HomeMy WebLinkAbout26-0127Return to: County Use Only:
117 E 5th Street, PO Box 58 Bayfield County Planning and Zoning Department Submission #: LU-o, M
Washburn, WI 54891 LAND USE PERMIT APPLICATION Permit #: 4-O
permits(tbayfieldcounty.wi.aov Date:
SECTION A: General Informati
Property Orrner Name:
Authorized Agent Name (if applicable):
Telephone Number:
Telephone Number:
I%1 0O
ED
E -Mail Address:
E -Mail Address:
ov\r MOae,rnMo.• o.ra.
Maihng Address:
Mailing Address: APR 020Th
ibIMTt1bflOik
City, State, Zip:
City, State, Zip: Yfi&d Co.
Planning and Zoning Agency
Contractor: Telephone Number: E -Mail Address:
c-cr'-- Cu�sF,� r-� ., 71sg17-2voo
'SECTION B: Pro e` `Uf i Kation "
Project Address (if different from mailing address): TfRED
6w2C C V0.rk a
Legal Description (if additional space is needed attach a separate sheet):
V4
Par II" 113vt Q 1 lb iJoc 2oz — aS
Section, Township, R ge: L- L Town of: L.lo.«
Tax ID #: I z 5 RS Lot Size (Acres/Square Feet): 3 . acv
SECTION C: P( . . [oration check all that apply)
Project Use is: [.Residential ❑ Commercial ❑ Municipal If Commercial, estimated cost of construction: $
Project Type is: ❑ New Construction ❑ Addition/Alteration (existing structure)
❑ Change Use (existing structure) 1 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):
requited (Total sft): required
SECTION. D. Structure Information (Does not al to RVs and Signs, go to Section E :.....,. °
Structure Type is: ❑ Residence Principal Structure (describe):
❑ Accessory Structure (describe): ❑ Shoreland Exempt Structure (describe): ❑ Mobile Home (provide manufactured
date):
❑ Shipping Container ❑ Other (describe):
Foundation Type- 1\eW
❑ Basement lS Walkout Basement ❑ Slab ❑ Crawlspace ❑ Ground ❑ Skids O Other (explain):
Existing Structure: Length: t{0 Width: 3o Height: 7- Z'
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:
3'a Floor Sq Ft:
£2O O
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: 2 Existing # of Bedrooms on property: Proposed # of Bedrooms in project: D
SECTION E: RV and Sign Information check all that a l ' .
Sign is:
RVis:
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 I
SECTION F: Site Plan. -.attach a site plan. or draw site plan. inbox.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) O Privy (P) ❑ Lake ❑ River ❑Stream/Creek ❑Pond ❑Floodplain ❑Wetlands ❑Slopes over 20%
N
�.1. $
p rr
Ito& I-
jN0F
APR 2 U 1026
Sayfield Co.
Plannhp 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
3wo ft.
6 ft.
Notes/Comments:
Front Lot Line/Right-of-Way
2.1 p ft.
oo-- ft.
Side Lot Line 1
i D ft.
ft.
(North East South West, circle one)
Side Lot Line 2
.7 O ft.
ft.
(North East South West, circle one)
Rear Lot Line
i Lt 6 ft.
ft.
Septic/Holding Tank
ft.
ft.
Drainfreld
'V//I ft.
ft.
Privy
ft.
ft.
Well
ft.
ft.
Existing Structure/Building
A ft.
ft.
Wetland
m - ft.
ft.
Elevation of Floodplain
ft.
ft.
t
Ordinary High -Water Mark (OHWM)
24O ft.
b -A —ft.
Other (describe)
ft.
ft.
Application Page 2
CTIONG�Additioual
ues' - - -,
Has the location of the proposed project including eaves and overhangs and the sanitary system and well been
Yes
❑ No
staked? If no, what date will this be completed:
❑ Yes
R o
Did a licensed surveyor mark lot line(s) if project is within 10 feet of required setback? See page 2 of Land Use
A//a4
Application Information for required setbacks.
❑ Yes
>E7 No
Did property owner or applicant mark lot line(s) if project is within 30 feet of required setback? See page 2 of
A
Land Use Application Information for required setbacks.
$ Yes
❑ No
Is there an existing sanitary system on the property? If yes, what kind?
