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Home My WebLink About26-0239Return to: County Use Only: 117 E 5th Street, PO Box 58 Bayfield County Planning and Zoning Department Submission #' LU Washburn, WI 54891 LAND USE PERMIT APPLICATION Permit #: E 6 o-39 permits@bayfieldcounty.wi.gov Date: (/ Rr rOo'j SECTION A: General Info's Property Owner Name: Authorized Agent Name (if applicable): Patrick & Michele Courneya Trustees Lake Effect Builders by Leo Ketchum Fish Telephone Number: Telephone Number: C D 612-770-6866 715-209-0300 E -Mail Address: E -Mail Address: MAY 21 2026 courneya05@gmail.com leo@lakeeffectbuildersllc.com Mailing Address: - Mailing Address: Bayfield Co 255 Western Ave N APT 522 PO Box 55Planning and Zoning A arey City, State, Zip: City, State, Zip: ST Paul, MN 55102 Washburn, WI 54891 Contractor: Telephone Number: E -Mail Address: Lake Effect Builders, LLC 715-209-0300 leo@lakeeffectbuilderslle.com "SECTION B: Proert Information Project Address (if different from mailing address): 86230 Gotchling RD, Bayfleild, WI 54814 Legal Description (if additional space is needed attach a separate sheet): S }l 46 SE SW LESS STATE RESERVE IN DOG 2020R-584386 120 (MICHELE L COURNEYA TRUST DTD 09/03/2020) Section, Township, Range: S09 T50N R04W Town of: Bayfield Tax ID #: 4454 Lot Size (Acres/Square Feet): 15.97 SECTION C: Project Information (check all that apply) Project Use is: H Residential ❑ Commercial ❑ Municipal If Commercial, estimated cost of construction: $ Project %ype is: H New Construction ❑ Addition/Alteration (existing structure) ❑ Change Use (existing structure) El Relocate (existing structure) ❑ RV Placement 21+ days ❑ Sign El Establishing a Business ❑ Temporary (12 or less months) ❑ Shoreland Grading, Class A ❑ RV Placement 4+ months, Class A ❑ Other (describe): req uired (Total sIii: required SECTION D: Strueture,anformation (Does not apply to RVs and Signs, o to:Section E Structure type is: El Residence ❑ Principal Structure (describe): O Accessory Structure (describe): El Shoreland Exempt Structure (describe): ❑ Mobile Home (provide manufactured Garage 30' x 30' w/ 2' overhangs date): El Shipping Container El Other (describe): Foundation Type: ❑ Basement El Walkout Basement H Slab ❑ Crawlspace ❑ Ground El Skids ❑ Other (explain): Existing Structure: House 84x48, Bath house 16x24, cabin 20x4O Length: Width: Height: a �> 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: 2n° Floor Sq Ft: 3`° Floor Sq Ft: Garage Sq Ft: Porch Sq Ft: Deck Sq Ft: Other Sq Ft (describe): Other Sq Ft (describe): 900 Total Sq Ft: eco Overall Height (finished grade to peak): # of Stories: 1 Existing # of Bedrooms on property:3 Proposed # of Bedrooms in project: 0 SECTION E: RV and Sign Information (check all thatapply) Sign is: RV is: ❑ New ❑ Replacement ❑ New ❑ Replacement ❑ On -premise ❑ Off -premise ❑ 1 -sided ❑ 2 -sided Year: Vin #: ❑ On -building ❑ Multi -Tenant Length: Width: Height: Make: Model: Application Page 1 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 provided on site plan) Show location of: ❑ Driveways O Frontage Roads (include name) ❑ Existing Structures ❑ Well (W) ❑ Septic Tank (ST) ❑ Drain Field (DF) ❑ Holding