HomeMy WebLinkAbout26-0217Return to:
117 t 5's Street, PO Box 58
Washburn, WI 54891
permits@bavfieldcountv.wj.gov
County Use Only:
Bayfield County Planning and Zoning Department Submission #: L(%'07S
LAND USE PERMIT APPLICATION Permit #: a '0
Date:/,.Oadh
SECTION A: General'Information
Property Owner Name: Authorized Agent Name (if applicable):
1 nur
Telephone Number 3� Telephone Number:
E -Ma ISAddress: U.. E -Mail Address:
msU @C,he Nc+.Ne.
Mailing Address: 1 Mailing Address:
L-IdQ��Uly S I�c rIUIe
C Stgte)Ztp w
p r ' s 8-2 City, State, Zip: Planning and Zoningggency
Cp}�/![tdV 1v�'L \30idvs T�p Nypl(1L)�a� E -Mail Address:
dv
Y� d I15)— Jt
Project Address (if different from mailing address):
egal Description (if add" "onal ce is needed attach a sepam sheet):
r TN N! a E I C Z≥L tOGGa P. 310 q ly Is,,
Section, Township, Range: 3 T t..1 3 K Town of: C t bk..
Tax ID #: O Q 06 Lot Size (Acres/Square Feet): £ OC r_�.
SECTION C: Project::Information(check ;all ,that :
Project Use is: ® Residential ❑ Commercial ❑ Municipal If Commercial, estimated cost of construction: $
Project Type is: X New Construction El Addition/Alteration (existing structure)
❑ Change Use (existing structure) ❑ Relocate (existing structure) El RV Placement 21+ days
❑ Sign O Establishing a Business ❑ Temporary (12 or less months)
❑ Shoreland Grading, Class A El RV Placement 4+ months, Class A ❑ Other (describe):
SECTION D: Structure Information (Does not apply to RVs and Signs, go to Section E)
Structure Type is: ❑ Residence ❑ Principal Structure (describe):
IN Accessory Structure (describe): ❑ Shoreland Exempt Structure (describe): El Mobile Home (provide manufactured
date):
O Shipping Container ❑ Other (describe):
❑ Basement ❑ Walkout Basement M Slab ❑ Crawlspace O Ground ❑ Skids ❑ 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 2"° Floor Sq Ft: 3'a Floor Sq Ft:
Garage Sq F� 3 G Porch Sq Ft Deck Sq Ft Other Sq Ft (describe): Other Sq Ft (describe):
Total Sq Ft: Cj 3 ro Overall Height (finished grade to peak):
pj-
# of Stories: Existing # of Bedrooms on property: j Proposed # of Bedrooms in project:
Sign is:
RV is:
❑ New
❑ Replacement
❑ New U Replacement
❑ On -premise
❑ Off -premise
❑ 1 -sided
O 2 -sided
Year: Vin #:
❑ On -building
O Multi -Tenant
Length:
Width: Height:
Make: Model:
SECTION 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 ❑ Frontage Roads (include name) ❑ Existing Structures ❑ Well (W) El - Septic Tank (ST) ❑ Drain Field (DF)
❑ Holding Tank (HT) ❑ Privy (P) ❑ Lake ❑ River ❑Stream/Creek ❑Pond ❑Floodplain ❑Wetlands 0 Slopes over 20%
N
RECEIVED
MAY 2720z6
Z0Z6
Plannin E3ayfieid Co.
g 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
ft.
ft.
Notes/Comments:
Front Lot Line/Right-of-Way
ft.
ft.
Side Lot Line I
or[h East South West, circle one)
/ ft.
Q b
ft.
>7f
Side Lot Line 2
(North East ath oWest, circle one)
16 1 ft
7 7J ft.
Rear Lot Line
ft.
'l S ft.
Septic/Holding Tank
I (, a ft.
/00 ft.
Drainfield
t - O ft.
"7/0 ft.
Privy
_ ft.
ft.
Well
ft.
7 t7 ft.
Existing Structure/Building
ft.
z ft.
Wetland
— ft.
ft.
Elevation of Floodplain
— ft.
ft.
Ordinary High -Water Mark (OHWM)
— ft.
ft.
Other (describe)
— ft.
Ij,
G 61 e, suss IZ,3 .
E 4s+ LA LIf
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N)
Lc
ft�� osd 61 c71 \flsicc
o►a
Sc C,
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RECEIVED
hAY 272026
Bayfield Co.
Planning and Zoning Agency
Lc�4-i�vc_
Si
II
RECEIVED
MAY 27 2026
SECTION G: Additional Questions on[ng Agenq'
La Yes
❑ No
Has the location of the proposed project including eaves and overhangs and the sani ary system and well been
staked? If no what date will this be completed:
O Yes
11 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.
