HomeMy WebLinkAbout26-0355Return to: County Use Only:
117 E 5r" Street, Po Box 58 Bayfteld County Planning and Zoning Department Submission q: — o2qq
Washburn, WI 54891 LAND USE PERMIT APPLICATION Permit #: 6' O
Qermils@b ieldcounty.wiaoy Date: 7(,-I I,
ISECTION A: General InforSiik i
Property Owner Name' Authorized Agent Name (if applicable):
b n Aicpee
_h
Telephone Number:
Telephone Number:
_7I5- ct'e— Z7 SI
E -Mail Address,
E -Mail Address:
Mai ing Address:
Mailing Address:
/3cc rn
City, State, Zip:
City, State, Zip:
Satn.f ails,
Contractor: Telephone Number:
E -Mail Address:
CTION B: Property IflIormation
Project Address (if different from mailing address):
33T76 Gl K -&s4 41_ A A Sfl
Leal Description (if additional space is needed attach a separate sheet):
CBa / L al V ZOZSg,- o g2.3 / An ZoZ5-k- 6a2t2/
Section, Township, Range: SZ TJ 2 0U U Town of: i
Tax 14: ,317(6'% Z Lot Size (Acres Square Feet): cc GcecJ
ERECTION C: Project Information (check all thatapply)
Project Use is: ❑ Residential ❑ Commercial ❑ Municipal If Commercial, estimated cost of construction: S
Project Type is: ❑ New Construction ❑ Addition/Alteration (existing structure)
❑ Change Use (existing structure) ❑ Relocate (existing structure) (1 Placement 21+ days
❑ Sign O Establishing a Business O Temporary (12 or less months)
❑ Shorcland Grading, Class A ❑ RV Placement 4+ months, Class A ❑ Other (describe):
required (Total sIt): required
SECTION D: Structur,IaSrmatlonWoes not apply to RVs and Signs, go to Sitetioti' '
Structure Type is: O Residence O Principal Structure (describe):
n l
❑ Accessory Structure (describe): O Shoreland Exempt Structure (describe): O Mobile Home (provide manufactured
date):
❑ Shipping Container O Other (describe):
Foundation Type:
❑ Basement ❑ Walkout Basement O Slab O Crawlspace O Ground O Skids O Other (explain):
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 I" Floor Sq Ft:
Loft Sq Ft:
2°" Floor Sq Ft: I
3'" 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):
s of Stories:
Existing k of Bedrooms on property: Proposed "of Bedrooms in project:
tSECTION E: RV and Sign Information (check all thatapply) S.,,
Sign is: R�1 is-
❑
New O Replacement t)YNew El Replacement
❑ On -premise O Off -premise
❑ I -sided ❑ 2 -sided Year: 20/9 Vin : �p9Q32�Db
❑ On -building O Multi -Tenant R-12 z 33SS3
Length: Width: Height: Make: LSea2c 4V Model:
Application Page 1 JUL 172026
Baylield Co.
Planning and Zoning Agency
SECTION F: Site Plan — attach a site plan or draw site plan in box below (Sec pages 1 & 2 of LandUse'Permit Applieation
Information for information that is required to be provided on site plan)
Show location of:
❑ Driveways O Frontage Roads (include name) O Existing Structures ❑ Well (W) O Septic Tank (Si) O Drain Field (OF)
❑ Holding Tank (HT) O Privy (P) O Lake ❑ River ❑Stream/Crcek ❑Pond ❑Flood lain ❑Wetlands OSlopes over 20`/0
N
_
AM tt mrrit . ��Q
�
J
4:
36�`
_nibl~�r
�-6 t
(I
(U,' ( {
4
s
ftp
Setback or distance from furthest extent of structure
County Use Only
including eaves and overhangs to (include on site plan):
Verified setbacks
Road Centerline ft.
ft Notes/Comments:
Front Lot Line/Right-of--Way R.
ft.
Side Lot Line 1 t, R
North as South West, circle one) y?.b
' ,( f .
dix
Side Lo me 2 ft.
(North East South est circle one I Zvi
Rear Lot Line .
0} ft.
Septic/Holding Tank t4b ft.
lt.
Drainfield ft.
it
Privy ft.
ft. hCs_L;LIVED
Well 5o ft,
R.
Existing Structure/Building ft.
itI JUL 17 2026
Wetland ft.
I . Bayfield Co.
Elevation of Floodplain ft_
I , Planning and Zoning A-:
Ordinary High -Water Mark (OHWM) ft.
I .
Other (describe)
ft.
ft.
Application Page 2
flON
GAdditional
Questions
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.
❑ Yes
No
Did a licensed surveyor mark lot line(s) if project is within 10 feet of required setback? See page 2 of Land Use
Application Information for required setbacks.
❑ Yes
o
Did property owner or applicant mark lot line(s) if project is within 30 feet of required setback? See page 2 of
Land Use Application information for required setbacks.
es
❑ No
is there an existing . nitary system on the property? If yes, what kind?
❑ Drainfield Holdin Tank ❑ Munici al/Public ❑ Other (describe):
es
O No
Will pressurized water be installed in the structure? if yes, what kind of sanitary system will be installed or used
to manage wastewater?
