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HomeMy WebLinkAbout26-0365Return to: 117 E 5's Street, PO Box 58 Washburn, WI 54891 permits Cd bavfleldcounty.wl.aov Bayfleld County Planning and Zoning Department LAND USE PERMIT APPLICATION County Use Only: Submission #: LU-O�iIO Permit #:ab U 3(P Date: 'IaiI202b SECTION A;'GeneralInformation - Property Owner Name: /Lj Ti GGO Authorized Agent Name (if applicable): ejji'E Ep -m4., Q�t ,t'.t Tone .1(/ n7 Telephone Number: rips/ '/02 labs/S Telephone Number: s'GZ oaf E -Mail Address: J. Y-.'//0 fSo n !a Z L" 5A-i4//.co l c E -Mat` Address: lyar'k kt ✓ ei r d(L? 4t4/l. Cw Mailing Address: t1(? Frrlvtr-i,2 -2) ST NE Mailing Address: EG 2 — / 4a-,2i✓-cL d /�£Pn'c.t °✓ City �State, Zip: � City, State, Zip: Sr! Contractor: I 'z/a£ % sotil J Telephone Number: ?-i S7oZ co V5' I E- ail Address: qr/ci^ir/e, icattoJG SECTION B: Property Information Project Address (if different from mailing address): rg? /5l 9c �Or K �-�.l-d' eh J Legal Description (if additional space is needed attach a separate sheet): /-t/_r' PG�-f.E .�tif k'J`�L�lyf Section, Township, Range: a. - Town of: C, oVe-r Tax ID #: e}- 0 q O Lot Size (Acres/Square Feet): SECTION C: Project Information (check alt that apply) Project Use is: Residential ❑ Commercial ❑ Municipal If Commercial, estimated cost of construction: $ Project Type is: 0 New Construction Addition/Alteration (existing structure) ❑ 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 0 RV Placement 4+ months, Class A 0 Other (describe): required Total sq ft): required SECTION D:.Structure Information (Does not apply to,RVs anriSigns, go to Section B) Structure Type is: `aktesidence 0 Principal StmctuJtcitJ)V ED ❑ Accessory Structure (describe): 0 Shoreland Exempt Structure (describe): ❑ Mobile Home (pro i e "" M date): ❑ Shipping Container 0 Other (describe): Bayfield Co. Planning and Zoning Agency Foundation Type: ❑ Basement 0 Walkout Basement Xiab 0 Crawlspace 0 Ground 0 Skids 0 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): ZZ F Basement Sq Ft: I I" Floor Sq Ft: c-' Loft Sq Ft: 2q° Floor Sq Ft: 3rd 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 #olaedrooms on property: Proposed # of Bedrooms in project: SECTION E: RV and SI Information (check all thatal Sign is: RV is: ❑ New 0 Replacement ❑ New 0 Replacement ❑ On -premise ❑ Off -premise ❑ I -sided 0 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 1 & 2 of Land Use Permit Application Information for information that is required to beprovided on site plan) Show location of: ❑ Driveways O Frontage Roads (include name) O Existing Structures O Well (W) O Septic Tank (Si') ❑ Drain Field (DF) ❑ Holding Tank O Privy O Lake O River ❑Stream/Creek OPond ❑Flood fain OWetlands OSlopes over 20% N 17Rrt rti pa r t D du g><5 SGeW 12' fib, 241 RECEIVED � l 3° -_ 5 -tsr5 JUL 082026 D �dLGl7j sayfield Co. __ +id. rt,a T _ - — 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 /0 O.ft. ft. Notes/Comments: !r ` ( e („ _ c' D'C v Nl�' CC ftKJ j6 l'J� U -e Front Lot Line/Right-of-Way ft. ft. ' of Line 1 ort ast South West, circle one) .254- g, i e Lot Li ft. ft. (North Ea Sou West, circle one $ D F , qV ?3t2 (3) Rear LotLiae ft. Septic/Holding Tank ft. 10 ft. Drainfield ft. ft. Privy ft. ft l C� t41(� . (xtG' Well ft. lot ft. Existing Structure/Building ft. ft. Wetland ft. — ft. Elevation of Floodplain ft. ft. OrdinaryHigh-Water Mark (OHWM) ft. ft. �- qe Other (describe) ft. ft. "t Application Page 2 IN SECTION • Additional Questions ❑ Yes No Has the location