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HomeMy WebLinkAbout26-0331VORk -M)( # 38813 Return to: 11,7 E 5u' Street, PO Box 58 Bayfield County Planning and Zoning Department Washburn, WI 54891 LAND USE PERMIT APPLICATION permits (aW bavfieldcounty.wi.eov County Use Only: Submission #: l-(%' oa'4g Permit #: Date: 71 I,� SECTIQN,,A: General Information_; - Property Owner Name: Pa/nci h. Authorized Agent Name (if applicable): S e - anVork Telephone Number. Telephone Number. 715 -Z37 -2W/7/5-(4'2-.)042- 7/-6Y2-3ob E -Mail Address: E -Mail Address: 6 s1037 .pal≤ vark @ of i , co Mffi9n, Address: Mailing Address: o Planningnd Zon aing Agency City, State, Zip: i g972 S City, State, Zip: c e% Contractor: Telephone Number. E -Mail Address: a,/, /i VERh'a7700F_t_tntt /r-7 tf" 8O8 r rtverremo e% r /ia, SECTION.B: Pro.. er Information ..: , Project Address (if different from mailing address): / o- W c irnset Dr C r Legal Description (if additional space is neede attach a sepsis sheet):rAllQChed. Section, Township, Range: 57- Town of 13 //C 13.1, 1& r s , Tax ID #: 3 F 873 Lot Size (Acres/Square Feet): Z _ g90 acres SECTION C: Project Information (check all that apply).. Project Use is: l4 Residential ❑ Commercial ❑ Municipal If Commercial, estimated cost of construction: $ Project Type is: XNew Construction ❑ Addition/Alteration (existing structure) ❑ Change Use (existing structure) ❑ Relocate (existing structure) 0 RV Placement 21+ days 0 Sign 0 Establishing a Business ❑ Temporary (12 or less months) ❑ Shoreland Grading, Class A 0 RV Placement 4+ months, Class A 0 Other (describe): required (Total sq ft): required SE'CTION')): Strncture Information (D6�fidf�pply td$Vs aM Signs,go to SeetionE Structure Type is: JX Residence ❑ Principal Structure (describe): ❑ Accessory Structure (describe): ❑ Shoreland Exempt Structure (describe): El Mobile Home (provide manufactured date): ❑ Shipping Container ❑ Other (describe): Foundation Ty.p,�e(: ❑ Basement 1� Walkout Basement 0 Slab 0 Crawlspace 0 Ground 0 Skids 0 Other (explain): Existing Structure: Width: Height Proposed Structure (Provide Sq Ft based on outside dimensions, including unfinished areas, attached garages/above grade decks/porches): Basement Sq Ft la Floor Sq Ft Loft Sq Ft: 2o° Floor Sq Ft 3'a Floor Sq Ft 850 951/ £22. - Garage Sq Ft Porch Sq Ft yb Deck Sq Ft Z So Other Sq Ft (describe): Other Sq Ft (describe): Total Sq Ft Z sip (4t -/ , 9 Overall Height (finished grade to peak): 2 / 744',' # of Stories: 2J Existing if of Bedrooms on prop Q Proposed # of Bedrooms in project. 2. SECTIOWE: RV and. Si'n Information check all that a 1 Sign is: RVis: is: ❑ New ❑ Replacement ❑ New 0 Replacement ❑ On -premise 0 Off -premise ❑ 1 -sided ❑ 2 -sided Year. Vin #: ❑ On -building 0 Multi -Tenant Length: Width: Height: Make: Model: �r Application Page 1 Vork — Tax # 38873 89605 W Sunset Drive Cornucopia REC21VED Legal Description: MAY 262026 Bayfield Co. LOT 2 CSM #313 IN V.3 P.135 AS DOC Planning and Zoning Agency 334389 (LOCATED IN S 1/3 GOVT LOT 1) IN DEED DOC 2022R-595455 V0RK -M-X# 3 F873 SECTION F: Site Plan'=attach a site plan orldraw site plan in box below (Seepages 1 & 2 of Land Use Permit Application Information for information that is required to be providedrovided on siteplan) Show location of: ,)Driveways' Frontage Roads (incl de name), Existing Struohues.N )Well (W) ❑ Septic Tank (ST) ❑ Drain Field (DF) ] ;)Holding Tank (HT) ❑ Privy (P) 41Le ❑ River ❑Stream/Creek ❑Pond ❑Floodplain []Wetlands ❑Slopes over 20% N See cSachlecci RECEIVED MAY 262026 Plannin Bayfield Co. g 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 9 ft. a + ft. Notes/Comments: �' f ' c rye) (C �l J �( _A�� L__Jt