Loading...
HomeMy WebLinkAbout26-0316I eturn to: County Use Only: 117 E 5th Street, PO Box 58 Bayfield County Planning and Zoning Department Submission #:l -U —a a'3$7 Washburn, WI 54891 LAND USE PERMIT APPLICATION Permit #: -03 Il permitsCdbayfieIdcountv.wi.aov Date: o ECTnQ A: ,Genexal Information Proper ner Name: / r Authorized Agent Name (if applicable): Telephone umber: 7 s 7 i.�a Telephone Number: E -M I Address: w E -Mail Address: M ilmg d res : Mailing Address: RECEIVED ity, State, Zip: City, State, Zip: JUN 3 0 2026 Contractor: Telephone Number: E -Mail Address: Bayfield Co. Planning an' Zoning Agency .SECTION B: Property Information Project Address (if different from mailing address): Legal Description (if additional space needed attach a separate sheet): G e4 Section, Township, Range: 31 _ N 6- rj Town of: Tax ID #: / Z7 Lot Size (Acres/Sq are Feet): SECI10 C..: o'gctdnfojmation check;all.thatp .:.__ Project Use i esidential ❑ Commercial ❑ Municipal If Commercial, estimated cost of construction: $ Project Type is: ,0' New Construction ❑ Addition/Alteration (existing structure) ❑ Change Use (existing structure) 0 Relocate (existing structure) ❑ RV Placement 21+ days ❑ Sign ❑ Establishing a Business 0 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 riot apply to RVs and Signs, go to Section E) Structure Type is: ❑ Residence 0 Principal Structure (describe): Accessory Structure (describe): 0 Shoreland Exempt Structure (describe): ❑ Mobile Home (provide manufactured date): / / ❑ Shipping Container 0 Other (describe): 5kor -p / /y'q (,b/ G -/7d Foundation Type: ❑ Basement 0 Walkout Basement 4 Slab ❑ Crawlspace 0 Ground ❑ Skids 0 Other (explain): Existing Structure: Length: O Width: 3p Height: Proposed Structure (Provide Sq Ft based on outside dimensions, including unfinished areas, attached garages/above grade decks/porches): Basement Sq Ft: l& Floor Sq Ft: Loft Sq Ft: 2n° Floor Sq Ft: 3t^ Floor Sq Ft: G g�Sq FtU Porch Sq Ft: Deck Sq Ft: Other Sq Ft (describe): Other Sq Ft (describe): Total Sq Pt: I p Overall Height (finished grade to peak): / f # of Stories: Existing# of Bedrooms on property: Proposed # of Bedrooms in project: p N E: RV and Thrmt�rmation (check all that apply) Sign is: is: RVis: 0 New 0 Replacement 0 New 0 Replacement 0 On -premise 0 Off -premise 0 I -sided ❑ 2 -sided Year: Vin #: ❑ On -building 0 Multi -Tenant Length: Width: Height: Make: Model: Application Page I 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: El Driveways El Frontage Roads (include name) El Existing Structures El Well (W) ❑ Septic Tank (ST) El Drain Field (DI') Li Holding Tank (FIT) ❑ Privy (P) ❑ Lake ❑ River ❑Stream/Creek ❑Pond DFloodplain ❑Wetlands ❑Slopes over 20% 3. RECEIVED JUN 3 0 2026 `/ h P� Plannin BaYfield co. 9 and Zoning Agency Setback or distance from furthest extent of structure County Use Only including eaves and overhangs to (include on site plan): Verified setbacks Road Centerline ft. ft. Notes/Comments: Front Lot Line/Right-of-Way £4.5'f), '7S ft. ft. Lot Line l ft. r —ft pSide ast South West, circle one) /2.5 77 Side Lot Line 2 (North East West, circle one) try ft. TV ft. Rear Lot Line GpD ft. 745' ft. Septic/Holding Tank 7C ft. /o ft. Drainfield ft. Privy ft. R Well LCPD ft. p ft. Existing Structure/Building 6G p ft. — ft. Wetland ft. ft. Elevation of Floodplain ft. ft. Ordinary High -Water Mark (OHWM) ft. ft. Other (describe) ft. ft. Application Page 2 SECTION G: Additional Questions 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: es El 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. 7 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. 