HomeMy WebLinkAbout26-0334FIELD
PLANNING & ZONING DEPARTMENT
Lu- O? -O%&
32O)43 a3 -
E -Mail Address:
1
Address:
117 E 5`h Street
PO Box 58
Washburn, WI 54891
(715)373-6138
permits@bayfieldcounty.wi.gov
www.bayfieldcountv.wi.gov/zoning
County Use Only:
Zoning District:
Shoreland:
Fee Paid:
Refund:
Permit #:
Date:
LAND USE PERMIT APPLICATION
Authorized Agent Name (if applicable):
Telephone
E -Mail Address:
City, State, Zip: City, State, Zip:
e'rkv-wm . MM TG 31 k
Contractor: I Telephone Number: I E -Mail Address:
Project Address (if different from mailing address):
ji1399 t7v,dcS6c c• R LQaJVNt, Lvv, Wr 5491
Legal Description (if additional space is needed, attach a separate sheet):
Section, Township, Range: Town of:
� — H t —s WGsH�ourn
Lot Size /(Acres/Square Feet)):
,c•c.v-e." M
Bayfield Co.
PROJECT DESCRIPTION (check
all that apply)
Proposed Use:
Structure Type:
Foundation Type:
I�r Residential
IA Residence/Principal Structure
El Basement ❑ Walkout Basement El Slab
❑ Commercial
❑ Detached Garage
❑ Crawlspace ❑ Ground El Skids
El Municipal
El Boathouse (one story only)
W Other (explain): ?�a.r
Proposed Project:
❑ Open-sided/Screened
Proposed Sign is: 1ZNew El Replacement
CR New Construction
Structure (gazebo, etc.)
❑ On -premise ❑ Off -premise El I -sided ❑ 2 -sided
❑ Addition/Alteration
❑ Stairway to navigable waters
❑ On -building ❑ Multi -Tenant
El Change/New Use
El Sign
Length: Width: Height:
❑ Relocate (existing structure)
❑ RV Placement
El Temporary (12 or less months,
❑ Shipping Container
Proposed RV is: ❑ New El Replacement
does not apply to RV placement)
El Shoreland Grading (Class A)
Year: Vin #:
El Other (explain):
Make: Model:
PROPOSED PROJECT AREA - Area to nearest square foot of outside dimensions including unfinished area, attached garages
and above grade decks or porches (does not apply to Signs or RVs) p.
Basement: I" Floor: Loft: 2"d Floor: 3`d Floor:
/a ag
Other: Total Square Footage: Overall Height (finished grade to peak):
D.tcic zoo
1
SITE PLAN
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ds"
b I
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20
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RECEIVED
DEC 232025
Bayseld co.
Planning
and Zoning Agency
REQUIRED (PLEASE COMPLETE BELOW)
County Use Only
Overall footprint (including
sq. ft.
Verified overall footprint
sq. ft.
eaves/overhangs)
All applicable setbacks (include on site plan too)
Verified setbacks
Road Centerline/Right-of-Way
ft.
ft.
Notes/Comments:
North Lot Line
5 ft.
ft.
South Lot Line
ft.
ft.
West Lot Line
;, i y ft.
ft.
East Lot Line
n �� ft.
ft.
Septic/Holding Tank
ft.
ft.
Drainfield
ft.
ft.
Privy
ft.
ft.
Well
ft.
ft.
Existing Structure/Building
A.
ft.
Wetland
ft.
ft.
Elevation of Floodplain
Il.
ft.
Ordinary High -Water Mark (OHWM)
ft.
ft.
Other
ft.
ft.
NOTE: Please indicate "see attached" on this page if submitting site plan as a separate document.
5
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232025
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12/09/2025
I-1
FLOOR PLAN
Indicate Floor: ❑ Basement ❑ I" Floor ❑ Loft ❑ 2nd Floor ❑ 3'd Floor ❑ Other
RECEIVED
DEC 232025
Bayfield Co.
Planning and Zoning Agency
All applicable
dimensions need to be
shown on the floor
plan and noted below
County Use Only
Dimensions
(in feet)
Square
Footage
Dimensions
(in feet)
Square
Footage
Floor without attached
exterior components
X
27
sq. ft.
