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HomeMy WebLinkAbout26-0354Return to: County Use Only: 117 E 5r^ Street, PO Box 58 Bayfield County Planning and Zoning Department Submission t(: LV — 02'428, Washburn, WI 54891 LAND USE PERMIT APPLICATION Permit q: a 6 - Qgfi if eermits aba ieldcount .wi ov Date: 7/Jl ( -o)-b ECTION A: General Infitrma Property Owner me Authorized Agent Name (if applicable): rNa_ E&pf t ilvta / fa' Telephor c Number: Telephone Number: 2/c-- S -b4- V759 E -Mail Add ess: E -Mail Address: Mails S Address: Mailing Address: /3oS Rai U CState, Zi ituaftit ire _ /s Z 5 fl// City, State, Zip: Contractor: Telephone Number: E -Mail Address: CflON B: Property Information Project Address (if different from mailin address): 3 o 0/d ,Ginn! Legal Description (if additional space is needed attach a separate sheet): ot(// l/dCPpI6 �n Do -zOZ!rk- 6o Z3 iM 242&Q- 6oAfl' Section. Township, Range: S+Z x4_S Rev b/ Town of: Tax ID #: -7Z, Lot Size (Aeres'S uare Feet): Ecr1ON C: Project lnforma/loa (check all that apply) Project Useic 0 Residential ❑ Commercial ❑ Municipal If Commercial, estimated cost of construction: $ Project Type is: 0 New Construction 0 Addition/Alteration (existing structure) ❑ Change Use (existing structure) 0 Relocate (existing structure) [.YRV Placement 21+ days ❑ Sign 0 Establishing a Business 0 Temporary (12 or less months) ❑ Shorcland Grading, Class A 0 RV Placement 4+ months. Class A ❑ Other (describe): required (Total sn): required SECTION D: StructurahInformatioa(Does not apply to AVa and Signs, go to Section E) Structure Type is: 0 Residence 0 Principal Structure (describe): ❑ Accessory Structure (describe): 0 Shorcland Exempt Structure (describe): 0 Mobile Home (pr(ouide manufactured € date): ❑ Shipping Container 0 Other (describe): JUL 17 2026 Foundation Type: Bayf _ ❑ Basement 0 Walkout Basement 0 Slab 0 Crawlspace 0 Ground 0 Skids 0 Other (explaigunning and Existing Structure: Length: Width: Height: Proposed Structure /Provide Sq Ft based on outside dimensions, including unfinished areas, attached garages/above grade decks/porches): Basement Sq Ft: I 1" Floor Sq Ft: I Loft Sq Ft: 2" Floor Sq Ft: I 3N Floor Sq Ft: Garage Sq Ft: Porch Sq Ft: Deck Sq Ft: Other Sq Ft (describe): Other Sq Ft (describe): Total Sq Ft: Overall Height (finished grade to peak): # of Stories: Existing # of Bedrooms on property: Proposed a of Bedrooms in project: ION E- RV and SI n Infermatioo check allthat "" Sign is: R,�V ❑ New ❑ Replacement aXNew 0 Replacement ❑ On -premise 0 Off -premise ❑ 1 -sided ❑ 2 -sided Year: ZO/ $ vin #:2 Pie -a ? ❑ On -building ❑ Multi -Tenant -Yi27339ci3 Length: Width: Height: Make: mj. 6_ Model: ,&ke. Application Page I SECTION F: Site Plan — attach a site plan or draw site plan in box below (See pages 1 & 2 of Land Use Permit Application =Information for information that is required to be provided on site lap Show location of: 0 Driveways 0 Frontage Roads (include name) 0 Existing Structures 0 Well (W) ❑ Septic Tank (ST) 0 Drain Field (DF) ❑ Holding Tank ( 0 Privy (P)❑ Lake 0 River ❑Strcam/Crcek OPond ❑Flood lain ❑Wetlands ❑Sloes over 20% ftc pe4-v 4 L•f1 k°`A� l.1 ISO--�¢��___ d 12Y�r7 �e.qr'tO�ic 05-t J • c a�5�1 Setback or distance from furthest extent of structure County Use Only including eaves and overhangs to (include on site plan): Verified setbacks Road Centerline I ft. C 4 ft. Notcs/Comments: ft. ft, l/'1 ft Front Lot Linc/Right-of-Way ft. Side Lot Line I (North East South es circle one) ft, iC Side Lu1J4ne 2 ft, o East South West. circle one O Ift. - ft. ft. ft. ft. ft. it. ft. ft. Rear L the 33o ft. Septic/Holding Tank 140 ft. Drainfield ft. Privy ft. Well ft. Existing Structure/Building ft. Wetland ft. Elevation of Floodplain ft. Ordinary High -Water Mark (OHWM) ft. Other (describe) I . I ft. Application Page 2 JUL 