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HomeMy WebLinkAbout26-0306! I i ry kI Return to: 117 E 5th Street, Po Box 58 Bayfield County Planning and Zoning Department County Use Only: Submission #: LU-031{-j Washburn,W154891 LAND USE PERMIT APPLICATION j Permit #: o b not nntspbavtieldcountv.wi.gov Date' crr'nnn A. r6Iawu Property Owne ame: Authorized Agent Name (if applicable):_ _ 1 Telep otYc Number: Telephone Number: c—vnci E -Mail Address: rvWt1. E -Mail Address: Mailing Addre : Mailing Address: Baytield Co. _ D (LG Lr. Plannini and Zoning A en CityState.tare,, zip: c41 W v2 City, State, zip: Contractor: Telephone Number: E -Mail Address: V( rs/" O9 ffliONB:ProperWInfdISdOfl _IT IT T- {»r`' Proje t Address (if different from mailin add Cs �G� Y y I a �6( Legal Description (if additional s ace is needed attach a separate sheet): SYt.# 17 Section, Township, Range: t 7 -r<% (J of: � Town 4t •L —� � Tax ID #: F Z Lot Size (Acres/Square Feet): vs 5 C Lrc.I G17ON C: Pro t Information check aB that, 1 -. - - ' ' Project Use is: kesidential 0 Commercial 0 Municipal If Commercial, estimated cost of construction: $ Project Type is: 0 New Construction U ition/Alteration (existing structure) ❑ Change Use (existing structure) 0 Relocate (existing structure) 13RV Placement 21+ days 0 Establishing Business tporary (12 or less months) ❑ Sign a O Shoreland Grading, Class A 0 RV Placement 4+ months, Class A ❑ Other (describe): required Total sq ft): required ISECTION D: Structure Information' not apDly to RVs and Sins, o to Section Structure Type is: 0 Residence ❑ Principal Structure (describe): ❑ Accessory Structure (describe): 0 Shoreland Exempt Structure (describe): 0 Mobile Home (provide manufactured date): ❑ Shipping Container 0 Other (describe): Foundation Type: ❑ Basement ❑ Walkout Basement 0 Slab 0 Crawlspace 0 Ground 0 Skids 0 Other (explain): Existing Structure: Length: Width: Height: Proposed Structure (Provide Sq F1 based on outside dimensions, including unfinished areas, attached garages/above grade decks/porches): Basement Sq Ft: I "Floor Sq Ft: Loft Sq Ft: 2"t Floor Sq Ft: 3n° 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): # of Stories: Existing# of Bedrooms on property: Proposed # of Bedrooms in project ,SECTION E:,RV and!Sig 5lnfortitatlon check all that apply)' Sign is: ❑ New 0 Replacement RV is: @4ew 0 Replacement O On -premise ❑ Off -premise ❑ I -sided ❑ 2 -sided Year: �ZZ Vin #:1P °e z.3c 3 ❑ On -building 0 Multi -Tenant " '2i31, I Length: Width: Height: Make: Q.l.I Model: — Application Page I SECTION F: Site Plan — attach a site plan or draw site plan in box below (See pages I & 2 of Land Use Permit Application Tnfntmntinn fnr infnrmntinn that is remuired to be provided on site plan) Show location of: C2tDriveways E Frontage Roads (include name) O Existing Structures O Well (W) ❑ Septic Tank (ST) O Drain Field (DF) O Holdin Tank HT ❑ Pri ) ❑ Lake ❑ River ❑Stream/Creek ❑Pond ❑Flood lain OWetlands OSlopes over 20% N -4$;-- UN 14 2026 Bayfield Co. Planning and Zoning Agency S 2(w ro Z6rx 8 Y2 I 1 to fi✓ I i� tZV 1 SOYA 3gyrd k or distance from furthest extent of structure County Use Only ing eaves and overhangs to (include on site plan): Verified setbacks enterline Len 4`w ft. ft. Notes/Comments: t" -c G&S W� �(Illn Lot LinelRight-of--Way eft. ft.y otLinel 13S� ft. /O� ft East Sothes ucircle one �Artd Mporw r 4 I vsouth ot Line 2 420ft• �0� ft� Westcircle oneLot Oil Ott1ufield Line ft. i00 ft•,.rP4jA0fQ R c/HoldingTank ft. ft /� v ft. ft. Well ft. ft. Existing Structure/Building ft. ft. Wetland ft. ft. Elevation of Floodplain