o&F. Q�,)u()lOnf fi1(j�Y/ U" ,f o Q1U(1 -a Front Lot Line/Right-of-Way 2 q g ft S" a Lot Line 1 o East South Wes circle one) 73 ft .JJ4 ,{l Side Lot Line 2 (North East ou West, circle one) p ft. /p ft. Rear Lot Line , F 4ovc, 5tiote/inc /$O ft. ft. Septic/Holding Tank Z5 ft. ft. Drainfield t//t ft. ft. Privy N. ft. ft. Well ,5ft. ft. Existing Structure/Building 2 t3 ft. fan ft. Wetland M. L KE " %6r14 , S0 ft. fL Elevation of Floodplain ft. ft. Ordinary High -Water Mark (OHWM) Iso ft. Other (describe) ft. ft. tN ay Application Page 2 Vork, Stephen and Patricia ----89605 W Sunset Drive, Cornucopia ----Tax # 38873 N Li REC NVED A -North Lot Line Bayfield Co. B -South Lot Line Planning and ZoningAgency C -Proposed house location D -Setback to OHWM---- 150 ft (c'' kt""Q° E- Setback to N Lot line— 73 ft fl MAY 262025 F -Setback to S Lot line -118 ft G -Setback to road centerline — 319 ft D a A iW H- proposed location of holding tank -25 ft from house I -Proposed location of well — 65 ft from house J — Temporary camper K — Setback to camper — 223 ft L — existing driveway —165 ft M — driveway extension — 154 ft VORK TAXI3la73 RECEIVED MAY 262026 S CTION 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 leted: Yes O No Did a licensed surveyor ma4 lot line(s) if project is within IQ feet of required setback? See page 2 of Land Use Application Information for rtridsetbacks. Pon e- In -f/& pactor Lv to e R J)&rj Yes ❑ No Did property owner or applicant mark lot line(s) if project is within 30 feet of required se ack? See 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? ❑ Drainfield ❑ Holding Tank ❑ Munici al/Public ❑ Other (describe): Yes O No Will pressurized water be installed in the structure? If yes, what kind of sanitary system will be installed or used to manage wastew ter? ❑ 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 O Class B Special Use O Conditional Use O Variance Fee payment will be made via Check (attached) 0 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? $Mail to: OR ❑ Email to: X Property Owner Address O Agent Address O Contractor Address ❑ Other (provide name and email or address): Section Ac Acknowledgement and Signature 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: S-1' F PN EN D. VORK PAT RI C,A A. Vo tK Owner(s) or Authorized Agent Signature#9 .L i51%Uy� Po -l&.) 14 116, i Date: )116.11 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 Application Page 3 RECEIVED Vork - Taxif 38873 MAY 262026 89605 W Sunset Drive Cornucopia Bayfield co. Planning and Zoning Agency PROJECT SYNOPSIS LOT GO'V FZA65: PROPOSED: t iG 5F FLOOR AREA 5LIWARY: IRrne+ED e*eecr 850 5F 850 5F MAN FLOOR AREA 1841 5F 841 5F UPPER FLOOR AC -A 522 5F 522 5F TOTAL FLOOR MA 2214 Sf PROFO5ED IaE6++T: 26 - 7 3/6' FRTCPLE HEAT SOJRC.E: FORGED AR ++=J.T OT COVE DEC.k ------- °-r T4T - S Se FWOIT B.EVA1K RECEIVED $1eq.607 SSVAflOd TTfl I :HY 262026 Bam o Planning and Zoning Agency I I '.[,,,--L,----- -------_—_ ._._'_--------� --- - -- 17 II -I . i Iii . : f —a -�� i '. --C AEAA B.EVA ON LEFT 9.EVAION VMK- -/AX Pt 30873 Bayfield County Impervious Surface Calculations These calculations are REQUIRED per WI Admin Code NR 115.05(1)(e) and Section 13-1-32(c) 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. The calculations are also REQ1EC?