❑ Drainfield 61 Holding Tank ❑ Municipal/Public ❑ Other (describe):
<R�Yes
El No
Will pressurized water be installed in the structure? If yes, what kind of sanitary system will be installed or used
to manage wastewater? — e <M F
❑ Drainfield Holding Tank ❑ Municipal/Public ❑ Other (describe):
Yes
❑ No
Will sleeping occur in the structure? If yes, contact local Uniform Dwelling Code ((JDC) 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 RE E
Fee payment will be made via:
❑ Check (attached) ❑ Cash (attached) E'debit/credit/echeck (department to call once payment is ready to n
How would you like to receive your permit card?
❑ Mail to: OR I Email to: Jam re.re gaypeb Co
❑ Property Owner Address ❑ Agent Address O Contractor Address ❑ Other (provide narRi8flhitam9koaia�
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, diir wi gov/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 reasonable time for the purpose of inspection.
Owner(s) or Authorized Agent Printed Name:
Owner(s) or Authorized Agent Signature: Date: 9 Z
NOTES:
1. If you are signing on behalftfthe owner(s) a letter of authorization m98(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 APR 20 2026
These calculations are REQUIRED per WI Admin Code NR 115.05(1)(e) and Section 13-1-32(c) eatfleEf32-40(h) of the
Bayfield County Code of Ordinances. The undersigned hereby makes application for c�Kofu 4tldr�pri tction,
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 employees assigned to inspect properties shall have access to said properties to make inspections.
Property Owner(s):
John
fflnryrtTIC.
roS
Mailing Address:
�o(e13O tr
—r
1r.�
Ln
Property Addres
s56zrk c'a,L R.(
Legal Description:
Section, Township, Range
1/4,
/0
114,
Sec ____ Township 4'�I N, Range I w
P4" in J
Authorized Ant/Contractor
Gov't Lot
Lot #
CSM#
Vol & Page
1
I z -/,I
2.a22R —
Lot(s) #
Block(s) #
Subdivision
Town of: 32 EYE
Cl y 9�
Parcel ID # (PIN #)
Tax ID #
Date:
L/_/9-2Ei
04-OI'I--SI-o-7-2_z^N
0 1.111'
LL39C
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
$ yp
It'
Existing Accessory Building/Garage
Existing Sidewalk(s), Patio(s)
Existing Covered Porch(s), & Deck(s)
4
Existing Driveway
T/J
Soo 0
Other Structures7
Proposed Addition/House
no ra- S+°- me,,, �
^
4 nNo
Proposed Accessory Building/Garage
q as } S 4,otr.t. 4e
). a 1 a(c CA
Proposed Sidewalk(s) & Patio(s)
Proposed Covered Porch(s) & Deck(s)
Proposed Driveway
RECEIVED
Proposed Other Structures
APR 202026
Total:
Bayfleld Co.
Planning and Zoning Agen
a. Total square footage of lot: I 5' °'°
b. Total impervious surface area: 'i Z G U
c. Percentage of impervious surface area: 100 x (b)/a = 3• z 3
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:
Inspection Record:
Zoning District ( )
Condition(s):
Stormwater
Management Plan Required:
❑ Yes ❑ No
Signature of Inspector:
Date of Approval:
ci-
u/forms/impervioussurface J U
Created: May 2012 (®Sept 2016, Sept 2020, Feb 2026)
Proofed by:
4/20/26, 1:08 PM
Novus-Wisconsin Access rev. 12.0206
Real Estate Bayfield County Property Listing
Today's Date: 4/20/2026
Property Status: Current
Created On: 3/15/2006 1:15:14 PM
S Description
Updated: 3/4/2024
i� Ownership
Updated: 3/4/2024
Tax ID:
12395
JOHN M & MARGARETTE A BROBERG
IRON RIVER WI
PIN:
04-014-2-51-07-27-4 00-177-10000
Legacy PIN:
014112201012
Billing Address:
Mailing Address:
Map ID:
JOHN M & MARGARETTE A
JOHN M &
MARGARETTE A
Municipality:
(014) TOWN OF CLOVER
BROBERG
BROBERG
STR:
527 T51N R07W
66130 W IRON LAKE LN
66130 W IRON LAKE LN
Description:
GITCHE GUMEE SHORES LOT 1 CSM
IRON RIVER WI 54847
IRON RIVER
WI 54847
#1880 IN V.11 P.118 (LOCATED IN LOTS
12 - 14) IN DOC 2019R-577833
11 Site Address * indicates
Private Road
Recorded Acres:
3.050
89025 BARK POINT RD
HERBSTER 54844
Calculated Acres:
3.050
Lottery Claims:
0
® Property Assessment
Updated: 7/30/2018
First Dollar:
Yes
Zoning:
(R-RB) Residential -Recreational Business
2026 Assessment Detail
ESN:
109
Code
Acres
Land Imp.
