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Return to: 117 E 5`1 Street, PO Box 58 Washburn, WI 54891 permits@bayfieIdcount.wi.gov Bayfield County Planning and Zoning Department LAND USE PERMIT APPLICATION County Use Only: Submission if: Li) - Permit if: pt,- o' -t3 Date: 4fN � -°d - SECTION' Genera 1. Information J. Property Owner Name: David C & Carolyn S Ramberg Authorized Agent Name (if applicable): (Trust) Karl Kastrosky Telephone Number: Telephone Number: RECrE1 Y E� 612-310-7444 (D) 612-310-7231 (C) 715-580-0157 E -Mail Address: cleanyacht@earthlink.net E -Mail Address: kastrosky821@gmail.com JUL 30 2026 (E fR Mailing Address: Mailing Address: 4937 17th Ave South 14295 McNaught Rd Bayfield Co. City, State, Zip: City, State, Zip: Minneapolis, MN 55417 Cable, W 54821 Contractor: Telephone Number: E -Mail Address: Jake (Sawhorse Const) 715-558-6538 jjjkinn@hotmail.com .. SECTION Bi Property.Informationr Project Address (if different from mailing address): 46055 Tahkodah Lake Rd, Drummond WI 54832 Legal Description (if additional space is needed attach a separate sheet): S 1/2 OF GOVT LOT 1 LESS V.157 P.361:V.232 P.598 IN DOG 2024R-602688 400 (DAVID C RAMBERG TRUST DTD 2/19/2024)(CAROLYN S RAMBERG TRUST DTD 2/19/2024) Section, Township, Range: S 34 T 44N R07 W Town of: Drummond Tax ID -: 14254 Lot Size (Acres/Square Feet): 3.014 acres SECTION C: Project Infor_., -on (check all that apply)" Rrgject Use is: C Residential El Commercial El Municipal Project type is: ❑ New Construction ❑ Addition/Alteration (existing structure) El 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 El Other (describe): required (Total sq ft): required SECTION D: Structure: information (Does not apply to RVs and Signs, go to Section E) Structure Type is: El Residence El Principal Structure (describe): ❑ Accessory Structure (describe): ❑ Shoreland Exempt Structure (describe): El Mobile Home (provide manufactured date): ❑ Shipping Container El Other (describe): Convert Habitable Structure to a Bunk House Foundation Type: ❑ Basement ❑ Walkout Basement ❑ Slab O 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: 1'r Floor Sq Ft: Loft Sq Ft: 2nd Floor Sq Ft: 3r° Floor Sq Ft: 405.24 Garage Sq Ft: Porch Sq Ft: Deck Sq Ft: Other Sq Ft (describe): Other Sq Ft (describe): 149.38 96 Total Sq Ft: 650 Overall Height (finished grade to peak): 16 # of Stories: 1 Existing # of Bedrooms on property: 2 Proposed # of Bedrooms in project: 1 SECTION' E:R and Si Informationcheci all thata I Sign is: RVis: is: ❑ New ❑ Replacement El New ❑ Replacement ❑ On -premise ❑ Off -premise El 1 -sided ❑ 2 -sided Year: Vin#: ❑ On -building ❑ Multi -Tenant Length: Width: Height: Make: Model: SECTION F: Site Plan — attach a site plan or draw site plan in box below (See pages I & 2 of Land Use Permit Application Information for information that is required to be provided on site plan) Show location of: ❑ Driveways ❑ Frontage Roads (include name) ❑ Existing Structures ❑ Well (W) ❑ Septic Tank (ST) ❑ Drain Field (DF) ❑ Holding Tank (HT) ❑ Privy (P) ❑ Lake ❑ River ❑Stream/Creek ❑Pond ❑Floodplain [I] Wetlands ❑Slopes over 20% N See Attachment(s) 2L S K D SL L RECEIVED I� ` JUL 3 0 2026 I Z' Planning8and Zon ng 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 784 It ft. Notes/Comments: Front Lot Line/Right-of-Way 751 ft. coft. Side Lot Line 1 105 ft. ? �� ft. (North9EstDSouthDWestD, check one) Side Lot Line 2 45 ft. `O