3 Yes ❑ No Is there an existing sanitary system on the property? If yes, what kind? ❑ Drainfield Holding Tank ❑ Municipal/Public ❑ Other (describe): El Yes 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/Publie ❑ Other (describe): ❑ Yes 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 tire following: O Rezone O Class A Special Use O Class B Special Use ❑ Conditional Use El Variance Fee payment will be made via: ❑ Check (attached) JA Cash (attached) El debit/credit/echeck (department to call once payment is ready to be taken) H w would you like to receive your permit card? Mail to: OR ❑ Email to: 7 Property Owner Address ❑ Agent Address O Contractor Address ❑ 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 be r issuance, if required, needs to occur prior to Land Use Permit issuance. Failure to obtain a permit or starting contt, fiction without a permit will result in penalties. JUN 3 U 2026 The local Town, Village, City, State or Federal agencies may also require permits. The new constructio�npf Qno andan�0✓o-fy riadwellings requires review and approval by the local Uniform Dwelling Code (UDC) authority. Additions ann a tera r ns oone- 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 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 reasot2y,ble time for the purpose of inspection. Owner(s) or Authorized Agent Printed Name: ._/ ., 't.cti � Owner(s) or Authorized Agent Signature: 14. Fb (toN LiMPut') Date: Date: T_4v NOTES: � ,— ...�I l / I. 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 N89°49'00"E 0 M M O 0 N N e M C') O SET MONUMENT 1' NORTH OF O ACTUAL CORNER LOCATION. c DUE TO A TREE AT THE ACTUAL Z CORNER LOCATION. RECV' ° JUN 302026 gayfield Co. Planning and Zoning Agency PARCEL 1 217,800 Sq.Ft. 5.00 Acres (INCLUDING ROAD R.O.W.) SEC. 21, T46N, R5W FD. BAY.CTY.MON. CV rn rn � �, co �I C\ 660.00' 13° o O \ 75' M DRI WAY PTI LID S HOUSE n SHE 627.00' L.P. TANK S89°49'00"W 660.00' I 33.00'-I IN-R5W p' j_ ko. '$_c I ;CALE l 0 1'� 75'7LO �,' y A1 c i N89°40'14"E 2,621.37_ W d' M T O O cn E�Y16 NE CRN. .I II ll z,1 O' 'I v)I rvI I N PLAT A PARCEL OF LAND LOCATED SECTION 21, TON TOWN OF KELLY, BEARINGS ARE GRID BASED WCCS - BAYFIELD COUNTY WITH THE EAST LINE OF THE NORTHEASTY MEASURED TO BEAR S0013'34"E RECEIVED LEGAL DESCRIPTION: JUN 3U 2026 A PARCEL OF LAND LOCATED IN THE NEZZ- NEZ. SECTION 21, T46N, R5W, TOWN OF KELLY, BAYFIELD COUNTY, WISCONSIN, MORE PARTICULARLY DESCRIBED AS FOLLOWS: Bayfield Co. PARCEL 1; planning and Zoning Agency COMMENCING AT THE NORTHEAST CORNER OF SAID SECTION; THENCE S00'13'34'E ALONG THE EAST LINE OF THE NE % A DISTANCE OF 99798 FEET,' THENCE S00'13'34'E AND CONTINUING ALONG SAID EAST LINE A DISTANCE OF 330.00 FEET TO THE Eke NE CORNER; THENCE S89'49'00'WALONG THE SOUTH LINE OF THE NE% - NEY A DISTANCE OF 660.00 FEET,' THENCE N00'1334"WA DISTANCE OF 330.00 FEET,, THENCE N89.49'00'E A DISTANCE OF 660.00 FEET TO THE EAST LINE OF THE NE% - NEy AND THE POINT OF BEGINNING. THE ABOVE DESCRIBED PARCEL OF LAND CONTAINS 217,800 SQUARE FEET, OR 5.00 ACRES INCLUDING THE RIGHT OF WAY OF ROY ANDERSON RD. SEC. 1' NO1 NYC FO. 1' IRON I I, PATRICKA. MCKUEN, WISCONSIN PROFESSIONAL LAND SURVEYOR 8-2992,00 HEREBY CERTIFY THAT THIS MAP WAS MADE AT THE DIRECTION OF STEVE BLAINE, OWNER OF THE ABOVE DESCRIBED AND MAPPED PARCELS, AND THE INFORMATION SHOWN ON THIS MAP IS CORRECT AND ACCURATE TO THE BEST OF MY KNOWLEDGE AND BELIEF AND MEETS THE MINIMUM STANDARD REQUIRE/AM'tl UNDER AE -7 OF WISCONSIN ADMINISTRATIVE CODE. ���� �1FD114≥ q, k. F1 nw7of>fu*L. i Zoa/ IVR)1lUtN - S-2992 - WY CRN ASHLAND, FO.3" CAPPED IRON PIPE Na9'5T !FE PINE RIDGE LAND SUR �Q L . 