HomeMy WebLinkAbout26-0288Return to:,
1f71Ebt1 Street, PO Box 58
Washburn, WI 54891
permits@bayfieldcounty.wi.gov
Bayfield County Planning and Zoning Department
LAND USE PERMIT APPLICATION
County Use Only:
Submission LU-oa�1%
Permit#: a6��
Date: hi d' 2-od
Property Owner Name:
Q
Authorized Agent Name (if applicable):
rlk r, r Po4r:cio Po4d
3ocn-(A&lion
Telephone Number: 'fl
Telephone Number: LS; -33'i- '-1563
E -Mail Address: •
0,1-on5+ern Ii-1-1� vn,t
E -Mail Address:
:I. to
LSGVTt5flC15pfl 5ckor1c#onnS/i
Mailing Address: H %o'2 17 7 4-F S�
Mailing Address:
'3q -?4"
' 1
City, State, Zip: G!ttPPcv , Fc�1/s roll St17
State, Zip:
,City,
fcallG1N 5
Contractor: So 5 AJk lso n Telephone Number: E -Mail Address:
b,1_33L1-hi�JG 3 Sc v cSt'cj5o,nL1cD C4Ct Cam
Project Address (if different from mailing address): f
C
1 S43
Legal Description (if additional space is needed attach a separate sheet):
Nw 'SE Lc5c V IL2 p.sni V,' 5 P, 26nb -5 g)) 1
Section, Township, Range: 5cc. ; )5 towns tii c N ftnnyt 7 u Town of: Drcnrn mend
Tax ID #: 13 S U . C4f ILot Size (Acres/Square Feet): bi,, l 1
jeetWormatiC Jat.apply
Project Use is: Residentia1 ❑ Commercial ❑ Municipal If Commercial, estimated cost of construction: $
Project Type is: >'New Construction ❑ Addition/Alteration (existing structure)
❑ Change Use (existing structure) ❑ Relocate (existing structure) ❑ RV Placement 21+ days
❑ Sign ❑ Establishing a Business ❑ Temporary (12 or less months)
❑ Shoreland Grading, Class A ❑ RV Placement 4+ months, Class A ❑ Other (describe):
required (Total sq ft): required
•cture Information (Does not apply to RVs and Signs, go to Section E
Structure Type is: ❑ Residence ❑ Principal Structure (describe):
l8'Accessory Structure (describe): ❑ Shoreland Exempt Structure (describe): ❑ Mobile Home (provide manufactured
R0 ovc r a Garnck,r w;}t, Dcck date): RECEIVED
❑ Shipping Container ❑ Other (describe):
Q. 307076
Foundation Type:
❑ Basement ❑ Walkout Basement ❑ Slab ❑ Crawlspace ,KGround ❑ Skids ❑ Other (explain): eayte i co.
pInninpr 7n
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:
1'Floor Sq Ft:
Loft Sq Ft:
2°d Floor Sq Ft:
3`d Floor Sq Ft:
Garage Sq Ft:
Porch Sq Ft:
Deck Sq Ft: I 0 Y W X
Other Sq Ft (describe):
Other Sq Ft (describe):
sic(, c�-t-
Ito4-wx5ryPl-
Total Sq Ft: <)p b ,g f
Overall Height (finished grade to peak):] N .('j-
# of Stories: Existing # of Bedrooms on property: Proposed # of Bedrooms in project:
thatza
Sign is:
RV is:
❑ New ❑ Replacement
❑ New ❑ Replacement
❑ On -premise ❑ Off -premise
❑ I -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 ❑ Frontage Roads (include name) ❑ Existing Structures ❑ Well (W) ❑
Septic Tank (Si') ❑ Drain Field (DF)
❑ Holding Tank (HT) ❑ Privy (P) ❑ Lake ❑ River ❑Stream/Creek ❑Pond ❑Flood lain ❑Wetlands ❑Sloes over 20%
N
d,L
RILGEiVED
'J
APR 302026
\
Bayfield Co.
Planning aid Zoning AgendY
e
r
:
r
afl
J
Setback or distance from furthest extent of structure
County Use Only
including eaves and overhangs to (include on site plan):
Verged setbacks
Road Centerline
Si ft.
2�_7 ft.
F Notes/Comments:
Front Lot Line/Right-of-Way
3cf7 ft.
7 7s'ft.
Side Lot Lin 1
ci30 ft.
�7Tft.
