HomeMy WebLinkAbout26-0250Return to: County Use Only:
22 p3
117 E 5"' Street, PU Box 58 Bayfleld County Planning and Zoning Department Submission #: O
Washburn, WI 54891 LAND USE PERMIT APPLICATION Permit #: 6 0 �S 0
permitsebavfieldcountv.wi.gov Date: b/ i
Property Owner Name: Authori d Agent N me (if applicable):
T2phone Number: p one Number:
7d - 2/y- `J76
E -Mail Address: JUN I - ddr s:
rn c4rzu, tohl CA,'i NcEr / e7�n
Mailing Address: - 4Atdfl'r ss:
ihC 1. ).ter n/�_ .. Sr .......nm] nd Is c— f<.e Ir lr.✓
Address
City, State, Zip:
0eRa4�-
Telephone Number:
SZ7—Z73 gt L7
ormation
from mailing addres
n d .d 1-k %C,n CR73L t') (./1_
F
Legal Description (if additional space is needed attach a separate sheet):
i Z am. 22
/moo
Section, Township, Range: "sr
77.1 4/ ri 7
Town of: /
Tax ID h: 3'9 f
Lot Size (Acres/Square Feet):
SECTION C: Project information check,all that l
Project Use is: El Residential 0 Commercial ❑ Municipal If Commercial, estimated cost of construction: $
Project Type is:
!a'New Construction
0 Addition/Alteration (existing structure)
O Change Use (existing structure)
O Relocate (existing structure)
O RV Placement 21+ days
❑ Sign
❑ Establishing a Business
❑ Temporary (12 or less months)
O Shoreland Grading, Class A
❑ RV Placement 4+ months, Class A El Other (describe):
required (Total sft):
required
SECTION D: Structure Information(Does
not apply to RVs and Signs, go to Section E.
Structure Type is:
,B'Residence
El Principal Structure (describe):
❑ Accessory Structure (describe):
O Shoreland Exempt Structure (describe): El Mobile Home (provide manufactured
date):
❑ Shipping Container O Other (describe):
Foundation Type:
❑ Basement O Walkout Basement .2rSlab O Crawlspace O Ground 0 Skids O Other (explain):
Proposed Structure (Provide Sq Ft based on outside dimensions, including unfinished areas, attached garages/above grade
decks/porches):
Basement Sq Ft:
1" Floor Sq Ft:
Loft Sq Ft:
2n° Floor Sq Ft:
3'a Floor Sq Ft:
Garage Sq Ft:
Porch Sq Ft:
-Heck Sq t: 1iii 0
Other Sq Ft (describe):
Other Sq Ft (describe):
2Z
a
Total Sq Ft:
I OverallHeight (finished grade to peak): /
# of Stories:
Existing # of edrooms on property:
Proposed # of Bedrooms in project: i a R" S
SE TION E: RV and Sign Information check all that a 7".
Sign is:
R V is:
❑ New
❑ Replacement
El New O Replacement
❑ On -premise
❑ Off -premise
❑ 1 -sided
El 2 -sided
Year: Vin #:
O On -building
O Multi -Tenant
Length:
Width: Height:
Make: Model:
Application Page 1
SECTION G: Additional Questions
C3 Ycs
D No
Has the location of the proposed project* been slaked? If 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
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.
Yes
❑ No
Did property owner or applicant mark lot line(s) if project is within setback? See page 2 of
Land Use Application Information for required setbacks.
❑ Yes
4o
Is there an existing sanitary system on the property? If yes, what kiniflN 112026
0 Drainfield ❑ Holding Tank ❑ Municipal/Public ❑ Other (describe):
Yes
❑ No
Will pressurized water be installed in the structure? If yes, whop A system will be installed or used
to manage wastewater? oning Agency
❑ Drainfield ❑ Holding Tank O Municipal/Public ❑ Other (describe):
1' Yes
❑ 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 ❑ Class B Special Use ❑ Conditional Use ❑ Variance
Fee payment will be made via:
12 Check (attached) ❑ Cash (attached) ❑ debiUcredit/echeck (department to call once payment is ready to be taken)
How would yojiijke to receive your permit card?
'Mail to: OR Email to:
❑ Property Owner Address O'Agent Address Y7Contractor Address ❑ Other (provide name and email or address):
*Include eaves, overhangs, sanitary system, and well in staking measurements
Section H: Acknowledgement 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.wi.gov/topic/wetlands, 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
(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 ofjnspection.
