HomeMy WebLinkAbout26-0402Return to: County Use Only:
117E 5th Street, PO Box 58 Bayfield County Planning and Zoning Department Submission #: W -O 5('
Washburn, WI 54891 LAND USE PERMIT APPLICATION Permit #: Jb - O o
permits@bayfieldcounty.wi.gov Date: % - 0J
Propert caner Namei Authorized Agent Name (if applicable):
Prop,
Telephone umber: Telephone Number: RECEIVED
E-Ma'1 ddress: E -Mail Address: JUL 82026 LIIURED
4
Mailin Addr Mailing Address: Bayfleidco.
Piano® and Zon
City, State, Zip: City, State, Zip:
Contractor: I Telephone Number: I E -Mail Address:
SECTION B: Property Information
Project Address (if different from mailing address):
Legal Descriptioq�i� dditionFa�a a iy needed attach a separate sheet):
Section, Township, Range: t\ Gd Town of: (�
Tax ID #: JA It ILJZ Lot Size (Acres/Square Feet): Q,C f l\-LTr
¢errTlnN f • Urn : ant 7n Fnvmofinn /rherl` nil flint nnnlvl _..
Project Use is:'Residential ❑ Commercial ❑ Municipal If Commercial, estimated cost of construction: $
Project Type is: ew Construction ❑ Addition/Alteration (existing structure)
❑ Change Use (existing structure) t Relocate (existing structure) ❑ RV Placement 21+ days
❑ Sign O Establishing a Business ❑ 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 E -
Structure Type is: O Residence EPtincipal Structure (describe):
?(Acclesso�ry Structure (describe): ❑ Shoreland Exempt Structure (describe): ❑ Mobile Home (provide manufactured
t date):
❑ Shipping Container ❑ Other (describe):
❑ Basement ❑ Walkout Basement ❑ Slab ❑ Crawlspace Z Ground ❑ Skids ❑ Other (explain)
Existing Structure: p 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 Ft: Loft Sq Ft: 2nd Floor Sq Ft: 3'd 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):(Q44.
# of Stories: Existing # of Bedrooms on property: C I Proposed # of Bedrooms in project: 6
;SECTION -E: RV and Sign Information (check all that apply)
Sign is: RV is:
❑ New ❑ Replacement ❑ New ❑ Replacement
❑ On -premise ❑ Off -premise
❑ 1 -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 I & 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 (ST) ❑ Drain Field (DF)
❑ Holding Tank (HT) ❑ Privy (P) ❑- Lake ❑ River ❑Stream/Creek ❑Pond ❑Floodplain ❑Wetlands ❑Slopes over 20%
N
fed
RECEIVED
JUL 28 2026
Bay�eldco.
Planning and Zoning Agency
Setback or distance from furthest extent of structure
including eaves and overhangs to (include on site plan):
County Use Only
Verified setbacks
Road Centerline
ft.
ft.
Notes/Comments:
Front Lot Line/Right-of-Way
ft.
ft.
Side Lot Line 1
(North East South West, circle one)
ft.
CaD
t ft.
Side Lot Line 2
(North East South West, circle one)
ft.
fs"z
- O - f.
Rear Lot Line
1 ktc oe ft.
? 77 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
RECEIVED
JUL 28 2026
Bayfiek Co.
Planning and Zoning Agency
- 6ceJc\
JOY. 40 - _tj�CVtl i)GCi
\ti D —
SECTION G: 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
7 To
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.
es
❑ 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.
❑ Yes
Is there an existing sanitary system on the property? If yes, what kind?
,21No
❑ Drainfreld ❑ 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? RECEIVED
❑ Drainfield ❑ Holding Tank ❑ Munici al/Public ❑ Other (describe):
❑ Yes
fd'No
Will sleeping occur in the structure? If yes, contact local Uniform Dwelling Code (UDC)J'uap�r8v�l�
inspection requirements.
Is the project associated with any of the following: liayleld Co.
❑ Rezone ❑ Class A Special Use ❑ Class B Special Use O Conditional Use O Variance Planning and Zoning Agency
Fee payment will be made via:
❑ Check (attached) ❑ Cash (attached) , ebit/credit/echeck (department to call once payment is ready to be taken)
How would you like to receive your permit card?
