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Home My WebLink About26-0406Return to: County Use Only: 117 E•sth Street, PO Box 58 Bayfield County Planning and Zoning Department Submission #: Lu-oagS3 Washburn, WI 54891 LAND USE PERMIT APPLICATION Permit #: 6 -permits@bayfieldcounty.wi.aov Date: Q / 7/r)0 a' SECTION A: General lnformat Property Owner Name: Authorized Agent Name (if applicable): ® GJOO TelephoneNumber: Telephone Number: RECEIVEr) E -Mail Address: E -Mail Address: E uUl. 282026 Mailing Address: /� Mailing Address: Sa field rG Plann • City, State, Zip: City, State, Zip: 5V11/ Contractor: Telephone Number: E -Mail Address: 373 'C'1/ SECTION B: Property Information .- - Project Address (if different from mailing address): Legal Description (if additional spade is needed attach a separate sheet): Se P/ a { +o+'hv/ Section, Township, Range: a 7.. y q - s Town of: /mac/ es 46 to vt— Tax ID #: 3 d of Lot Size (Acres/Square Feet): /4'0 FSECTLO •-•.• --_ o'eck Inform.: [top (check all that apply). , Project Use is: Residential ❑ Commercial El Municipal If Commercial, estimated cost of construction: $ Project Type is: ❑ New Construction Addition/Alteration (existing structure) ❑ Change Use (existing structure) ❑ Relocate (existing structure) ❑ RV Placement 21+ days ❑ Sign ❑ Establishing a Business El Temporary (12 or less months) ❑ Shoreland Grading, Class A ❑ RV Placement 4+ months, Class A ,'Other (describe): Farms 05'c. e. required (Total sft): required SECTION D: Structure Information (Dpes.ntapply to RVs andtS�i off. Sgpt2.o4E e - Structure Type is:(Residence ❑ Principal Structure (describe): ❑ Accessory Structure (describe): ❑ Shoreland Exempt Structure (describe): El Mobile Home (provide manufactured date): ❑ Shipping Container ❑ Other (describe): Foundation Type: El Basement ❑ Walkout Basement ❑ Sla rawlspace Ground El Skids El 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): Basement Sq Ft: ]afloor Sq Ft: Loft Sq Ft: 2"d 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: 3 d -c Overall Height (finished grade to peak): # of Stories: Existing # of Bedrooms on property: 9 Proposed # of Bedrooms in project: - _CTION E: R,V a d,S' or ation:.check all tha. a . ,„ Sign is: RV is: ❑ New ❑ Replacement El New ❑ Replacement ❑ On -premise ❑ Off -premise ❑ I -sided ❑ 2 -sided Year: Vin #: El 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 EPondPloodplain ❑Wetlands ❑Slopes over20% N v tr K Y to t171�t Ut/' 43EJ RECEIVED JUL 28 2026 lama 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 D ft. ft. Notes/Comments: Front Lot Line/Right-of-Way ft. ft. Side Lot Line 1 ft. ft. (North East South es circle one) I Side Lot ire 2 ft. \ I 5 o i ft. (No ast outh West, circle one) Rear Lot Line t ao a ft. ft. Septic/Holding Tank ft. ft. Drainfield ft. ft. Privy ft. ft. Well ft. ft. Existing Structure/Building ft. ft. Wetland ft. ft. Elevation of Floodplain ft. ft. Ordinary High -Water Mark (OHWM) ft. ft. Other (describe) ft. ft. Application Page 2 SECTION G: Additional Questions Yes G 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 grNo Did a licensed surveyor mark lot line(s) if project is within 10 feet of required setback? See page 2 of Land Use Application Information for required setbacks. Yes ❑ 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. m Yes ❑ No Is there an existing sanitary system on the property? If yes, what kind? ( tDrainfield ❑ 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? ❑ Drainfield ❑ Holding Tank ❑ Municipal/Public ❑ Other (describe): ❑ Yes No Will sleeping occur in the structure? If yes, contact local Uniform Dwelling Code (UDC) for approval and inspection requirements. Is the project associated with any of the following: ❑ Rezone O Class A Special Use O Class B Special Use O Conditional Use ❑ Variance Fee payment will