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HomeMy WebLinkAbout26-0350Return to: County Use Only: 117 E 5's Street, Po Box 58 Bayfield County Planning and Zoning Department Submission #• LU -o?(d2, Washburn, WI 54891 LAND USE PERMIT APPLICATION Permit#: -0 o permits0bayfieldcounty.wi.gov Date: ( d' SLL r WIN A: tieneral Imormation Property Owner Name: t. Authorized Agent Name (if applicable): Telephone Number: Telephone Number. r/ �-x.09.5849 E -Mail Address: E -Mail Address: 1i L P eFForda6B grna;;.Lo/i 1 ifs Mailing Address: Mailing Address: Bayfield Co. Q Planning and Zoning Agency City, State, Zip: c n n ) City, State, Zip: (Q(hl ( I0. 1 J4 / Contractor. I Telephone Number: I E -Mail Address: r LUJV L i%UtU J ill U11 IC! CLLL 11Ulll 111W11i L{1W Calf: 3L5 unft 4t htl/? "nrnU(9i)<.V/l 4tf 7 Legal Description (if additional space is needed attach a separate sheet): lea W 330 Section, Township, Range: 5a` (e tc O H 'F (j(cVTown of. $ Tax ID #: rte'; Lot Size (Acres/Square Feet): SECTION C: Project Information (check all that apply) Project Use is: @ Residential 0 Commercial 0 Municipal If Commercial, estimated cost of construction: $ Project Type is: 0 New Construction 0 Addition/Alteration (existing structure) 0 Change Use (existing structure) 0 Relocate (existing structure) ❑ RV Placement 21+ days ❑ Sign 0 Establishing a Business 0 Temporary (12 or less months) ❑ Shoreland Grading, Class A ❑ RV Placement 4+ months, Class A 0 Other (describe): Structure Type is: 19 Residence 0 Principal Structure (describe): 0 Accessory Structure (describe): ❑ Shoreland Exempt Structure (describe): ❑ Mobile Home (provide manufactured date): 0 Shipping Container 0 Other (describe): ❑ Basement l Walkout Basement 0 Slab 0 Crawlspace 0 Ground 0 Skids 0 Other (explain): Existing Structure: Poo Pgri Length: SO' -0" Width:4C'-Q" Height: o�7'-(" H Proposed Structure (Provide Sq Ft based on outside dimensions, including unfinished areas, attached garages/above grade decks/porches): BasementSq Ft: 1° Floor Sq Ft: Loft Sq Ft 2n' Floor Sq Ft: 314 Floor Sq Ft: Garag eSq Ft: Porch Sq Ft: Deck Sq Ft: Other Sq Ft (describe): Other Sq Ft (describe): Total Sq Fe j a% C 3 5(p) Overall Height (finished grade to peak): T7 'p # of Stories: Existing # of Bedrooms on property: iN .'I Proposed # of Bedrooms in project: SECUON E: RV andSi Iaformatlon (check all that Sign is: RV is: ❑ New 0 Replacement 0 New 0 Replacement ❑ On -premise ❑ Off -premise ❑ 1 -sided ❑ 2 -sided Year: Vin #: ❑ On -building 0 Multi -Tenant Length: Width: Height: Make: Model: Application Page I 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 O Frontage Roads (include name) O Existing Structures O Well (W) O Septic Tank (Si') O Drain Field (OF) ❑ Holding Tank ) O Privy O Lake O River ❑Streant/Creek []Pond ❑Flood lain ❑Wetlands OSlopes over 20% N RECEIVED JUL 032026 Bayfield Co. Planning and 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 4(prr ft. R Notes/Comments: r �1/ K ) Mt(` w a ell ( x l a c t( I r"" Front Lot Line/Right-of-Way U3 ft. Sid t Line 1 o East South West, circle one) �ti fl. & Si a Lot Line (North East ou West, circle one) S �ci ft. nse RearLotLinr flf13 ft. & Septic/Holding Tank ft. ft. Drainfield & ft. Privy ft. ft. Well 13 ft. , ft. Existing SttuctureBuilding ft. & Wetland ft. & Elevation of Floodplain ft. ft. Ordinary High -Water Mark (OHWM) ft. & Other (describe) ft. ft. Application Page 2 COMPANY CUSTOMER Q-FFr,d; SUBJECT OTHER x38(05 (an 4 DATE DWG. NO. DRAWN BY L07 LJOI SHEET NO. OP REV. y-.. W W LTC LJ JUL 520261 Plann ng ?yfOl 5 o. Zoning A...._ SECTION G: Additional Questions ❑ Yes No Has the location of the proposed project* been staked? If no, what date will this be completed: T' Note: The site will not be inspected nor permit issued until after the staking date listed above. ❑ Yes O No Did a licensed surveyor mark lot line(s) if project i� wAthin 10 feet of required setback? See page 2 of Land Use Application Information for required setbacks. IV ff ❑ Yes O No Did property owner or applicant mark lot line(s) if project is wixhin 30 feet of required setback? See page 2 of Land Use A lication Information for reuired setbacks. 