HomeMy WebLinkAbout26-0434REturn to: County Use Only:
117 E 5t" Street, PO Box 58 Bayfield County Planning and Zoning Department Submission #: LU"ba 9
Washburn, WI 54891 LAND USE PERMIT APPLICATION Permit #:
permits@bayfieldcounty.wi.gov Date: 4 el ?o
I SECTION A: General Information
Property Owner Name: -,1 - _ Authyrizetl Agent Name f ap 1' able): ANTFRQIt\
-73ga-
E-Mail Address:
n
Prc lcct Address (ifdifferent rani mailing address): , ^ �0
J�
npi
\a
Legal Description (if additionalspacesspppaace ii needed attach se ara a sheet):
St a Skbj tC Q.y
q$5 k J1o. G 2 SR-/Q2DI
t_
Section, Township, Range: aa SW SE
Town of:
Tax ID #:
Lot Size (Acres/ uare Feet): LJ35 Dt7
SECTION C: Project Information (check all that apply) -
�!
Project Lye is: ipt ' Residential ❑ Commercial ❑ Municipal If Commercial, estimated cost of construction: $
Project Tije is: & New Construction
❑ 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 Tree is: Residence
❑ Principal Structure (describe):
2026
AUG 18
❑ Accessory Structure (describe): ❑ Shoreland Exempt Structure (describe):
❑ Mobile Home (provide manufactured
Bayfield Co.
date):
planning arA Zcu'ng Agency
❑ Shipping Container ❑ Other (describe):
Foundation Type:
❑ Basement ❑ Walkout Basement 1 Slab ❑ Crawlspace ❑ Ground ❑ Skids ❑ Other (explain):
Proposed Structure (Provide Sq Ft based on outside dimensions, including unfinished areas, attached garages/above grade
decks/ arches):
Basement Sq Ft: I Floo yS Ft: Loft Sq Ft. 2"s Fl or S Ft: 3r° Floor Sq Ft:
Garag S F Porel (j- Ft: Deck- Sn Othr eqEL(describe): Other Sq Ft (describe):
Total Sq Ft: 7 Sia. Overall Height (finished grade to peak): a,'7
# of Stories: • Existing # of Bedrooms on property: t, Proposed # of Bedrooms in project:
SECTION E: RV and Sian Information (check all that apply)
Sign is:
RV is:
❑ New
❑ Replacement
❑ New ❑ Replacement
❑ On -premise
❑ Off -premise
❑ 1 -sided
❑ 2 -sided
Year: Vin #:
❑ On -building
❑ Multi -Tenant
Length:
Width: Height:
Make: Model:
Application Page 1
SECTION F: Site Plan — attach a site plan.or draw site plan in box below (See pages 1 & 2 of Land Use Permit Application
Information for information that is required to be provided on site plan)
Show location of:
❑ Driveways El Frontage Roads (include name) ❑ Existing Structures El Well (W) El Septic Tank (ST) ❑ Drain Field (DF)
❑ Holding Tank (HT) ❑ Privy (P) O Lake O River ❑Stream/Creek ❑Pond ❑Floodplain ❑Wetlands ❑Slopes over 20%
3€E At
RECEIVED
AUG 18 2026
Bayfield Co.
Planning and Zoning Agency
Setback or distance from furthest extent of structure
including eaves and overhangs to (include on site plan):
County Use Only
Verified setbacks
Road Centerline
ft.
.7 ft.
Notes/Comments:
Front Lot Line/Right-of-Way
1 S 6 h.
30 ft.
Side Lot Line 1
(North East South est circle one)
y'O ft.
ft.
Side Lo ine 2
North East outh West, circle one)
1 So ft.s.•ft.
Rear Lot me
�j p ft.
7 i ft.
Septic/Holding Tank
ft.
ft.
Drainfield
ft.
ft.
Privy
ft.
ft
Well
ft.
ft.
Existing Structure/Building
ft.
7%- ft.
Wetland
ft.
ft.
Elevation of Floodplain
ft.
ft.
Ordinary High -Water Mark (OH W M-)
ft.
ft.
Other (describe)
ft.
ft.
