HomeMy WebLinkAbout26-0322Return to:
117E 5`^ Street, PO Box 58
Washburn, WI 54891
perrnits@bayfieldcounty.wi.gov
Bayfield County Planning and Zoning Department
LAND USE PERMIT APPLICATION
County Use Only:
Submission #: LU-02341
Permit #: A- 03aa
Date: ? I 1,I>oa-6
SECTION A: General Information
Property Owner Name:
Authorized Agent Name (if applicable):
GOUDOS-WEISBECKER,BRITTANY L
Telephone Number:
RECEIVED
2319208678
E -Mail Address:
brittany.6192@gmail.com
JUN 10 2026
Mailing Address:
76100 FR 697
SayfieldCo.
City.State. Zip:
Planningearyy
Agency
s s en cy
WASHBURN,W1 54891
Contractor: Telephone Number: E -Mail Address:
-erty Information
Project Address (if different from mailing address):
76100 FR 697
Legal Description (if additional space is needed attach a separate sheet):
SW SW LESS PAR DESC IN DOC 2019R-580396
Section, Township, Range: S32 - T49N - R05 W
Town of: Washburn
Tax ID #: 38152
Lot Size (Acres/Square Feet): 33.464 ACRES
CTION C. Project'Information [cneck all that apply)
Project I•se is: Residential If commercial, estimated cost of construction: S
Project Type is: New Construction
SECTION. D: Structure Iiiprijiat.i,qn Doesnpt l to, V s o to§ pt'on E
Structure Type is: Accessory Structure pole building
Foundation Type: Ground
Existing Structure: Length: Width: Height:
Proposed Structure (Provide Sq Ft based on outside dimensions, including unfinished areas, attached garages/above grade
decks/porches):
Basement Sq Ft: 0
1"' Floor Sq Ft:
Loft Sq Ft: 0 2nd Floor Sq Ft: 0
3rd Floor Sq Ft: 0
1440
Garage Sq Ft: 0
Porch Sq Ft:
Deck Sq Ft: Other Sq Ft (describe):
Other Sq Ft (describe):
Total Sq Ft: 1440
Overall Height (finished grade to peak): 18
# of Stories: I Existing ip of Bedrooms on property: j Proposed
# of Bedrooms in project: 0
SECTION E: RV and Sin Information check all that apply)°
RV is:
Sign is:
Length:
Year:
Width:
Vin #:
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:
El Driveways ❑ Frontage Roads (include name) ❑ Existing Structures ❑ Well (W) ❑
❑ Holding Tank (HT) ❑ Privy (P) ❑ Lake ❑ River ❑Stream/Creek ❑Pond ElFloodplain
Septic Tank (ST) ❑ Drain Field (DF)
❑ Wetlands ❑Slopes over 20%
N
RECEIVED
JUN 10 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
63 ft.
Notes/Comments:
Moved 70
cam/ "
it / -k
Front Lot Line/Right-of-Way
30 ft.
ft.
Side Lot Line 1
(North)
80 ft.
ft.
Side Lot Line 2
(East)
1040 ft.
ft.
Rear Lot Line
440 ft.
ft.
Septic/Holding Tank
ft.
ft.
Drainfield
ft.
ft.
Privy
ft.
ft.
Well
ft.
ft.
Existing Structure/Building
ft.
ft.
Wetland
ft.
ft.
Elevation of Floodplain
ft.
ft.
Ordinary High -Water Mark (OHWM)
ft.
ft.
Other:
ft.
ft.
76100 FR 697
PHILLIP C FREEMAN
Tax ID# 31126
•
UU
//Tfr°
6100 FR 697
STANLEY 0 & WENDY S PAJALA
Tax ID# 30633
Section 5
75980 PAJALA RD
I
JUN 10 2026
Bayfieri rp.
Planning antl„�,i,,.,
6RANDON M REED
Tax ID# 38152
tA-kb`
IvitCHAEL S HARVEY
Tax ID# 37869
Section 32
SECTION G: Additional Questions
Yes
I-las 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: undefined
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.
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.
Is there an existing sanitary system on the property? If yes, what kind?