X
sq. ft.
with Porch I
X
sq. ft.
X
sq. ft.
with Porch 2
X
sq. ft.
X
sq. ft.
with Deck 1
X
sq. ft.
X
sq. ft.
with Deck 2
X
sq. ft.
X
sq. ft.
with Attached Garage
X
sq. ft.
X
sq. ft.
with Other (explain):
X
sq. ft.
X
sq. ft.
VOTE: Please indicate "see attached" on this nave if submittine floor nlan/s as a separate documc
Comments/Notes:
}
LAND USE PERMIT APPLICATION REVIEW
1) Will this be the first structure on the site? PSYes 0 No
2) What is the total number of bedrooms on the.property once this project is completed
3) Is there a proposed/existing sanitary system on the property? 0 Proposed - Type 0 Existing - Type
4) Will any of the following occur within the proposed project/structure?
0 New Electrical Installation New Plumbing Installation 0 Sleeping
5) Has the location of the proposed project been staked including strtre, sanig+ system, ant yell? 0 Yes ❑ No
Y�� e
6) If required, who marked the property lines? ❑ Applicant/Property Owner Licensed Surveyor
7) Is the property in the shoreland, within 300 feet of a river/streamllandward side of floodplain or 1000 feet of a
lake/pond/flowage? 0 Yes N No 0 Unsure
8) Is there wetland located on or near the property? ❑ Yes M No 0 Unsure
9) Is there floodplain located on or near the property? 0 Yes N No 0 Unsure
10) Is this project associated with any of the following: 0 Rezone 0 Conditional Use ❑ Special Use ❑ Variance
11) Did you contact the town to see if any permits/requirements apply to your project? 0 Yes 0 No
The following items are included with the application: RECEIVED
Xf Site Plan
KBuilding Elevations
B( Floor Plan/s
❑ Fees
DEC 231025
Bayfield Co.
Planning and Zoning Agency
All Land Use Permits expire Two (2) Years from the date of issuance if construction or use has not begun. Sanitary Permit, if
required, issuance 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 construction of one- & two-family dwellings
and new plumbing/electrical installation for residential use structures (accessory/principal) require review and approval by the local
Uniform Dwelling Code (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.eov/tonic/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
Owner/s or Authorized Agent Signature: I `72. bt.J Date: 4
NOTE: If you are signing on behalf of the ow�er(sj a letter of authorization must acdebipany this application
Address to Send Permit:
4
DANIEL J. HEFFNER
HAYFIELD COUNTY, WI'
REGISTER OF DEEDS
State Bar of Wisconsin Form 1-2003
WARRANTY DEED
Document Number II Document Name
THIS DEED, made between JOHN PAGAC KTEJIK AND MICHELLE PAGAC
whether one or more),
("Grantee," whether one or more).
Grantor, for a valuable consideration, conveys to Grantee the following described real
estate, together with the rents, profits, fixtures and other appurtenant interests, in
BAYFIE D County, State of Wisconsin (`Tmperty ") (if more space is
needed, please attach addendum):
Tracy L Defoe
The South Half of the North Half of the Northeast Quarter of the Ii linrerbly A. wshy
30787 Duckweed Dr.
Southeast Quarter (SY2N'/zNE%ESE'/4), Section Ten (10), Township Forty- ii Barnum, MN 56318
eight (48) North, Range Five (5) West, Town of Washburn, Bayfield
County, Wisconsin. 04-050-248-05-10401-000-11000 Part of
tY 04-050-248-05-104 02-000-10000 Part of
AND Parcel Identification Number (PIN)
The South Half of the North Half of the Northwest Quarter of the
Southeast Quarter (S'/2NYzNW'/4SE'/4), Section Ten (10), Township "This IS NOT homestead property
Forty-eight (48) North, Range Five (5) West, Town of Washburn,
Bayfield County, Wisconsin.
Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances except:
EASEMENTS, RESERVATIONS AND RESTRICTIONS OF RECORD.
