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HomeMy WebLinkAbout26-0176Return to: County Use Only: 117 E 5th Street, PO Box 58 Bayfield County Planning and Zoning Department Submission #(: LV' Oedo7 Washburn, WI 54891 LAND USE PERNIIT APPLICATION Permit #: a4-ollb permitsc bayfieldcountv.wi.sov Date: S SECTION A: Pro ert Owner e - Authorized Agent Name (if applicable): Telephone Number: 71.5 7 Telephone Number: E -Mail Address: E -Mail Address: ,/j 3 /� Q /� C� Mailing Address: //�/ �/ Mailing Address: APR 28 Z02b yficIrl pp. City, State, Zip: City, State, Zip: Planning and Zoning Agency c' G / Contractor: Telephone Number: E -Mail Address: SECTION B: Property Information mailing is needed attach a Section, Township, Range: ' ' V Town of: 47He ,G` Tax ID #: 3 5/ 9'4f Lot Size (Acres/Square Feet): /9 Project Use is: lM Residential ❑ Project Type is: ❑ Change Use (existing structure) ❑ Sign ❑ Shoreland Grading, Class A SECTStructure Type is: ❑ Accessory Structure (describe): ❑ Shipping Container O New Construction ❑ Relocate (existing structure) 0 Establishing a Business ❑ RV Placement 4+ months, Class A ❑ Residence ❑ Shoreland Exempt Structure (describe): tOther (describe): ❑ Addition/Alteration (existing structure) ❑ RV Placement 21+ days ❑ Temporary (12 or less months) ❑ Other (describe): ❑ Principal Structure (describe): ❑ Mobile Home (provide manufactured date): Foundation Type: ❑ Basement ❑ Walkout Basement 0 Slab El Crawlspace fd�Ground 0 Skids ❑ Other (explain): 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: 2n°Floor Sq Ft: 3`a Floor Sq Ft: Garage o Ft: Porch Sq Ft: Deck Sq Ft: Other Sq Ft (describe): Other Sq Ft (describe): l Total Sq Ft: tp O D Overall Height (finished grade to peak): # of Stories: / I Existing # of Bedrooms on property: Proposed # of Bedrooms in project: eD SECTION E: RV and Si n,luformation. check a0.that a i , RV is: Sign is: ❑ New ❑ Replacement ❑ New ❑ Replacement ❑ On -premise El Off -premise ❑ I -sided ❑ 2 -sided Year: Vin#: ❑ On -building ❑ 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 ❑Floodplain ❑ Wetlands ❑Slopes over 20% __ t RECEIVED APR 282026 Bayfield Co. Planning and ?c'iin9 A.rznry Setback or distance from furthest extent of structure including eaves and overhangs to (include on site plan): County Use Only Verified setbacks Road Centerline /35 ft. >6 3 ft. Notes/Comments: ` -. Front Lot Line/Right-of-Way r ft. ft. Side Lot Lin 1 (North Eas ou West, circle one) d) ft.7� 7N ft. Side Lot Line 2 (North East Sou es circle one) ft. 7J S% ft. 7S Rear Lot Line 7 ft. Septic/Holding Tank ft. v ft. Drainfield ft. ft. Privy _ ft. ft. Well /49 ft. le( ft. Existing Structure/Building — ft. ft. Wetland /f ft. > 2 ft. Elevation of Floodplain ft. ft. Ordinary High -Water Mark (OHWM) ft. ft. Other (describe) ft. ft. Application Page 2 �(/tS�rY .' Let -3 Cf/►l ,*1 f50y/h V9 %aW A,uaB BUIUO (LOJ$ /�'I Eel E Sec 3v r"WWWWrf 35) Ih'at13/P59dfy8 _ b ZWeBu�uuey l ����/ /� ,7 'oOWa�Y(eg / �f� !/T!J 6/a 7/Jo i� �u fl�f� rCeenen �0 /�%� 9zoz9Z d ?arZY3yMI 1'/9G 3/O�`4j'— ORAI� ?� /►�, ova Pc4- w; 5at3 i - a 56'rc,&5a-t ' \\ 350 we// F,r -q`767 aak'4+Mv fo ��acddRV �STa Hg7�o.t RECEIVED ECTION G: Additional Questions APWW- 4Yes _ 10 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 oayiieid Co. Did a licensed surveyor mark lot line(s) if project is wnmu .0 feet of required setback? a pa o ❑ Yes L No 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. l$' Yes ❑ No Is there an existing sanitary system on the property? If yes, what kind? ❑ Drainfield 2 -Holding Tank ❑ Municipal/Public ❑ Other (describe): ❑ Yes F7No Will pressurized water be installed in the structure? If yes, what kind of sanitary system will be installed or used to manage wastewater? ❑ Drainfield ❑ Holding