Application Page 2
N
11'F
BEARINGS ME EEO MSED
IMSLpfS. MYFIEIO COLW T Y- NAMI (l II 145TH
0tH. S Y LAB MM SLAED TOEMR
AW'MITw
SIMYEYONS CERTIFN:A
1, PATIRCNA BOWER. WISCONSIN FROFESSICML LAND SURVEYOR 5-3.MT. DO HERESY
CERTIFY THAT THIS MM' WAS MME AT THE DMECTIQY OF LTD LLc. OWNER OF THE ABOVE
OESCRMED AND IM FRED PARCELS, AND THE WFQPNM11ON SHOWN ON UIIS MAP IS CORRECT
AND ACCURATE TO THE REST OF MYMOFLEDGE AND BEMEFAND MEETS THE MINIMUM
STANDARD REQUIREMENTS FOR SURVEYS UNDER AET OF WISCONSIN ADMINISTRATIVE CODE.
PINE RIDGE 1,9W SURVEYING LEO.
PAIRIO(A MCNUEN
WIPE S 53992
LEGEND
O -SET 1' x 16' IRON PIPE
-ALL PIPE DIMENSIONS ARE OUTSIDE DIAMETER -
200 0 200' 400' 600'
SCALE FEET
PLATOFSURVEY w_ _
THE NORTHBBOCF THE WEST BBPOFT1€SV.OF THE 5EY. SECTFONYATOWNSHIP 48 NORTH, WINOEEWEST. _ R ttIVED
TOWN OF KELLY. BAYFIELO COUNTY. W4CQVSW. , ` EE
Cg k
AOIMYCovFN .�
rz nM aw
FDI•RQVIfr AUG 19 2026 0$ e
of
IT �8 5D z g
Bayfield CO. u w
I jml Planning and 7="!n9 Agency
I nll 0.
P,
ti
N: N: 405974.18 ,.7
p I E: 795091.49 •I
I IN68•i6'51"E -__ 86000' ________________.____—__� .�M
N: 405965.89 -- _
�„
E:794431.54 'o, Mx°Aw.Y •
ealoE
SANTR'1iY PARCEL i l
I—� 43& 600 Sq4
10.00 ABTAre �J
I�x I gA
JM
N: 405305.91 HIIa
E: 794436.59
$69°16.5W 660.00'
1" N:405314.20
E: 795096.53
lb
Ip
>
�N
%p 9y
NFl
N I
'--S
a
tl fi
zz I
I
SECTION G: Additional Questions
es
O No
has the location of the proposed project* been staked? If no, what date will this be completed:
Note: The site will not be inspected nor permit issued until after the staking date listed above.
Yes
0 No
Did a licensed surveyor mark lot line(s) if project is within 10 feet of required setback? See page 2 of Land Use
Application Information for required setbacks.
es
El No
Did property owner or applicant mark lot line(s) if project is within 30 feet of required setback? See page 2 of
Land Use Application Information for required setbacks.
❑ Yes
2o
Is there an existing sanitary system on the property? If yes, what kind?
❑ Drainfreld ❑ Holding Tank ❑ Municipal/Public ❑ Other (describe):
es
❑ No
Will pressurized water be installed in the structure? If yes, what kind of sanitary system will be installed or used
to manage wastewater?
Winfield ❑ Holding Tank O Municipal/Public ❑ Other (describe):
r Yes
O No
Will sleeping occur in the structure'? If yes, contact local Uniform Dwelling Code (UDC j ar vval and
inspection requirements.
Is the project associated with any of the following:
❑ Rezone O Class A Special Use ❑ Class B Special Use ❑ Conditional Use O Variance Al 113 18 2026
Fee payment will be made via:
Cf Check (attached) 0 Cash (attached) 0 debit/credit/echeck (department to call once payment is req (o e1tft4$
How would you like to receive your permit card? ry
❑ Mail to: OR R"Email to:deArtn5hL .athINA vC0M
❑ Property Owner Address ❑ Agent Address O Contractor Address ❑ Other (provide name and email or address):
*Include caves, 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.eov/tonic/wetlands, or contact a Department of Natural Resources service
center (715)685-2900.
1 (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. 1 (we) acknowledge that 1 (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.
Owner(s) or Authorized Agent Printed Name:
Owner(s) or Authorized Agent Signatur . Date:
NOTES:
I. If you are signing on behalf of a ow r(s) a letter of authorization ust ccompany this application.
2. Specific conditions/instructions may b stated on the face of the issue and Use Permits. Owners, agents, & contractors
must all be aware of permit detai onditions and permit card must be posted on property prior to start of project.
