HomeMy WebLinkAbout26-0377Return to:
1171 5t^ Street, PO Box 58 Bayfield County Planning and Zoning Department
Washburn, WI 54891 LAND USE PERMIT APPLICATION
permits@bayfieldcounty.wi.gov
County Use Only:
Submission #:Ly._Oa 30
Permit#: �� 1
Date: 3 o J -ad
SECTION A: General Information
Property O r �1ame nos
Authorized Agent Name (if applicable):
RECEIVED
Telephone Number:
Telephone Number:
E -mil Ad
s:
E -Mail Address: JUN 06 2026
I)&kbin�y&I1civ4ersnct
Mania Address:
3 �6 2IS� f
Mailing Address: Planning and zoning Agency
C)ty, State,
0
�� S C� Sv
City, State, Zip:
lZip:
C o ctor:
Sgke ≤orai 5 -fig
Telephone Number:
7/.S -Z`1L -GZ33
E -Mail Address: I-
5of'"2i'ISCh kkeg /na1 L ccrH
SECTION B: Property Information
Project Address
(if different from mailing address)tjc ,
y 3
Legal Description (if additional space is needed attach a separate sheet):
Section, Township, Range: 5, R I L Lf
/ R 09 w
Town of: Ibarn eS
Tax ID #: j cJ (,(2 ?
Lot Size (Acres/Square Feet): . G
SECTION C: Project Information (check all that apply)
Project Use is: pl Residential ❑ Commercial ❑ Municipal If Commercial, estimated cost of construction: $
Project Type is: ❑ New Construction m Addition/Alteration (existing structure)
❑ Change Use (existing structure) ❑ Relocate (existing structure) ❑ RV Placement 21+ days
❑ Sign ❑ Establishing a Business ❑ Temporary (12 or less months)
❑ Shoreland Grading, Class A ❑ RV Placement 4+ months, Class A ❑ Other (describe):
required (Total sq II): required
SECTION D: Structure Information (Does not apply to RVs and Signs, go to Section E)
Structure Type is: 'Residence ❑ Principal Structure (describe):
❑ Accessory Structure (describe): 0 Shoreland Exempt Structure (describe): 0 Mobile Home (provide manufactured
date):
❑ hipping Container ❑ Other (describe): kciA154pin --D e�cls�h j Cci b4i
Foundation Type:
0 Basement ❑ Walkout Basement 0 Slab JZ Crawlspace 0 Ground ❑ Skids ❑ Other (explain):
Existing Structure: Length: 9 Width: 2 Height:
Proposed Structure (Provide Sq. Ft bas d on utside dimens/ ns, / cludi gunfinished areas, attached garages/above grade
decks/ orches): 3 S 1 Lt✓ SGreen p/,e� 6G
Basement Sq Ft:
1" Floor Sq Ft:
Lot Sq Ft:'
2v° Floor Sq Ft:
3"° Floor Sq Ft:
Garage Sq Ft:
Porch `q3
/
Deck Sq Ft: r�
Other Sq Ft (describe):
Other Sq Ft (describe):
Total Sq Ft: . 9 y
I Overall Height (finished grade to peak): j -
# of Stories: ,
Existirig # of Bedrooms on property:.a
Proposed # of Bedrooms in project: a o., -A
SECTION E: RV and Sign Information (check all that apply)
Sign is:
RV is:
❑ New ❑ Replacement
❑ New ❑ Replacement
❑ On -premise ❑ Off -premise
❑ I -sided ❑ 2 -sided
Year: Vin #:
❑ On -building ❑ Multi -Tenant
Length: Width: Height:
Make: Model:
Application Page 1
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) ❑ Septic Tank (Si') ❑ Drain Field (DF)
❑ Holdin Tank (HT) ❑ Privy (P) 0 Lake ❑ River [Stream/Creek ❑Pond ❑Flood lain OWetlands L]Slopes over 20%
€9-
47
fit_.
arty _f t ly
"�
`Jt.
er►� �
P CAfl 1
l-�'' �•;`'�
REcE;VED?3)
JUN 0825
• eayrieid 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
ft.
ft.
Notes/Comments:
Front Lot Line/Right-of-Way
ft.
ft.
