HomeMy WebLinkAbout26-0179County Use Only:
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117 E 5th Street, PO Box 58 Bayfield County Planning and Zoning Department
Washburn, WI 54891
permits@bayfieldcounty.wi.gov LAND USE PERMIT APPLICATION
Submission #: LU-O? e 1
Permit#: ______//
Date:
SECTION A: General Information
Property Owner Name: Scott Jardine
Authorized Agent Name (if applicable):
Telephone Number: 218 966 8398
E -Mail Address: Scott.jardine@att.net
Telephone Number: RECEIVED ENTERE _
E -Mail Address: S bleb
Mailing Address: 82785 White Birch Road
Mailing Address:
City, State, Zip: Port Wing, WI. 54865
City, State, Zip: Planning and Zoning Agency
Contractor: Self
Telephone Number: 218-966-8398
E -Mail Address: Scott.jardine@att.net
SECTION B: Property Information
Project Address (if different from mailing address):
Legal Description (if additional space is needed attach a separate sheet): SE Y. of the NE X
Section, Township, Range: Section 21, TSON, R8W
Town of: Port Wing
Tax ID #: 28562
Lot Size (Acres/Square Feet): 12 Acres
SECTION C: Project Information (check all that apply)
Project Use is: X: Residential ❑ Commercial ❑ Municipal If Commercial, estimated cost of construction: $
Project Type is: X: New Construction 0 Addition/Alteration (existing structure)
❑ Change Use (existing structure) 0 Relocate (existing structure) 0 RV Placement 21+ days
❑ Sign 0 Establishing a Business 0 Temporary (12 or less months)
❑ Shoreland Grading, Class A required (Total 0 RV Placement 4+ months, Class A required 0 Other (describe):
SECTION D: Structure Information (Does not apply to RVs and Signs, go to Section E)
Structure Type is: 0 Residence 0 Principal Structure (describe):
❑ Accessory Structure (describe): 0 Shoreland Exempt Structure (describe): ❑ Mobile Home (provide mfg date):
0 Shipping Container X: Other (describe): Attached Garage (32' x 32' x 16' height)
Foundation Type:
❑ Basement 0 Walkout Basement X: Slab 0 Crawlspace 0 Ground ❑ Skids 0 Other (explain):
Existing Structure: Residence Length: 65' Width: 42' Height: 17'
Proposed Structure (Provide Sq Ft based on outside dimensions, including unfinished areas, attached garages/above grade decks/porches):
Basement Sq Ft:
1st Floor Sq Ft:
Loft Sq Ft:
2nd Floor Sq Ft:
3rd Floor Sq Ft:
Garage Sq Ft: 1024
Porch Sq Ft:
Deck Sq Ft:
Other Sq Ft (describe):
Total Sq Ft: 1024
Overall Height (finished grade to peak): 16
# of Stories: 1
Existing # of Bedrooms on property: 1
Proposed # of Bedrooms in project: 0
SECTION E: RV and Sign Information (check all that apply)
Sign is: RV is:
❑ New 0 Replacement 0 New 0 Replacement
❑ On -premise 0 Off -premise
❑ 1 -sided 0 2 -sided Year: Vin#
❑ On -building ❑ Multi -Tenant
Length: Width: Height: Make: Model:
Application Page 1 of 4
SECT ION 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 O Frontage Roads (include name) O 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%
,,North Property Line
DeweyJ
to Lot Line Nonh�
192'
�I
istance to Road Centedine
Property Line
12T
Anaele Apron New-' / I F /- -
Attached Garage: New
(Within Yellow Box)
,—Distance to Lot Una East
.i Distance to Lot Line East
�wJ RECEIVED
House. Existing MAY 05 2026
(Within Orange Box)
Bayfield Co.
Planning and Zoning Agency
—Shop Existing
Figure 1: Site Plan
Setback or distance from furthest extent of structure including eaves and
overhangs to (include on site plan):
County Use Only
Verified setbacks
Road Centerline
214 ft.
! 6 3 ft.
Notes/Comments:
Front Lot Line/Right-of-Way
192 ft.
ft.
Side Lot Line 1(North East South West, circle one)
127 ft.
ft.
Side Lot Line 2 (North East South West, circle one)
36 ft.
a5 ft.
Rear Lot Line
616 ft.
7 ft.
Septic/Holding Tank
N/A ft.
ft.
Drainfield
N/A ft.
ft.
Privy
N/A ft.
ft.
Well
N/A ft.
ft.
Existing Structure/Building
N/A ft.
ft.
Wetland
N/A ft.
ft.
Elevation of Floodplain
N/A ft.
ft.
Ordinary High -Water Mark (OHWM)
N/A ft.
�300ft.
Other (describe):
N/A ft.
ft.
Application Page 2 of
RECEIVED
1 32' ---- —3
3'-0" II
17
Service Door
C7
Garage Drain
Apron
Service Door
Sidewalk
Figure 2: Floor Plan
Figure 3: North Elevation
Figure 4: East Elevation
Application Page 3 of 4
fhAY 052026
Baylield Co.
Planning and Zoning Agency
0
E,dsting breezeway
Door
SECTION G: Additional Questions
X: Y`es
0 No
Has the location of the proposed project* been staked? If no, what date will this be completed: Note: The site will not
be inspected nor permit issued until after the staking date listed above.
X: 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.
X: Yes
O 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.