Tank (HT) ❑ Privy (P) ❑ Lake ❑ River ❑Stream/Creek ❑Pond ❑Floodplain ❑Wetlands ❑Slopes over 20% N See attached site plan MAY 272075 8ayneJd Co. Planning and Zoningq gency Setback or distance from furthest extent of structure County Use Only including eaves and overhangs to (include on site plan): Verified setbacks Road Centerline 1255 Q4. ft. Notes/Comments: 4 Front Lot Line/Right-of-Way 75 ft. Side Lot Line 1 (North East South West, circle one) 962 lfftft,LM�4- Side Lot Line 2 300 ft(North East South West, circle one .. U,J2f1 1(� 1 "`� C � d Carta' On hnl Vx �V<1u rw Rear Lot Line 356 Septft. Tank 50 ft. ft. Draii fieldding Drainfield 125 ft. -0ft. Privy ft. ft. Well 160 ft. ft• Existing Structure/Building tce,aos 226 ft. ft. Wetland ft. Elevation of Floodplain ft. ft. Ordinary High -Water Mark (OHWM) ft. ft. Other (describe) North Pikes 650+ ft. ft. Application Page 2 RECEIVED MAY 272026 BaWeld Co. Planning and Zoning Agency C�- r a^ �/ � I •N BEARINGS BASED ON WISCONSIN / COUNTY COORDINATE SYSTEM. I 1 I BAYfIELD COUNTY. WITH -- W REFERENCE TO THE WEST INF OF THE SOUTI-IWEST QUARTER OF SECTION 9 BEING N01'0544 -E U 100 200 400 335.76' ?nJ?o5e` ya o. cJ .: N. ISox30 + z c •= l r Sekacu5 we5+-356 �I Nor+ q dZ 50 --� 'EjE; (1oJAH 125 ::11 - IELr F TAX NO. 04-006-2-50-04-09-3 04000-10000 - SW s�`�'Gp I QCABIN 9 GQ��o�\ I 1aI 1 6 d II . NJ R 4AW �GtNr,`.z \.P l,' TT —' T o co't ?Sl,�S- In yb 500.05' — _ — — . - — N89° 36' 47"W QUARTER C' 74.52' (TOTAL) (CALC'D POE RECEIVED MAY 271026 Bayfield Co. SECTION G:. Additional Questions ' • ..:. ... .:..:. ,..: , •...., �._ ..:..,. ,.... s . .I'l Yes ❑ No Has the location of the proposed project* been staked? I [no, what date will this be completed: Note: The site will not be inspected nor permit issued until after the staking date listed above. ❑ 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. O Yes ❑ No Is there an existing sanitary system on the property? If yes, what kind? S Drainfield El Holding Tank El Municipal/Public ❑ Other (describe): El 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): ❑ 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: El Rezone ❑ Class A Special Use ❑ Class B Special Use ❑ Conditional Use O Variance Fee payment will be made via: El Check (attached) ❑ 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 El Email to: El Property Owner Address ❑ Agent Address El Contractor Address ❑ Other (provide name and email or address): 'Include eaves, overhangs, sanitan sstcm. and well in staking measurements Sectioiil: AcknotMed ement and Si nature"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/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: LakeanstloQNden. eeey Lee K.PoM1um Fish Owner(s) or Authorized Agent Signature: Date: osarava NOTES: 1. 