HomeMy WebLinkAbout26-0122Return to: County Use On�lyr:�
m Ba eld County Planning and Zoning Department Submission +-�'0?'t7
117E 5 Street, PO Box 58 Yf P
Washburn, WI 54891 LAND USE PERMIT APPLICATION Permit #: ?b0
permits(bayfieldcountv.wi.aov Date: ea'
SECTIONA General'Infor in "
Property Owner Name: Oirmfflt(
�
Auth rued Agent Name (if applicable):
n �ls nt
n
Telephone Number:
Telephone Number:
E -Mail Address:
E -Mail Address:
fYJe' L
Iii t mA'1,GOM
Mailing Address:
Mailing Address: fH
9 t- De;e.g�
5 i Ji E0
City, State, Zip:
City, State, Zip:
I,
z
Contractor:
Telephone Number:
E -Mail Address:
pasrn --
SECTION B: Property Information
Project Address (if different from mailing address):
APR 13 !U;
Legal Description (if additional space is needed attach a separate sheet): eayfeld Co
S+ i ZS -
Section, Township, Range: Town of: C G b I2.
Tax ID #: I 0 (o S Lot Size (Acres/Square Feet):
.SECTION : Pcoje4Jpf�rrnatios.. (cjieckg thata
Project Use is: X Residential ❑ Commercial O Municipal If Commercial, estimated cost of construction: $
Project Type is: 3I New Construction ❑ Addition/Alteration (existing structure)
❑ Change Use (existing structure) O Relocate (existing structure) ❑ RV Placement 21+ days
❑ Sign ❑ Establishing a Business ❑ Temporary (12 or less months)
El Shoreland Grading, Class A ❑ RV Placement 4+ months, Class A ❑ Other (describe):
required (Total sA): required
SECTION D: Structure Information (Does not apply to RVs and Signs, go to Section E)
Structure Type is: ❑ Residence ❑ Principal Structure (describe):
Accessory Structure (describe): O Shoreland Exempt Structure (describe): O Mobile Home (provide manufactured
Wod s11oe 44'K(o9' date):
❑ Shipping Container O Other (describe):
Foundation Type:
❑ Basement O Walkout Basement IN Slab O Crawlspace O Ground O Skids O 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: u
2°° Floor Sq Ft:
3"° Floor Sq Ft:
Z
7LZ
Garage Sq Ft:
Porch Sq Ft:
Deck Sq Ft:
Other Sq Ft (describe):
Other Sq Ft (describe):
Total Sq Ft:X 35'-fl4 I
OverallHeight (finished grade to peak): L,5 /t
# of Stories: 1,5
Existing # of Bedrooms on property1
Proposed # of Bedrooms in project:
SECTION E: RV and Sign Information (check all that apply)
Sign is:
is:
RVis:
El New ❑ Replacement
O New O Replacement
❑ On -premise ❑ Off -premise
❑ 1 -sided O 2 -sided
Year: Vin #:
El On -building El 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:
❑ 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 Li Floodplain ❑Wetlands Li Slopes over 20%
N
RECEIVED
APR 13 2026
Barfield Co.
Planning and Zoning Agency
set Seperak ;c+c Ptah
Setback or distance from furthest extent of structure
County Use Only
including eaves and overhangs to (include on site plan):
Verified setbacks
Road Centerline 5ivr&wpftra civic..
(p ft.
ft.
Notes/Comments:
Front Lot Line/Right-of-Way
31 ft.
ft.
Si Lot Line 1 C0u t{y I4tyfrV
-7(o ft.
ft.
4J'Jordast South West, circle one
Side Lot Line 2
^! ft.
ft.
(North East South West, circle one
ear Lot L' a
ft.
ft.
ft.
ft.
Septic/Holding Tank
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.
L44wr cIs4awccs tN
Shet:+ Si Fvowi +1w F}ouse Application Page 2
ex Is4. M g 5}/u ekl wt°s
SECTION G: Additional Questions.., • ..