of the proposed project' been staked? If no, what date will this be completed: 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 f et of required setback? See page 2 of Land Use Application Information for required setbacks. N A ❑ Yes ❑ No Did property owner or applicant mark lot line(s) if project is within 30 feet 9f required setback? See page 2 of Land Use Application Information for required setbacks. ,— Yes O No Is there an existing sanitary system on the property? If yes, what kind? O Drainfield 'Holding Tank ❑ Municipal/Public ❑ Other (describe): ❑ 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? O Drainfield O Holding Tank ❑ Municipal/Public O Other (describe): ❑ Yes g'No Will sleeping occur in the structure? If yes, contact local Uniform Dwelling Code (UDC) for approval and inspection requirements. Nofr 1,4 5, de d /.r 5J 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) O Cash (attached) O debit/credit/echeckdepartment to call once payment is ready to be taken) How would you like to receive your permit card? �o p %Mail to: OR Email to: ..J.'3`t'! It, fl.., ( aSj4-tc ii. Co'/tit J m2/ e XProperty Owner Address O Agent Address O Contractor Address O Other (provide name and email or 2d addres: 'Include caves, overhangs, sanitary system, and well in staking measurements QtiLG ' Section M:.Ackrtowled ementand,Si tature. 4 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 Q.t;<ptily dwellings by the local Uniform Dwelling Code Additio W requires review and approval (UDC) authority. one - and two-family dwellings may require review and approval by the UDC authority. All municipalities are required to enforce the uDc. JUL082026 If subject property is part of a Condominium Plat, applicant hereby certifies and represents that applicant hessary approvals and recorded documents required to complete the project for which this permit is sought iQRlftglaIflrom9s9peaeq 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.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 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 Hayfield 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: v" IL '' '1O *SO nJ f Owner(s) or Authorized Agent Signature: n4(._- N' te• NOTES: 1. 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 L Application Page 3 Bayfleld County Impervious Surface Calculations These calculations are REQUIRED per WI Admin Code NR 115.05(1)(e) and Section 13-1-32(c) and 13-1-40(h) of the Bayfield County Code of Ordinances. The undersigned hereby makes application for construction, reconstruction, expansion, replacement or relocation of any impervious surface within 300 feet of the ordinary high-water mark and agrees that all activities shall be in accordance with the requirements of the Bayfield County Code of Ordinances and all other applicable ordinances and the laws of the State of Wisconsin. The calculations are also REQUIRED in the case of a land division where the lot to be created or reconfigured will be reduced In lot area. Pursuant to Chapter 1, Title 13, Section 13-1-106(d) of the Bayfield County Zoning Ordinance(s), Planning and Zoning Department employees assigned to inspect properties shall have access to said properties to make inspections. Property Owner(s): John and Amy Tillotson Mailing Address: Property Address: 2719 Garfield St NE Minneapolis, MN 55418 89715 Bark Point Road Herbster, WI 54844 Legal Description: Section, Township, Range See attached memo 114, 1/4, Sec Township N, Range W Authorized Agent/Contractor GoVt Lot Lot # CSM# Vol & Page Lot(s) # Block(s) # Subdivision Town of: Parcel ID # (PIN #) Tax ID # Date: 04-014-2-51-07-26-1 05-004-60000 014-1093-07000 07/07/2026 RECEIVED JUL 08 2026 Impervious Surface: An area that releases as runoff all or a majority of the precipitation that falls on It. "Impervious surface' excludes frozen soil but Includes rooftops, sidewalks, driveways, parking lots and st eets t specifically designed, constructed and maintained to be pervious. Impervious surface standards shall aF tt9 tflez8MOttflt h, reconstruction, expansion, replacement or relocation of any impervious surface that is or will be located within 300 feet o₹ the ordinary high water mark of any navigable waterway on any riparian lot or parcel and any nonriparlan lot or parcel that Is located entirely within 300 feet of the ordinary high-water mark of any navigable waterway. Calculation of Impervious Surface: Percentage of impervious surface shall be calculated by dividing the surface area of the existing and proposed impervious surfaces on the lot or parcel by the total surface area of that lot or parcel and multiplying by 100. If an outlot lies between the ordinary high-water mark and the developable lot or parcel described in subd. 1. and both are In common ownership, the lot or parcel and the outlot shall be considered one lot or parcel for the purposes of calculating the percentage of impervious surfaces. Impervious Surface Standard: Allow up to 15% impervious surface but not more than 30% Impervious surface on the portion of a lot or parcel that is within 300 feet of the ordinary high-water mark. A permit can be issued for development or land division approved that exceeds 15% impervious surface but not more than 30% Impervious surfaces with a mitigation plan that meets the requirements of the Bayfield County Ordinance(s). Existing Impervious Surfaces: For existing impervious surfaces that were lawfully placed when constructed but that do not comply with the standards in Section(s) 13-1-32(c) and Section 13-1-40(h), the property owner may do any of the following: a. Maintenance and repair all impervious surfaces: b. Replace existing impervious surfaces with similar surfaces within the existing building footprint; c. Relocate or modify existing impervious surfaces with similar or different impervious surfaces, provided that the relocation or modification does not result in an increase in the percentage that existed on the effective date of the county shoreland ordinance and meets the applicable setback requirements In Section 13-1-22. Impervious Surface Item Dimension Area (Square Footage) Existing House 24' x 30' 720 Existing Accessory Building/Garage 24' x 24' 576 Existing Sidewalk(s), Patio(s) Existing Covered Porch(s), & Deck(s) Existing Driveway 10' x 280' 2800 Other Structures 12' x 16' 192 Proposed Addition/House 8'x 16 plus 8'12 224 Proposed Accessory Building/Garage Proposed Sidewalk(s) & Patio(s) Proposed Covered Porch(s) & Deck(s) Proposed Driveway Proposed Other Structures Total: 4512 a. Total square footage of lot: /13 , JSG RECEIVED b. Total impervious surface area: L% S/ Z JUL 08 2026 Bayfield Co. c. Percentage of impervious surface area: 100 x (b)/a = a% Planning and Zoning A�enry If the proposed impervious surface area Is greater than 15% mitigation is required. Total square footage of additional impervious surface allowed: @ 15% @ 30% (County Use Only) Date of Inspection:7fl / Inspection Record: Zoning District ( ) Condition(s): Stormwater Management Plan Required: D Yes &ND Signature of Inspector: fllii d Dateof .J u/farms/impervioussurface Created: May 2012 (®Sept 2016, Sept 2020, Feb 2026) Proofed by: nWNYID.REwNad Drg. No. 26-05-139thoMoROwI4wnil*y �wImMlJww°mw oq8u Adm •w+oC. CxM 0.0015 04 n0ro00204W YVY mp!ng.R1. Ul0040I OFI.lW COHS1nWiON NOT¢: I,OWtlNLOONCONIR.L00Mt0 N10161MCOMICO6ox8lIG jolts I.YAIINLLSI!