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Home My WebLink About26-0195RLCEIVED Return to: 117 E 5ei Street, PO Box 58 Washburn, WI 54891 permitsA bavfieldcountv.wi.gov APR 292026 Bayfleld County Planning and Zoning Department LAND USE KJ MIT APPLICATION County Use Only: Submission #: L -O- Oea1)- Permit #: Date: Pro erty Owner Name: ID G Et1- A P -.AGE Authorized Agent Nam (if applicable): I.tfILLIa►1& YvDLbi fit Telephone umber. Telephone Number - 3 j - nay y rJ r6i0 E -Mail Address: E -Mail Address: k� li e retlC.. cow, Mailing Address: q Z 16i/- Mailing Address: 30 D -y At City, State, Zip: sr. f%QL IttN 56tos City, State, Zip: sTT✓ENS Pvtlar WI 57IZ Contractor• A4z a4.(Trce 7-I Telephone Number. Mail Address: d�5I 7/c3415681 t'� • Ce Project (if different from mailing address): 'I 1b6 JACJL Rw Cc,Cp u CoPlrr w t s 4$2 r Legal Description (if additional space is needed attach a separate sheet): Section, Township, Range: �,_7 T, 5j /2,4w Town of: $En — Tax ID #: 7754 I Lot Size (Acres/Square Feet): l63, 2.tD ,F Project Use is: Residential ❑ Commercial ❑ Municipal If Commercial, estimated cost of construction: $ Project Type is: aNew Construction 0 Addition/Alteration (existing structure) ❑ Change Use (existing structure) ❑ Relocate (existing structure) 0 RV Placement 21+ days ❑ Sign 0 Establishing a Business 0 Temporary (12 or less months) ❑ Shoreland Grading, Class A 0 RV Placement 4+ months, Class A 0 Other (describe): required(Total s fl : re aired Structure Type is: ❑ Residence $ Principal Structure (describe): A 3 SERSor4 cAeu w)n+aoT WATT ❑ Accessory Structure (describe): ❑ Shoreland Exempt Structure (describe): 0 Mobile Home (provide manufactured date): 0 Shipping Container 0 Other (describe): Foundation Type: ❑ Basement 0 Walkout Basement 0 Slab 0 Crawlspace ❑ Ground ❑ Skids 10 Other (explain): efoNt2Bre. PYEg. Existing Structure: Length: Width: Height: Proposed Structure (Provide Sq Ft based on outside dimensions, including unfinished areas, attached garages/above grade decks/porches): Basement Sq Ft: I l" Floor Sq Ft: Loft Sq Ft: _ . , Deck Sq Fl: 2o' Floor Sq Ft: 3'4 Floor Sq Ft: Garage Sq Ft Porch Sq Ft: Other Sq Ft (describe): Other Sq Ft (describe): Total Sq Ft: IOverall Height (finished grade to peak): j '" # of Stories: ' Existing # of Bedrooms on property: Proposed # of Bedrooms in project: Sign is: RV is: ❑ New 0 Replacement 0 New 0 Replacement ❑ On -premise ❑ Off -premise ❑ 1 -sided 0 2 -sided Year. Vin it: ❑ On -building 0 Multi -Tenant Length: Width: Height: Make: Model: Application Page 1 Show locatlonof: 0 Driveways ❑ Frontage Roads (include name) 0 Existing Structures 0 Well (W) 0 Septic Tank (ST) 0 Drain Field (DF) 0 Holding Tank ❑ Privy (F) ❑ Lake ❑ River ❑Strvam/Creek OPond ❑Flood lain❑Wetlands 0 Sloover 20% N gEE ATTAGt 7 ✓Ire APR 292025 Hayfield Co, Planning and Zoning haency Setback or distance from furthest extent of structure including eaves and overhangs to (include on site plan): County Use Only Verified setbacks Road Centerline 565 R Z00f R Notes/Comments: &6(q V° a� X l W- f3P 06 —ZOO + I / S. ( 'p U !� Sa e 1 �� nlPfGt Ch -t\(Ik Sh( d pOCl 5 Front Lot Line/Right-of-Way Z R R. tLine 1 o East South West,circle one) R I It (Ofi R Sr Lot Line orth East ou Wes circle one 3' R ( R Rear Lot Line iii.. ft. (1D R Septic/Holding Tank _ ft, R Drainfield _ R R Privy - R R Well - R R Existing StructureBuilding _ �qD 1i & Wetland r5 R Elevation of Floodplain ft, ft- OrdinaryHigh-Water Mark (OHWM) ZEp R R Other (describe) ft. R Application Page 2 WIo3MFOKMNTIGN: ZONENO INpNNATIGNI Z IDD RSIDEMIAUI(RS) WMEF: DAVID n XEA3XEN GRACE SETPAEI5: %URRTE AZORES: (U WaD It e]$s19IX PINE ROAD $IYP9Np-IOY F+6Xm,. WI 54917 roP OF BREW -5S CILRD.67 Pot OwIassIO3v10Rp33W)J WETLAND. t(2 SETBACK NM®@V 6NIMB!E MU.) TARS: 1754 DETEEOMR6: I.]5 CiLLOIUIED ACES: SAM5 BUILDING INIORMRTlON: DSCRIpnox: NEW PRIMARY 6UIWIHG((A6IN): 496 SQ Fl. NEW RLNK M}5E 596 SQ P, SOT I OFCSIIIW3 IN VEX. 6 FS 174 MID 375 NSA DES 492 S FT IC U., IN.,INME ?