other (provide name and eg®$bjar6afidress):
Planning and ZoninoMerr.
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
iti 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!tooic 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.! (we) acknowledge that 1(we) am (are) responsible for the detail and
accuracy of all information that 1(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 Hayfield County relying on this information 1 (we) are
providing in or with this application. 1 (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: L-%1/-? ,/4,y't*'2da t,
¢ /t 26
Owner(s) or Authorized A ent Sgnature: e� Date:
NOTES: y
j t I. If you are sig tng n hr e a%ethorization t ustIr o aucompany 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
Applicant Checklist
❑ Yes
l No
Will new electrical installation occur with project/structure? if yes, contact State for inspection requirements.
❑ Yes
No
Will new plumbing installation occur with project/structure? If yes, contact State for inspection requirements.
❑ Yes
No
Is the project/structure to be used for commercial purposes? If yes, contact the State of Wisconsin Commercial
Buildings & Structures to determine if they they_requirereview_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.ferna.gov portal/home) and Title 13, Chapter 2 of Bayfield County Zoning Ordinance
(https://www.bayficldcounty.wi.gov/7 Il/Title-I 3--Zonin -Code .
❑ Yes
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/pond/flowage (whichever is greater)? 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 (https://www.bayfieldcounty.wi.ov/DocumentCenter/View/3 159/lmervious-Surface-PDF).
❑ Yes
o
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
(https:/!dnrmaps.wi.gov/HS/?Viewer=SWDV).
❑ Yes
No
If applicable, did you contact the road authority to see if a driveway permit or regulations apply to placement of
driveway?
❑ 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
1)C 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.
❑ Yes
No
If structure is in Shorelands, have building elevations with all information requested on Page 5 of the Land Use
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.
j kYes
❑ No
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.bayfieldcounty.wi.gov/7 11/Title-I 3---Zonin-Code).
Yes
❑ No
Is the use of the project/structure allowed per Bayfield County Section 13-1-62
(https:/. wwlv.bayfreldcounty.wi.aov/7I 1 /Title-l3---Zoning-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 County Section 13-1-40 (https://www.bayfieldcountv.wi.gov/7 I l/Title-13---Zoning-Code.
❑ Yes
❑ No
Have all fees been included with the completed application? See Fee Schedule on website
(https://www.bayfieldcounty.wi.gov/1389/Fee-Schedule). If no, all applicable fees need to be paid before permit
can be issued.
❑ Yes
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
(https://www.bayfieldcounty.wi.gov/1340/Applicatious-Forrns).
❑ 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 (baps:/ www.bayfieldcounty.wi.gov/1340/Aoplications-
Fonns).
Yes
❑ No
Is Land Use Application completed and signed?
APR 14 2026
Bayfield Co.
Planning and Zoning Agency
Land Use Permit Application Information Page 6
Land Use Permit Application Review Checklist
'Submission #: — 6
What zoning district is t' e project located in?
❑ R-1 ❑ R-2 ❑ R-3 ❑ R-4 ❑ R-RB ❑ C ❑ 1 ❑ M A-1 ❑ A-2 ❑ F-1 ❑ F-2 ❑ W ❑ M -M
❑ Yes No
Is lot substandard (does not meet current zoning dimensional requirements)?
Deed of record:
❑ 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)?
❑ Yes o
Is impervious surface required? (Required if riparian lot OR lot is entirely within 300 feet of OHWM of
navigable waterway)
❑ Yes o
Is the project located in the Floodplain? Zone:
es ❑ No
Are there•wetlands on the property?
❑ Yes o
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 #:
❑ Yes o
Is the project associated with a Special A Use Permit?
❑ Yes jo
Does the project require sanitary?
0 Existing 0 New ❑ Intercept ❑ Reconnect ❑ Non -Plumbing El Public
Sanitary Permit #: # of Bedrooms:
❑ Yes 'GJo
Does the project require mitigation?
Implementation Deadline: Date of Compliance:
❑ Yes o
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
Did applicant/property owner mark lot line(s), if project is within 30 feet of required setback?
