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HomeMy WebLinkAbout26-0259Return to: 117 E 5th Street, PO Box 58 Washburn, WI 54891 oermits@bavfieldcounty.wi.gov Bayfield County Planning and Zoning Department LAND USE PERMIT APPLICATION County Use Only: Submission #:(••_08J'6 Permit#: .Q Date: hi I ,EC.TION A:_Gemeral Information e* ✓ Propert Owner Name: �a Authoriz Agent Name (if applicable): g�� T. '.Cr .' s`4 ipj. TelephoneNumber: iS = - 3S� Tel hone umber: RECEIVED !S-'; 9- �bz E -Mail Address: E -Mail Address: lolc-CLAN 022026 3. o a cz is M 'li g /d/Ir s7 Bayfield Co. ��Itl /009'+ S E .tte Cittyy. State, Zip: C!.Q_a 7 C3' 5" City tate Zip: 77ct, ' -// / v a-eA mn Contractor: Telephone Number: E -Mail Address: SECTION B: Property Information Pro eq A dress (if different from mailing address): Legal escription (if additional space is_needed attach a separate sheet): Section, Township, Iange: ,3,K — rjL� - � Town of: Tax ID #: _ �Lot Size (Acres/Square Feet): SECTION C: Project Informatio checlt,ajtthata l ,„, Project Use is: Residential ❑ Municipal ❑ Commercial: If commercial, estimated cost of construction: $ Project Type is: New Construction ❑ Addition/Alteration (existing structure) El Change Use (existing structure) ❑ Relocate (existing structure) ❑ RV Placement 21+ days O Sign El Establishing a Business ❑ Temporary (12 or less months) ❑ Shoreland Grading, Class A El RV Placement 4+ months, Class A ❑ Other (describe): required (Total sft): required SECTION D: Structure Information (Does not apply to RVs and Signs, go to Section E) Structure 7ype is: El Residence ❑ Principal Structure (describe): ❑ Accessory Structure (describe): ❑ Shoreland Exempt Structure (describe): ❑ Mobile Home (provide manufactured date): hipping Container ❑ Other (describe): Foundation Type: ❑ Basement ❑ Walkout Basement ❑ Slab El Crawlspace El Ground $(Skids ❑ Other (explain): Existing Structure (ifaddition or alteration): 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: 2nd Floor Sq Ft: 3'd Floor Sq Ft: Garage Sq Ft: Porch Sq Ft: Deck Sq Ft: Other Sq Ft (describe): Other Sq Ft (describe): Total Sq Ft: �_o Overall Height (finished grade to peak): # of Stories: Existing # of Bedrooms on property: L7 Proposed # of Bedrooms in project: SECTION E: RV and Sign Information (check all that apply) Sign is: RV is: El New ❑ Replacement ❑ New ❑ Replacement El On -premise ❑ Off -premise El 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 1 & 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) O Existing Structures O Well (W) El Septic Tank (ST) O Drain Field (DF) ❑ Holding Tank (HT) O Privy (P) O Lake O River ❑Stream/Creek ❑Pond ❑Floodplain O Wetlands ❑Slopes over 20% N RECEIVE® 1027976 Bayfield Co. Planning 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 D ft. ft. Side Lot Line 1 (North East South (WJ circle one) ft. d ft. Side Lot ine 2 (Nort as South West, circle one) ft. S / ft. Rear Lftine /C( D ft. ft. Septic/Holding Tank ft. ft. Drainfield ft. ft. Privy ft. ft. Well ft. ft. Existing Structure/Building ft. ft. Wetland ft. ft. Elevation of Floodplain ft. ft. Ordinary High -Water Mark (OHWM) ft. ft. Other (describe) ft. ft. Application Page 2 RECEIVED JUN 052026 B Planning aand Zoning Agency IIlryry1. y4y..yyn�I�rir..'