ft. (NorthDEastDSouthE] West❑ check one) Rear Lot Line 784 ft. ft. Septic/Holding Tank 20 ft. ft. Drainfield 50 ft. ft. Privy ft. ft. Well 60 ft. / ft. Existing Structure/Building 60 ft. 6 ft. Wetland ft. ft. Elevation of Floodplain ft. ft. Ordinary High -Water Mark (OHWM) 45 ft. L7 ft. Other (describe) ft. ft. SECTION G: AdditionaLQ ue tions ❑ Yes ❑ No bias the location of the proposed project including eaves and overhangs and the sanitary system and well been staked? If no, what date will this be completed: ❑ 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. El Yes ❑ No Is there an existing sanitary system on the property? If yes, what kind? El Drainfield ❑ Holding Tank ❑ Municipal/Public ❑ Other (describe): ❑ Yes ❑ No Will pressurized water be installed in the structure? If yes, what kind of sanitary system will be installed or used to manage wastewater? ❑ Drainfield ❑ Holding Tank ❑ Municipal/Public ❑ Other (describe): Existing El Yes ❑ No Will sleeping occur in the structure? If yes, contact local Uniform Dwelling Code (U E€td inspection requirements. Is the project associated with any of the following: �U� 3 0 2026 ❑ Rezone ❑ Class A Special Use ❑ Class B Special Use ❑ Conditional Use ❑ Variance Fee payment will be made via: Sayfeld Co. El Check (ettaelteg) ❑ Cash (attached) ❑ debit/credittecheck (department to call once payment is n 9,14 9Agenty How would you like to receive your permit card? El Mail to: OR El Email to: ❑ Property Owner Address El Agent Address ❑ Contractor Address ❑ Other (provide Name and Email or Address): Section H: Acknowledgement and Signature All Land Use Pennits 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 timefor the purpose of inspection. Owner(s) or Authorized Agent Printed Name: wd iaswaky Z t Owner(s) or Authorized Agent Signature: .Ayet/ rillr(%ia Date: 7/30)2026 NOTES: Signer to: X3NZ5AEic 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. Bayfield County, WI 6/26/2025, 9:25:53 AM 1:783 Rivers 0 Section Lines Survey Maps Building Footprint 2009-2015 Lakes -- Government Lot 40 UnRecorded Map Existing Corner lie Sheets Unknown Meander Lines 0 Municipal Boundary Approximate Parcel Boundary All Roads Section Comer Monument on File - - Driveways — Town 0 0.01 0.01 0.03 ml E NED REC �, Do.D3 o.oe km JUL 3 0 2026 as Buildings Bayfield Co. Plannkxg and Zoning Agenry cy eRWCount y ryL Re s Deparlmant M1itls 11. p4. ounticounlYwl goWDoyrialtlWABI MAP OF SURVEY A PARCEL OF LAND LOCATED IN GOVERNMENT LOT 1 OF SECTION 34, T 44 N., R. 7 W., IN THE TOWN OF DRUMMOND, BAYFIELD COUNTY, WISCONSIN .'45 S i114'E 641 4 ' \J' \ I ii � ' 1 iJ I �emm 11; II, II I 1 � II n;q d p I I i 11 1111j11, I' '`�ltM' BU -1 /4jilll aR.erare Dma1 14110 A 169E 40FIDeW WO 916018 NM 5a[ 18 IWIdlm: 644118165 I 74414 916.000 MO LLRd A PC 18 M0�'18 181d 14(G 1p11011 18810424.1.441,18)9-0 MIi 1843(810. 1481810d11641. pL@5 OW 1164? 5 A 10[ 1089189p 9811: 11467 1911 9*81 MO Alt nw RoFtT Mm 999160 1-1 I V TIEa 016 M9fL 609 Mi }l4 MY16W ..NBry b�'.l9 6149 WMl Y Avuro.6�,O,P: IN,,SUF�1JJ 66 M 614..• *496518181,184I.961,18®10196118W81 MT 169 � It WWST 1061.4 6E 18 1 819 0 41-,..,81.6 .(1 5.18 18194 9940614816 w1618M645 4460 MOO I.1Nk4I. STIlE FL81f41481811* 'a81WFM 041116, 1811 YMG VS NP 81180440 CSII SWT 600 16149/018 /6 1048 x0606401011119*0661MOMb18 Vii6�i 06 IEITs TM Of 14156 46 �lY ;/ RECEIVED JUL 302026 Planning a YNId Co. TM IO/ 14255 _T m6sml-a 5.010 PC i (MC I/NW m.ON4110, 16810134.1. NIC A) 0..1118NM6 WWO. 8631050(' 1N.1Wet YNIL9F N 8118W 9. '0134TIMMYp®0R 6(N58m04. 