(OF 2 OFSECIION 17, t WIIOOIG CONS/ 0..6 W,�INTXETW.M OF BELL,IA'/FIELD R. FROM WN6T GRADEIC ROOF PESO IB'-9' MM GRADE IC CWMY.5W.,IN IN. APR 2 9 2026 Bayfield Co. SI Yes ❑ 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 O No Did a licensed surveyor mark lot line(s) if project is within 10 feet of required setback? See page 2 of Land Use lication Information for required setbacks. %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. ❑ Yes KNo Is there an existing sanitary system on the property? If yes, what kind? ❑ Drainfield O Holding Tank O Municipal/Public O Other (describe): ❑ Yes 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 O Municipal/Public O Other (describe): X,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: ❑ Rezone O Class A Special Use O Class B Special Use O Conditional Use O Variance Fee payment will be made via: X Check (attached) O 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*Email to: O Property Owner Address g Agent Address O Contractor Address O Other (provide name and email or address): 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. o�pic/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: 4 Z't'2PS NOTES: LZV7 27' 1. If you are signing on behalf of the owner(s) a of artth6lLion must accompany this application. 2. Specific conditions/instructions may be stn o the facuftEe issued Land Use Permits. Owners, agents, & contractors must all be aware of permit details & conditiois and permit card must be posted on property prior to start of project. Application Page 3 Revelations Architects/ Builders Corporation April 29, 2026 Bayfield County Zoning RE: Zoning permits for 89365 Jack Pine Road, Cornucopia, WI To whom it may concern: RECEIVED APR 292026 Bayfield Co. Please find attached Land Use Permit Application, Impervious Surface Calculations, Letter of Authorization (for William Yudchitz to sign for the Owner David Grace), and set of plans including detailed site plan. According to our reading of the Planning and Zoning Fee schedule, we have the following information, but would like to verify before payment and permit issuance: Enclosed Areas @ $0.50 per sf — we have 664 Sq Ft of cabin/ bunkhouse = $332.00 Unenclosed Area @ $0.20 per sf — we have 196 Sq Ft of deck = $39.20 = $125.00 minimum Total Fees = $332.00 + $125.00 = $457.00 Would this be an accurate fee for the Zoning Permit? Please Let me know if you have any concerns with our paperwork. Respectfully submitted, /Lili� j w William Yudc z Architect Revelations Architects/Builders andy@revarch.com bill@revarch.com April 29, 2026 To whom it may concern: I hereby authorize William Yudchitz at Revelations Architects to sign the zoning application for new construction at 89365 Jack Pine Road, Cornucopia WI 54827 Regards, David H. Grace kEcilvo Signature APR 292026 Bayfield Planning and Zoning Zoninging Agency 1 I ll 2 3 I ' AE3W1111ADLSTMEMf •.