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Home My WebLink About26-0206iteturn to: County Use Only: 117 E 5'" Street, PO Box 58 Bayfield County Planning and Zoning Department Submission #: L0 °.j'76 Washburn, WI 54891 LAND USE PERMIT APPLICATION Permit #: permits@bayfieldcountv.wi.gov Date: SECTION A: GeneraLlnformation,,.., Property Owner Name: Authorized Agent Name (if applicable): Donald A & Rachel MF Carlson III Karl Kastrosky Telephone Number: Telephone Number: 603-630-4251 715-580-0157 REcijyD E -Mail Address: E -Mail Address: daciii@hotmail.com kastrosky821@gmail.com Mailing Address: Mailing Address: ti i 2 U IU?U 5445 Lake Mendota Dr 14295 McNaught Rd City, State, Zip: City, State, Zip: Planning and Zoning Madison WI 53705 Cable, WI 54821 Agency Contractor: Telephone Number: E -Mail Address: George Welk 715-413-2219 SECTION B: Property Information •: Project Address (if different from mailing address): 14870 Perry Lake Rd, Cable WI 54821 E TERED Legal Description (if additional space is needed attach a separate sheet): GOVT LOT 8 IN 2022R-593541 192 Section, Township, Range: S 8 T 43N R 7W Town of: Cable Tax ID #: 8555 Lot Size (Acres/Square Feet): 5.44 acres cSECTION C: Project Information, (check all that,a 1 Project Use is: El Residential ❑ Commercial ❑ Municipal Project Type is: O New Construction ❑ Addition/Alteration (existing structure) El Change Use (existing structure) 0 Relocate (existing structure) 0 RV Placement 21+ days ❑ Sign ❑ Establishing a Business 0 Temporary (12 or less months) ❑ Shoreland Grading, Class A 0 RV Placement 4+ months, Class A ❑ Other (describe): required (Total sft): required SECTION D: Structure Information (Does not apply to RVs and Signs, go to Section B) Structure Type is: ❑ Residence El Principal Structure (describe): 71 Accessory Structure (describe): ❑ Shoreland Exempt Structure (describe): ❑ Mobile Home (provide manufactured Garage date): El Shipping Container 0 Other (describe): Foundation Type: ❑ Basement ❑ Walkout Basement O Slab 0 Crawlspace O Ground O Skids El Other (explain): 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: 1r Floor Sq Ft: Loft Sq Ft: 2nd Floor Sq Ft: 3'd Floor Sq Ft: 672 336 (Storage) Garage Sq Ft: Porch Sq Ft: Deck Sq Ft: Other Sq Ft (describe): Other Sq Ft (describe): 224 (Lean-to) Total Sq Ft: 1232 Overall Height (finished grade to peak): 21 # of Stories: 1.5 Existing # of Bedrooms on property: 3 Proposed # of Bedrooms in project: 0 SECTION E: RV and Sign Information (check all that apply) Sign is: 2l' is: El New ❑ Replacement ❑ New ❑ Replacement El On -premise El Off -premise O I -sided ❑ 2 -sided Year: Vin #: ❑ On -building ❑ Multi -Tenant Length: Width: Height: Make: Model: SECTION IT: 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 ❑ Well (W) ❑ ❑ Holding Tank (HT) ❑ Privy (P) ❑ Lake ❑ River ❑Stream/Creek []Pond ❑Floodplain Septic Tank (ST) ❑ Drain Field (DF) ❑Wetlands ❑Slopes over 20% N See Attachment(s) MAY 2 U ZU?6 Sayfield Co. Planning and Zoning Agency Setback or distance from furthest extent of structure including eaves and overhangs to (include on site plan): County Use Only Verified setbacks Road Centerline 100+ ft. (j3 ft. Notes/Comments: Front Lot Line/Right-of-Way 70(+-) ft. ft. Side Lot Line 1 (North West❑, check one) -i o ft. I ft. Side Lot Line 2 (NorthflEastDSouthDWestD, check one 100+ ft. jU ft. Rear Lot Line 100 + ft. 710 ft. Septic/Holding Tank 60+ ft. 7 ft. Drainfield 70+ ft. ft. Privy ft. ft. Well 50+ ft. ft. Existing Structure/Building 30 ft. ft. Wetland ft. ft. Elevation of Floodplain ft. ft. Ordinary High -Water Mark (OHWM) ft. ft. Other (describe) ft. ft. REC aVED MAY 2 0 20?6 Bavield Co SECTION O 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: El 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 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 Information for required setbacks. ID Yes El No Is there an existing sanitary system on the property? If yes, what kind? El Drainfield ❑ Holding Tank ❑ Municipal/Public ❑ Other (describe): ❑ Yes El 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): O 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 O Conditional Use O Variance Fee payment will be made via: El Check (attaehed) ❑ 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? [I Mail to: OR P Email to: I1 Property Owner Address El Agent Address O Contractor Address ❑ Other (provide Name and Email or Address): $ection.H: Acknpwled emenl�and,Si azure _ _...