G1 -RESIDENTIAL
3.050
130,700 120,900
I Tax Districts
Updated: 3/15/2006
2 -Year Comparison
2025
2026 Change
1
STATE
Land:
130,700
130,700 0.0%
04
CUNTY
L
Improved:
120,900
120,900 0.0%
014
TOWN OF COVER
Total:
251,600
251,600 0.0%
044522
SCHL-SOUTHSHORE
001700
TECHNICAL COLLEGE
Property History
c Recorded Documents Updated: 3/15/2006
0 WARRANTY DEED
N/A
Date Recorded: 6/17/2019
2019R-577833
0 QUIT CLAIM DEED
Date Recorded: 12/11/2018
2018R-575720
0 QUIT CLAIM DEED
Date Recorded: 12/11/2018
2018R-575719
0 CONVERSION
Date Recorded:
613-45
https://novusbayfiieldcounty.wi.gov/access/master.asp?paprpid=12395 1/1
Bayfield County, WI
4/20/2026, 1:08:52 PM 1:725
Rivers
Approximate Parcel Boundary
Road Type
— Town
Lake Superior Shoreline Recession Segments
`—' The average annual rate of bluff recession in this reach of shoreline is approximately 1.0 feet.
Flood Plain Boundaries Active Dec 16th, 2011 0
F
AE = Base floodplain where base flood elevations are provided. 0
Lake Superior Proposed Setback Line
Building Footprint 2015
Building
0.01 0.01 0.03 ml
0.01 0.03 0.05 km
Baylled County Land Records oeparthienl
Bayfield Canty Zoning ApplicaUon
blips: limo pe.baypeldcuunry wl.gov/ZoningWAS!
4/20/26, 1:04 PM
Novus-Wisconsin Access rev. 12.0206
Real Estate Bayfield County Property Listing
Today's Date: 4/20/2026
Z Description Updated: 3/4/2024
Tax ID:
12395
PIN:
04-0142-51-07-27-4 00-177-10000
Legacy PIN:
014112201012
Map ID:
Municipality:
(014) TOWN OF CLOVER
STR:
S27 T51N R07W
Description:
GITCHE GUMEE SHORES LOT 1 CSM
#1880 IN V.11 P.118 (LOCATED IN LOTS
12 - 14) IN DOC 2019R-577833
Recorded Acres:
3.050
Calculated Acres:
3.050
Lottery Claims:
0
First Dollar:
Yes
Zoning:
(R-RB) Residential -Recreational Business
109
CESN:
V Tax Districts
Updated: 3/15/2006
1
STATE
04
COUNTY
014
TOWN OF CLOVER
044522
SCHL-SOUTHSHORE
001700
TECHNICAL COLLEGE
y� Recorded Documents
Updated: 3/15/2006
0 WARRANTY DEED
Date Recorded: 6/17/2019
2019R-577833
0 QUIT CLAIM DEED
Date Recorded: 12/11/2018
2018R-575720
0 QUIT CLAIM DEED
Date Recorded: 12/11/2018
2018R-575719
0 CONVERSION
Date Recorded:
613-45
Property Status: Current
Created On: 3/15/2006 1:15:14 PM
a Ownership Updated: 3/4/2024
JOHN M & MARGARETTE A BROBERG IRON RIVER WI
Billing Address:
Mailing Address:
JOHN M & MARGARETTE A
JOHN M & MARGARETTE A
BROBERG
BROBERG
66130 W IRON LAKE LN
66130 W IRON LAKE W
IRON RIVER WI 54847
IRON RIVER WI 54847
P Site Address * indicates Private Road
89025 BARK POINT RD
HERBSTER 54844
Property Assessment Updated: 7/30/2018
2026 Assessment Detail
Code
Acres
Land
Imp.