•\ aiAxa XGGNLE 2- uq• 3'-1" 4 2" T-1", 52-0"c4 36'-0" 23-7 LI 3-1" 7" — -- WOOD STOVE 4 F TILE FOR FIRE PROTECTION BEDROOM ` I I ffi— LIVING, KITCHEN, ^' DINING ' I WALUNE E110ENG3 _;O BATH Im b Q 5 1R" m-0 3 i/2" 6-0 31/2^ 18-6 51/2 I 4 BARE ROOM- - - -' - -- - - - - — -I - - - (MATESL1N s a r �� T n 7 -3'1" 31'- 3-1"- 2-3/8"- ..8'-11/2 _._-3-012" - - 3'-p' 3 -1'-21/B-4 1/2" - 1/2". y/2" A �v �v 2-10 1/2^ 3-1" 1/2" ----- 10'-0" SlFV5 WRM AO STMET RECEIVED fam Emnxcwf[ ow APR 292026 Bayfield Co. Planning and Zoning Agncy--- N C O Do �I1� `o co1 U O;! ^, U 2: Ua: FLOOR PLAN sr -0^/ • _____ 1 FIRST FLOOR PLAN A101 SCALE: 1/4"= 1'-0" 1 2 3 4 5 6 RECEIVED I I I I I APR 2 9 2026 I T.O. ROB_ - _ _ _ _ - Bayfield Co. Lz^ __ P _fl W I / / V A I H V : ___ ,J : _ N IflUTT _= — [.11 cn FIRST L OR_ _ - .- 100' O -�• ( L:4 + C �D I I GRADE '� ) l � ) I ) II GRADE 1 96 -0" GRADE >j nnilt p.^ LL i ICI L •III NORTHWEST BUILDING ELEVATION 1 NORTH WEST ELEVATION SCALE: 1/4 = 1'-0" A201 6 5 4 2 1 APR 29 2026 I I I Hayfield Co. I o planning and Zoning Agen IryY _ I T.O. ROO9F I 113 -9" 12" W a1 (J V1hL'NJ :J:::jijJtllIfl1Jt FIRST FLOOR fflhtlllltllllU _________ 't lilt' 1* III GRADE I I GRADE i I 98'-4 $98H4' I �m c Ll� iii J� J l J l Y N� aC Lt� L� (>n,,� oyaa � W 2 p n ry u 6. SOUTHEAST III ... - III -.... _. L__.. III _. i I -.. --_' --- I -_.. -- -_.i - _: BUILDING ELEVATION 1 _ OAST ELEVATION SCALE: 1/4"=1'-O" A202 T.O. ROOF 113'-W' FIRST FLOOR 100'-0" �T.O. CQNC. _ _ `98' - 8 3/4" GRADE 0 STEPS t t APR 2 9 2026 Bayfield Co. Planning and Zoning Agency 12" 4" GRADE @ STEPS 9814 GRADE 0 CORNER 97 - 2 1/2" GRADE @ CORNER F I I I -- 95'" III I I 1 SOUTH WEST ELEVATION • SCALE: 1/4 = 1'-0" Lu U V SOUTH WEST BUILDING ELEVATION A203 A B C atCCIVED APR 2 9 2026 T.O. ROOF _ _ _ _ _ _ _ Bayfield Co. 113' - 9" Planning and Zoning Agency LI Q I _ I GRADE � 98'-4. 1 I 1 GRADE V 97 _6" cmvbni Ca 100'-0" O -1- C J1l jIII Q) L , L}, Li, n> a NORTH EAST BUILDING ELEVATION 1 NORTH EAST ELEVATION SCALE: 1/4"= 1'-0" A204 REC ENEG Bayfield County APR 292026 Impervious Surface Calculations Bayfi=ld Co. These calculations are REQUIRED per WI Admin Code NR 115.05(1)(e) and Section 13-1-32(c)'an`�'13=140(h) of the Bayfield County Code of Ordinances. The undersigned hereby makes application for construction, reconstruction, 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): David & Heather Grace Mailing Address: Property Address: 429 Pascal St, Saint Paul, MN 55105 89365 Jack Pine Rd, Cornucopia, Wl 54827 Legal Description: Section, Township, Range 1/4, 1/4, Sec 27 Township 51 N, Range 6 w Authorized Agent/Contractor Gov't Lot Lot # CSM# Vol & Page Revelations Architects/ Builders Corp. 2 1 1043 6/374,375 Lot(s) # Block(s) # Subdivision Town of: Bell Parcel ID # (PIN #) Tax ID # Date: 04- 010251062740500230000 7754 04/29/2026 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 Existing Accessory Building/Garage Existing Conc Slab 32' x 60' 1,920 SF Existing Sidewalk(s), Patio(s) APR 292026 Existing Covered Porch(s), & Deck(s) Planning Co. g aid Zoning Age Existing Driveway 700 LF x 12' wide 8,400 SF Other Structures Proposed Addition/House Cabin 18' x 36'-6" 656 SF Proposed Accessory Building/Garage Bunk House 15' x 22'-6" 337 SF Proposed Sidewalk(s) & Patio(s) Proposed Covered Porch(s) & Deck(s) Proposed Driveway Proposed Other Structures Total: 11,313 SF a. Total square footage of lot: b. Total impervious surface area: c. Percentage of impervious surface area: 100 x (b)/a = If the proposed impervious surface area is greater than 15% mitigation is required. Total square footage of additional impervious surface allowed: @ 15% 13,168 @ 30% 37.660 (County Use Only) Date of Ins Ion: 01 /qua Inspection Record: Zoning District ( i Condition(s): Stormwater Management Plan Required: ❑ Yes ❑ No Signature of Inspector: Date of Approval: C cY u/forms/impervioussu rface Created: May 2012 (®Sept 2016, Sept 2020, Feb 2026) Proofed by: _ Bayfield County, WI 511/2026, 9:22:08 AM 1:1,062 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 0.5 feet. Flood Plain Boundaries Active Dec 16th, 2011 0 0.01 0.03 0.05 ml 1 1 I I 1 1 1 l AE = Base floodplain where base flood elevations are provided. 