HomeMy WebLinkAbout26-0333Return to: County Use Only:
117 E 5'^ Street, PO Box 58 Bayfield County Planning and Zoning Department Submission #: L.V-02_S�6
Washburn, WI 54891 LAND USE PERMIT APPLICATION Permit #: ? - 0333
permits@bayfieldcounty.wi.gov Date: i3/)o)6
Authorized Agent Name (if applicable):
E -Mail
Contractor:
(if different from
IeDk4f K1r.r.R i
7 -'-
Mailing Address:
City, State, Zip:
lM
Planning and Zoning Agency
Legal Description (if additional s{,ace is needed attach a separate sheet): .
w T w �, ThnC1.,k
Section, Township, Range: Town of: vn y
Tax ID #: u#,? /> Lot Size (Acres/Square Feet): 1. as /1e vs
Project Use is: 12 Residential ❑ Commercial ❑ Municipal If Commercial, estimated cost of construction: $
Project Type is: [?'New Construction ❑ Addition/Alteration (existing structure)
❑ Change Use (existing structure) ❑ Relocate (existing structure) ❑ RV Placement 21+ days
❑ Sign ❑ Establishing a Business ❑Temporary (12 or less months)
❑ Shoreland Grading, Class A ❑ RV Placement 4+ months, Class A ❑ Other (describe):
Structure Type is: -Residence El Principal Structure (describe):
1a Accessory Structure (describe): ❑ Shorland Exempt Structure (describe): ❑ Mobile Home (provide manufactured
3a «9 ei date):
❑ Shipping Container ❑ Other (describe):
Foundation Type:
❑ Basement El Walkout Basement L2'Slab ❑ Crawlspace ❑ Ground ❑ Skids ❑ Other (explain):
Proposed Structure (Provide Sq Ft based on outside dimensions, including unfinished areas, attached garages/above grade
decks/porches): 2 8 A g 5L S
Basement Sq Ft: 1" Floor Sq Ft: Loft Sq Ft z g0 2nd Floor Sq Ft: 3rd Floor Sq Ft:
Garage Sq Ft: Porch Sq Ft: Deck Sq Ft: Other Sq Ft (describe): Other Sq Ft (describe):
Total Sq Ft: 49 Overall Height (finished grade to peak):
# of Stories: / Exi, in # of Bedrooms on property: a/ Proposed # of Bedrooms in project:
.. ECTION E: RV and Sign Information (check all that apply)
Sign is: RV is:
❑ New ❑ Replacement ❑ New ❑ Replacement
❑ On -premise ❑ Off -premise
❑I -sided ❑2 -sided Year: Vin it:
❑ On -building ❑ Multi -Tenant
Length: Width: Height: Make: Model:
Application Page 1
SECTION F: Site Plan — attach a site plan or draw site plan in box below (See pages I & 2 of Land Use Permit Application
Information for information that is required to be provided on site plan)
Show location of:
❑ Driveways ❑ Frontage Roads (include
name) ❑ Existing Structures ❑ Well (W) ❑ Septic
Tank (ST) ❑ Drain Field (DF)
❑ Holding Tank (HT) ❑ Privy (P) ❑
Lake ❑ River ❑Stream/Creek ❑Pond ❑Floodplain ❑ Wetlands ❑Slopes over 20%
N
RECEIVED
JUN 302026
I
- t
FT
earsaa co.
PknnlnyandZMinpApency
finals wo-
zBt� oft
3) a 7 0
3r/
VT
iss;'T
Setback or distance from furthest extent of structure
County Use Only
including eaves and overhangs to (include on site plan):
Verified setbacks
Road Centerline
(190 ft.
ft.
Notes/Comments:
Front Lot Line/Right-of-Way
0 ft.
ft.
Side Lot Line I
ft.
ft.
(Nord as South West, circle one)
Side Lo inc2
)/o ft.
ft.
(North East Soutl e , circle one)
Rear Lot Line
o ft.
ft.
Septic/Holding Tank
0 ft.
ft.
Drainfield
N.S ft.
ft.
Privy
ft.
ft.
Well
ft.
ft.
Existing Structure/Building
N0 ft.
ft.
Wetland
ft.
ft.
Elevation of Floodplain
ft.
ft.
Ordinary High -Water Mark (OHWM)
/ '/0 ft.
ft.
Other (describe)
ft.