JV Yes
❑ No
Did property owner or applicant mark lot tine(s) if project is within 30 feet of required setback? See page 2 of
Land Use Application Information for required setbacks.
�9 Yes
O No
Is there an existing sanitary system on the property? If yes, what kind?
R Dramfield ❑ Holdin Tank ❑ Munici al/Public ❑ Other (describe):
❑ Yes
M 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 ❑ Holdin Tank ❑ Munici al/Public ❑ Other (describe):
❑ Yes
V 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:
id
❑ Rezone ❑ Class A Special Use O Class B Special Use O Conditional Use O Variance I
NC)
Fee payment will be made via:
Check (attached) ❑ 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?
M Mail to: OR ❑ Email to:
19 Property Owner Address ❑ Agent Address O Contractor Address O Other (provide name and email or address):
Section H: Acknowledgement and S' tare
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/tooic/wetlands, v/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.
P1*h' ' RbR)C L A u'rC3 R. IC
Owner(s) or Authorized Agent Printed Name
c—i s— a6
Owner(s) or Authorized Agent Signature:jsk Date:
NOTES:
I. If you are signing on behalf of the owner(s) a letter of authorization must accom y 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.
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[Applicant Checklist
W Yes
❑ No
Will new electrical installation occur with project/structure? If yes, contact State for inspection requirements.
❑ Yes
W No
Will new plumbing installation occur with project/structure? If yes, contact State for inspection requirements.
❑ Yes
® No
Is the project/structure to be used for commercial purposes? if yes, contact the State of Wisconsin Commercial
Buildings & Structures to determine if they ire review and approval.
❑ Yes
1K No
Is the project located in the Floodplain? If yes, additional materials and fee will be required. Reference the
FEMA Map ttt s://msc.fema.pov/nortaVbome) and Title 13, Chapter 2 of Bayfield County Zoning Ordinance
(https://www.bayfieldcountv.wi.gov/7 1 1/Title- 13 ---Zonis -Code .
❑ Yes
11 No
Is the project located in the Shorelands, within 300 feet of a river/stream OR landward side of floodplain OR
1000 feet of a lake/pond/flowage (whichever is greater)? If yes, shoreland regulations will apply.
❑ Yes
IX No
is your property a waterfront lot and will any part of your project be located within 300 feet of the water OR is
your entire lot located within 300 feet of the water? If yes to either, complete and include Impervious Surface
Form (https:llwww.bayfieldcounty.wi.gov/DocumentCenter/View/3 I 59llmrvious-Surface-PD .
❑ Yes
WNo
Are there wetlands on the property. If yes, wetland regulations will apply. A 25 -foot setback is required to any
mapped wetlands. Reference Department of Natural Resource Surface Data Viewer Map
ht(psJ/diimiaps.wi.gov/H5flViewerSWDV).
❑ Yes
6d' No
If applicable, did you contact the road authority to see if a driveway permit or regulations apply to placement of
driveway?
❑ Yes
g No
Was the property purchased recently? If yes, include a recorded deed. A copy of recorded deed can be acquired
from the Bayfield County of Deed's office.
®'Yes
O No
Is a site plan included with all information requested on Page 1 of the Land Use Permit Application
information? If no, a site plan with all applicable information on Page 1 is required for all submissions.
1=( Yes
O No
Is a floor plan(s) included with all information requested on Page 4 of the Land Use Permit Application
Information? Floor plans are required for residences, commercial buildings, or additions/alterations to these
structures.
❑ Yes
® No
If structure is in Shorelands, have building elevations with all information requested on Page 5 of the Land Use
Permit Application Information been included?
❑ Yes
6R No
Is this application to correct a violation or has the project already commenced? If yes, at minimum an after -the -
fact fee will apply, if not permittable, the structure will need to be removed.
9 Yes
O No
If addition, does the existing structure meet required setbacks, see Page 2 of the Land Use Permit Application
information? if no, be aware that it is the property owner's responsibility to show the structure was legally
placed and there may be limitations to expansion of the structure, see Bayfield County Section 13-1-40
(httpsi/www.bayfieldcounty.wi.gov/7 il/Title-I 3 —Zonis -Code .
19 Yes
❑ No
Is the use of the project/structure allowed per Hayfield County Section 13-1-62
(https://www.bayfieldcountv.wi.eov/71 I/Title-13---Zoning Code). if no, be aware it is the property owner's
responsibility to show the use was legally established and there may be limitation to expansion of the use, see
Hayfield County Section 13-1-40 (https://www.bavfieldcounty.wLgov/7 1 l/Title-13--Zonis -Code).