❑ Mail to: OR 2tmail to:
2troperty Owner Address O Agent Address ❑ 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/tonic/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 reasonabletime for the purpose of inspection.
'IIOwner(s) s� \l5"j�
or Authorized Agent Printed Name:1
Owner(s) or Authorized Agent Signature: Dater 7- ?1j
NOTES:
1. If you are signing on behalf of 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
WARRANTY DEED
This deed, made between Robert Jeffrey Matthews, Grantor, and
Jason Eric English, Grantee,
Grantor, for a valuable consideration, conveys and warrants to Grantee the
following described real estate, together with the rents, profits, fixtures and
other appurtenant interests, in Bayfield County, State of Wisconsin:
As Described in Attached Addendum/Exhibit A
RECEIVED
JUL 282076
Bayfield Co.
planning and Zoning Agency
This is not homestead property.
DOCUMENT NUMBER
2026R-612884
DANIEL J. HEFFNER
REGISTER OF DEEDS
BAYFIELD COUNTY, WI
RECORDED
07/10/2026 AT 1 1:59 AM
RECORDING FEE: $30.00
TRANSFER FEE: $132.00
PAGES: 2
ELECTRONICALLY RECORDED
Return To
Jason Eric English
218 North Main Street
Mellen, WI 54546
File No. G-2604734
Exceptions to warranties: Municipal and zoning ordinances and agreements entered under them, recorded easements for
the distribution of utility and municipal services, recorded building and use restrictions and covenants, and other
encumbrances of record.
Dated: July 9, 2026 State of Washington )
)S.S.
County of Clark )
&aea&ty %7la &twA.
Robert Jeffrey Matthews
Personally came before me on July 9, 2026
the above named Robert Jeffrey Matthews to me known to
be the person(s) who executed the foregoing instrument and
hereby acknowledge the same.
Rachel Kroenthg
RACHEL KROENING Notary Public, State of Washington
NOTARY PUBLIC My Commission expires: April 5, 2030
STATE OF WASHINGTON
COMMISSION # 26006899
COMMISSION EXPIRES 04/052030 THIS INSTRUMENT WAS DRAFTED BY:
Michael S. Brandner
Gowey Abstract & Title Company, Inc.
Notarized remotely online using communication technology via Proof.
Bayfield County Register of Deeds Document #2026R-612884 Page 1 of 2
GOWEY Title IReal Estate Closings
Title Insurance
File No. G-2604734
ADDENDUM/EXHIBITA
885 W. Broadway Avenue
Medford, WI 54451
www.goweytitte.com
Lot Two (2) of Certified Survey Map No. 2466 as recorded in Volume 14 of Certified Survey Maps on Page 162, as
Document No. 2026R-612821, located in and being part of the Southeast Quarter of the Northeast Quarter
(SE1/4-NE1/4), Section Twenty-five (25), Township Forty-six (46) North, Range Five (5) West, Town of Kelly, Bayfield
County, Wisconsin; AND
A perpetual, non-exclusive easement, 33 feet in width, over and across a portion of Lot 1 of Certified Survey Map No.
2466 as recorded in Volume 14 of Certified Survey Maps on Page 162, as Document No. 2026R-612821 as shown on said
Certified Survey Map.
Tax ID Number(s): 04-026-2-46-05-25-1 04-000-12000 (Parent)
RECEIVED
JUL 282026
Bayfield Co.
Plwikp and Zoning Agency
Bayfield County Register of Deeds Document #2026R-612884 Page 2 of 2
Land Use Permit Application Review Checklist
Submission #:
What zoning district is the project located in?
❑R-1 ❑R-2 DR -3 DR -4 DR-RB ❑C ❑I DM ,\ -1 ❑A-2 ❑F-1 ❑F-2 OW DM -M
❑ Yes [ No
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 No
Is impervious surface required? (Required if riparian lot OR lot is entirely within 300 feet of OHWM of
navigable waterway)
❑ Yes )? -No
Is the project located in the Flood plain? Zone:
❑ Yes No
Are there wetlands on the property?
❑ Yes 0No
Is project associated with a nonconforming use or structure?
❑ Yes o
Is project associated with a variance? Case #:
❑ Yes No
Is project associated with a Special B or Conditional Use Permit? Permit #:
❑ Yes o
Is the project associated with a Special A Use Permit?
