HomeMy WebLinkAbout26-0260'4ieturn to: County Use Only:
117 Est" Street, PO Box 58 Bayfield County Planning and Zoning Department Submission #: LA)
Washburn, WI 54891 LAND USE PERMIT APPLICATION �Permit it: O a 0
.7ermits@bayfieldcounty.wi.gov Twer- „t►CD Date: G ?-°e'
SECTION A: General Information
Property Owner Name:
Authorized Agent Name (if applicable):
B
Telephone Number:'telephone
Number:
— b —O oG
E -Mail Address:
E -Mail Address:
nor AL 1g5& @ /►qcl i. ca rt
Mailing Address:
Mailing Address:
11 SS '4vuj La.kt Rct.
City State, Zip:
'Drornrn.ond W 1 54&L2-
City, State, Zip:
______________________________
Contractor:
BR Mr lion
Telephone Number:
_7/g -G20 -0/000
E -Mail Address:
_upnsradeb /RS2@ ywiall. Cos„
SECTION B: PropertyInformation
Project Address (if different from mailing address):
J43746 ieiu Ral. uric oral WI ti83}
Legal Des 'ption (if additional ace is needed attach a separate sheet): 71tt 5e✓l A we¢ gvan�ee off ` Ne ea4 cn rte+"
'3a
t_ t. So$mas4_ uallrr it Aiah{vgsf Qfl SF,s Ei Zownol Drt.mrna,d ii.id Lel
and
_P%J
Section, Township, Range: S' 'n - 44 'B Og
Town of: 7i f,rnnond
Tax lD #: IL1713
Lot Size (Acres/Square Feet): 4,E tip -af our g
SECTION C: Project Information (check all that apply)
Project Use is: 9 Residential ❑ Commercial El Municipal
Project Type is: ❑ New Construction N Addition/Alteration (existing structure)
❑ Change Use (existing structure) 0 Relocate (existing structure) El RV Placement 21+ days
❑ Sign 0 Establishing a Business ❑ Temporary (12 or less months)
❑ Shoreland Grading, Class A ❑ RV Placement 4+ months, Class A 0 Other (describe):
required (Total sft): required
SECTION D: Structure Information (Does not apply to RVs and Signs, go to Section E)
Structure Type is: KResidence ❑ Principal Structure (describe):
❑ Accessory Structure (describe): 0 Shoreland Exempt Structure (describe): 0 Mobile Home (provide manufactured
date):
❑ Shipping Container El Other (describe):
Foundation Type:
❑ Basement 0 Walkout Basement 9 Slab ❑ Crawlspace 0 Ground 0 Skids ❑ Other (explain):
Existing Structure: Length: 2 Width: Qa. Height:
Proposed Structure (Provide Sq Ft based on outside dimensions, including unfinished areas, attacked garages/above grade
decks/porches):
Basement Sq Ft:
1°t Floor Sq Ft:
Loft Sq Ft:
2°° Floor Sq Ft:
3"d Floor Sq Ft:
o
38-'I
O
0
0
Garage S Ft:
Porch Sq Ft:
Deck Sq Ft:
Other Sq Ft (describe):
Other Sq Ft (describe):
la0
0
p
0
Total Sq Ft: �Aj 4 I Overall Height (finished grade to peak):
# of Stories: Existing # of Bedrooms on property: 1
i
Proposed # of Bedrooms in project: 0
SECTION E: RV and Sin information(check all that apply)
SiSu r*
❑ New 0 Replacement
A to.
❑ New El Replacement
❑ On -premise El Off -premise
❑ 1 -sided 0 2 -sided
Year: Vin #:
❑ On -building ❑ Multi -Tenant
Length: Width: Height:
Make: Model:
x
CTION 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:
0 Driveways 0 Frontage Roads (include name) ❑ Existing Structures ❑ Well (W) 0 Septic Tank (ST) ❑ Drain Field (OF)
❑ Holding Tank (HT) ❑ Privy (P) ❑ Lake ❑ River ❑Stream/Creek ❑Pond ❑Flood lain ❑Wetlands ❑Slopes over 20°/n
N
RECEW ED
APR 27 2026
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
g ft.