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. Application Page 3 Name Address REECEWED Bayfield County Zoning Department & Zoning Administrator P.O. Box 58 Washburn, WI 54891 715-373-6138 MAY 272026 Sayfield Co. Planning and Zoning Agency Dear Zoning Administrator, in regard to the application for my Bayfield County Land Use Permit necessary to build my Garage at 86230 Gotchling Rd in Bayfield, WI with Tax ID 4454 and parcel # 04-006-2-50-04-09-3 04-000-10000 I, Patrick Courneya, do authorize Leo Ketchum Fish of Lake Effect Builders, llc to act and sign on my behalf. You, 7 ,0- /,/ Signature Date Signature Date It I O I I I I I O I I I I I I I I I I I I1�1 I I I ! I I I I1r LIVING AREA 10050 FT 7 WE,31I�1.0I.A f.Thltl _.. East Elevation 1 LAY c /Z026 8ayfie!d Co. Planning ard Zoning Agency __ South West Elevation 2 '= r ao' NnFth DATE: 05-27-2026 SCALE: V4" = 1'0'• IN 5/27/26. 2:30 PM Real Estate Tax Statement BAYFIELD COUNTY, WISCONSIN Printed: 5/27/2026 2:29:36 PM RECEIVED MAY 212026 Bayfield Co. Planning and Zoning Agency PATRICK T & MICHELE L COURNEYA TRUSTEES 255 WESTERN AVE N APT 522 ST PAUL MN 55102 STATEMENT RE COURNEYA TRUSTEES, PATRICK T & MICHELE L Tax ID: 4454 Legacy PIN: 006101605000 PIN: 04-006-2-50-04-09-3 04-000-10000 Property Description Site Address: 86230 GOTCHLING RD 86240 GOTCHLING RD Municipality: TOWN OF BAYFIELD Description: (Not for use on Legal Documents) SESW 809 T5ON-R04W SE SW LESS STATE RESERVE IN DOC 2020R-584386 120 (MICHELE L COURNEYA TRUST DTD 09/03/2020) Document: 2020R-584386 Acreage: 15.970 2025 Assessments Code Acres Land Imp,. Total G1 - RESIDENTIAL 2.000 12,500 365,800 378,300 G6 - PRODUCTIVE FOREST 13.970 15,400 0 15,400 Total Values: 15.970 27,900 365,800 393,700 Estimated Fair Market Value: 681,500 PATRICK T & MICHELE L COURNEYA TRUSTEES 255 WESTERN AVE N APT 522 ST PAUL MN 55102 TAX RECORDS - KEY TO CODES RE = Real Estate SA = Special Assessments PF = Private Forest LC = Lottery Credit SC = Special Charges MFLO = Managed Forest Land Open FD = First Dollar Credit DU = Delinquent Utilities MFLC = Managed Forest Land Closed _ _ "nun THERE ARE NO PRIOR DELINQUENT PAYMENTS DUE NN"' Tax Paid: 9,427.56 0.00 0.00 0.00 0.00 0.00 0.00 9,427.56 Balance: 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Tax l0 4454 Total Due For 2025 Tax: 0.00 --- THERE ARE NO TAXES DUE ON TAX ID 4454 NNN Bayfield County Treasurer JENNA GALLIGAN, PO BOX 397 WASHBURN WI 54891 Phone: (715) 373-6131 Credit Card Pay Site https://www.ba eldcounty.wi.gov/151/Treasurer https://novts.bayfieldcounty.wi.gov/access/master.asp?paprpid=4454 1/1 6/4/26, 12:16 PM Novus-Wisconsin Access rev. 12.0206 Real Estate Bayfield County Property Listing Today's Date: 6/4/2026 Z Description Updated: 7/1/: Tax ID: 4454 PIN: 04-006-2-50-04-09-3 04-000-10000 Legacy PIN: 006101605000 Map ID: Municipality: (006) TOWN OF BAYFIELD STR: 509 T50N R04W Description: SE SW LESS STATE RESERVE IN DOC 2020R-584386 120 (MICHELE L COURNEYA TRUST DTD 09/03/2020) Recorded Acres: 15.970 Calculated Acres: 14.935 Lottery Claims: 0 First Dollar: Yes Zoning: (F-1) Forestry -1 ESN: 105 I Tax Districts Updated: 3/15/2006 1 STATE 04 COUNTY 006 TOWN OF BAYFIELD 040315 SCHL-BAYFIELD 001700 TECHNICAL COLLEGE ' Recorded Documents 0 QUIT CLAIM DEED Date Recorded: 9/21/2020 0 WARRANTY DEED Date Recorded: 12/4/2012 0 CONVERSION Date Recorded: 3/15/2006 Updated: 1/9/2013 Property Status: Current Created On: 3/15/2006 1:14:54 PM * Ownership Updated: 7/1/2024 PATRICK T & MICHELE L COURNEYA ST PAUL MN TRUSTEES Billing Address: Mailing Address: PATRICK T & MICHELE L PATRICK T & MICHELE L COURNEYA