HomeMy WebLinkAbout26-0378Return to:
117 E 5th Street, PO Box 58
Washburn, WI 54891
permits@bayfieldcountv.wi.gov
County Use Only:
Baytield County Planning and Zoning Department Submission #: !J._0 24'JO
LAND USE PERMIT APPLICATION Permit #: a
Date: 3 O 3
Authorized Agent Name (if applicable):
Telephone Number: I Telephone Number:
715-682-9064 _I RECEIVED
I E -Mail Address: I E -Mail Address:
Address:
Bayfield Co.
CityState, Zip: City, State, Zip:
Ashland WI 54806
Contractor: Telephone Number: E -Mail Address:
Marengo Valley Sheds 715-316-3607 sheds.mvs@visionmail.us
Project Address (if different from mailing address):
Legal Description (if additional space is needed attach a separate sheet):
PAR IN SW SW DESC IN V.993 P.796
Section, Township, Range: S26 T47N R05W Town of: Eileen
Tax ID #: 35281 Lot Size (Acres/Square Feet): 5 Acres
Project Use is: El Residential ❑ Commercial ❑ Municipal If Commercial, estimated cost of construction: $
Project Type is: O New Construction 0 Addition/Alteration (existing structure)
O Change Use (existing structure) O Relocate (existing structure) O RV Placement 21+ days
❑ Sign 0 Establishing a Business O Temporary (12 or less months)
❑ Shoreland Grading, Class A O RV Placement 4+ months, Class A ❑ Other (describe):
Structure Type is: ❑ Residence ❑ Principal Structure (describe):
El Accessory Structure (describe): O Shoreland Exempt Structure (describe): O Mobile Home (provide manufactured
12 X 20 Garden Shed date):
❑ Shipping Container ❑ Other (describe):
Foundation Type:
❑ Basement ❑ Walkout Basement ❑ Slab O Crawlspace O Ground ❑ Skids a Other (explain): Gravel Pad
on
areas,
Basement Sq Ft: 1" Floor Sq Ft: Loft Sq Ft: 2p° Floor Sq Ft: 3`° Floor Sq Ft:
240 sq ft
Garage Sq Ft: Porch Sq Ft: Deck Sq Ft: Other Sq Ft (describe): Other Sq Ft (describe):
Total Sq Ft: 240 Overall Height (finished grade to peak): 10'
# of Stories: 1 Existing # of Bedrooms on property: 2 Proposed # of Bedrooms in project: 0
Sign is:
RV is:
❑ New
❑ Replacement
❑ New O Replacement
❑ On -premise
O Off -premise
❑ 1 -sided
O 2 -sided
Year: Vin #:
❑ On -building
0 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:
El Driveways El Frontage Roads (include name) O Existing Structures El Well (W) El Septic Tank (ST) El Drain Field (DF)
El Holding Tank (HT) ❑ Privy (P) ❑ Lake O River ❑Stream/Creek ❑Pond ❑Flood lain El Wetlands ❑Sloes over 20%
N
RECEIVED
JUL 207026
Bayfield
zoningAgency
Setback or distance from furthest extent of structure
including eaves and overhangs to (include on site plan):
County Use Only
Verified acks
Road Centerline
70^
ft.
ft.
Notes/Comments:
Front Lot Line/Right-of-Way
34 ft.
ft.
Side Lot Line I
(North East SouU3 circle one)
130 ft.
ft.
Side Lot e2
(No East ouch West, circle one)
20O ft.
ft.
Rear Lot me
590 ft.
ft.
Septic/Holding Tank
55 ft.
ft.
Drainfield
ft.
ft.
Privy
ft.
ft.
Well
48 ft.
ft.
Existing Structure/Building
33 ft.
ft.
Wetland
ft.
ft.
Elevation of Floodplain
ft.
ft.
Ordinary High -Water Mark (OHWM)
ft.
ft.
Other (describe)
ft.
ft.
Application Page 2
r.
ht's . 1VED
JUL 207026
SECTION C: Additional uestions
El Yes
❑ No
Has the location of the proposed project* been staked? If no, what e eted:
Note: The site will not be inspected nor permit issued until after the staking date listed above.
❑ Yes
El 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.
El Yes
❑ 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
❑ No
Is there an existing sanitary system on the property? If yes, what kind?
❑ Drainfield M Holding Tank ❑ Municipal/Public O Other (describe):
O Yes
'El N
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 ❑ Holding Tank O Municipal/Public ❑ Other (describe):
❑ Yes
196
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: A ,�
❑ Rezone O Class A Special Use O Class B Special Use O Conditional Use O Variance ' V
Fee payment will be made via:
i 1 Check (attached) O Cash (attached) ❑ debit/credit/echeck (department to call once payment is ready to be taken)
How would you like to receive your permit card? I L
❑Mailto:ORE] Emailto: k'oze.ne5Kt€a e yaQ od• (devk
O Property Owner Address O Agent Adcfrss O Contractor Address O Other (provide name and email or address):
'Include eaves, 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.wi.gov/topiclwetlands, v/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 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 re��e time for t ie p urpo of inspection.