Tank ❑ Municipal/Publie ❑ Other (describe): ❑ Yes H'No Will sleeping occur in the structure? If yes, contact local Uniform Dwelling Code (UDC) for approval and inspection requirements. Is the project associated with any of the following: ❑ Rezone ❑ Class A Special Use O Class B Special Use ❑ Conditional Use ❑ Variance Fee payment will be made via: 7 -Check (attached) ❑ Cash (attached) O debit/credit/echeck (department to call once payment is ready to be taken) How would you like to receive your permit card? Mail to: OR,.9(Email to: ,$ Property Owner Address ❑ Agent Address ❑ Contractor Address ❑ Other (provide name and email or address): ,Section H: Acknowled ement 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, 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 reasonabletime for the purposof in ection. see Owner(s) or Authorized Agent Printed Name: Cl`� ' �' Date: Owner(s) or Authorized Agent Signature: 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 RECEIVED APR 282026 Bayfleld Co. Planning and Zoning Agency AFFIDAVIT OF AUTHORITY (Trust) PURPOSE. This Affidavit of Authority is used to certify the individual submitting an application is authorized when the property Is owned by a Trust STATE OF WISCONSIN ) ss. BAYFIELD COUNTY The undersigned affirms and states as follows: 1. Address of Subject Property: Z e'f 3;y y�'4'E`t 5 1` 77�V Tve""at 1 t A'! 2. The Subject Property is owned by: %f S / 1Tqlz'G'N7C�1 (Name of rust) j u UG a 7 wi 3. The name(s) of the current Trustee(s): 2% a V /%r 4. I certify that the Trust named in paragraph 2 is valid and in effect on the date signed below. I am the duly appointed agent of the Trust named above in paragraph 2, and I have the authority under the terms of said authorization to submit an application to the Bayfield County Zoning Department concerning the Property described in paragraph 1. I further certify that the information and statements made within this affidavit are true, accurate, and complete to the best of my knowledge. 5. I am authorized by the above -named Trust to apply for and bind the Trust to the terms and conditions of any decision or permit that may be issued by the Bayfield County Zoning Department. 6. By signing this affidavit, I attest that I am unaware of any known or unknown person(s) who would contest this application. I agree to indemnify Bayfield County or such person or legal entity suffering a damage resulting from any illegalities of the application. Dated: C6 /0 ycd�tr�(//� } i� pr Print Name Subscribed and sworn to before a this \\ APIA,IP0"iii day of_________ 20 `.. , ... • (qA T. Notary Public, 5f. Ccn d. County, Wisconsin = p RECEIVED APR 282026 hayfield Co. Planning and Zoning Agency My commission: PROCESSING INFORMATION INITIAL PROCESSING. Once the department receives your affidavit, the department will review it for completeness. If the information is not complete, the department may reject your affidavit and the application. REQUEST FOR MORE INFORMATION. The department may request that you provide more information or evidence to support your affidavit. DECISION. The department will review all documents submitted as part of the application for registration and title, this form included, and may approve, deny or request more information. Land Use Permit Application Review Checklist Submission #: What zoning district is the project located in? ❑ R-1 ❑ R-2 ❑ R-3 ❑ R-4 ❑ R-RB ❑ C ❑ 1 ❑ M JA -1 ❑ A-2 ❑ F-1 ❑ F-2 ❑ W ❑ M -M ❑ Yes Is lot substandard (does not meet current zoning dimensional requirements)? Deed of record: ❑ Yes fNINo 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 jiNo / Is impervious surface required? (Required if riparian lot OR lot is entirely within 300 feet of OHWM of navigable waterway) ❑ Yes frWo