No
Will pressurized water be installed in the structure? If yes, what kind of sanitary system will
be installed or used to manage wastewater?
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: RECEIVED
How would you like to receive your permit card?
Email Property JUN 10 2026
to: owner
Bayfield Co.
PI
Section II: 'Acknowledgement and SI nature
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.00v/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 reasonable time for the purpose of inspection.
Owner(s) or Authorized Agent Printed Name:
Owner(s) or Authorized Agent Signature: Date:
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.
Il' )Ull 'I Ara
1 1/2"-f 7' 10 1/2" -- 8. 8._.____— g' — 7' 10 1/2" jr1 1/2"
io
In
cc
I
7' 4 1/2'
15'
II
7' 4 1/2"
16' 16' 1.-A 16'
16' 16' 16'
18'
e 18'
a c � RECE'WED
� I JUN 1 0 2026
18'
18
5v1
3'x6'8"
16' 16' 16' 1.8 16' 16'
9' 10 1/2"
10'
9' 10 1/2"
2 A
5' 10 1/2" 7' 10 1/2" 8' 8 8 -4 7' 10 1/2" 5' 10 1/2"
14 14' 14 2_B 14 - 4
1 1/2"- ►-- 8' ---- 8' 8' 8' -T - 7' 9" --1 1/2"
40'
Elevation Views
JUN 102076
eayfietd Co.
planning and Zoning Agency
71'
jL
u
W
ru
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.
1, Brandon Reed (property owner), authorize Brittany Goudos-Weisbecker
(authorized agent) to submit a land use permit (Example: land use, special
use, conditional use, rezone/map 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.) Pole Building application on my behalf for
the following described property:
Legal description of subject property: SW SW LESS PAR DESC IN DOC 2019R-580396
Address of subject property: 76100 FR 697 Washburn, WI 54891
Signature
6/11/26
maCE ED
JUN 10 2026
gayfield Co.
ptannin9 and Zoning A9encN
• Apple, COMPLETE APnKAnON. TAX I•.
SiAm EW^ Ftfl ,I APPLICATION FOR PERMIT
Bayfleld county BAYFIELD COUNTY, W ISCONSIN
Planning and Zoning Depart
PDBoa5B
Washburn,Wl 54591
(?15)373.6138 I JUN 012012
INSTRUCTIONS: Na permlta will be listed until all fm are such.
Olecks are made Payable In: aaylield County ienmg Oepaetmem
UT T
OO NOT START CONSTRUCTION UNTIL ALL PERMITS HAVE BEEN ISSUED TO APPLICANT,
NOW H4 ApnIGNON IHMLow enbJle wwe.haMeldeeunry.ara/re%n{/afp)
TYPEOFPERMITREQUESTEO—fl LANDUSE G SANITARY ❑ PRIVY ❑ CONDITIONALUSE C SPECIALUSE O B:O.A. C OTHER
Name
Mailing Adtlmis.
City/state/Zip:
Telephone:
2Ownefs
3cede Gr
7G(OOP
woAlolrr tsfl.SY64/
71c-373-0344
. ref
,.yL
Atltlrest of sly.
thy/State/Zip:
Cell Phone:
7 a a
V300 1 ,-P , Par- C1 uk 1
contractor
contractor Phone: I
Plumber.
Plumber Phone:
N
ASMometl Agent:lIe•we Tymm5Apykktm me beta of oomeehll
Agent Phone:
Agent Mailing Address Include City/Stale/Zit:
Written AuthaAation
Attached
Yes No
PROJECT I
Le¢aloesttiotbn. lase Tax Sutement)
II3dFIlSl
01-
Regarded Document: lice. Property Ownership)
LOCATION
U50- a-9CS-31_3 U3-ODwuoVolume
Y-
pagelsl
•�W
1/<• E/a
Gov't Lot
LoUz)
CSM
Vol & Page
Lot(tt No. Black(s) No.
Subdlvkbn:
/gyp
section Township N. Range W 3?.
se
Town of:
\ �
Lot SloeAcreageeag<
, 73
lni ysCliA w,
I •�i0
Is Property/Land within 300 feet of River, Stream sum. w<,ma,«I
Distance Structure Is from Shoreline:
IS Propemb
Are W.Uendt
Oeek Or Landward side of Fbodplain? IIYes—continue —r
feet
Fbodpbin Zone?