Project use is? Residential ❑ Commercial ❑ Municipal
Project type is?Jew Construction ❑ Addition/Alteration ❑ Change Use ❑ Relocate ❑ RV Placement ❑ Sign
❑ Establishing a Business ❑ Temporary ❑ Shoreland Grading ❑ Other, describe:
Structure Type is: 0 Residence ❑ Principal Structure Accessory Structure ❑ Boathouse (one story only)
❑ Open-sided/Screened Structure (gazebo, etc.) 0 Stairway to navigable waters ❑ Mobile Home
❑ Shipping Container 0 Other, describe
Total Sq. Ft. of Project: tO Number of Stories: Overall Height: i
Fee Type
Calculation
Fee Amount
❑ Habitable Residential Principal and Accessory
Structures - Enclosed Areas — all enclosed areas within
dwelling except attached non -habitable garages
$0.50 x sq ft
(minimum $125)
$
❑ Dwelling Unenclosed Areas (decks, patios, etc.) or
Attached Non -Habitable Garages
$0.20 x sq ft
(minimum $125)
$
ron-Habitable Residential Principal and Accessory
Structures
4 p O
$0.20 x sq ft
(minimum $75)
$ Za
❑ 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 O Floodplain O Shoreland - Impervious
Surface O Shoreland - Non -Conforming, etc. O Tower Siting/Collocation 1 O Tower Collocation 2 O Metallic Mine
❑ After -the -Fact (ATF)
$
Inspected by:
ILBk r f
Date of Inspection:
Re -Inspected by:
Date of Re -Inspection:
Denied by:
Date of Denial:
Reason for Denial:
Date Denial Letter Mailed:
Approved by: oLeJ /'
Date of Approval:
Condition(s):
ust meet and maintain setbacks from furthest extension of structure including eaves and
overhangs.
For personal storage only.
❑ For personal residence only.
,allof 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.
❑ A Uniform Dwelling Code (UDC) Permit from the locally contracted UDC Inspection Agency must be
obtained prior to the start of construction (if applicable).
)XJse 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.
,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.
o plumbing or plumbing fixtures allowed.
o additional sleeping areas allowed without obtaining necessary sanitary permit(s).
nd 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
❑ 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
B3l'FIELD Bayfield County
Planning & Zoning Department
117 E 5w Street
P.O. Box 58
Washburn, WI 54891
Phone: 715-373-6138
Fax: 715-373-0114
Property Owner:
ANDERSON, TRACI S
43810 S LAKE OWEN DR
CABLE, WI 54821
ANDERSON, ERIK A
PO BOX 426
CHIPPEWA FALLS, WI 54729
Description
Non -Habitable Residential Principal and Accessory
Structures - $0.20/square foot (minimum $75)
Submission Number:
LU-02175
Transaction Number.
LU-02175.43FDC
Amount
$120.00
Total: $120.00
Payment Amount: $120.00
Reference: 11672
Paid by: Tracinda / Erik Anderson
Payment Type: Check
Transaction Date: 4/17/2026
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 — No / Impervious Surface - No
Floodplain - No! Wetlands - Yes
Mitigation - No / Affidavit #:
LAND USE - X
SANITARY -
SPECIAL A -
SPECIAL B/CONDITIONAL —
BOA —
No. 26-0116 Tax ID: 8677
Issued To: ANDERSON, TRACI S & ANDERSON, ERIK A
Location: S15 - T43N - R07W
Town of Cable
BAYFIELD COUNTY
PERMIT
WEATHERIZE AND POST THIS PERMIT
ON THE PREMISES DURING CONSTRUCTION
Legal Description: NW NW LESS S 200' OF N 900' OF W 200' IN V.911 P.310 295 (MFL CLOSED 25 YRS - YR OF ENTRY 2020)
Residential Structure in A-1 zoning district
For: New Construction [1 - Story ], Accessory Structure on the Ground [600 Total sq. ft. ] Height of 14'
(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 reauire additional oermittino.
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 17, 2026
Date
Condition(s): Must meet and maintain setbacks from furthest extension of structure including eaves and overhangs.
For personal storage only.
Not for human habitation or sleeping purposes.
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.
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.