Owner(s) or Authorized Agent Printed Name: /I ) ✓i d U z ef) es l
Owner(s) or Authorized Agent Signature: YYWLG(MC/ / �I E Date: I (/2j
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.
Application Page 3
5
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"`� ✓ l V gayfield Co.
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RECEIVED
JUL 202026
Bayfield Co.
planning and Zoning Agency
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Applicant Checklist
❑ Yes
No
Will new electrical installation occur with project/structure? If yes, contact State for inspection requirements.
❑ Yes
No
Will new plumbing installation occur with project/structure? If yes, contact State for inspection requirements.
❑ Yes
R44o
Is the project/structure to be used for commercial purposes? If yes, contact the State of Wisconsin Commercial
Buildings & Structures to determine if they require 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.gov/portaVhome) and Title 13, Chapter 2 of Bayfield County Zoning Ordinance
(httas://www.bavfieldcountv.wi.ov/7I I/Title-13--Zonin -Code .
❑ Yes
No
Is the project located in the Shorelands, within 300 feet of a river/stream OR landward side of floodplain OR
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.bayfleldcountv.wi.gov/DocumentCenter/View/3 159/Irnervious-Surface-PDF .
❑ 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
(https://dnnnaps.wi.gov/HS/?Viewer=SWDV).
❑ Yes
n❑ No
If applicable, did you contact the road authority to see if a driveway permit or regulations apply to placement of
1�
driveway? -- ---
o 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
O 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
O No
If structure is in Shorelands, have building elevations with all information requested on Page 5 of the Land Use
Iv
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 permittable, 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
Nplaced
and there may be limitations to expansion of the structure, see Bayfield County Section 13-1-40
(btttps://www.bayfieldcounty.wi.gov/7 11/Title-I 3—Zonin -Code .
Yes
O No
Is the use of the project/structure allowed per Bayfield County Section 13-1-62
(httys://www.bayfieldeounty.wi.gov/711/Title- I3 ---Zoning Code). 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
Bayfield County Section 13-1-40 s://www.ba fieldcoun .wi. ov/711/Title-13---Zonin -Code .
Yes
❑ No
Have all fees been included with the completed application? See Fee Schedule on website
5c.
(hops://www.bayfieldcouniy.wi.gov/i 389/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
(httos://www.bavfleldcounty.wi.gov/ I 340/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 (hops://www.bayfieldcounty.wi.pov/1340/Applications-
Forms).
Yes
❑ No
Is Land Use Application completed and signed?
RtCEWD
JUL 20 2026
Bayfield Go. p envy
Planning and Zon'n9 9
Land Use Permit Application Information Page 6
7 7/23/26, 8:07 AM Novus-Wisconsin Access rev. 12.0206 �3
Real Estate Bayfield County Property Listing Property Status: Current
Today's Date: 7/23/2026 Created On: 1/9/2009 8:34:37 AM
Z Description Updated: 1/9/2009
Tax ID:
35281
PIN:
04-020-2-47-05-26-3 03-000-50000
Legacy PIN:
Map ID:
Municipality:
(020) TOWN OF EILEEN
STR:
526 T47N R05W
Description:
PAR IN SW SW DESC IN V.993 P.796
Recorded Acres:
5.000
Calculated Acres:
0.000
Lottery Claims:
1
First Dollar:
Yes
Zoning:
(AG -1) Agricultural -I
ESN:
113
I Tax Districts Updated: 1/9/2009
1
STATE
04
COUNTY
2 -Year Comparison
2025
2026
Change
020
TOWN OF EILEEN
Land:
12,900
12,900
0.0%
020170
ASHLAND SCHOOL
Improved:
188,500
188,500
0.0%
001700
TECHNICAL COLLEGE
Total:
201,400
201,400
0.0%
a Ownership Updated: 1/9/2009
EDMUND L & JANET L KOZENESKI ASHLAND WI
Billing Address:
EDMUND L & JANET L
KOZENESKI
29070 WOODLAND RD
ASHLAND WI 54806
11 Site Address * in
29070 WOODLAND RD
Mailing Address:
EDMUND L & JANET L
KOZENESKI
29070 WOODLAND RD
ASHLAND WI 54806
iicates Private Road
ASHLAND 54806
Property Assessment
2026 Assessment Detail
Code
Gi-RESIDENTIAL
Updated: 8/21/2023
Acres Land Imp.
5.000 12,900 188,500
Recorded Documents Updated: 1/9/2009 FE
0 QUIT CLAIM DEED LV Property History
Date Recorded: 4/18/2008 20088520279 993-796 Parent Properties
04-020-2-47-05-26-3 03-000-20000
04-020-2-47-05-26-3 03-000-10000
HISTORY 0 Expand All History White=Current Parcels Pink=Retired Parcels
0 Tax ID: 15919 Pin: 04-020-2-47-05-26-3 03-000-10000 Leg. Pin: 020105507990 /
0 Tax ID: 15918 Pin: 04-020-2-47-05-26-3 03-000-20000 Leg. Pin: 020105507000
35281 This Parcel t Parents Children
Tax ID
15918
15919
https://novus.bayreldoounty.wi.gov/access/master.asp?paprpid=35281 1/1
Land Use Permit Application Review Checklist
Submission #: 2902
What zoning district is the project located in?
