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HomeMy WebLinkAbout26-0209Return to: County Use Only: 117 E 51h Street, PO Box 58 Bayfield County Planning and Zoning Department Submission #: LU_oa" _ Washburn, WI 54891 LAND USE PERMIT APPLICATION Permit #: - o �a gnrmitnlL'�yfiefdun_rgy�'r.pv Date: SECTION A: General Information Property Owner Name: Authorized Agent Name (if applicable): BUILDERS KEVIN AND KARLA PAVLOSKI MALCOLM HAAG/ TIMBER POINT Telephone Number: IBS Telephone Number: 262-389-1574 715-681-0688 E -Mail Address: E -Mail Address: KKPAV@ATT.NET IMBERPOINTBUILDERSWI@GMAIL.COM Mailing Address: Mailing Address: N90W 16680 Roosevelt Dr 41685 CABLE SUNSET RD City, State, Zip: City, State, Zip: MENOMONEE FALLS, WI 53051 CABLE, WI 54821 Contractor: Telephone Number: E -Mail Address: MALCOLM HMG/ TIMBER POINT BUIL 715-661-0688 TIMBERPOINTBUILDERSWI@GMAIL.COM SECTION B: Property Information Project Address (if different from mailing address): 21960 W Ryans Ln Legal Description (if additional space is needed attach a separate sheet): PAR IN GOVT LOT 3 IN V.805 P.132 3871 Section, Township, Range: 21,44,06 Town of: GRAND VIEW Tax ID #: 16641 Lot Size (Acres/Square Feet): 1.02 SEC PION C: Project Information (check all that apply) Project Use is: El Residential ❑ Commercial ❑ Municipal Project Type is: 0 New Construction El 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 0 RV Placement 4+ months, Class A 0 Other (describe): required (Total sq ft): required SECTION D: Structure Information (Does not apply to RVs and Signs, go to Section B) Structure Type is: O Residence 0 Principal Structure (describe): ❑ Accessory Structure (describe): 0 Shoreland Exempt Structure (describe): ❑ Mobile Home (provide manufactured date): ❑ Shipping Container 0 Other (describe): Foundation Type: ❑ Basement El Walkout Basement XSlab 0 Crawlspace 0 Ground 0 Skids 0 Other (explain): Existing Structure: 1, 7 �z SQ'Length: C Width: Height: t-/' Proposed Structure (Provide Sq Ft based on outside dimensions, including unfinished areas, attached garages/above grade decks/porches): 2to Z o Zo Basement Sq Ft: 1g Floor S Pt: Loft Sq Ft: t: 2°d Floor Sq Ft: 3rd Floor Sq Ft: — L __ Garage Sq Ft: Porch Sq Ft: Deck Sq Ft: Other Sq Ft (describe): Other Sq Ft (describe): Total Sq Ft: gZ Overall Height (finished grade to peak): Z q # of Stories: Existing # of Bedrooms on property: 7. Proposed # of Bedrooms in project: SECTION E: RV.and Sign Information (check all that apply) Sign is: RV is: ❑ New 0 Replacement 0 New ❑ Replacement ❑ On -premise ❑ Off -premise ❑ 1 -sided 0 2 -sided Year: Vin #: ❑ On -building 0 Multi -Tenant RECEIVED Length: Width: Height: Make: Model: Bayfield Co. Planning and Zoning Agency SECTION!?: 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: El Driveways ❑ Frontage Roads (include name) 0 Existing Structures 0 Well (W) ❑ Septic Tank (ST) 0 Drain Field (DF) 0 Holding Tank (HT) 0 Privy (P) 0 Lake 0 River ❑Stream/Creek ❑Pond ❑Floodplain ❑Wetlands ❑Slopes over 20% tt zo U �%1L1� A7 Setback or distance from furthest extent of structure County Use Only Including eaves and overhangs to (include on site plan): Verified setbacks Road Centerline z S ft. 7 p3 ft. Notes/Comments: Front Lot Line/Right-of-Way 3 ft. /L/ft. Side Lot Line I ft. ft. SO (North ❑East❑SouthaWest check one) Side Lot Line 2 ft. ft. (NorthDEastSouthDWestD,check one) RECEIVED (/ Rear Lot Line jgo ft. (on. Septic/Holding Tank 12-0 ft. Drainfield — ft. ft. Privy - ft. ft. Well Z ft. t Existing Structure/Building O ft. ft. Wetland i Z L ft. ft. NOV 04 2025 eavfield Co. Elevation of Floodplain — ft. ft. Ordinary High -Water Mark (OHWM) i j, -Z ft. 1 -t1, ft. Other (describe) — ft. ft. Planning and Zoning Agency SECTION G:sAdditional Questions `( 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 0 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 ❑ 