Side Lot Line 1
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
Z ft.
ft.
Drainfield
n, s ft.
ft.
Privy
ft.
ft.
Well
E) 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
Neal O'Shaughnessy
Application to Bayfield Co.
May 31, 2026 at 7:49:42 PM
Jake Sorensen
RECE'+VED
JUN 087075
d Co.
Planning and lZoning Agency
SECTION l' AAdditiunut Questions _ _- - „I, 'Jilt' ill Ili. h r rplcicd'
,.;I I ,I Iik(11 Ill
7o) \, Ina. tilt6., man, I tic pr p 1 ' i- , „I I : hid l .,
Non•: Ibc llu uhtm(sand ern L'tthin Ilri hi'! ullrurynedllsdblcl. ,;, pa
- \ ! Iii l , hcrn , l to ,,,r Imrl, iii amens iiPr p-ti',1!1s` • _ — -
vrrhe..,ren Int_nna•i_n Ire, required —
Ya. hid Fn•prm „once it ii i tr:ml fired ,I nil tl•l it Prolcrl is within i(1 Wet orrequired stlh.Ick. ` P �
•,,.f c.,• Annlirni n hn nn9' n llit required setback.. pmd I
1 e, _ \•• I, there an fa
Iletinfield
lull'!"'' Hem nn Ililt'pn+pens . I a �w
-- ....,. ,n,l Puhlic_; (iii
\• \fill pressurind water be
Io m;mace waate"..tCC
orainlidd - IInIJi,
Ilse
____
system will he inslallaJ ,yr n.c,I
epproa:d
....a _
ys Ye, - \„ Will sleeping oc or In the slmclurr.' 11 yes. runtie I Ii __ _ .
o Mail I,,: OR Fr Email Io:
Ihtpern' Owner Address O/
•1nehiS er o. mahlt: - *ura) sj+ent a'd "ell in
O Other (provide name and email or :mure.+p
.Address N Contractor Address
mcamn:menu _
$Rtirm - __ 417Yt
Alt Laud Permin sceptre T ss o l''-1 Yean from dle date of issuance if construction or use has not begun
if r.
issu nce. if equirei marl to occur prior to I -and Use Permit issuance. Failure to obtain a permit or starting canswctinn without .,
permit will result in penalties.
The local Town. village. City. Sate or Federal agencies may also require permits. The new construction of one- & nro-iamih) Uniform Dwelling Code adwellings rufres nd Iwo -family dwellings may require review and approval view theanapproval by the UDC authority. All municipalities are required to enfbC) authority. Additions and alteration,, trce the
UDC.
1i sut+iect property is part of a Condominium Plat, applicant hereby certifies and representsthat applicant alrequirementslecssary set lamb
approvals and recorded donrmen,s required to complete the project for which this permit sought including
in \005' 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, Inkes, and swam,-.
wetlands that are not associated with opal 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 N,allm!
Resources wetlands identification web page, dnr.i eovilnnielwedands, or contact a Department of Natural Resources sen ice
center (715)685-2900.
I use) declare that this application, including my accompanying information, has been examined by me (us) and to the be.l
(ourl knowledge and belief it is true, correct, and complete. I (we) acknowledge that I (we) am (are) responsible for the detail :mat
accuracy of all information that I (we) are providing and that will be relied upon by Bayfield County in detemlining wheth III
issue a permit. I (we) further accept liability which maybe a result of Bayfield County relying on this tntbnuatiou I use 1 arc
providing in or with this application. I (we) consent to county officials charged with administering county ordinances to ban e
access to the above -described properly at any reasonable time for the purpose of inspection.
Owner(s) or Authorized Agent Printed Name:
Owner(s) or Authorized Agent Signature:
NOTES:
I era,..., dnn;no an behalf of the ov
—I
52
46'
A-31
I
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W
a
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l.AMf KA l
RECEIVED
JUN 082026
Applicant Checklist
Bayfie&d Co.
Yes
❑ No
Will new electrical installation occur with project/structure? If yes, contact fate or mspe r quirements.
Yes
0 No
Will new plumbing installation occur with project/structure? If yes, contact State for inspection requirements.
❑ Yes
t No
Is the project/structure to be used for commercial purposes? If yes, contact the State of Wisconsin Commercial
Buildings & Structures to determine if they review and approval.
