HomeMy WebLinkAbout26-0442Return to: County Use Only:
117 Er5t' Street, Po Box 58 Bayfield County Planning and Zoning Department Submission #:1-1)- 0 �q
Washburn, WI 54891 LAND USE PERMIT APPLICATION Permit #: -O
Permits(a'bavfieldcountv.wi.¢ov Date:
SECTION A: General Information
Pro ert Owner Name:
Authorized Agent Name (if applicable):
1C .9 I'
Te ephon Number: —'
Telephone Number:[tutu
E -Mail Address:
E -Mail Address:
r r.
Mailing Address:
Mailing Address:
City, State, Zip: Planning and Zoning Agency
city,,Statg,
tp:
Contractor:
Telephone Number:
E -Mail Address:
SECTION B: Property Information
Project Address (if different from mailing address
Leal Description (if additional space is needed attach a se
arate sheet):
t
Section, ownship, ange: S' _ 3 _ 7 Town of: b
Tax ID #: . 4 Lot Size (Acres/Square Feet):
SECTION C: Project Information check all that apply)
Project Use is: Residential ❑ Commercial ❑ Municipal
Project Type is: 'V 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 (Doesnot-apply to RVs and Signs, go to SectionE, .._ -_: —_ -
Structure Type is: ❑ Residence ❑ Principal Structure (describe):
Accessory Structure (describe): ❑ Shoreland Exempt Structure (describe): ❑ Mobile Home (provide manufactured
(I,ct &FvRzf date):
❑ Shipping Container ❑ Other (describe):
Foundation Type:
❑ Basement ❑ Walkout Basement 0 Slab ❑ Crawlspace WGround ❑ 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:
Pt Floor Sq Ft:
Loft Sq Ft:
2nd Floor Sq Ft:
3`d Floor Sq Ft:
Garage Sq Ft:
Porch Sq Ft:
Deck Sq Ft:
Other Sq Ft (describe):
Other Sq Ft (describe):
Total Sq Ft: 660 I
Overall Height (finished grade to peak):
# of Stories:
Existing II of Bedrooms on property: d— I Proposed # of Bedrooms in project: t5
SECTION E: RV and Sign Information (check all that aapply):
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:
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 uired to be provided on
site plan)
Shp ' location of* 1
be Driveways Q Frontage Roads (include name) e Ex_iss ng Structures iJ Well (W) d Septic Tank (ST) P1 Drain Field (DF)
❑ I -folding Tank (HT) ❑ Privy (P) ❑ Lake ❑ RiverVJStream/Creek ❑Pond ❑Floodplain ❑ Wetlands ❑Slopes over 20%
N-- - "�v'
- -_
/
7
RECEIVED
AUG 17 2026
�
sc
Bayfeld Co.
Planning and ?r,�;:,g n.r; eney
5T ��
7�i
e&4
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.
eft.
Notes/Comments:
Front Lot Line/Right-of-Way
ft.
ft.
Side Lot Line 1
orth❑East❑South est❑ check one)
ft.
3?
^ r ft.
Side Lot Line 2
(NorthEastDSouthD Wes check one)
�J ft.
,g ft.
Rear Lot Line
t7 ft.
ft.
Septic/Holding Tank
ft.
ft.
Drainfield
f ft.
' t ft.
Privy
ft.
ft.
Well
ft.
ft.
Existing Structure/Building
ft.
ft.
Wetland
ft.
— — ft.
Elevation of Floodplain
ft.
ft.
Ordinary High -Water Mark (OHWM)
L c,e -I- ft.
ft.
Other (describe)
ft.
ft.
SECTION G: Additional Questions
Yes
❑ No
I las 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 se 9 of
Land Use A lication Information for required setbacks. tt
�( Yes
El No
Is there an existing sanitary system on the property? If yes, what kind?
❑ Drainfield ❑ Holding Tank ❑ Municipal/Public El Other (describe): AUG 1 7 2026
❑ Yes
l No
Will pressurized water be installed in the structure? If yes, what kind of sanitary system will hhe installed or used
Ba
to manage wastewater? Zoning
Planning and Zoning Agency
❑ Drainfield ❑ Holding Tank ❑ Municipal/Public ❑ Other (describe):
❑ 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 ❑ Class A Special Use O Class B Special Use ❑ Conditional Use O Variance
Fee payment will be made via:
❑ Check (attached) O Cash (attached) ❑ debit/credit/echeck (department to call once payment is ready to be taken)
How would you like to receive your permit card?