(I"e of a land division where the lot to be created or reconfigured will be reduced in lot area. Pursuant to Chapter 1, Title 13, Section 13-1-106(d) of the Bayfield County Zoning Ordinance(s),'PlXnitirZoning Department employees assigned to inspect properties shall have access to said properties to make ins Property Owner(s): Planning and Zoning Agency I Ste hen D, owL }�cciric, t A Nark Mailing Adds: S y/ 2'744 St Lhefak WI 541728 Property Address: 89605 W Sunset Dr., Cornucopia. Legal Description: / /k .P Olen ka of r n 114, Section, Township, Range idVAuthorized Sec�Township 5/ N.Range Agent/Contractor ..Toe Hakagsan Gov't Lot Lot # CSM# Vol & Page darfr River emac[e/in 31 V, 3 P 135 Lot(s) # Block(s) # Subdivision Town of: bet? Parcel ID # (PIN #) 04- d/0 -2 -5"l -t%-27-/ or-oo/-082 D0 Tax ID # 373 Date: Ma /7, 2-°Z(p 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. Impervious surface standards shall apply to the construction, reconstruction, expansion, replacement or relocation of any impervious surface that is or will be located within 300 feet of the ordinary high water mark of any navigable waterway on any riparian lot or parcel and any nonriparian lot or parcel that is located entirely within 300 feet of the ordinary high-water mark of any navigable waterway. Calculation of Impervious Surface: Percentage of impervious surface shall be calculated by dividing the surface area of the existing and proposed impervious surfaces on the lot or parcel by the total surface area of that lot or parcel and multiplying by 100. If an outlot lies between the ordinary high-water mark and the developable lot or parcel described in subd. 1. and both are in common ownership, the lot or parcel and the outlot shall be considered one lot or parcel for the purposes of calculating the percentage of impervious surfaces. 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 or land division approved 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(c) and Section 13-1-40(h), the property owner may do any of the following: a. Maintenance and repair all impervious surfaces: b. Replace existing impervious surfaces with similar surfaces within the existing building footprint; c. Relocate or modify 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 13-1-22. %A LOT 2 CSM #313 IN \13 p /35 AS D©c 33'f39q Cioca7'ED /N 5 I/3 GOVT LOT 9 /N DEED Doc Zo22R-c95qSS Impervious Surface Item Dimension Area (Square Footage) Existing House RECEIVED Existing Accessory Building/Garage MAY 2 62026 Existing Sidewalk(s), Patio(s) BayeId Planning and Zoning Agency Existing Covered Porch(s), & Deck(s) Existing Driveway /(,5' X ,g' 2 C/ 70 t Other Structures Proposed Addition/House j(p, (o X 3S (v (?4 Proposed Accessory Building/Garage Proposed Sidewalk(s) & Patio(s) Proposed Covered Porch(s) & Deck(s) Z. (o. I(o X ( 0 2. b 4, Proposed Driveway /St')( (S' 27 7 2 -- Proposed Other Structures Total: (,q55 5f. fr a. Total square footage of lot: L b. Total impervious surface area: c. Percentage of impervious surface area: 100 x (b)/a = 3. 7 /o If the proposed impervious surface area is greater than 15% mitigation is required. Total square footage of additional impervious surface allowed: @ 15% @ 30% (County Use Only) Date of Inspection: Inspection Record: Zoning District ( 1 Condition(s): Stormwater Management Plan Required: ❑Yes DNo signature of Inspector: Date of Approval: u/forms/impervioussurface Created: May 2012 (®Sept 2016, Sept 2020, Feb 2026) Proofed by: VaRK 737j AFFIDAVIT OF AUTHORITY (Trust) PURPOSE. This Affidavit of Authority is used to certify the individual submitting an application is authorized when the property is owned by a Trust. STATE OF WISCONSIN ) RECaVED ) ss. MAY 262026 BAYFIELD COUNTY ) Bayfield Co. The undersigned affirms and states as follows: Planning and zoning Agency 1. Address of Subject Property: ffy/o 077 ly $tunj of Or 63rh U (op i u-. 