-.� 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.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 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: Ken Kafficsky Owner(s) or Authorized Agent Signature: .fizr/<JL_wYro%Im Date: &2012026 NOTES: Signori $NZ5AE14... I. 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. GOVERNMENT LOT 8, SECTION 8, T. 43 N., T. 7 W., IN THE TOWN OF CABLE, BAYFIELD COUNTY, WISCONSIN 1; BEARINGS ARE BASED ON THE MONUMENTED EAST LINE OF GOVT LOT 8 ASSUMED TO BEAR N 130719" E p I-CGENO Q! FOUND MONUAfII J" AROM PAP€ WITN @RA.s5 OAP FOUND MONUM€M, I" IRON PIP€ P 567 Mill ON PROP4'RTY UHF EXISTING HOUSE r_, / /fnt 7 SED Ic). PROPOI' GARAGE ; J In REC1 1VED - w 9 MAY 202076 :"' "o Bayfield co. Planning and Zoning Agency SCAtF' I INCH = 20 FEET 0 20 40 SCi!I€: 1 INN - -20TT OWN N 90N TI 1PWCRK COMPIFTCO: 5/4/2026 N@A N4OI�RAPNI , @= 9=5g P@. 9@ A. P. NO. 76 sus 24-0 RECEIVED MAY 207026 Bayfield Co. Planning and Zoning Agency 11 1 1 1 11 1 11 11 11 1 1 I 1 1 I 1 1 1 I I 11 11 11 11 � 1 1 1 1 11 /� /✓" !\ t II II F/i/ II 11 11 S7o24 C ,, onq II 11 11 II 11 11 11 11 11 � I II II II II _ i II 1 � N I11 11 II II II t II 11 II 11 11 1 1` n i i i iiI 1 1 1 1 I 1 1 11 11 I I 1 1 1 II 11 1 1 I I I I 1 I 11 II 1 I I 1 1 1 II i 1 M 1 mY v I t I 1 I I I 1 I I 1 1 I II II 1 1 1 I 1 I rr SI O11 21 Ou 91-0n I -0n 91_On I -0n 241-0,1 MAIN FLOOR PLAN RECEIVED MAY 202026 Bayfield Co. Planning and Zo ; g Agency RIGHT ELEVATION RECEIVED MAY 202026 Bayfield Co. Planning and Zoning Agency LEFT ELEVATION RECEIVED MAY 2Uzo? Co. ling Agency 9- r REAR ELEVATION RECE1WD MAY 2 O Zp ij Bayfleict Cc, Mannino aw zo m-.. 0 CM AY 2 U 826 Co Kastrosky821 LLC Karl Kastrosky Land Development & Zoning Consultant 715-580-0157 i Pla ' and Zoning Agency 14295 McNaught Rd, Cable WI 54821 Kastrosky821 @gmail.com To Whom it may concern, I hereby authorize Karl Kastrosky to act as my agent to procure permits and access Information pertaining to my property at l / nno /ti -/u7 /.AJZ& dt"' In the Town of Cab (2_ Countyof Signature Date My contact information is: Address: Phone: tog— 6]o —/2.r/ Email: -- Government Lot Survey Maps Building Footprint 2009-2015 0 0.02 4/21126, 11:06 AM Novus-Wisconsin Access rev. 12.0206 Real Estate Bayfield County Property Listing Today's Date: 4/21/2026 Description Updated: 3/7/2022 Tax ID: 8555 PIN: 04-012-2-43-07-08-1 05-008-10000 Legacy PIN: 012102503000 Map ID: Municipality; (012) TOWN OF CABLE SIR: S08 T43N R07W Description: GOVT LOT 8 IN 2022R-593541 192 Recorded Acres: 5.440 Calculated Acres: 4.991 Lottery Claims: 0 First Dollar: Yes Zoning: (R-1) Residential -1 ESN: 108 I Tax Districts Updated: 3/15/2006 1 STATE 04 COUNTY 2 -Year Comparison 2025 2026 Change 012 TOWN OF CABLE Land: 21,800 21,800 0.0% 041491 SCHL-DRUMMOND Improved: 49,400 49,400 0.0% 001700 TECHNICAL COLLEGE Total: 71,200 71,200 0.0% Property Status: Current Created On: 3/15/2006 1:15:04 PM 92 Ownership Updated: 3/7/2022 DONALD A & RACHEL MF CARLSON III MADISON WI Billing Address: Mailing Address: DONALD A & RACHEL MF DONALD A & RACHEL MF CARLSON III CARLSON III 5445 LAKE MENDOTA DR 5445 LAKE MENDOTA DR MADISON WI 53705 MADISON WI 53705 7- Site Address * indicates Private Road 14870 PERRY LAKE RD CABLE 54821 0 Property Assessment Updated: 3/27/2025 2026 Assessment Detail Code Acres Land Imp. G1 -RESIDENTIAL 5.440 21,800 49,400 Recorded Documents Updated: 3/15/2006 0 WARRANTY DEED Date Recorded: 2/25/2022 2022R-593541 0 WARRANTY DEED Date Recorded: 6/14/2006 2006R-507243 