❑R-1 ❑R-2 ❑R-3 ❑R-4 DR-RB ❑C ❑1 ❑M.2A1 ❑A-2 ❑F-1 ❑F-2 ❑W DM -M
❑ Yes 12 -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 7No
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:
Oyes ❑ No
Are there wetlands on the property?
❑ Yes ❑'No
Is project associated with a nonconforming use or structure?
❑ Yes t2 -No
Is project associated with a variance? Case It:
❑ Yes o
Is project associated with a Special B or Conditional Use Permit? Permit #:
❑ Yes )2No
Is the project associated with a Special A Use Permit?
❑ Yes Q -No
Does the project require sanitary?
0 Existing 0 New 0 Intercept ❑ Reconnect ❑ Non -Plumbing 0 Public
Sanitary Permit #: # of Bedrooms:
❑ Yes aSio
Does the project require mitigation?
Implementation Deadline: Date of Compliance:
❑ Yes Q -No
Does the project require an affidavit? Affidavit #:
❑ Yes rjSjo
Did licensed surveyor mark lot line(s), if project is within 10 feet of required setback?
❑ Yes 12-ic10
Did applicant/property owner mark lot line(s), if project is within 30 feet of required setback?
Project use is?,2lesidential ❑ Commercial ❑ Municipal
Project type is? New Construction ❑ Addition/Alteration ❑ Change Use ❑ Relocate ❑ RV Placement ❑ Sign
❑ Establishing a Business ❑ Temporary ❑ Shoreland Grading 0 Other, describe:
Structure Type is: 0 Residence ❑ Principal Structure "Accessory Structure 0 Boathouse (one story only)
❑ Open-sided/Screened Structure (gazebo, etc.) 0 Stairway to navigable waters ❑ Mobile Home
❑ Shipping Container 0 Other, describe
Total Sq. Ft. of Project: ,Z j> Number of Stories: Overall Height:
Fee Type
Calculation
Fee Amount
❑ Habitable Residential Principal and Accessory
(minimum $125)
Structures - Enclosed Areas — all enclosed areas within
$0.50 x sq ft
$
dwelling except attached non -habitable garages
❑ Dwelling Unenclosed Areas (decks, patios, etc.) or
$0.20 x sq ft
(minimum $125)
Attached Non -Habitable Garages
$
Non -Habitable Residential Principal and Accessory
/
$0.20 x 0o sq ft
(minimum $75)
7j
tructures
$
❑ Commercial Principal Structures
$250 + $0.005 x
(minimum $250)
cost of construction
$
❑ Commercial Accessory Structures
$150 + $0.005 x
(minimum $150)
cost of construction
$
❑ Municipal Principal and Accessory Structures
n/a
$0 (exempt from fees)
❑ Return Inspection 0 Land Use Revisions 0 Special Use Permit - Class A 0 Floodplain ❑ Shoreland - Impervious
Surface 0 Shoreland - Non -Conforming, etc. 0 Tower Siting/Collocation 1 0 Tower Collocation 2 0 Metallic Mine
❑ After -the -Fact (ATF)
$
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:
Condi .i n(s):
_aic,iust meet and maintain setbacks from furthest extension of structure including eaves and
overhangs.
For personal storage only.
❑ For personal residence only.
,8'Not for human habitation or sleeping purposes.
_Q'fown/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.
0 ign must meet the requirements of Article E of the Bayfield County Zoning Ordinance.
tI 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
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
R 3'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:
KOZENESKI, EDMUND L & JANET L LU-02440
29070 WOODLAND RD
ASHLAND, WI 54806 Transaction Number.
LU-02440-4A77D
Description Amount
Non -Habitable Residential Principal and Accessory $75.00
Structures - $0.20/ square foot (minimum $75)
Total: $75.00
Payment Amount: $75.00
Reference: 16009
Paid by: Janet L Kozeneski / Edmund L Kozeneski
Payment Type: Check
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 — No! Impervious Surface — No
Floodplain — No / Wetlands — Yes
Mitigation — No / Affidavit #:
LAND USE - X
SANITARY -
SPECIAL A -
SPECIAL B/CONDITIONAL -
BOA -
BAYFIELD COUNTY
PERMIT
WEATHERIZE AND POST THIS PERMIT
ON THE PREMISES DURING CONSTRUCTION
No. 26-0378 Tax ID: 35281
Issued To: KOZENESKI, EDMUND L & JANET L
Location: S26 - T47N - R05W
Town of Eileen
Legal Description: PAR IN SW SW DESC IN V.993 P.796
Residential Structure in A-1 zoning district
For: New Construction [1 - Story ], Accessory Structure on a Gravel Pad [240 Total sq. ft. ] Height of 10'
(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 Tracy Pooler
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 30, 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 storage only.
Not for human habitation or sleeping purposes.
Town/State/DNR/Federal may require permitting.
To be constructed per plan.