%WTMNOrtoolx[Rrv9q NYue[MNp0F0, *4410(41 Sly b:JiH eIHnm M/Ww LN611PELOMFM.Ip4 *50044500 1. 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No. 2605-1332 Living Rm Kitchen Main Floor C 0 z H. r � _____ W 1x4Vn a�..rw,.w.w... r y tECEIVED IUL 08 2026 Bayfieid Co. Planning and Zoning Agen Second Floor Dispose of all waste malerW to Wlsrmdn tcens.E Iandfel fadiry. flak ➢a.ta Extreme Mppqiirpc ....a oma men. 7U U5o1. TS.Meg1 C O ca O C t3v cc 0 — O m N F Q i o v = 00 Scale: 1/4" = 141 APPROVED: WRE CHECKED BY: WRE DATE: 06-12-2026 Plan I Drg. No. 2605-7992 Em"cQ"plan, band. Extreme "..na ore.. Monee PYLO'5m9 .aenaan ww W.G[ttmeMeazv:npinvsam At 0OI ZI C O C S Q C CY Lb a fI, E -O +- o s > O ffe m M1 c' M ''gTn C 0 C 00 era I ,v_ - U a sn nap Scale: 1/4n =1' 0° APPROVED: WRE Adddon Existing Home Addition CHECKED BY: WRE r.xvann.uam w .aa.n,a.pr..r.ar RECEIVE DATE: 06-12-2026 Nols: AS dimensions areto outside of Concrete JUL 082026 Foundation Bay6eid Co. Planning and Zoning Agency Addition um+aar Existing Home Addition !t1 ' C} � No>E:IIalMetlw u0uhtl bmn 4wiletlon .. �m...w J$% r• Existing Home 11 /eS •ea.epal � •• Not: Comrol jolt es per AC'slanGert9 recmmntendee4 • w-. REi frdfl a erre5m Bea 1ya Planning t I €. _ __ c:, L. N,� New aath ' [ _________ xwr 5WWtlla < '.: ________________ DEWED 08 2026 (field co. d Zoning Agency Drg. No. 2&05-13S2 Man. D�tf. Extreme . W.M5 Wfim yoblle 7,5 -U. -5o,9 li55"5y51 WW W.ExR0R}5f15VrspluiRMN C O l`V C � � O� o� a C ltl O 0il— Q o C_ U Scale: 1/4" = APPROVED: WRE CHECKED BY: WRE DATE: 06-12-2026 Floor Plans Second Floor Dig. No. 26-05-1332 C O O E Q O LL Q In O O Y N 00 (U Scale: 1/2" = APPROVED: WRE CHECKED BY: WRE DATE: 06-12-2026 Cross Section Drg. No. 2BO5-1S3'2 Extreme ® ...L °mr. Meem nfansofi .unosaan WWW.6xlnmeMvifVlasYlinf,wm .w aV _ ® _____ Budeebw y woo. a.f. --. SOUTH ELEVATION M1YY.y Smle: 3/18' = 1'-0' (y RECEIVED .-_lti\Y1.NHVmWYtw�� __ MENOn C y a p EAST ELEVATION Cl) C JUL 082026 S°ale:'/4 -''-0 c 0 O M m Bayfield Co. Planning and Zoning Agency c t n n < I Ic .,.a .am, 1 C U • .°.,., e.,_, Scale: As Shown APPROVED: WRE ..°.. `— CHECKED BY: WRE """ !L- "" NORTH ELEVATION " � DATE 06-12-2026 i!tMfaMw-Ne.��- sw.: anc-r-0 ____ Elevations A08Wun` WEST ELEVATION Scale: 1/a = V-0 7/6126, 2:36 PM Real Estate Bayfield County Property Listing Today's Date: 7/6/2026 Novus-Wisconsin Access rev. 12.0206 Property Status: Current Created On: 3/15/2006 1:15:14 PM lae3' Description Updated: 5/5/2022 a Ownership Updated: 5/5/2022 Tax ID: 12090 JOHN H & AMY K TILLOTSON MINNEAPOLIS MN PIN: 04-0142-51.07.26-1 05-004-60000 Legacy PIN: 014109307000 Bi ing Address: Mailing dress: Map ID: JOHN H & AMY K TILLOTSON JOHN H & ANY KTILLOTSON Municipality: (014) TOWN OF CLOVER 2719 GARFIELD ST NE 2719 GARFIELD ST NE SIR: 526 TS1N R07W MINNEAPOLIS MN 55418 MINNEAPOLIS MN 55418 Description: PAR IN GOVT LOT5 3 & 4 IN DOC 2022R- 594351 703E 10 Site Address *Indicates Private Road Recorded Acres: 2.610 89715 BARK POINT RD HERBSTER 54844 Calculated Acres: 2.585 Lottery Calms: 0 91 Property Assessment Updated: 7/15/2019 First Dollar: Yes Zoning: (R RB) Residential -Recreational Business 2026 Assessment Detail ESN: 109 Code Acres Land Imp. G1 -RESIDENTIAL 2.610 132,300 90,500 g ty Tax Districts Updated: 3/15/2006 2 -Year Comparison 2025 2026 Change 1 STATE Land: 132,300 132,300 0.0% 04 COUNTY Improved: 90,500 90,500 0.0% 014 TOWN OF CLOVER Total: 222,800 222,800 0.0% 044522 SCHL-SOUTHSHORE 001700 TECHNICAL COLLEGE ,Q Recorded Documents Updated: 3/15/2006 M Property History © WARRANTY DEED N/A Date Recorded: 4/25/2022 202211-594361 is QUIT CLAIM DEED Date Recorded: 7/16/2018 201811-573683 Date Recorded: 328-466;477-169;478-202 RtC�IV�D JUL 082026 Planning bCoAgency hitps://novas.bayfieidcountywi.govlaccess/master.asp?paprpid=12090 1/1 7/10/26, 8:59 AM Novus-Wisconsin Access rev. 12.0206 Real Estate Bayfield County Property Listing Today's Date: 7/10/2026 4 Description Updated: 5/5/2022 Tax ID: 12090 PIN: 04-014-2-51-07-26-1 05-004-60000 Legacy PIN: 014109307000 Map ID: Municipality: (014) TOWN OF CLOVER STR: S26 T5IN R07W Description: PAR IN GOVT LOTS 3 & 4 IN DOC 2022R- 594351 703E Recorded Acres: 2.610 Calculated Acres: 2.585 Lottery Claims: 0 First Dollar: Yes Zoning: (R-RB) Residential -Recreational Business ESN: 109 I Tax Districts Updated: 3/15/2006 1 STATE 04 COUNTY 014 TOWN OF CLOVER 044522 SCHL-SOUTHSHORE 001700 TECHNICAL COLLEGE -V Recorded Documents ® WARRANTY DEED Date Recorded: 4/25/2022 ® QUIT CLAIM DEED Date Recorded: 7/16/2018 ® CONVERSION Date Recorded: Updated: 3/15/2006 2022R-594351 2018R-573683 328-466;477-169;478-202 Property Status: Current Created On: 3/15/2006 1:15:14 PM a Ownership Updated: 5/5/2022 JOHN H & AMY K TILLOTSON MINNEAPOLIS MN Billing Address: Mailing Address: JOHN H & AMY K TILLOTSON JOHN H & AMY K TILLOTSON 2719 GARFIELD ST NE 2719 GARFIELD ST NE MINNEAPOLIS MN 55418 MINNEAPOLIS MN 55418 11 Site Address * indicates Private Road 89715 BARK POINT RD HERBSTER 54844 ® Property Assessment Updated: 7/15/2019 2026 Assessment Detail Code Acres Land Imp. G1 -RESIDENTIAL 2.610 132,300 90,500 2 -Year Comparison 2025 2026 Change Land: 132,300 132,300 0.0% Improved: 90,500 90,500 0.0% Total: 222,800 222,800 0.0% N Property History N/A https://novus.bayfieldcounty.wi.gov/access/master.asp?paprpid=12090 1/1 Bayfield County, WI 7/10/2026, 8:59:30 AM 1:386 Rivers —] Approximate Parcel Boundary Lake Superior Shoreline Recession Segments The average annual rate of bluff recession in this reach of shoreline is approximately 0.5 feet. Flood Plain Boundaries Active Dec 16th, 2011 0 0 0.01 0.02 ml t t AE = Base floodplain where base flood elevations are provided. 0 0.01 0.01 0.03 km — Lake Superior Proposed Setback Line Building Footprint 2015 Building eaynee County Lend Bemrda Department Bayfield county Zoning Appllmtion MIpEutraptbayneldmunty wL gw/Zonng W A W DOCUMENT NUMBER Document Number AFFIDAVIT 2026R-61 3047 property (attach separate sheet agreement John Tillotson & Amy Tillotson See Attached Deed DANIEL J. HEFFNER REGISTER OF DEEDS BAYFIELD COUNTY. WI RECORDED 07/24/2026 AT 9:29 AM RECORDING FEE: $30.00 PAGES:3 Return to Bayfield County Zoning Based upon the Property Owners' decision and the Bayfield County Zoning Ordinance, the Planning and Zoning Department is authorizing a expansion to a non -conforming structure. o The structure's footprint was 1920 sq. ft. at the time of the structure became non -conforming. o A lifetime total of 960 sq. ft. is allowed o A 300 sq. ft. is requested at this time o A total of 660 sq. ft. remains for any future expansion(s). [Any future structural alterations shall require a land use permit] Article C, of Title 13, Chapter 1, Section 13-140 (d) (2) of Bayfield County