HomeMy WebLinkAbout26-0130Return to: County Use Only:
117 E 5t^ Street, PO Box 58 Bayfleld County Planning and Zoning Department Submission %u -O O
Washburn, WI 54891 LAND USE PERMIT APPLICATION
Permit
permits@bavfieldcounty.wi.gov Daatee:q
• SECTION A: General Information
Property Owner Name:
Ross F and Jennifer L Hodgson
Authorized Agent Name (if applicable).
3Telephone Numbcr
Telephone Number: APR 2 6 2026
E -Mail Address:
randihodgson@gmall.com
E -Mail Address: gayfeld Co.
Zoning AgencY
planning and
Mailing Address:
Mailing Address:
61320W. Fork Road
City, State, Zip:
City, State, Zip: C ()
hon River
WI
Contractor:
Telephone Number:
E -Mail Address:
SECTION B: Property Information
Project Address (if different from mailing address):
Legal Description (if additional space is needed attach a separate sheet):
Sec 18 Tn 46 Rg 07 NE SW LESS PAR LYING W OF WEST FORK WHITE RIVER IN DOC 201BR-671968 286
Section, Township, Range: Sec 18Th 46 Rg 07
Town of: Delta
Tax ID #: 12847
Lot Size (Acres/Square Feet): 40.000
SECTION C: Project -Information (check alidhat apply):
Project Use is: El Residential ❑ Commercial ❑ Municipal If Commercial, estimated cost of construction: $
Project Type is: O New Construction O Addition/Alteration (existing structure)
❑ Change Use (existing structure) O Relocate (existing structure) ❑ RV Placement 21+ days
❑ Sign O Establishing a Business O Temporary (12 or less months)
❑ Shoreland Grading, Class A O RV Placement 4+ months, Class A El Other (describe): Sh e (I
required (Total sq U): required
SECTION D: Structure Information (Does not apply to RVs and Signs, go to Section E)
Structure Type is: ❑ Residence O Principal Structure (describe):
❑ Accessory Structure (describe): O Shoreland Exempt Structure (describe): ❑ Mobile Home (provide manufactured
date):
{
❑ Shipping Container ❑ Other (describe): I O X 20 6hPA
Foundation Type:
❑ Basement O Walkout Basement ❑ Slab ❑ Crawlspace ❑ Ground ZSkids O Other (explain): Skcc t4ii4 4wVe sU
Existing Structure: u Length: Width: Height:
Proposed Structure (Provide Sq Ft based on outside dimensions, including unfinished areas, attached garages/above grade
decks/porches): 'dao 5 (\
Basement Sq Ft
14 Floor Sq Ft.
Loft Sq Ft
2mdFloor Sq Ft
3"' Floor Sq Ft:
Garage Sq Ft
Porch Sq Ft:
Deck Sq Ft:
Other Sq Ft (describe):
Other Sq Ft (describe):
200
Total Sq Ft wo
Overall Height (finished grade to peak):
# of Stories:
Existing # of Bedrooms on property:
Proposed It of Bedrooms in project:
SECTION E: RV and Sign Information check all that apply) ••
Sign is:
RYis:..
❑ New O Replacement
O New O Replacement
❑ On -premise O Off -premise
❑ 1 -sided O 2 -sided
Year. Vin #:
❑ On -building O 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
siteplan)
Show location of:
❑ Driveways 0 Frontage Roads (include name) 0 Existing Structures ❑ Well (W) ❑ Septic Tank (Si) 0 Diain Field (DF)
❑ Hol i Tank (HT) ❑ Privy (P) ❑ Lake 0 River ❑Stream/Creek []Pond ❑Floodplain ❑Wetlands OSlopes esover 20%
RECEIVED
* ) APR 28 2026
Bayfield Co.
Planning and Zoning Agency
r
II\
clew Dkck —3\ aUlliiflil6
_
PecmA pull
arD-ob89
7 / o $pE{,C 7ei1
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
fL
Notes/Comments:
Front Lot Line/Right-of-Way
R
ft.
Side Lot Line 1
fL
fL
(North East South West, circle one)
Side Lot Line 2
ft.
ft.
(North East South West, circle one)
Rear Lot Line
ft.
ft.
