HomeMy WebLinkAbout26-0364Return to: County Use Only:
117 E 5t° Street, PO Box 58 Bayfield County Planning and Zoning Department Submission #/-WA- 0 igog
Washburn, WI 54891 LAND USE PERMIT APPLICATION Permit #: 6- 03
permits@bayfieldcounty.wi.gov Date: 7 2, Od'
SECTION A: General Information -
Property Owner Name: — L• 0.`t�r
ule
Authorized Agent Name (if applicable):
Telephone Number: ( s. g t ;b5 `
Telephone Number:
E -Mail Address: J r • &M
E -Mail Address:
Mailing Address:Szs 'Rk,� �� •
Ctt.,�o
Mailing Address:
City, State, Zip: iwtt , _ �r ltjZO
W
City, State, Zip:
Contractor:
Telephone Number: E -Mail Address:
SECTION B: Property Information
Project Address (if different from mailing address):
Legal Description (if additio
ec ac Tn. t
al space is needed ttach a seperate sheet): ^
t2 S11J DOG I� RS.��`�t
Section, Township, Range:
Town of:
Tax ID #: 3$ ) ( 5
Lot Size Acres Square Feet): Lj ,
SECTION C: Project Information (check all that a l
Project Use is: - Residential ❑ Municipal ❑ Commercial: If commercial, estimated cost of construction: $
Project Type is: ♦ -New Construction O Addition/AIteration (existing structure)
0 Change Use (existing structure) ❑ Relocate (existing structure) 0 RV Placement 21+ days
El Sign 0 Establishing a Business O Temporary (12 or less months)
❑ Shoreland Grading, Class A ❑ RV Placement 4+ months, Class A ❑ Other (describe):
required (Total sft): required
SECTION D: Structure Information (Does not apply to RVs and Signs, go to Section B)
Structure Type is: 0 Residence ❑ Principal Structure (describe):
fAccessory Structure (describe): ❑ Shoreland Exempt Structure (describe): ❑ Mobile Home (provide manufactured
o:M e date):
❑ Shipping Container O Other (describe):
Foundation Type:
❑ Basement El Walkout Basement [Slab 0 Crawlspace ❑ Ground ❑ Skids ❑ Other (explain):
Existing Structure (if addition or alteration): Length: Width: Height:
Proposed Structure (Provide Sq Ft based on outside dimensions, including unfinished areas, attached garages/above grade
decks/porches):
Basement Sq Ft:
1" Floor Sq Ftr O Z�
Loft Sq Ft: z S.f'o
2"a Floor Sq Ft:
3`^ Floor Sq Ft:
Garage Sq Ft:
Porch Sq Ft:
Deck Sq Ft:
Other Sq Ft (describe):
Other Sq Ft (describe):
Total Sq Ft: (2<v
Overall Height (finished grade to peak):
# of Stories: . S
Existing # of Bedrooms on property:
Proposed # of Bedrooms in project: Q
SECTION E: RV and S('WIbl'ormation (check all that apply)
Sign is:
RV is.:
❑ New O Replacement
O New El Replacement
El On -premise El Off -premise
❑ 1 -sided El 2 -sided
Year:
❑ On -building El Multi -Tenant
C
Length: Width: Height:
Make: Model: 062026
Application Page 1 Bayfield Co.
Planning and Zoning Agency
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 plan)
Show location of:
❑ Driveways ❑ Frontage Roads (include name) ❑ Existing
Structures ❑ Well (W) 0 Septic Tank (ST) ❑ Drain Field (DF)
0 Holding Tank (HT) ❑ Privy (P) ❑ Lake 0 River
❑Stream/Creek ❑Pond ❑Floodplain ❑ Wetlands ❑Slopes over 20%
`aa, '
k17
jc;z'
lo'
ECEINED
T JUL 0 6 2026
3z'
Bayfield Co.
Planning and Zoning Agency
Setback or distance from furthest extent of structure
County Use Only
including eaves and overhangs to (include
on site plan):
Verified setbacks:
Road Centerline
(/py3
ft.
b4k ft.
Notes/Comments:01
f a� 4a S a� t t
ly
Front Lot Line/Right-of-Way
ft.
9imt ft.