Zoning Code - Improvement or Expansion of Non-Shoreland Nonconforming Structures. Non-shoreland nonconforming structures may be improved internally, externally, or expanded provided that: (d) Non-Shoreland Nonconforming Structures. (2) Improvement or Expansion of Non-Shoreland Nonconforming Structures. Non-shoreland nonconforming structures may be improved internally, externally, or expanded provided that: RECEIVED a. A structure that is nonconforming as to structural or dimensional standards may not be expanded or enlarged so as to increase its dimensional nonconformity. JUL 7 2021 b. Where practicable, additions to non-shoreland nonconforming structures shall conform to all applicable provisions of this Chapter. Bayfield in c. The lifetime total of all expansions shall not exceed fifty percent (50%) of PWnNp and Zoning Agency P the structure's footprint that existed at the time the structure became nonconforming; an owner shall provide documentation of the footprint of a structure at the time it became nonconforming, and any expansion shall be documented by recorded affidavit; and By signing this affidavit the owner(s) hereby agree that said permit inures to the benefit of, and said terms and conditions are binding upon, the owner(s) and all successors and assigns of the owner(s) interest in the property. This affidavit is made for the purpose of making the foregoing a matter of public record in the office of the Bayfield County Register of Deeds. Any violation(s) of the above provisions will result in enforcement actions. This affidavit is made for the purpose of making the foregoing a matter of public record in the office of the Bayfield County Register of Deeds. Any violation(s) of the attached provisions will result in enforcement actions. Each undersigned owner(s) of the above -described property agrees that a condition of being issued a land use permit for the construction of such a land use thereon, the owner shall cause all the attached requirements to be met. Printed Name(s) of Owner(s): .ThItn H. 7-iGLa-7'-so/1 Xi I,Lto-/-soxt Sign t e(s of Owner(s): q�V �/p ✓ v `91 L�--� / On this day of J 2024 nq^� Acknowledgment Stat of ______ f^ County Personally came before me on N l b AZ., ZC t, the alongside -named Tvhm L j4n.ct fir//olto to me known to be the person(s) who executed the foregoing instrument and acknowledged the same. Notary Public My commission expires on: r / R f ( 2O^]O KARILLEUTHNER Drafted By: Emily Macgillivray, Bayfield County Planning and Zoning Department l + NOTARY PUBUC MINNESOTA " My Commission Expires Jan. 31, 2030 This deed, made between the Linda Bergquist and Larry Bergquist Trust under Agreement dated June 18, 2018, and any amendments thereto, Grantor, and John H. Tillotson and Amy K. Tillotson, husband and wife, as joint tenants, Grantee, Witnesseth, That the said Grantor, for a valuable consideration conveys to Grantee the following described real estate in Bayfield County, State of Wisconsin: As Described in Attached Addendum/Exhibit A Parcel No. 04-014-2-51-07-26-1 05-004-60000 By executing this deed, Linda Bergquist and Larry Bergquist certify that they are the current and duly qualified and acting trustees of the Linda Bergquist and Larry Bergquist Trust under Agreement dated June 18, 2018, and any amendments thereto. This is not homestead property. DANIEL J. HEFFNER HAYFIELD COUNTY, WI REGISTER OF DEEDS 2022R-594351 04/25/2022 10:51AM TF EXEMPT #: RECORDING FEE: $30.00 TRANSFER FEE: $960.00 PAGES: 2 Return to: John H. Tillotson and Amy K. Tillotson 