Yes
❑ No
Has the location of the proposed project including caves and overhangs and the sanitary system and well been
staked? If no, what date will this be completed:
IM Yes
O 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.
0 Yes
f 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.
XI Yes
0 No
Is there an existing sanitary system on the property? If yes, what kind?
X 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?
0 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 0 Class B Special Use 0 Conditional Use 0 Variance
Fee payment will be made via:
❑ Check (attached) 0 Cash (attached) Y 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 NEmail to: 4,j G 1+yvla Cc9 W1Ct i i • GOIvt
/1
0 Property Owner Address 0 Agent Address 0 Contractor Address 0 Other (provide name and email or address):
Section II: Acknowl ement and S' ature
All Land Use Permits expire Two (2) Years from the date of issuance if construction or use has not �j ermit
issuance, if required, needs to occur prior to Land Use Permit issuance. Failure to obtain a permit or ftfrrihv6MMlon without a
permit will result in penalties.
APR 13 2026
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. A140R 'jftparR.tions to one -
and two-family dwellings may require review and approval by the UDC authority. All municipalities are requ re8 orce 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/topie/wetlands, v/topic/wetlands, or contact a Department of Natural Resources service
center (715)685-2900.
I (we) declare that this application, including any accompanying information, has been examined by me (us) and to the best of my
(our) knowledge and belief it is true, correct, and complete. I (we) acknowledge that I (we) am (are) responsible for the detail and
accuracy of all information that I (we) are providing and that will be relied upon by Bayfield County in determining whether to
issue a permit. I (we) further accept liability which may be a result of Bayfield County relying on this information I (we) are
providing in or with this application. I (we) consent to county officials charged with administering county ordinances to have
access to the above -described property at any responable time for the purpose of inspection.
(,-Formcrty Me%TbS . ≥sr-e8en, UlSfi✓t %wlavl✓1
Owner(s) or Authorized Agent Printed Name: Met50 sso.. A \hma..nn brdx�!
Owner(s) or Authorized Agent Signature: tC . Lam._ ._flY.l/A.t4 flttcvtakt4n Date: 'fit Z 6
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
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APR 132026
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Planning and Zoning Agency
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RECEIVED
Letter of Authorization APR 13 2026
Bayfield County Planning & Zoning Department saYfield co.
Planning and Zoning Agency
PURPOSE. This Letter of Authorization is used to authorize a single property owner to act on
behalf of multiple property owners or a designated agent to act on behalf of the property owner/s.
If multiple property owners, each property owner must submit this signed letter.
Formed.] Mssc G:esre9eri)
I, Mel issci A I--rhd n r (property owner), authorize A A(A',4- H I +vv n yi A
(authorized agent) to submit a Idd Asa (Example: land use, special
use, conditional use, rezone/map amendment, appeal, variance, text amendment, etc.) for the
following described project (Example: construction of residence or other structure, short-term
rental or other use change, etc.) ("nn +(u 4i00 17tf rvdk application on my behalf for
the following described property:
Legal description of subject property: Stony Pint. Si o vicini Laths LW b&1 7-670 R-SSL0(1 i Zbc
Address of subject property: ft919' Stoae Piave Drive C ainie u) c c'KZ i
Signature
H- 17 -LOUD
Dated
Land Use Permit Application Review Checklist
Submission#: LC.t -o
What zoning district is the 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 o
Is lot substandard (does not meet current zoning dimensional requirements)?
Deed of record:
❑ Yes -INo
r/'
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:
❑ Yes No
Are there wetlands on the property?
❑ Yes qjo
Is project associated with a nonconforming use or structure?
❑ Yes 10
Is project associated with a variance? Case #:
❑ Yes o
Is project associated with a Special B or Conditional Use Permit? Permit #:
❑ Yes No
Is the project associated with a Special A Use Permit?
I Yes No
Does the project require sanitary?