0 0.02 0.04 0.08 km -- Lake Superior Proposed Setback Line Building Footprint 2015 Building UAW Ccun,y Lend Records oeperlmem eeyll&d c sny ZuoIng Appliceuen hdps:llmapsbayeoldcounly wi.gov/ZonIngWAOI Real Estate Bayfleld County Property Listing Today's Date: 6/3/2026 Description Tax ID: PIN: Legacy PIN: Map ID: Municipality: STR: Description: Recorded Acres: Calculated Acres: Lottery Claims: First Dollar: Zoning: ESN: Property Status: Current Created On: 3/15/2006 1:15:02 PM Updated: 12/20/2024 4 Ownership Updated: 12/20/2024 7754 DAVID H & HEATHER M GRACE ST PAUL MN 04-010-2-51-06-27-4 05-002-30000 010106001001 (010) TOWN OF BELL S27 T51N R06W LOT 1 OF CSM#1043 V6 P376 BEING A PAR OF CSM V5 P240 BEING A PAR IN GOVT LOT 2 IN DOC 2024R-605899 3.750 3.931 0 Yes (R-1) Residential -1 107 Billing Address: DAVID H & HEATHER M GRACE 429 PASCAL ST S ST PAUL MN 55105 Mailing Address: DAVID H & HEATHER M GRACE 429 PASCAL ST S ST PAUL MN 55105 P Site Address * indicates Private Road 89365 JACK PINE RD CORNUCOPIA 54827 ® Property Assessment 2026 Assessment Detail Code G1 -RESIDENTIAL Updated: 9/10/2015 Acres Land Imp. 3.750 135,500 500 r Tax Districts Updated: 3/15/2006 2 -Year Comparison 2025 2026 Change 1 STATE Land: 135,500 135,500 0.0% 04 COUNTY Improved: 500 500 0.0% 010 TOWN OF BELL Total: 136,000 136,000 0.0% 044522 SCHL-SOUTHSHORE 001700 TECHNICAL COLLEGE Recorded Documents 0 WARRANTY DEED Date Recorded: 12/13/2024 ® QUIT CLAIM DEED Date Recorded: 10/12/2018 ® QUIT CLAIM DEED Date Recorded: 9/19/2016 O CONVERSION Date Recorded: Updated: 3/15/2006 Property History N/A 2024R-605899 2018R-574937 2016R-565304 469615 813-565 Land Use Permit Application Review Checklist Submission #: O a What zoning district is the project lq�ated in? R-1 ❑R-2 ❑R-3 ❑R-4 4RB ❑C ❑1 ❑M ❑A-1 ❑A-2 ❑F-1 ❑F-2 ❑W DM -M ❑ Yes I'No Is lot substandard (does not meet current zoning dimensional requirements)? Deed of record: es poo 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)? tWfes ❑ No Is impervious surface required? (Required if riparian lot OR lot is entirely within 300 feet of OHWM of navigable waterway) ❑ Yes io Is the project located in the Floodplain? Zone: lD-Ys ❑ No Are there wetlands on the property? ❑ Yes o Is project associated with a nonconforming use or structure? ❑ Yes 0 No Is project associated with a variance? Case #: ❑ Yes o Is project associated with a Special B or Conditional Use Permit? Permit #: ❑ Yes o Is the project associated with a Special A Use Permit? lM'es ❑ No Does the project require sanitary? 0 Existing ❑ New ❑ Intercept 0 Reconnect [p on -Plumbing 0 Public Sanitary Permit #: a-&- O # of Bedrooms: ❑ Yes o Does the project require mitigation? Implementation Deadline: Date of Compliance: ❑ Yes Silo Does the project require an affidavit? Affidavit #: es 0 No Did licensed surveyor mark lot line(s), if project is within 10 feet of required setback? ❑ Yes lVNo Did a plicant/property owner mark lot line(s), if project is within 30 feet of required setback? Project use is? esid ntial ❑ Commercial ❑ Municipal Project type is? atw Construction ❑ Addition/Alteration ❑ Change Use ❑ Relocate ❑ RV Placement ❑ Sign ❑ Establishing a Business ❑ Temporry ❑ Shoreland Grading 0 Other, describe: Structure Type is: Wfiidence D1Pcincipal Structure ❑ Accessory 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: Overall Height: (Lt Cf Fee Type Calculation Fee Amount ❑ Habitable Residential Principal and Accessory (minimum $125) Structures - Enclosed Areas — all enclosed areas within $0.50 x 4sq ft $ 33a dwelling except attached non -habitable garages ❑ Dwelling Unenclosed Areas (decks, patios, etc.) or $0.20 x sq ft (minimum $125) Attached Non -Habitable Garages $ „� ❑ Non -Habitable Residential Principal and Accessory $0.20 x s ft q (minimum $ 5) Structures $ ❑ Commercial Principal Structures $250 + $0.005 x (minimum $250) cost of construction $ ❑ Commercial Accessory Structures $150 + $0.005 x (minimum $150) cost of construction $ ❑ Municipal Principal and Accessory Structures n/a 50 (exempt from fees) ❑ Return Inspection ❑ Land Use Revisions ❑ Special Use Permit - Class A ❑ Floodplain 13≤uioreland - Impervious Surface 0 Shoreland - Non -Conforming, etc. 0 Tower Siting/Collocation 1 ❑ Tower Collocation 2 ❑ Metallic Mine ❑ After -the -Fact (ATF) $ Inspected by: Date of In pection: (%YL1 L Re -Inspected by: J Date of Re -Inspection: Denied by: Date of Denial: Reason for Denial: Date Denial Letter Mailed: Approved by: [ (hO Date of Approval, Condd'' ion(s): la "Must meet and maintain setbacks from furthest ex ension of structure including eaves and overhangs. ❑ Fjar personal storage only. For personal residence only. �t for human habitation or sleeping purposes. jown/State/DNR/Federal may require permitting Q 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 obit fined prior to the start of construction (if applicable). O'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. ❑ SS'' n must meet the requirements of Article E of the Bayfield County Zoning Ordinance. HTo 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 ❑ R .must be removed by 04ao 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 p 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: Submission Number GRACE, DAVID H & HEATHER M LU-02211 429 PASCAL ST S ST PAUL, MN 55105 Transaction Number. LU-02211-44CDD Description Amount Shoreland - Impervious Surface $25.00 Habitable Residential Principal & Accessory $332.00 Structures - enclosed areas $0.50/square foot (minimum $125) Habitable Residential Principal Structure - $39.20 unenclosed area or non -habitable garage $0.20/square foot (minimum $125) Total: $396.20 Payment Amount: $405.63 Reference: 1179168885 Paid by: David Grace Payment Type: Credit Card Transaction Date: 5/20/2026 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 — Yes / Impervious Surface — Yes Floodplain — No / Wetlands — Yes Mitigation — No I Affidavit #: LAND USE -X SANITARY — Non -Plumbing [Composting Toilet] (26-0194) SPECIAL A — SPECIAL B/CONDITIONAL — BOA — No. 26-0195 Tax ID: 7754 Issued To: GRACE, DAVID H & HEATHER M BAYFIELD COUNTY PERMIT WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION Location: S27 - T51 N - R06W Town of Bell Legal Description: LOT I OF CSM#1043 V6 P376 BEING A PAR OF CSM V5 P240 BEING A PAR IN GOVT LOT 2 IN DOC 2024R- 605899 Residential Structure in R-1 zoning district For: New Construction [1 - Story ], Residence on Concrete Piers [860 Total sq. ft. ] Height of 18' 9" (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. Emily Macgillivray Authorized Issuing Official May 20, 2026 Date 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. No sewer and pressurized water allowed in the structure.