Application Page 3
QUIT CLAIM DEED
C.T.D., LLC, a Wisconsin Limited Liability Company
quit claims to
Tyler Vernon and Molly Vernon, a married couple, as survivorship
marital property
the following described real estate in Bayfield County, State of Wisconsin:
As Described in Attached Addendum/Exhibit A
By executing this deed, the undersigned certify/certifies that this
transaction has been approved by said entity; and that the
undersigned is/are duly qualified and authorized to execute this
document on its behalf.
This is not homestead property.
Dated: S/ tflk26.
C.T.D. LLC
By: Ig D. Vernon, Member
Todd G. Vernon, Member
o b
;'•0TARy'•
m\ pUBL�G
HE
DOCUMENT NUMBER
2026R-613191
DANIEL J. HEFFNER
REGISTER OF DEEDS
BAYFIELD COUNTY, WI
RECORDED
08/03/2026 AT 11:20 AM
RECORDING FEE: $30.00
TRANSFER FEE: $105.00
PAGES: 2
ELECTRONICALLY RECORDED
Return To:
Tyler Vernon and Molly Vernon
24360 Lund Road
Mason, WI 54856
File No. G-2606510
State of Wisconsin
)S.S.
County of Bayfield
Personally came before me on .3(c 9 2b
the above named Craig D. Vernon Wnd Todd G. Vmon to
me known to be the person(s) who executed the foregoing
instrument a hereby acknowledge the same.
Sherry L Huhn O
Notary Public, State of Wisconsin
My Commission expires: March 20, 2028
THIS INSTRUMENT WAS DRAFTED BY:
Michael S. Brandner
Gowey Abstract & Title Company, Inc.
RECEIVED
AUG 202026
Bayfield Co.
Planning and Zoning Agency
Bayfield County Register of Deeds Document #2026R-613191 Page 1 of 2
GOWEY Title IReal Estate Closings 885 W. Broadway Avenue
Title Insurance Medford, WI 54451
www.goweytitle.com
File No. G-2606510
ADDENDUM/EXHIBIT A
The North 660 feet of the West 660 feet of the Southwest Quarter of the Southeast Quarter (SWl/4-SE1/4), Section
Twenty-two (22), Township Forty-six (46) North, Range Five (5) West, Town of Kelly, Bayfield County, Wisconsin.
Tax ID Number(s): 04-026-2-46-05-22-4 03-000-10000 (Parent)
EgCrcE4'
AUG 202016
Bayfield Co.
planning and Zonim,. Agency
Bayfield County Register of Deeds Document #2026R-613191 Page 2 of 2
AUG 19 2026
Letter of Authorization
Bayfieid Co.
Pkanning and Zoning Agency
Bayfield County Planning & Zoning Department
PURPOSE. This Letter of Authorization is used to authorize a single property owner to act on
behalf of multiple property owners or a designated agent to act on behalf of the property owner/s.
If multiple property owners, each property owner must submit this signed letter.
Ix ryl C n roper,�y owner), authorize
(authorized agent) to submit a ! Arec1145S (e rtti rt (Example: land use, special
use, conditional use, rezone/map amendment, appeal, variance, text amendment, etc.) for the
following described project (Example: construction of residence or other structure, short-term
rental or other use change, etc.) lu4 D itfin5k 4CkSb(J application on my behalf for
the following described property:
Legal description of subject property: Ada 410 N lf� �
4i11 WS
Address of subject property: ( oaLth `2{t&- 1N `Qn
Signatures
Xt 11 J 20≥'°
Dated
AUG 18 2026
Bayfield Co.
Planning and Zoning Agency
......................
omrmo xa 25-07.1345
Extreme
is
}
+
....
-
_
ii
....
Subminetl
•
DRAWN : WRE
..... .. .. ... ...... ..
.i..... ;_. ... _.. _._�.. ...
MFR0VED: WRE
tt
j74
- - ---- - '� _ Attic Storago Room
g
Meth. Rmt
•..._
nH
l
,
Beth 3
:...
..
Balcony . 1L°' yi
......................_...._... ..