(North East ouch Wes circle one)
Side Lot LiII�T
5 1 3 ft.
71 ft.
o East South West, circle one)
Rear Lot Line
a ft.
711 ft.
Septic/Holding Tank
ft.
ft.
Drainfield
ft.
ft.
Privy
ft.
ft.
Well
ft.
ft.
Existing StructureBuilding l $
) 3 `3 ft.
7 ft.
Wetland
ft.
ft.
Elevation of Floodplain
ft.
ft.
Ordinary High -Water Mark (OHWM)
ft.
ft.
Other (describe)
ft.
ft.
Application Page 2
RECEIVED
APR 30 2026
N G: Additional
Questions
es No
Has the location of the proposed project including caves and overhangsandithe's2dii 9h 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 feet of required etback? 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 setback? See page 2 of
Land Use Application Information for required setbacks.
❑ Yes
Jo
Is there an existing sanitary system on the property? If yes, what kind?
❑ Drainfield ❑ Holdin Tank ❑ Munici al/Public ❑ Other (describe):
❑ Yes
Will pressurized water be installed in the structure? If yes, what kind of sanitary system will be installed or used
to manage wastewater?
❑ Drainfield ❑ Holdin Tank ❑ Munici al/Public ❑ Other (describe):
❑ Yes
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 ❑ Class B Special Use ❑ Conditional Use O Variance
Fee payment will be made via:
❑ 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'Email to:�ar ndson rd'-) a �c (1OO cc
❑ Property Owner Address Agent Address Contractor Address ❑ Other (provide name and email or address):
eat amisignaturp
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, dhr.wi: ov/topic/wetlumLk 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: S .kJ i' 13n in
Owner(s) or Authorized Agent SignatureTs +nn rcZ ,! ty) Date: '1.ki i)
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
Letter of Authorization
Bayfield County Planning & Zoning Department
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.
L Rtir j C-i C Y fL.c ?r)perty owner), authorize c\`Mes iye,So
(authorized agent) to submit a \t r j4 t ASP Ct fl"k (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.) n PLJ SMAC it - C2. application on my behalf for
the following described property
Nw SE u,r.) 63a; V3Dl���a: y4
Legal description of subject property:
SL 7llHev .O7W 7&A' 4flZ `✓8ta
pv\nrnmo5�� �^j1 5�8�'
Address of subject property: U3y5 6\1 lc ________e
iQL[_4&j2_tf RECEIVED
Signabire A,or•�a 265' PR 302026
Date
Bayfield Co.
Planning and Zoning Agency
Letter of Authorization
Bayfleld County Planning & Zoning Department
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,/ D $ roperty owner), authorize ''5LUmE.S !Ue lSvYl
(authorized agent) to s bmit a LcvnA 1.152 Pef,(" \ (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.) fPLJ 5\-'CUC Ce application on my behalf for
the following described property:
NW SE Lt55 v,16J P,53`6 V,361
Legal description of subject property: p. 19 6v1id� 5 , 260 b OCc'a a R 5S
P.319 V,311
c71) —I 13 5
Address of subject property: u Q3( -4S C ALXe nncx t1Z(\ . DAA",(I cncl W\ Sl-1 S'3Z
Signature
BP' [I,ao.'
Date
F ECEI✓ED
APR 302026
Bayfield Co.
Planning and Zoning Agency
RCCEIVED
Letter of Authorization MAY 112076
Bayfield County Planning & Zoning Department Bayfield co.
Planning 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, r`�e/%)Yi' ✓/ Cd (property owner), authorize n
(authorized agent) to submit a—' land Qe r vi'(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.) _ Nt, w S4-fy'L- 6jt application on my behalf for
the following described property:
Legal description of subject property:pJ w 5 5 y<,S S V 1 t- 5 3 Sc V 3 c i P 3/U
V.3)3 ?1 l d1 L V"-105 P-250 "Joff 2Q —SQL 4s -r1 13 5
Address of subject property: L1l 31.15 S I,At, Moon RcA Dr w,Mopt W "f 5 H g3
Dated
Letter of Authorization REC E I \t ED
Bayfield County Planning & Zoning Department MAY 112026
Bayfield Co.