❑ Yes
No
Is the project located in the Floodplain? If yes, additional materials and fee will be required. Reference the
FEMA Map (https://msc.fema.aov/t)ortal/home) and Title 13, Chapter 2 of Bayfield County Zoning Ordinance
(https://www.bayfieldcounty.wi.gov/7 1_1/Title-I3---Zonin -Code .
Yes
0 No
Is the project located in the Shorelands, within 300 feet of a river/stream OR landward side of floodplain OR
l .
1000 feet of a lake/pond/flowage (whichever is greater)? If yes, shoreland regulations will apply.
Yes
❑ No
Is your property a waterfront lot and will any part of your project be located within 300 feet of the water OR is
your entire lot located within 300 feet of the water? If yes to either, complete and include Impervious Surface
Form (https://www.baytieldcount-y.wi.gov/DocumentCenter/View/3 159/1mervious-Surface-Pi)P .
❑ Yes
"No
Are there wetlands on the property. If yes, wetland regulations will apply. A 25 -foot setback is required to any
mapped wetlands. Reference Department of Natural Resource Surface Data Viewer Map
(hnps://dnrrnaps.wi.gov/I-I5/?ViewerSWDV).
❑ Yes
❑ No
If applicable, did you contact the road authority to see if a driveway permit or regulations apply to placement of
driveway?
Yes
❑ No
Was the property purchased recently? If yes, include a recorded deed. A copy of recorded deed can be acquired
from the Bayfield County Register of Deed's office.
Yes
❑ No
Is a site plan included with all information requested on Page 1 of the Land Use Permit Application
Information? If no, a site plan with all applicable information on Page 1 is required for all submissions.
Yes
❑ No
Is a floor plan(s) included with all information requested on Page 4 of the Land Use Permit Application
Information? Floor plans are required for residences, commercial buildings, or additions/alterations to these
structures.
Yes
0 No
If structure is in Shorelands, have building elevations with all information requested on Page 5 of the Land Use
Permit Application Information been included?
❑ Yes
No
Is this application to correct a violation or has the project already commenced? If yes, at minimum an after -the -
fact fee will apply. If not rmittable the structure will need to be removed.
Yes
❑ No
If addition, does the existing structure meet required setbacks, see Page 2 of the Land Use Permit Application
Information? If no, be aware that it is the property owner's responsibility to show the structure was legally
placed and there may be limitations to expansion of the structure, see Bayfield County Section 13-1-40
(httos://www.bayfieldcountv.wi.gov/7 .wi. ov/711/Title-I3--Zonin 3--Zoning-Code).
❑ Yes
❑ No
Is the use of the project/structure allowed per Bayfield County Section 13-1-62
(https://www.bayfieldcounty.wi.gov/71I/Title-13---Zoning Codc). If no, be aware it is the property owner's
responsibility to show the use was legally established and there may be limitation to expansion of the use, see
Bayfieldfleld County Section 13-1-40 (https://www.bayt eldcount.wi, ov/711/Title-13---Zonin -Code.
Yes
❑ No
Have all fees been included with the completed application? See Fee Schedule on website
(https://www.bayfeldcounty.wi.pov/1389/Fee-Schedule). If no, all applicable fees need to be paid before permit
can be issued.
❑ Yes
No
Is property owned by multiple owners or is someone aside from the property owner applying? If yes, a Letter of
Authorization Form needs to be included. Form available on website
(https://www.haylieldcounty.wi.gov/ 1340/A lications-Forms .
❑ Yes
❑ No
Is property owned by a Trust or Business entity (LLC, Corp., etc.)? If yes to either, an Affidavit of Authority
needs to be included. Forms available on website (j1ups;//www.baylieldcounty.wi.gov/l 340/Applications-
Forms .
Yes
❑ No
Is Land Use Application completed and signed?
Land Use Permit Application Information Page 6
SIDE VIEWSBUILDING ELEVATIONS: Minimum document size of 8 Y2" x 11" and shall not exceed 11" x 17"
Provide side views/building elevations of all sides of the exterior, of the proposed structure. Elevations drawings must be:
• Dimensioned or scaled using an engineering scale (i.e.: 1 inch =10 foot) or architect scale (i.e.: 1/4 inch =1 foot)
• Elevations show the level at which the ground (finished grade) meets the building and the overall height to the
peak. Walkout basements should be shown and included in the overall height from the finished grade to peak of
the roof.