17 2026 Bayfield Co. Planning and Zoning Agency TUN G' Additional uestions Has the location of the proposed projectbeen staked? if no. what date will this be completed: ❑ Yes No Note: The site will not be inspected nor permit issued until after the staking date listed above. Did a licensed sun'eyor mark lot line(s) if project is within 10 feel of required setback? See page 2 of Land Use ❑ Yes o Application Information for required setbacks. Did property owner or applicant mark lot line(s) if project is within 30 feet of required setback? Sec page 2 of ❑ Yes o Land Usc Application information for required setbacks. Is there an existingpnitary system on the property? If yes. what kind? Yes ❑ No ❑ Drainfield &'Holding Tank O Municipal/Public O Other (describe): Yesr No Will pressurized water be installed in the structure? If yes. what kind of sanitary system will be installed or used to manage wastewater? ❑ Drainfield ❑ Holding Tank ❑ Municipal/Public O Other (describe): cs No Will sleeping occur in the structure? If yes, contact local Uniform Dwelling Code (UDC) for approval and inspection requirements. is the project associated with any of the following: ❑ Rezone O Class A Special Use O Class B Special Use ❑ Conditional Use O Variance Fee payment will be made via: ❑ Check (attached) Ir"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: OR [&Email to: s'py kri( e,yar I. en-' ❑ Property Owner Address O Agent Address ❑ Contractor Address O Other (provide name and email or address): 'Include gas cs, overhangs, sanitary system, and hell In staking measurements ection A: Acknowled ement 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 arc 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, din wi _Om topic wetland's, 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) arc providing and that will be relied upon by Bayfield County in determining whether to issue a permit. I (we) further accept liability which may be a result of Bayfield County relying on this information I (we) are providing in or with this application. i (we) consent to county officials charged with administering county ordinances to have access to the above -described property at any reasonable time for the purpose of inspection. �^ /' Owner(s) or Authorized Agent Printed Name: J R./rt% 6.&cpe — Owner(s) or Authorized Agent Signature: Date: % /L, •7t,/ 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 priortixstart'ofproject. I Application Page 3 JUL 17 2026 Bayfield Co. Planning and Zoning Agency Land Use Permit Application Review Checklist Submission #: Oa What zoning district is the project ated in? ❑ R-1 ❑ R-2 ❑ R-3 ❑ R-4 R-RB ❑ C ❑ I ❑ M ❑ A-1 ❑ A-2 ❑ F-1 ❑ F-2 ❑ W ❑ M -M ❑ Yes No Is lot substandard (does not meet current zoning dimensional requirements)? Deed of record: ❑ Yes EM1 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 o 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 ESNo Are there wetlands on the property? ❑ Yes L4No Is project associated with a nonconforming use or structure? ❑ Yes 4No Is project associated with a variance? Case #: ❑ Yes D4 o Is project associated with a Special B or Conditional Use Permit? Permit #: ❑ Y s 01ci0 Is the project associated with a Special A Use Permit? Yes ❑ No Does the project require sanitary? 