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HomeMy WebLinkAbout26-0415Return to: 117 E St" Street, PO Box 58 Washburn, WI 54891 permits a(�bayfieldcountv.wi.gov Bayfield County Planning and Zoning Department LAND USE PERMIT A ATION County Use Only: Submission #: LU- 0%'1/7 Permit#: -a 12 Date: % SECT-TONA: General Information Property Owner Name: Authorized Agent Name (if applicable): Telephope umber ^,� - ` �fJ Telephone Number: ` o- E-Mail,Address: E -Mail Address: U 4 (dls Mailing Ad ess: ^^ 2 Mailing Address: Bayfleld Co. A9enct' )- /J/— Planning and Zoning City tate Zip: City, State, Zip: A w 3�S� CopVactoy, Telephoto N mber: / Mail A dress: '5 7?� t SECTION B: Property Information Pro ci Address (i d'fferen from mailing mg address 6 Leg 1 Description (if additiotaaLspace ' needgd attach separa a sheet): CC'/ /L << Section, Township, Range: )u/ /> Town of: Tax ID N: 5'Z5 Lot Size (Acres/Square Feet): I. 7'5 p1.e j SECTION C: Pro'e t Information (check all that apply) Project Use is Residential ❑ Commercial ❑ Municipal If Commercial, estimated cost of construction: $ Project Type is: ew Construction El Addition/Alteration (existing structure) El Change Use (existing structure) ❑ Relocate (existing structure) El 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): required (Total sft): required ECTION.D:. Structure Information (Does not apply to RVs and Signs, go to Section E) Structure Type is: ❑ Residence ❑ Principal Structure (describe): Accessory Structure (describe): ❑ Shoreland Exempt Structure (describe): ❑ Mobile Home (provide manufactured date): El Shipping Container El Other (describe): Foundation Type.• ❑ Basement ❑ Walkout Basement lab El Crawlspace ❑ Ground El Skids ❑ Other (explain): Existing Structure: Length: G Width: Height: 2 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: 2n° Floor Sq Ft: 3`a Floor Sq Ft: Gaza e y 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 # of Bedrooms on property: Proposed # of Bedrooms in project: SECTION E: RV and SIgn -.. Information check all that apply) Sign is: RV is: ❑ New El Replacement ❑ New ❑ Replacement El On -premise El Off -premise ❑ 1 -sided El 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 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 (ST) ❑ Drain Field (DF) ❑ Holding Tank (HT) O Privy (P) Cl Lake O River OStream/Creek ❑Pond DFloodplain OWetlands ❑ Slopes over 20% N 3 AUG u cS ,i ct Bamvek! Oo Planning and Zoning Agency Setbac or distance from furthest extent of structure County Use Only including eaves and overhangs to (include on site plan): Verified setbacks Road Centerline /, ft. 3 ft. Notes/Comments: Front Lot Line/Right-of-Way ft. ft. Side Lot Line 1 A/py rz / ft. /p ft. 0 out ircle one Side o ft. 7p/d ft. (North EtSoilt est, circle one) 7/O ft. Rear Lot Line ).. ,) ft. Septic/Holding Tank to ft.lcdft. Drainfield D ft. 7< ft. Privy ft. ft. Well (i ft. / ft. Existing Structure/Building Z ft. .y� ft. Wetland IVOLCTLft. Elevation of Floodplain gift. ft. Ordinary High -Water Mark (OHWM) ft. ft. Other (describe) ft. ft. Application Page 2 4Z026 ECT.IOiN G: Additionol- nest ons es El No Has the location of the proposed project* been staked? If no, what Rlamnkglar1h0cbbV6"*Eted: 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 feet of required setback? See page 2 of Land Use Application Information for re uired 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. es ❑ No Is th n existing sanitary system on the property? If yes, what kind? Draintield ❑ Holding Tank ❑ Munici al/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 El Municipal/Public ❑ Other (describe): ❑ Yes o 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 El Class A Special Use El Class B Special Use ❑ Conditional Use ❑ Variance Fee ment will be made via: Check (attached) ❑ Cash (attached) ❑ debit/credit/echeck (department to call once payment is ready to be taken) How would you like eceive your permit card? ❑ Mail to: OR mail to: ❑Property Owner Address ❑ Agent Address ontractor Address ❑ Other (provide name and email or address): 9nclude 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. og 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 