Side Lot Line 1
I �4 ft.
l ft.
Q1
(North East Sou Wes circle one)
Side Lo Line 2
ZZ ft.
ft.
North South West, circle one)
RearL me
22S ft.
Op ft.
Septic/Holding Tank
ft.
b u4�lLe
Drainfield
__
WA ft.
ft.
Privy
p, Jt; ft.
ft.
Well
yy ft.
ft.
Existing Structure/Building
7sj ft.
ft.
Wetland
A ft.
ft.
Elevation of Floodplain
l!I ft.
ft.
Ordinary High -Water Mark (OHWM)
A ft.
ft.
Other (describe)
ft.
ft.
Application Page 2
SECTION G: Additional Questions
Yes
El No
Has the location of the proposed project, including eaves, overhangs, the sanitary system and well, been staked?
If no, what date will this be completed:
Note: The site will not be visited nor permit issued until after the staking date listed above.
❑ Yes
l 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
El No
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.
El Yes
§d No
Is there an existing sanitary system on the property? If yes, what kind?
El Drainfield ❑ Holding Tank El Municipal/Public El Other (describe):
El Yes
IW-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 El Municipal/Public El Other (describe):
❑ Yes
F.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:
El Rezone ❑ Class A Special Use ❑ Class B Special Use ❑ Conditional Use ❑ Variance ❑ not applicable
Fee payment will be made via:
Check (attached) El Cash (attached) ❑ debiUcredit/e-check (department to call once payment is ready to be taken)
How would you like to receive your permit card?
V1 Mail to OR ❑ Email to:
❑ Property Owner Address ❑ Agent Address ❑ Contractor Address ❑ Other (provide name and e-mail or address):
Section H: Acknowledgement and Signature
All Land Use Permits expire two (2) years from the (late 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, diir.wi.gov/topic/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 believe 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 pu of inspection.
r`
lr
Owner(s) or Authorized Agent Printed Name:
Owner(s) or Authorized Agent Signature: Date: � _ ZG
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 project.
RLU IvED
Application Page 3 JUL 06 2026
Bayfield Co.
Planning and Zoning Agency
SitePlan
L_=J Creatorcom
Scale: 1" = 60'
0 30' no'
chic information and data shown are for
i
362
road center line
465'
IS•
Hg
74•
HOUSE
1 1 1
1 �r 7�• a
174 _1 C
1 1
41• 29'
w 1
JUL 0.6
BaYfieldC
Planning and Zon g Agency
273'
225 SIT1E PLAN
roperty
Pro rty Info
A N:38115
ning: Al
Lot S1 e: 5.00 acres
only and are derived from public and private sources believed tb be reliable. This is not a land survey and is not replacement fora Jar
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 plan)
Show location of:
❑ Driveways ❑ Frontage Roads (include name) ❑ Existing Structures ❑ Well (W) O Septic Tank (ST) ❑ Drain Field (DF)
O Holding Tank(HT) ❑ Privy (P) O Lake ❑
River ❑Stream/Creek ❑Pond ❑Floodplain OWetlands ❑Slopes over 20%
N
p
e
UQ yt_
v6
RI.��
CEIVED
� L JU
0 6 2026
yfield Co.
I
Plannin
and Zoning Agency
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
ft.
ft.
Side Lot Line I
ft.
ft.
(North East South West, circle one)
Side Lot Line 2
ft.
ft.
(North East South West, circle one)
Rear Lot Line
ft.
ft.
Septic/Holding Tank
ft.
ft.
Drainfield
ft.
ft.
Privy
ft.
ft.
Well
ft.
ft.
Existing Structure/Building
ft.
ft.
Wetland
ft.
ft.
Elevation of Floodplain
ft.
ft.
Ordinary High -Water Mark (OHWM)
ft.
ft.
Other (describe)
ft.
ft.
Application Page 2
Land Use Permit Application Review Checklist
Submission #: 09
What zoning district is the project located in?
❑R-1 ❑R-2 ❑R-3 ❑R-4 DR-RB ❑C ❑I ❑M ZA-1 ❑A-2 ❑F-1 ❑F-2 ❑W DM -M
❑ Yes RfNo
Is lot substandard (does not meet current zoning dimensional requirements)?