..lA� RECEIVED JUN 052026 Bayfield Co. Planning and Zoning Agency RECEIVED JUN 0 5 2026 Bayfield Co. Planning and Zoning Agency RECEIVE© JUN 022026 Bayfield Co. Planning and Zoning Agency SECTION G: Additional Questions �eQ Yes O No Has the location of the proposed project, including eaves, overhangs, the sanitary system and well, been staked? If no, what date will this be completed: Note: The site will not be visited nor permit issued until after the staking date listed above. if -Yes O 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 30 feet of required seibaek?.Seq�aaa�.of Land Use Application Information for required setbacks. KC6rC1 V CU ❑ Yes F47'f'Io Is there an existing sanitary system on the property? If yes, what kind? O Drainfield ❑ Holding Tank O Municipal/Public O Other (describe): JUN 02 2026 ❑ Yes No Will pressurized water be installed in the structure? If yes, what kind of sanitary system will be installed or used to manage wastewater? sa�Io Planning and Zoning Agency ❑ Drainfield ❑ Holding Tank ❑ Municipal/Public ❑ Other (describe): ❑ 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 O Class B Special Use ❑ Conditional Use O Variance )-not applicable Fee payment will be made via: ❑ Check (attached) O Cash (attached) debit/credit/e-check (department to call once payment is ready to be taken) How would you like to receive your permit card? O Mail to OR ,Email to: In Property Owner Address 6a Agent Address O Contractor Address ❑ Other (provide name and e-mail or address): 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 believe 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. x- 1) / _f Owner(s) or Authorized Agent Printed Name;S.< - Owner(s) or Authorized Agent S gnatir're^' ...---�Z- Date: _/ NOTES: 1. If you are signing on Mehalf 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 Real Estate Bayfield County Property Listing Today's Date: 6/2/2026 9 Description Updated: 12/9/2013 Tax ID: 549 PIN: 04-002-2-48-05-34-3 04-000-10000 Legacy PIN: 002105002000 Map ID: Municipality: (002) TOWN OF BARKSDALE STR: 534 T48N ROSW Description: E 1/3 SE SW IN V.1117 P.994 356A DALE A & JANICE M KUPCZYK INCOME ONLY TRUST DTD 10/11/2013) Recorded Acres: 13.330 Calculated Acres: 13.393 Lottery Claims: 0 First Dollar: Yes Zoning: (AG -1) Agricultural -1 ESN: 103 3 Tax Districts Updated: 3/15/2006 1 STATE 04 COUNTY 002 TOWN OF BARKSDALE 046027 SCHL-WASHBURN 001700 TECHNICAL COLLEGE Recorded Documents Updated: 3/15/2006 ® QUIT CLAIM DEED Date Recorded: 11/14/2013 2013R-552319 1117-994 B CONVERSION Date Recorded: 388-148 Property Status: Current Created On: 3/15/2006 1:14:42 PM a Ownership Updated: 12/9/2013 DALE & JANICE KUPCZYK TRUSTEES ASHLAND WI Billing Address: Mailing Address: DALE & JANICE KUPCZYK DALE & JANICE KUPCZYK TRUSTEES TRUSTEES 1614 9TH AVE W 1614 9TH AVE W ASHLAND WI 54806 ASHLAND WI 54806 P Site Address * indicates Private Road N/A ® Property Assessment Updated: 6/24/2021 2026 Assessment Detail Code Acres Land Imp. Sm-AGRICULTURAL FOREST 10.000 8,000 0 G4 -AGRICULTURAL 2.330 400 0 G7 -OTHER 1.000 2,500 2,400 2 -Year Comparison 2025 2026 Change Land: 10,900 10,900 0.0% Improved: 2,400 2,400 0.0% Total: 13,300 13,300 0.0% 58 Property History N/A RtCEIVED r1 022026 Bayfield Co. Planning and Zoning Agency RECEIVED Letter of Authorization JUN 042076 Bayfield County Planning & Zoning Department Bayfield co. plannlnc and Zoning Agency PURPOSE. This Letter of Authorization is used to authorize a single property owner to act on behalf of multiple property owners or a designated agent to act on behalf of the property owner/s. If multiple