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HomeMy WebLinkAbout26-0210Return to: County Use Only: 117 ES" Street, PO Box 58 Hayfield County Planning and Zoning Department Submission it' Q 273 Washburn, WI 54891 LAND USE PERMIT APPLICATION I Permit U' ' D ep rmits[�bav(ieldmunty.wi.f,Cc Date: O SECTION A:Cenerallaformadnn �_.__.,__._.-........_ Property Owner Name: Authorized Agent Name (II applicable): t i Jeff Jacobson ii Telephone Number: Telephone Number: 6128405604 E -Mail Address: E -Mail Address: gnWtnesSgn1aiI nom Mailing Address: Mailing Address: 51640. Cty Hwy Y City, State. Zip: City, Slate, Zip: Barnes, WI 54873 Contractor: Telephone Number: 13 -Mail Address: sell 612.940.5604 gnadyness@gma'lcorn SECTION & Propetty Information Project Address (if different from mailing address): Legal ptio if additional space is needed attach a separate sheet): 9j VVA c sr( # v Section, Township, Rage: — - Town of: Barnes Tax ID N: 1560 Lot Size (Acres/Square Feet): 9627 SECTION C: Project Information (check all that apply) . - Project Use is: El Residential 0 Commercial 0 Municipal If Commercial, estimated cost of construction: $ Project Type is: a New Construction 0 Addition/Alteration (existing n^icmre) ❑ Change Use (existing structure) 0 Relocate (existing structure) ❑ 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): • uired (Total sq It): required SECTION D: Structure Information (Does not apply to RVs and Signs, go to Section E) Structure Type is: 0 Residence 0 Principal Structure (describe): El Accessory Structure (describe): 0 Shoreland Exempt Structure (describe): ❑ Mobile Home (provide manufactured shad date): ❑ Shipping Container 0 Other (describe): Foundation Type: ❑ Basement 0 Walkout Basement ❑ Slab 0 Crawlspace E) Ground 0 Skids 0 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: I" Floor Sq Ft: Loft Sq Ft: 2w Floor Sq Ft: 3b Floor Sq Ft: Garage Sq Ft: Porch Sq Ft Deck Sq Ft Other Sq Ft (describe): Other Sq Ft (describe): 600 (15' wide x40' lon) Total Sq Ft: euo Overall Height (finished grade to peak): 16' it of Stories: I±±f8edros on property: Proposed itof Bedrooms in project: SECTION E; BV and Man Informs q (check all that apply) Sign is: 8V tr: ❑ New U Replacement U New 0 Replacement ❑ On -premise 0 OfT-premise OI-sided ❑2 -side[ Year: Vin M: ❑ Oa -building 0 Multi -Tenant ECCIV E Length: Width: Height: Make: Mode!:' Application Page I MAT 'I Y ZUZ6 Bayfold Co. Planning and Zoning Agency SECTION F: 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 jrovided on site plan) Show location of: ❑ Driveways ❑ Frontage Roads (include name) 0 Existing Structures 0 Well (W) 0 Septic Tank (ST) D Drain Field (DF) ❑ Holding Tank 0 Privy (P) 0 Lake 0 River OStreaniCreek UPond OPlood lain OWedands [JSlopes over 20% N �t�__ 91KffAj i �I f GI rAv,N Et' e-6- Cjilt�J Setback or distance from furthest extent of structure County Use Only including eaves and overhangs to (include on site plan): Verified setbacks Road Centerline 515 ft. ft. Notes/Comments: Front Lot Line/Right-of-Way 495 ft. ft. Si Lot Line 1 ortb t South West,circle one) 150 fl. ft. t Lot Line 2 North Eas(Cjj1West,circle one) 155 ft. ft. Rear Lot Line 740 ft. ft. Septic/Holding Tank Ito ft. ft. Drainfield 115 n. ft. Privy Il ft. Well 86 --� ft II. Existing Structure/Building loll. ft. Welland n. n. t� _ Elevation ofFloodplain ft n. Ordinary High -Water Mark (OIIWM) -_---Il. ft. Other (describe) --- -- -- II, ft. - - - 2026 Application Page 2 Planning6aand Zoning Agency. SECTION G: Additional Questions O Yes ❑ No Has the location of the proposed projectbeen staked? If no, what date will this be completed: Note: The site will not be inspected nor pennit issued until oiler the staking date listed above. ❑ Yes El No Did a licensed surveyor mark lot line(s) it project is within 10 feet of required setback? See page 2 of Land Use Application Information for required setbacks. O 