Present?
IS Property/Land within 1000 feet of lake. Pond or Flowage
Distance Structure is from Shoreline:
.-$horeland
I `,Yes
(No
: Yes
I�No
If yes —continue -0.feet
Noo-Shamlantl
Value at Time
of Completion
a
Project
if Stories
Use
N
of
What Type of
Sewer/Sanitary System
Water
include
donated timeffi
iwAat are you apo ins loll
and/or basement
bedrooms
Is on the property?
material
New Construction
1 -Story
Seasonal
1
Municipal/City
City
Addition/AlteYation
1-Story+Loch
)(year Round
2
(New)Sanitary Specify Tr ,
ell
[[// �asyV��
S dr 8(/
Conversion
2 -Story
3)(Sanitary
(Foists)Specify Type:
Relocatem...ustadtl
Basement
Privy(Pit) or Vaulted (min 200 gallon)
Run a Business on
IC No Basement
None
Portable (w/seryke contract)
Foundation
Compost Toilet
Property
None
ExlstingStructure: (if permitbeinga plied Loris relevant to it) Length: _ Width: Height:
Proposed Construction: Length:.., 3D Width: a.(� Height:g'euve5 G? k
Proposed Use
I
Proposed Structure
Dimensions
Square
Footage
Principal Structure (first structure on property)
IX
Residence (ice. cabin, hunting shack, etc.)
( X {
with Lot
I X I
y
r Residential Use
with a Porch
( X
with (2 ) Porch
(K
with a Deck
1 X )
with (2 ) Deck
1 X )
Commercial Use
with Attached Garage
1 X
Bunkhousew/( anilary, or sleeping quarters,or' cooking& food prep facilities)
1 X
Mobile Homelmanuladured dare)
1 X
Addition/Alteration (specilyl
( X
Municipal Use
Accessary Building tspecdy) 1Zwev°.-
1 7.a) X 30 1
Accessory Building Addition/Alteration (specify)
( X
Special Use: (explain)
Conditional Use:le.plmnl
Other..(explainl
( X
1 X
IN
ruitlni IOORT','.. WITHOUTAPSRMITWILLRt5ULTIN PENAUTF5
e wT:e•. 7te melevit•q•IM•'MMwrnnms select erdatmylre NaelaaaawaeeagelNrl M1el
,: , —IN MIne Cos ye, dnnewM Me Ten I reel hate. awyo batty bcRess w
ae4a mw+J awM rent —) —�— �r'°°iY<fim, last a ,aey MlnYtr ged F n anc4en•a ewatT•egna•ar.'abart
Date _(2_
- �It 9gn g letter(si of aufl ritation must
Authorized Agent:
t(ecdTLOTT Ml you are signing onbehalfoftheownerls)aletterofauthorizationmuttaccompanythisapplkatbn)
Attach
gpgrc,aq tq((gpmnit — II0O 4e' Zl t4c S�tMw V3ze sY(s9{ rnm of Taa Fa,en,ent
JIIg0pa Ilyou recmey punNsed the peWenys,.'duc_ Recorded Deed
SecretaiS s2EI APPLICANT PLEASE COMPLETE PLOT PLAN ON REVERSE SIDE
In the box below: Drew Or5keech Your Property(regardless of what you are applying tor)
(1) Show Location of:
Proposed Construction
(2) Show / Indicate.