be made via: r PJ Check (attached) ❑ Cash (attached) ❑ debit/credit/echeck (department to call once payment is ready to be taken) How would you like to receive your permit card? ) Mail to: OR ❑ Email to: $Property Owner Address O Agent Address O Contractor Address ❑ Other (provide name and email or address): *Include eaves, overhangs, sanitar-v systern and well in staking rneasuremcNs Section H: Acknowledgement and Signature All Land Use Permits expire Two (2) Years from the date of issuance if construction or use has no eg permit issuance, if required, needs to occur prior to Land Use Permit issuance. Failure to obtain a permit or startin construction without a permit will result in penalties. JUL A 2026 The local Town, Village, City, State or Federal agencies may also require permits. The new co6g� -family dwellings requires review and approval by the local Uniform Dwelling Code (UDC) authority. Additions and a terations 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/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 reasonable time for the purpose of inspection. ( 0-i) Coo' Owner or Authorized Agent Printed Name: ncIo %�_, ner(s) or Authorized Agent Signature: tom` � ' v Date: cq a� 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 Real, estate Bayfleld County Property Listing Today's Date: 7/28/2026 Description Updated: 8/27/2004 Tax ID: 31024 PIN: 04-050-2-49-05-27-1 04-000-10000 Legacy PIN: 050104503000 Map ID: Municipality: (050) TOWN OF WASHBURN STR: S27 T49N R05W Description: SE NE 427 Recorded Acres: 40.000 Calculated Acres: 39.753 Lottery Claims: 1 First Dollar: Yes Zoning: (AG -1) Agricultural -1 ESN: 130 1 Tax Districts Updated: 3/15/2006 1 STATE 04 COUNTY 050 TOWN OF WASHBURN 046027 SCHL-WASHBURN 001700 TECHNICAL COLLEGE -4 Recorded Documents Updated: N/A Property Status: Current Created On: 3/15/2006 1:16:06 PM a Ownership Updated: 3/15/2006 DAVID J & SHERRY COOK WASHBURN WI Billing Address: Mailing Address: DAVID J & SHERRY COOK DAVID] & SHERRY COOK 28800 COOK RD 28800 COOK RD WASHBURN WI 54891 WASHBURN WI 54891 P Site Address * indicates Private Road 28800 COOK RD ® Property Assessment WASHBURN 54891 Updated: 2/12/2026 2026 Assessment Detail Code Acres Land Imp. G4 -AGRICULTURAL 33.000 5,400 0 G5 -UNDEVELOPED 2.000 100 0 G7 -OTHER 5.000 27,100 177,500 2 -Year Comparison 2025 2026 Change Land: 31,900 32,600 2.2% Improved: 177,500 177,500 0.0% Total: 209,400 210,100 0.3% tlf' Property History N/A RECEIVE. ,,.,,;L 28 2026 Bayfield Co. Planning and Zoning Agency Bayfield County, WI r. = Jo iS r. it PJ l: I —as. C'. I PRRID/Tax ID # 31044 ROBERT J 6 CYNDEE G.MARX S. t 8/3/26, 3:10 PM Novus-Wisconsin Access rev. 12.0206 Real Estate Bayfield County Property Listing Today's Date: 8/3/2026 93 Description Updated: 8/27/2004 Tax ID: 31024 PIN: 04-050-2-49-05-27-1 04-000-10000 Legacy PIN: 050104503000 Map ID: Municipality: (050) TOWN OF WASHBURN STR: S27 T49N ROSW Description: SE NE 427 Recorded Acres: 40.000 Calculated Acres: 39.753 Lottery Claims: I First Dollar: Yes Zoning: (AG-i) Agricultural -1 ESN: 130 Tax Districts Updated: 3/15/2006 1 STATE 04 COUNTY 050 TOWN OF WASHBURN 046027 SCHL-WASHBURN 001700 TECHNICAL COLLEGE Recorded Documents Updated: N/A N/A Property Status: Current Created On: 3/15/2006 1:16:06 PM Ownership Updated: 3/15/2006 DAVID) & SHERRY COOK WASHBURN WI Billing Address: Mailing Address: DAVID) & SHERRY COOK DAVID J & SHERRY COOK 28800 COOK RD 28800 COOK RD WASHBURN WI 54891 WASHBURN WI 54891 11 Site Address * indicates Private Road 28800 COOK RD WASHBURN 54891 dated: Property Assessment Updated: 2/12/2026 2026 Assessment Detail Code Acres Land Imp. G4 -AGRICULTURAL 33.000 5,400 0 G5 -UNDEVELOPED 2.000 100 0 G7 -OTHER 5.000 27,100 177,500 2 -Year Comparison 2025 2026 Change Land: 31,900 32,600 2.2% Improved: 177,500 177,500 0.0% Total: 