HomeMy WebLinkAbout26-0303Return to:
117 E 5th Street, PO Box 58
Washburn, WI 54891
permits@bavfieldcounty.wi.gov
Property Owner Name:
Dan and Gail Ann Schourek
I E -Mail Address:
County Use Only:
Bayfield County Planning and Zoning Department Submission #
LAND USE PERMIT APPLICATION Permit #: , -0 39Z
Date:
Authorized AF : Name (if applicable):
Nilliam Ericksor
I etepnone IN' oer:
715-209-3977
E -Mail Address:
Mailing Address: Mailing Address:
404 Fieldstone Ln 71470 State Hwy 13 e�,.�..0 „_
Agency
WI
Contractor: Telephone Number: E -Mail Address:
Holsclaw Const 218-428-5123 holsclawconst@chegnet.net
SECTION B: Prop�tflto
Project Address (if different from mailing address):
69990 W. Long Lake Rd Iron River, WI 54847 ENTEftfn
Legal Description (if additional space is needed attach a separate sheet): o JjI
First add to Long Lake Lot 1 & N 50' of Lot 2 in Vol. 1088 P. 992 12
Section, Township, Range: S 02 T47N R 08W Town of: Iron River
Tax ID #:-reeaa.- a -O a-3 3 Lot Size (Acres/Square Feet): 95
Project Type is:
❑ Change Use (existing structure)
0 Sign
O Shoreland Grading, Class A
Structure Type is:
O New Construction
O Relocate (existing structure)
❑ Establishing a Business
❑ RV Placement 4+ months, Class A
❑ Residence
❑ Addition/Alteration (existing structure)
El RV Placement 21+ days
❑ Temporary (12 or less months)
❑ Other (describe):
Principal Structure (describe):
O Accessory Structure (describe): O Shoreland Exempt Structure (describe): ❑ Mobile Home (provide manufactured
storage garage date):
El Shipping Container ❑ Other (describe):
Foundation Type:
❑ Basement ❑ Walkout Basement El Slab ❑ Crawlspace El Ground ❑ Skids El Other (explain):
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:
2n' Floor Sq Ft:
3"i Floor Sq Ft:
Garage Sq Ft:
Porch Sq Ft:
Deck Sq Ft:
Other Sq Ft (describe):
Other Sq Ft (describe):
384
Total Sq Ft: 384
Overall Height (finished grade to peak): 12'-6"
# of Stories: 1
Existing # of Bedrooms on property:
Proposed # of Bedrooms in project:
SECTION E: RV and Sign Information check all thata
Sign is:
RV is:
❑ New
El Replacement
❑ New ❑ Replacement
❑ On -premise
❑ Off -premise
❑ 1 -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 (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
RtGEIVED
APR 302026
Bayfield Co.
Planning and Zoning Agenc
Setback or distance from furthest extent of structure
including eaves and overhangs to (include on site plan):
County Use Only
Verified setbacks
Road Centerline
163
ft.
bft.
Notes/Comments:
5m &SR
do"-
Front Lot Line/Right-of-Way
130 ft.
/( ft.
Side Lot Line l
(North6EastDSouthDWestD, check one)
6O ft
b ft.
Side Lot Line 2
orth❑Eastl]South❑West❑, check one)
32 ft.
n ft.
of
Rear Lot Line
185 ft.
ft.
Septic/Holding Tank
ft.
ft.
Drainfield
ft.
ft.
Privy
_ ft.
ft.
Well
ft.
ft.
Existing Structure/Building
10 ft.
ft.
Wetland
_ ft.
ft.
Elevation of Floodplain
— ft.
ft.
Ordinary High -Water Mark (OHWM)
185 ft.
.ft.
Other (describe)
ft.
ft.