2719 Garfield Street North East Minneapolis, MN 55418 File No. 219749 RECEIVlp JUL 2)2026 Together with all and singular the hereditaments and appurtenances thereunto ;2$$.the said grantor warrants that the title is good, indefeasible in fee simple and free and clear of en' IR f119P except exceptions, reservations, easements and restrictions of record, and will warrant and defend the same. Dated this d 0'N` day of April, 2022. Linda Bergquist and Larry Bergquist Trust under Agreement dated June 18, 2018 By: Linda Bergq Tr By:,I,a•ry Bergq , rustee State of Wisconsin ) S.S. /Jslzlc.r.,( County Personally came before me this 2 0( day of April, 2022, the above named Linda Bergquist and Larry Bergquist to me known to be the person(s) who executed the foregoing instrument and hereby acknowledge the same.fillri PELA:.kF''.kGCCc, CLf-tiA;''"� This Instrument drafted by: z ?. NOTARY •';2 _ Notary Public, State of Wisconsin Michael S. Brandner = My Commission Expires: Gowey Abstract & Title Company3ic. ?u'�;•.•'°USL\G e OPwiSC. Bayfield County Register of Deeds Document # 2022R-594351 Page 1 of 2 File Number: 219749 ADDENDUM/EXHIBIT A A parcel of land in Government Lots Three (3) and Four (4), Section Twenty-six (26), Township Fifty-one (51) North, Range Seven (7) West, Town of Clover, Bayfield County, Wisconsin, described as follows: To locate Point of Beginning: commence at the intersection of the East line of said Section 26, with the waters edge of Lake Superior. Thence South 0° 28' 06" East (passing through an iron pipe at 55 feet) 866.07 feet to an iron pipe. Thence South 35° 45' West, 111.44 feet to an iron pipe. Thence South 470 44' West, 294.94 feet to an Iron pipe. Thence North 7B° 28' West (passing through an iron pipe at 543.15 feet) 570.15 feet to the waters edge of Lake Superior, which Is the Point of Beginning. Thence from said Point of Beginning by metes and bounds: South 78° 28' East (passing through an Iron pipe at 27 feet) 570.15 feet to an iron pipe. Thence South 47° 41' West 181.94 feet to an Iron pipe. Thence South 89° 03' West (passing through an iron pipe at 530.55 feet) 580.55 feet to the waters edge of Lake Superior. Thence Northeasterly along said waters edge 274.15 feet, more or less, to the Point of Beginning. RECEIVEb JUL 27 207S Bayfield Co. Planning and Zoning Agency Bayfield County Register of Deeds Document # 2022R-594351 Page 2 of 2 Inspected by: �/ Date of Inspection: C L c07/171909 - Re -Inspected by: Date of Re -Inspection: Denied by: Date of Denial: Reason for Denial: Date Denial Letter Mailed: Approved by: Date of Ap ro (. / Co ition(s): Must meet and mai ain setbacks fro furt est extension of structure including eaves and overhangs. ❑ FF personal storage only. Q For personal residence only. ❑ lyot for human habitation or sleeping purposes. Town/State/DNR/Federal may require permitting ❑ A Uniform Dwelling Code (UDC) Permit from the locally contracted UDC Inspection Agency must be obt ' ed prior to the start of construction. Lg A Uniform Dwelling Code (UDC) Permit from the locally contracted UDC Inspection Agency must be obit " ed prior to the start of construction (if applicable). l 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 p. must meet the requirements of Article E of the Bayfield County Zoning Ordinance. IQ'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. ❑ 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 El 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 Land Use Permit Application Review Checklist 'Submission #: What