84 r OI R£ 8116 M IOli 18 HOI60. 6l 611. 9605 06 ILLS8601 MM 6184465 04 060 u[ 10811 Q 014 w.m3. imacm0- E I(km1116NM £11650IN9IY 5211.14 Fm A 1' 811 491 181581 0 0 04 118/6 2 bWO' C 4161. 64 18 ICy 181161,15 110E 6016'816 Lm WUOq 6[ 2 82816' E ssa» 60101 r 174 we 18 81 176091018 6021 6E 18 vn £4601)4. 4101117941 r(r 6C 0020Y C 210(6610 M 4p1018506 (IC P4. TwIT/AS 0004/18 ITPM/ IRS £0116 9611C9ID C9145116 664➢1 M 1611[4 60,10 M 0*. T8W06061 WE4 6132 6 up 110 18m�618174 954, SCALE 1 51,11 . BO FEET 0 30 BO 90 TM OOf 14254 TOTAL AREA 124,200 S0.FT.₹ 2.85 ACRES₹ t BORINGS ARE BASED ON THE 50601 ME OF 5101404 R. BEING S 89'00'08' E I I�?I I$ I 0006811Imw0N F16 I' 01060664wa6010 I CPI.a 1711114E®w 104 1. 9-91181029,1183 Ia a.u11o51111 w,4 m M r ( GP 18 M 101 9961. OMId 1xv _ Qy G I-^ /5 8.41' n N (547797 M 5014' n --E J !UL 1 \ r 21117011 CORNER SEC. 34 SC cC J SEC. 34 2-1/2 P401 0411180 IRON IIIPE . SIIRYET WRKfR xll + 660 59189x.1. CLItNr 14MBSRG I NELSON m, w. NCN srnm 66,.511x.681.(4514 MC 411111 £9141 ♦ 141 1817180 Irsc r'.'" 6 fM]¢1[9M.YZ I 8160. 4✓m 11814. 109101 SYCY/61 917.18 18•2. 6x170 6C NYh18J181140.X551414514 k1 Ism ,8181 SURVEYING 99 5150+ r ) 618618 01741826 60918 1865 218 693e 68114026' 191 699.0 V91u19timmSWl14nNr515.eew INCORPORATED 0 0 181781 ..wrw6618.6..1814619 06492186,07m /40m91,4o1.814_l,l-m6wc,4, 6 *760140040 'x 1718.Owns �..-... SVRYRYINC YOUR NECK OF 77W 80005 SINCE 1954 k NO. 56840 6/26/25, 9:19 AM Novus-Wisconsin Access rev. 12.0206 Real Estate Bayfield County Property Listing Today's Date: 6/26/2025 Property Status: Current Created On: 3/15/2006 1:15:19 PM 9 Description Updated: 9/30/2024 82 Ownership Updated: 9/30/2024 Tax ID: 14254 DAVID C RAMBERG TRUST MINNEAPOLIS MN PIN: 04-018-2-44-07-34-4 05-001-12000 CAROLYN S RAMBERG TRUST MINNEAPOLIS MN Legacy PIN: 018105505000 Map ID: Billing Address: Mailing Address: Municipality: (018) TOWN OF DRUMMOND DAVID C & CAROLYN S DAVID C & CAROLYN S SIR: 534 T44N R07W RAMBERG TRUST RAMBERG TRUST Description: S 1/2 OF GOVT LOT 1 LESS V.157 4937 17TH AVE S 4937 17TH AVE S P.361;V.232 P.598 IN DOC 2024R-602688 MINNEAPOLIS MN 55417 MINNEAPOLIS MN 55417 400 (DAVID C RAMBERG TRUST DTD 2/19/2024)(CAROLYN S RAMBERG TRUST 10 Site Address * indicates Private Road DTD 2/19/2024) Recorded Acres: 3.014 46055 TAHKODAH LAKE RD CABLE 54821 Calculated Acres: 3.014 Lottery Claims: 0 ® Property Assessment Updated: 8/9/2021 First Dollar: Yes 2025 Assessment Detail Zoning: (R-1) Residential -1 Code Acres Land Imp. ESN: 112 Cl-RESIDENTIAL 3.014 176,000 31,600 3 Tax Districts Updated: 3/15/2006 2 -Year Comparison 2024 2025 Change 1 STATE Land: 176,000 176,000 0.0% 04 COUNTY Improved: 31,600 31,600 0.0% 018 TOWN OF DRUMMOND Total: 207,600 207,600 0.0% 041491 SCHL-DRUMMOND 001700 TECHNICAL COLLEGE 048020 TAKODAH LAKE Property History N/A 0 4' Recorded Documents Updated: 7/10/2006 ® TRUSTEES DEED Date Recorded: 3/22/2024 2024R-602688 ® QUITCLAIM DEED RECEIVED Date Recorded: 5/21/2021 2021R-588856 ® TERMINATION OF DECEDENTS INTEREST JUL 3 0 2026 Date Recorded: 8/26/2020 202oR-583900 © TERMINATION OF DECEDENTS INTEREST BaYOeld Co. Planning and Zoning Agency Date Recorded: 8/26/2020 2020R-583899 © WARRANTY DEED Date Recorded: 4/17/2006 2006R-506186 942-273 ittps://novus.bayfieldcounty.wi.gov/access/master.asp 1/1 Kastrosky821 LLC 7 Karl Kastrosky Land Development & Zoning Consultant 715-580-0157 14295 MdNaught Rd, Cable WI 54821 Kastrosky821 @gmail.com To Whom it may concern, I hereby authorize Karl Kastrosky to act as my agent to procure permits and access information pertaining to my property at 46055 Tahkodah Lake Rd in the Town of Drummond County of Bayfield Signature 6/26/25 Date My contact information is: David and Carolyn Ramberg 4937 17th Ave South Minneapolis, MN 55417 Address: Dave - 612-310-7444 Carolyn 612-310-7231 Dave - cleanyacht@earthlink.net Carolyn - csramberg@earthlink.net RECEIVED JUL 302026 Bayfieki co. Planning and Zoning Agency AFFIDAVIT OF AUTHORITY (Trust) PURPOSE. This Affidavit of Authority is used to certify the individual submitting an application is authorized when the property is owned by a Trust. RECEIVED STATE OF WISCONSIN )ss. JUL 302026 BAYFIELD COUNTY ) Bayreid Co. Planning and Zoning Agency The undersigned affirms and states as follows: 1. Address of Subject Property: 1(o0 T Y`(c&d, LaF �4•e&,v"I 5192c 2. The Subject Property is owned by: i) V V C Y(I M V EI t j 1 uST n Zl� 1 JztZi (NafTust 1 -f -,<ST � Z/`► 024 C�me (�b l,�' 1� � vvyyRRggqqMBG'Y� t 3 The name(s) of the current Trustee(s): Da,YIck f�at'rbe S�a+mbe 4. I certify that the Trust named in paragraph 2 is valid and in effect on the date signed below. I am the duly appointed agent of the Trust named above in paragraph 2, and I have the authority under the terms of said authorization to submit an application to the Bayfield County Zoning Department concerning the Property described in paragraph 1. I further certify that the information and statements made within this affidavit are true, accurate, and complete to the best of my knowledge. 5. I am authorized by the above -named Trust to apply for and bind the Trust to the terms and conditions of any decision or permit that may be issued by the Bayfield County Zoning Department 6. By signing this affidavit, I attest that I am unaware of any known or unknown person(s) who would contest this application. I agree to indemnify Bayfield County or such person or legal entity suffering a dajnage resulting from any illegalities of the application. Dated: Zg 2 & r 1?►, PJ 0 Subscribed nd sworn to before.me this LS x day of ,202,b Nota Public, n County, SAGscemsin— Minn } s JEREMIAH ALRYON MUNN NOTARY PUBLIC • MINNESOTA MY COMMISSION EXPIRES 01/51129 My commission: 0I '7t '024 PROCESSING INFORMATION INITIAL PROCESSING Once the department receives your affidavit, the department will review it for completeness. If the information is not complete, the department may reject your affidavit and the application. REQUEST FOR MORE INFORMATION. The department may request that you provide more information or evidence to support your affidavit. DECISION. The department will review all documents submitted as part of the application for registration and title, this form included, and may approve, deny or request more information RECEIVED JUL 30 2026 Bayfield Co. Planning and Zoning Agency RECEIVED Bayfield County Impervious Surface Calculations .'UL 302026 Bayfield Co. Planning and Zoning Agency These calculations are REQUIRED per WI Admin Code NR 115.05(1)(e) and Section 13-1-32(g) and 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 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 Owner(s): David C & Carolyn S Ramberg Mailing Address: Property Address 4937 17th Ave South, Minneapolis, MN 55417 46055 Tahkodah Lake