7 1.
Notes/Comments:
Front Lot Line/Right-of-Way
Side Lot Line 1
(NorthEast9SouthDWestD, check one)
ft.
j'.3
Side Lot Line 2
orth❑East❑South❑West❑, check one)
a caM ft.
,f' 95�
�l C$.
' l J
Rear Lot Line
ft.
ft.
Septic/Holding Tank
. ft.
ft.
Drainfield
� ft.
ft.
Privy
ft.
ft.
Well
— ft.
ft.
Existing Structure/Building
S.s ft.
ft.
Wetland
/f ft.
ft.
Elevation of Floodplain
! ft.
/1fj'
ft.
Ordinary High -Water Mark (OHWM)
ft.
ft.
Other (describe)
ft.
ft.
Covered porcL.
cn
`v v ^ ,�
C� �tto
9 ,� R L18�
_ �n
� a � d � ��
rop fah G
E •arl�n9aaon
r�o4h'n9 0 well and sg4C- Sysfe^'+
(no we m aep� : n ex 7f nq co$.�
. wn wifl&. /31thtk [pe )
e E,is4 7 Cabin iS 9461' (pak")
I
RECEIVED
APR 272026
X
SECTION G: Additional Questions
Yes
❑ No
Has the location of the proposed project including eaves and over pmtgg�ag-,;;[bg� s40j ti)t l�ystern and well been
staked? If no, what date will this be completed:
❑ Yes
No
Did a licensed surveyor mark lot line(s) if project is within 10 feetpf required setback? See page 2 of Land Use
Application Information for required setbacks. ft Eta--Flti1Y t f
❑ Yes
X No
Did property owner or applicant mark lot line(s) if project is within 30 feet of Yeqqjed setback? See page 2 of
Land Use Application Information for required setbacks. ` .O rte 3 O A
❑ Yes
$ No
Is there an existing sanitary system on the property? If yes, what kind?
❑ Drainfield ❑ Holding Tank ❑ Munici alPublic ❑ Other (describe):
Yes
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?
L9 Drainfield ❑ Holding Tank ❑ Municipal/Public ❑ Other (describe):
❑ Yes
lM 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 O Class A Special Use O Class B Special Use ❑ Conditional Use ❑ Variance e
Fee payment will be made via:
Check (attached) ❑ Cash (attached) ❑ debit/creditlecheck (department to call once payment is ready to be taken)
How would you like to receive your permit card?
*Mail to: ORIf(Email to: &pvwr+hde%I95a. P 9MRtI• CC
O Property Owner Address ❑ Agent Address O Contractor Address O Other (provide Name and Email 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.
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 1 (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 ' for the purpose f inspection.
Owner(s) or Authorized Agent Printed Name:
Owner(s) or Authorized Agent Signature: - �' C °'�'"� Date: �d?
NOTES:
I. 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 proiect.
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 ❑ A-2 -1 ❑ F-2 ❑ W ❑ M -M
❑ Yes
Is lot substandard (does not meet current zoning dimensional requirements)?
Deed of record:
❑ Yes 1$Wa
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 o
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 o
Are there wetlands on the property?
❑ Yes o
Is project associated with a nonconforming use or structure?
❑ Yes , tNo
Is project associated with a variance? Case #:
❑ Yes o
Is project associated with a Special B or Conditional Use Permit? Permit #:
❑ Yes.EYJo
Is the project associated with a Special A Use Permit?
es ❑ No
Does the project require sanitary?
❑ Existing,,YVew ❑ Intercept ❑ Reconnect O Non -Plumbing ❑ Public
Sanitary Permit #: 'Z.k -.LctS # of Bedrooms:
❑ Yes cao
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,No
Did applicant/property owner mark lot line(s), if project is within 30 feet of required setback?