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. O Yes ❑ No Is there an existing sanitary system on the property? If yes, what kind? O Drainfield O Holding Tank 0 Munici al/Public O 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? O Drainfield O Hol ' Tank ❑ Munici al/Public ❑ Other (describe): ❑ Yes I 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 Usc ❑ Variance Fee payment will be made via: ❑ 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? O Mail to: OR El Email to: IJ Property Owner Address O Agent Address ❑ Contractor Address ❑ Other (provide name and email or address): lnelude wvcs, ovethmga, miitmy syMem, and well in ruling mwmemcnt, Section H: Ad&noMedgement 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. AB municipalities air 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 mom information, visit the Department of Natural Resources wetlands identification web page, dnr.wi.eov,'to jej ctlpnc(s, or contact a Department of Natural Resources service center (715)685-2900. 1 (we) declare that this application, including any accompanying information, has been examined by me (us) and to the best of my (ow) 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 Signauuc -- — Date: NOTES: --.- 1. If you are signing on behalf of the ownei(s a Iv ter of authorization must accompany this application. 2. Specific conditionslinstructions may be stated on the face of the issued land Use Permits. Owners, agents, afalrac(� A_ More - 1 c must all be aware of permit posted on property prior to start MAY 19 2026 Application Page 3 Bayfield Co. Planning and Zoning Agency Bayfield County, WI ' ' -: Y1 i' t ': RW`VL/TdW'1 #'1562 1 r. +V'�►.. r j 1 JEFFREY HUEBEI a " 1 4, ;tom. r nul a /lira{0 a I:,no �� i' , 1 'l OF UL I ORIAN : UL PRA ANN JACOt ,OrJ . - .• 1 , 4$ Rnflb Tmr1 41561 .�. .L .. 1,.. RONALD W TERRY 'E" - a ,)� 5127/2026, 8:46:52 AM 1:489 --- Approximate Parcel Boundary o 0.01 0.111 0.92M 0 0.01 0.01 0.03 km Building Footprint 2015 Say%M county Land Rewrda Cepanmenl Building Beyfald Caomy Zoning ApplloaUon Nlpe:llmaptbayfiebmunly.wI, v2oningWABI r /26/26, 7:53 AM Novus-Wisconsin Access rev. 12.0206 7 Real Estate Bayfield County Property Listing Property Status: Current Today's Date: 5/26/2026 Created On: 3/15/2006 1:14:45 PM Description Tax ID: PIN: Legacy PIN: Map ID: Municipality: STR: Description: Recorded Acres: Calculated Acres: Lottery Claims: First Dollar: Zoning: ESN: �14 Tax Districts Updated: 5/1/2026 1560 04-004-2-44-09-06-2 02-000-30000 004107208990 (004) TOWN OF BARNES S06 T44N R09W N1/2S1/2OFLOT IACSM #109 V.2 P.135 (LOCATED IN NW NW) IN DOC 2020R- 584940 9.627 9.627 0 Yes (F-1) Forestry-i 104 Updated: 3/15/2006 1 STATE 04 COUNTY 004 TOWN OF BARNES 041491 SCHL-DRUMMOND 001700 TECHNICAL COLLEGE ,4. Recorded Documents Updated: 3/15/2006 ® WARRANTY DEED Date Recorded: 10/20/2020 20208-584940 ® WARRANTY DEED Date Recorded: 2/1/2016 2016R-562159 1155-612 ® SHERIFFS DEED Date Recorded: 12/15/2015 2015R-561664 1153-842 ® CONVERSION Date Recorded: 482971 842-733;860-295 © WARRANTY DEED Date Recorded: 6/18/2003 2003RA82971 860-295 a Ownership Updated: 5/1/2026 JEFFREY BRIAN & DEBRA ANN JACOBSON BARNES WI Billing Address: Mailing Address: JEFFREY BRIAN & DEBRA JEFFREY BRIAN & DEBRA ANN JACOBSON ANN JACOBSON 51640 COHWYY 51640 COHWYY BARNES WI 54873 BARNES WI 54873 10 Site Address * Indicates Private Road 51640 COUNTY HWY Y BARNES 54873 ® Property Assessment Updated: 10/4/2016 2026 Assessment Detail Code Acres Land Imp. G1 -RESIDENTIAL 8.000 18,500 44,000 2 -Year Comparison 2025 2026 Change Land: 18,500 18,500 0.0% Improved: 44,000 44,000 0.0% Total: 62,500 62,500 0.0% Property History N/A L7 lb J https://novus.bayfieldcounty.wi.gov/access/master.asp?paprpid=1560 1/1 Land Use Permit Application Review Checklist Submission #: 2 What zoning district is the project located in? ❑ R-1 ❑ R-2 ❑ R-3 ❑ R-4 ❑ R-RB ❑ C ❑ I ❑ M ❑ A-1 DA -22l-1 ❑ F-2 ❑ W ❑ M -M ❑ Yes ,2 to Is lot substandard (does not meet current zoning dimensional requirements)? Deed of record: ❑ Yes piNo 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 Silo Is impervious surface required? (Required if riparian lot OR lot is entirely within 300 feet of OHWM of navigable waterway) ❑ Yes 21io Is the project located in the Floodplain? Zone: ❑ Yes jailo Are there wetlands on the property? ❑ Yeso Is project associated with a nonconforming use or structure? ❑ Yes .0'No Is project associated with a variance? Case #: ❑ Yes ,2 -No Is project associated with a Special B or Conditional Use Permit? Permit #: ❑ Yes j2110 Is the project associated with a Special A Use Permit? ❑ Yeso Does the project require sanitary? 0 Existing 0 New ❑ Intercept ❑ Reconnect 0 Non -Plumbing ❑ Public Sanitary Permit #: # of Bedrooms: ❑ Yes jaico Does the project require mitigation? Implementation Deadline: Date of Compliance: ❑ Yes aiio Does the project require an affidavit? Affidavit U: ❑ Yeso 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? esidential 0 Commercial ❑ Municipal Project type is?fa'IIew Construction ❑ Addition/Alteration ❑ Change Use ❑ Relocate ❑ RV Placement ❑ Sign ❑ Establishing a Business ❑ Temporary ❑ Shoreland Grading ❑ Other, describe: Structure Type is: 0 Residence ❑ Principal Structure Accessory Structure ❑ Boathouse (one story only) ❑ Open-sided/Screened Structure (gazebo, etc.) 0 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 At ached Non -Habitable Garages $0.20 x sq ft (minimum $125) $ Non -Habitable Residential Principal and Accessory tructures $0.20 x 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 0 Land Use Revisions ❑ Special Use Permit - Class A ❑ Floodplain ❑ Shoreland - Impervious Surface 0 Shoreland - Non -Conforming, etc. 0 Tower Siting/Collocation 1 0 Tower Collocation 2 0 Metallic Mine ❑ After -the -Fact (ATF) $ Inspected by: Date of Inspection: Re -Inspected by: Date of Re -Inspection: Denied by: Date of Denial: Reason for Denial: Date Denial Letter Mailed: Approved by: Date of Approval: Condition(s): ❑ Must meet and maintain setbacks from furthest extension of structure including eaves and overhangs. For personal storage only. ❑. personal residence only. �For Not for human habitation or sleeping purposes. ,21wn/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. ❑ Si n must meet the requirements of Article E of the Bayfield County Zoning Ordinance. To 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. ❑ 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 Farms/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: JACOBSON, JEFFREY BRIAN & DEBRA ANN 1868 90TH ST NEW RICHMOND, WI 54017 Description Non -Habitable Residential Principal and Accessory Structures - $0.20/square foot (minimum $75) Submission Number. LU-02273 Transaction Number: LU-02273-46878 Amount $120.00 Total: $120.00 Payment Amount: $121.25 Reference: 3835775915 Paid by: Jeff Jacobson 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 — No / Impervious Surface — No Floodplain — No / Wetlands — No Mitigation — No / Affidavit #: LAND USE -X SANITARY - SPECIAL A - SPECIAL B/CONDITIONAL - BOA - BAYFIELD COUNTY WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION No. 26-0210 Tax ID: 1560 Issued To: JACOBSON, JEFFREY BRIAN & DEBRA ANN Location: S06 - T44N - R09W Town of Barnes Legal Description: N1/2 S112 OF LOT 1A CSM #109 V.2 P.135 (LOCATED IN NW NW) IN DOC 2020R- 584940 Residential Structure in F-1 zoning district For: New Construction [1 - Story ], Accessory Structure on the Ground [600 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 Tracy Pooler 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 27, 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): For personal storage only. Not for human habitation or sleeping purposes. Town/State/DNR/Federal may require permitting. To be constructed per plan.