Mail to: OR)I Email to:
1K Property Owner Address ❑ Agent Address ❑ Contractor Address O Other (provide Name and Email or Address):
a e.etion.H::.Acknn led ement,and,Si nature
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/tonic/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. 1 (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: Li
Owner(s) or Authorized Agent Signature: Date:NOTES:1.
If you are signing on behalf of the owner(s) alof 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.
State Bar of Wisconsin Form 3-2003
QUIT CLAIM DEED
Daewnent Number 11 DocumentName
THIS DEED, made between Richard O. Power and Cindy W. Merrill a/k/a Cynthia
S. Power
("Grantor," whether one or more),
and The Richard O. Power and Cynthia S. Power Family Trust Dated November 4,
2025
("Grantee," whether one or more).
Grantor quit claims to Grantee the following described real estate, together with the
rents, profits, fixtures and other appurtenant interests, in BAYFIELD
County, State of Wisconsin ("Property") (if more space is needed, please attach
addendum):
Lot I I Stone Pine Addition to Wilde River, in the Town of Cable, Bayfield County,
Wisconsin.
AND
Outlot 4 of Stone Pine Addition to Wilde River, located in Section 15, Township 43
North, Range 7 West, Town of Cable, Bayfield County, Wisconsin.
Dated
Power
AUTHENTICATION
DOCUMENT NUMBER
2025R-609839
DANIEL J. HEFFNER
REGISTER OF DEEDS
BAYFIELD COUNTY, WI
RECORDED
11/O4/2O25 AT 1:19 PM
RECORDING FEE: $30.00
TF EXEMPT #: 16
PAGES: 1
ELECTRONICALLY RECORDED
Recording Area
Name and Return Address
Lein Law Offices, LLP
PO Box 761
Hayward, WI 54843
04-012-2-43-07-15-4 00-289.08000 & 45000
Parcel Identification Number (PIN)
This is not homestead property.
(is) (is not)
RECEIVED
AUG 17 7016
Bayfield Co.
planning and Zoning Agency
ACKNOWLEDGMENT
Signatures) STATE OF WISCONSIN
authenticated on
TITLE: MEMBER STATE BAR OF WISCONSIN
THIS
ss.
COUNTY
Personally came before me on 11/04/2025
the above -named Richard O. Power and Cindy W. Merrill a/k/a
Cynthia S. Power
to me kno vfi to per ho executed the foregoing
instrum and e e e same.
*Curtiss N. L
Notary Public, State of Wisconsin
My Commission (is permanent) (expires: )
ed R "+.,,t$igr ry be authenticated or acknowledged. Both are not necessary.)
NOTE: THIS RM. ANY MODIFICATIONS TO THIS FORM SHOULD BE CLEARLY IDENTIFIED.
QUIT CLAIM DEED O2003 STATE BAR OF WISCONSIN FORM ND. 3-2003
'Type name below signatures.
Bayfield County Register of Deeds Document #2025R-609839 Page 1 of 1
Bayfield County
Impervious Surface Calculations
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 propdrties to make
inspections.
Al ir 1 19f196
Property Own s'')://
/C4<K ,o a
C/NO)) � '
��t�� PlanningBand Zoning Agency
Mailing Addre s:
Property Address
3≤
.z
/one 2'c S/Z.
Legal Description:
Section, Township, Range
1/4,
1/4,
)%
Sec /-
Township N, Range W
Authorized Agent/Contractor
Gov't Lot
Lot #
CSM#
Vol & Page
Lot(s) #
Block(s) #
Subdivision
Town of:
SkonJna
Parcel ID # (PIN #)
Tax ID #
Date:
04-
6
8 i6 6
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
3d 'X 7
�3j v
Existing Accessory
Building/Garage
-SL,/Eb ,? / . ,
Existing Sidewalk(s), Patio(s) &
Deck(s)
Existing Covered Porch(es),
Driveway & Other Structures
�� / X ��
/,"X)
�,
Proposed Addition/House
Proposed Accessory
Building/Garage
p
' 3
1
b
Proposed Sidewalk(s) & Patio(s)
Proposed Covered Porch(es) &
Deck(s)
�
����d4_ ��
Proposed Driveway
AUG 172026
Proposed Other Structures
Bayfield Co.