W.l.c
4:P9
... _ ODon to Below 3I .....�
-__ RECEIVED
..............
Bedroom 3 1 +.
_;.::=....l-�_� 18 2026
I a ,' o•
l mod,-2d2B
BayfleidGo.
Planning and Zoning
Agency
Second
Floor
Scott Roush
From:
Tyler Vernon <tyvernon@northernclearing.com>
Sent:
Tuesday, August 18, 2026 2:59 PM
To:
Scott Roush; jeannine@arniemackey.com
Cc:
Charles Sandor
Subject:
RE: Land Use application for residence
Scott,
Storage would be the plan right now, and there is no bathroom and we are not putting one in there.
Appreciate it
From: Scott Roush <scott.roush@bayfieldcounty.wi.gov>
Sent: Tuesday, August 18, 2026 2:56 PM
To: Tyler Vernon <tyvernon@northernclearing.com>; jeannine@arniemackey.com
Cc: Charles Sandor <chuck_sandor@yahoo.com>
Subject: RE: Land Use application for residence
• You don't often get email from Scott roush@bayfieldcounty wi.gov. Learn why this is important
CAUTION: External Sender. Please do not click on links or open attachments from senders you do not trust.
Tyler,
Thanks for that. Will that cabin continue to be used for people to sleep in? If so, you will need to
apply to do change of use (an option on our regular land use application) from principal structure to
a "bunkhouse". By definition, a bunkhouse is a cabin that has sleeping space, a bathroom, but no
dining/eating area and it would also need to pass a UDC inspection. Or is the plan to change it to
storage?
Let me know how you will continue to use it.
Thanks,
Scott Roush (he/him)
Assistant Zoning Administrator
Planning and Zoning Department
Bayfield County
117 E 5th Street, PO Box 58
Washburn, WI 54891
Phone 715.373.3517
I HY FIELD
Fraudulent Bitting Alert: Be aware that individuals submitting applications to our department have
received scam emails. Bayfield County will NOT ask applicants to wire any funds. Please contact
our office atzoning@bavfieldcounty.wi.gov or 715 373-6138 with any questions or concerns.
From: Tyler Vernon <tvvernon@northernclearing.com>
Sent: Tuesday, August 18, 2026 2:27 PM
To: Scott Roush <scott.roush@bayfieldcounty.wi.gov>; Jeannine@arniemackey.com
Cc: Charles Sandor <chuck sandor@vahoo.com>
Subject: RE: Land Use application for residence
Scott,
There is no water, sewer, septic, drainfield etc on site.
The building is an older hunting cabin and doesn't have bathrooms, water, or anything like that. We
plan to keep it that way. They had a portapotty on site previously.
We did get our sanitary permit and plan to put in a well and septic for the new house only.
Thanks,
Tyler
From: Scott Roush <scott.roush@bayfieldcounty.wi.gov>
Sent: Tuesday, August 18, 2026 1:36 PM
To: Tyler Vernon <tyvernon@northernclearing.com>; Jeannine@arniemackey.com
Subject: Land Use application for residence
You don't often get email from scott.roush b yfieldcounty.wi,gov. Learn why this is important
CAUTION: External Sender. Please do not click on links or open attachments from senders you do not trust.
Hi,
I'm reviewing your application for a new residence. It looks like there is an existing residential
structure currently on the parcel. Has this house been demolished or are there plans to do so? Or
are you applying to have two residences on this parcel? If that is the case, please be aware that
there are restrictions for doing that in terms of where you can place that second residence. You did
not provide any setback information for existing structures, well, drainfield, etc so I cannot verify if
you have met those requirements.
Please let me know your plans and I can go over our requirements for having two homes on a
parcel.
Thank you,
Scott Roush (he/him)
Assistant Zoning Administrator
Planning and Zoning Department
Bayfield County
117 E 5`" Street, PO Box 58
Washburn, WI 54891
Phone 715.373.3517
B4YFIELD
Fraudulent Billing Alert: Be aware that individuals submitting applications to our department have
received scam emails. Bayfield County will NOT ask applicants to wire any funds. Please contact
our office at zonin a ieLcLcountv.wi. ov_ or 715 373-6138 with any questions or concerns.
Land Use Permit Application Review Checklist
Submission #: — 6
What zoning district is the project located in?
