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26-0275
Return to: 117 £ 5th Street, PO Box 58 Washburn, WI 54891 permits b a yfie l d co u n tv. w i. goy Bayfield County Planning and Zoning Department LAND USE PERMIT APPLICATION County Use Only: Submission #: LU-02268 Permit I#: a6 -O Date: O SE'CTi(JN A: General Informatio Property Owner Name: Authorized Agent Name (if applicable): Simon Converse Hart Telephone Number: ty REC E iV E D 7202542479 E -Mail Address: JUN 142026 simon.converse.hart@gmail.com Mailing Address: Bayfield Co. 27240 South Pratt Road Planning and Zoning Agency City, State, Zip: Ba field,WI54814 Contractor: Telephone Number: E -Mail Address: SECTION 8: ProprtyLormation Project Address (if different from mailing address): 88860 SISKIWIT FALLS RD Legal Description (if additional space is needed attach a separate sheet): S 1/2 NE NW LESS S 1/2 IN DOC 20188-574757 522B Section, Township, Range: 535 - T51N - R06W Town of: Bell Tax ID #: 8015 Lot Size (Acres/Square Feet): 10 ACRES SECTION C: Project Information (check all that apply) Project Use is: Residential If commercial, estimated cost of construction: S Project Tye is: New Construction SECTIO : Structure Information (Does not apply to RVs and Signs, go to Sectid Structure Type is: Accessory Structure Pole building Foundation Type: Ground Sono tubes 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: 0 1" Floor Sq Ft: 0 Loft Sq Ft: 0 2'Floor Sq Ft: 0 3ro Floor Sq Ft: 0 Garage Sq Ft: 600 Porch Sq Ft: Deck Sq Ft: Other Sq Ft (describe): Other Sq Ft (describe): Total Sq Ft: 600 Overall Height (finished grade to peak): 20 # of Stories: I Existing # of Bedrooms on property: 0 Proposed # of Bedrooms in project: 0 SECTION E: RV and Sign Information (check all that appiyp Sign is: RV is: Length: Year: Width: Vin #: 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) ❑ Septic Tank (ST) ❑ Drain Field (DF) ❑ Holding Tank (HT) ❑ Privy (P) ❑ Lake ❑ River ❑Stream/Creek ❑Pond ❑Floodplain ❑Wetlands ❑Slopes over 20% N RECE ED JUN "I I4?o26 Bayfield Co. Planning and Zoning Agency Setback or distance from furthest extent of structure including eaves and overhangs to (include on site plan): Road Centerline 95 ft. Front Lot Line/Right-of-Way 75 ft. Side Lot Line 1 120 ft. Side Lot Line 2 (South) Rear Lot Line Septic/Holding Drainfield Privy Well Wetland Elevation of Floodplain Ordinary High -Water Mark (OHWM) Other: County Use Only Verified setbacks ft. Notes/Comments: ft. 4;ZQ Y ctl SJ-i Q o1 200 ft. 'otk 1000 ft. ft. ft. ft. ft. ft. ft. ft. 100 ft. . ft. ft. ft. ft. ft. ft. ft. ft. ft. 2 SECTION G: Additional Questions Yes I-las the location of the proposed project including eaves and overhangs and the sanitary system and well been staked? If no, what date will this be completed: undefined 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. 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. No Is there an existing sanitary system on the property? If yes, what kind? No Will pressurized water be installed in the structure? If yes, what kind of sanitary system will be installed or used to manage wastewater? 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: RECEIVED How would you like to receive your permit card? JUN 1 4 2026 Email to: Property owner 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.eov/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: Owner(s) or Authorized Agent Signature: Date: 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. Utility Building Permit Application Simon Hart, 88860 Siskiwit Falls Rd SITE PLAN t�LCP;���Eti JUN 7 4 7roR June 1, 2026 1 Simon Hart I simon.converse.hart@gamil.com 6/15/26, 8:35 AM Novus-Wisconsin Access rev. 12.0206 Real Estate Bayfield County Property Listing Property Status: Current Today's Date: 6/15/2026 Created On: 3/15/2006 1:15:03 PM i' Description Updated: 5/18/2026 40 Ownership Tax ID: 8015 SIMON CONVERSE HART PIN: 04-010-2-51-06.35-2 01-000-20000 Legacy PIN: 010108404000 Billing Address: Mailing Address: Map ID: SIMON CONVERSE HART SIMON CONVERSE HART Municipality: (010) TOWN OF BELL 27240 S PRATT RD 27240 S PRATT RD STR: 535 T51N RO6W BAYFIELD WI 54814 BAYFIELD WI 54814 Description: S 1/2 NE NW LESS S 1/2 IN DOC 20188- 574757 5228 T Site Address * indicates Private Road Recorded Acres: 10.000 88860 SISIQWIT FALLS RD Calculated Acres: 9.911 Lottery Claims: 0 ® Property Assessment First Dollar: No Zoning: (R-1) Residential -1 2026 Assessment Detail ESN: 107 Code G1 -RESIDENTIAL I Tax Districts Updated: 3/15/2006 2 -Year Comparison 1 STATE Land: 04 COUNTY