North (N) on Plot Plan
(3) Show Location of('1:
(') Driveway and I') Frontage Road (Name Frontage Road)
(4) Show:
All Esisting Structures on your Property
(5) Show:
I'I Well (WI; (') Septic Tank(STI; O Drain Field (OFI:r) Holding Tank (HT) and/or )') Privy (PI
(6) Show any l'I:
('( Lake; I') River; l 9 stream/Creek; or (al Pond
(7) Show any ('1:
I'1 Wetlands: orf') Slopesover 20%
Please complete (1)-)?) above (prior to continuing)
changes In plans must be approved by the Planning & Zoning Dept
(8) Setbacks: (measured to the closest point)
Description
Measurement
Description
Measurement
Setback from the Centerline of Platted Road
5 Feet
Setback from the take (ordinary high-water mark)
Feet
Setback from the Established Right -of -Way
p Feet
Setback from the River. Stream, Creek
Feet
Setback from the Bank or Bluff
Feet
Setback from the North Lot Line
m12,0 Feet
Setback from the South Lot Line
- a F, Feet
Setback from Wetland
Feet
Setback from the West Lot tine
C 9.%.b Feet
Setback from 20% Slope Area
Feet
Setback From the East Lot Line
Feet
Elevation of Floodplain
Feet
Setback to Septic Tank or Holding Tank
Feet
Setback m Well
2..OOFeet
Setback to Drain Field
aa _
= Ai.O Feet
Setback to Privy lPortable,Composting) 2 00 Feet
u:s. q.enan: ease:sturc.nun•e..ume« a:een�n.n�m,ee..ate �e.a,ekines od..ys.nu.enoon.•rroan m..tbenenstdn.ai be.wermnewn.ee:h.u.wrneeoe.tau<
�o.nnd,a„rc, n n..,sea Se e,egone tvnoe nt . ii-•vcite toppew
nw.otne Wtemeil w.o-nn,.e lilies, tmne Zuniteltewbu. ka•nun:Innellelht+r.mtipee "ec sidbuk.bet Wrv•neIm. mer:eeeenn.b rne.•,.ea m.•.trwWier.m
C.wt *ie. d•ame..o1benM,tonaeab funm ed twos,q.wdub4 be the eeoenowt be eats amepctstomry slmna'eonsereoe,nnseatMof the poaesN steel he ttMue, a runeh
nn.eedwel[emea•u .t the sorer.[
19) Stake or Mark Proposed Location(s) of New Construction Septic Tank (ST). Drain field IDFI. Holding Tank IHTI. &I55.1f]. and Well (W ).
NOTICE: All Land Use Permits Eapire One (11 Year from the Date of Issuance If Construction or Use has not begun.
for The Construction Of New One & Two Family Dwelling: ALL Municipalities Are Required To Enforce The Uniform Dwelling Code
The local Town. Village. City, State or federal agencies may also require permits.
Issuance Information (County Use Only)
Sanitary Number:
aof bedrooms:
Sanitary Date:
Permit Denied (Date):
Reason for Denial:
Permit a:
Permll Date:
Is Parcel a Sub -Standard tat
IS Parcel mCommon Ownership
Structure Non -Conforming
Yes loedofaxerdh X
.sNa
^Yes PuwVcawk•em Insist)by No
❑Y
Mitigation Required
Mitigation Arvid(
Yes p
Kel
Yes No
Affidavit Required
Affidavit Attached
;:Yes
•:Yes
)(No
talcN
Granted by Varance (8.0.A.)
-Yes No Case#:
Previotaly Granted by Variance (B.O.A.)
0Yes No Coup:
Was Parcel Legally Created I
Was Proposed Bug Ing She Delineated
$ Yes _ No
(Yes N
Were Property Lines Represented by Dwner
Was Property Surveyed
O Yes
❑ Yea
Vivo
�No
Inspection Record.
`�.0
1atei -4 FAf 41- 40cal i W Ld b.aLf My &- f75tjW. killI
Zoning District ( F
lakesCa54rlcation ( *k
)
I
Date ofinspecteon: g5 - gi
Inspected by t(y
Date of Re -Inspection:
Conditim(sl:Town, CommineeorBoard Conditions Attached? Yes He-flf No they need to be attached.)
Signature of Insp
pate of _pRsv;l.