Is the project located in the Floodplain? Zone: es ❑ No Are there wetlands on the property? ❑ Yes J2cNo Is project associated with a nonconforming use or structure? ❑ Yes ,No Is project associated with a variance? Case #: ❑ Yes YJ 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(/No Does the project require sanitary? ❑ Existing ❑ New ❑ Intercept ❑ Reconnect 0 Non -Plumbing ❑ Public Sanitary Permit It: # of Bedrooms: ❑ Yes lNO / Does the project require mitigation? Implementation Deadline: Date of Compliance: ❑ Yes(do Does the project require an affidavit? Affidavit It: ❑ Yes o Did licensed surveyor mark lot line(s), if project is within 10 feet of required setback? ❑ Yes 7fNo 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'? w Construction ❑ Addition/Alteration ❑ Change Use O Relocate ❑ RV Placement ❑ Sign ❑ Establishing a Business ❑ Temporary 0 Shoreland Grading ❑ Other, describe: Structure Type is: ❑ Residence ❑ Principal Structure ccessory Structure ❑ Boathouse (one story only) ❑ Open-sided/Screened Structure (gazebo, etc.) ❑ Stairway to navigable waters ❑ Mobile Home ❑ Shipping Container ❑ Other, describe Total Sq. Ft. of Project: Number of Stories: j Overall Height: 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) $ ❑ Non -Habitable Residential Principal and Accessory Structures $0.20 x �s ft q (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 O Land Use Revisions ❑ Special Use Permit - Class A 0 Floodplain ❑ Shoreland - Impervious Surface O Shoreland - Non -Conforming, etc. ❑ Tower Siting/Collocation 1 ❑ Tower Collocation 2 ❑ Metallic Mine ❑ After -the -Fact (ATF) $ Inspected by: (' Date of Inspection: 5iii/: ;/z6 Re -Inspected by: Date of Re -Inspection: Denied by: Date of Denial: Reason for Denial: Date Denial Letter Mailed: fi Approved by: Date of Approval: $7L Condition(s): 1lust meet and maintain setbacks from furthest extension of structure including eaves and overhangs. OTor personal storage only. ❑ For personal residence only. )7N 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). e best management practices to limit and prevent erosion during construction. rThis 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. O 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. o 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 and use permits shall be obtained prior to the initiation of construction or a change in land use iti 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 ]3_kYFIELD Bayfield County Planning & Zoning Department 117E 5th Street P.O. Box 58 Washburn, WI 54891 Phone: 715-373-6138 Fax: 715-373-0114 Property Owner: Submission Number. TRUST AGREEMENT OF RICHARD LU-02207 MILLER 1496 310TH ST Transaction Number. GLENWOOD, WI 54013 LU-02207-44988 Description Amount Non -Habitable Residential Principal and Accessory $120.00 Structures - $0.20/square foot (minimum $75) Total: $120.00 Payment Amount: $120.00 Reference: 8204 Paid by: Richard I Miller Payment Type: Check Transaction Date: 5/13/2026 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 I Affidavit #: LAND USE — X SANITARY — SPECIAL A — SPECIAL B/CONDITIONAL — BOA — No. 26-0176 Tax ID: 34914 Issued To: TRUST AGREEMENT OF RICHARD MILLER Location: S34 - T49N - R09W Town of Orienta BAYFIELD COUNTY PERMIT WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION Legal Description: LOT 3 CSM #1509 IN V.9 P.88 (LOCATED IN NE NE SEC 34 & NW NW SEC 35) IN 2023R-598148 (TRUST AGREEMENT OF RICHARD MILLER DTD 6/2912018) Residential Structure in A-1 zoning district For: New Construction [1 - Story ], Accessory Structure on the Ground [600 Total sq. ft.] (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. Scott Roush Authorized Issuing Official May 13, 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.