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HomeMy WebLinkAbout26-01373 Return to: County Use Only: 117 E 5`h Street, PO Box 58 Bayfield County Planning and Zoning Department Submission #r• LU-Oaal Washburn, WI 54891 LAND USE PERMIT APPLICATION Permit #: ?'G -O \ 37 permits@bayfieldcounty.wi.gov Date: a •e6 SECTION A: General Information Property Owner Name: Authorized Agent Name (if applicable): SY Telephone Nber: Telephone Number: tn5O �kB3.93 E -Mail Address: E -Mail Address: Mailing Addre: Mailing Address: akobrb City, State, Zip: _I City, State, Zip:1/to hi] Number: I E -Mail Address: Project Address (if different from mailing address): Legal Description (if additional space is needed attach a separate sheet): t4.* d tf N's- d Rr. , j Section, Township, Range: / 7 - 4'f- 27 Town of: pes Tax ID #:j' /'f/ Lot Size (Acres/Square Feet): Project Use is: EVResidential ❑ Commercial ❑ Municipal Project Type is: R New 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): Structure Type is: ❑ Residence ❑ Principal Structure (describe): IWAccessory Structure (describe): ❑ Shoreland Exempt Structure (describe): ❑ Mobile Home (provide Pok 16"N% date): ❑ Shipping Container ❑ Other (describe): 2 B 2026 pPR Foundation Type: Bayfield co'° A9 ❑ Basement ❑ Walkout Basement ❑ Slab ❑ Crawlspace E Ground ❑ Skids ❑ Other (explain): planning and Zon g Proposed Structure (Provide Sq Ft based on outside dimensions, including unfinished areas, attached garages/above grade decks/porches): 3o -Pt - Basement Sq Ft: P' Floor Sq Ft: Loft Sq Ft: 2nd Floor Sq Ft: 3`d Floor Sq Ft: Garage Sq Ft: Porch Sq Ft: Deck Sq Ft: Other Sq Ft (describe): Other Sq Ft (describe): Total Sq Ft: /,C'O/ I Overall Height (finished grade to peak): I # of Stories: f I Existing # of Bedrooms on property: — I Proposed # of Bedrooms in project: Sign is: R V is: ❑ New ❑ Replacement ❑ New ❑ Replacement ❑ On -premise ❑ Off -premise ❑ 1 -sided ❑ 2 -sided Year: Vin #: ❑ On -building ❑ Multi -Tenant Length: Width: Height: Make: Model: 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 ❑ Frontage Roads (include name) ❑ Existing Structures El Well (W) ❑ Septic Tank (ST) El Drain Field (DF) ❑ Holding Tank (HT) ❑ Privy (P) ❑ Lake ❑ River ❑Stream/Creek ❑Pond ❑Floodplain El Wetlands El Slopes over 20% � Y • APR 2 8 NN BaYfield Go. pen'/ Zoning Planning ar'd 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 ft. ft. Side Lot Line 1 ft. ft. North❑East South❑ West❑, check one) Side Lot Lin 2 ft. ft. (North East❑South❑ West❑, check one) /.P Rear L t Line ft. ft. Septic/Holding Tank ft. ft. 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. SECTION G: Additional Questions XYes ❑ 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 ❑ 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 ❑ 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. Yes ❑ No Is there an existing sanitary system on the property? If yes, what kind? Drainfield ❑ Holding Tank ❑ Municipal/Public ❑ Other (describe): ❑ Yes tX 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 ❑ 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: O Rezone O Class A Special Use O Class B Special Use ❑ Conditional Use O Variance Fee payment will be made via: ❑ Check (attached) ❑ Cash (attached) ❑ 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 O Email to: O Property Owner Address ❑ Agent Address ❑ 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. Sanipm P li u L. LI 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. APR 78 2026 The local Town, Village, City, State or Federal agencies may also require permits. The new construction of one- & k%95&slfii3y dwellings requires review and approval by the local Uniform Dwelling Code (UDC) authority. Additions andpl}tedatioft &13I1gency 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.