Owner(s) or Authorized Agent Printed Name: 1C.- 1+4 \ L-
Owner(s) or Authorized Agent Signature: Date: `S/z
NOTES:
1. If you are signing on behalf of the owner(4'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 tors
must all be aware of ermit details & conditions and ermit card must be osted on roeprior k
Application Page 3 Bayfield Co.
Planning and Zoning
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) ❑ Septic Tank (ST) ❑ Drain Field (DF)
❑ Holding Tank (HT) ❑ Privy (P) ❑ Lake ❑ River ❑Stream/Creek ❑Pond ❑Flood lain ❑Wetlands ❑Sloes over 20%
N
cj ><ED
SLZ
RECEIVED
MAY 211026
Bayfield Co.
Planning and Zomng 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
) I 5 ft.
c�3 ft.
Notes/Comments:
°� S k t%t6
N� s } y l S b `✓
DN
`}v //D✓
3 V
t Y J
Front Lot Line/Right-of-Way
ft.
ft.
Side LotLine
orth ast South West, circle one
.r —ft.
So ft.
Side Lot Line 2
(North Eas o' West, circle one
ft.
>1 0 ft.
Rear Lot Li
1,.
Septic/Holding Tank
ft.
7 \S ft.
Drainfield
ft.
7 ft.
Privy
�-
�/1 ft.
ft.
Well
ft.
4f
ft.
Existing Structure/Building
p ft.
ft.
Wetland
O ft.
ft.
Elevation of Floodplain
ft.
ft.
Ordinary High -Water Mark (OHWM)
4 ( ft.
Other (describe)
ft.
ft.
t
2:
Application Page 2
srf{
QCA)t Due
SECTION G: Additional Questions
VYes
iJ No
Has the location of the proposed project* been staked? If no, what date Fora leted:
Note: The site will not be inspected nor permit issued until after the s dl e.
❑ Yes
Z No
Did a licensed surveyor mark lot line(s) if project is within 10 feet of req a
tbac Se age 2 of Land Use
Application Information for required setbacks.
O'Yes
❑ No
Did property owner or applicant mark lot line(s) if project is within 30 f require setback? See page 2 of
Land Use Application Information for required setbacks. 6ayfie d co.
O Yes
Iallo
sanry
Is there an existing sanitary system on the property? If yes, what kind? duO Zon,n Agency
❑ Drainfield ❑ Holding Tank ❑ Municipal/Public ❑ Other (describe):
ZYes
O No
Will pressurized water be installed in the structure? If yes, what kind of sanitary system will be installed or used
to manage wastewater?
B Drainfield ❑ Holding Tank ❑ Municipal/Public ❑ Other (describe):
la' Yes
El No
Will sleeping occur in the structure? TI' yes, contact local Uniform Dwelling Code (UDC) for approval and
inspection requirements.
Is the project associated with any of the following:
❑ Rezone O Class A Special Use ❑ Class B Special Use ❑ Conditional Use ❑ Variance
Fee payment will be made via:
0 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?
,0 Mail to: OR O Email to:
❑ Property Owner Address l 'Agent Address l Contractor Address ❑ Other (provide name and email or address):
'Include eaves, overhangs, sanitary system, and well in staking measurements
Section H: Acknowledgement 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.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.
z!et
C o f
Owner(s) or Authorized Agent Printed Name: %yi. 1 A% . /
��
Date: / p �'
Owner(s) or Authorized Agent Signature: ( /
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, agen(�
'-
must all be aware of permit details & conditions and permit card must be posted on property prior to stars orp!6JcthY
MAY 212026
Application Page 3 Bayfield Co
Planning and Zoning Agency
-1 )J St''
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May 11, 2026
To Whom It May Concern,
This letter is to authorize Rick Yerhot of Rick Yerhot Builder, to act on our behalf and for our
benefit. This letter serves as formal authorization, granting Mr. Yerhot the ability to obtain
Bayfield County zoning permits on our behalf.
Kind Regards,
Maureen M. Selvig and Bjorn W. Selvig
12 Recoverable Signature
x ` I' SQG�►S
Maureen Selvig
Signed by 702705e1-7e8d-4916-b50f-4b4c3d5ae1 bO
RECEIVED
MAY 21 2026
Bayfield Co
Planning and Zonis_. !,-❑ y
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MAIN FLOOR PLAN
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Bayfield County
Impervious Surface Calculations
These calculations are REQUIRED per WI Admin Code NR 115.05(1)(e) and Section 13-1-32(c) and 13-1-40(h) of the
Bayfield County Code of Ordinances. The undersigned hereby makes application for construction, 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. The calculations are also REQUIRED in the case of a
land division where the lot to be created or reconfigured will be reduced in lot area.