4✓i 2. The Subject Property is owned by: S &PNEi/ D: VoRK Iwo PAmi c r/-1 A. ✓off (Name of Trust) TD/N7 REVOCABLE LivIN6- 1 gucy 3. The name(s) of the current Trustee(s): 577FPfiE N D VoKk Pnrrl'c/,I 4, V r is 4. I certify that the Trust named in paragraph 2 is valid and in effect on the date signed below. I am the duly appointed agent of the Trust named above in paragraph 2, and I have the authority under the terms of said authorization to submit an application to the Bayfield County Zoning Department concerning the Property described in paragraph 1. I further certify that the information and statements made within this affidavit are true, accurate, and complete to the best of my knowledge. 5. I am authorized by the above -named Trust to apply for and bind the Trust to the terms and conditions of any decision or permit that may be issued by the Bayfield County Zoning Department. 6. By signing this affidavit, I attest that I am unaware of any known or unknown person(s) who would contest this application. I agree to indemnify Bayfield County or such person or legal entity suffering a damage resulting from any illegalities of the application. Dated: 7 /?2.e.2. %h 1 Fatric;w Il. `/or(\ Print Name Subscribed and sworn to before me this day of, 2l) aGf/ 70 Notary Public, r2jctrrpyi County, Wisconsin My commission: CyJOI feS 9-7-2o2 PROCESSING INFORMATION INITIAL PROCESSING. Once the department receives your affidavit, the department will review it for completeness. If the information is not complete, the department may reject your affidavit and the application. REQUEST FOR MORE INFORMATION. The department may request that you provide more information or evidence to support your affidavit. DECISION. The department will review all documents submitted as part of the application for registration and title, this form included, and may approve, deny or request more information. RECEIVED MAY 262026 Barfield Co. Planning and Zoning Agency RECiEIVED May21, 2026 MAY 262026 Bayfield Co. Planning and Zoning Agency Dear folks in the Planning and Zoning Dept, Enclosed please find what I hope is our complete building permit application. I have reported information as accurately as I can, although I am sure that all measurements will not be 100% on the mark. I believe that any errors I have made will still leave setbacks that are well within prescribed requirements. The page that shows the house elevation drawings does not show up very well. If you need it, I can email you a digital file of the house plans from which an enlarged copy would show everything more clearly. Pleaseemailmeatpatsyvork@hotmail.com ifyou needitoranyother information. You will find our application payment check enclosed. Thank you, Patsy Vork 6/4/26, 12:14 PM Novus-Wisconsin Access rev. 12.0206 Real Estate Bayfield County Property Listing Today's Date: 6/4/2026 Description Updated: 6/13/2023 Tax ID: 38873 PIN: 04-010-2-51-06-27-1 05-001-08200 Legacy PIN: Map ID: Municipality: (010) TOWN OF BELL STR: S27 T51N R06W Description: LOT 2 CSM #313 IN V.3 P.135 AS DOC 334389 (LOCATED IN S 1/3 GOVT LOT 1) IN DEED DOC 2022R-595455 Recorded Acres: 2.840 Calculated Acres: 2.840 Lottery Claims: 0 First Dollar: No Zoning: (R-1) Residential -1 ESN: 107 I Tax Districts Updated: 10/7/2022 1 STATE 04 COUNTY 010 TOWN OF BELL 044522 SCHL-SOUTHSHORE 001700 TECHNICAL COLLEGE Recorded Documents ® WARRANTY DEED Date Recorded: 7/11/2022 ® WARRANTY DEED Date Recorded: 4/26/2022 D CONVERSION Date Recorded: © QUIT CLAIM DEED Date Recorded: 9/20/2004 ® CERTIFIED SURVEY MAP Date Recorded: 5/27/1980 Updated: 3/15/2006 2022R-595455 2022R-594383 494479 760-891;901-804 2004R-494479 901-804 334389 3-135 Property Status: Current Created On: 10/7/2022 10:35:58 AM Ownership Updated: 10/7/2022 STEPHEN D & PATRICIA A YORK JOINT CHETEK WI REV LIVING TRUST Billing Address: Mailing