Septic/Holding Tank
ft
ft.
Drainfield
ft.
ft.
Privy
K
fL
Well
R
fL
Existing Structure/Building
IL
fL
Wetland
ft.
fL
Elevation of Floodplain
fL
ft
Ordinary High -Water Mark (OHWM)
ft.
ft
Other (describe)
fL
ft.
Application Page 2
RECEIVED
APR 2620Z6
SECTION:
Rayfleld Co.
Additional Questions Planning and
❑ Yes
I El 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:
❑ Yes
El No
Did a licensed surveyor mark lot line(s) if project is within 10 feet ofrequired setback? Sec page 2 of Land Use
Application Information for required setbacks.
❑ Yes
El 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 lntbrmation for required setbacks.
El Yes
❑ No
Is there an existing sanitary system on the property? If yes, what kind?
O Drainfield O Holding Tank O Municipal/Public O 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?
O Drainfield O Holding Tank O Municipal/Public O Other (describe):
❑ Yes
El 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 ❑ Variance
Fee payment will be made via:
❑ Check (attached) ❑ 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 El Email to:
O 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
'inc.
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.aov/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 Bayfleld 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: F o SS v. i-1� -
Owner(s) or Authorized Agent Signature: 1 Date: vm®.
NOTES:
1. If you are signing on behalf of the owner(s) a letter of authorization must accompany this application.
2. Specific conditions/instructions maybe 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
Bayfield County, WI
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4128126, 8:19 AM
Novus-Wisconsin Access rev. 12.0206
yll Real Estate
Bayfield County Property Listing
Property Status: Current
Today's Date: 4/28/2026
Created On: 3/15/2006 1:15:16 PM
Description
Updated: 3/7/2018
QA Ownership
Updated: 3/7/2018
Tax ID:
12847
ROSS F & JENNIFER L HODGSON IRON RIVER WI
PIN:
04-016-2-46-07-18-3 01-000-10000
Legacy PIN:
016103604000
Billing Address:
Mailing Address:
Map ID:
ROSS F & JENNIFER L
ROSS F & JENNIFER L
Municipality:
(016) TOWN OF DELTA
HODGSON
HODGSON
SIR:
S18 T46N R07W
61320 W FORK RD
61320 W FORK RD
Description:
NE SW LESS PAR LYING W OF WEST
IRON RIVER WI 54847
IRON RIVER WI 54847
FORK WHITE RIVER IN DOC 2018R-
571968 286
P Site Address * indicates
Private Road
Recorded Acres:
40.000
61320 W FORK RD -
IRON RIVER 54847
Calculated Acres:
40.917
Lottery Claims:
1
First Dollar:
Yes
a Property Assessment
Updated: 4/14/2022
Zoning:
(R-1) Residential -1
2026 Assessment Detail
ESN:
110
Code
Acres Land Imp.
Gl-RESIDENTIAL
1.000 5,000 41,800
Tax Districts
Updated: 3/15/2006
G5 -UNDEVELOPED
6.000 1,800 0
G6 -PRODUCTIVE FOREST
33.000 52,800 0
1
STATE
04
COUNTY
2 -Year Comparison
2025 2026 Change
016
TOWN OF DELTA
Land:
59,600 59,600 0.0%
041491
SCHL-DRUMMOND
Improved:
41,800 41,800 0.0%
001700
TECHNICAL COLLEGE
Total:
101,400 101,400 0.0%
-r
, Recorded Documents Updated: 3/15/2006
0 WARRANTY DEED
Date Recorded: 2/20/2018 2018R571968
0 QUIT CLAIM DEED
Date Recorded: 10/6/2014 20148-556197 1132-736
0 TERMINATION OF DECEDENT'S INTEREST
Date Recorded: 9/26/2011 20118.540399 1069-1
0 CONVERSION
Date Recorded: 490-27
'J Property History
N/A
https://novus.bayfieldcounty.wi.gov/access/master.asp?paprpid=12847 1/1
Land Use Permit Application Review Checklist
Submission #:
WJ3at 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 to
Is lot substandard (does not meet current zoning dimensional requirements)?