Deed of record:
❑ Yes IZ'No
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 lZ No
Is impervious surface required? (Required if riparian lot OR lot is entirely within 300 feet of OHWM of
navigable waterway)
❑ Yes V'No
Is the project located in the Floodplain? Zone:
❑ Yes No
Are there wetlands on the property?
❑ Yes lZ'No
Is project associated with a nonconforming use or structure?
❑ Yes O'No
Is project associated with a variance? Case #:
❑ Yes RrNo
Is project associated with a Special B or Conditional Use Permit? Permit #:
❑ Yes No
Is the project associated with a Special A Use Permit?
❑ Yes No
Does the project require sanitary?
❑ Existing O New ❑ Intercept ❑ Reconnect ❑ Non -Plumbing O Public
Sanitary Permit #: # of Bedrooms:
❑ Yes IZ'No
Does the project require mitigation?
Implementation Deadline: Date of Compliance:
❑ Yes No
Does the project require an affidavit? Affidavit #:
❑ Yes a'No
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? Residential ❑ Commercial ❑ Municipal
Project type is? l 'New Construction ❑ Addition/Alteration ❑ Change Use ❑ Relocate ❑ RV Placement ❑ Sign
❑ Establishing a Business ❑ Temporary ❑ Shoreland Grading O Other, describe:
Structure Type is: O Residence O Principal Structure IZ Accessory Structure ❑ Boathouse (one story only)
❑ Open-sided/Screened Structure (gazebo, etc.) ❑ Stairway to navigable waters ❑ Mobile Home
❑ Shipping Container O Other, describe
Total Sq. Ft. of Project: )a' O Number of Stories:4.'(0.f4Overall Height:
Fee Type
Calculation
Fee AWiount
❑ 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 $ ft
q
(minimum $125)
$
❑ Non -Habitable Residential Principal and Accessory
Structures
1_tL $0.20 x lZ_ ft
_! sq
(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 ❑ Special Use Permit - Class A ❑ Floodplain ❑ Shoreland - Impervious
Surface O Shoreland - Non -Conforming, etc. O Tower Siting/Collocation 1 O Tower Collocation 2 O Metallic Mine
❑ After -the -Fact (ATF)
I $
Inspected by:
Date of Inspection:
c�
Re -Inspected by:
Date of Re -Inspection:
Denied by:
Date of Denial:
Reason for Denial:
Date Denial Letter Mailed:
Approved b • ai &1
Date of Approval:
Cond M* n(s
8"Must meet and maintain setbacks from rthest extension of structure including eaves and
ove_jhangs.
For personal storage only.
❑ Fpr personal residence only.
Not for human habitation or sleeping purposes.
[y V 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).
❑ 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.
❑ Sjgt 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.
0 RV allowed for
❑ Ry'ffiust 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
A 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:
FALTER, DANA L LU-02409
2515 RANKINSON RD
BRULE, WI 54820 Transaction Number:
LU-02409-49833
Description Amount
Non -Habitable Residential Principal and Accessory $256.00
Structures - $0.20/square foot (minimum $75)
Total: $256.00
Payment Amount: $262.09
Reference: 4138011065
Paid by: Dana Falter
Payment Type: Credit Card
Transaction Date: 7/23/2026
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 -
SPECIAL A -
SPECIAL B/CONDITIONAL —
BOA —
No. 26-0364 Tax ID: 38115
Issued To: FALTER, DANA L
Location: S29 - T48N - R09W
Town of Oulu
Legal Description: E 1/2 SW IN DOG 2019R-579647
BAYFIELD COUNTY
PERMIT
WEATHERIZE AND POST THIS PERMIT
ON THE PREMISES DURING CONSTRUCTION
Residential Structure in A-1 zoning district
For: New Construction [1.5 - Story ], Accessory Structure on a Slab [1280 Total sq. ft. ] Height of 16' 8"
(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 23, 2026
Date
Condition(s): Must meet and maintain setbacks from furthest extension of structure including eaves and overhangs.
For personal storage only.
Not for human habitation or sleeping purposes.
Town/State/DNR/Federal may require permitting.
To be constructed per plan.
No sewer and pressurized water allowed in the structure.