Improved: 010 TOWN OF BELL Total: 044522 SCHL-SOUTHSHORE 001700 TECHNICAL COLLEGE Is Property History 4. Recorded Documents Updated: 3/15/2006 ® WARRANTY DEED N/A Date Recorded: 9/28/2018 2018R-574757 ® CONVERSION Date Recorded: 482978 168-180;860-322 © WARRANTY DEED Date Recorded: 6/18/2003 20038-482978 860-322 Updated: 5/18/2026 BAYFIELD WI CORNUCOPIA 54827 Updated: 9/10/2015 Acres Land Imp. 10.000 30,800 0 2025 2026 Change 30,800 30,800 0.0% 0 0 0.0% 30,800 30,800 0.0% 1' https://novus.bayfieldcounty.wi.gov/access/master.asp?paprpid=8015 1/1 Bayfield County, WI 6/1512026, 8:34:47 AM 1:803 Wetlands Approximate Parcel Boundary Road Type — Town Building 0 0.01 0.02 0.04 ml 0 0.01 0.03 0.06Ian Baypatl Courtly Land Raocrds OapvlmaM BayMld County Zoning Appllmuon nnpsJlmaps.payt&dmunrywi BOV2on'ngWA6' Land Use Permit Application Review Checklist •Submission #: W t zoning district is the project located in? YJ R-1 ❑ R- ❑ R-3 ❑ R-4 ❑ R-RB ❑ C Dl ❑ M ❑ A-1 ❑ A-2 ❑ F-1 ❑ F-2 ❑ W ❑ M -M ❑ Yes No 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 o Is impervious surface required? (Required if riparian lot OR lot is entirely within 300 feet of OHWM of navigable waterway) ❑ Yes Is the project located in the Floodplain? Zone: ❑ Yes 10 Are there wetlands on the property? ❑ Yes EMo Is project associated with a nonconforming use or structure? ❑ Yes L'No Is project associated with a variance? Case #: ❑ Yes Is project associated with a Special B or Conditional Use Permit? Permit #: ❑ Yes Is the project associated with a Special A Use Permit? ❑ Yes No Does the project require sanitary? O Existing O New ❑ Intercept ❑ Reconnect O Non -Plumbing O 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 O No Did licensed surveyor mark lot line(s), if project is within 10 feet of required setback? ❑ Yes ❑ No Di applicant/property owner mark lot line(s), if project is within 30 feet of required setback? Project use is? Re idential ❑ Commercial ❑ Municipal Project type is? New Construction ❑ Addition/Alteration ❑ Change Use ❑ Relocate ❑ RV Placement ❑ Sign ❑ Establishing a Business ❑ Temporary ❑ Shoreland Gra 'ng ❑ Other, describe: Structure Type is: O Residence 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 O 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 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 x sq ft ( ini m $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 ❑ Land Use Revisions O Special Use Permit - Class A ❑ 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) I $ Inspected by: P A I Date of Inspection:_ iThdLk U) Q (JoJtRe-Inspected by: J V Date of Re -Inspection: Denied by: Date of Denial: Reason for Denial: Date Denial Letter Mailed: Approved by: Date of Ap r vI:/k / (( �� Condi ' n(s): cici ust meet and m ' tain setbacks fro urthest extension of structure including eaves and over figs. I'for personal storage only. 0 For personal residence only. gYfor human habitation or sleeping purposes. down/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. ❑ Si ust meet the requirements of Article E of the Bayfield County Zoning Ordinance. o 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 ust 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 BYFIELD Bayfield County pp 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: Simon Converse Hart LU-02268 27240 South Pratt Road Bayfield, WI 54814 Transaction Number: LU-02268-47B88 Description Amount Non -Habitable Residential Principal and Accessory $120.00 Structures - $0.20/square foot (minimum $75) Total: $120.00 Payment Amount: $121.25 Reference: 9180681515 Paid by: Simon Hart Payment Type: Other 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 / Wetlands — No Mitigation — No / Affidavit #: LAND USE —X SANITARY — SPECIAL A — SPECIAL B/CONDITIONAL — BOA — No. 26-0275 Tax ID: 8015 Issued To: Simon Converse Hart Location: S35 - T51 N - R06W Town of Bell BAYFIELD COUNTY PERMIT WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION Legal Description: S 112 NE NW LESS S 1/2 IN DOC 2018R-574757 522B Residential Structure in R-1 zoning district For: New Construction [1 - Story ], Accessory Structure on Sonotubes [600 Total sq. ft. ] Height of 20' (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 Emily Macgillivray work or land use has not begun. Authorized Issuing Official 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. June 19, 2026 This permit may be void or revoked if any performance conditions are not completed or if any prohibitory conditions are violated. 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.