TRUSTEES COURNEYA TRUSTEES 255 WESTERN AVE N 255 WESTERN AVE N APT 522 APT 522 ST PAUL MN 55102 ST PAUL MN 55102 i Site Address * indicates Private Road 86230 GOTCHLING RD BAYFIELD 54814 86240 GOTCHLING RD BAYFIELD 54814 ® Property Assessment Updated: 3/18/2024 2026 Assessment Detail Code Acres Land Imp. Gl-RESIDENTIAL 2.000 12,500 365,800 G6 -PRODUCTIVE FOREST 13.970 15,400 0 2 -Year Comparison 2025 2026 Change Land: 27,900 27,900 0.0% Improved: 365,800 365,800 0.0% Total: 393,700 393,700 0.0% 2020R-584386 �r1 Property History 2012R-547070 1096-511 N/A 548-382 https://novus.bayfiieldcounty.wi.gov/access/master.asp?paprpid=4454 1/1 Bayfield County, WI 6/4/2026.12:17:16 PM 1:3,381 '+� Wetlands 0 0.04 0.09 0.17mi Rivers I Approximate Parcel Boundary Building Footprint 2015 Building 0.05 0.1 0.2 km Baylal County Land Remrde Department Baygeld County IOMng Appll®!on tris9/maps. Imyteldmunrywi.vfoningWAD! Bayfield County, WI 6/4/2026, 12:19:09 PM 1:845 Rivers Approximate Parcel Boundary 2 Building 0 0.01 0.02 0.04 ml 0 0.01 0.03 0.06 km BayaeW Canty Led Recatls DepaNnef BaygoM County Zoning Applicatb Mlps,llmaps.baMeWcauntywi gov2a,ingWABl iwr: ctsertotoAPPt14TION. TA\ STATEMENT ANDFtE TO. APPLICATION FOR PERMIT Bsyfield County BAYFIELD COUNTY, WISCONSIN Punning and Zoning Depart. PO go.58 mr'sunP lnm.:..dl .. Washburn. WI 54191 I' (M)3TT-6t_g AUG 092013 INStBUCT1OHS: Ne pemdu eialcloaca nnnl.a ten„elrax. P7:'l?l Co 7nn'.., .} }rt. Cited, are made paysbA,CONSTRUCTION UNTIL ALL ptRMrts NAVe ettN\wt�iO APPLICANT. NOW 001 FIIIOUTTNx APPiCATION(Whit our webslte www.haylld&ounw.oeg/mNng/arp) TYPE OF PERMIT REQUESTED 0 LAND USE A SANITARY 0 PRIVY 0 CONDITIONAL USE 0 SPECIAL USE 0 B.O.A. 0 OTHER_ Owner's Name: Magog Mdress: pry/Stale/zip: Telephone: ThW-c..LtL Corn ' 4So 4r.<.. 5tfU lZ- a 11 MN S 7, &:r7-vyv-37f7 Address aLProperty; UPr/sbte/Zip: EtD Phone: Gni-<.(4i ttc,t 0s - Contractor. Contractor Phee: I Plumber Plumber Phone: [f 7)s-331-95yy Authorized Agent term String arp ratbe PnbenNf SOwnefat) Agent Phone: Agent MaEng Address (Incads City/State/Zip): Written MtlturWllan Attached Oyes C No PROJECT DlSerleNdl: IUs0 Tar 5LdseminU w' (23 digltl) fjffle¢al COG -A- Se-01-o4'3-0?-000-FW00DS Recorded Document (i.e. Properly Ownhshlp) loGTrox volume Pages) // SW DOYltol t000t) am Vol&Page lot(s)No. Nock(s)N.. Subdivision: UaeW 3/d pr wL Section/ ,TrV ,hlP-O N.xange —E W Tormal: 3o- c -Y lot size Acreage y <<a 5horeland LTCI,Property/land within 30D feet of elder, Stream And.tmmmm.n) Creek or Landward side of Floodplaln? If yes—contlnue� DI Wcwre s hmelihe: IaProperty in Fioodplain Zone? ❑ Yes Are Wetlands Present? ❑ Yes 0 is Prpperry/lantl within 1000 feet of lake. Pander Flowage Distoncestm[Surei fiom Shoreline: If yes --continue --► feet ElVes AY ,NO an-shorelantl pct _ jj Value at Time of Completion e include donated time& material Project (What are you applying l,r) go/stories and/or basement Use U of bedrooms What Type of Sewer/Sanitary System Is on the property? Water 2CNew Construction -Story0 Seasonal '� '. 1 :1 Municipal/City ❑ City $ ❑ Addhlon/Alteration 0 1 -Story♦ Loft Q7 Year Round 2 1 (New)Sanitary Specify Type: U Well oZS, O0O U Conversion ❑ 2 -Story 0 .. 