Address: STEPHEN D & PATRICIA A STEPHEN D & PATRICIA A VORK JOINT REV LIVING VORK JOINT REV LIVING TRUST TRUST 541 24TH ST 541 24TH ST CHETEK WI 54728 CHETEK WI 54728 P Site Address * indicates Private Road W SUNSET DR ® Property Assessment 2026 Assessment Detail Code G1 -RESIDENTIAL CORNUCOPIA 54827 Updated: 9/26/2023 Acres Land Imp. 2.840 166,300 0 2 -Year Comparison 2025 2026 Change Land: 166,300 166,300 0.0% Improved: 0 0 0.0% Total: 166,300 166,300 0.0% 'TLIT Property History Parent Properties Tax ID 04-010-2-51-06-27-1 05-001-08000 7744 HISTORY © Expand All History, White=Current Parcels Pink=Retired Parcels O Tax ID: 7744 Pin: 04-010-2-51-06-27-1 05-001-08000 Leg. Pin: 010105907990 38873 This Parcel t Parents Children https://novus.bayfieldcounty.wi.gov/access/master.asp?paprpid=38873 1/1 Bayfield County, WI 6/412026, 12:14:51 PM 1:728 Rivers F- Approximate Parcel Boundary Road Type — Town Lake Superior Shoreline Recession Segments The average annual rate of bluff recession in this reach of shoreline is approximately 0.5 feet. Flood Plain Boundaries Active Dec 16th, 2011 0 0.01 0.01 0.03 ml 1 5 4 I i 'ice AE = Base floodplain where base flood elevations are provided. 0 0.01 0.03 0.05 km — Lake Superior Proposed Setback Line Building Footprint 2015 1 Building eaygea County Lane Records Department eaygeld Camty ZaYng Appllr t Iltips /hnaps.baytteidcwn tyva goVIZpningWAS, Emily Macgillivray From: Emily Macgillivray Sent: Monday, June 8, 2026 11:45 AM To: Patsy Vork Subject: Land Use Permit application for 89605 Sunset Dr Hi Patsy, I visited the site on Friday and things looked good. I just wanted to touch base with you about a few things. First, I see we have a soil test filed in our system, but I do not see an application for state sanitary permit yet. Just a heads up that I can't approve the Land Use Permit application until we have an approved state sanitary permit. Second, can you send me digital copies of the floor plans and elevations so that I can read the dimensions? If you have any questions for me, please let me know! Kind regards, Emily Macgillivray (she/her) Assistant Zoning Administrator Planning and Zoning Department Bayfield County 117E5`hStreet, POBox 58 Washburn, WI 54891 Phone: 715-373-3511 emily.macgillivravic baytieldcountv.wi.gov 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 atzoning@bayfield_countv.wL..gov or 715 373-6138 with any questions or concerns. Land Use Permit Application Review Checklist Submission #: Q a W at zoning district is the project located 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 EA0 Is lot substandard (does not meet current zoning dimensional requirements)? Deed of record: es ❑ 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)? es 0 No 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 EJ6ja Are there wetlands on the property? ❑ Yes 0410 Is project associated with a nonconforming use or structure? Cl Yes GYNo Is project associated with a variance? Case #: ❑ Yes 94 Is project associated with a Special B or Conditional Use Permit? Permit #: ❑ es 0410 Is the project associated with a Special A Use Permit? Yes ❑ No Does the proje require sanitary? 