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 insnectinns_
Property Owner(s):
13i oler-t q Mpf t A212: N
S� Lvz—%
Mailing Address:
t.rc ff
Property Address: Cr,3z4� (✓X:
T2? (rn€cr o cn sI ilk
-a
85 9AH/4et9N L.- Re/6J
Legal Description:
Section, Township, Range
1/4,
1/4,
Sec 3s' Township _______________N, Range O 7 w
Authorized Agent/Contractor
Govt Lot
Lot #
CSM#
Vol & Page
z
237
Lot(s) #
Blocic(s) #
Subdivision
Town of:
Parcel ID # (PIN #)
Tax ID #
Date:
04-
39 'jq,
,S 2/ 2-6
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. Impervious surface standards shall apply to the construction,
reconstruction, expansion, replacement or relocation of any impervious surface that is or will be located within 300 feet of
the ordinary high water mark of any navigable waterway on any riparian lot or parcel and any nonriparian lot or parcel that
is located entirely within 300 feet of the ordinary high—water mark of any navigable waterway.
Calculation of Impervious Surface: Percentage of impervious surface shall be calculated by dividing the surface area
of the existing and proposed impervious surfaces on the lot or parcel by the total surface area of that lot or parcel and
multiplying by 100. If an outlot lies between the ordinary high-water mark and the developable lot or parcel described in
subd. 1. and both are in common ownership, the lot or parcel and the outlot shall be considered one lot or parcel for the
purposes of calculating the percentage of impervious surfaces.
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 or
land division approved 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(c) and Section 13-1-40(h), the property owner may do any of the
following:
a. Maintenance and repair all impervious surfaces:
b. Replace existing impervious surfaces with similar surfaces within the existing building footprint;
c. Relocate or modify 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 13-1-22RECEI,+EG
MAY 2 12026
Bayfield Co.
Planning and Zoning Agency
Impervious Surface Item Dimension Area (Square Footage)
Existing House
Existing Accessory Building/Garage
Existing Sidewalk(s), Patio(s)
Existing Covered Porch(s), & Deck(s)
RECEIVE D
Existing Driveway
JUN 11 2 026
Other Structures
Planning and Zoning Agency
Proposed Addition/House
Z I $�
Proposed Accessory Building/Garage
Proposed Sidewalk(s) & Patios)ivwl,ot.
.S-6 U
Proposed Covered Porch(s) & Deck(s)
L 2 -
Proposed Driveway
2_s6
Proposed Other Structures
Total:
sS2 C
a. Total square footage of lot: 900D
b. Total impervious surface area:��
c. Percentage of impervious surface area: 100 x (b)/a = . / 7 yo
If the proposed impervious surface area is greater than 15% mitigation is required.
Total square footage of additional impervious surface allowed: @ 15% @ 30%
(County Use Only)
Date of Inspection;
Inspection Record:
Zoning District
Condition(s):
Stormwater
Management Plan Required:
❑Yes ❑No
Signature of Inspector:
Date of Approval:
u/forms/impervioussurface
Created: May 2012 (®Sept 2016, Sept 2020, Feb 2026) Proofed by:
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FUTURE GARAGE
TAX ID 14282 APPROX. LOCH ON)
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1 HOUSE AND PORCH -� P O 1
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OUSSE 9 93 N , .
•• SCREENED. 'PORCH ( (2185 SQ FT) '-
/' (24 50 FT) (�}/•T (//,1J■ _
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FUTURE DRIVEWAY ��• 10 6TH
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2 2026
Bayfield Co.
r F Pla ing cod Zoning Agency
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46185 TAHKODAH LAKE ROAD
0 30•
GRID LINES-10'INTERVAL
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FOUNDATION PLAN �a
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Date: •
Job Name:
Locatiion:
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Land Use Permit Application Review Checklist
`Submission #:
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 ctJo
Is lot substandard (does not meet current zoning dimensional requirements)?
Deed of record:
&'Yes A0
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)?
s ❑ 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"4Jo
Are there wetlands on the property?
❑ Yes o
Is project associated with a nonconforming use or structure?