❑ R-1 ❑ R-2 ❑ R-3 ❑ R-4 ❑ R-RB ❑ C ❑ 1 ❑ M -1 ❑ A-2 ❑ F-1 ❑ F-2 ❑ W ❑ M -M
❑ YesVo
Is lot substandard (does not meet current zoning dimensional requirements)?
//
Deed of record:
❑ Yes ...Do
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)?
❑ Yeses- 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 o
Are there wetlands on the property?
❑ Yes o
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 #:
❑ Yes o
Is the project associated with a Special A Use Permit?
`tom es No
Does the project require sanitary?
0 Existing11ew 0 Intercept 0 Reconnect 0 Non -Plumbing ❑ Public
Sanitary Permit #: A S # of Bedrooms:
❑ Yes 4lo
Does the project require mitigation?
7
Implementation Deadline: Date of Compliance:
❑ Yes Ho
Does the project require an affidavit? Affidavit #:
es 0 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? esidential ❑ Commercial ❑ Municipal
Project type is?'' New Construction ❑ Addition/Alteration ❑ Change Use ❑ Relocate ❑ RV Placement ❑ Sign
O Establishing a Business O Temporary O Shoreland Grading O Other, describe:
Structure Type is:'Residence O Principal Structure O Accessory Structure O Boathouse (one story only)
❑ Open-sided/Screened Structure (gazebo, etc.) ❑ Stairway to navigable waters ❑ Mobile Home
❑ Shipping Container O Other, describe
Total Sq. Ft. of Project: Number of Stories: Overall Height: 'L 7 "
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 s ft
q
(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 (exempt from fees)
❑ Return Inspection ❑ Land Use Revisions O Special Use Permit - Class A ❑ Floodplain O Shoreland - Impervious
Surface 0 Shoreland - Non -Conforming, etc. ❑ Tower Siting/Collocation 1 O Tower Collocation 2 O Metallic Mine
❑ After -the -Fact (ATF)
$
Inspected by:
Date of Inspect r
Re -Inspected by:
Date of Re-Insp ction:
Denied by:
Date of Denial:
Reason for Denial:
Date Denial Letter Mailed:
Approved by:
r
Date of Approval:
G
Condition(s):
St meet and maintain setbacks from furthest extension of structure including eaves and
overhangs.
❑ For personal storage only.
or personal residence only.
❑ Not 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.
Uniform Dwelling Code (UDC) Permit from the locally contracted UDC Inspection Agency must be
obtained prior to the start of construction (if applicable).
e 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.
be constructed per plan.
❑ Adhere to privy agreement.
El 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).
End use permits shall be required for any new residence, any building or structure erected,
ocated, rebuilt, or structurally altered
Land use permits shall be obtained prior to the initiation of construction or a change in land use
equirements (e.g., permits/licensing/tax) of Local Town, Village, City, State or Federal agencies are
ired
*anitation 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 NrFIELD 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:
VERNON, TYLER
LU-02491
24360 LUND RD
MASON, WI 54856
Transaction Number:
LU-02491-4C9CB
Description Amount
Habitable Residential Principal & Accessory $2,751.00
Structures - enclosed areas $0.50/square foot
(minimum $125)
Habitable Residential Principal Structure - $414.00
unenclosed area or non -habitable garage
$0.20/square foot (minimum $125)
Total: $3,165.00
Payment Amount: $3,165.00
Reference: 24994
Paid by: Arnie Mackey Construction Inc
Payment Type: Check
Transaction Date: 8/21/2026
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 / Affidavit #:
AA►UPL9�
SANITARY — New 26-109S
SPECIAL A -
SPECIAL B/CONDITIONAL-
BOA -
BAYFIELD COUNTY
PERMIT
WEATHERIZE AND POST THIS PERMIT
ON THE PREMISES DURING CONSTRUCTION
No. 26-0434 Tax ID: 21332
Issued To: VERNON, TYLER & MOLLY
Location: S22 - T46N - R05W
Town of Kelly
Legal Description: N 660 W 660 SW SE IN DOC 2026R-613191
Residential Structure in A-1 zoning district
For: New Construction [2 - Story ], Residence on a Slab [7572 Total sq. ft. ] Height of 27.5'
(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 Scott Roush
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 21, 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.
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.
Use best management practices to limit and prevent erosion during construction.
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).