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26-0430
Return to: 117 E 5th Street, PO Box 58 Washburn, WI 54891 perniits@bayfieldcountv.wi.gov Bayfield County Planning and Zoning Department LAND USE PERMIT APPLICATION County Use Only: Submission if: LU- Oa. I7 Permit if: ≥(-ON30 Date: ECTIQN A: General Information Projjy Owner Name: Authorized Agent Name (if applicable): o1'J Telephone Number q - ��o r�ttQu Telephone Number: RECEIVED E -Mail Address:• E -Mail Address: ENTERED Mailing Address. /) Mailing Address: 83 r a J & Bayfield Co. City, State, Zip: k I City, State, Zip: Planning and Loflifl9SQef%CY H ✓w& -J 1 Contractor: Telephone Number: E -M ia,j..&ddress: r— SECTION B: Property Information Project Address (if different front nailing address): 1 Legal Description (if additional space i needed attach a sep ate sheet): D._ % Pt r2 3' e % ' /iJ/Q 2N JU .� Section, Township, Range: ,S 30 (,i j Town of: YI/t�ln/ Tax ID #: Lot Size (Acres/Square Feet): , S SECTION C; Project Information (check all l:) Project Lave is:,ETRessidential ❑ Commercial El Municipal If Commercial, estimated cost of construction: $ Project Type is: ❑ New Construction 0-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 sft): 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): ❑ Shoreland Exempt Structure (describe): ❑ Mobile Home (provide manufactured date): El Shipping Container they (de ibe): S�Fiji eotrF oFF �a�Qp Foundation Type: ❑ Basement El Walkout Basement 'Slab ❑ Crawlspace ❑ Ground ❑ Skids ❑ Other (explain): Existing Structure: Len Width: 24 Height: t Proposed Structure (Provide Sq Ft based on outside dimensions, including unfinished areas, attached garages/above grade decks/porches): Q Basement Sq Ft: I n Floor Sq Ft: Loft Sq Ft: 2n° Floor Sq Ft: 3`° 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): ? l o # of Stories: xisting ' of Bedrooms on property: / Proposed # of Bedrooms in project: SECTION E: RVand Si' n Information (check all that apply) ` Sign is: R1 is: ❑ New ❑ Replacement El New ❑ Replacement ❑ On -premise El Off -premise ❑ I -sided ❑ 2 -sided Year: Vin #: El On -building El Multi -Tenant Length: Width: Height: Make: Model: ?fl 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 O River ❑Stream/Creek OPond ❑Floodplain OWetlands ❑Slopes over 20% N RECEIVED AUG 10 2026 Bayfield Co. Planning and Zoning Agen0 cy ' I 2(� �0 Setback or distance from furthest extent of structure County Use Only including eaves and overhangs to (include on site plan): Verified setbacks Road Centerline lib O ft. eft. Notes/Comments: •]l Ce/ &cJ Front Lot Line/Right-of-Way 2-oO ft. I'l — ft. Side Lot Line I So ft. /af- ft. (North Eas out West, circle one) S' e Lot Line I ft. oft. rth ast South West, circle one) �j�` RemllotLine IpODft. 0*- ft. Septic olding Tank �(pJ7op ft. rainfteld "2 t7 O ft. ft. Privy 1JP� ft. Well 5d ft. ft. Existing Structure/Building ft. ft. Wetland o 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 ,J 1'es O 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 ❑ 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. ❑ 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. Yes O No Is there an existing sanitary system on the property? If yes, what kind? El Drainfield O Holding Tank ❑ Municipal/Public Other (describe): fl4QVIn ❑ 