0 Existing New ❑ Intercept ❑ Reconnect ❑ Non -Plumbing 0 Public Sanitary Permit it: 2&4QS # of Bedrooms: Does the project. require mitigation? ❑ Yes U4Io Implementation Deadline: Date of Compliance: ❑ Yes No 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? es ❑ No Did pplicant/property owner mark lot line(s), if project is within 30 feet of required setback? Project use is? es' ential ❑ Commercial ❑ Municipal Project type is? W4ew Construction ❑ Addition/Alteration ❑ Change Use ❑ Relocate ❑ RV Placement ❑ Sign ❑ Establishing a Busines ❑ Temporary ❑ Shoreland Grading 0 Other, describe: Structure Type is: esidence 0 Principal Structure 0 Accessory Structure 0 Boathouse (one story only) ❑ Open-sided/Screened Structure (gazebo, etc.) 0 Stairway to navigable waters ❑ Mobile Home ❑ Shipping Container 0 Other, describe Total Sq. Ft. of Project: pq Number of Stories: Overall Height: 1 Fee ype Calculation Fee Amount Habitable Residential Principal and Accessory (minimum $125) Structures - Enclosed Areas — all enclosed areas within $0.50 x sq ft $ dwejling except attached non -habitable garages Dwelling Unenclosed Areas (decks, patios, etc.) or $0.20 aq 6 s ft q (minimum $125) Attached Non -Habitable Garages $ ❑ Non -Habitable Residential Principal and Accessory $0.20 x s ft q (minimum $75) Structures $ ❑ Commercial Principal Structures $250 + $0.005 x (minimum $250) cost of construction $ ❑ Commercial Accessory Structures $150+$0.005 x (minimum $150) cost of construction $ ❑ Municipal Principal and Accessory Structures n/a $0 (exempt from fees) ❑ Return Inspection ❑ Land Use Revisions 0 Special Use Permit - Class A 0 Floodplain G1&Fr6Thland - Impervious Surface ❑ Shoreland - Non -Conforming, etc. ❑ Tower Siting/Collocation 1 0 Tower Collocation 2 0 Metallic Mine ❑ After -the -Fact (ATF) $ Inspected by: Date of Inspection: m%ctq jY\jC4(((1t(1I("{ Re-Insp ct d by: Date of Re-Inspe ion: Denied by: Date of Denial: Reason for Denial: Date Denial Letter Mailed: Approved b : Date of Aroyal: MRaillult, ck, Conon(s Must meet and maintain setbacks furthest extension of structure including eaves and overhangs. personal storage only. V . personal residence only. Y ❑ for human habitation or sleeping purposes. n a DNR Federal may require permittin te/ / q p g g 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 obtped prior to the start of construction (if applicable). C'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. ust meet the requirements of Article E of the Bayfield County Zoning Ordinance. ❑�Tobe an. Ian. LSconstructed pl P ❑ 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: K: Applications and Forms/Applications/Land Use/Updated 2/25/2026 mdk 13kYFIELD 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: VORK JOINT REV LIVING TRUST, LU-02288 STEPHEN D & PATRICIA A 541 24TH ST Transaction Number. CHETEK, WI 54728 LU-02288-46702 Description Amount Shoreland - Impervious Surface $25.00 Habitable Residential Principal & Accessory $1,106.50 Structures - enclosed areas $0.50/square foot (minimum $125) Habitable Residential Principal Structure - $59.30 unenclosed area or non -habitable garage $0.20/ square foot (minimum $125) Total: $1,190.80 Payment Amount: $1,190.80 Reference: 4495 & 4496 Paid by: Stephen D Vork / Patricia A Vork Payment Type: Check Transaction Date: 7/13/ 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 — Yes / Impervious Surface — Yes Floodplain — No I Wetlands — No Mitigation — No / Affidavit #: LAND USE —X SANITARY — New 26-84s SPECIAL A - SPECIAL B/CONDITIONAL — BOA — No. 26-0331 Tax ID: 38873 Issued To: VORK JOINT REV LIVING TRUST, STEPHEN D & PATRICIA A BAYFIELD COUNTY PERMIT WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION Location: S27 - T51 N - R06W Town of Bell Legal Description: LOT 2 CSM #313 IN V.3 P.135 AS DOC 334389 (LOCATED INS 1/3 GOVT LOT 1) IN DEED DOC 2022R- 595455 Residential Structure in R-1 zoning district For: New Construction [2 - Story ], Residence on a Walkout Basement [2509 Total sq. ft. ] Height of 26' 7 3/4" (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. Emily Macgillivray Authorized Issuing Official July 13, 2026 Date 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.