G1 -RESIDENTIAL
3.050
130,700
120,900
2 -Year Comparison
2025
2026
Change
Land:
130,700
130,700
0.0%
Improved:
120,900
120,900
0.0%
Total:
251,600
251,600
0.0%
UR Property History
N/A
https://novus.bayfieldcounry.wi.gov/access/master.asp?paprpid=12395 try
Emily Macgillivray
From: Emily Macgillivray
Sent: Monday, April 20, 2026 1:08 PM
To: john@modernma.org
Subject: Land Use Permit application for 89025 Bark Point
Attachments: Public Hand -Out (Current) Contractor.pdf
Hi John,
I'm the assistant zoning administrator reviewing your Land Use Permit application for 89025 Bark Point.
I want to touch base about three things:
• Can you clarify how many bedrooms are on the property? The Land Use Permit application says
there are currently 4 bedrooms, but the County Sanitary says 3 bedrooms.
• Also, according to our pumping records, your holding tank on the property is 287 days overdue to
be pumped. I've attached a list of pumpers. Please have it pumped ASAP. The system will need to
be in good standing (not overdue to be pumped) before the Land Use Permit application can be
approved.
• I will also need elevation drawings show the height from the lowest point (in this case, the walk
out basement) to highest point of the roof. The drawing you submitted only shows one side, and it
shows the ground level from the back of the house to the peak as 25', but this does not include
the walkout basement. Here are some sample drawings of elevations to give you an idea of what
we need:
SIDE VIEWS/BUILDING ELEVATIONS: Minimum document size of 8'b" x 11" and shall not exceed 11'
Provide side views/building elevations of all sides of the exterior of the proposed structure. Elevations drawings r
• Dimensioned or scaled using an engineering scale (i.e.: 1 inch = 10 foot) or architect scale (i.e.: 1/4 inch =
• Elevations show the level at which the ground (finished grade) meets the building and the overall height t
peak. Walkout basements should be shown and included in the overall height from the finished grade to r
the roof.
• The views shall accurately reflect the overall size/dimensions, wall height, roof pitch, appearance, doors!'
etc.
ELEVATIONS EXAMPLE
2po�
�
—-r,ociboc �.
TOPaFWaP- r:
EMVATI ( WALK -oat' BASEfleW
_ I Tcf OF ftF Y
ToP OF WALL. n
++L
T
VEL '•
OSIDE ELEVATION
Ile r t'_o„
I look forward to hearing from you. If you have any questions for me, please let me know!
Kind regards,
Emily Macgillivray (she/her)
Assistant Zoning Administrator
2
Planning and Zoning Department
Bayfield County
117E 5`h Street, PO Box 58
Washburn, WI 54891
Phone: 715-373-3511
emity.macgillivray(abayfieldcounty.wi.gov
Fraudulent Billing Alert: Be aware that individuals submitting applications to our department have
received scam emails. Bayfield County will NOT ask applicants to wire any funds. Please contact our
office at zoning@bayfieldcounty.wi.9ov or 715 373-6138 with any questions or concerns.
Emily Macgillivray
From: John Broberg <john@modernma.org>
Sent: Tuesday, April 28, 2026 9:53 AM
To: Emily Macgillivray
Subject: Fwd: 89025 bark point rd
---------- Forwarded message ---------
From: Rachel Little <birchstseptic@gmail.com>
Date: Sat, Apr 25, 2026 at 5:31 AM
Subject: Re: 89025 bark point rd
Awesome, thank you! They will just send the invoice when they are done on Monday and we will make
sure to get it registered right away. Have a great weekend.
Rachel Little
Business Office Manager
Birch Street Excavating & Septic
77755 W Maple Hill Rd
Washburn, WI 54891
715-373-5683
On Fri, Apr 24, 2026 at 6:55 PM John Broberg <iohn( modernma.org> wrote:
Hi Rachel, this is John broberg from 89025 bark point road , I paid those invoices online just now,
thanks for sending the link, I will happily pay the one for Monday now if you want to send an invoice.
Thank again, have a good weekend
Sent from my iPhone
Land Use Permit Application Review Checklist
Submission #: p'
What zoning district is the project Gated in?
❑ R-1 ❑ ❑ R-3 ❑ R-4 R-RB ❑ C ❑ 1 ❑ M ❑ A-1 ❑ A-2 ❑ F-1 ❑ F-2 ❑ W ❑ M -M
❑ Yes cs4lo
Is lot substandard (does not meet current zoning dimensional requirements)?
Deed of record:
Yes ❑ Np
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 Dto
Is the project located in the Floodplai . Zone:
❑ Yes EiN,s
Are there wetlands on the property?
❑ Yes 14,io
Is project associated with a nonconforming use or structure?