Dated ]J,I-2&/
/— 2 d4- /
Recording Area
Name and Return
14444-20
2021R-587077
02/15/2021 10:21AM
TF EXEMPT #:
RECORDING FEE: $30.00
TRANSFER FEE: $100.50
PAGES: 1
(SEAL) (SEAL)
RECEIVEQ'
DEC 2320$
Bayfield Cc.
,___..., 'nd Zoning Agency
AUTHENTICATION
Signature(s)
authenticated on
TITLE: MEMBER STATE BAR OF WISCONSIN
(If not.
authorized by Wis. Stat. § 706.06)
ACKNOWLEDGMENT
STATE OF WISCONSIN
) ss.
____ i?4l COUNTY )
Personally came before me
the above -named JOHN P
to me known to be the
instrument and'Aclapot
THIS INSTRUMENT DRAFTED BY: '
41
ATTORNEY MAX T. LINDSEY, SB#1112865
Anich. Wickman & Lindsey, S.C.. Ashland, WI 54806 Notary o Public, State of seon
Wa
My Commission (is pemranent)
(Signatures may be authenticated or acknowledged. Both are not necessary.) .
NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED.
WARRANTY DEED C 2003 STATE BAR OF WISCONSIN FORM NO. 1-2003
w Type name below signatures.
�—( t -4-I
kC KTEJIK AND MICHELLE
s) who executed the foregoing
the same.
the G IS ;:
(expires: ifl
State Bar of Wisconsin Form 1-2003
WARRANTY DEED
Document Number
Dowment Name
THIS DEED, made between JOHN PAGAC KTEJIK AND MICHELLE PAGAC
whether one or mom),
("Grantee," whether one or more).
Grantor, for a valuable consideration, conveys to Grantee the following described real
estate, together with the rents, profits, fixtures and other appurtenant interests, in
BAYFIELD County, State of Wisconsin ("Property") (if more space is
needed, please attach addendum):
The South Half of the North Half of the Northeast Quarter of the
Southeast Quarter (S'/2N'/2NE'/4SE'/4), Section Ten (10), Township Forty-
eight (48) North, Range Five (5) West, Town of Washburn, Bayfield
County, Wisconsin.
AND
The South Half of the North Half of the Northwest Quarter of the
Southeast Quarter (S'/2N'/2NW'/4SE'/s), Section Ten (10), Township
Forty-eight (48) North, Range Five (5) West, Town of Washburn,
Bayfield County, Wisconsin.
Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and clear of encumbrances exceptEc 2 3 2025
EASEMENTS, RESERVATIONS AND RESTRICTIONS OF RECORD. U
Recording Area
Name and Return Address
14444-20
Tracy L. Defoe
Kimerbly A. Wishy
30787 Duckweed Dr.
Burnam, MN 56318
04-050-2-48-05-10-4 01-000-11000 Part of
04-050-2-48.05-101102-000-10000 Pan of
Parcel Identification Number (PIN)
This IS NOT homestead property
RECEIVED
Dated
AUTHENTICATION
ACKNOWLEDGMENT
Signature(s)
authenticated on
TITLE: MEMBER STATE BAR OF WISCONSIN
(If not,
authorized by Wis. Stat § 706.06)
THIS INSTRUMENT DRAFTED BY:
ATTORNEY MAX T. LINDSEY, SB#1 112865
Anich. Wickman & Lindsey, S.C., Ashland, WI 54806
Bayfield Co.
Planning and Zoning Agency
STATE OF WISCONSIN
crosl2a COUNTY )
Personally came beforeme on
the above -named JOHN PAGAC KTEJIK AND MICHELLE.
PAGAC KTEJIK
to me known to be the per n(s) who executed the foregoing C' P
instrument n owl ged the same. `qp
#
r..
Notary .,
Public, State of Wisconsin , .% ,s .,
My Commission (is permanent) (expires: ! iii?
(Signatures may be authenticated or acknowledged. Both are not necessary.)
NOTE: THIS IS A STANDARD FORM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED.
WARRANTY DEED C 2003 STATE BAR OF WISCONSIN FORM NO. 1-2003
* Type name below signatures.
WHAT THINGS SHOULD
IEXPECT?