Project use is? esidential O Commercial O Municipal
Project type is? ❑ New Construction,Addition/Alteration O Change Use O Relocate O RV Placement O Sign
❑ Establishing a Business ❑ Temporary O Shoreland Grading O Other, describe:
Structure Type is esidence O Principal Structure ❑ Accessory Structure O Boathouse (one story only)
❑ Open-sided/Screened Structure (gazebo, etc.) O Stairway to navigable waters ❑ Mobile Home
❑ Shipping Container ❑ Other, describe
Total Sq. Ft. of Project: Number of Stories: Overall Height:
Fee Type
Calculation
Fee Amount
❑ Habitable Residential Principal and Accessory
Structures - Enclosed Areas — all enclosed areas within
dwelling except attached non -habitable garages
$0.50 x 38 1 sq ft
(minimum $125)
$ M Z
❑ Dwelling Unenclosed Areas (decks, patios, etc.) or
Attached Non -Habitable Garages
$0.20 x sq ft
(minimum $125)
$ Zf G
❑ Non -Habitable Residential Principal and Accessory
Structures
$0.20 x s ft
q
(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 O 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 ❑ Tower Collocation 2 O Metallic Mine
❑ After -the -Fact (ATF)
I $
Inspected by:
J
Date of Inspection:
Cp V \
<-O
Re -Inspected by:
Date of Re -Inspection:
Denied by:
Date of Denial:
Reason for Denial:
Date Denial Letter Mailed:
Approved by: $
Date of Approval:
�J
Condition(s):
Must meet and maintain setbacks from furthest extension of structure including eaves and
overhangs.
❑ For personal storage only.
PI"For personal residence only.
❑ Not for human habitation or sleeping purposes.
town/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).
,Jse 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.
0 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.
lo be constructed per plan.
[1'❑ Adhere to privy agreement.
❑ Temporary permit allowing existing structure for a period of less than 1 year.
0 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.
XNo additional sleeping areas allowed without obtaining necessary sanitary permit(s).
rand use permits shall be required for any new residence, any building or structure erected,
r located, rebuilt, or structurally altered
?I Land use permits shall be obtained prior to the initiation of construction or a change in land use
,2equirements (e.g., permits/licensing/tax) of Local Town, Village, City, State or Federal agencies are
required
ahitation 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
13!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:
NELSON, BRADLEY L & DEBRA J LU-02198
11855 HOLLY LAKE RD
DRUMMOND, WI 54832 Transaction Number:
LU-02198-44878
Description Amount
Habitable Residential Principal & Accessory $192.00
Structures - enclosed areas $0.50/square foot
(minimum $125)
Habitable Residential Principal Structure - $25.60
unenclosed area or non -habitable garage
$0.20/square foot (minimum $125)
Total: $217.60
Payment Amount: $217.60
Reference: 3319
Paid by: Brad & Deb Nelson
Payment Type: Check
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 I Nonconforming - No
Shoreland - No! Impervious Surface — No
Floodplain — No I Wetlands — No
Mitigation — No / Affidavit #:
LAND USE - X
SANITARY — New 26-64S
SPECIAL A -
SPECIAL B/CONDITIONAL —
BOA —
No. 26-0260 Tax ID: 14713
Issued To: NELSON, BRADLEY L & DEBRA J
BAYFIELD COUNTY
J i_:1-jd_Y_i
WEATHERIZE AND POST THIS PERMIT
ON THE PREMISES DURING CONSTRUCTION
Location: S23 - T44N - R08W
Town of Drummond
Legal Description: SE NE IN V.1143 P.84 833 (39 ACRES MFL 25 YRS CLOSED YR OF ENTRY 2025)
Residential Structure in F-1 zoning district
For: Addition/Alteration [1 - Story ], Residence on a Slab [512 Total sq. ft.]
(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 17, 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.
To be constructed per plan.
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).