Tex ID: 20294
PIN: 04024-24]-0802-2 00-211-01000
Legacy PIN: 024111506000
Map ID:
Municipality:
TOWN OF IRON FINER
SIR:
002 T41N R08W
CC
Dexdplion:
FIRST ADD TO LONG LAKE LOT1
O
&N50OFLOT2IN V.1088P.99212
Z
Recorded Acres:
0.950
Calculated Acres:
0.954
Zoning:
(Rd) RBYdeneal-1
Owner Name DAN EB GAILANN SCHOUREK
Owner Address 404 FIELDSTONE LN
HAMPSHIRE IL 60140-96]2
See Address 69990W LONG LAKE RD
IRON RIVER 54647
RECEIVED
APR 3 0 2026
Bayfield Co,
Planning and ZoningAq Oy
AP
Bayfie
ning and
SECTION G: Additional Questions
O Yes
❑ No
Has 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:
a Yes
❑ No
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.
❑ Yes
El 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
O No
Is there an existing sanitary system on the property? If yes, what kind?
❑ Drainfield ❑ Holding Tank O Municipal/Public ❑ Other (describe):
❑ Yes
0 No
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 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 ❑ Class B Special Use O Conditional Use O Variance
Fee payment will be made via:
O Check (attached) ❑ Cash (attached) O debit/credit/echeck (department to call once payment is ready to be taken)
How would you like to receive your permit card?
O Mail to: OR El Email to:
O Property Owner Address O Agent Address O Contractor Address ❑ Other (provide Name and Email or Address):
Bill@ExtrenleMeasu res Plans.com
Section th4cknowled ementand. i
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
'inc.
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/tonic/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: wx.m
NOTES:
1. If you are signing on behalf of the owner(s) a letter of authorization must accompany this application.
ffCC.:�
2. Specific conditions/instructions may be stated on the face of the issued Land Use Permits. Owners, age9 $ ArVtb
must all be aware of permit details & conditions and permit card must be posted on property prior to start of project.
APR 30 2026
Bayfield Co.
Planning and Zoning Agency
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.
I,
(property owner), authorize
(authorized agent) to submit a ______________________(Example: land use, special
use, conditional use, rezonelmap 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.) Q "_ \_JL c ( c, application on my behalf for
the following described property:
Legal description of subject property: LOT 1 AND THE NORTH 50 FEET OF LOT 2 OF THE
FIRST ADDITION TO LONG LAKE. LOCATED IN THE NW '/4 OF THE NW '/< OF SECTION 2.
T. 47 N.. R. 8 W.. IN THE TOWN OF IRON RIVER. BAYFIELD COUNTY WISCONSIN
Address of subject property: 69990 WEST LONG LAKE ROAD IRON RIVER WI 54847
Signature
4-21-2(O
Dated
RECEIVED
APR 302026
Bayfield Co.
Planning an::c:... , s. y
OF ROOF
East Elevation
240'
R.O.3.4 x S' -O
TOP OF ROOF
TOP OF SL
South Elevation
GEIVEO
3O202ti
3ayfield Co.
and Zoning Agency
RECEIVED
0
Bayfield County APR 30 ZUZ6
Impervious Surface Calculations Bayfield Co.
Planning and Zoning Agency
These calculations are REQUIRED per WI Admin Code NR 115.05(1)(e) and Section 13-1-32(g) and 13-1-
40(h) of the Bayfield County Code of Ordinances. The undersigned hereby makes application for construction,
reconstruction, expansion, replacement or relocation of any impervious surface within 300 feet of the ordinary
high water mark and agrees that all activities shall be in accordance with the requirements of the Bayfield
County Code of Ordinances and all other applicable ordinances and the laws of the State of Wisconsin.
Pursuant to Chapter 1, Title 13, Section 13-1-106(d) of the Bayfield County Zoning Ordinance(s), Planning and
Zoning Department employees assigned to inspect properties shall have access to said properties to make
inspections.
Property Owner(s):
Dan and Gail Ann Schourek
Mailing Address:
Property Address
404 Fieldstone Ln Hampshire IL 60140
69990 W. Long Lake Rd Iron River Wi 54847
Legal Description:
Section, Township, Range
rwv 1/4, rrw 1/4,
Sec Township 4]
N, Range ca W
Authorized Agent/Contractor
Gov't Lot
Lot #
CSM#
Vol & Page
William Erickson
---
----
--
V1088 P.992
Lot(s) #
Block(s) #
Subdivision
Town of
1&part2
Iron River
Parcel ID # (PIN #)
Tax ID#
Date:
04- on-lll5oe000
20233
03-31-2026
Impervious Surface: An area that releases as runoff all or a majority of the precipitation that falls on it.