Now that you have aprdiecl for
services, your home will be placed
on the Tubes service list, and
planning will be started to serve your
home. IHS needs to evaluate your
property and soils to determine the
best design for your site.
Your IHS representative might
contact you to ask you questions
about your home. The ;nfommation
is necessary for the design of the
systems to serve your home. Please
ensure your contact information is
accurate on your application
You may also see IHS
representatives on your property to
measure your lot and assess your
site.
If you have any additional concerns
during the planning period. contact
the IHS or tribal representative listed
on the back of this brochure.
FOR MORE
INFORMATION, USE
THESE CONTACTS:
IHS Representative
Brian Breuer, P.E.
715-365-5103
brian.breuer@ihs.gov
Tribal Representative
Robert Powless
715-779-9788
robert.powless@redcliff-nsn.gov
RECEIVED
DEC 232025
FROM
APPLICATION
TO
CONSTRUCTION
The process of receiving
water and sewer
facilities from the
Bayfield co, Indian Health Service
n"- ` . Planning and Zoning Agency
131':NIUJl ARLA \
INDIAN '`'.',HEALTH
.SF.RV ICI'
. FROM APPLICATION TO CONSTRUCTION
Home Preparation
Before IHS can authorize work on your home, your home must be adequately
prepared as a year -around residence. This includes a permanent foundation, proper
insulation, heating, electrical service, trailer skirting, and in -home plumbing.
It is the homeowner's responsibility to identify the property lines for the home, and
any planned improvements to the lot. Any delays in these preparations may prevent RECEIVED
you from receiving IHS services.
DEC 232025 Although this seems like a small step, it actually takes
between 3 to 8 weeks to complete this for each home.
sayreld co. Additional time may be required if the site contains significant
Planning and Zoning Agency concerns, such as wetlands or historical sites.
1 Homeowner
2
applies for service Tribe selects
with the Tribe and
submits necessary homeowner for
documentation to pnonty list.
Tribal Priority
In order to select homeowners for service
with limited IHS resources, each
participating Tribe has a priority system to
determine which homes will be served.
Each tribal priority system is different, but
applications from homes which are new or
recently renovated are generally given a rt
higher priority than existing homes.
Environmental Clearance
All federal government projects need to go through a rigorous
process to ensure that they will not adversely affect the
environment. This process involves many different tribal, state, and
national agencies working together to address your site's specific risk
in regards to wildlife, cultural resources, pollution, and water quality.
3z
Homeowner ensures the _ ,_.. _ ..__ ^r.�
home meets eligibility
requirements. IHS performs
site evaluation. "��
,Time depends on srtei ���_,_..__ __________________
4 4. IHS/Tribe/State Agencies
coordinate to review site
concerns
l Usually 2 months. but may take
longer if concerns exist,
S ' HZ/Tribe complete design of
system. Tribe/Homeowner -a
obtains required permits from
local health department. if
applicable.
(Usually 1.2 months)
6 ` Design is sent to
Tribe to begin
construction
(usually I weehl
System Design
Contracting and
construction of
system(s).
(Usualy 2 months)
IHS will work with your Tribal representatives to
design a system suitable for your site. This will
require the IHS inspectors to come to the site and
analyze your soil and water conditions. Please
ensure that your contact information and home
description are correct on your application.
Tracy Pooler
From: Tracy Pooler
Sent: Wednesday, January 7, 2026 1:34 PM
To: basinatracy@yahoo.com
Subject: 74399 ondossagon - tax # 38474
Tracy & Kimberly,
I was at you site yesterday looking into your project request. I have a couple questions / needs before
permit issuance.
• There are 2 small buildings upon the site, are either of them to be used for habitation or sleeping?
I do not see a septic application for this property; Bayfield County is the overseeing
jurisdiction/inspector agency for this project. We do not see an application from the installing
plumber for the septic upon this site.
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: tia_c_y ooler@baylie1dcounty.wi.gov
II-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@-b-ayfjaldeosanty wLgov or 715 373-6138 with any questions or concerns.
Tracy Pooler
From: Tracy Pooler
Sent: Thursday, July 9, 2026 11:54 AM
To: basinatracy@yahoo.com
Subject: county land use permit - status
Tracy & Kimberly,
I have the maintenance agreement from the county recorders office.