Planning 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, L.alshn- Pnrtes (property owner), authorize flint NJei$on
(authorized agent) to submit a I car %akvs a pc i'-3- (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.) N e.uj 5 -Fr N r 31 P{ application on my behalf for
the following described property:
Legal description of subject property:
\l,31'1 Th 'I% V. &) o6 F
W 5E Lt55 1
2.56 0, SIlae61-1 )35
1. 3'J4
Address of subject property: L-19.3Zi 5 B I t^& Mon fl IZc Dr --,n m„ r WI 5'4832
Signature
Dated
Land Use Permit Application Review Checklist
r. I &-'I
..gubmission #:
What zoning district is the project located in?
❑ R-1 O R-2 ❑ R-3 O R-4 ❑ R-RB O C I ❑ M ❑ A-1 ❑ A-2 F-1 ❑ F-2 O W ❑ M -M
❑ Yes PAlo
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 ,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 o
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 o
Is project associated with a Special B or Conditional Use Permit? Permit #:
❑ Yes o
Is the project associated with a Special A Use Permit?
❑ Yes jVo
Does the project require sanitary?
O Existing ❑ New O Intercept O Reconnect O Non -Plumbing O Public
Sanitary Permit #: # of Bedrooms:
❑ Yes No
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 o
Did applicant/property owner mark lot line(s), if project is within 30 feet of required setback?
Project use is?,.'Residential O Commercial O Municipal
Project type is?New Construction O Addition/Alteration ❑ Change Use ❑ Relocate ❑ RV Placement O Sign
❑ Establishing a Business ❑ Temporary O Shoreland Grading O Other, describe:
Structure Type is: O Residence O Principal Structure cessory Structure O Boathouse (one story only)
❑ Open-sided/Screened Structure (gazebo, etc.) O Stairway to navigable waters O Mobile Home
❑ Shipping Container O Other, describe
Total Sq. Ft. of Project: qoO Number of Stories: Overall Height: /5/
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)
$
j ion -Habitable Residential Principal and Accessory
/Structures
$0.20 x R0y 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 O Land Use Revisions ❑ 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: 2.e4s('/
Date of Inspection:
Re -Inspected by:
Date of Re -Inspection:
Denied by:
Date of Denial:
Reason for Denial:
Date Denial Letter Mailed:
Approved by: It o GS /
Date of Approval:
Z 6
Condition(s):
Must meet and maintain setbacks from furthest extension of structure including eaves and
overhangs.
For personal storage only.
❑ For personal residence only.
❑ Not for human habitation or sleeping purposes.
❑ 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.
❑ A Uniform Dwelling Code (UDC) Permit from the locally contracted UDC Inspection Agency must be
obtained prior to the start of construction (if applicable).
pJse 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.
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
(a.No sewer and pressurized water allowed in the structure.
cN o plumbing or plumbing fixtures allowed.
o 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,
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
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:
VINING,MICHELLE
LU-02218
8170 WEST RONDEAU LAKE RD
FOREST LAKE, MN 55025
Transaction Number:
HINES,KRISTINE J
LU-02218-48175
3139 MCKNIGHT RD
WHITE BEAR LAKE, MN 55110
STEMPEL, ANTON G
4803 177TH ST
CHIPPEWA FALLS, WI 54729
PAHL,FRED & PATRICIA
25189 195TH AVE
CORNELL, WI 54732
Description Amount
Non -Habitable Residential Principal and Accessory $180.00
Structures - $0.20/square foot (minimum $75)
Total: $180.00
Payment Amount: $184.28
Reference: 7558679985
Paid by: James Nelson
Payment Type: Debit
Transaction Date: 6/23/2026
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 I Affidavit #:
LAND USE — X
SANITARY -
SPECIAL A -
SPECIAL B/CONDITIONAL -
BOA -
BAYFIELD COUNTY
PERMIT
WEATHERIZE AND POST THIS PERMIT
ON THE PREMISES DURING CONSTRUCTION
No. 26-0288 Tax ID: 13866
Issued To: VINING, MICHELLE; HINES, KRISTINE J; STEMPEL, ANTON G; PAHL, FRED & PATRICIA
Location: S18 - T44N - R07W
Town of Drummond
Legal Description: NW SE LESS V.162 P.538;V.301 P.314;V.312 P.196;V.405 P.250 DESC IN DOC 2022R-596877 135
Residential Structure in F-1 zoning district
For: New Construction [1 - Story ], Accessory Structure on the Ground [900 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 23, 2026
Date
Condition(s): Must meet and maintain setbacks from furthest extension of structure including eaves and overhangs.
For personal storage only.
Use best management practices to limit and prevent erosion during construction.
To be constructed per plan.
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.
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.