0 Existing dNew 0 Intercept 0 Reconnect ❑ Non -Plumbing 0 Public Sanitary Permit #: # of Bedrooms C C ❑ Yes to Does the project require mitigation? Implementation Deadline: Date of Compliance: ❑ Yes EiIQo Does the project require an affidavit? Affidavit #: ❑ Yes o Did licensed surveyor mark lot line(s), if project is within 10 feet of required setback? ❑ Yes ❑ o Did applicant/property owner mark lot line(s), if project is within 30 feet of required setback? Project use is? Residential ❑ Commercial ❑ Municipal Project type is? 0 New Construction ❑ Addition/Alteration ❑ Change Use ❑ Relocate ❑ Placement ❑ Sign ❑ Establishing a Business ❑ Temporary ❑ Shoreland Grading O Other, describe: Structure Type is: 0 Residence 0 Principal Structure 0 Accessory Structure 0 Boathouse (one story only) ❑ Open-sided/Screened Structure (gazebo, etc) ❑ Stairway to navigable waters ❑ Mobile Home ❑ Shipping Container 0 Other, describe Q flgC Total Sq. Ft. of Project: — Number of Stories: Overall Height: -� 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 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 0 Land Use Revisions ❑ Special Use Permit - Class A 0 Floodplain ❑ Shoreland - Impervious Surface O Shoreland - Non -Conforming, etc. ❑ Tower Siting/Collocation 1 0 Tower Collocation 2 O Metallic Mine ❑ After -the -Fact (ATF) $ c7C Inspected by: I Date of Inspection: M7-7 lt9ca Re -Inspected by: Date of Re -Inspection: Denied by: Date of Denial: Reason for Denial: Date Denial Letter Mailed: Approved by: DateApproval: 6hii C• U • Con n(s): Must meet and maintain setbacks from furthest extension of structure including eaves and overhangs. ❑ For personal storage only. ❑ For personal residence only. ❑ No r 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. ❑ A Uniform Dwelling Code (UDC) Permit from the locally contracted UDC Inspection Agency must be obtained prior to the start of construction (if applicable). 0 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. 0 Check with Town regarding room tax. 0 Short -Term Rental is for a maximum occupancy of persons. ❑ Sign must meet the requirements of Article E of the Bayfield County Zoning Ordinance. ❑ To 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. r t ≤( RV allowed f r u Gn LP.o � E-n�( rYtr�► Inc � tOrh Gla � oT ❑ 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 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: TRUHLSEN, DWAYNE K LU-02428 1305 PRAIRIE LN ST CROIX FALLS, WI 54024 Transaction Number. GASPER,SARAH L LU-02428-4A14D 1305 PRAIRIE IN ST CROIX FALLS, WI 54024 Description Amount Habitable Residential Principal & Accessory $75.00 Structures - enclosed areas $0.50/square foot (minimum $125) Total: $75.00 Payment Amount: $76.25 Reference: 3626553205 Paid by: Sarah Gasper Payment Type: Other Transaction Date: 7/21/2026 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 I Wetlands — No Mitigation — No / Affidavit #: LAND USE -X SANITARY — New 26-48S SPECIAL A — SPECIAL B/CONDITIONAL — BOA — No. 26-0354 Tax ID: 39672 Issued To: TRUHLSEN, DWAYNE K & GASPER, SARAH L Location: S27 - T50N - R04W Town of Bayfield BAYFIELD COUNTY PERMIT WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION Legal Description: LOT 4 CSM 2417 V14 P46 IN DOC 2025R-608823 IM 2025R- 608921 For: Recreational Vehicle (RV) in R-RB zoning district Make: Escape Model #: Boho VIN #: 1P9EB2261JR733903 Year: 2018 (Disclaimer): You are responsible for complying with state and federal laws concerning construction near or on wetlands, lakes, and streams. Any future expansions or development would require additional permitting. Condition(s): See back of card NOTE: This permit expires two years from date of issuance if the authorized construction work or land use has not begun. Changes in plans or specifications shall not be made without obtaining approval. This permit may be void or revoked if any of the application information is found to have been misrepresented, erroneous, or incomplete. This permit may be void or revoked if any performance conditions are not completed or if any prohibitory conditions are violated. Emily Macgillivray Authorized Issuing Official July 21, 2026 Date Condition(s): Must meet and maintain setbacks from furthest extension of structure including eaves and overhangs. Town/State/DNR/Federal may require permitting. RV allowed for up to 4 months from date of issuance.