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HomeMy WebLinkAbout26-0377RReturn to: 117 E 5th Street, PO Box 58 Washburn, WI 54891 permits Pbayfieldcou nty.wi.gov Bayfleld County Planning and Zoning Department LAND USE PERMIT APPLICATION cc �Vis1Orl County Use Only: Submission #: LU - a 330 Permit #: 2, -� --0377R. Date: 2 O SECTION A: General Information Property Na e: H Authorized Agent Name (if applicable): IV&alu Telephone Number: q , Sq I _ 07,%S Telephone Number: C\IfJ(VJ arN E -Mail Ad4re ss: E -Mail Address: l; a6 e I r -e Mailin Address: Mailing Address: X15 City, State, Zip: 5u&trr0r W.L 3 C' City, State, Zip: Con c or: Telephone Number. E -Mail Address: ` Ic' C 5 —O23 crier _ im co SECTION B: Property Information Project Address (if different from mailin address): Lqcc snwr4- W.L 1ic75 Legal Description (if additional space is needed attach a separate sheet): Section, Township, Range: 5 — — (7 Q Town of: Tax ID #: 77 Lot Size (Acres/Square Feet): 7 L Acrcs SECTORC: Project Information (check all that apply) Project Use is: Residential ❑ Commercial ❑ Municipal If Commercial, estimated cost of construction: $ Project Type is: Ja New Construction ❑ Addition/Alteration (existing structure) ❑ Change Use (existing structure) ❑ Relocate (existing structure) ❑ RV Placement 21+ days ❑ Sign El Establishing a Business ❑ Temporary (12 or less months) ❑ Shoreland Grading, Class A ❑ RV Placement 4+ months, Class A ❑ Other (describe): required Total sq ft): required SECTION D: Structure Information (Does notnotaly .to RVs and Signs, go to SectioziE) Structure Type is: / Residence ❑ Principal Structure (describe): ❑ Accessory Structure (describe): ❑ Shoreland Exempt Structure (describe): ❑ Mobile Home (provide manufactured date): ❑ Shipping Container ❑ Other (describe): Foundation Type: ❑ Basement ❑ Walkout Basement %Slab ❑ Crawlspace ❑ Ground ❑ Skids ❑ 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: P° Floor Sq Ft: Loft Sq Ft: 2°d Floor Sq Ft: 3n° Floor Sq Ft: Garage Sq Ft: Porch q Ft: Deck F : Other Sq Ft (describe): Other Sq Ft (describe): Total Sq Ft: 3 Q,z Overall Height (finished grade to peak): 2Q # of Stories: jExisting # of lsearooms on property: Proposed # of Bedrooms in project. a' SECTION E: RV and Sign Information (check all that apply) Sign is: RVis: is: ❑ New ❑ Replacement ❑ New ❑ Replacement ❑ On -premise ❑ Off -premise ,n ' F ❑ 1 -sided ❑ 2 -sided \r Year. Vin ❑ On -building 0 Multi -Tenant 'AUO 112026 Length: Width: Height: Make: Model: 8ay1ie1d Co. t1 Application Page I panning aria coning Agency 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 0 Frontage Roads (include name) O Existing Structures ❑ Well (W) ❑ Septic Tank (ST) ❑ Drain Field (DF) ❑ Holding Tank (HT) O Privy (P) O Lake 0 River ❑Stream/Creek ❑Pond ❑Floodplain ❑Wetlands ❑Slopes over 20% N 1 olr( s7ruct4/e5 / S 1q_: �I�t` •RECEIVED AUG 112026 Bayfield 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. Sid Lot Line 1 ft. ft. o East South Wes circle one) � Cf IQ/ (/� i t Pi St a Lot e2 ortb South West, circle one) ft. R Rear Lot Line ft, Septic/Holding Tank 2 ft. ft. Drainfield j p ft. ft. Privy ft. ft. Well 1lI ft. ft. Existing StmctureBuilding ft. ft Wetland ft. ft. Elevation of Floodplain ft. ft. Ordinary High -Water Mark (OHWM) 7 & ft. ft. Other (describe) ft. ft. Application Page 2 SECTION G: Additional Questions O 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 O 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. [t] Yes O 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. 