1*' ® Yes ❑ No Is there an existing sanitary system on the property? If yes, what kind? f ❑ Drainfield O Holding Tank ❑ Municipal/Public Other (describe): ouwcl t$Yes ❑ No Will pressurized water be installed in the structure? If yes, what kind of sanitary system will be installed or used to manage wastewater? ❑ Draintield ❑ Holding Tank ❑ Municipal/Public Other (describe): M(`J n C� Yes ❑ No Will sleeping occur in the structure? If yes, contact local Uniform Dwelling Code (UDC) for approval and inspection requirements. Is the project associated with any of the following: ❑ Rezone ❑ Class A Special Use O Class B Special Use O Conditional Use O Variance Fee payment will be made via: RECEIVED ❑ Check (attached) O Cash attached debittcredit/echeck (department to call once payment is ready to be taken) How would you like toreceive your permit card? JUL 0520 J 2026 ❑ Mail to: OR 0 Email to: O Property Owner Address O Agent Address O Contractor Address O Other (provide name and j ( t4dress): Include eaves, overhangs, sanitary system, and well in slaking nsasucmc^B Planning and en cy Section H: 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.ss i.eov_p piehvellands, 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 rea3gnalc time for the of inspection. purpose Owner(s) or Authorized Agent Printed Name: " '' / a'-' iOwner(s) or Authorized Agent Signature: \ , n2, i ! '-.l\U> Date: ,.,,. '^ a C")� NOTES: I. 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 projecL Application Page 3 Occcc0' j $A f Ef ?MiI LAU :CR II MAIN ? j LEVEL T I o CJ I fr _....__ re. LW/N6 ROOIn — — a rn O U QL� RECEIVED - '/y JUL 052026 -n B Planning and Zoning Agency ocncic> o. m30 l 0 O -Z Q HZ coo Cn nrrnn -C. 1 j o I RECEIVED H ?� L JUL 0 5 2026 I n �f y II _ �d j. l sarfieid Co. Planning and Zoning Agee COMPANY DATE SHEET NO. 3 OF CUSTOMER 3 Fpr ° DWG. NO. REV. SUDJECT DRAWN BY OTHER c-4- Cwrry 4v; ,,:' Y; ; - EA5-f ELF\f1ibl'J Tov )rPoo� to -(pP oFTFG55 MR (N I�JEL i3 o-Tro KA 1�V 0, —oil icJf-5t ELEJXr i b N 1z 3 i/y'i . Q FC )T JUL 052026 Bayfieid Co. Planning and Zoning Agency TOP OP Rooms -fpp cs-'(RUyi � -rd t -W AL L- ru0 MPIN LAVE'- t6-rroM LEJEL COMPANY DATE SHEET NO. 4 OP CUSTOMER DWG. NO. REV. SUBJECT DRAWN BY OTHER 2�.';,rtvrL; cnI-ill r,, v,rA-rinn/ cPAF rc,, Li ftJ f] --- w/?<<IKSESI MAIN LE & I-- ECEIVED- NORM fLWMDN JUL 052026 Bayfield Co. Planning and Zoning Agency .r0➢or RWf III�I I11 CI $'-0" MAlhl I LEVL --- LFv F_ t. -r- 7/10/26, 8:57 AM Novus-Wisconsin Access rev. 12.0206 Real Estate Bayfleld County Property Listing Today's Date: 7/10/2026 Description Updated: 1/3/2023 m Ownership Tax ID: 7564 PIN: 04-010-2-50-06-26-2 01-000-10000 Legacy PIN: 010104204000 Map ID: Municipality: (010) TOWN OF BELL STR: 526 T50N R06W Description: N 1/2 NW 330 IN DOC 2021R-588535 Recorded Acres: 80.000 Calculated Acres: 78.804 Lottery Claims: 0 First Dollar: Yes Zoning: (F-1) Forestry -1 ESN: 107 'S Tax Districts Updated: 3/15/2006 1 STATE 04 COUNTY 010 TOWN OF BELL 044522 SCHL-SOUTHSHORE 001700 TECHNICAL COLLEGE '& Recorded Documents © MFL WITHDRAWAL ORDER Date Recorded: 6/7/2021 0 SPECIAL WARRANTY DEED Date Recorded: 5/5/2021 ® MFL TRANSFER ORDER Date Recorded: 3/10/2016 © WARRANTY DEED Date Recorded: 10/26/2015 Updated: 10/28/2015 Property Status: Current Created On: 3/15/2006 1:15:02 PM Updated: 1/3/2023 DONALD J AND PATRICIA L JEFFORDS CORNUCOPIA WI Billing Address: Mailing Address: DONALD) AND PATRICIA L DONALD) AND PATRICIA L JEFFORDS JEFFORDS PO BOX 337 PO BOX 337 CORNUCOPIA WI 54827 CORNUCOPIA WI 54827 P'" Site Address * indicates Private Road 83865 COUNTY HWY C BAYFIELD 54814 ® Property Assessment Updated: 8/19/2024 2026 Assessment Detail Code Acres Land Imp. Gi-RESIDENTIAL 2.000 12,000 26,200 G6 -PRODUCTIVE FOREST 78.000 109,200 0 2 -Year Comparison 2025 2026 Change Land: 121,200 121,200 0.0% Improved: 26,200 26,200 0.0% Total: 147,400 147,400 0.0% 2021R-589134 LLB' N/A 2021 R-588535 2016R-562570 1157-262 2015R-560950 1151-12 History https://novus.bayfiieldcounty.wi.gov/access/master.asp?paprpid=7564 1/1 .