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): CEIV ❑ Yes No Will sleeping occur in the structure? If yes, contact local Uniform Dwelling Code (UD ) or approva d inspection requirements. Is the project associated with any of the following: MtJG 102026 ❑ Rezone ❑ Class A Special Use O Class B Special Use O Conditional Use O Variance p'fipid Co Fee payment will be made via: Planning and Zoning Agency Check (attached) O Cash (attached) ❑ debit/creditlecheck (department to call once payment is ready to be taken) c -low would you like to receive your permit card? ❑ Mail to: OR IFEmail to: 3'°? Wtnl'VI�n��0.t ( •COV' O Property Owner Address O AgentderIVess ❑ Contractor Address O Other (provide name and email or address): 'Include eases, overhans, sanitansystem, and welI in staking measurements gSection H: Ack kowled ementand 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/toriic/wetlands, 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. [(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. Owner(s) or Authorized Agent Printed Name im Icy i wl Date: ¶ Owner(s) or Authorized Agent Signature: 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 Bayfield County Property Listing Today's Date: 8/10/2026 �iiB Description Tax ID: 36521 PIN: 04-008-2-49-04-30-1 01.000-11000 Legacy PIN: Hap ID: Municipality: (008) TOWN OF BAYVIEW STR: S30 T49N R04W Description: NE NE LESS S 179IN V.1124 P.248 & PAR IN NE NE DESC IN DOC 2017R- 567548 Recorded Acres: 34.200 Calculated Acres: 34.579 Lottery Claims: 1 First Dollar: Yes ESN: 106 Updated: 2/8/2018 a Ownership I Tax Districts Updated: 1/24/2013 1 STATE 04 COUNTY 008 TOWN OF BAYVIEW 046027 SCHL-WASHBURN 001700 TECHNICAL COLLEGE y. Recorded Documents Updated: 1/24/2013 0 QUIT CLAIM DEED Date Recorded: 3/13/2017 2017R-567548 0 WARRANTY DEED Date Recorded: 4/29/2014 20148-554080 1124-248 O TERMINATION OF DECEDENT'S INTEREST Date Recorded: 3/31/2014 2014R-553768 1123-48 0 TERMINATION OF DECEDENT'S INTEREST Date Recorded: 2/13/2014 2014R-553340 1121-569 O QUIT CLAIM DEED Date Recorded: 8/31/2012 2012R-545453 1089-317 Property Status: Current Created On: 1/24/2013 7:29:42 AM Updated: 5/21/2014 JOHN E & CHRISTINA D SOPIWNIK WASHBURN WI Billing Address: Mailing Address: JOHN E & CHRISTINA D JOHN E & CHRISTINA D SOPIWNIK SOPIWNIK 77835 KOMBORSKI RD 77835 KOMBORSKI RD WASHBURN WI 54891 WASHBURN WI 54891 11 Site Address * indicates Private Road 77835 KOMBORSKI RD WASHBURN 54891 ® Property Assessment Updated: 4/29/2024 2026 Assessment Detail Code Acres Land Imp. 5m -AGRICULTURAL FOREST 11.200 9,000 0 G1 -RESIDENTIAL 2.000 20,000 184,000 G4 -AGRICULTURAL 19.000 4,400 0 G5 -UNDEVELOPED 2.000 200 0 2 -Year Comparison 2025 2026 Change Land: 33,600 33,600 0.0% Improved: 184,000 184,000 0.0% Total: 217,600 217,600 0.0% M.29' Property History Parent Properties Tax ID 04-008-2-49-04-30-1 01-000-10000 6633 HISTORY 0 Expand All History. White=Current Parcels Pink=Retired Parcels 0 Tax ID: 6633 Pin: 04-008-2-49-04-30-1 01-000-10000 Leg. Pin: 008103301000 36521 This Parcel t Parents 4 Children RECEIVED AUG 10 2026 Bayfield Co. Planning and Zoning Agency 8/14/26, 10:40 AM Real Estate Bayfeld County Property Listing Today's Date: 8/14/2026 Novus-Wisconsin Access rev. 12.0206 Property Status: Current Created On: 1/24/2013 7:29:42 AM Z Description Updated: 2/8/2018 