Rd, Drummond WI 54832 Legal Description: Section, Township, Range 1/4, 1/4, Sec u Township a N, Range T W Authorized AgentlContractor ;w Gov't Lot Lot # CSM# Vol & Page Karl Kastrosky Lot(s) # Block(s) # Town of: Fubd.,v,sion VT LOT I LESS V.157 P.361:V.232P.598 IN 0002024R-602688 400 Drummond Parcel ID # (PIN #) Tax ID # Date: 04- 14254 11/7/2025 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 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 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 31.4 x 21.2 665.68 Existing Accessory 24 x 16 384 Building/Garage Existing Sidewalk(s), Patio(s) & Deck(s) Existing Covered Porch(es), 10 x 504 5,040 Driveway & Other Structures Proposed Addition/House 40 x 28.5 1963.88 Proposed Accessory Building/Garage Proposed Sidewalk(s) & Patio(s) Proposed Covered Porch(es) & 15x15 225 Decks (s) ) 10.6 x 23.8 6.8 x 23.8 252.28 181.84 Proposed Driveway Proposed Other Structures RECEIVED 2026 rLH,ing Total: end Zoning Agency a. Total square footage of lot: 124200 b. Total impervious surface area: c. Percentage of impervious surface area: 100 x (b)/a = 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 District ( l Lakes Classification ( ) Condition(s): Stormwater Management Plan Required: Elves ❑ No Signature of Inspector: Date of Approval: u/forms/impervioussurface Created: May 2012 (®Apr 2016; Sept 2020) Proofed by: UNCOVRED DECK rC SLEEPf.':G R00}.9 BUNKHOUSE (495 sq. It. - S. PORCH NW) not included in 1 STORAGE IEATHI RECEIVED JUL 302026 Bayfiekl Co. Planning and Zoning Agency a 87P 1,466 IA fl -n I" tG /coq Cif�4CiciL 0% p Land Use Permit Application Review Checklist Submission #: What zoning district is the project located in? -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: �Jes ❑ No Is the project located in the Shorelands (Shorelands are lands within 300 feet of a river/stream OR i landward side of floodplain OR 1000 feet of a lake/pond/flowage, whichever is greater)? • ves No Is impervious surface required? (Required if riparian lot OR lot is entirely within 300 feet of OHWM of navigable waterway) — 4C(W-,4e7c•S AS ❑ Yes o Is the project located in the Flood plain? Zone: ❑ Yes No Are there wetlands on the property? Yes ❑ No Is project associated with a nonconforming use or structure? Yes )'9'lo Is project associated with a variance? Case #: ❑ Yes -No Is project associated with a Special B or Conditional Use Permit? Permit #: ❑ Yes ,No Is the project associated with a Special A Use Permit? es 0 No Does the project require sanitary? IxExisting O New fnte cept 0 Reconnect ❑ Non -Plumbing ❑ Public Sanitary Permit #: 341' 1 0.g4 # of Bedrooms: y ❑ Yes�No Does the project require mitigation? Implementation Deadline: Date of Compliance: ❑ Yes No Does the project require an affidavit? Affidavit #: ❑ Yes 4rNo Did licensed surveyor mark lot line(s), if project is within 10 feet of required setback? ❑ YetNo Did applicant/property owner mark lot line(s), if project is within 30 feet of required setback? Proje use is.