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 A lication Information for required setbacks. Yes O No Is there an existing sanitary system on the property? If yes, what kind? O Drainfield O Holding Tank O Municipal/Public Other (describe): ko/J 10 Yes 0 No Will pressurized water be installed in the structure? If yes, what kind of sanitary system will be installed or used to manage wastewater? ❑ Drainlield ❑ Holding Tank ❑ Municipal/Public Other (describe): M - 'r ❑ Yes Wo 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 ❑ Class B Special Use Conditional Use ❑ Variance Fee payment will be made via: I Check (attached) O 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 El Agent Address El Contractor Address O Other (provide Name and Email or Address): Section $:rAcknowled 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. win iup:. .. c i'..nds, 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! (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 maybe 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 reasonJejime for the purpose f inspection. J\ QA� Owner(s) or Authorized Agent Printed Name: Lo Z ' ≥� Owner(s) or Authorized Agent Sign r . Date: NOTES: 1. if you are signing on behalf of the ner(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. 41's contractors must all be aware of permit details & conditions and permit card must be posted onpropertfri%tktQ,roject. NOV 042025 Bayfield Co. Planning and ZoningA. Bayfield County RECEIVED Impervious Surface Calculations NOV 13 2025 These calculations are REQUIRED per WI Admin Code NR 115.05(1)(e) and Section 1 ' 3a(g) and 13-1- 40(h) of the Bayfield County Code of Ordinances. The undersigned hereby makes a0kD9iion#4mooAOttion, 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. 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): £.VIN Af b COLA Mailing Address: (Mt,JoI,.o.+,i. Fp,&t �,) S3 P1ropertyAddress s% Tho;£ 4J5 C'Z 21 Y&O L-- Vc LrJ CArSLA y.y) fl'n Legal Description: Section, Township, Range 1/4, 1/4, ( 5z,t ( /J o0 Sec Township '7 5/ N, Range b to W Authorized Agent/Contractor Gov't Lot I Lot # I CSM# I Vol & Page r M3f. MA ar Lot(s) # Block(s) # Subdivision Town of: 5 — (V 'o v «LJ Parcel to # (PIN #) oS- oo'1 7cot JTaxlD# Date: /7 /°tc (1 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. Calculation of Impervious Surface: Percentage of impervious surface shall be calculated by dividing the surface area of existing and proposed impervious surfaces on the portion of a lot or parcel that is within 300 feet of the ordinary high water mark by the total surface area of the lot or parcel, multiplied by 100. 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 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(g) and Section 13-1-40(h), the property owner may do any of the following: a. Maintenance and repair of all impervious surfaces: b. Replacement of existing impervious surfaces with similar surfaces within the existing building footprint; c. Relocation or modification of 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 13-1-32. Impervious Surface Item Dimension Area (Square Footage) Existing House % u 3 3 1 Z ` -- Existing Accessory Building/Garage iZ J� �( S! ID 3p ( cc Existing Sidewalk(s), Patio(s) & Deck(s) _ O 9 X'. -c 1-3 Existing Covered Porch(es), Driveway & Other Structures ' Y (o Z % Proposed Addition/House c I� �/ ZZ Proposed Accessory Building/Garage _ Proposed Sidewalk(s) & Patio(s) — Proposed Covered Porch(es) & Deck(s) ° ECEVED Proposed Driveway Davfield Co. Proposed Other Structures Planning and Zoning Agency _ Total: a. Total square footage of lot: /7, 3 Y 9', as? b. Total impervious surface area: 3. j' 7 c c. Percentage of impervious surface area: 100 x (b)/a = b C �o If the proposed impervious surface area is greater than 15% mitigation is required. Total square footage of additional impervious surface allowed: @ 15% @ 30% Issuance Information (County Use Only) Date of Inspection: Inspection Record: zoning District ( Lakes Classification ( J Condition(s): Stormwater Management Plan Required: D Yes D No Signature of Inspector: Date of Approval: u/forms/Impervioussurface Created: May 2012 (®Apr 2016; Sept 2020) Proofed by: IAN -GENERAL NOF[i- -ROOFPLAN- It E O 't, 0lu nnl // It G.Ne C%dwcN Y mnhd NgNIt3a Pith i I I I I I I I -GENERAL SAVE DETAIL - -GENERAL RAKE DETAIL - i PLANNING & DESIGN ROOF PLAN A5.1 r• NGtl61A_L vin—{--ra�ar—{—rvH n.rvr •J ,,,,I m�'rbR�E Jr '.