Deed of record:
❑ Yes p -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 p -No
Is impervious surface required? (Required if riparian lot OR lot is entirely within 300 feet of OHWM of
navigable waterway)
❑ Yes No
Is the project located in the Floodplain? Zone:
Yes ❑ No
Are there wetlands on the property?
❑ Yes .aiio
Is project associated with a nonconforming use or structure?
❑ Yeso
Is project associated with a variance? Case #:
❑ Yes 12110
Is project associated with a Special B or Conditional Use Permit? Permit #:
❑ Yes 12110
Is the project associated with a Special A Use Permit?
❑ Yes o
Does the project require sanitary?
0 Existing ❑ New ❑ Intercept 0 Reconnect ❑ Non -Plumbing 0 Public
Sanitary Permit #: # of Bedrooms:
❑ Yes J3lo
Does the project require mitigation?
Implementation Deadline: Date of Compliance:
❑ Yes 01
Does the project require an affidavit? Affidavit #:
❑ Yes .0'�lo
Did licensed surveyor mark lot line(s), if project is within 10 feet of required setback?
❑ Yes j≥'IGo
Did applicant/property owner mark lot line(s), if project is within 30 feet of required setback?
Project use is?j21sjciential 0 Commercial ❑ Municipal
Project type is? New Construction _❑ Addition/Alteration 0 Change Use ❑ Relocate ❑ RV Placement ❑ Sign
❑ Establishing a Business 0 Temporary ❑ Shoreland Grading 0 Other, describe:
Structure Type is: 0 Residence 0 Principal Structure ccessory Structure 0 Boathouse (one story only)
❑ Open-sided/Screened Structure (gazebo, etc.) ❑ Stairway to navigable waters ❑ Mobile Home
❑ Shipping Container 0 Other, describe
Total Sq. Ft. of Project: Number of Stories: Overall Height:
Fee Type
Calculation
Fee Amount
0 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
Non -Habitable Garages
$0.20 x sq ft
(minimum $125)
$
Attached
5tructu Habitable Residential Principal and Accessory
$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)
0 Return Inspection 0 Land Use Revisions 0 Special Use Permit - Class A ❑ Floodplain 0 Shoreland - Impervious
Surface 0 Shoreland - Non -Conforming, etc. 0 Tower Siting/Collocation 1 0 Tower Collocation 2 0 Metallic Mine
0 After -the -Fact (ATF)
$
r,
Inspected by:
Date of Inspection: /
Re -Inspected by:
Date of Re -Inspection:
Denied by:
Date of Denial:
Reason for Denial:
Date Denial Letter Mailed:
Approved by:
Date of Approval:
Condition(s):
❑ Must meet and maintain setbacks from furthest extension of structure including eaves and
overhangs.
_�ior personal storage only.
❑ For personal residence only.
J21got 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).
❑ 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.
❑ Sign must meet the requirements of Article E of the Bayfield County Zoning Ordinance.
,21'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)
O 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!'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:
HODGSON, ROSS F & JENNIFER L LU-02200
61320 W FORK RD
IRON RIVER, WI 54847 Transaction Number:
LU-02200-44848
Description Amount
Non -Habitable Residential Principal and Accessory $75.00
Structures - $0.20/square foot (minimum $75)
Total: $75.00
Payment Amount: $76.95
Reference: 9972170595
Paid by: Ross Hodgson
Payment Type: Credit Card
Transaction Date: 4/29/2026
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 I 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. 26-0130 Tax ID: 12847
Issued To: HODGSON, ROSS F & JENNIFER L
BAYFIELD COUNTY
PERMIT
WEATHERIZE AND POST THIS PERMIT
ON THE PREMISES DURING CONSTRUCTION
Location: S18 - T46N - R07W
Town of Delta
Legal Description: NE SW LESS PAR LYING W OF WEST FORK WHITE RIVER IN DOC 2018R-571968 286
Residential Structure in R-1 zoning district
For: New Construction [1 - Story ], Accessory Structure on Skids [200 Total sq. ft. ] Height of 12'
(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
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.
Tracy Pooler
Authorized Issuing Official
April 29, 2026
Date
Condition(s): For personal storage only.
Not for human habitation or sleeping purposes.
To be constructed per plan.