O Existing ❑ New ,g'Interce t ❑ Reconnect ❑ Non -Plumbing ❑ Public
Sanitary Permit It: a('j-O()7 # of Bedrooms:
❑ Yes frwo
Does the project require mitigation?
Implementation Deadline: Date of Compliance:
❑ Yes o
Does the project require an affidavit? Affidavit It:
es ❑ No
Did licensed surveyor mark lot line(s), if project is within 10 feet of required setback?
es ❑ No
Did applicant/property owner mark lot line(s), if project is within 30 feet of required setback?
Project use is? esidential ❑ Commercial ❑ Municipal
Project type is??Alew Construction Addition/Alteration ❑ Change Use ❑ Relocate ❑ RV Placement ❑ Sign
❑ Establishing a Business ❑ Temporary ❑ Shoreland Grading ❑ Other, describe:
Structure Type is: ❑ Residence O Principal Structure accessory Structure ❑ Boathouse (one story only)
❑ Open-sided/Screened Structure (gazebo, etc.) O Stairway to navigable waters ❑ Mobile Home
❑ Shipping Container ❑ Other, describe
Total Sq. Ft. of Project: Number of Stories: Overall Height:
Fee Type
Calculo ion
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)
$
on -Habitable Residential Principal and Accessory
Structures
$0.20 x sq ft
(minimum $75)
$ O 0
❑ Commercial Principal Structures
$250 + $0.005 x
cost of construction
(minimum $2 0)
$
❑ 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 O 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)
I $
Inspected by: V�r�r Date of Inspection: I6
Re -Inspected by: ` Date of Re -Inspection:
Denied by: Date of Denial:
Reason for Denial:
Date Denial Letter M 'led:
Approved by: .ff fi,, Date of Approv-!•
Condition(s): • C
Must meet and maintain setbacks from furthest extension of structure including eaves and
overhangs.
For personal storage only.
❑ For personal residence only.
�11ot 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).
iJse best management practices to limit and prevent erosion during construction.
❑ This permit cannot be transferred if property is sold.
❑ A Bayfield County Health Dept permit is required.
❑ Check with Town regarding room tax.
❑ Short -Term Rental is for a maximum occupancy of persons.
❑ Sign must meet the requirements of Article E of the Bayfield County Zoning Ordinance.
o be constructed per plan.
❑ Adhere to privy agreement.
❑ Temporary permit allowing existing structure for a period of less than 1 year.
❑ RV may not be used for permanent residence or storage.
❑ RV allowed for
❑ RV must be removed by
No sewer and pressurized water allowed in the structure.
No plumbing or plumbing fixtures allowed.
No additional sleeping areas allowed without obtaining necessary sanitary permit(s).
and 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
B A-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:
GIESREGEN,MELISSA S LU-02171
16895 STONE PINE DR
CABLE, WI 54821 Transaction Number:
LU-02171-43E1F
Description
Amount
Non -Habitable Residential Principal and Accessory
$708.80
Structures - $0.20/square foot (minimum $75)
Total:
$708.80
Payment Amount:
$708.80
Reference: 5163
Paid by: Austin Altmann
Payment Type: Check
Transaction Date: 4/22/2026
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 — No
Mitigation — No / Affidavit #:
LAND USE -X
SANITARY — Intercept 26-0118
SPECIAL A -
SPECIAL B/CONDITIONAL -
BOA -
BAYFIELD COUNTY
PERMIT
WEATHERIZE AND POST THIS PERMIT
ON THE PREMISES DURING CONSTRUCTION
No. 26-0122 Tax ID: 10657
Issued To: GIESREGEN, MELISSA S
Location: S15 - T43N - R07W
Town of Cable
Legal Description: STONE PINE SUBDIVISION LOT 25 IN DOC 2020R-582067 1265
Residential Structure in R-1 zoning district
For: New Construction [1.5 - Story ], Accessory Structure on a Slab [3544 Total sq. ft. ] Height of 25'
(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 Scott Roush
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 22, 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 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 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).