"Impervious surface" excludes frozen soil but includes rooftops, sidewalks, driveways, parking lots and streets
unless specifically designed, constructed and maintained to be pervious.
Calculation of Impervious Surface: Percentage of impervious surface shall be calculated by dividing the
surface area of existing and proposed impervious surfaces on the portion of a lot or parcel that is within 300
feet of the ordinary high water mark by the total surface area of the lot or parcel, multiplied by 100.
Impervious Surface Standard: Allow up to 15% impervious surface but not more than 30% impervious
surface on the portion of a lot or parcel that is within 300 feet of the ordinary high water mark. A permit can be
issued for development that exceeds 15% impervious surface but not more than 30% impervious surfaces with
a mitigation plan that meets the requirements of the Bayfield County Ordinance(s).
Existing Impervious Surfaces: For existing impervious surfaces that were lawfully placed when constructed
but that do not comply with the standards in Section(s) 13-1-32(g) and Section 13-1-40(h), the property owner
may do any of the following:
a. Maintenance and repair of all impervious surfaces:
b. Replacement of existing impervious surfaces with similar surfaces within the existing building footprint;
c. Relocation or modification of existing impervious surfaces with similar or different impervious surfaces,
provided that the relocation or modification does not result in an increase in the percentage that existed
on the effective date of the county shoreland ordinance, and meets the applicable setback
requirements in Section 13-1-32.
Impervious Surface Item Dimension Area (Square Footage)
Existing House
"--"
PAECEIVEL
Existing Accessory
Building/Garage
20 x 28
APR
30 ?;
560
Existing Sidewalk(s), Patio(s) &
Deck(s)
_______
Bay
Planning an
eld Co
Zor'no 4ienry
Existing Covered Porch(es),
Driveway & Other Structures
______
Proposed Addition/House
22 x 48
1056
Proposed Accessory
Building/Garage
16 x 24
384
Proposed Sidewalk(s) & Patio(s)
Proposed Covered Porch(es) &
Deck(s)
4x10, 12 x 18
256
Proposed Driveway
existing 14x 150
2100
Proposed Other Structures
Total:
3972
a. Total square footage of lot:
b. Total impervious surface area: 4356
c. Percentage of impervious surface area: 100 x (b)/a =
If the proposed impervious surface area is greater than 15% mitigation is required.
Total square footage of additional impervious surface allowed: @ 15% 6207 @ 30% 12±14
Issuance Information (County Use Only)
Date of Inspect±
6
Inspection Record:
Zoning District ( )
Lakes Classification ( }
Condition(s):
Stormwater
Management Plan Required:
❑ Yes U-rvo
Signature of inspector:
Date of Approval:
/24 C
u/forms/im p e rviouss u rface
Created: May 2012 (®Apr 2016; Sept 2020)
U i
Proofed by:
MAP OF SURVEY
VACATED ANGUS AVENUE, LOT I AND THE NORTH 50 FEET OF LOT 2 OF
THE FIRST ADDITION TO LONG LAKE, LOCATED IN THE NW 1/4 OF THE
NW 1/4 OF SECTION 2, T. 47 N., R. 8 W., IN THE TOWN OF IRON RIVER,
BAYFIELD COUNTY, WISCONSIN
BSNCHMARIf
TOP OF 1-1/41RON PIPE _ OTM
ELEVATION 80.62/ )
TOTAL AREA OF PARCEL
56,800 SQ. FT.±
1.30 ACRES± 34 I ,
2 0.23(
33'
SURVEYOR'S CERTIFICATE 5J
I. Larry T. Nelson, registered land surveyor in the o
State of Wisconsin, hereby certify: t>r I
That on the order of Dan Schourek, I have made
a survey of vacated Angus Avenue, Lot 1 and
the north 50 feet of Lot 2 of the First Addition
to Long Lake, located in the NW 1/4 of the
[3,
NW 1/4 of Section 2, T. 47 N., R. 8 W., Town
1�
of Iron River, Boyfield County, Wisconsin;
4 i
That this map is a true representation of said
survey; and
That said survey and map are correct to the
best of my knowledge and belief.