�� �,"jf�.' Ly � � A, M •yX r .rte � �i ��� -T� 4 "`a ��i i�*� yr. :.yl•+ 'r ��. J4•,3 Emily Macgillivray From: Emily Macgillivray Sent: Monday, July 13, 2026 11:07 AM To: 'pjeffor222@gmail.com' Subject: Land Use Permit application for Cty Hwy C 83865 (Tax ID 7564) Hi Donald and Patricia, I'm reaching out to you aboutyour Land Use Permit application. I made a site visit last Friday and everything Looks good in terms of setbacks. Since the existing pole barn is already connected to your sanitary system, you will need to submit a County Sanitary application for a "county private interceptor" to connect the new residence to the system. The fee is $50. Please note, this application will need to be signed by the plumber. The County Sanitary Permit application will need to be approved and issued, before I can approve your Land Use Permit application. Let me know if you have any questions! Kind regards, Emily Macgillivray (she/her) Assistant Zoning Administrator Planning and Zoning Department Bayfield County 117 E 5r' Street, PO Box 58 Washburn, WI 54891 Phone: 715-373-3511 emily.mac i1g livray(abayfieldcounty.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 at zQnjng@bayfie1dcouatywi:goy or 715 373-6138 with any questions or concerns. 7/17/26, 3:12 PM Re: Land Use Permit application for Cty Hwy C 83865 (Tax ID 7564) - Emily Macgillivray - Outlook $ Outlook Re: Land Use Permit application for Cty Hwy C 83865 (Tax ID 7564) From Patti J <pjeffor222@gmail.com> Date Fri 7/17/2026 10:57 AM To Emily Macgillivray <emily.macgillivray@bayfieldcounty.wi.gov> Hi Emily, It will be an unfinished basement that will house the furnace, water heater and electrical panel. On Fri, Jul 17, 2026, 9:57AM Emily Macgillivray<emily.macgillivravibayfieldcounty.wi. ov> wrote: Hi Patti, Thanks for submitting the County Sanitary application. One more question, what is the room on the bottom level being used for? It's use/description is not labeled on the floor plans. Thanks! Kind regards, Emily Macgillivray (she/her) Assistant Zoning Administrator Planning and Zoning Department Bayfield County 117E 5th Street, PO Box 58 Washburn, WI 54891 Phone: 715-373-3511 c av i l y. macgi l li vray_@bayfieldcounty.wi. goy 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. From: Patti J <pjeffor222@.gmail.com> Sent: Thursday, July 16, 2026 1:33 PM To: Emily Macgillivray<emily.macgillivrayjbayfieldcounty.wi.gov> Subject: Re: Land Use Permit application for Cty Hwy C 83865 (Tax ID 7564) Hi Emily, Thank you so much for your help. I have attached the application (3 pages). Please let me know if there is anything else you need. Patti On Tue, Jul 14, 2026 at 10:51 AM Emily Macgillivray <emily.macailliyravCn? ieldcountv.wi.aov> wrote: about:blank?windowld=SecondaryReadingPane46 1/4 7/17/26, 3:12 PM Re: Land Use Permit application for Cty Hwy C 83865 (Tax ID 7564) - Emily Macgillivray - Outlook Here's the county private interceptor option on the application: Li 1 or 2 Family Dwelling - No. of Bedrooms W. TYPE OF PERMIT: (Check only one box on line A. Check box on line B, if applicable) A) ❑ New ❑ Replacement ❑ County Private Interceptor ❑ Reconnection ❑ Repair ❑ Revision •• ❑ Transfer of Owner (List Previous Owner below) B) ❑ A Sanitary Permit was previously issued. Previous Permit Number. Date Issued: __. IV. TYPE OF NON -PLUMBING SYSTEM: (Check One) • Replacements need previous permit number and date filled out above C) ❑ Pit Privy ❑ Vault Privy (Vault size: gallons or _cubic yards) I've attached the original sanitary permit for the system. I recommending asking your new plumber to fill out Section V and do the