HomeMy WebLinkAbout26-0329Return to:
117 E 5u" Street, PO Box 5B
Washburn, WI 54891
p erm It s Abayflaldcou nN.wl.gov
Bayfield County Planning and Zoning Department
LAND USE PERMIT APPLICATION
County Use Only: 7
submission k: iU Oa 79
Permit N: t -6 ≥1
Date: i/f° °6
SECTION AC` tlon
Property encr ame: i; i'
Authorized Agent Name (If applicahle):
(hvl (
Tyh
7r. 7g 2I
Telephone Number: RECEIVED
E- it ri ss: ��� JtASH , CO(/�
E -Mail Address: JUN 24
Ma!tgAdUresk qyA,�j
Mailing Address: BayfeldCo_
City, State, Zip:
Contractor. ( LI
l
Telephone Number:
E -Mail Address:
er HA — e
SECTION B: Property Information
Project Ad4ress if different from maijmg address): ���
z r ttA & �d( (( �4k.
Legal Description (if additional spice is needed attach a separate sheet):
Section, Township, Range: S 7 3 D7
Town of:
Tax ID k: 3 q H I LI CS-vt
Lot Size (Acres/Sgtmre Feet): 3 ,9 2.
SECTIONC:Pro'ectlnformation checkallthat
Project Use is: Residential 0 Commercial 0 Municipal
Project Type is: ❑ New Construction Addition/Alteration (existing structure)
❑ Change Use (existing structure) 0 Relocate (existing structure) 0 RV Placement 21+ days
❑ Sign 0 Establishing a Business 0 Temporary (12 or less months)
❑ Shoreland Grading, Class A 0 RV Placement 4+ months, Class A 0 Other (describe):
required (Total sq ft): required
SECTION D: Structure Information o not apply to RVs and Signs, go to Section E)
Structure Type is: Residence 0 Principal Structure (describe):
❑ Accessory Structure (describe): ❑ Shoreland Exempt Structure (describe): 0 Mobile Home (provide manufactured
date):
❑ Shipping Container 0 Other (describe):
Foundation Type:
❑ Basement 0 Walkout Basement,Slab ❑ Crawlspace ❑ Ground ❑ Skids 0 Other (explain):
Existing Structure: Length: Width: Height:
Proposed Stntcture (Provide Sq Ft based on outside dimensions, including unfinished areas, attached garageslabove grade
decks/porches):
Basement SqFt>-
I" Floor Sq,Ft:— 3G
Loft Sq Ft: -
2n°Floor Sq Ft`:
3'a Floor q Ft:
Garage Sq Pt:
Porch Sq Pt:
Deck Sq Ft: -
Other Sq Ft (describe):
Other Sq Ft (describe):
Total Sq Ft: 2
Overall Height (finished grade to peak):
d of Stories: /
Existing N of Bedrooms on property: Z_
Proposed 9 of Bedrooms in project: /
SECTION E: RV and -,Information (check all that apply)
Sign is:
RV is:
❑ New 0 Replacement
0 New 0 Replacement
❑ On -premise ❑ Of -premise A/A
0 1 -sided 0 2 -sided / " "
Year: Vin 4:
0 On -building 0 Multi -Tenant
Length: Width: Height:
Make: Model:
C17Or . Site Plan — attach a die plan or drag 'lie plan In box below (See (ogee I A 2 ollial
Use Permit Appikalwn
fotmotion for utfonnation that is reqwral to be jiended an siteplan).
Show location of
❑ DmYways 0 Frontage Roads (include name) 0 Existing Structures 0 Well (W)
0 Septic Tank (ST) 0 Drain Field (DF)
❑ Holding Tank (UT) 0 Pris 0 Lake O River OStream,Creek []Pond 0Floodplain
OWetiands OSlopes ova 20%
N
9�1
RECEIVED
JUN 2 4 2026
/' 55t tto'citr6
`�
BayfieLi Co.
,/�1� �pt �lp, qG
Planning and Zcning Ager,
Imo_
Setback or distance from furthest extent of structure
County Use Only
including caves and overhangs to (include
on site plan):
Verified setbacks
Road Centerline
5'l,Z R.
Z53R.
Notes/Comments:
Front Lot Line/Right-of-Way
280 ft.
ft.
Side Lot Line 1
300 ft.
orthast❑South❑West❑ check one
(N�
Side Lot Line 2
orth❑East❑South❑West❑ check one)
ft.
12'/
--7't.
Rear Lot Line
ft.
ft.
Septic/Holding Tank p f k
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 (describe)
ft
ft.
REcEIVEr
JUN 242026
a
Has the location of the proposed project including caves and overhangs and the sanitary syw1WaMt&l1b&5tlft9
Yes
❑ No
staked? If no, what date will this be completed:
�'5'es
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.
'gtes
O No
Did property owner or applicant mark lot line(s) if project is within 30 feet of required setback? Sea 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?
O Drainfield ❑ Hold' Tank ❑ Munici l/Public ❑ Other (describe):
Yes
❑ No
Will pressurized water be installed in the structure? If yes, what kind of sanitary system will be installed or used
to anage wastewater?
