HomeMy WebLinkAbout26-0301Return to: County Use Only: Ib�h
117 E 5`h Street, PO Box 58 Bayfield County Planning and Zoning Department Submission #:
• Washburn, WI 54891 LAND USE PERMIT APPLICATION Permit #: a -O O
permits(a)bavfieldcountv.wi.aov Date: t}'
SECTION A: General Information
Property Ow er N me: 2r'JM _n
Authorized Agent Name (if applicable):
Telephone Number:
Telephone Number:
15- 5 - 4 41
E -Mail All ess:
E -Mail Address:
Mailing Address:
Mailing Address: 22%
City, Stat
Zip: _
City, State, Zip: ^9aca' eo.
Contractor: Telephone Number: E -Mail Address:
S,ECTI,ONB:.,Pro ertyInformation
Project Address (if different from mailing address):
Legal Description (if additional space is needed attach a separate sheet):
5u) SUJ flu .ilt3
Section, Township, Range: 53 Town of: Ab
Tax ID #: C 3 C Lot Size (Acres/Square Feet):
SECTION C: Project Information (check all that apply)
Project Use is: ❑ Residential O Commercial O Municipal
Project Type is: New Construction 0 Addition/Alteration (existing structure)
O Change Use (existing structure) O Relocate (existing structure) ❑ RV Placement 21+ days
O Sign ❑ Establishing a Business ❑ Temporary (12 or less months)
❑ Shoreland Grading, Class A ❑ 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 Sectio°
Structure Type is: ❑ Residence O Principal Structure (describe):
KAccessory Structure (describe): O Shoreland Exempt Structure (describe): ❑ Mobile Home (provide manufactured
date):
❑ Shipping Container ❑ Other (describe):
Foundation Type:
❑ Basement O Walkout Basement1ab O Crawlspace O Ground ❑ Skids El Other (explain):
Existing Structure: Length: Width: Height:
Proposed Structure (Provide Sq Ft based on outside dimensions, including unfinished areas, attached garages/above grade
decks/porches): 0 X ( V
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:
Overall Height (finished grade to peak): ITi
# of Stories:
Existing # of Bedrooms on property:
Proposed # of Bedrooms in project:
SECTION E: RV and Sign Information (check all that apply)
Sign is:
RV is:
❑ New O Replacement
Cl New O Replacement
O On -premise O Off -premise
❑ I -sided ❑ 2 -sided
Year: Vin #:
❑ On -building ❑ Multi -Tenant
Length: Width: Height:
Make: Model:
SECTION F: Site Plan —attach a site plan or draw site plan in box below (Sec pages 1 & 2 of Land Use Penn it Application
Information for information that is required to be provided on site plan)
Show location of:
E 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
JUN 1stU h
BaYfield
Planning and
Setback or distance from furthest extent of structure
including eaves and overhangs to (include on site plan):
County Use Only
Verified setbacks
Road Centerline
7 (a3 ft.
ft.
Notes/Comments:
Front Lot Line/Right-of-Way
ft.
ft.
Side Lot Line 1
orth❑East❑South❑ West❑ check one)
7 .75 ft.
n
l
Side Lot Line 2
(NorthDEastDSouthDWestD, check one)
7 ,75 ft.
7 f Ott.
Rear Lot Line
7 1' ft.
ft.
Septic/Holding Tank
ft.
ft.
Drainfield
ft.
ft.
Privy
ft.
ft.
Well
-716 ft.
la ft.
Existing Structure/Building
7 50 ft.
'ljt.
Wetland
ft.
ft.
Elevation of Floodplain
ft.
ft.
Ordinary High -Water Mark (OHWM)
7300 ft.
Other (describe)
ft.
ft.
SE ON C: Additional Questions
Yes
❑ No
Has the location of the proposed project including eases and overhangs and the sanitary system and well been
staked? If no, what date will this be completed: J(/
❑ Yes
No
Did a licensed surveyor mark lot line(s) if project is within 10 feet of required set ltf.* e page 2 of Land Use
Application Information for required setbacks. Pbnn trrs ,,,
❑ Yes
o
Did property owner or applicant mark lot line(s) if project is within 30 feet otMuj8d setback? See page 2 of
Land Use Application Information for required setbacks.