zoning district is the project cated in? ❑ R-1 ❑ 2❑ R-3 ❑ R-4 R-RB ❑ C DIEM ❑ A-1 ❑ A-2 ❑ F-1 ❑ F-2 ❑ W ❑ M -M ❑ Yep 4jo Is lot substandard (does not meet current zoning dimensional requirements)? Deed of record: Yes ❑ 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 O N Is impervious surface required? (Required if riparian lot OR lot is entirely within 300 feet of OHWM of navigable waterway) ❑ Yes jjo Is the project located in the Floodplain? Zone: Dyes No Are there wetlands on the property? Yes ❑ No Is project associated with a nonconforming use or structure? ❑ Yes iNa Is project associated with a variance? Case #: ❑ Yes o Is project associated with a Special B or Conditional Use Permit? Permit #: ❑ Yes No Is the project associated with a Special A Use Permit? Does the project require sanitary? O Existing O New O Interce t ❑ Reconnect ❑ Non -Plumbing O Public Sanitary Permit #: 0A41 a7 S # of Bedrooms: ❑ Yes No ❑ Yes No Does the project require mitig ion? Implementation Deadline: Date of Compliance: es ❑ No Does the project require an affidavit? Affidavit #: — Qy ❑ Yes ❑ No Did licensed surveyor mark lot line(s), if project is within 10 feet of required setback? ❑ Yes O No D' applicant/property owner mark lot line(s), if project is within 30 feet of required setback? Project use is? O Residential ❑ Commercial ❑ Municipal Project type is? ❑ New Construction Addition/Alteration O Change Use O Relocate ❑ RV Placement O Sign ❑ Establishing a Business ❑ Temporary ❑ Shoreland Grading ❑ Other, describe: Structure Type is: IN4esidence O Principal Structure O 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: 2tO 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 O %rI sq ft (minimum $125) $ 4 dN ❑ Dwelling Unenclosed Areas (decks, patios, etc.) or Attached Non -Habitable Garages 20 $0. x sq ft (minimum $12 $ ❑ Non -Habitable Residential Principal and Accessory Structures $0.20 x s ft q (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 O Land Use Revisions ❑ Special Use Permit - Class A O Floodplain Shoreland - Impervious Surface ❑ Shoreland - Non -Conforming, etc. ❑ Tower Siting/Collocation 1 ❑ Tower Collocation 2 ❑ ine ❑ After -the -Fact (ATF) $ 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. TILLOTSON, JOHN H & AMY K LU-02410 2719 GARFIELD ST NE MINNEAPOLIS, MN 55418 Transaction Number: LU-02410-4ABBF Description Amount Shoreland - Impervious Surface $25.00 Habitable Residential Principal Structure - $125.00 unenclosed area or non -habitable garage $0.20/square foot (minimum $125) Total: $150.00 Payment Amount: $150.00 Reference: 1205 Paid by: John & Amy Tillotson Payment Type: Check Transaction Date: 7/27/2026 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 — Yes Shoreland — Yes / Impervious Surface - Yes Floodplain - No! Wetlands - No Mitigation - No / Affidavit #: 2026R-613047 LAND USE -X SANITARY — Existing 247273 SPECIAL A - SPECIAL B/CONDITIONAL - BOA - BAYFIELD COUNTY PERMIT WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION No. 26-0365 Tax ID: 12090 Issued To: TILLOTSON, JOHN H & AMY K Location: S26 - T51 N - R07W Town of Clover Legal Description: PAR IN GOVT LOTS 3 & 4 IN DOC 2022R-594351 703E Residential Structure in R-RB zoning district For: Addition/Alteration [2 - Story ], Residence on a Slab [300 Total sq. ft. ] Height of 23' (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 27, 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. Use best management practices to limit and prevent erosion during construction. To be constructed per plan.