Drainfield O Hold' Tank ❑ Munici al/Public ❑ 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 the following:
O Rezone O Class A Special Use O Class B Special Use O Conditional Use Cl Varian
Fee payment will be made via:
❑ Check (attached) O Cash (attached) debit/credit/echeck (department to call once payment is ready to be taken)
How would you li c to receive your permit card?
❑ Mail to: O Email to:
,'Property Owner Address O Agent Address ❑ Contractor Address ❑ Other (provide Name and Email or Address):
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 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: ilttie
NOTES:
1. If you are signing on behalf of the ow r(s) a letter of authorization m ompany 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.
lency
w
■
E .
Land Use Permit Application Review Checklist
Submission #:
What zoning district is the project 16cated in?
1 ❑R-2 ❑R-3 ❑R-4 ER-RB ❑C El ❑M ❑A-1 ❑A-2 ❑F-1 ❑F-2 ❑W OM -M
❑ Yes No
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 1 .No
Is impervious surface required? (Required if riparian lot OR lot is entirely within 300 feet of OHWM of
navigable waterway)
❑ Yes flNo
Is the project located in the Floodplain? Zone:
❑ Yes o
Are there wetlands on the property?
❑ Ye 121'No
Is project associated with a nonconforming use or structure?
❑ Yes No
Is project associated with a variance? Case #:
❑ Yes No
Is project associated with a Special B or Conditional Use Permit? Permit #:
❑ Yes o
Is the project associated with a Special A Use Permit?
es ❑ No
Does the project require sanitary?
❑ 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:
❑ Yes 4o
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? Residential ❑ Commercial ❑ Municipal
Project type is. ❑ New Construction ,Addition/Alteration 0 Change Use 0 Relocate ❑ RV Placement 0 Sign
❑ Establishing a Business ❑ Temporary a ❑ Shoreland Grading 0 Other, describe:
Structure Type isResidence ❑ Principal Structure ❑ Accessory Structure 0 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
❑ 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
$0.20 x s ft
q
(minimum $75)
$
0 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 ❑ Special Use Permit - Class A ❑ Floodplain 0 Shoreland - Impervious
Surface ❑ Shoreland - Non -Conforming, etc. 0 Tower Siting/Collocation 1 ❑ Tower Collocation 2 ❑ Metallic Mine
0 After -the -Fact (ATF)
$
Inspected by: 'k≤
Date of Inspection:?
Re -Inspected by:
Date of Re-Inspecti n:
Denied by:
Date of Denial:
Reason for Denial:
Date Denial Letter Mailed:
Approved by: '
Date of Approval:
� •
O
Condition(s):
1 lust meet and maintain setbacks from furthest extension of structure including eaves and
/overhangs.
0 For personal storage only.
,For personal residence only.
❑ Not for human habitation or sleeping purposes.
,own/State/DNR/Federal may require permitting
Id 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.
❑ This permit cannot be transferred if property is sold.
❑ A Bayfield County Health Dept permit is required.
❑ Check with Town regarding room tax.
0 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.
0 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.
to additional sleeping areas allowed without obtaining necessary sanitary permit(s).
nd 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
equirements (e.g., permits/licensing/tax) of Local Town, Village, City, State or Federal agencies are
rf quired
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 Bayfield County
Planning & Zoning Department
117E 5th Street
P.O. Box 58
Washburn, WI 54891
Phone: 715-373-6138
Fax: 715-373-0114
Property Owner: Submission Number:
PATTERSON REV TRUST, JAMES D & LU-02379
JENNIFER J
1509 W 4TH ST Transaction Number:
RED WING, MN 55066 LU-02379-497F7
Description
Amount
Habitable Residential Principal & Accessory
$168.00
Structures - enclosed areas $0.50/square foot
(minimum $125)
Total:
$168.00
Payment Amount:
$172.00
Reference: 2940850085
Paid by: Jennifer Patterson
Payment Type: Credit Card
Transaction Date: 7/10/2026
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 I Affidavit #:
LAND USE -X
SANITARY — New 26-83S
SPECIAL A -
SPECIAL B/CONDITIONAL -
BOA -
BAYFIELD COUNTY
PERMIT
WEATHERIZE AND POST THIS PERMIT
ON THE PREMISES DURING CONSTRUCTION
No. 26-0329 Tax ID: 39414
Issued To: PATTERSON REV TRUST, JAMES D & JENNIFER J
Location: S19 - T43N - R07W
Town of Cable
Legal Description: LOT I CSM 2364 IN DOC 2024R-604734 (JAMES D PATTERSON REV TRUST U/A/D 06/2012018 & JENNIFER
J PATTERSON REV TRUST U/A/D 06/20/2018) 346A
Residential Structure in R-1 zoning district
For: Addition/Alteration [1 - Story ], Residence on a Slab [336 Total sq. ft.]
(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 Scott Roush
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 10, 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 residence only.
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.
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.
Requirements (e.g., permits/licensing/tax) of Local Town, Village, City, State or Federal agencies are required.
Sanitation requirements must be met (if applicable).