3 7 Santary (Exists) SpetlryType: C Relocate pulling b" Al 0 Basement r ] Privy(Pit) or -: Vaulted (min 200 gallon) w� A ❑ Run a Business on Property ❑ No Basement None 7 Portable iw/service contract) ❑ Faundatlon n cumpostToliet ❑ ❑ None EaistlngStructure: IRpermitbeingappliedforkreleyanttolt) Length: O Width: O Height: L!!p9sed Construction: I Length: P Width: I Height: Proposed Use I Proposed Structure Dimemet,ru Square Footage Principal Structure (first structure on Property) O-a_rctas ( 3O X,T ) /Sao ❑ Residence (i.e. cabin, hunting shack, etc.) ( X wlthLoft ( X jK Residential Use with a Porch ( X ) with (2) Porch ( X with a Dede ( X with (2) Deck ( SC) ❑ Commercial Use with Attached Garage ( X 0 Bunkhouse w/(11senitary,z0sleeping quarters. Sir❑cooking& food pep facilities) ( X ❑ Mobile Home (manufactured date) ( X G ❑ Addition/Alteration (specify) ( X ) Municipal Use ❑ Accessory Building _specify) I X ) ❑ Accessory Building Addition/Alteration (specify) ( X Rec'd for Issuance Special Use:(expuin) ( X AUG 11'' 2013 Conditional Use:(explain) ( X Other. (explain) ( X .,9 flN Decretana5tall I rAiLVneTOnmAINAPERMGmSTARTINGCONSIOURIONWITHOUTAPERMITWILL RESULT INPENAITIEI I ll eemr.Oa,enawacant enkisene a,,auwnp.mve Momumnl NTMm mandhaa by r lnl trot, nhesat *4 sev tat dn„Nd . as hustles pea.. tweet we mnd.r'. II«I.rhw,Ndn that I am (arc) rn{unew Ion the tl.ull as nrvraryel ui MIwm.Ibn11w1 at t el pea'.,, .5th., tad !,coed aaw by arise GM,'it w—rea ,AU,N, to Ivuta pram,. 1is.)le M eneR tabby ,l^m may aea rmoltoe fun y ,nh,or Iknl lee) on, IarcI eratlee by w nM dw.lessouro I eel tenon to own,e/Ietl.'hates wet adosuone, moan meats.., 1. Noe taunts ion, ,hose dm4, e,ue.ny a ary'ruse dY an. to the rym, eluipmlen. owner(s): Date Fr' -r9—/ 3 Ise there are Multiple Own(iltted on ttt?aeEj Owner, must tilt or letterili of authnrisatwn must accompany this application) Authorized Agent: Date 111 you are slgningon shall of the owner(s) a letter of authodaatlon must accompany halt application) BD3L Address tpsend permit 245'0 Dr. A J,,, �-{'. N. �Ov ,ra-f- IlNo AJso It3/tJ 5�lt3 copy nn.mat men Itv,U mr—ARSpurchased The pnooeopeM tend you T emmed Feed APPLICANT - PLEASE COMPLETE PLOT PLAN ON REVERSE SIDE Land Use Permit Application Review Checklist Submission #: What zoning district is the project located in? ❑ R-1 ❑ R-2 ❑ R-3 ❑ R-4 ❑ R-RB ❑ C ❑ 1 ❑ M ❑ A-1 DA -2 L341 ❑ F-2 ❑ W ❑ M -M ❑ Yes No Is lot substandard (does not meet current zoning dimensional requirements)? Deed of record: ❑ Yes Q4o 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 B'Np Is the project located in the Floodplain? Zone: ❑ Yes 4o Are there wetlands on the property? ❑ Yes EU No Is project associated with a nonconforming use or structure? ❑ Yes Dc. Is project associated with a variance? Case #: ❑ Yes 'Np 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? O Existing O New O Intercept ❑ Reconnect ❑ Non -Plumbing ❑ Public Sanitary Permit #: # of Bedrooms: ❑ Yes No Does the project require mitigation? Implementation Deadline: Date of Compliance: ❑ Yes No 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 ❑ No Di pplicant/property owner mark lot line(s), if project is