=1N im4 Li k e iur.cesa '�I l— FULL SECTION -GENERAL N(P[S 00 aw m mw...n.wmo...w—w..w.ni0 .....w.nnu.a..u..,a. k i •N .gmau .fl, oil�m[mrc �n nniio.rcn�rmµ.x�nW.sn.nw .m[wn.yw.. n.univsaH.. WALL WGf poo p, r........ ROOR PLAN MAIN LEVEL- Jet Sq. n.mNOW eunniWoonlamaslaooI eww,. Loll) jtofjX Nno1 b':IpyS. WeWnllmie.HegNf luny 10111010 WCM 11001100 Nasauw son•w.a spool NEW ITS r, .alt ,..1,.., I myv TI.7. z:. 1 w+.a v� n. yr rwr ry 11 NEW ITRiCT001 0001000 Sf000000 E PLANNINGONSIGN FLOOR PLAN Main Level A4.1 mo1ID16Y1100tl s...ys. a sr .�s.c�oh..waya.w. LgraiK flail iii,., ®N e��p mry � W Nml Mvfhw wud I. .r*M.F.wwiN m PoNPN� P50 CNq INJ.IN' -asn nStngar' vs m we C.n Psr ec ws.melN.n x� -El YLL+' -seolnrlebnlnxemm9.elemern. LnµnwmilutmSass e.wloado.., rm.rxm inu .irovnvi mw n./Corvmero• 6Wv/Wmo PwiM@Ci.wh romd Carcna M1w.. mcw v n.b3 —M nom e..+r • .. usmns as .un'mtl� Cnnlfl. 00,515- o-.. x.a.'.i GENERAL BUILDING CONSTRUCTION Q61b16MiMY I I I I"I I.I I I.I I I kii I I I I I 1 I I I I I I I I I I I I I I I I I I I I I I.I II I`I I I' I I.I I II I I I ICI I 1 1`1 1 I I 1 I I 1 I 1'I 1 1 1 Ill 111 I I'I I'I '.I I I I.I Isl I I I'1 I 1 3@ I 1 I�I I I I'I I'I I I I I'I I I I I I'I I I I I 1 I'I I 1 I 1 q I II I I I I I I�I ICI I,I I.I I I I I '.I I I I I I'I I I'I I•I 11 •` . . FM6nx4.11.pxo tuthla Dilari vlsIlIM' ERJ ioswiline t as sops-smni 1 . FOUNDATION PLAN I/O -Tot 12215Pll A3.1 snvosxunune - �EL ° PEAR ELEVATION I I ArC"oo ELEVATIONS Rear & Left IEETEIEVATION 1 A2.2 mmu nw rvRE �----`-----------' ----------- -GB,a*iLNDTS- n.uM wqui.muruuea w.w nx.1k m u-.1 frP*P. IP*•....d•u.R.«w wRx c. EUVATON Ef4 hi LANNING 6 DESIGN ERJ Ccn!aclNb: 'Ii ui on ELEVATIONS Front& Rinht A2.1 nnrai 21960 Ryon s Ln. // Cable. WI 54821 Bayffeld County (WI) Custom Design - Addition BUMS Ni-aloe FLt N .ML 4N EPAt%L Ill L^"�4' D Kvr+ra.W CENERALN0iE5- ... . urr...xa u.�... E%N1 mm aalNinln wm...a.n mn..w.aman.�etrui.N r. ___E, M.w.nv..vsm v...uu.xan Mrmx+N/rv.�m r1I4 �.nwugn..rmmy . N.M b�eunw�rs..a e..a.ew+oweuv. e a....p..vrsmwyn. mW m.+wwnM+wwv.�.�. wn n Single Family Residential APPLICABLE BUILDING CODES -Wisconsin Uniform Dwelling Code (Persqutives+MWn M. dehW ci aM mN.dds Ei I Enenn maUeial uBtliwns Us.) COVER PAGE Al Letter of Authorization Bayfield County Planning & Zoning Department PURPOSE. This Letter of Authorization is used to authorize a single property owner to act on behalf of multiple property owners or a designated agent to act on behalf of the property owner/s. If multiple property owners, each property owner must submit this signed letter. I,ti �� S r (property owner), authorize (authorized agent) to submit a LA" %gj sz Y tea,., r (Example: land use, special use, conditional use, rezone/map amendment, appeal, variance, text amendment, etc.) for the following described project (Example: construction of residence or other structure, short-term rental or other use change, etc.) c r a ADD r r/o•J application on my behalf for the following described property: Legal description of subject property: TAW 1t 41' 1'f ( S Z. l — Tytf,.i - R. o (, w [.o'r 3 Address of subject property: 219 ta O vi �- Lim w Signature Dated Land Use Permit Application Review Checklist Submission #: tj What zoning district is the project located in? 1❑ R-2 ❑ R-3 ❑ R-4 ❑ R-RB ❑ C ❑ I ❑ M ❑ A-1 ❑ A-2 ❑ F-1 ❑ F-2 ❑ W ❑ M -M ❑ Yes No Is lot substandard (does not meet current zoning dimensional requirements)? Deed of record: es ❑ 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)? es ❑ 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 No Is project associated with a nonconforming use or structure? ❑ Yes '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? ❑ Yes >Jo Does the project require sanitary? ❑ Existing ❑ New ❑ Intercept ❑ Reconnect ❑ Non -Plumbing ❑ Public Sanitary Permit #: # of Bedrooms: ❑ Yes 9110 Does the project require mitigation? Implementation Deadline: Date of Compliance: ❑ Yes No Does the project require an affidavit? Affidavit #: 'riel ❑ No Did licensed surveyor mark lot line(s), if project is within 10 feet of required setback? es ❑ No Did applicant/property owner mark lot line(s), if project is within 30 feet of required setback? 'Project use is? esidential 0 Commercial ❑ Municipal Project type isl ❑ New Construction ,dition/Alteration 0 Change Use ❑ Relocate ❑ RV Placement O Sign O Establishing a Business ❑ Temporary 0 Shoreland Grading ❑ Other, describe: Structure Type is:'I'Residence 0 Principal 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: Fee Type Calculation Fee Amount ❑ Dwelling Enclosed Areas — all enclosed areas within dwelling except attached non -habitable garages $0.75 x C(L$ sq ft (mini ulr)$125) $ 1 b ❑ 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 Structures $0.20 x sq ft (minimum $75) $ ❑ 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 ❑ Land Use Revisions ❑ Special Use Permit - Class A ❑ Floodplain rhoreland - Impervious Surface ❑ Shoreland - Non -Conforming, etc. ❑ Tower Siting/Collocation 1 ❑ Tower Collocation 2 ❑ Metallic Mine ❑ After -the -Fact (ATE) $ Inspected by: �0, /f Date of Inspection: W Re -Inspected by: Date of Re -Inspection: Denied by: Date of Denial: Reason for Denial: Date Denial Letter Mailed: Approved by: / _ c,cr ,!- > Date of Approval: GD Condition(s): lust meet and maintain setbacks from furthest extension of structure including eaves and overhangs. ❑ For personal storage only. For personal residence only. /❑ Not for human habitation or sleeping purposes. ,'Town/State/DNR/Federal may require permitting 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). 4Jse 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. loo 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 ❑ 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). rand use permits shall be required for any new residence, any building or structure erected, relocated, 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: 13FIELD 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: PAVLOSKI, KEVIN G & KARLA K LU-02044 N90W 16680 ROOSEVELT DR MENOMONEE FALLS, WI 53051 Transaction Number: LU-02044-38D82 Description Amount Shoreland - Impervious Surface $25.00 Habitable Residential Principal Structures - enclosed $696.00 areas $0.75/square foot (minimum $125) Total: $721.00 Payment Amount: $722.25 Reference: 7523245635 Paid by: Karla Pavloski Payment Type: Other Transaction Date: 5/27/2026 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 — Yes / Impervious Surface — Yes Floodplain — No / Wetlands — No Mitigation — No I Affidavit #: LAND USE -X SANITARY - SPECIAL A - SPECIAL B/CONDITIONAL — BOA — No. 26-0209 Tax ID: 16641 Issued To: PAVLOSKI, KEVIN G & KARLA K Location: S21 - T44N - R06W Town of Grand View Legal Description: PAR IN GOVT LOT 3 IN V.805 P.132 3871 BAYFIELD COUNTY PERMIT WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION Residential Structure in R-1 zoning district For: Addition/Alteration [1 - Story ], Residence on a Slab [928 Total sq. ft. ] Height of 24' (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 27, 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 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.