29 Yes 0 No Is there an existing sanitary system on the property? If yes, what kind? Drainfield ❑ Holding Tank ❑ Municipal/Public 0 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? U Drainfield ❑ Holding Tank ❑ Municipal/Public ❑ Other (describe): fl 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 O Variance Fee payment will be made via: ❑ Check (attached) 0 Cash (attached) 0 debit/creditlecheck (department to call once payment is ready to be taken) How would you like to receive your permit card? ❑ Mail to: OR O Email to: O Property Owner Address jAgent 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/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 for the purpose of inspection. time G [C-.C.c ©,tc Owner(s) or Authorized Agent Printed Name: ''2 Owner(s) or Authorized Agent Signature: Date: D G'� NOTES: 1. If you are signing on behalf of the owner(s) a letter of authorization must accompany this application .j—j,v t 2. Specific conditions/instructions maybe stated on the face of the issued Land Use Permits. Owners, a must all be aware of permit details & conditions and permit card must be posted on property prior to start of groject. Application Page 3 PlanninBayeld Co. g and Zoning Agency L, J C. once}e tIj Ii ��GIG�Cf T TA -'9 /Gj 52' - - &112 PITCH = 4-5/&/12 SCREEN PORCH IJ IW 12' 2 we -� -- 16. _.- zJ4 F 48' v c- Ccncr&G s 0 o N R� N m W M b112 6112 -• S. 8/12 4 5/8 / 12 •S. 12' - =+ - fILLfl LIL n!iU 13 - SCREEN _ `A MASTER MASTER PORCH i DECK I ; BEDROOM BATH �� I f _ �-- 11 ------,- -- _ 22' ---- - 11' lb 76, iiiii-1 b• a•— g 32' r — — — -a 10' i O At II W. .}.g InI AE II I m 5g"=.1.3-0-�8-11". m °zz I v 71,5 N ,1r_ I . 4e' 5 I 2 6' 6' _Tr 10' RECEIVED /AUO '112026 Planningandz I I - �rse�� Bayfleld County Impervious Surface Calculations RECEIVED JUN 2 0 2026 s�� Bayfleld Co. These calculations are REQUIRED per WI Admin Code NR 115.05(1)(e) and Sectibnnn1:34-32(g)"d'-13-1- 40(h) of the Bayfield 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 Bayfleld 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 Owner(s) John & Neil O'Shaughnessy Ms"ng Address Property Address 3906 N 21 St. Superior, WI 1955 Smart Road Lecal Des ;nor, Section, Township. Range 1/4, Sec 18 Township 44 N. Range g W Aulhanzea Aaent/Contactor Gov't Lot Lot O CSMO Vol & Page Nelson Surveying, Inc. 2 2 971 Lot(s) 0 Btod;ia1 c Subdivision Town of: Barnes r aril tDO (PINS) 004-2-44 -09-18-1 05 -002-09000 Tax IDO 2123 Date: (� C 5/29/25 Impervious Surface: An area that releases as runoff all or a majority of the precipitation that falls on it. "Impervious surface" excludes 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 Bayfleld 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 Section(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 that existed on the effective date of the county shoreland ordinance, and meets the applicable setback requirements in Section 13-1-32. Impervious Surface Item Dimension Area (Square Footage) Existing House Existing Accessory Building/Garage Existing Sidewalk(s), Patio(s) & Deck(s) Existing Covered Porch(es), L % Zoz I Driveway & Other Structures row -I % (/G l44tl Proposed Addition/House I /eLv '1du`yl_- l08 Proposed Accessory — �IG�✓ Building/Garage /p {i Proposed Sidewalk(s) & Patio(s) c.i k tI 16U Proposed Covered Porch(es) & Zq L Deck(s) Proposed Driveway WL lull GcQ h /C a' +h n p/'af � OOT- Proposed Other Structures C� l'I S P u¢ I f n i t� 1hv i l tt +h1 1/'q snd to c7flh which t✓tli pu/- us tneLer by ti -2 sQ *- Total: 1,712 a. Total square footage of lot: 90 IMO b. Total impervious surface area: G 7 Z3 c. Percentage of impervious surface area: 100 x (b)/a = (6 % ('tr4' by 5q3 s4�� If the proposed impervious surface area is greater than 15% mitigation is required. Total square footage of additional impervious surface allowed: @ 15% @ 30% Issuance Information (County Use Only) Date of Inspection: Inspection Record: zoning Distna I I lakes Classificalion I 1 Condition(s): _,(/ f Il t // r I�CG % /� 4 ate.