arty T. Nelson RLS 6
"I,
• uaNcsMM, AS NOW. FOUND av FtACE
Q 1' (ao.) x 1s• 6?CW PA°f SET no SVRW)'
-0- OVERNFAO aM POWER POLE
1
471.W" 7L4j>7HOUSE
LOT. 2
( ((( (i./ip. I..
ELEVATIONS ARE ASSUMED.
CONTOUR INTERVAL - 1 FOOT
.a& 04,4301 FEE "T4, r47MV.EWW/SEC2/
ONE #M -40 FEET PSagx&Aa0/SaavaEn
JUNE 10, 2004 Na 333 PC. 34
DRAM Br: aF
2• LP.12't
7// 4461V /�;
7f,'
1/ wahR aEv oa
MY 20, 2004 - 56.6
BEARINGS ARE BASED ON THE
NORTH LINE OF SECTION 2,
ASSUMED AS N 8525'18" E
SCALE: 1 INCH - 40 FEET
40 0 40 80
CL 1: DAN SCHOURSK
. ELSON 101 W. £1494 SIREET
SURVEYING ,'Mscb?GN 54806
T 15) 682-. NCORPORATED ('A a (71 j 60 5100
3URYEY1NO NORTHERN F113CONB2N R1NR 1954 MAP Na .1318
17510 NW -NW
MAP OF SURVEY
LOT 1 AND THE NORTH 50 FEET OF LOT 2 OF THE FIRST
ADDITION TO LONG LAKE, LOCATED IN THE NW 1/4 OF THE
NW 1/4 OF SECTION 2. T. 47 N., R. 8 W., IN THE TOWN OF
IRON RIVER, EA YFIELD COUNTY, WISCONSIN
TOTAL AREA OF PARCEL
41,500 SQ. FT.±
0.95 ACRES±
surnrons CF@M1441E
4 try 1. N *on, ta4ebr d ha in,,, he the State d Mwash haty
1M an the are. d,0.. Ihm made w'wy d Let t - N
b Lot ibtea 4b, lotted Ntea low 1/4.1 iii
1A 1/4 d (Wmn S 0. W Tote 01 Ym qtr. Pptletl Co.$
1MN thb Lap 6 T e d mb eoeey, dd
Thai - -4 0 * at 1M bet a try loiaww a and Mfal.
NOTE
4�mah,mte locate, cM deoLve a the baomy Cob loan eat (flewrmn) on
colbaicaby locate, tby 0ta he
W... C -1y iervrg Ct'Nrtn*nt. Nmmbae n, 2W4.
M9 tee Ettmmined to he 153 feet ,ovthetet at tea i' ken
ytoe Eetetot Lots 1 ar-0 i. mia meo,ae,mem .o,,e a ey tkn khmm$,
Baaet m W. me0100relnent, the aM bewtbb w , 01 lets Lake p,oamtey
57.0 feet, local aavumM attention, ci bated a, the benchmark .nowt an tale
map,
ELEVATIONS ARE ASSUMED.