• The views shall accurately reflect the overall size/dimensions, wall height, roof pitch, appearance, doors/windows,
etc.
ELEVATIONS EXAMPLE
TCPOQ!tt . C7• -o''
's 0
MAN -o"
BAGK ��i�Tttx� C �i�tk�' B�AS��yENT
1/81J`0"
TOP CF M0F
tlL
LII
TOP OF WML f? LO
IH LEVEL '-o"
Lg L Q1,,O11
SIDE St,IEyf4f%aN
L.J 1
1 )ft 1 _ ► e _.�
-
Land Use Permit Application Information Page 5
Bayfield County
Impervious Surface Calculations
RECEIVED
JUN 20 2026
PaYie!U Co.
These calculations are REQUIRED per WI Admin Code NR 115.05(1)(e) and Section 13.1-32(g)12h&r42-1-
40(h) of the Hayfield 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.
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 Owners)
John & Neil
O'Shaughnessy
Mailing Address
Property Address
3906 N 21 St. Superior, WI
1955 Smart Road
Legal Desuon
Section, Township, Range
114,
114,
Sec 18 Township 44 N, Range 9 W
Aulhonzed Aoer,HContractor
1 Gov't Lot
Lot
CSM#
Vol 8 Page
Nelson Surveying, Inc.
2 12
1971
Lot(s) #
BiocY.rsI #
Subdivision
Town of:
Barnes
Parcel ID 5 (PIN t)
004-2-44-09-18-1 05-002-09000(2123
Tax ID # I
Date: 5/29/25
Impervious Surface: An area that releases as runoff all or a majority of the precipitation that falls on it.
"Impervious surfaceexcludes frozen soil but includes rooftops, sidewalks, driveways, parking lots and streets
unless specifically designed, constructed and maintained to be pervious.
Calculation of Impervious Surface: Percentage of impervious surface shall be calculated by dividing the
surface area of existing and proposed impervious surfaces on the portion of a lot or parcel that is within 300
feet of the ordinary high water mark by the total surface area of the lot or parcel, multiplied by 100.
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 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 Sectlon(s) 13-1-32(g) and Section 13-1-40(h), the property owner
may do any of the following:
a. Maintenance and repair of all Impervious surfaces:
b. Replacement of existing impervious surfaces with similar surfaces within the existing building footprint;
c. Relocation or modification of existing impervious surfaces with similar or different impervious surfaces,
provided that the relocation or modification does not result In an increase in the percentage thasetback
t existedon the effective date of the county shoreland ordinance, and meets the applicable
requirements in Section 13-1.32.
Impervious Surface Item Dimension
Area (Square Footage)
Existing House
3 Lf )
161l
Existing Accessory
SIr l Cj L 7y1? /4-
Building/Garage
LZA 2 St
Existing Sidewalk(s), Patio(s) &
f ec,I I x 3Z yre."e.»'t,
Deck(s)
Existing Covered Porch(es),
/ii.
0
Driveway & Other Structures
P
Proposed Addition/House
Add,'iQan )'r
'
Cl6
Proposed Accessory
kiJhi I L K LB on +o
,733 s(
BuildinglGarage
(J
I)N202
Proposed Sidewalk(s) & Patio(s)
Proposed Covered Port t(es) &
Se. rleer� p w�h �'
a ed
/ / �pO P anr.!n(t and Zcnin
I O
Deck(s) t
11 1 b H$ IO L 3, 1
Proposed Driveway
L wI (h,, t lor7
o r2 r.-"
Proposed Other Structures
To 3 -}e 9 1
1/O
Total:
Z(jc
a. Total square footage of lot: 'LC, UUP
b. Total impervious surface area: ? Lay �
c. Percentage of impervious surface area: 100 x (b)/a = / 7, 6
If the proposed impervious surface area is greater than 15% mitigation is required.
Total square footage of additional impervious surface allowed: @ 15% @ 30%
Itmrance Information (County Use Only)
oats d Inspection:
"Specum Re rd.