Tax ID: 36521 PIN: 04-008-2-49-04-30-1 01-000-11000 Legacy PIN: Map ID: Municipality: (008) TOWN OF BAYVIEW STR: 530 T49N R04W Description: NE NE LESS S 179' IN V.1124 P.248 & PAR IN NE NE DESC IN DOC 2017R- 567548 Recorded Acres: 34.200 Calculated Acres: 34.579 Lottery Claims: 1 First Dollar: Yes ESN: 106 I Tax Districts Updated: 1/24/2013 1 STATE 04 COUNTY 008 TOWN OF BAYVIEW 046027 SCHL-WASHBURN 001700 TECHNICAL COLLEGE aV Recorded Documents Updated: 1/24/2013 © QUIT CLAIM DEED Date Recorded: 3/13/2017 2017R-567548 ® WARRANTY DEED Date Recorded: 4/29/2014 2014R-554080 1124-248 0 TERMINATION OF DECEDENT'S INTEREST Date Recorded: 3/31/2014 2014R-553768 1123-48 0 TERMINATION OF DECEDENT'S INTEREST Date Recorded: 2/13/2014 2014R-553340 1121-569 ® QUIT CLAIM DEED Date Recorded: 8/31/2012 2012R-545453 1089-317 a Ownership Updated: 5/21/2014 JOHN E & CHRISTINA D SOPIWNIK WASHBURN WI Billing Address: JOHN E & CHRISTINA D SOPIWNIK 77835 KOMBORSKI RD WASHBURN WI 54891 Mailing Address: JOHN E & CHRISTINA D SOPIWNIK 77835 KOMBORSKI RD WASHBURN WI 54891 P Site Address * indicates Private Road 77835 KOMBORSKI RD WASHBURN 54891 Property Assessment 2026 Assessment Detail Code Sm-AGRICULTURAL FOREST G1 -RESIDENTIAL G4 -AGRICULTURAL G5 -UNDEVELOPED Updated: 4/29/2024 Acres Land Imp. 11.200 9,000 0 2.000 20,000 184,000 19.000 4,400 0 2.000 200 0 2 -Year Comparison 2025 2026 Change Land; 33,600 33,600 0.0% Improved: 184,000 184,000 0.0% Total: 217,600 217,600 0.0% LS Property History Parent Properties Tax ID 04-008-2-49-04-30-1 01-000-10000 6633 HISTORY 0 Expand All History White=Current Parcels Pink=Retired Parcels 0 Tax ID: 6633 Pin: 04-008-2-49-04-30.1 01-000-10000 Leg. Pin: 008103301000 36521 This Parcel t Parents Children https://novus.bayfieldcounty.wi.gov/access/master.asp?paprpid=36521 1/1 Bayfield County, WI �rJs j PPPID/Ta:ID'yu 3S y - 1 JONNE RISTINA D SOPIWNIC R. Y. MY _l Ir2Mp L'tiC[[ LF•. • r MroIDrtaa xo#Jei22 "e ,s KENNETNCCADOTTE JR 8/14/2026. 10:41:12 AM 1:776 - •�.-- Wetlands Building Footprint 2015 0 0.01 c.o1 i 0.03 ml Approximate Parcel Boundary * Building 0 0.01 0.03 • 006 km Road Type oaylleu County Land Remms oepanmen, Town Bayfield County ZONng APptimton M,PsflmaPs 6ayleldmunry wi gw2oningWABI Land Use Permit Application Review Checklist Submission #: What zoning district is the project located in? ❑ R-1 ❑ R-2 ❑ R-3 ❑ R-4 ❑ R-RB ❑ C ❑ I ❑ M l❑ A-2 ❑ F-1 ❑ F-2 ❑ W ❑ M -M ❑ Yes Jo Is lot substandard (does not meet current zoning dimensional requirements)? Deed of record: ❑ Yes E2, lo— 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 IjNcr Is impervious surface required? (Required if riparian lot OR lot is entirely within 300 feet of OHWM of navigable waterway) ❑ Yes L9 -No Is the project located in the Floodplain? Zone: ❑ Yes ❑.Mo Are there wetlands on the property? ❑ Yes M.No Is project associated with a nonconforming use or structure? ❑ Yes O -No Is project associated with a variance? Case #: ❑ Yes E914o Is project associated with a Special B or Conditional Use Permit? Permit #: ❑ Yes l 1No Is the project associated with a Special A Use Permit? Does the project require sanitary? O Existing ❑ New ❑ Intercept O Reconnect ❑ Non -Plumbing ❑ Public Sanitary Permit #: # of Bedrooms: ❑ Yes flkl6 ❑ Yes ❑:Akf Does the project require mitigation? Implementation