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HomeMy WebLinkAbout26-0298LU-0234'2_ Return to: County Use Only: 117 E 5`" Street, PO Box 58 Bayfield County Planning and Zoning Department Submission #: Washburn, WI 54891 LAND USE PERMIT APPLICATION Permit #: -O permits@bayfieldcounty.wi.gov Date: ZL ,SECTIONA:•General,Info matiion_ _ Property Owner Name: Authorized Agent Name (if applicable): Sc 14-i- r 12 Telephone Numb :yb Telephone Number: e r i 2 3 3 E -Mail Address: scoE# sC Al ea /C n1gcXCYrOv f E -Mail Address: Mailing Address: 25b5- P'1f) Mailing Address: Will I 1 2028 Bcyfie!JQ City, State, Zip: City, State, Zip: Planning an&J Zvfl.,;g Agency .t.0 IVIS cI/Ff0-6 Contractor: I Telephone Number: I E -Mail Address: Project Address (if different from mailing address) Legal Description (if additional space is needed attach a separate sheet): SIC Section, Township, Range: 6 — — Town of: U Tax ID #: '2_o Cl9 C) Lot Size (Acres/Square Feet): Project Use is: esidential ❑ Municipal ❑ Commercial: If commercial, estimated cost of construction: $ Project Type is: New Construction ❑ Addition/Alteration (existing structure) ❑ Change Use (existing structure) b Relocate (existing structure) ❑ RV Placement 21+ days El Sign ❑ Establishing a Business El Temporary (12 or less months) El Shoreland Grading, Class A ❑ RV Placement 4+ months, Class A ❑ Other (describe): "SECTION D: Structure Information (Does not apply to RVs and Signs, go to Section F) Structure Type is: El Residence El Principal Structure (describe): (Accessory Structure (describe): ❑ Shoreland Exempt Structure describe): ❑ Mobile Home (provide manufactured 5GVQa f'/2Cw1 Eee'P'" StoCtobC- date): El Shipping Container ❑ Other (describe): Foundation Type: ❑ Basement ❑ Walkout Basement [U-≤ b El Crawlspace 0 Ground ❑ Skids ❑ Other (explain): Existing Structure (if addition 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: P' Floor Sq F : m'a Loft Sq Ft: 2n°Floor Sq Ft: 311 Floor Sq Ft: Garage Sq Ft: Porch Sq Ft: Deck Sq Ft: Other Sq Ft (describe): Other Sq Ft (describe): Total Sq Ft: fjv 0 Overall Height (finished grade to peak): f6 # of Stories: Existing # of Bedrooms on property: '3 Proposed # of Bedrooms in project: .t5 Sign is: RV is: ❑ New ❑ Replacement ❑ New ❑ Replacement ❑ On -premise El Off -premise ❑ 1 -sided ❑ 2 -sided Year: Vin #: El 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 I & 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) O Septic Tank (ST) ❑ Drain Field (DF) O Holding Tank (HT) ❑ Privy (P) ❑ Lake O River ❑Stream/Creek ❑Pond ❑Floodplain ❑Wetlands ❑Slopes over 20% N RECEIVED JUN 17 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 gq'Zft. ft. Notes/Comments: p4 D Front Lot Line/Right-of-Way ft. ft. Side Lot Line 1 (North East South es circle one) 5 5 ft. -1ft. r Side LotLine2 orth outh West, circle one) ft. S2`l) 7- rft. l Rear Lot ine (7D ft. 7 7fft. Septic/Holding Tank o o ft. lb ft. Drainfield /O 0 ft. /t7 ft. Privy ft. ft. Well 2≤ 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 SE dON G: Additional Questions es 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. ❑ Yes o 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. ❑ Ye 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 I formation for required setbacks. Yes O No Is there an existing itary system on the property? If yes, what kind? ❑ Drainfield olding Tank ❑ Municipal/Public O Other (describe): ❑ Yes o Will pressurized water be installed in the structure? If yes, what kind of sanitary system will be installed or used to manage wastewater? ❑ Drainfield ❑ Holding Tank ❑ Municipal/Public ❑ Other (describe): ❑ Yes o 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 ❑ not applicable Fee ayment will be made via: Check (attached) O Cash (attached) O debit/credit/e-check (department to call once payment is re b t3kre How would you like to receive your permit card? ❑ Mail to OR llW mail to: JUN I 77076 yyrroperty Owner Address ❑ Agent Address ❑ Contractor Address ❑ Other (provide name and e-mail or address): BayttuIu o. SectiofF1': Acknowledgement and Sinature 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/tolic/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 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 maybe 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. 'S f S i�}w.b 0g_ Owner(s) or Authorized Agent Printed Name: Owner(s) or Authorized Agent Signature: av� Date: ,7 _-?J NOTES: 1. If you are signing on behalf of the owner(s) a letter of authorization must accompany this application. 