Yes
❑ No
Is there an existing sanitary system on the property? If yes, what kind?
Drainfield ❑ Holding Tank ❑ Municipal/Public ❑ Other (describe):
❑ Yes
l4o
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
1io
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 O Conditional Use ❑ Variance
Fee payment will be made via:
Td" Check (attached) 0 Cash (attached) ❑ debit/credit/echeck (department to call once payment is ready to be taken)
Ho would you Ii to receive your permit card?
fd Mail to: OEmail to:
O Property Owner Address ❑ Agent Address ❑ 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 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 1(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: I *stiN ge7
Owner(s) or Authorized Agent Signature: ate: [q
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.
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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 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 o
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
Is impervious surface required? (Required if riparian lot OR lot is entirely within 300 feet of OHWM of
navigable waterway)
❑ Yes to
Is the project located in the Floodplain? Zone:
❑ Yes o
Are there wetlands on the property?
❑ Y s O'' Vo
Is project associated with a nonconforming use or structure?
❑ Yes' tJo
Is project associated with a variance? Case #:
❑ Ye No
Is project associated with a Special B or Conditional Use Permit? Permit #:
❑ Yet4Jo
Is the project associated with a Special A Use Permit?
❑ Ye �_No
`/
Does the project require sanitary?
O Existing ❑ New ❑ Intercept ❑ Reconnect O Non -Plumbing O 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 o
Did licensed surveyor mark lot line(s), if project is within 10 feet of required setback?
❑ Yes
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?ll≥lVew Construction ❑ Addition/Alteration O Change Use O Relocate O RV Placement ❑ Sign
❑ Establishing a Business O Temporary O Shoreland Grading ❑ 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(
+' l7rr ft ✓2S f
❑ Shipping Container ❑ Other, describe ( M4 Y
Total Sq. Ft. of Project: 3 COO 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
?O8
$0.20 x v 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 ❑ Land Use Revisions ❑ Special Use Permit - Class A O 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:
Date of In pection:
Re -Inspected by:
Date of Re -Inspection:
Denied by:
Date of Denial:
Reason for Denial:
Date Denial Letter Maile .
Approved by:
Date of Approval: Z
Condition(s):
meet and maintain setbacks from furthest extension of structure including eaves and
71
-lust
overhangs.
or personal storage only.
❑ For personal residence only.
,.aiVot 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).
FUse 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
❑ No sewer and pressurized water allowed in the structure.
❑ No plumbing or plumbing fixtures allowed.
f�lo additional sleeping areas allowed without obtaining necessary sanitary permit(s).
[ and 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
B-tYFIELD Bayfield County
Planning & Zoning Department
117 E 5w Street
P.O. Box 58
Washburn, WI 54891
Phone: 715-373-6138
Fax: 715-373-0114
Property Owner: Submission Number:
RASMUSSEN, GILBERT L LU-02363
40090 CABLE SUNSET RD
CABLE, WI 54821 Transaction Number:
LU-02363-48112
Description Amount
Non -Habitable Residential Principal and Accessory $600.00
Structures - $0.20/square foot (minimum $75)
Total: $600.00
Payment Amount: $600.00
Reference: 13649
Paid by: Gilbert Rasmussen
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 / Affidavit #:
LAND USE -X
X
SANITARY —
SPECIAL A —
SPECIAL B/CONDITIONAL —
BOA —
No. 26-0301 Tax ID: 9939
Issued To: RASMUSSEN, GILBERT L
Location: S35 - T43N - R08W
Town of Cable
Legal Description: SW SW IN V.1163 P.336 1113
BAYFIELD COUNTY
PERMIT
WEATHERIZE AND POST THIS PERMIT
ON THE PREMISES DURING CONSTRUCTION
Residential Structure in A-1 zoning district
For: New Construction [1 - Story ], Accessory Structure on a Slab [3000 Total sq. ft. ] Height of 17'
(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 26, 2026
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.
Use best management practices to limit and prevent erosion during 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.