CONTOUR INTERVAL - 1 FOOT SCALE: 1 INCH = 40 FEET
40 0 40 80
RE5 D - — 14 AIP AMtt aL kOti R.4I.CININ & N Mt S OtIS
O I•(6Q) x tB• j%1P/ O AT 03(1411
tae 01/M1 FS1 Nr1MirN+mRBw/sTM/
r• II3gR41NlI AS yplD, 7012.0 w H.IL'E A APPROXW/E NM WV 1:4E qOR) I SOW QE 704 - 4O1W 2504TM.afio/SDOLW9
0 I• (Q0.) x IB' 60M' qi Al IH6' strawy ,M114E IQ, ADe Ne 11J a. N
-0- DI/M1 PMC Rfl$R 7.050w 3 2a A.M 15. 2CC6
ThWIW Qy: UT
CIAEW7. DAN 8CIIOUNEC
EISON
SURVEYING
INCORPORATED
SURtRIThC N0Rl/18RN 11bL'ONOR4 =cc 1064 4w Art 3378 0
101 M 444 SIRE£)
SORE 201
502-2692
Txk)(115) 6B]-sia0
Emily Macaillivra
From: Emily Macgillivray
Sent: Tuesday, May 5, 2026 9:26 AM
To: Bill Erickson
Cc: holsclawconst@cheqnet.net
Subject: Schourek Garage (69990 W. Long Lake Rd
Hi Bill,
Just looking over the application after we talked on the phone this morning and it looks like the site of the
proposed garage is directly across the lot line between Lot 1 and Lot 2:
14x LO 20033
PN: 04 CE *447-00-02.2 00211.01000
JR
Legoc1 PIN 02411 *500000
Cwnot Name
DAN E d GA0. ANN S 0UREK
Map ID:
mixwookDy:
TMN OF IRON IUVER
PiELDSTONE LN
HAMPSHIREiL 4414077
SM
$02 T47N R08►Y
IC
Daecrl0660:
PIRSTADOTO LONG LATE LOT I
g4oAdors3
60090 W LONG LAKE RD
&N50'QFLOT2IN v.*0aaPMt2
MWFWEi%54817
RocaFdoQ Ac ca:
n96o
Cablaiod Ac cs
0.054
Zauta
¢i 1)R}Q6m1-1
+cr• 454
�piE')L
L1
- .�
" iii•
•
�r. l• tom.
WoO
Prcp0sed
GsAb114
Prapased
Sep. Tnk.
+or• 36
•ar-94'-0'
__-...
I have highlighted in yellow on a plat of survey my understanding of approximately where the garage will
go:
1
TOTAL AREA OF PARCEL
56,800 SQ. FT. ±
1.30 ACRES±
SURVEYOR'S CERTIFICATE
I, Lorry T. Nelson, registered land surveyor in the
State of Wisconsin, hereby certify:
That on the order of Dan Schourek, I have made
a survey of vacated Angus Avenue, Lot I and
the north 50 feet of Lot 2 of the First Addition
to Long Lake, located in the NW 1/4 of the
NW 1/4 of Section 2, T. 47 N., R. 8 W., Town
of Iron River, Boyfield County, Wisconsin;
That this map is a true representation of said
survey; and
That said survey and mop are correct to the
best of my knowledge and belief.
rry T. Nelson RLS
EL
C0J
How far will the garage be between the line between Lot 1 and Lot 2? I know the Lots are being combined
through a CSM, but for me to approve the application before the CSM is complete, the proposed garage
will need to be 10' from the lot line between Lot 1 and Lot 2. That lot line will also need to be marked (it
isn't currently), so I can confirm the setback.
I'm in the office this morning, so feel free to give me a call to talk about it.
Kind regards,
Emily Macgillivray (she/her)
Assistant Zoning Administrator
Planning and Zoning Department
Bayfield County
117E5th Street, POBox 58
2
Washburn, WI 54891
Phone: 715-373-3511
emilv.mac illivray ,bavfieldcountv.wi.eov
Fraudulent Billing Alert: Be aware that individuals submitting applications to our department have
received scam emails. Bayfield County will NOT ask applicants to wire any funds. Please contact our
office at zoningCa�bayfieldcounty.wi.gov or 715 373-6138 with any questions or concerns.
Land Use Permit Application Review Checklist
•Submission#: Q
Why zoning district is the project located in?
LXR-1 ❑ R- ❑ R-3 ❑ R-4 ❑ R-RB ❑ C ❑ 1 ❑ M ❑ A-1 ❑ A-2 ❑ F-1 ❑ F-2 ❑ W ❑ M -M
❑ Yes gA0
Is lot substandard (does not meet current zoning dimensional requirements)? , ,
Deed of record: C3i11 #140 U
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)?