Deadline: Date of Compliance: ❑ Yes Q -N5 Does the project require an affidavit? Affidavit #: ❑ Yes O 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 setba k? Project use is? esidential ❑ Commercial ❑ Municipal Project type is? O New Construction ddition/Alteration ❑ Change Use ❑ Relocate ❑ RV Placpcnent ❑ Sign ❑ Establishing a Business O Temporary O Shoreland GradO Other, describe: Structure Type is: O Residence O Principal Structure Ccessory Structure O Boathouse (one tory only) ❑ Open-sided/Screened Structure (gazebo, etc.) O Stairway to navigable waters O Mobile Home ❑ 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 sqxft (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 O Land Use Revisions ❑ Special Use Permit - Class A O Floodplain O Shoreland - Impervious Surface ❑ Shoreland - Non -Conforming, etc. ❑ Tower Siting/Collocation 1 ❑ Tower Collocation 2 O Metallic Mine ❑ After -the -Fact (ATF) $ Inspected by: frk, Date of Inspection: CUw Re -Inspected by: U V Date of Re -Inspection: Denied by: Date of Denial: Reason for Denial: Date Denial Letter Mailed: Approved b Date of Approval: fr)%&J j4-7 Condition(s): lJ/lust meet and maintain setbacks from furthest extension of structure including eaves and ove3angs. or personal storage only. personal residence only. W for human habitation or sleeping ur oses. p p E1wn/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. ❑ Si1 must meet the requirements of Article E of the Bayfield County Zoning Ordinance. per Rio be constructed pl lan. an. ❑ 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,piust be removed by ❑70sewer 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 O 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 'FIELD Bayfield County Planning & Zoning Department 117 E 5w Street P.O. Box 58 Washburn, WI 54891 Phone: 715-373-6138 Fax: 715-373-0114 Property Owner: Submission Number: SOPIWNIK, JOHN E & CHRISTINA D LU-02477 77835 KOMBORSKI RD WASHBURN, WI 54891 Transaction Number: LU-02477-4C1B0 Description Amount Non -Habitable Residential Principal and Accessory $75.00 Structures - $0.20/square foot (minimum $75) Total: $75.00 Payment Amount: $75.00 Reference: 209 Paid by: John Sopiwnik / Christina Sopiwnik Payment Type: Check Transaction Date: 8/17/2026 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 - BAYFIELD COUNTY 14 :1 ►'iIti WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION No. 26-0430 Tax ID: 36521 Issued To: SOPIWNIK, JOHN E & CHRISTINA D Location: S30 - T49N - R04W Town of Bayview Legal Description: NE NE LESS S 179' IN V.1124 P.248 & PAR IN NE NE DESC IN DOG 2017R-567548 Residential Structure in A-1 zoning district For: Addition/Alteration [1 - Story ], Accessory Structure on a Slab [288 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 Emily Macgillivray 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 17, 2026 This permit may be void or revoked if any performance conditions are not Date completed or if any prohibitory conditions are violated. Condition(s): Must meet and maintain setbacks from furthest extension of structure including eaves and overhangs. For personal storage only. Not for human habitation or sleeping purposes. Town/State/DNR/Federal may require permitting. To be constructed per plan. No sewer and pressurized water allowed in the structure.