property owners, each property owner must submit this signed letter. I, pal. KvPcz1 4I (Property owner), authorize 0114. ,tci,ccty'l (authorized agent) to submit a 1—o-nd USA (Example: land use, special use, conditional use, rezone/map amendment, appeal, variance, text amendment, etc.) for the following described project (Example: construction of residence or other structure, short-term rental or other use change, etc.) f h PQ q C o n faA Cr application on my behalf for the following described property: Legal description of subject property: Address of subject property: Signature Dated r mrt _r 0 � : e r: -1 •' a cr n *`. � n ' r _ 1, } : i £ p� � i3 .( iE?`. '� f tai I � 1.1 • <,wrrn�.¢,' Ala 5,�+�'�a�'��t�eryp�r,�`+'¢�,��,`,k�` r r t � s � {`� ~ f t�,�; •�.� .. , I 4 i * k IF / yp,W: •a •- ;';: __e a - + t'- , 1 � A }J w , { Ii Bayfield County, WI I 2/26, 8:22 AM Novus-Wisconsin Access rev. 12.0206 Real Estate Bayfield County Property Listing Today's Date: 6/8/2026 & Description Updated: 12/9/2013 Tax ID: 549 PIN: 04-002-2-48-05-34-3 04-000-10000 Legacy PIN: 002105002000 Map ID: Municipality: (002) TOWN OF BARKSDALE STR: S34 T48N ROSW Description: E 1/3 SE SW IN V.1117 P.994 356A DALE A & JANICE M KUPCZYK INCOME ONLY TRUST DTD 10/11/2013) Recorded Acres: 13.330 Calculated Acres: 13.393 Lottery Claims: 0 First Dollar: Yes Zoning: (AG -1) Agricultural -1 ESN: 103 V Tax Districts Updated: 3/15/2006 1 STATE 04 COUNTY 002 TOWN OF BARKSDALE 046027 SCHL-WASHBURN 001700 TECHNICAL COLLEGE Recorded Documents Updated: 3/15/2006 O QUIT CLAIM DEED Date Recorded: 11/14/2013 20138552319 1117-994 © CONVERSION Date Recorded: 388-148 Property Status: Current Created On: 3/15/2006 1:14:42 PM W Ownership Updated: 12/9/2013 DALE & JANICE KUPCZYK TRUSTEES ASHLAND WI Billing Address: Mailing Address: DALE & JANICE KUPCZYK DALE & JANICE KUPCZYK TRUSTEES TRUSTEES 1614 9TH AVE W 1614 9TH AVE W ASHLAND WI 54806 ASHLAND WI 54806 T Site Address * indicates Private Road ilG ® Property Assessment Updated: 6/24/2021 2026 Assessment Detail Code Acres Land Imp. Sm-AGRICULTURAL FOREST 10.000 8,000 0 G4 -AGRICULTURAL 2.330 400 0 G7 -OTHER 1.000 2,500 2,400 2 -Year Comparison 2025 2026 Change Land: 10,900 10,900 0.0% Improved: 2,400 2,400 0.0% Total: 13,300 13,300 0.0% 'j} Property History N/A 7 /1 ' I- 1 i3eo� �s 7 dye 7 G G n/ ? c 1 https://novus.bayfieldcounty.wi.gov/access/master.asp?paprpid=549 1/1 Land Use Permit Application Review Checklist Submission #: 3 What zoning district is the project located in? � ❑R-1 ❑R-2 ❑R-3 ❑R-4 DR-RB ❑C ❑1 ❑M _A1 ❑A-2 ❑F-1 ❑F-2 ❑W DM -M ❑ Yes J2iIo Is lot substandard (does not meet current zoning dimensional requirements)? Deed of record: ❑ Yes )-No Is the project located in the Shorelands (Shorelands are lands within 300 feet of a river/stream OR landward side of floodplain OR 1000 feet of a lake/pond/flowage, whichever is greater)? ❑ Yes piclo Is impervious surface required? (Required if riparian lot OR lot is entirely within 300 feet of OHWM of navigable waterway) ❑ Yes 'No Is the project located in the Floodplain? Zone: ❑ Yes o Are there wetlands on the property? ❑ Yes loo Is project associated with a nonconforming use or structure? ❑ Yes 2'No Is project associated with a variance? Case #: ❑ Yes No Is project associated with a Special B or Conditional Use Permit? Permit #: ❑ Yes iNo Is the project associated with a Special A Use Permit? ❑ Yes 9 -No Does the project require sanitary? 