946-196 0 CONVERSION Date Recorded: 498-410;500-309 0 Property History N/A MAY 2 0 2026 6ay5eld Co. Planning and Zoning Agency https://novus.bayriieldcaunty.wi.gov/accesstmaster.asp 1/1 Land Use Permit Application Review Checklist Submission#: —C What zoning district is the project located in? -1 ❑ R-2 ❑ R-3 ❑ R-4 ❑ R-RB ❑ C ❑ 1 ❑ M ❑ A-1 ❑ A-2 ❑ F-1 ❑ F-2 ❑ W ❑ M -M Yes ,(/ Jo Is lot substandard (does not meet current zoning dimensional requirements)? Deed of record: ❑ Yes LSD / 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: ❑ Y s 1Io Are there wetlands on the property? ❑ Yes12iJo Is project associated with a nonconforming use or structure? ❑ Ye1 Is project associated with a variance? Case #: ❑ Yes 1�4lo Is project associated with a Special B or Conditional Use Permit? Permit#: ❑ Yes ❑tIzo Is the project associated with a Special A Use Permit? ❑ Y s ❑ No Does the project require sanitary? 0 Existing ❑ New ❑ Intercept ❑ Reconnect ❑ Non -Plumbing ❑ Public Sanitary Permit #: # of Bedrooms: ❑ YessNo Does the project require mitigation? Implementation Deadline: Date of Compliance: ❑ Yes No Does the project require an affidavit? Affidavit #: 2cVe5 ❑ No Did licensed surveyor mark lot line(s), if project is within 10 feet of required setback? ❑ Yes tNo Did applicant/property owner mark lot line(s), if project is within 30 feet of required setback? Proje t use is? Saesidential 0 Commercial ❑ Municipal Project type i ? New Construction ❑ Addition/Alteration ❑ Change Use ❑ Relocate ❑ RV Placement ❑ Sign ❑ Establishing a Business ❑ Temporary ❑ Shoreland Grading 0 Other, describe: Structure Type is: 0 Residence ❑ Principal Structurep,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: 3 Number of Stories: J. Overall Height: 2-7 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 12 7 7 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 ❑ Land Use Revisions ❑ Special Use Permit - Class A ❑ Floodplain ❑ Shoreland - Impervious Surface 0 Shoreland - Non -Conforming, etc. ❑ Tower Siting/Collocation 1 0 Tower Collocation 2 0 Metallic Mine ❑ After -the -Fact (ATF) $ Inspected by: Date of Inspection: s Zi Re -Inspected by: Date of Re -Inspection: Denied by: Date of Denial: Reason for Denial: Date Denial Letter Mailed: Approved by: O%4 L Date of Approval: Condition(s): 'ust meet and maintain setbacks from furthest extension of structure including eaves and (overhangs. ,cI For personal storage only. ❑ For personal residence only. XNot 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. 0 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. Rio be constructed per plan. / 0 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. 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 l?tand 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 B-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: DONALD A & RACHEL MF CARLSON III LU-02276 5445 LAKE MENDOTA DR MADISON, WI 53705 Transaction Number. LU-02276-464B7 Description Amount Non -Habitable Residential Principal and Accessory $246.40 Structures - $0.20/square foot (minimum $75) Total: $246.40 Payment Amount: $252.26 Reference: 2626123265 Paid by: Donald Carlson III Payment Type: Credit Card Transaction Date: 5/22/2026 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 - No Mitigation - No / Affidavit #: LAND USE - X SANITARY - SPECIAL A - SPECIAL B/CONDITIONAL - BOA - BAYFIELD COUNTY PERMIT WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION No. 26-0206 Tax ID: 8555 Issued To: DONALD A & RACHEL MF CARLSON III Location: S08 - T43N - R07W Town of Cable Legal Description: GOVT LOT 8 IN 2022R-593541 192 Residential Structure in R-1 zoning district For: New Construction [1.5 - Story ], Accessory Structure on a Slab [1232 Total sq. ft. ] Height of 21' (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 Scott Roush 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. May 22, 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): 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.