\_ ft.
Application Page 2
SECTION G: Additional Questions
Yes
❑ No
Has the location of the proposed project* been staked? If no, what date will this he completed:
Note: The site will not be inspected nor permit issued until after the staking date listed above.
�d Yes
❑ 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.
1[� Yes
El 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. RFCEIVED
IE Yes
❑
there an existing sanitary system on the property? If yes, what kind?
Drainfield ❑ Holding Tank 0 Municipal/Public El Other (describe):
❑ YesF/P_�NWill
pressurized water be installed in the structure? If yes, what kind of sanitary system wt a roan or used
to manage wastewater? Bayfela Co.
❑ Drainfield ❑ Holding Tank ❑ Munici al/Public ❑ Other (describe): Plamirp and Zoning Agency
❑ YesWill
sleeping occur in the structure? If yes, contact local Uniform Dwelling Code (UDC) for approval and
ins ection re uirements.
Is the prciated with any of the following:
❑ Rezone O Class A Special Use O Class B Special Use O Conditional Use O Variance
Fe payment will be made via:
Check (attached) 0 Cash (attached) ❑ debit/credit/echeck (department to call once payment is ready to be taken)
How would you like to receive your permit card?
❑ Mail to: OORyI'Email to:
-1� Property Owner Address ❑ Agent Address ❑ Contractor Address O Other (provide name and email or address):
'Include eaves, overhangs, sanitary system, and well in staking measurements
Section I3: 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.
N? I
Owner(s) or Authorized Agent Printed Name: LG!(]
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.
Application Page 3
Bayfield County
Impervious Surface Calculations
These calculations are REQUIRED per WI Admin Code NR 115.05(1)(e) and Section 13-1-32(g) 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.
Pursuant to Chapter 1, Title 13, Section 13-1-106(d) of the Bayfield County Zoning Ordinance(s), Planning and
Zoning Department employees assigned to inspect properties shall have access to said properties to make
inspections.
Property Owner(s):
Got" d-
€S a r`
t'
M/ailingAddrees)
'fl/c'
/
SLR
Propertyid ss ea D
' a t,
a vtS 'k -r ygf73
Legal Description:
Section, Town ip, Range
1/4,
114,.
Sec c p o Township y.� Al N, Range 7 W
Authorized Agent/Contractor
Gov't Lot
Lot #
CSM#
Vol & Page
Lot(s) #
Block(s) #
I Subdivision
v. I/s-,, -
lo(x3A
Town of:
r'
y I�
fnn6r 1
UGi NC�j
Parcel ID # (PIN #)
Tax ID #
Date:
H D
G
Impervious Surface: An area that releases as runoff all or a majority of the prec' Qj Its on it.
"Impervious surface" excludes frozen soil but includes rooftops, sidewalks, driveways, pa in 1dt# d streets
unless specifically designed, constructed and maintained to be pervious. JUN 30 2026
Calculation of Impervious Surface: Percentage of impervious surface shall be caIcu &y dividing the
surface area of existing and proposed impervious surfaces on the portion of a lot & rp9%"4hatoiWWsu4l?hin 300
feet of the ordinary high water mark by the total surface area of the lot or parcel, multiplied by 100.
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 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(g) and Section 13-1-40(h), the property owner
may do any of the following:
a. Maintenance and repair of all impervious surfaces:
b. Replacement of existing impervious surfaces with similar surfaces within the existing building footprint;
c. Relocation or modification of 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 13-1-32.
Impervious Surface Item Dimension Area (Square Footage)
Existing House
s
K256
Existing Accessory
Building/Garage
8 X /,2-
Existing Sidewalk(s), Patio(s) &
Deck(s)
Existing Covered Porch(es),
Driveway & Other Structures
ybD
l/d IR
Proposed Addition/House
Proposed Accessory
Building/Garage
g X 3)
Proposed Sidewalk(s) & Patio(s)
Proposed Covered Porch(es) &
Deck(s)
RECEIV1
D
Proposed Driveway
JUN 30 2
26
Proposed Other Structures
Bayfield Co.
Planning and zone
Agency
Total:
a. Total square footage of lot: _4e,D — JoCre b. Total impervious surface area: ,/�lry
3 �y'b
c. Percentage of impervious surface area: 100 x (b)/a = � t//D/ 7 l /0 c
If the proposed impervious surface area is greater than 15% mitigation is required.