1'I-E7-
Hdtl For Sanitary: II Nold For laF:
Hold For Affidavit: I I Hold For FeeselJ
L.
eelnt•uly 2012
Town, City, Village, State or Federal
Permits May Also Be Required
LAND USE -X
X
SANITARY -
SIGN -
SPECIAL -
CONDITIONAL -
BOA -
BAYFIELD COUNTY
PERMIT
WEATHERIZE AND POST THIS PERMIT
ON THE PREMISES DURING CONSTUCTION
No. 12-0194 Issued To: Bradley & Elizabeth Greiner
Location: SW 1/4 of SW 1/4 Section 32 Township 49 N. Range 05 W. Town of Washburn
Gov't Lot Lot Block Subdivision CSM#
For: Residential Accessory Building: [ 1 - Story, Barn (20' x 30') = 600 sq. ft. ]
Condition
NOTE: This permit expires one year 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.
Doug Casina
Authorized Issuing Official
June 20, 2012
Date
T (
•
- W .Y fl F rvl`
?+
' '?''
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i ;�� w"' "�N � a r•� _ - ' � •, r.7 J� L� 1 ':;Err: '
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w ff.. s r & rt _ _,, d,rr
I.. � '�� �z ;--' � ..�` 4.. c� t � a pay f "^r }j�' ✓
� x _� r� :.��� � H,. •r. y�faap`rw �A'� K ':`�p ,,,F. 'T °��4y '� .�r�'��' ��r p��E«�ti� r��� �.
�,. ,. /4;
tU. 6/I7EEE6, 1:A6 PM
Novus-Wisconsin Access rev. 12.0206
4/j
• Real Estate Bayfield County Property Listing
Today's Date: 6/17/2026
Property Status: Current
Created On: 1/22/2020 1:54:09 PM
Description
Updated: 1/22/2020
21 Ownership
Updated: 6/23/2020
Tax ID:
38152
BRANDON M REED
WASHBURN WI
PIN:
04-050-2-49-05-32-3 03.000-20000
BRITTANY L GOUDOS-WEISBECKER WASHBURN WI
Legacy PIN:
Map ID:
Billing Address:
Mailing Address:
Municipality;
(050) TOWN OF WASHBURN
REED, BRANDON M &
REED, BRANDON M &
SIR:
S32 T49N ROSW
GOUDOS-WEISBECKER,
GOUDOS-WEISBECKER,
Description:
SW SW LESS PAR DESC IN DOC 2019R-
BRITTANY L
BRITTANY L
580396
76100 FR 697
76100 FR 697
Recorded Acres:
33.464
WASHBURN WI 54891
WASHBURN WI 54891
Calculated Acres:
33.464
P *
Lottery Claims:
1
Site Address indicates
Private Road
First Dollar:
Yes
76100 FR 697
WASHBURN 54891
ESN:
130
I Tax Districts Updated: 1/22/2020
1
STATE
04
COUNTY
050
TOWN OF WASHBURN
046027
SCHL-WASHBURN
001700 TECHNICAL COLLEGE 2 -Year Comparison
Land:
yT Recorded Documents Updated: 1/22/2020 Improved:
0 WARRANTY DEED Total:
Date Recorded: 12/26/2019 2019R-580396
-- Property Assessment
2026 Assessment Detail
Code
G1 -RESIDENTIAL
G6 -PRODUCTIVE FOREST
Updated: 7/30/2024
Acres
Land
Imp.
1.000
5,400
287,700
32.464
50,300
0
2025
2026
Change
55,700
55,700
0.0%
287,700
287,700
0.0%
343,400
343,400
0.0%
'-' Property History
Parent Properties
04-050-2-49-05-32-3 03-000-10000
HISTORY flExpand All History White=Current Parcels Pink=Retired Parcels 5 / t -pe,?
0 Tax ID: 31129 Pin: 04-050.2-49-05-32-3 03-000-10000 Leg. Pin: 050105405000 // C/
38152 This Parcel t Parents 1 Children
0'
G r ao 7
l�
fler`# Cal/u7
Tax ID
31129
r
G/S7 111
ca/4J 4tLtc7½k5
-ij �Sel`6c�
https://novus.bayfiieldcounty.wi.gov/access/master.asp?paprpid=38152 1/1
I
Land Use Permit Application Review Checklist
Submission #: 23
What zoning district is the project located in?