I do not see that a septic application has made it into the system yet.
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: tracy.pQOlel@bayfieldcounty.wi.gov
I3'.YFIELD
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 at Lonlnayfie_ldcounty..wi..g2v or 715 373-6138 with any questions or concerns.
ED
CD
Q.
C)
O
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UGC
/26, 2:45 PM Novus-Wisconsin Access rev. 12.0206
Reaf Estate Bayfield County Property Listing Property Status: Current (!
Today's Date: 1/5/2026 Created On: 4/19/2021 2:23:33 PM
Description Updated: 5/21/2021 JR Ownership Updated: 4/19/2021
Tax ID: 38474 TRACY L DEFOE BURTRUM MN
PIN: 04-050-2-48-05-10-4 01-000-13000 KIMBERLY A WISHY BURTRUM MN
Legacy PIN:
Map ID: Billing Address: Mailing Address:
Municipality: (050) TOWN OF WASHBURN TRACY L DEFOE ET AL TRACY L DEFOE ET AL
STR: S10 T48N ROSW 30787 DUCKWEED DR 30787 DUCKWEED DR
Description: S 1/2 N 1/2 NE SE DESC IN DOC 2021R- BURTRUM MN 56318 BURTRUM MN 56318
587077
Recorded Acres: 10.007 10 Site Address * indicates Private Road
Calculated Acres: 10.007 74399 ONDOSSAGON RD ASHLAND 54806
Lottery Claims: 0
First Dollar: Yes
ESN: 130 Property Assessment Updated: 3/13/2025
2025 Assessment Detail
'3 Tax Districts Updated: 4/19/2021 Code Acres Land Imp.
G1 -RESIDENTIAL 1.000 2,000 5,600
1 STATE
G6 -PRODUCTIVE FOREST 9.007 17,500 0
04 COUNTY
050 TOWN OF WASHBURN 2 -Year Comparison 2024 2025 Change
046027 SCHL-WASHBURN Land: 19,400 19,500 0.5%
001700 TECHNICAL COLLEGE Improved: 0 5,600 100.0%
Total: 19,400 25,100 29.4%
Recorded Documents Updated: 4/19/2021
0 WARRANTY DEED
Date Recorded: 2/15/2021 2021R-587077 Is property History
Parent Properties Tax ID
04050-2-48-05-10-4 01-000-30000 30726
04-050-2-48-05-10-4 02-000-10000 30727
04-050-2-48-05-10-4 01-000-11000 35290
HISTORY 0 Expand All History. White=Current Parcels Pink=Retired Parcels
0 Tax ID: 30725 Pin: 04-050-2-48-05-10-4 01-000-20000 Leg. Pin: 050101610990
0 Tax ID: 30724 Pin: 04-050-2-48-05-10-4 01-000-10000 Leg. Pin: 050101610000
0 Tax ID: 35290 Pin: 04-050-2-48-05-10-4 01-000-11000
0 Tax ID: 30727 Pin: 04-050-2-48-05-10-4 02-000-10000 Leg. Pin: 050101702000
0 Tax ID: 30726 Pin: 04-050-2-48-05-10-4 01-000-30000 Lea. Pin: 050101701000
38474 This Parcel t Parents 4 Children
https://novus.bayfieldcounty.wi.govlaccess/master.asp?paprpid=38474 1/1
Land Use Permit Application Review Checklist
Submission #: Ag.Z
What zoning district is the project located in?
❑ R-1 ❑ R-2 ❑ R-3 ❑ R-4 ❑ R-RB ❑ C ❑ 1 ❑ M -1 ❑ A-2 ❑ F-1 ❑ F-2 ❑ W ❑ M -M
❑ Yes [;Ko
Is lot substandard (does not meet current zoning dimensional requirements)?
Deed of record:
❑ Yes 21Io
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 H'No
Is impervious surface required? (Required if riparian lot OR lot is entirely within 300 feet of OHWM of
navigable waterway)
❑ Yes o
Is the project located in the Floodplain? Zone:
❑ Yes j2 -No
Are there wetlands on the property?