8-2992 MCKUEN mP.L.S WI P.L.ST8B2 '� SUR LEGEhID O -SET 1 1/4" O.D. x 18" IRON PIPE 150' 0 150' 300' 450' SCALE FEET sY0 FO. Y'REI Land Use Permit Application Review Checklist �7 -Submission #: L -I4 '-O What zoning district is the project located in? ❑ R-1 ❑ R-2 ❑ R-3 ❑ R-4 ❑ R-RB ❑ C ❑ 1 ❑ M ❑ A-1 ❑ A-2 F-1 ❑ F-2 ❑ W ❑ M -M ❑ Yes j14Jo 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 o 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: ❑ Yes,)'Jo Are there wetlands on the property? ❑ Yes o 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 o Is the project associated with a Special A Use Permit? ❑ Yes -No t Does the project require sanitary? O Existing O New ❑ Intercept ❑ Reconnect O Non -Plumbing ❑ Public Sanitary Permit It: # of Bedrooms: ❑ Yes No Does the project require mitigation? Implementation Deadline: Date of Compliance: ❑ Yes JtJo 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? esidential 0 Commercial ❑ Municipal Project type is? frNew Construction ❑ Addition/Alteration ❑ Change Use ❑ Relocate ❑ RV Placement ❑ Sign ❑ Establishing a Business ❑ Temporary ❑ Shoreland Grading ❑ Other, describe: Structure Type is: O Residence O Principal Structure $ccessory Structure O Boathouse (one story only) ❑ Open-sided/Screened Structure (gazebo, etc.) ❑ Stairway to navigable waters ❑ Mobile Home ❑ Shipping Container ❑ Other, describe Total Sq. Ft. of Project: 00 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) $ eon -Habitable on H bitable Residential Principal and Accessory $0.20 x t toy 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 0 Special Use Permit - Class A 0 Floodplain 0 Shoreland - Impervious Surface 0 Shoreland - Non -Conforming, etc. 0 Tower Siting/Collocation 1 O Tower Collocation 2 0 Metallic Mine ❑ After -the -Fact (ATF) $ Inspected by: Date of Inspection�J / 2 a d Re -Inspected by: Date of Re -Inspect n: Denied by: Date of Denial: Reason for Denial: Date Denial Letter M d: Approved by: Date of Approval: Condition(s): Aust meet and maintain setbacks from furthest extension of structure including eaves and overhangs. �84or personal storage only. ❑ For personal residence only. gr*ot 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). , Jse best management practices to limit and prevent erosion during construction. 0 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. "'o 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 0 RV must be removed by �.No sewer and pressurized water allowed in the structure. No plumbing or plumbing fixtures allowed. o 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^YFIELD Property Owner: BLAINE,STEVEN M 60755 ROY ANDERSON RD MASON, WI 54856 TEMPLIN,SHARON L 60755 ROY ANDERSON RD MASON, WI 54856 Bayfield County Planning & Zoning Department 117 E 5th Street P.O. Box 58 Washburn, WI 54891 Phone: 715-373-6138 Fax: 715-373-0114 Submission Number: LU-02387 Transaction Number: LU-02387-48FAF Description Amount Non -Habitable Residential Principal and Accessory $240.00 Structures - $0.20/square foot (minimum $75) Total: $240.00 Payment Amount: $240.00 Reference: Paid by: Steven Blaine Payment Type: Cash Transaction Date: 6/30/2026 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 I Wetlands - No Mitigation - No / Affidavit #: LAND USE -X X SANITARY - SPECIAL A - SPECIAL B/CONDITIONAL — BOA — No. 26-0316 Tax ID: 21278 Issued To: BLAINE, STEVEN M & TEMPLIN, SHARON L Location: S21 - T46N - R05W Town of Kelly Legal Description: PAR IN NE NE IN V.1162 P.442 BAYFIELD COUNTY PERMIT WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION Residential Structure in F-1 zoning district For: New Construction [1 - Story ], Accessory Structure on a Slab [1200 Total sq. ft. ] Height of 21' (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 July 06, 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 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.