≥tesidentiaI O Commercial ❑ Municipal Project type is? ❑ New Construction ❑ Addition/Alteration,Change Use 0 Relocate 0 RV Placement O Sign ❑ Establishing a Business 0 Temporary O Shoreland Grading ❑ Other, describe: Structure Type is: O Residence 0 Principal Structure O Accessory Structure 0 Boathouse (one story only) ❑ Open-sided/Screened Structure (gazebo, etc.) ❑ Stairway to navigable waters 0 Mobile Home ❑ Shipping Container 0 Other, describe Total Sq. Ft. of Project: Number of Stories: Overall Height: Fee Type Calculation Fee Amount ❑ Habitable Residential Principal and Accessory (minimum $125) Structures - Enclosed Areas —all enclosed areas within $0.50 x sq ft $ dwelling except attached non -habitable garages ❑ Dwelling Unenclosed Areas (decks, patios, etc.) or $0.20 x sq ft (minimum $125) Attached Non -Habitable Garages $ ❑ Non -Habitable Residential Principal and Accessory q ft (minimum $75) Structures $ ❑ Commercial Principal Structures $250 + $0.005 x (minimum $250) cost of construction $ ❑ Commercial Accessory Structures $150 + $0.005 x (minimum $150) cost of construction $ ❑ Municipal Principal and Accessory Structures n/a $0 (exempt from fees) ❑ Return Inspection O Land Use Revisions ❑ Special Use Permit - Class A 0 Floodplain 0 Shoreland - Impervious Surface 0 Shoreland - Non -Conforming, etc. 0 Tower Siting/Collocation 1 0 Tower Collocation 2 O Metallic Mine ❑ After -the -Fact (ATF) $ d-SL.10 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: ttot.tDate of Approval:Go 'L, Condition(s): P'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. ❑ 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). se 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. 0 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. 0 Temporary permit allowing existing structure for a period of less than 1 year. 0 RV may not be used for permanent residence or storage. ❑ RV allowed for 0 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). 1�Land use permits shall be required for any new residence, any building or structure erected, relocated, rebuilt, or structurally altered d 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 required ❑ Sanitation requirements must be met (if applicable) 0 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 BYFIELD 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 RAMBERG TRUST, DAVID C LU-02459 4937 17TH AVE S MINNEAPOLIS, MN 55417 Transaction Number. RAMBERG TRUST, CAROLYN S LU-02459-4C9D5 493717TH AVE S MINNEAPOLIS, MN 55417 Description Amount Habitable Residential Principal & Accessory $202.50 Structures - enclosed areas $0.50/square foot (minimum $125) Habitable Residential Principal Structure - $49.20 unenclosed area or non -habitable garage $0.20/square foot (minimum $125) Amount: $252.95 Reference: 3144007645 Paid by: Carolyn Ramberg Payment Type: Other 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 — Yes Shoreland — Yes I Impervious Surface — No Floodplain — No! Wetlands — No Mitigation — No / Affidavit #: LAND USE -X SANITARY — Existing 24-103S SPECIAL A - SPECIAL B/CONDITIONAL - BOA - BAYFIELD COUNTY PERMIT WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION No. 26-0435 Tax ID: 14254 Issued To: RAMBERG TRUST, DAVID C & CAROLYN S Location: S34 - T44N - R07W Town of Drummond Legal Description: S 1/2 OF GOVT LOT 1 LESS V.157 P.361;V.232 P.598 IN DOC 2024R-602688 400 (DAVID C RAMBERG TRUST DTD 2/19/2024)(CAROLYN S RAMBERG TRUST DTD 2/19/2024) Residential Structure in R-1 zoning district For: Change Use [1 - Story ], Accessory Structure [Residence to Bunkhouse] on a Crawlspace [491 Total sq. ft. ] Height of 16' (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 (if applicable). Use best management practices to limit and prevent erosion during construction. To be constructed per plan. 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.