Total square footage of additional impervious surface allowed: @ 15% @ 30%
Issuance Information (County Use Only)
Date of Inspection:
Inspection Record:
Zoning District ( i
Lakes Classification ( j
Condition(s):
Stormwater
Management Plan Required:
Elves ❑ No
Signature of Inspector:
Date of Approval:
u/forms/impervioussurface
Created: May 2012 (®Apr 2016; Sept 2020) Proofed by:
Project Name: OTREC0911193 Qty: 13 Truss: GAi
Customer: NEW CUSTOMER SID:
TID: OTREC091.
Dale: 06103 /25
Page: I of 1
1 2 3 4 5 6 7 8
3x6pm
4x4pm- 4x4-
8/12 -8/12
3x6 3x6
1.5x0 c`. }"xrjn l.sx/
-i145x6= 5x66-}14
# +
Sxbe 5x12-18pm SJr
I
47# 47#
7-10-4 12-3-8 I— 7-10-4
1 7-10-4 20-1-12 28-0-0
10 11 12 9
Truss Weight - 203.4 lb
Code/Design: INC-2009/TP1-2001
PSI Live Dead Dot Factors
TC 42.0 7.0 Live Wind Snow
BC 0.0 10.0 Lon 1.15 1.60 1.15
Total 55.0 Pit 1.15 1.60 1.15
Spacing: 2-00-OC ac. Plies: I
Repetitive Member Increase: Yes
Green Lumber: No Wet Service: No
Fab Tolerance: 159 Creep IRcr) - 1.5
ON Soffit Load: 1.0 pat
Material Summary
TC 2x6 SP 2400/2.0
BC 2x8 SP 2400/2.0
Webs 2x4 SPP Stud
TB 2x6 SIR 82
Member Forces Summary
Max CST in TC PANEL 2 - 3 0.90
Max CST_n BC PANEL 10 - 11 0.58
Max CST in Web 10 - 3 0.62
Mete... Ten Comp
^_C 1- 2 0 3347 0.17
2- 3 0 2928 0.90
3- 4 46 2055 0.85
4- 5 655 0 0.6]
3- 6 655 0 0.67
6- 7 46 2055 0.85
I- 8 0 2928 0.90
8- 9 0 334] 0.17
BC 1-10 2753 0 0.36
9-12 2753 0 0.36
10-11 2102 0 0.58
11-12 2102 0 0.50
Web 2-10 82 884 0.38
3-10 1252 0 0.62
4- 6 0 2940 0.24
7-12 1252 0 0.62
8-12 82 884 0.38
-----------Snow Load Specs----------
ASCE]-1.5 Ground EncwlPgl - 60.0 par
Bldg Cat: I1 Terralc Cat; E
Roof Exposure: Fully Exposed
Theme) Condition: Cold
Ventilated fl. TI
Unobstructed Slippery Roof: No
Low -Slope Micimunel?(mini: No
Unbalanced Snow Loads: Yes
Rai Surcharge: No Ice Jan Chk: Yee
-Wind Load Se------------
ASCE7-OS Wind SPeed1V) - 90 mph
Bldg Cat: EI Exposure Cat: B
Bldg Dims; L - 0.0 ft B - 0.0 ft
N.R.HIM - 15.Sft tort - 1.0 toe - 1.00
Bldg Enclosure: Enclosed
Wind CLlpsf)`eTY - 4.2 BC - 6.0
End Vertical Exposed: L - Yes R - Yes
Wind Uplift Reporting: ASCE] MWFNS
CCC End Zone: 4-00-00
Lulmax) - 25-00-00
Reaction Summary
-Reaction Summaryllbsl
Jot--X-Loc- React -Up- --Width- -Reqd -Mat PSI
1 01-12 2041 J 03-08 01-12 OIL 781
9 27-30-04 2041 0 03-o8 01-12 OFL ]81
Max Hariz - -134 / +134 at Joint I
Loads Summary
This truss has been designed for the effects of an unbalanced top chord
live load occurring at 114-00-001 using a 1.00 Full and 0.00 Reduced load
factor.
Attic space ce tared at 14-00-00 is Loaded with 40.0 psi Live 6 10.0 pa!
Dead Floor, 5.0 pat Dead Wall, 5.0 pat Dead Ceiling loads, and meets
deflection criteria L/360.