reasonable time for the purpose of inspection. /"t / ba Owner(s) or Authorized Agent Printed Name: .J Owner(s) or Authorized Agent Signature: Date: �uL� 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 Land Use Permit Application Review Checklist Submission #: t. C - 'Z What zoning district is the project located in? ❑R-1 ❑R-2 ❑R-3 ❑R-4 R-RB ❑C ❑1 ❑M ❑A-1 ❑A-2 ❑F-1 ❑F-2 ❑W DM -M ❑ Yes _No Is lot substand rd (does not meet current zoning dimensional requirements)? Deed of record: ❑ Yes 7No 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 iqo Is impervious surface required? (Required if riparian lot OR lot is entirely within 300 feet of OHWM of navigable waterway) ❑ Yes o Is the project located in the Floodplain? Zone: O Yes No Are there wetlands on the property? ❑ Yes 4Jo Is project associated with a nonconforming use or structure? ❑ Yes o Is project associated with a variance? Case #: ❑ Yes o Is project associated with a Special B or Conditional Use Permit? Permit #: ❑ Ye o Is the project associated with a Special A Use Permit? ❑ Yes LNo Does the project require sanitary? ❑ Existing ❑ New ❑ Intercept 0 Reconnect O Non -Plumbing ❑ Public Sanitary Permit #: # of Bedrooms: ❑ Yes I No Does the project require mitigation? Implementation Deadline: Date of Compliance: ❑ Yes No Does the project require an affidavit? Affidavit #: ❑ Yes RJsIo Did licensed surveyor mark lot line(s), if project is within 10 feet of required setback? ❑ Yes o 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 i ?-New 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 accessory Structure O Boathouse (one story only) ❑ Open-sided/Screened Structure (gazebo, etc.) ❑ Stairway to navigable waters ❑ Mobile Home ❑ Shipping Container O Ote½ describe Total Sq. Ft. of Project: 7J, 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 ❑ Land Use Revisions O Special Use Permit - Class A ❑ Floodplain O Shoreland - Impervious Surface O Shoreland - Non -Conforming, etc. O Tower Siting/Collocation 1 O Tower Collocation 2 ❑ Metallic Mine ❑ After -the -Fact (ATF) $ Inspected by: r/i r �° Date of Inspection�( if �o Re -Inspected by: Date of Re -Inspection: Denied by: Date of Denial: Reason for Denial: Date Denial Letter Mailed: Approved by: � t Date ofApproval:A Condition(s): ❑ Must meet and maintain setbacks from furthest extension of structure including eaves and overhangs. Por personal storage only. ❑ For personal residence only. Plot 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). ".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. Alo plumbing or plumbing fixtures allowed. No 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, eclocated, rebuilt, or structurally altered / Land use permits shall be obtained prior to the initiation of construction or a change in land use quirements (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 P 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: JODA, DANIEL LU-02467 W328N3719 RANGEWOODS DR NASHOTAH, WI 53058 Transaction Number: JODA, SARAH LU-02467-4B76B W328N3719 RANGEWOODS DR NASHOTAH, WI 53058 Description Amount Non -Habitable Residential Principal and Accessory $153.60 Structures - $0.20/square foot (minimum $75) Total: $153.60 Payment Amount $153.60 Reference: 7923 Paid by: Up North Retreats Payment Type: Check Transaction Date: 8/12/2026 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 / Impervious Surface — No Floodplain — No! Wetlands — No Mitigation — No I Affidavit #: LAND USE — X SANITARY - SPECIAL A - SPECIAL B/CONDITIONAL — BOA — No. 26-0415 Tax ID: 39523 Issued To: JODA, DANIEL & SARAH Location: S28 - T43N - R07W Town of Cable BAYFIELD COUNTY PERMIT WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION Legal Description: LOT 12 TELEMARK HILLS PHASE I IN DOC 2025R-606616 Residential Structure in R-RB zoning district For: New Construction, Accessory Structure on a Slab [768 Total sq. ft.] (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 12, 2026 Date Condition(s): 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. Requirements (e.g., permits/licensing/tax) of Local Town, Village, City, State or Federal agencies are required.