within 30 feet of required setback? Project use is? ltRpsidential O Commercial ❑ Municipal Project type is? New Construction ❑ Addition/Alteration ❑ Change Use ❑ Relocate ❑ RV Placement ❑ Sign 0 Establishing a Business ❑ Temporary ❑ Shoreland Gradi g O Other, describe: Structure Type is: ❑ Residence O Principal Structure 4xessory Structure O Boathouse (one story only) 0 Open-sided/Screened Structure (gazebo, etc.) 0 Stairway to navigable waters ❑ Mobile Home ❑ Shipping Container ❑ Other, describe Total Sq. Ft. of Project: qo o Number of Stories: Overall Height: r Fee Type Calculation Fee Amount ❑ Habitable Residential Principal and Accessory (minimum $125) Structures - Enclosed Areas — all enclosed areas within $0.50 x sq ft $ 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 sq ft (minimum $75) 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 $0 (exempt from fees) ❑ Return Inspection ❑ Land Use Revisions ❑ Special Use Permit - Class A ❑ Floodplain ❑ Shoreland - Impervious Surface ❑ Shoreland - Non -Conforming, etc. ❑ Tower Siting/Collocation 1 O Tower Collocation 2 ❑ Metallic Mine O After -the -Fact (ATF) I $ Inspected by Date of Inspection: (� Re -Inspected by: D of Re-Inspecti Denied by: pate of Denial: Reason for Denial: Date Denial Letter Mailed: Approv by: Date of A nova : Condi n(s): ust me and maintain setbacks fr m furthest extension of structure including eaves and over angs. or personal storage only. o r personal residence only. lB1ot for human habitation or sleeping purposes. own/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. O 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. ❑ SS'' 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 ❑ R Vmust be removed by o 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 5w Street P.O. Box 58 Washburn, WI 54891 Phone: 715-373-6138 Fax: 715-373-0114 Property Owner. Submission Number. COURNEYA TRUSTEES, PATRICK T & LU-02297 MICHELE L 255 WESTERN AVE N Transaction Number. ST PAUL, MN 55102 LU-02297-469FF Description Amount Non -Habitable Residential Principal and Accessory $180.00 Structures - $0.20/ square foot (minimum $75) Total: $180.00 Payment Amount: $181.25 Reference: 8311820615 Paid by: Leo Ketchum Fish Payment Type: Other Transaction Date: 6/8/2026 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 I Impervious Surface - No Floodplain - No / Wetlands - No Mitigation - No / Affidavit #: LAND USE - X SANITARY - SPECIAL A - SPECIAL B/CONDITIONAL — BOA — No. 26-0239 Tax ID: 4454 Issued To: COURNEYA TRUSTEES, PATRICK T & MICHELE L BAYFIELD COUNTY PERMIT WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION Location: S09 - T50N - R04W Town of Bayfield Legal Description: SE SW LESS STATE RESERVE IN DOC 2020R-584386 120 (MICHELE L COURNEYA TRUST DTD 09/03/2020) Residential Structure in F-1 zoning district For: New Construction [1 - Story ], Accessory Structure on a Slab [900 Total sq. ft. ] Height of 17' 2" (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 June 08, 2026 Date 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. Town/State/DNR/Federal may require permitting. To be constructed per plan. No sewer and pressurized water allowed in the structure.