❑ Drainfreld ❑ Holding Tank ❑ Municipal/Public O Other (describe):
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 O Class A Special Use O Class B Special Use O Conditional Use O Variance
Fee payment will be made via:
❑ Check (attached) 1t'Eash (attached) O 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 mail to: S p yd e/ItDq rrwii I.ro
Gr"s
flwnet Address ❑ Agentyy((ddress O Contractor Address O Other (provide name and email or address):
Include caves, overhangs, sanitary system, and well in staking measurements
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.i em topic %setlands, 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 Name: % �/+ . r
Owner(s) or Authorized Agent Signature: Date: i-l6'Zb
NOTES:
1. If you are signing on behalf of the o s a letter of authorization must accompany this application.
2. Specific conditions/instructions maybe stated on the face of the issued Land Use Permits. Owners, agents, & contractors
must all be aware of pennit details & conditions and permit card must beposted on property prior to start of project.
JUL 17 2026 I
Application Page 3 Bayfield Co.
Planning and Zoning Agency
Land Use Permit Application Review Checklist
Submission #:
What zoning district is the project located in?
❑ R-1 ❑ -2 ❑ R-3 ❑ R-4 l-RB ❑ C ❑ I Cl 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 o
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 No
Is impervious surface required? (Required if riparian lot OR lot is entirely within 300 feet of OHWM of
navigable waterway)
❑ Yes No
Is the project located in the Floodplain? Zone:
❑ Yes LU4o
Are there wetlands on the property?
❑ Yes 17.No
Is project associated with a nonconforming use or structure?
❑ Yes CryNo
Is project associated with a variance? Case #:
❑ Yes LflJo
Is project associated with a Special B or Conditional Use Permit? Permit #:
❑ Yes Q4Jo
Is the project associated with a Special A Use Permit?
Yes ❑ No
Does the project require sanitary?
0 Existing 0 New ❑ Intercept ❑ Reconnect ❑ Non -Plumbing 0 Public
Sanitary Permit #: # of Bedrooms:
❑ Yes 13410
Does the project regw a mitigation?
Implementation Deadline: Date of Compliance:
❑ Yes EWo
Does the project require an affidavit? Affidavit #:
❑ Yes LINg.
Did licensed surveyor mark lot line(s), if project is within 10 feet of required setback?
❑ Yes l4o
Did plicant/property owner mark lot line(s), if project is within 30 feet of required setback?
Project use is? Residential 0 Commercial 0 Municipal
Project type is? 1 1 New Construction 0 Addition/Alteration ❑ Change Use 0 Relocate PJDkPlacement 0 Sign
❑ Establishing a Business 0 Temporary 0 Shoreland Grading ❑ Other, describe:
Structure Type is: 0 Residence 0 Principal Structure 0 Accessory Structure ❑ Boathouse (one story only)
❑ Open-sided/Screened Structure (gazebo, etc.) ❑ Stairway to navigable waters ❑ Mobile Home
❑ Shipping Container 0 Other, describe cp
Total Sq. Ft. of Project: Number of Stories: Overall Height:
Fee Type
Calculation —
FeeA;lpunt
❑ 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 s ft
q
(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 ❑ Land Use Revisions 0 Special Use Permit - Class A 0 Floodplain ❑ Shoreland - Impervious
Surface 0 Shoreland - Non -Conforming, etc. ❑ Tower Siting/Collocation 1 0 Tower Collocation 2 0 Metallic Mine
❑ After -the -Fact (ATF) I
$
Inspected by:
Date of Inspection:
O7,'/O779�i�
v1'kk
Date of Re -Inspection:
Re -Inspected by: U
Denied by:
Date of Denial:
Reason for Denial:
Date Denial Letter Mailed:
Approved by:
Date of Approval:
Con on(s):
Must meet an maintain setbacks f m furthest extension of structure including eaves and
overhangs.
❑ For personal storage only.
❑ For personal residence only.
for human habitation or sleeping purposes.
❑Yoown/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.
0 To be constructed per plan.
0 Adhere to privy agreement.
❑ Temporary permit allowing existing structure for a period of less than 1 year.
0 I3 may not be used for permanent residence or storage.
���� �e Ss CJa V e•
8 RV allowed for o4 t
e .T.�'I'a � $ ro � Gt
0 RV must be removed by
0 No sewer and pressurized water allowed in the structure.
❑ No plumbing or plumbing fixtures allowed.
0 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
0 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
I3-t'FIELD 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-02429
1305 PRAIRIE LN
ST CROIX FALLS, WI 54024
Transaction Number:
GASPER,SARAH L
LU-02429-4A16D
1305 PRAIRIE LN
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: 1686865955
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 I Impervious Surface — No
Floodplain — No / Wetlands — No
Mitigation — No / Affidavit #:
LAND USE — X
SANITARY— New 26-48S
SPECIAL A —
SPECIAL B/CONDITIONAL —
BOA —
No. 26-0355 Tax ID: 39672
Issued To: TRUHLSEN, DWAYNE K & GASPER, SARAH L
BAYFIELD COUNTY
PERMIT
WEATHERIZE AND POST THIS PERMIT
ON THE PREMISES DURING CONSTRUCTION
Location: S27 - T50N - R04W
Town of Bayfield
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 #: RV VIN #: 1P9EB2306KRZ33553 Year: 2019
(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.
Town/State/DNR/Federal may require permitting.
RV allowed for up to 4 months from date of issuance.