See Loadcase Report for load combinations and additional details.
Dead loads have been slope adjusted for any pitch 8.00/12 or greater
Loads based on maximum and minimum reactions from tie-in spans
Mbr Max Min Location Dir Descriptlor.
Web 47 28 7-1C-04 Vert SidewaliDL
Web 4] 28 20-31-12 Vert SidevallDL
Notes
Plates designed for Cq at 0.85 and Rotational Tolerance of 10.0
degrees.
Plates Located at TC pitch breaks meet the prescriptive minimum site
e nent to transfer unblocked diaphragm loads across those joints.
A"pm' ext to the plate size indicates that the blare has been user
see Plate Offsets for any special positioning requirements.
ContInuous Lateral Restraint (CLRI rows require diagonal bracing per
J-WEBCLRBRACE. Alternatively, see D-WEBREINFCRCE.
This truss is not symmetric —proper orientation is critical.
-------Additional Design Checks ------
10 psf Non -Concurrent BCLL: Yes
20 par 3C Limited Storage: Yes
200 lb BC Accessible Ceiling: No
300 lb TC Maintenance Load: No
2000 lb TC Safe LCad: No
Unbalanced TOLL: Yes
Deflection Summary
TrussSpan Limit Actuallial Location
Vert LL 1/240 LISR01-0.571 10-12
Vert DL L/90 1/605(-0.551 10-12
Vert TL 1/180 L/296(-1.12) 10-12
Hors LL 0.751n ( 0.041 @Jt 1
Hors TL 1.25in 1 O.C6) SIt 1
Bracing Data Summary
------------Bracing oat -------------
Chords: continuous except where shown
Attic tie beam ITS) A walls; bracecg
indicated !. rigid sdeathrr.g.
-----------z-Purlits-__------
---on--- --From-----To--- #Bays
TB 2-08-00 I1-04-08 16-07-08 2
Web Bracing -- CLR
Single: 4- 6
Continlinuous Restraint eracTm, Recd
See ECSI-33 3.0
Plate offsets (X, Y):
(None unless indicated below)
Jnt3(0,01-051, Jnt5(0,-01-031,
Jnt7(0,01-051, Jntlo f0,-01-091,
Jn11110,-00-061, Jntl2(0,-01-091
Joint Stress Index (JSl)
Jntl(0.80), Jnt210.65), Jnt310.81),
Jnt4(0.85), Jnt510.36). Jnt6(0.851.
Jnt7fo.82), Jnte10.651. Jnt9(0.80),
Jnt1010.971, Jntll(1.00), Jntl2(0.971
NOTICE Acapy of RNN design shell be furnished to the erection contredot The design of this lndMdual mat Is based on design coterie end requirements supplied by the - - -w
Tmas Manufacturer and relies upon the accuracy and completeness of the information set forth by me Building Designer. A seal on this drawing indicates acceptance 5311 Kane Bond
of 531
professional engineering reaponsiblity solely for the buss component design shown. See the cover page end the 'Important Information & General Ni page for Clang pI 54]03
additional information. Al mnnedar plaUa ehaS be manulectured by Simpson Swnp lie Company, mein accordance with ESR-2762. All connector plates are 20 gauge. (]15) 876-5555
udessihe npedged plate sire is febwed bye' -18' whidi indicates 5n18 gouge plate, or '5818', which indicates a high tension 18 gauge dam. eldwesbanufactuming.com
Tracy Pooler
From: Dan and Deb Davis <dandebdavis@hotmail.com>
Sent: Monday, July 13, 2026 7:47 AM
To: Tracy Pooler
Subject: Re: garage details?
Attachments: SpecSheet.pdf
12 wide and 6.5 ft tall and 31 ft long. The plan is to store boat supplies up there. Canoe paddes, life jackets,
fishing stuff....the small shed next to the garage site goes away.
Attached is the truss spec sheet.
Dan Davis
From: Tracy Pooler <tracy.pooler@bayfieldcounty.wi.gov>
Sent: Wednesday, July 8, 2026 12:21 PM
To: Dan and Deb Davis <dandebdavis@hotmail.com>
Subject: RE: garage details?
How big is the second story room?