10 Yes
❑ No
Have all fees been included with the completed application? See Fee Schedule on website
(httos://www.bayfieldcounty.wi.gov/1389/Fee-Schedule). If no, all applicable fees need to be paid before permit
can be issued
❑ Yes
le No
Is property owned by multiple owners or is someone aside from the property owner applying? If yes, a Letter of
Authorization Form needs to be included. Form available on website
(https://www.bayfieldcouaty.wi. ov/1 340/A
❑ Yes
'No
Is property owned by a Trust or Business entity (LLC, Corp., etc.)? If yes to either, an Affidavit of Authority
needs to be included. Forms available on website (httos://www.bayfieldcounty.wi.gov/l340/Applications-
Forms).
Yes
❑ No
Is Land Use Application completed and signed?
RECEIVED
MAY 272026
earrew co.
Planning and Zoning Agency
Land Use Permit Application Review Checklist
Submission #: — n,
What zoning district is the project located in?
❑ R-1 -2 ❑ R-3 ❑ R-4 ❑ R-RB ❑ C ❑ 1 ❑ M DA -1 ❑ A-2 OF -1 ❑ F-2 ❑ W ❑ M -M
❑ Yes' -No
Is lot substandard (does not meet current zoning dimensional requirements)?
Deed of record:
❑ Yes 44o
((
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'arNo
Is the project located in the Flood plain? Zone:
❑ Ye No
Are there wetlands on the property?
❑ YeIt10
Is project associated with a nonconforming use or structure?
❑ Yes o
Is project associated with a variance? Case #:
❑ Yes No
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 ❑ Non -Plumbing 0 Public
Sanitary Permit #: # of Bedrooms:
❑ Yes AIo
Does the project require mitigation?
Implementation Deadline: Date of Compliance:
❑ Yes o
Does the project require an affidavit? Affidavit #:
❑ Yes No
Did licensed surveyor mark lot line(s), if project is within 10 feet of required setback?
❑ Yes o
Did applicant/property owner mark lot line(s), if project is within 30 feet of required setback?
Project use is.Residential ❑ Commercial O Municipal
Project type is New Construction 0 Addition/Alteration ❑ Change Use O Relocate 0 RV Placement 0 Sign
❑ Establishin a Business ❑ Temporary ❑ Shoreland Grading O Other, describe:
Structure Type is: O Residence ❑ Principal Structure -Accessory Structure O Boathouse (one story only)
❑ Open-sided/Screened Structure (gazebo, etc.) ❑ Stairway to navigable waters ❑ Mobile Home
❑ Shipping Container O Other, describe
Total Sq. Ft. of Project: oJ b Number of Stories: Overall Height:
lb
Fee Type
Calculation
Fee Amount
O 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 sqxft
(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 El Land Use Revisions O Special Use Permit - Class A O Floodplain O Shoreland - Impervious
Surface O Shoreland - Non -Conforming, etc. O Tower Siting/Collocation 1 O Tower Collocation 2 O Metallic Mine
❑ After -the -Fact (ATF)
$
9f.•%
Inspected by:
c
Date of Inspecti
2
Go Y7
,�for
Re -Inspected by:
Date of Re -Inspection:
Denied by:
Date of Denial:
Reason for Denial:
Date Denial Letter Mailed:
Approved by:
Date of Approval:
`- z8
Condition(s):
❑ Must meet and maintain setbacks from furthest extension of structure including eaves and
overhangs.
or personal storage only.
❑ For personal residence only.
of 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).
se 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.
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
o sewer and pressurized water allowed in the structure.
No plumbing or plumbing fixtures allowed.
�RVo 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
and 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
INFIELD Bayfield County
Planning & Zoning Department
117 E 51 Street
P.O. Box 58
Washburn, WI 54891
Phone: 715-373-6138
Fax: 715-373-0114
Property Owner.
BJORK, MATTHEW W & LAURA )
42675 CABLE SUNSET RD
CABLE, WI 54821
Description
Non -Habitable Residential Principal and Accessory
Structures - $0.20/square foot (minimum $75)
Submission Number:
LU-02295
Transaction Number:
LU-02295-4697C
Amount
$187.20
Total: $187.20
Payment Amount. $187.20
Reference: 3742
Paid by: Matthew & Laura Bjork
Payment Type: Check
Transaction Date: 5/29/2026
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 / Impervious Surface — No
Floodplain — No / Wetlands — No
Mitigation — No / Affidavit #:
LAND USE —X
X
SANITARY -
SPECIAL A -
SPECIAL B/CONDITIONAL —
BOA —
No. 26-0217 Tax ID: 9606
Issued To: BJORK, MATTHEW W & LAURA J
Location: S23 - T43N - R08W
Town of Cable
Legal Description: PAR IN N 1/2 SE NE IN V.668 P.370 914A
BAYFIELD COUNTY
Lalilfilh
WEATHERIZE AND POST THIS PERMIT
ON THE PREMISES DURING CONSTRUCTION
Residential Structure in R-2 zoning district
For: New Construction, Accessory Structure on a Slab [936 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 29, 2026
Date
Condition(s): 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.