V Iet Clt'hcalior I
Candnionls). /y
t lv vLk (�
a5ca•i i!/"
Stormtvater
,
6 -1D
G /
Management Plan Required:
�t��''pp
9 'vp'[
l I yes C1 No
rw{nan/re d umpezty'
Oete d Appoeel:
____
V-
u/(enm/ mperJqus5uliace
Created May 2012 (#Apr 2016, Sept 2020) Proofed by: —
126
Agency
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6116/28; 7:57 AM
5 11 Real Estate Bayfield County Property Listing
r 'Today's Date: 6/16/2026
Novus-Wisconsin Access rev. 12.0206 S�
Property Status: Current
Created On: 6/11/2025 3:54:01 PM
Ill Description
Updated: 3/2/2026
a Ownership Updated: 6/11/2025
Tax ID:
39607
NEIL B O'SHAUGHNESSY JR SUPERIOR WI
PIN:
04-004-2-44-09-18-1 05-002.09100
Legacy PIN:
Billing Address: Mailing Address:
Map ID:
NEIL B O'SHAUGHNESSY JR NEIL B O'SHAUGHNESSY JR
Municipality:
(004) TOWN OF BARNES
3906 N 21ST 3906 N 21ST ST
STR:
S18 T44N R09W
SUPERIOR WI 54880 SUPERIOR WI 54880
Description:
LOT 1 CSM 2404 IN DOC 2025R-607730
BEING IN GOV LOT 2 691C IN DOC
P Site Address * indicates Private Road
2026R-611060
Recorded Acres:
0.940
1955 SMART RD GORDON 54838
Calculated Acres:
0.000
Property Assessment Updated: N/A
Lottery Claims:
0
First Dollar:
No
2O26 Assessment Detail
Zoning:
(R-1) Residential -1
Code Acres Land Imp.
ESN:
104
N/A
19 Tax Districts
Updated: 6/11/2025
2 -Year Comparison 2025 2026 Change
1
STATE
Land: 0 0 0.0%
04
COUNTY
Improved: 0 0 0.0%
004
TOWN OF BARNES
Total: 0 0 0.0%
041491
SCHL-DRUMMOND
001700
TECHNICAL COLLEGE
L-dI Property History
y. Recorded Documents Updated: 3/15/2006
Parent Properties Tax ID
® QUIT CLAIM DEED
04-004-2-44-09-18-1 05-002-09000 2123
Date Recorded: 2/18/2026
2026R-611060
.r ,j�i
® CERTIFIED SURVEY
MAP
_ tJ
c/
1 /p
Date Recorded: 6/4/2025
2025R-607730
® CONVERSION
/
Date Recorded:
573-140;675-235;726-258
)
21J�, �/;;„I, �s �� - g,/
/1 y�r
/
HISTORY 0 Expand All History White=Current Parcels Pink=Retired
Parcels — fdo�j4I ' /eQVC
39607 This Parcel T Parents 1W Children
lz-/tYf3 -W%'-
5p
773f- 13-
f;
I �1
X15 13 ` IBC V 8O - q, /3-r-- 4r
t' )at7_ pNNo -
Jay /`(3 j)f fl -on) -
https:/Inovus.bayfieldcounty.wi.gov/access/master.asp?paprpid=39607 1/1
Land Use Permit Application Review Checklist
Submission #: 2359
Wat zoning district is the project located in?
,tR-1 ❑ R-2 ❑ R-3 ❑ R-4 ❑ R-RB ❑ C ❑ 1 ❑ M ❑ A-1 ❑ A-2 ❑ F-1 ❑ F-2 ❑ W ❑ M -M
❑ Yes o
Is lot substandard (does not meet current zoning dimensional requirements)?
Deed of record:
es ❑ 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)?
es ❑ No
Is impervious surface required? (Required if riparian lot OR lot is entirely within 300 feet of OHWM of
navigable waterway) G ca? /f.
❑ Yes o
Is the project located in the F oodplain? Zone:
❑ Yes o
Are there wetlands on the property?
❑ Yes 11to
Is project associated with a nonconforming use or structure?