❑ Yeso
Is project associated with a nonconforming use or structure?
❑ Yes _2'N0
Is project associated with a variance? Case #:
❑ Yes No
Is project associated with a Special B or Conditional Use Permit? Permit #:
❑ Yes -2'No
Is the project associated with a Special A Use Permit?
Yes ❑ No
Does the project require sanitary?
❑ Existing New 0 Intercept O Reconnect 0 Non -Plumbing O Public
SanitaryPermit #: -tS,s' #of Bedrooms:
❑ Yes 210
Does the project require mitigation?
Implementation Deadline: Date of Compliance:
❑ Yes J2'No
Does the project require an affidavit? Affidavit #:
❑ Yes .-aio
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?_sidential O Commercial ❑ Municipal
Project type is? New Construction ❑ Addition/Alteration ❑ Change Use ❑ Relocate ❑ RV Placement ❑ Sign
❑ Establishing a Business ❑ Temporary O Shoreland Grading O Other, describe:
Structure Type is esidence O Principal Structure ❑ Accessory Structure O Boathouse (one story only)
❑ Open-sided/Screened Structure (gazebo, etc.) El Stairway to navigable waters ❑ Mobile Home
❑ Shipping Container O Other, describe
Total Sq. Ft. of Project: Number of Stories: Overall Height: I%
Fee Type
Calculation
Fee Amount
Dwelling Enclosed Areas- all enclosed areas within
$0.75 x .Z� __� s ft
q
(minimum $125)
dwe ing except attached non -habitable garages
$
Dwelling Unenclosed Areas (decks, patios, etc.) or
$0.20 x sq ft
(minimum $125)
Attached Non -Habitable Garages
.zo
$ d
❑ Habitable Residential Accessory Structures
$0.50 x sq ft
(minimum $75)
❑ Non -Habitable Residential Principal and Accessory
$0.20 x s ft
q
(minimum $75)
Structures
$
❑ Commercial/Municipal Principal Structures
$250 + $0.005 x
(minimum $250)
cost of construction
$
❑Commercial/Municipal Accessory Structures
$150 + $0.005 x
(minimum $150)
cost of construction
$
O Return Inspection O Land Use Revisions O Special Use Permit - Class A O Floodplain O Shoreland - Impervious
Surface ❑ Shoreland - Non -Conforming, etc. ❑ Tower Siting/Collocation 1 ❑ Tower Collocation 2 ❑ Metallic
Mine
O After -the -Fact (ATF)
$
M
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.
❑ For personal storage only.
or personal residence only.
for human habitation or sleeping purposes.
T n/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.
❑ Sign 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
❑ 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:
B A-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:
WISHY, KIMBERLY A
LU-02082
30787 DUCKWEED DR
BURTRUM, MN 56318
Transaction Number:
DEFOE, TRACY L
LU-02082-3A4AC
30787 DUCKWEED DR
BURTRUM, MN 56318
Description Amount
Habitable Residential Principal Structures - enclosed $966.00
areas $0.75/square foot (minimum $125)
Habitable Residential Principal Structure - $40.00
unenclosed area or non -habitable garage
$0.20/square foot (minimum $125)
Total: $1,006.00
Payment Amount: $1,029.94
Reference: 4429811575
Paid by: KIMBERLY WISHY
Payment Type: Debit
Transaction Date: 7/15/2026
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 — New 26-85S
SPECIAL A -
SPECIAL B/CONDITIONAL -
BOA -
BAYFIELD COUNTY
PERMIT
WEATHERIZE AND POST THIS PERMIT
ON THE PREMISES DURING CONSTRUCTION
No. 26-0334 Tax ID: 38474
Issued To: WISHY, KIMBERLY A & DEFOE, TRACY L
Location: S10 - T48N - R05W
Town of Washburn
Legal Description: S 1/2 N 1/2 NE SE DESC IN DOC 2021R-587077
Residential Structure in A-1 zoning district
For: New Construction [1 - Story ], Residence on Piers [1488 Total sq. ft. ] Height of 12'
(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 15, 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 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.
To be constructed per plan.
Out buildings not permitted for human habitation or sleeping.