❑ Yes
Is project associated with a variance? Case #:
❑ Yes
Is project associated with a Special B or Conditional Use Permit? Permit #:
❑ s Q410
Is the project associated with a Special A Use Permit?
Yes ❑ No
Does the project require sanitary?
❑ Existing ❑ New ❑ Intercept Reconnect 0 Non -Plumbing 0 Public l° ,a35
,,. (of'aivt
Sanitary Permit It: 9.0) # of Bedrooms:
Does the project require mitigation?
Implementation Deadline: Date of Compliance:
❑ Yes No
/
❑ Yes Dijto
Does the project require an affidavit? Affidavit #:
❑ Yes
Did licensed surveyor mark lot line(s), if project is within 10 feet of required setback?
❑ Yes L4Jo
Dapplicant/property owner mark lot line(s), if project is within 30 feet of required setback?
Project use isVEi Residential ❑ Commercial ❑ Municipal
Project type is? ❑ New Construction ❑ Addition/Alteration ❑ Change Use Relocate ❑ RV Placement 0 Sign
❑ Establishing a Business 0 Temp ary 0 Shoreland Grading 0 Other, describe:
Structure Type is:�Residence rprincipal Structure 0 Accessory Structure 0 Boathouse (one story only)
❑ Open-sided/Screened Structure (gazebo, etc.) ❑ Stairway to navigable waters 0 Mobile Home
❑ Shipping Container 0 Other, describe
Total sq. Ft. of Project: t2po Number of Stories: Overall Height:
Fee ype
Calculation
Fee Amount
12'Habitable Residential Principal and Accessory
Structures - Enclosed Areas — all enclosed areas within
dwelling except attached non -habitable garages
$0.50 x /oZOO sq ft
(minimum $125)
$ 000
❑ 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 sq ft
(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 0 Land Use Revisions 0 Special Use Permit - Class A 0 Floodplain horeland - Impervious
Surface 0 Shoreland - Non -Conforming, etc. ❑ Tower Siting/Collocation 1 0 Tower Collocation 2 ❑ Metallic Mine
❑ After -the -Fact (ATE)
$
Inspected by: ( / (✓
()
1 i!iRe-Inspected
Date of Inspection: a O�
by: ci /
Date of Re -Inspection:
Denied by:
Date of Denial:
Reason for Denial:
Date Denial Letter Mailed:
Approved by: Jfla
`
Date of A7�J:
C(
Conpion(s):
L°1 Must meet and maintain setbacks fro hest extension of structure including eaves and
overhangs.
❑— For personal storage only.
IB'For personal residence only.
❑ Not for human habitation or sleeping purposes.
lt7'wn/State/DNR/Federal may require permitting
0"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
obtpirted 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.
0 Check with Town regarding room tax.
❑ Short -Term Rental is for a maximum occupancy of persons.
❑ SS's must meet the requirements of Article E of the Bayfield County Zoning Ordinance.
BTo 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
VA FIELD 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:
BROBERG, JOHN M & MARGARETTE A LU-02184
66130 W IRON LAKE LN
IRON RIVER, WI 54847 Transaction Number.
LU-02184-4436D
Description Amount
Shoreland - Impervious Surface $25.00
Habitable Residential Principal & Accessory $600.00
Structures - enclosed areas $0.50/ square foot
(minimum $125)
Total: $625.00
Payment Amount: $639.88
Reference: 8524703055
Paid by: John Broberg
Payment Type: Credit Card
Transaction Date: 4/28/2026
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 I Affidavit #:
LAND USE - X
SANITARY — Reconnect 26-0126 (10-23S)
SPECIAL A -
SPECIAL B/CONDITIONAL -
BOA -
BAYFIELD COUNTY
PERMIT
WEATHERIZE AND POST THIS PERMIT
ON THE PREMISES DURING CONSTRUCTION
No. 26-0127 Tax ID: 12395
Issued To: BROBERG, JOHN M & MARGARETTE A
Location: S27 - T51 N - R07W
Town of Clover
Legal Description: GITCHE GUMEE SHORES LOT I CSM #1880 IN V.11 P.118 (LOCATED IN LOTS 12 - 14) IN DOC 2019R-
577833
Residential Structure in R-RB zoning district
For: Relocate [2 - Story ], Residence on a Walkout Basement [1200 Total sq. ft. ] Height of 34'
(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 28, 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.
Use best management practices to limit and prevent erosion during construction.
To be constructed per plan.