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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 ' • 'L< .::fT: ds" b I � 20 �6* 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 34 33 32 31 30 a 29 Ia 26 25 N 23 22 21 20 IS 19 17 II 15 1• 11111 I II I 111111 I I I I I I 13 12 11 l0 9 B a 6 I I I I I I I I 5 1 3 2 1 0 111111 21•y- B'. LI• 3'-2 I/x• ]cm i_�- 360 ]6f0 RECEIVED 232025 ii[w6[ BaCo. u [II06R Ml 1212.2 [OOn 212.2 of G Planning and zoning Agency 9 i• "1f�t^B ro o 9 0 TI1 0 W IR MINI 6!<i021 Y. 19z.B ql aW31z -. N 111.6 aq BU-IR 0.001 L mix? 'm3t'_9_Y� . } 9'•3 in- .-03• 3'•9 1#-J s.. #' ._-- _ III 111111111111111 I 11111 N 33 32 31 30 28 29 27 26 23 24 23 22 21 20 19 IS I2 It I9 I• III 11111111 l3 12 11 10 9 9 2 B 6 • 3 2 1 0 RIR ROLII916x1L - _-'•- f OQ[R6 �JY wW/94[a __4 __ 0fa10' PIw W , M6LW ®9[ I q{IIB] IMI 1.U[ — �_ w1B91BYpJ11a 1T RLL 9ytiM[L YSII6 prp WMI n¢a ICl 191996 6 Wilt 6CNtlIIL MOlL5 gY9G1114 �Ptll'Bi111'wN 9R goo wOLI"6 I9RI t 01L96ro - Bm $rl. 12)2 CLAYTON 1. """°"I""° "mow" BIBl33IiRR6w-I.Irmn¢om 373217 SKETCH m" " __ .._ IBBOImBxr6w 95 351 28X16' 285-280 373217 BOMB BO]LDIH6 GROUP --" --- rtm raxM w[9c•x 9BBv m6 St 9619u16 961a _ Ian xLmm-mw lna aW[I j 651 12/03/2025 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 C 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.