ft • ft. Ordinary High- Water Mark (OHWM) ft. i ft. ' Other(describe) ft. ft., Application Page 2 SE ON G: AdditionalQuestions Ycs O No Has the location of the proposed project* been staked? If no, what date will this be completed: Note: The site will not be inspected 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. ❑ Yes @iqo 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. es ❑ No Is there an existing sanitary system on the property? If yes, what kind? \'0Y ❑ Drainfield O Holding Tank O Municipal/Public I&der (describe): rivy ❑ Yes o Will pressurized water be installed in the structure? If yes, what kind of sanitary ystem will be installed or used to manage wastewater? ❑ Drainfield ❑ Holding Tank ❑ Municipal/Public O Other (describe): Yes ❑ No Will sleeping occur in the structure? If yes, contact local Uniform Dwelling Code (UDC) for approval and inspection requirements. RECiVFn II Is the project associated with any of the following: ❑ Rezone O Class A Special Use O Class B Special Use O Conditional Use O Variance JUN Fee payment will be made via: ❑ Check (attached) ❑ Cash (attached) [ 'debi /credit/echeck (department to call once is payment rea How would you like.io receive your permit card? ❑ Mail to: OR mail to: roperty Owner Address ❑ Agent Address O Contractor Address O Other (provide name and email or address): 'Include caves, overhangs, sanitary system, and well in staking measurements Section H: Acknowled ement and Signature All Land Use Permits expire Two (2) Years from the date of issuance if construction or use has not begun. Sanitarypermit 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 UDC. the 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 property is located, and all other rules, the 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. Resources wetlands identification For more information, visit the Department of Natural web page, dnr.tvi �ov'to idw tlands, or contact a De center (715)685-2900. J-'= partment of Natural Resources service I ) that this I (we) knowledge dend belief applis anon, including any accompanying information true, has been examined accuracy of all informatio by me (us) and to the best of my I (we) providing and that issue a permit. I (we) further c are ct, and complete. I (we) acknowledge that I (we) am (are) responsible nr e detail and with will be relied by Bayfield County determining providing in or with this pplic Y in whether to accept liability which may be a result ofelied upon ld County to atron. I access the relying on eisribed (we) consent to county officials charged y g this (we) property at an reasonable a information i are any time dmrmslering for the p sfins county ordinances to have Owner(s) or Authorized A arPose of inspection. gent Printed Name: OwnerNOTES: or Authorized Agent Signature: I • if you are signng on behalf of th 2 Specific conditions/i s) a letter of autho Date: (v - I y-2,6 must all be aware o instructions may be stated on the face of th 'mustaccompany this application. emrit details & conditions and ermit Use Permits, card must beand Osten on ' agents, & contractors ro a rice to start of ro•ect. Application Page 3 SI THIS RE( VEHICLE. FOR TEi RECREATI01 OR SE. MANUFACTU . COMPLIANCE WI f RECREATI0' NFPJ "�_ MIrIV INDUSTRY A, SSOC!ATION LI Land Use Permit Application Review Checklist Submission #: What zoning district is the proje ocated in? ❑ R-1 ❑ R- ❑ R-3 ❑ R-4 ❑ R-RB ❑ C ❑ 1 ❑ M ❑ A-1 ❑ A-2 ❑ F-1 ❑ F-2 ❑ W ❑ M -M ❑ Yes 4cfo / 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 LVNo Is the project located in the Floodplain? Zone: ❑ Yes o Are there