site diagram. It can be on a separate sheet (just write "see attached" in the area for the drawing on the application). I will need a completed County Sanitary application signed by your new plumber to be able to move forward with the Land Use Permit application. Let me know if you have any additional questions. Kind regards, Emily Macgillivray (she/her) Assistant Zoning Administrator Planning and Zoning Department Bayfield County 117 E 5th Street, PO Box 58 Washburn, WI 54891 Phone: 715-373-3511 emi Iy.macgil livray®hay fieldco unty.wi.goy 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@bavfieldcounty.wi.gov or715 373-6138 with any questions or concerns. about:blank?windowld=SecondaryReadingPane46 2/4 7/17/26, 3:12 PM Re: Land Use Permit application for Cty Hwy C 83865 (Tax ID 7564) - Emily Macgillivray - Outlook From: Patti J <pjeffor222@.gmail.com> Sent: Tuesday, July 14, 2026 10:31 AM To: Emily Macgillivray<emily.macgillivray@bayfieldcounty.wi.gov> Subject: Re: Land Use Permit application for Cty Hwy C 83865 (Tax ID 7564) Hi Emily, I looked at the application and we do not have the information requested for section V. The contractor who installed the system may have it. We will be using a different plumber for the house. When the permit was applied for, it was for a three bedroom home. I am attaching a copy of the permit and a picture showing that the connection was started at the time. The application does not have an option for a "county private interceptor". Would I have to draw everything in on page two since the system is already in place and has been previously approved? Please advise if what I send is sufficient or what else we need to do. On Mon, Jul 13, 2026 at 11:06 AM Emily Macgillivray <emily macgillivrav dba ieldcountv.wi.gov> wrote: Hi Donald and Patricia, I'm reaching out to you about your Land Use Permit application. I made a site visit last Friday and everything looks good in terms of setbacks. Since the existing pole barn is already connected to your sanitary system, you will need to submit a County Sanitary ap lick for a "county private interceptor" to connect the new residence to the system. The fee is $50. Please note, this application will need to be signed by the plumber. The County Sanitary Permit application will need to be approved and issued, before I can approve your Land Use Permit application. Let me know if you have any questions! Kind regards, about:blank?windowld=SecondaryReadingPane46 3/4 7/17/26, 3:12 PM Re: Land Use Permit application for Cty Hwy C 83865 (Tax ID 7564) - Emily Macgillivray - Outlook Emily Macgillivray (she/her) Assistant Zoning Administrator Planning and Zoning Department Bayfield County 117 E 5th Street, PO Box 58 Washburn, WI 54891 Phone: 715-373-3511 emily.mac_*i IIn ray_(d�bay ieldcounty.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 at zn1ngbQyfieldcoujyaLgy or 715 373-6138 with any questions or concerns. about:blank?windowld=SecondaryReadingPane46 4/4 Land Use Permit Application Review Checklist Submission #: d What zoning district is the project located in? ❑ R-1 ❑ R- ❑ R-3 ❑ R-4 ❑ R-RB ❑ C ❑ 1 ❑ M ❑ A-1 ❑ A-2 ❑ F-2 ❑ W ❑ M -M ❑ Yes jo Is lot substandard (does not meet current zoning dimensional requirements)? Deed of record: ❑ Yes Q4o 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)? ❑ Yeso Is impervious surface required? (Required if riparian lot OR lot is entirely within 300 feet of OHWM of navigable waterway) O Yes Is the project located in the Floodplain? Zone: ❑ Yes No Are there wetlands on the property? ❑ Yes l4o Is project associated with a nonconforming use or structure? Is project associated with a variance? Case #: ❑ Yes ❑ Yes l3Io Is project associated with a Special B or Conditional Use Permit? Permit #: ❑ es No Is the project associated with a Special A Use Permit? Yes ❑ No Does the project require nitary? -2/ ��U� 0 Existing ❑ New Intercept ❑ Reconnect O Non -Plumbing O Public SanitaryPermit #: of b- 0 sq7 # of Bedrooms: ❑ Yes No Does the project require mitigation? Implementation Deadline: Date of Compliance: ❑ Yes IiNo Does the project require an affidavit? Affidavit #: ❑ Yes ❑ No Did licensed surveyor mark lot line(s), if project is within 10 feet of required setback? ❑ Yes ❑ No Did licant/property owner mark lot line(s), if project is within 30 feet of required setback? Project use is? Residential ❑ Commercial ❑ Municipal Project type is? iciw Construction ❑ Addition/Alteration ❑ Change Use O Relocate ❑ RV Placement ❑ Sign ❑ Establishing a Busine s ❑ Temporary ❑ Shoreland Grading O Other, describe: Structure Type is: esidence 0 Principal Structure ❑ Accessory Structure O Boathouse (one story only) ❑ Open-sided/Screened Structure (gaz₹bo, etc.) O Stairway to navigable waters ❑ Mobile Home ❑ Shipping Container O Other, describe Total Sq. Ft. of Project: Number of Stories: Overall Height: 427 Fee Type Calculation Fee Amount ❑ Habitable Residential Principal and Accessory (minimum $125) Structures - Enclosed Areas —all enclosed areas within $0.50 x '�sq ft $ dwelling except attached non -habitable garages ❑ Dwelling Unenclosed Areas (decks, patios, etc.) or $0.20 x sq ft (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 O Land Use Revisions ❑ Special Use Permit - Class A O Floodplain ❑ Shoreland - Impervious Surface O Shoreland - Non -Conforming, etc. O Tower Siting/Collocation 1 ❑ Tower Collocation 2 ❑ Metallic Mine O After -the -Fact (ATF) $ Inspected by: Date of Inspe tion: Wflhfqd Re -Inspected by: J V Date of Re -Inspection: Denied by: Date of Denial: Reason for Denial: Date Denial Letter Mailed: Approved D to of Ap r v I: Cond' on(s): 3 Must meet and maintain set s from furthest extension of structure including eaves and overhangs. ❑ F�f personal storage only. For personal residence only. _l J.otor human habitation or sleeping purposes. SST n State DNR Federal may require permitting / / q p 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 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. ❑ Si must meet the requirements of Article E of the Bayfield County Zoning Ordinance. o 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: K: Applications and Forms/Applications/Land Use/Updated 2/25/2026 mdk P ' 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: JEFFORDS, DONALD J AND PATRICIA L LU-02402 PO BOX 337 CORNUCOPIA, WI 54827 Transaction Number. LU-02402-497D8 Description Amount Habitable Residential Principal & Accessory $1,728.00 Structures - enclosed areas $0.50/ square foot (minimum $125) Total: $1,728.00 Payment Amount: $1,729.25 Reference: 2741286505 Paid by: Patricia Jeffords Payment Type: Other Transaction Date: 7/17/2026 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 — No / Impervious Surface — No Floodplain — No / Wetlands — No Mitigation — No / Affidavit #: LAND USE -X SANITARY — Intercept 26-0349 SPECIAL A - SPECIAL B/CONDITIONAL - BOA - BAYFIELD COUNTY PERMIT WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION No. 26-0350 Tax ID: 7564 Issued To: JEFFORDS, DONALD J AND PATRICIA L Location: S26 - T50N - R06W Town of Bell Legal Description: N 1/2 NW 330 IN DOC 2021R-588535 Residential Structure in F-1 zoning district For: New Construction [1 - Story ], Residence on a Walkout Basement [3456 Total sq. ft. ] Height of 27' (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 Emily Macgillivray 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 21, 2026 This permit may be void or revoked if any performance conditions are not Date completed or if any prohibitory conditions are violated. Condition(s): Must meet and maintain setbacks from furthest extension of structure including eaves and overhangs. For personal residence only. Town/State/DNR/Federal may require permitting. A Uniform Dwelling Code (UDC) Permit from the locally contracted UDC Inspection Agency must be obtained prior to the start of construction. To be constructed per plan.