Tracy Pooler - ALA
Planning and Zoning Department
117 E 5th Street, PO Box 58
Washburn, WI 54891
Phone: 715-373-3512
Fax: 715-373-0114
Email: tracv.pooler b ieldcountywi,gov
--WFIFLD
Fraudulent Billing Alert: Be aware that individuals submitting applications to our department have
received scam emaits. Bayfield County will NOT ask applicants to wire any funds. Please contact our
office atzoning@bayfietdcounty.wi.gov or 715 373-6138 with any questions or concerns.
From: Dan and Deb Davis <dandebdavis@hotmail.com>
Sent: Wednesday, July 8, 2026 11:37 AM
To: Tracy Pooler <tracy.pooler@bayfieldcounty.wi.gov>
Subject: Re: garage details?
Hi Tracy -
The garage will be 20 feet 6 inches tall at the peak. 10' 6' side walls.... double bottom and top
plate. The rafters at 10 ft high. 8/12 pitch to match the house. The trusses will be room within an attic for
storage.
Hope this helps,
Dan Davis
2525 Carney rd,
Barnes, WI 54873
715-308-3162
From: Tracy Pooler <trace.cooler@bayfieldcountv.wi.gov>
Sent: Wednesday, July 8, 2026 8:58 AM
To: dandebdavis@hotmail.com <dandebdavis@hotmail.com>
Subject: FW: garage details?
Daniel,
We are looking for some more details about your garage project.
• How tall is the planned structure
• Will there be a second floor, loft or bonus room
Tracy Pooler - AZA
Planning and Zoning Department
117 E 5th Street, PO Box 58
Washburn, WI 54891
Phone: 715-373-3512
Fax: 715-373-0114
Email: tracypooler bayfie_l_dcount i gov
K4-YFIELD
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 at zoning@bayfieldcounty.wi_gov or 715 373-6138 with any questions or concerns.
Bayfield County, WI
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7/6/26, 3:20 PM Novus-Wisconsin Access rev. 12.0206 S✓
5 • Real Estate Bayfield County Property Listing Property Status: Current
Today's Date: 7/6/2026 Created On: 3/15/2006 1:14:53 PM
4 Description Updated: 12/30/2015
Tax ID:
4080
PIN:
04-004-2-45-09-20-2 00-275-04000
Legacy PIN:
004132507000
Map ID:
Municipality:
(004) TOWN OF BARNES
STR:
520 T45N R09W
Description:
PLAT OF SANDBAR TOMAHAWK LOT 4 IN
V.1154 P.59 1063AA4
Recorded Acres:
1.016
Calculated Acres:
1.016
Lottery Claims:
0
First Dollar:
Yes
Zoning:
(R-1) Residential -1
ESN:
104
I Tax Districts Updated: 3/15/2006
1
STATE
04
COUNTY
004
TOWN OF BARNES
041491
SCHL-DRUMMOND
001700
TECHNICAL COLLEGE
a Ownership
DANIEL & DEBORAH DAVIS
Billing Address:
DANIEL & DEBORAH DAVIS
1206 RED MAPLE RIDGE
EAU CLAIRE WI 54703
Updated: 12/30/2015
EAU CLAIRE WI
Mailing Address:
DANIEL & DEBORAH DAVIS
1206 RED MAPLE RIDGE
EAU CLAIRE WI 54703
P Site Address * indicates Private Road
2525 CARNEY RD *
® Property Assessment
BARNES 54873
Updated: 10/4/2016
2026 Assessment Detail
Code
Acres
Land
Imp.
G1 -RESIDENTIAL
1.000
69,000
8,800
2 -Year Comparison
2025
2026
Change
Land:
69,000
69,000
0.0%
Improved:
8,800
8,800
0.0%
Total:
77,800
77,800
0.0%
Recorded Documents Updated: 3/15/2006 111 Property History
® WARRANTY DEED N/A
Date Recorded: 12/21/2015 2015R-561752 1154-59
® CORRECTION INSTRUMENT Y/
Date Recorded: 10/9/2014 2014R-556245 1132-930 0 ! ��
O WARRANTY DEED L 111 PPP"`
Date Recorded: 7/21/2014 2014R-555115 1128-214
® CONVERSION I L
Date Recorded: 499704 919-663
I __1\
® LAND CONTRACT 1-.. y
Date Recorded: 6/9/2005 20058-499704 919-663 11U,,,�j ° •
WCt „�1G
https://novus.bayfieldcounty.wi.gov/access/master.asp?paprpid=4080 1/1
Land Use Permit Application Review Checklist
Submission #: 3
Wh t 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 ,410
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)?
es ❑ No
Is impervious surface required? (Required if riparian lot OR lot is entirely within 300 feet of OHWM of
navigable waterway)
❑ Yes I] -No
Is the project located in the Floodplain? Zone:
❑ Yes ❑-No
Are there wetlands on the property?