❑ Yes No
Does the project require sanitary?
❑ Existing ❑ New ❑ Intercept ❑ Reconnect 0 Non -Plumbing ❑ Public
Sanitary Permit #: # of Bedrooms:
❑ Yes [ to
Does the project require mitigation?
Implementation Deadline: Date of Compliance:
❑ Yes o
Does the project require an affidavit? Affidavit #:
❑ Yes 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? ew Construction ❑ Addition/Alteration ❑ Change Use ❑ Relocate ❑ RV Placement ❑ Sign
❑ Establishing a Business ❑ Temporary ❑ Shoreland Grading O Other, describe:
Structure Type is: ❑ Residence O Principal Structure N,ccessory Structure ❑ Boathouse (one story only)
❑ Open-sided/Screened Structure (gazebo, etc.) ❑ Stairway to navigable waters ❑ Mobile Home
O Shipping Container O Other, describe
Total Sq. Ft. of Project: 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 sq ft
(minimum $125)
$
❑ Dwelling Unenclosed Areas (decks, patios, etc.) or
Attached Non -Habitable Garages
$0.20 x sq ft
(minimum $125)
$
❑ Non -Habitable Residential Principal and Accessory
Structures
$0.20 x sq ft
(minimum $75)
$
❑ Commercial Principal Structures
$250 + $0.005 x
cost of construction
(minimum $250)
$
❑ Commercial Accessory Structures
$150 + $0.005 x
cost of construction
(minimum $150)
$
❑ Municipal Principal and Accessory Structures
n/a
$0 (exempt from fees)
❑ Return Inspection 0 Land Use Revisions ❑ Special Use Permit - Class A O Floodplain ❑ Shoreland - Impervious
Surface O Shoreland - Non -Conforming, etc. O Tower Siting/Collocation 1 ❑ Tower Collocation 2 O Metallic Mine
❑ After -the -Fact (ATF)
$
Inspected by: c I
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:
g//q/,,
ondition(s):
ust meet and maintain setbacks from furthest extension of structure including eaves and
overhangs.
For personal storage only.
❑ For personal residence only.
IWot 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
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).
se 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.
o be constructed per plan.
tJ 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
o sewer and pressurized water allowed in the structure.
ISlo plumbing or plumbing fixtures allowed.
reo additional sleeping areas allowed without obtaining necessary sanitary permit(s).
nd use permits shall be required for any new residence, any building or structure erected,
elocated, 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
B A -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:
ENGLISH, JASON E
LU-02452
PO BOX 103
MELLEN, WI 54546
Transaction Number:
LU-02452-4B3C0
Description
Amount
Non -Habitable Residential Principal and Accessory
$75.00
Structures - $0.20/square foot (minimum $75)
Total:
$75.00
Payment Amount:
$76.95
Reference: 5539062695
Paid by: Jason English
Payment Type: Credit Card
Transaction Date: 8/6/2026
Receipt of payment does not guarantee eligibility of
permit and is not proof of issuance of a permit.
Town, City, Village, State or Federal
Permits May Also Be Required
Substandard - No / Nonconforming - No
Shoreland — No I Impervious Surface - No
Floodplain - No / Wetlands - No
Mitigation - No / Affidavit #:
LAND USE -X
SANITARY -
SPECIAL A —
SPECIAL B/CONDITIONAL —
BOA —
No. 26-0402 Tax ID: 34676
Issued To: ENGLISH, JASON E
Location: S25 - T46N - R05W
Town of Kelly
BAYFIELD COUNTY
PERMIT
WEATHERIZE AND POST THIS PERMIT
ON THE PREMISES DURING CONSTRUCTION
Legal Description: E 1/2 E 1/2 SE NE IN V.974 P.325 & 2022R-597205 (RICHARD E & ALVINA A ROBERTSON LIFE ESTATE)
Residential Structure in A-1 zoning district
For: New Construction [1 - Story ], Accessory Structure on the Ground [240 Total sq. ft. ] Height of 12'
(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.
Scott Roush
Authorized Issuing Official
August 07, 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.
Use best management practices to limit and prevent erosion during construction.
To be constructed per plan.
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.