❑R-1 ❑R-2 ❑R-3 ❑R-4 DR-RB ❑C ❑I ❑M ❑A-1 ❑A -221F-1 ❑F-2 ❑W DM -M
El Yes 2'No
Is lot substandard (does not meet current zoning dimensional requirements)?
Deed of record:
El Yes 7'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)?
El Yes No
Is impervious surface required? (Required if riparian lot OR lot is entirely within 300 feet of OHWM of
navigable waterway)
El Yes 'l No
Is the project located in the Floodplain? Zone:
El Yes allo
Are there wetlands on the property?
El Yes 'No
Is project associated with a nonconforming use or structure?
❑ Yes ElNo
Is project associated with a variance? Case #:
El Yes ErNO
Is project associated with a Special B or Conditional Use Permit? Permit #:
❑ Yes HNp
Is the project associated with a Special A Use Permit?
El Yes No
Does the project require sanitary?
O Existing ❑ New ❑ Intercept ❑ Reconnect ❑ Non -Plumbing ❑ Public
Sanitary Permit #: # of Bedrooms:
El Yes j2'No
Does the project require mitigation?
Implementation Deadline: Date of Compliance:
El Yes 12t10
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 J'No
Did applicant/property owner mark lot line(s), if project is within 30 feet of required setback?
Project use is? esidential ❑ Commercial ❑ Municipal
Project type is?;;Aew Construction ❑ Addition/Alteration ❑ Change Use ❑ Relocate ❑ RV Placement ❑ Sign
❑ Establishing a Business ❑ Temporary ❑ Shoreland Grading El Other, describe:
Structure Type is: ❑ Residence ❑ Principal Structure ccessory Structure El 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: Number of Stories: Overall Height:
Fee Type
Calculation
Fee Amount.,
El 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)
$
❑ Non -Habitable Residential Principal and Accessory
Structures
I I
$0.20 x D sq ft
$0.20x
(minimum $75
$ '2 $75\
❑ Commercial Principal Structures
$250 + $0.005 x
cost of construction
(minimum $250)
$
El 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 ❑ Floodplain ❑ Shoreland - Impervious
Surface ❑ Shoreland - Non -Conforming, etc. ❑ Tower Siting/Collocation 1 ❑ Tower Collocation 2 El 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:
Condition(s):
❑ Must meet and maintain setbacks from furthest extension of structure including eaves and
overhangs.
J1'for personal storage only.
❑ For personal residence only.
plot for human habitation or sleeping purposes.
f2-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.
❑ Si n 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
52140 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
P YF I E L D Bayfield County
Planning & Zoning Department
117 E 51 Street
P.O. Box 58
Washburn, WI 54891
Phone: 715-373-6138
Fax: 715-373-0114
Property Owner:
Submission Number:
GOUDOS-WEISBECKER,BRITTANY L
LU-02341
76100 FR 697
WASHBURN, WI 54891
Transaction Number:
REED,BRANDON M
LU-02341-47F87
76100 FR 697
WASHBURN, WI 54891
Description Amount
Non -Habitable Residential Principal and Accessory $288.00
Structures - $0.20/square foot (minimum $75)
Total: $288.00
Payment Amount: $294.85
Reference: 1362681665
Paid by: Brittany Goudos-Weisbecker
Payment Type: Credit Card
Transaction Date: 7/8/2026
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 -
SPECIAL A -
SPECIAL B/CONDITIONAL -
BOA -
BAYFIELD COUNTY
PERMIT
WEATHERIZE AND POST THIS PERMIT
ON THE PREMISES DURING CONSTRUCTION
No. 26-0322 Tax ID: 38152
Issued To: GOUDOS-WEISBECKER, BRITTANY L & REED, BRANDON M
Location: S32 - T49N - R05W
Town of Washburn
Legal Description: SW SW LESS PAR DESC IN DOC 2019R-580396
Residential Structure in F-1 zoning district
For: New Construction [1 - Story ], Accessory Structure on the Ground [1440 Total sq. ft. ] Height of 18'
(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 Tracy Pooler
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. July 08, 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): For personal storage only.
Not for human habitation or sleeping purposes.
Town/State/DNR/Federal may require permitting.
To be constructed per plan.
No sewer and pressurized water allowed in the structure.