209,400 210,100 0.3% J Property History N/A DV� https://novus.bayfieldcounty.wi.govlaccess/master.asp?paprpid=31024 1/1 Land Use Permit Application Review Checklist Submission #: 3 What zoning district is the project located in? ❑R-1 ❑R-2 ❑R-3 ❑R-4 ❑R-RB ❑C ❑1 ❑M2"A-1 ❑A-2 ❑F-1 ❑F-2 ❑W DM -M ❑ Yes No Is lot substandard (does not meet current zoning dimensional requirements)? Deed of record: ❑ Yes ]21c1 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 ja'No Is impervious surface required? (Required if riparian lot OR lot is entirely within 300 feet of OHWM of navigable waterway) ❑ Yes ,6INo Is the project located in the Floodplain? Zone: ❑ Yes No Are there wetlands on the property? ❑ Yes LTNo Is project associated with a nonconforming use or structure? ❑ Yes ENo Is project associated with a variance? Case #: ❑ Yes Is project associated with a Special B or Conditional Use Permit? Permit #: Is the project associated with a Special A Use Permit? Does the project require sanitary? ❑ Yes No %Yes ❑ No lExisting ❑ New ❑ Intercept ❑ Reconnect 0 Non -Plumbing ❑ Public Sanitary Permit #: O6' S # of Bedrooms: ❑ Yes aiio Does the project require mitigation? Implementation Deadline: Date of Compliance: ❑ Yes Cho Does the project require an affidavit? Affidavit #: ❑ Yes 210 Did licensed surveyor mark lot line(s), if project is within 10 feet of required setback? ❑ Yes g'No Did applicant/property owner mark lot line(s), if project is within 30 feet of required setback? Project use issidential 0 Commercial 0 Municipal Project type is? 0 New Construction Addition/Alteration 0 Change Use ❑ Relocate 0 RV Placement 0 Sign 0 Establishing a Business 0 Temporary ❑ Shoreland Grading 0 Other, describe: Structure Type is Residence ❑ Principal Structure 0 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: 32O 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 sq ft (minimum $75) Structures $ ❑ 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 (exemptfrom fees) ❑ Return Inspection 0 Land Use Revisions ❑ Special Use Permit - Class A 0 Floodplain 0 Shoreland - Impervious Surface ❑ Shoreland - Non -Conforming, etc. 0 Tower Siting/Collocation 1 0 Tower Collocation 2 0 Metallic Mine ❑ After -the -Fact (ATF) $ M1 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): st 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. ,8'fown/State/DNR/Federal may require permitting ja 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). 0 Use best management practices to limit and prevent erosion during construction. 0 This permit cannot be transferred if property is sold. 0 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. 1 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 mdk HAYFIELD '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: COOK, DAVID J & SHERRY LU-02453 28800 COOK RD WASHBURN, WI 54891 Transaction Number: LU-02453-4B5B0 Description Amount Habitable Residential Principal & Accessory $160.00 Structures - enclosed areas $0.50/square foot (minimum $125) Total: $160.00 Payment Amount: $163.81 Reference: 9991615925 Paid by: David Cook 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 — Existing 06-199S SPECIAL A - SPECIAL B/CONDITIONAL - BOA - BAYFIELD COUNTY WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION No. 26-0406 Tax ID: 31024 & 31023 Issued To: COOK, DAVID J & SHERRY Location: S27 - T49N - R05W Town of Washburn Legal Description: SE NE 427 & S 1/2 SW NE E OF HWY C IN V.287 P.13 & PAR E OF HWY C IN V.577 P.411 426A (ASSESSMENT INCLUDES 1044-10-990) Residential Structure in A-1 zoning district For: Addition/Alteration [1 - Story ], Residence on a Crawlspace [320 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 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. August 07, 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. To be constructed per plan.