❑ Yes ❑4io
Is project associated with a nonconforming use or structure?
❑ Yes �4io
Is project associated with a variance? Case #:
❑ Yes ❑,No
Is project associated with a Special B or Conditional Use Permit? Permit #:
❑ Yes 01jp
Is the project associated with a Special A Use Permit?
❑ Yes No
Does the project require sanitary?
,Z'1isting 0 New ❑ Intercept ❑ Reconnect 0 Non -Plumbing 0 Public
Sanitary Permit #: 2 /ffS # of Bedrooms:
❑ Yes .2 -No
Does the project require mitigation?
Implementation Deadline: Date of Compliance:
❑ Yes Flo
Does the project require an affidavit? Affidavit #:
,aYes 0 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?,B'Residential ❑ Commercial ❑ Municipal
Project type is?)2'New Construction ❑ Addition/Alteration ❑ Change Use ❑ Relocate ❑ RV Placement ❑ Sign
O Establishing a Business ❑ Temporary ❑ Shoreland Grading O Other, describe:
Structure Type is: O Residence O Principal Structure_2 ccessory Structure O Boathouse (one story only)
❑ Open-sided/Screened Structure (gazebo, etc.) O Stairway to navigable waters ❑ Mobile Home
❑ Shipping Container O Other, describe
Total Sq. Ft. of Project: 2. Number of Stories: j, Overall Height: Q'
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 /Z5�'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 ❑ Special Use Permit - Class A O Floodplain ZShorelancl - Impervious
Surface O Shoreland - Non -Conforming, etc. ❑ Tower Siting/Collocation 1 O Tower Collocation 2 O Metallic Mine
❑ After -the -Fact (ATF)
$
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: 7/
Condition(s):
❑ Must meet and maintain setbacks from furthest extension of structure including eaves and
overhangs.
or personal storage only.
❑ For personal residence only.
.a Not for human habitation or sleeping purposes.
own/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.
. 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.
❑ Sin must meet the requirements of Article E of the Bayfield County Zoning Ordinance.
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
�❑
,R 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
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:
DAVIS, DANIEL & DEBORAH LU-02386
1206 RED MAPLE RIDGE
EAU CLAIRE, WI 54703 Transaction Number.
LU-02386-48FA5
Description Amount
Shoreland - Impervious Surface $25.00
Non -Habitable Residential Principal and Accessory $251.20
Structures - $0.20/square foot (minimum $75)
Total: $276.20
Payment Amount: $204.20
Reference: 5098
Paid by: Daniel Davis / Deborah Davis
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.
B^YFIELD Bayfield County
Planning & Zoning Department
117 E 5t" Street
P.O. Box 58
Washburn, WI 54891
Phone: 715-373-6138
Fax: 715-373-0114
Property Owner:
DAVIS, DANIEL & DEBORAH
1206 RED MAPLE RIDGE
EAU CLAIRE, WI 54703
Description
Additional Fee Amount
Submission Number:
AP -00066
Transaction Number:
AP-00066-49C1E
Amount
$72.00
Total: $72.00
Payment Amount: $73.95
Reference: 3552660325
Paid by: Daniel Davis
Payment Type: Debit
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 I Nonconforming - No
Shoreland - Yes / Impervious Surface - Yes
Floodplain - No I Wetlands - No
Mitigation - No I 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. 26-0333 Tax ID: 4080
Issued To: DAVIS, DANIEL & DEBORAH
Location: S20 - T45N - R09W
Town of Barnes
Legal Description: PLAT OF SANDBAR TOMAHAWK LOT 4 IN V.1154 P.59 1063AA4
Residential Structure in R-1 zoning district
For: New Construction [2 - Story ], Accessory Structure on a Slab [1256 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 13, 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.
A Uniform Dwelling Code (UDC) Permit from the locally contracted UDC Inspection Agency must be obtained
prior to the start of construction (if applicable).
To be constructed per plan.
No sewer and pressurized water allowed in the structure.