X: Yes
❑ No
Is there an existing sanitary system on the property? If yes, what kind? ❑ Drainfield ❑ Holding Tank 0
Municipal/Public 0 Other (describe):
❑ Yes
X: 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
X: No
Will sleeping occur in the structure? If yes, contact local Uniform Dwelling Code (UDC) forjyyll,and tEbection
requirements. 1I[[LL�ICCTT VV GGLJ
Is the project associated with any of the following: MAY 0 5 2026
❑ Rezone ❑ Class A Special Use ❑ Class B Special Use ❑ Conditional Use ❑ Variance X N/A
Bayfield Co.
Fee payment will be made via: plan ng a
❑ Check (attached) ❑ Cash (attached) X debit/credit/echeck (department to call once payment is ready to be taken)
How would you like to receive your permit card?
O Mail to: OR X Email to: scott.jardine@att.net
X Property Owner Address O Agent Address 0 Contractor Address O Other (provide name and e-mail or address):
'include eaves, overhangs, sanitary system, and well in staking measurements
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, 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: 5 tt Jardine
Owner(s) or Authorized Agent Signature: c Date: 2026-05-05
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 4 of 4
Land Use Permit Application Review Checklist
Submission #: — oL. 2211
What zoning district is the project located in?
DR -2 ❑ R-3 ❑ R-4 ❑ R-RB ❑ C Dl ❑ M ❑ A-1 ❑ A-2 ❑ F-1 ❑ F-2 ❑ W ❑ M -M
❑ Yes Polo
Is lot substandard (does not meet current zoning dimensional requirements)?
Deed of record:
"es o
/
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
Are there wetlands on the property?
1No
❑ Yes No
Is project associated with a nonconforming use or structure?
❑ Yes tJo
Is project associated with a variance? Case #:
❑ Yes11Jo
Is project associated with a Special B or Conditional Use Permit? Permit #:
❑ Yes No
Is the project associated with a Special A Use Permit?
❑ Yes o
Does the project require sanitary?
❑ Existing ❑ New ❑ Intercept ❑ Reconnect 0 Non -Plumbing ❑ Public
Sanitary Permit #: # of Bedrooms: _
Does the project require mitigation?
Implementation Deadline: Date of Compliance:
Does the project require an affidavit? Affidavit #:
❑ Yes o
❑ Yes
,No
es ❑ No
Did licensed surveyor mark lot line(s), if project is within 10 feet of required setback?
Yes ❑ No
Did applicant/property owner mark lot line(s), if project is within 30 feet of required setback?
Project use is, sidential ❑ Commercial O Municipal
Project type ? ew Construction ❑ Addition/Alteration 0 Change Use ❑ Relocate O RV Placement O Sign
❑ Establishing a Business 0 Temporary 0 Shoreland Grading O Other, describe:
Structure Type is: ❑ Residence ❑ Principal Structure ccessory Structure O 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
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 %Q' '( 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 ❑ Land Use Revisions ❑ Special Use Permit - Class A 0 Floodplain ❑ Shoreland - Impervious
Surface O Shoreland - Non -Conforming, etc. ❑ Tower Siting/Collocation 1 0 Tower Collocation 2 ❑ Metallic Mine
❑ After -the -Fact (ATF)
I $
Inspected by: oks(7
Date of Inspec�jpq:
Re -Inspected by:
Date of Re -Inspection:
Denied by:
Date of Denial:
Reason for Denial:
Date Denial Letter Mailed:
Approved by:
5jj0
Date of Approval:
Condition(s):
7Must meet and maintain setbacks from furthest extension of structure including eaves and
overhangs.
For personal storage only.
❑ For personal residence only.
TNot 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.
` ao be constructed per plan.
cAdhere 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
sewer and pressurized water allowed in the structure.
o plumbing or plumbing fixtures allowed.
Io
JJ4o additional sleeping areas allowed without obtaining necessary sanitary permit(s).
nd use permits shall be required for any new residence, any building or structure erected,
elocated, rebuilt, or structurally altered
rand 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
F -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:
JARDINE, SCOTT M & JULIE A
82785 WHITE BIRCH RD
PORT WING, WI 54865
Description
Habitable Residential Principal Structure -
unenclosed area or non -habitable garage
$0.20/ square foot (minimum $125)
Submission Number:
LU-02229
Transaction Number:
LU-02229-4528A
Amount
$204.80
Total: $204.80
Payment Amount: $209.67
Reference: 3267477915
Paid by: Scott Jardine
Payment Type: Credit Card
Transaction Date: 5/14/ 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 I Impervious Surface — No
Floodplain — No / Wetlands — No
Mitigation — No / Affidavit #:
LAND USE -X
SANITARY -
SPECIAL A -
SPECIAL B/CONDITIONAL —
BOA —
No. 26-0179 Tax ID: 28562
Issued To: JARDINE, SCOTT M & JULIE A
Location: S32 - T50N - R08W
Town of Port Wing
BAYFIELD COUNTY
PERMIT
WEATHERIZE AND POST THIS PERMIT
ON THE PREMISES DURING CONSTRUCTION
Legal Description: PAR IN SE NE IN V.878 P.172 TOG WITH EASE IM 2003R-487577
Residential Structure in R-1 zoning district
For: New Construction [1 - Story ], Accessory Structure on a Slab [1024 Total sq. ft. ] Height of 16'
(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 14, 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.