wetlands on the property? ❑ Yes I"No Is project associated with a nonconforming use or structure? ❑ Yes MLNo Is project associated with a variance? Case #: ❑ Yes l(Vo Is project associated with a Special B or Conditional Use Permit? Permit #: ❑ Y�s fl4Jo Is the project associated with a Special A Use Permit? es ❑ No Does the project require sanitary? CS — 4:4 Co °j 0 Existing ❑ New 0 Intercept 0 Reconnect 15Non-Plumbing 0 Public Sanitary Permit #: a-6- 03oS # of Bedrooms: ❑ Yes o Does the project require mitigation? Implementation Deadline: Date of Compliance: ❑ Yes m4o Does the project require an affidavit? Affidavit #: ❑ Yes E4io Did licensed surveyor mark lot line(s), if project is within 10 feet of required setback? ❑ Yes No Di pplicant/property owner mark lot line(s), if project is within 30 feet of required setback? Project use is? Residential 0 Commercial ❑ Municipal Project type is? ❑ New Construction ❑ Addition/Alteration 0 Change Use ❑ Relocate Placement 0 Sign ❑ Establishing a Business 0 Temporary 0 Shoreland Grading ❑ Other, describe: Structure Type is: 0 Residence 0 Principal Structure 0 Accessory Structure ❑ Boathouse (one story only) ❑ Open-sided/Screened Strr cture (gazebo, etc.) ❑ Stairway to navigable waters ❑ Mobile Home 0 Shipping Container k7'Other, describe (i 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) $ 0 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 s ft q (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 0 Land Use Revisions 0 Special Use Permit - Class A 0 Floodplain 0 Shoreland - Impervious Surface 0 Shoreland - Non -Conforming, etc. ❑ Tower Siting/Collocation 1 0 Tower Collocation 2 0 Metallic Mine ❑ After -the -Fact (ATF) $ Inspected by: Date of Re -Inspected by: Denied by: Reason for Denial: Date Denial Letter Mailed: Approved by: Condi ' n(s): J V l4iust meet and maintain setbacks Date of Re -Inspection: Date of Denial: Date of extension of structure including eaves and overhangs. ❑ For personal storage only. ❑ For personal residence only. ❑ N for human habitation or sleeping purposes. Ir3'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). ❑ 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. ❑ 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. ❑ 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: CLassc Qe(rnrI /11uS4- iJe olqfccnecp wi hlvl K: Applications and Forms/Applications/Land Use/Updated 2/25/2026 mdk B 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: TRUHLSEN, DWAYNE K LU-02347 1305 PRAIRIE LN ST CROIX FALLS, WI 54024 Transaction Number: GASPER,SARAH L LU-02347-482E0 1305 PRAIRIE LN ST CROIX FALLS, WI 54024 Description Amount Recreational Vehicle (RV) Placement $75.00 Amount: $75.00 Reference: 2520 Paid by: Sarah Gasper 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 / Nonconforming — No Shoreland - No / Impervious Surface — No Floodplain — No / Wetlands — No Mitigation — No / Affidavit #: LAND USE - X SANITARY — Non -Plumbing Portable Privy (26-0305) SPECIAL A — SPECIAL B/CONDITIONAL — BOA — No. 26-0306 Tax ID: 39672 Issued To: TRUHLSEN, DWAYNE K & GASPER, SARAH L BAYFIELD COUNTY PERMIT WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION Location: S27 - T50N - R04W Town of Bayfield Legal Description: LOT 4 CSM 2417 V14 P46 IN DOC 2025R-608823 IM 2025R-608921 For: Recreational Vehicle (RV) in R-RB zoning district Make: Escape RV Model #: E -One VIN #: 1P9EB2303NR733613 Year: 2022 (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. Town/State/DNR/Federal may require permitting. Class A RV permit must be obtained within 4 months or RV must be removed.