❑ Yes Flo
Is project associated with a variance? Case #:
❑ Yes No
Is project associated with a Special B or Conditional Use Permit? Permit #:
❑ Yes WJo
Is the project associated with a Special A Use Permit?
Yes 0 No
Does the project require sanitary?
4isting O New ❑ Intercept ❑ Reconnect ❑ Non -Plumbing O Public
Sanitary Permit #: # of Bedrooms: 3
❑ Yes pllo
Does the project require mitigation?
Implementation Deadline: Date of Compliance:
❑ Yes p�No
Does the project require an affidavit? Affidavit #:
❑ Yes j 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? ❑ New Construction Addition/Alteration ❑ Change Use ❑ Relocate ❑ RV Placement ❑ Sign
❑ Establishing a Business ❑ Temporary ❑ Shoreland Grading ❑ Other, describe:
Structure Type is: l ,R6sidence 0 Principal Structure ❑ Accessory Structure 0 Boathouse (one story only)
❑ Open-sided/Screened Structure (gazebo, etc.) O Stairway to navigable waters ❑ Mobile Home
❑ Shipping Container O Other, describe
Total Sq. Ft. of Project: 94,6 Number of Stories: Overall Height:
Fee Type
Calculation
Fee Amount
15 Habitable Residential Principal and Accessory
Structures - Enclosed Areas — all enclosed areas within
dwelling except attached non -habitable garages
—
$0.50 x 3sq ft
(minimum $125)
$ ' 77rat
7 Dwelling Unenclosed Areas (decks, patios, etc.) or
Attached Non -Habitable Garages
$0.20 x s ft
q
(minimum $125
$ �m
❑ 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 ❑ Land Use Revisions 0 Special Use Permit - Class A 0 Floodplain Shoreland - Impervious
Surface O Shoreland - Non -Conforming, etc. 0 Tower Siting/Collocation 1 ❑ Tower Collocation 2 O Metallic Mine
❑ After -the -Fact (ATF)
I $
M
Inspected by:
Date of Inspection
Re -Inspected by:
Date of Re -Inspection:
Denied by:
Date of Denial:
Reason for Denial:
Date Denial Letter Mailed:
Approved by:
Date of Approval:
Condition(s):
❑ Must meet and maintain setbacks from furthest extension of structure including eaves and
overhangs.
❑ For personal storage only.
For personal residence only.
❑ Not for human habitation or sleeping purposes.
g Town/State/DNR/Federal may require permitting
Uniform Dwelling Code (UDC) Permit from the locally contracted UDC Inspection Agency must be
obtained prior to the start of construction.
O 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.
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
❑ 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 nick
I3' 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:
O'SHAUGHNESSY, NEIL B JR LU-02330
3906 N 21ST ST
SUPERIOR, WI 54880 Transaction Number:
LU-02330-4774D
Description Amount
Shoreland - Impervious Surface $25.00
Habitable Residential Principal & Accessory $176.00
Structures - enclosed areas $0.50/square foot
(minimum $125)
Habitable Residential Principal Structure - $118.80
unenclosed area or non -habitable garage
$0.20/ square foot (minimum $125)
Total: $319.80
Payment Amount: $327.41
Reference: 1410663585
Paid by: Jacob Sorensen
Payment Type: Credit Card
Transaction Date: 7/30/2026
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 — Yes / Impervious Surface — Yes
Floodplain — No I Wetlands — No
Mitigation — No / Affidavit #:
Iu11ufs1s 1
SANITARY — Existing 13-134S
SPECIAL A —
SPECIAL B/CONDITIONAL —
BOA —
No. 26-0377 Tax ID: 39607
Issued To: O'SHAUGHNESSY, NEIL B JR
BAYFIELD COUNTY
PERMIT
WEATHERIZE AND POST THIS PERMIT
ON THE PREMISES DURING CONSTRUCTION
Location: S18 - T44N - R09W
Town of Barnes
Legal Description: LOT 1 CSM 2404 IN DOC 2025R-607730 BEING IN GOV LOT 2 691C
Residential Structure in R-1 zoning district
For: Addition/Alteration [1 - Story ], Residence on a Crawlspace [946 Total sq. ft. ] Height of 20'
(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.
Tracy Pooler
Authorized Issuing Official
July 30, 2026
Date
Condition(s): 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.