❑ Yes o
Is project associated with a variance? Case #:
❑ Yes £q..Jo
Is project associated with a Special B or Conditional Use Permit? Permit #:
❑ Yes o
Is the project associated with a Special A Use Permit?
❑ No
•
Does the project require sanitary?
O Existing ew ❑ Intercept ❑ Reconnect ❑ Non -Plumbing O Public
Sanitary Pe it #: # of Bedrooms:
❑ Yes No
Does the project require mitiga ion?
Implementation Deadline: Date of Compliance:
❑ Yes 4o
Does the project require an affidavit? Affidavit #:
es ❑ No
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? Lesidential ❑ Commercial ❑ Municipal
Project type is?Jew Construction ❑ Addition/Alteration O Change Use O Relocate ❑ RV Placement ❑ Sign
❑ Establishin a Business ❑ Temporary ❑ Shoreland Grading O Other, describe:
Structure Type iesidence ❑ Principal Structure O Accessory Structure ❑ Boathouse (one story only)
❑ Open-sided/S reened Structure (gazebo, etc.) ❑ Stairway to navigable waters ❑ Mobile Home
0 Shipping Container 0 Other, describe
Total Sq. Ft. of Project:
Number of Stories: Overall Height:
Fee Type
Calculation
Fee Amount
abitable Residential Principal and Accessory
Structures - Enclosed Areas — all enclosed areas within
dwelling except attached non -habitable garages
$0.50 x l8. sq ft
(minimum $125)
$ /a q Z f
welling Unenclosed Areas (decks, patios, etc.) or
Attached Non -Habitable Garages
$0.20 x ft
(minimum $125)
$
❑ Non -Habitable Residential Principal and Accessory
Structures
$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 0 Floodplain horeland - Impervious
Surface 0 Shoreland - Non -Conforming, etc. 0 Tower Siting/Collocation 1 ❑ Tower Collocation 2 0 Metallic Mine
❑ After -the -Fact (ATF)
I $
4 -
/?3
►32.3
Inspected by: /I
Date of Insp ctiop:
Re -Inspected by:
Date of Re -Inspection:
Denied by:
Date of Denial:
Reason for Denial:
Date Denial Letter Mailed:
Approved by:
Date of Approval:
Go4S
Z 26
Condition(s):
Jlust meet and maintain setbacks from furthest extension of structure including eaves and
overhangs.
❑ For personal storage only.
f0For personal residence only.
0 Not for human habitation or sleeping purposes.
own/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).
Use best management practices to limit and prevent erosion during construction.
0 This permit cannot be transferred if property is sold.
0 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
0 No sewer and pressurized waterallowed in the structure.
❑ No plumbing or plumbing fixtures allowed.
0 No additional sleeping areas allowed without obtaining necessary sanitary permit(s).
l Land use permits shall be required for any new residence, any building or structure erected,
elocated, 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
equired
anitation requirements must be met (if applicable)
0 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
]3 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:
SELVIG, MAUREEN M & BJORN W LU-02283
828 W OLIVE ST
FORT COLLINS, CO 80521 Transaction Number:
LU-02283-47AD6
Description Amount
Return Inspection $75.00
Shoreland - Impervious Surface $25.00
Habitable Residential Principal & Accessory - $1,092.50
Structures - enclosed areas $0.50/square foot
(minimum $125)
Habitable Residential Principal Structure - $156.80
unenclosed area or non -habitable garage
$0.20/square foot (minimum $125)
Total: $1,349.30
Payment Amount: $1,381.41
Reference: 1997400715
Paid by: Richard Yerhot
Payment Type: Credit Card
Transaction Date: 6/12/2026
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 — Yes / Impervious Surface - Yes
Floodplain - No / Wetlands - No
Mitigation - No I Affidavit #:
LAND USE —X
SANITARY — New 26-58S
SPECIAL A -
SPECIAL B/CONDITIONAL —
BOA —
No. 26-0250 Tax ID: 39441
Issued To: SELVIG, MAUREEN M & BJORN W
Location: S35 - T44N - R07W
Town of Drummond
BAYFIELD COUNTY
PERMIT
WEATHERIZE AND POST THIS PERMIT
ON THE PREMISES DURING CONSTRUCTION
Legal Description: LOT 2 CSM 2374 IN DOC 2024R-605437 P13 V383 417
Residential Structure in R-1 zoning district
For: New Construction [1 - Story], Residence on a Slab [2969 Total sq. ft.] Height of 14'
(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
June 12, 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.
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).