12'S'es ❑ No
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 1N2
Are there wetlands on the property?
❑ Yes U4o
Is project associated with a nonconforming use or structure?
❑ Yes o
Is project associated with a variance? Case #:
❑ Yes
Is project associated with a Special B or Conditional Use Permit? Permit #:
❑ Yes E'Np
Is the project associated with a Special A Use Permit?
❑ Yes o
Does the project require sanitary?
0 Existing ❑ New 0 Intercept 0 Reconnect 0 Non -Plumbing 0 Public
Sanitary Permit #: # of Bedrooms:
❑ Yes No
Does the project require mitigation?
Implementation Deadline: Date of Compliance:
❑ s No
Does the project require an affidavit? Affidavit #:
Yes 0 Np
Did licensed surveyor mark lot line(s), if project is within 10 feet of required setback?
❑ Yes D4o
D� applicant/property owner mark lot line(s), if project is within 30 feet of required setback?
Project use is? R idential 0 Commercial 0 Municipal
Project type is? New Construction ❑ Addition/Alteration ❑ Change Use ❑ Relocate ❑ RV Placement ❑ Sign
❑ Establishing a Business ❑ Temporary ❑ Shoreland Gradi g 0 Other, describe:
Structure Type is: 0 Residence ❑ Principal Structure Qecessory Structure ❑ Boathouse (one story only)
❑ Open-sided/Screened Structure (gazebo, etc.) 0 Stairway to navigable waters ❑ Mobile Home
❑ Shipping Container ❑ Other, describe
Total Sq. Ft. of Project:
Number of Stories:
Overall Height: ( ' (y
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
Atta d Non -Habitable Garages
$0.20 x sq ft
(minimum $125)
$
on -Habitable Residential Principal and Accessory
Structures
$0.20 x_q s ft
(minimum $75)
$ 7 ,
❑ 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 0 Land Use Revisions 0 Special Use Permit - Class A 0 Floodplain ZLStISeland - Impervious
Surface 0 Shoreland - Non -Conforming, etc. 0 Tower Siting/Collocation 1 0 Tower Collocation 2 ❑ Metallic Mine
❑ After -the -Fact (ATF)
I $
Inspected by:
Date of Inspection:
Re -Inspected by:
Date of Re -Inspection:
Denied by:
Date of Denial:
Reason for Denial:
Date Denial Letter Mailed:
Approved by:
Date of Approval:
/
Cond'on(s):
C� iust meet and main ain setbacks from furthest extension of structure including eaves and
ove angs.
For personal storage only.
❑ For personal residence only.
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
obt9jmed prior to the start of construction (if applicable).
CSI 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.
❑ Sin must meet the requirements of Article E of the Bayfield County Zoning Ordinance.
BTo 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
B'FIELD 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:
SCHOUREK, DAN E & GAIL ANN
404 FIELDSTONE LN
HAMPSHIRE, IL 60140-9672
Description
Shoreland - Impervious Surface
Non -Habitable Residential Principal and Accessory
Structures - $0.20/square foot (minimum $75)
Submission Number:
LU-02214
Transaction Number:
LU-02214-48C09
Amount
$25.00
$76.80
Total: $101.80
Payment Amount: $101.80
Reference: 3823
Paid by: Extreme Measures
Payment Type: Check
Transaction Date: 6/29/2026
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 - Yes I Impervious Surface - Yes
Floodplain - No / Wetlands - No
Mitigation - No / 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. 26-0303 Tax ID: 20233
Issued To: SCHOUREK, DAN E & GAIL ANN
Location: S02 - T47N - R08W
Town of Iron River
Legal Description: FIRST ADD TO LONG LAKE LOT 1 & N 50' OF LOT 2 IN V.1088 P.992 12
Residential Structure in R-1 zoning district
For: New Construction [1 - Story ], Accessory Structure on a Slab [384 Total sq. ft. ] Height of 12' 6"
(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 29, 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.
Town/State/DNR/Federal may require permitting.
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.