�'/rei -I 72 (/iY/ / ` Stormwater Management Plan Requited: L ( /✓� w e�/tCa�rBs :IYes ❑ No Sgnatum of Inspector: Date of Approval: wforms/impervioussurface Created: May 2012 (®Apr 2016, Sept 2020) Proofed by: Bayfield County, WI PRPID/Tox ID # } .w .4i � t3y yd� C 7>- PRPLD/Ti DA VID O'£ a t ;" Q ;1 * :' ,• •;i.'i :t At• : H T •: L's '4 fW ,& a �' 6. §/R2/26, 3:P6 PM Novus-Wisconsin Access rev. 12.0206 s� 4P Real Estate Bayf9eld County Property Listing Property Status: Current �'• Today's Date: 6/22/2026 Created On: 6/11/2025 3:54:01 PM Z Description Updated: 3/2/2026 Tax ID: 39607 PIN: 04-004-2.44-09-18-1 05-002-09100 Legacy PIN: Map ID: Municipality: (004) TOWN OF BARNES STR: S18 T44N R09W Description: LOT 1 CSM 2404 IN DOC 2025R-607730 BEING IN GOV LOT 2 691C IN DOC 2026R-611060 Recorded Acres: 0.940 Calculated Acres: 0.000 Lottery Claims: 0 First Dollar: No Zoning: (R-1) Residential -1 ESN: 104 1 Tax Districts Updated: 6/11/2025 1 STATE 04 COUNTY 004 TOWN OF BARNES 041491 SCHL-DRUMMOND 001700 TECHNICAL COLLEGE ,yam Recorded Documents Updated: 3/15/2006 ® QUIT CLAIM DEED Date Recorded: 2/18/2026 2026R-611060 ® CERTIFIED SURVEY MAP Date Recorded: 6/4/2025 2025R-607730 ® CONVERSION Date Recorded: 573-140;675-235;726-258 a Ownership Updated: 6/11/2025 NEIL B O'SHAUGHNESSY JR SUPERIOR WI Billing Address: Mailing Address: NEIL B O'SHAUGHNESSY JR NEIL B O'SHAUGHNESSY JR 3906 N 21ST 3906 N 21ST ST SUPERIOR WI 54880 SUPERIOR WI 54880 11 Site Address * indicates Private Road 1955 SMART RD GORDON 54838 IN Property Assessment Updated: N/A 2026 Assessment Detail Code Acres Land Imp. N/A 2 -Year Comparison 2025 2026 Change Land: 0 0 0.0% Improved: 0 0 0.0% Total: 0 0 0.0% EN Property History Parent Properties Tax ID 04-004-2-44-09-18-1 05-002-09000 2123 HISTORY ® Expand All History White=Current Parcels Pink=Retired Parcels © Tax ID: 2123 Pin: 04-004-2-44-09-18-1 05-002-09000 Leg. Pin: 004112109000 39607 This Parcel t Parents 1 Children 0 https://novus.bayfieldcounty.wi.gov/access/master.asp?paprpid=39607 1/1 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 O %39 ne ?& M,' i' Pet≤ dedcoteJ nn < < Property Owner: T r O Tyl (e") t S i o Yt FnS - 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 / O X �i $17 Structures -ended areas $0.50/square foot t7 o, J (minimum $125) -I p Habitable Residential Principal Structure - // _ a'�' a — $118.80 . $ G unendosed area or non -habitable garage by. x • �' $0.20/square foot (minimum $125) 4, \ a' • H Total: $319.80 Payment Amount $327.41 C �. Rcvtyy Reference: 141066 - 2S iZ.3585 PiV S o � Paid by: Jacob Sorensen - 70 Payment Type: Credit Card �, 1 ` y-1'dl t� Transaction Date: 7/30/2026 Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit. Land Use Permit Application Review Checklist $ubmission #: j O What zoning district is the project located in? %ii ❑ R-2 ❑ R-3 ❑ R-4 ❑ R-RB ❑ C ❑ I ❑ M ❑ A-1 ❑ A-2 ❑ F-1 ❑ F-2 ❑ W ❑ M -M 0 Yes No Is lot substandard (does not meet current zoning dimensional requirements)? Deed of record: fd'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)? jZles 0 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 Floodplain? Zone: ❑ Yes f No Are there wetlands on the property? ❑ Yes ja No Is project associated with a nonconforming use or structure? ❑ Yes Z'No Is project associated with a variance? Case #: ❑ Yes No Is project associated with a Special B or Conditional Use Permit? Permit #: ❑ Yes Q No Is the project associated with a Special A Use Permit? Does the project require j241sting 0 New 0 Intercepteconnect 0 Non -Plumbing ❑ Public Sanitary Permit #: 3—/) / ` # of Bedrooms: 3 — O� .I -8'Yes ❑ No ❑ Yes �iNo Does the project require mitigation? Implementation Deadline: Date of Compliance: ❑ Yes 2,90 Does the project require an affidavit? Affidavit #: ZVes ❑ No Did licensed surveyor mark lot line(s), if project is within 10 feet of required setback? ❑ Yes 0 No Did applicant/property owner mark lot line(s), if project is within 30 feet of required setback? Project use is?J21fesidential ❑ Commercial ❑ Municipal Project type is?J41ew Construction ❑ Addition/Alteration ❑ Change Use ❑ Relocate ❑ RV Placement ❑ Sign 0 Establishing a Business ❑ Temporary ❑ Shoreland Grading ❑ Other, describe: Structure Type is ,.2Iesidence ❑ Principal Structure ❑ Accessory Structure 0 Boathouse (one story only) ❑ Open-sided/Screened Structure (gazebo, etc.) 0 Stairway to navigable waters ❑ Mobile Home ❑ Shipping Container ❑ Other, describe Total Sq. Ft. of Project: 3012 Number of Stories: I 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 /7bC/ sq ft (minimum $125) $ cy/yO O �5 ❑ Dwelling Unenclosed Areas (decks, patios, etc.) or Attached Non -Habitable Garages $0 20 / �� ,/ q . x s ft (minimum $125) $ ❑ 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 0 Land Use Revisions 0 Special Use Permit - Class A 0 Floodplainhoreland - Impervious Surface 0 Shoreland - Non -Conforming, etc. ❑ Tower Siting/Collocation 1 ❑ Tower Collocation 2 0 Metallic Mine ❑ After -the -Fact (ATF) $ RAW Inspected by: Date of Inspection: Re -Inspected by: Date of Re -Inspection: Denied by: Date of Denial: Reason for Denial: Date Denial Letter Maile 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. 1Z1or personal residence only. ❑ Not for human habitation or sleeping purposes. ,wn/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. ❑ 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. o 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 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: O'SHAUGHNESSY, NEIL B JR LU-02330R 3906 N 21ST ST SUPERIOR, WI 54880 Transaction Number. LU-02330R-4BBE4 Description Amount Land Use Revisions $25.00 Shoreland - Impervious Surface $25.00 Habitable Residential Principal & Accessory $704.00 Structures - enclosed areas $0.50/square foot (minimum $125) Habitable Residential Principal Structure - $134.00 unenclosed area or non -habitable garage $0.20/square foot (minimum $125) Total: $888.00 Payment Amount: $909.13 Reference: 5687133595 Paid by: Neil O' Shaughnessy Jr Payment Type: Credit Card Transaction Date: 8/13/2026 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 — Yes I Impervious Surface — Yes Floodplain — No I Wetlands — No Mitigation — No / Affidavit #: REVISION LAND USE - X SANITARY — Reconnect 26-0421 SPECIAL A - SPECIAL B/CONDITIONAL - BOA - BAYFIELD COUNTY PERMIT WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION No. 26-0377R Tax ID: 39607 Issued To: O'SHAUGHNESSY, NEIL B JR Location: S18 - T44N - R09W Town of Barnes Legal Description: LOT I CSM 2404 IN DOC 2025R-607730 BEING IN GOV LOT 2 691C Residential Structure in R-1 zoning district For: New Construction [I - Story ], Residence on a Slab [3024 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 13, 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): 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. Return 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 tC � � N W a liiN U A 2UI O gHI a - p I -F E D T t� 6 CAMERA 2 01'S o� w o 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 t 1, baUvJy .::::. ,`; T t%t la et * t:-_:'vlv Lr ij ,�lu "c ,xlu oxlu :i i lxlu va _vlv - silo. is /1.1 _ -.x�vkr ;yu vkr ' b' *?k . ! sW&. my _.. _- �r * y 1(t '1 r xf vlvf- v1v+ � ry exUr k lu -ii-` ��,� A�4 •� �.-., is—_;.'� :r' 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.