2. Specific conditions/instructions maybe 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 BROOK WHITE CONSTRUCTION MATERIALS Styrofoam- ® A CONSTRUCTION SUPPLY GROUP COMPANY Insulation q t 1 Plan ing nd Z fling gen IIIIIIIIItIEtiIIIIIIIIIII t_I U � St Paul St.Cloud Eagan Elk River Duluth Brainerd 651-647-0950 320-251-5060 651-686-5036 763-441-2004 218-628-2231 218-829-1929 Rochester Mankato Bismarck Minot Fargo Sioux Falls 507-282-2421 507-388-1973 701-222-3010 701-839-0509 701-282-9255 605-339-1977 Appleton Green Bay Wausau Milwaukee Madison 920-730-7840 920-432-6438 715-355-7551 262-785-4646 608-222-1220 BrockWhite.com Real Estate Bayfleld County Property Listing Today's Date: 6/19/2026 9 Description Updated: 5/1/2025 Tax ID: 20944 PIN: 04-026-2-46-05-06-1 01-000-20000 Legacy PIN: 026101005000 Map ID: Municipality: (026) TOWN OF KELLY STR: S06 T46N R05W Description: W 1/2 NE NE IN V.849 P.79 89 IM 2003R-480192 Recorded Acres: 31.590 Calculated Acres: 30.546 Lottery Claims: 1 First Dollar: Yes Zoning: (AG -1) Agricultural -1 ESN: 119 i Tax Districts Updated: 3/15/2006 1 STATE 04 COUNTY 026 TOWN OF KELLY 020170 ASHLAND SCHOOL 001700 TECHNICAL COLLEGE ,yam Recorded Documents Updated: 3/15/2006 ® CONVERSION Date Recorded: 480192 849-79 Property Status: Current Created On: 3/15/2006 1:15:37 PM a Ownership Updated: 5/1/2025 SCOTT C SANDOR ASHLAND WI Billing Address: Mailing Address: SCOTT C SANDOR SCOTT C SANDOR 25865 STATE HWY 118 25865 STATE HWY 118 ASHLAND WI 54806 ASHLAND WI 54806 P Site Address * indicates Private Road 25865 STATE HWY 118 ASHLAND 54806 ® Property Assessment Updated: 4/28/2026 2026 Assessment Detail Code Acres Land Imp. Gi-RESIDENTIAL 1.000 4,200 301,900 G4 -AGRICULTURAL 30.340 5,600 0 G5 -UNDEVELOPED 0.250 100 0 2 -Year Comparison 2025 2026 Change Land: 9,600 9,900 3.1% Improved: 230,700 301,900 30.9% Total: 240,300 311,800 29.8% 'iProperty History N/A 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 ❑ I ❑ M -1 ❑ A-2 ❑ F-1 ❑ F-2 ❑ W ❑ M -M ❑ Yes o Is lot substandard (does not meet current zoning dimensional requirements)? Deed of record: ❑ Yes J AIo 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 jBso 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: ❑ Ye o Are there wetlands on the property? ❑ Yes'10 Is project associated with a nonconforming use or structure? ❑ Yes No Is project associated with a variance? Case #: ❑ Yes o Is project associated with a Special B or Conditional Use Permit? Permit #: ❑ Yes cj0 Is the project associated with a Special A Use Permit? ❑ Yes Jdo Does the project require sanitary? ❑ Existing ❑ New ❑ Intercept O Reconnect O Non -Plumbing ❑ Public Sanitary Permit #: # of Bedrooms: ❑ Yes o Does the project require mitigation? Implementation Deadline: Date of Compliance: ❑ Yes No 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?kResidentiaI ❑ Commercial ❑ Municipal Project type is?$'New Construction ❑ Addition/Alteration ❑ Change Use ❑ Relocate ❑ RV Placement ❑ Sign ❑ Establishing a Business ❑ Temporary O Shoreland Grading ❑ Other, describe: Structure Type is: O Residence O Principal Structure rAccessory Structure O Boathouse (one story only) ❑ Open-sided/Screened Structure (gazebo, etc.) ❑ S airway to navigable waters O Mobile Home ❑ Shipping Container ❑ Other, describe Total Sq. Ft. of Project: Oo 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) $ on -Habitable Residential Principal and Accessory Structures $0.20 x (f6o0 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 O Special Use Permit - Class A ❑ Floodplain O Shoreland - Impervious Surface O Shoreland - Non -Conforming, etc. ❑ Tower Siting/Collocation 1 O Tower Collocation 2 O Metallic Mine ❑ After -the -Fact (ATF) $ Inspected by: r r Date of Inspection 2� J 6 Co o W 2 Re -Inspected by. Date of Re -Inspection: Denied by: Date of Denial: Reason for Denial: Date Denial Letter Mailed: Approved by: Date of Approval z6 Condition(s): dust meet and maintain setbacks from furthest extension of structure including eaves and (overhangs. For personal storage only. ❑ For personal residence only. 15 -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). ,8se 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 sewer and pressurized water allowed in the structure. )ANo TVo 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, 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 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 I3-.4-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: SANDOR, SCOTT C LU-02362 25865 STATE HWY 118 ASHLAND, WI 54806 Transaction Number: LU-02362-480A2 Description Amount Non -Habitable Residential Principal and Accessory $800.00 Structures - $0.20/square foot (minimum $75) Total: $800.00 Payment Amount: $800.00 Reference: 3602 Paid by: Scott C Sandor Payment Type: Check Transaction Date: 6/26/2026 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. 26-0298 Tax ID: 20944 Issued To: SANDOR, SCOTT C Location: S06 - T46N - R05W Town of Kelly Legal Description: W 112 NE NE IN V.849 P.79 89 IM 2003R-480192 Residential Structure in A-1 zoning district For: New Construction [1 - Story ], Accessory Structure on a Slab [4000 Total sq. ft. ] Height of 16' (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 Scott Roush 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 26, 2026 This permit may be void or revoked if any performance conditions are not Date completed or if any prohibitory conditions are violated. 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. Use best management practices to limit and prevent erosion during construction. 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.