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: C lq La_1s0 K 11dd Owner(s) or Authorized Agent Signature: Date: ______ 6 NOTES: 1. If you are signing on behalf of the owner(s) a Ir f 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. Land Use Permit Application Review Checklist Submission #: What zoning district is the project located in? 1 ❑R-2 ❑R-3 ❑R-4 DR-RB ❑C ❑1 ❑M ❑A-1 ❑A-2 ❑F-1 ❑F-2 ❑W OM -M es ❑ No Is lot substandard (doers not meet current zoning dimensional requirements)? Deed of record: PT1W,42 k.f — ❑ Yes LZ 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) ❑ Yes o Is the project located in the Floodplain? Zone: ❑ Yes o Are there wetlands on the property? ❑ Yes 8' ll�o Is project associated with a nonconforming use or structure? ❑ Yes p'No Is project associated with a variance? Case #: ❑ Yes 12'10 Is project associated with a Special B or Conditional Use Permit? Permit #: ❑ Yes 91Go Is the project associated with a Special A Use Permit? ❑ Yes )allo Does the project require sanitary? ❑ Existing 0 New 0 Intercept ❑ Reconnect 0 Non -Plumbing 0 Public Sanitary Permit #: # of Bedrooms: ❑ Yes ja'IVo Does the project require mitigation? Implementation Deadline: Date of Compliance: ❑ Yes L?No 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 4'N Did applicant/property owner mark lot line(s), if project is within 30 feet of required setback? Project use is?1Z�esKlential ❑ Commercial ❑ Municipal Project type is?J24ew Construction ❑ Addition/Alteration ❑ Change Use ❑ Relocate ❑ RV Placement ❑ Sign ❑ Establishing a Business ❑ Temporary ❑ Shoreland Grading 0 Other, describe: Structure Type is: ❑ Residence rincipal Structure 0 Accessory Structure ❑ Boathouse (one story only) 0 Open-sided/Screened Structure (gazebo, etc.) 0 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 ❑ Dwelling Enclosed Areas — all enclosed areas within dwelling except attached non -habitable garages $0.75 x sq ft (minimum $125) $ ❑ Dwelling Unenclosed Areas (decks, patios, etc.) or Attached Non -Habitable Garages $0.20 x sq ft (minimum $125) $ ❑ Habitable Residential Accessory Structures $0.50 x sq ft (minimum $75) Non -Habitable Residential Principal and Accessory tructures $0.20 x _ sq ft (minimum $75) $ 0) ❑ Commercial/Municipal Principal Structures $250 + $0.005 x cost of construction (minimum $250) $ ❑ Commercial/Municipal Accessory Structures $150 + $0.005 x cost of construction (minimum $150) $ ❑ Return Inspection 0 Land Use Revisions ❑ Special Use Permit - Class A 0 Floodplain 0 Shoreland - Impervious Surface ❑ Shoreland - Non -Conforming, etc. 0 Tower Siting/Collocation 1 ❑ Tower Collocation 2 ❑ Metallic Mine ❑ After -the -Fact (ATF) $ 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 ovejangs. For personal storage only. ❑ For ersonal residence only. of for human habitation or sleeping purposes. wn/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. Jf] FCUniform 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. must meet the requirements of Article E of the Bayfield County Zoning Ordinance. bSi❑ e 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: 3AYFIELD 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: LARSON, MARY P LU-02216 2400 BLUE SPRUCE CT BARNES, WI 54873 Transaction Number: LU-02216-44DC5 Description Amount Non -Habitable Residential Principal and Accessory $240.00 Structures - $0.20/square foot (minimum $75) Total: $240.00 Payment Amount: $245.71 Reference: 1702185005 Paid by: Mary Larson Payment Type: Credit Card Transaction Date: 4/30/2026 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 - Yes / Nonconforming - No Shoreland - No / Impervious Surface - No Floodplain - No / Wetlands - No Mitigation - No / Affidavit #: LAND USE -X X SANITARY - SPECIAL A - SPECIAL B/CONDITIONAL - BOA - BAYFIELD COUNTY PERMIT WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION No. 26-0137 Tax ID: 4171 Issued To: LARSON, MARY P Location: S17 - T45N - R09W Town of Barnes Legal Description: WHITERABBITS ADD TO POTAWATOMI LOT 55 IN V.1082 P.899 1948 Residential Structure in R-1 zoning district For: New Construction [1 - Story ], Principal Structure on the Ground [1200 Total sq. ft. ] Height of 18' (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 Tracy Pooler 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 30, 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): For personal storage only. Not for human habitation or sleeping purposes. TownlState/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 (if applicable). To be constructed per plan.