0 Existing 0 New ❑ Intercept 0 Reconnect 0 Non -Plumbing 0 Public Sanitary Permit #: # of Bedrooms: ❑ Yes 4Io Does the project require mitigation? Implementation Deadline: Date of Compliance: ❑ Yes J2i loo 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 Did applicant/property owner mark lot line(s), if project is within 30 feet of required setback? Project use is? esidential ❑ Commercial ❑ Municipal Project type is?New Construction ❑ Addition/Alteration ❑ Change Use ❑ Relocate ❑ RV Placement 0 Sign ❑ Establishing a Business ❑ Temporary 0 Shoreland Grading 0 Other, describe: Structure Type is: ❑ Residence 0 Principal Structure 0 Accessory Structure ❑ Boathouse (one story only) ❑ Open-sided/Screened Structure (gazebo, etc.) ❑ Stairway to navigable waters ❑ Mobile Home Shipping Container ❑ Other, describe Total Sq. Ft. of Project: ,26' Number of Stories: Overall Height: D 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 $ on -Habitable Residential Principal and Accessory /1 1?> s $0.20 x q 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 (exemptfrom fees) ❑ Return Inspection ❑ Land Use Revisions ❑ Special Use Permit - Class A 0 Floodplain 0 Shoreland - Impervious Surface 0 Shoreland - Non -Conforming, etc. 0 Tower Siting/Collocation 1 0 Tower Collocation 2 0 Metallic Mine ❑ After -the -Fact (ATF) $ I Inspected by: Date oflnspection: Re -Inspected by: Date of Re-Inspection:/Cp Denied by: Date of Denial: Reason for Denial: Date Denial Letter Mailed: Approved by: Date of Approval: Condition(s): 0 Must meet and maintain setbacks from furthest extension of structure including eaves and overhangs. .2F6r personal storage only. ❑ For personal residence only. s®'NIot for human habitation or sleeping purposes. wn/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. ❑ Sign must meet the requirements of Article E of the Bayfield County Zoning Ordinance. 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 0 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 Conditions:X Other /sf Ci hi / j A' !i /� ct*0C .A / & K: Applications and Forms/Applications/land Use/Updated 2/25/2026 mdk 4..5F$ C )'e fMF/3' 13!1YFIELD 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: KUPCZYK TRUSTEES, DALE & JANICE LU-02326 1614 9TH AVE W ASHLAND, WI 54806 Transaction Number: LU-02326-47EA7 Description Amount Non -Habitable Residential Principal and Accessory $75.00 Structures - $0.20/square foot (minimum $75) Total: $75.00 Payment Amount: $76.95 Reference: 6976008405 Paid by: Allan Kupczyk Payment Type: Debit Transaction Date: 6/17/2026 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 I Wetlands - No Mitigation - No I Affidavit #: LAND USE — X SANITARY - SPECIAL A - SPECIAL B/CONDITIONAL — BOA — No. 26-0259 Tax ID: 549 Issued To: KUPCZYK TRUSTEES, DALE & JANICE Location: S34 - T48N - R05W Town of Barksdale BAYFIELD COUNTY iii 1'1 I `1 WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION Legal Description: E 1/3 SE SW IN V.1117 P.994 356A (DALE A & JANICE M KUPCZYK INCOME ONLY TRUST DTD 10/11/2013) Residential Structure in A-1 zoning district For: New Construction [1 - Story ], Shipping Container on a Skids [320 Total sq. ft. ] Height of 10' (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. Tracy Pooler Authorized Issuing Official June 17, 2026 Date 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. Existing shed not for human habitation without conversion land use permit & septic permit.