Planning and Zoning Agency
Total:
3D
a. Total square footage of lot:
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 ( )
Lakes Classification ( )
Condition(s):
Stormwater
Management Plan Required:
❑ Yes ❑ No
Signature of Inspector:
Date of Approval:
u/forms/impervioussurface
Created: May 2012 (®Apr 2016; Sept 2020) Proofed by:
Land Use Permit Application Review Checklist
It
$obmission#:
— QZ
What zoning district is the project located in?
1 ❑R-2 ❑R-3 ❑R-4 DR-RB ❑C ❑I ❑M ❑A-1 ❑A-2 ❑F-1 ❑F-2 ❑W DM -M
❑ Yes ''Jo
Is lot substandard (does not meet current zoning dimensional requirements)?
Deed of record:
❑ Yes Flo
(
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
Is impervious surface required? (Required if riparian lot OR lot is entirely within 300 feet of OHWM of
navigable waterway)
❑ Yes O No
Is the project located in the Floodplain? Zone:
❑ Yes o
Are there wetlands on the property?
❑ Yes No
Is project associated with a nonconforming use or structure?
❑ Yes o
Is project associated with a variance? Case #:
❑ Yes No
Is project associated with a Special B or Conditional Use Permit? Permit #:
Is the project associated with a Special A Use Permit?
Does the project require sanitary?
O Existing O New ❑ Intercept ❑ Reconnect ❑ Non -Plumbing ❑ Public
Sanitary Permit #: # of Bedrooms:
Does the project require mitigation?
Implementation Deadline: Date of Compliance:
❑ Yes o
❑ Yes, No
❑ Yes 5Vo
❑ Yes o
Does the project require an affidavit? Affidavit #:
❑ Yes qo
Did licensed surveyor mark lot line(s), if project is within 10 feet of required setback?
❑ Yes o
Did applicant/property owner mark lot line(s), if project is within 30 feet of required setback?
Project use is Residential ❑ Commercial ❑ Municipal
Project type is?New Construction ❑ Addition/Alteration ❑ Change Use ❑ Relocate ❑ RV Placement ❑ Sign
O Establishing a Business O Temporary O Shoreland Grading ❑ Other, describe:
Structure Type is: ❑ Residence O Principal Structure ccessory Structure O Boathouse (one story only)
❑ Open-sided/Screened Structure (gazebo, etc.) O Stairway to navigable waters O Mobile Home
❑ Shipping Container ❑ Qther, describe
Total Sq. Ft. of Project: hh Q Number of Stories: Overall Height:
Fee Type
Calculation
Fee Amount
O Habitable Residential Principal and Accessory
Structures - Enclosed Areas — all enclosed areas within
dwelling except attached non -habitable garages
$0.50 x sq ft
(minimum $125)
$
❑ Dwelling Unenclosed Areas (decks, patios, etc.) or
Attached Non -Habitable Garages
$0.20 x sq ft
(minimum $125)
$
❑ Non -Habitable Residential Principal and Accessory
Structures
$0.20 x sq ft
(minimum $75)
$
❑ Commercial Principal Structures
$250 + $0.005 x
cost of construction
(minimum $250)
$
❑ Commercial Accessory Structures
$150 + $0.005 x
cost of construction
(minimum $150)
$
❑ Municipal Principal and Accessory Structures
n/a
$0 (exempt from fees)
❑ Return Inspection O Land Use Revisions O Special Use Permit - Class A O Floodplain ❑ Shoreland - Impervious
Surface O Shoreland - Non -Conforming, etc. O Tower Siting/Collocation 1 ❑ Tower Collocation 2 O Metallic Mine
O After -the -Fact (ATF)
I $
Inspected by: 1,�
0
Date of Inspection:,_7,,/
0
Re -Inspected by:
Date of Re -Inspection.
Denied by:
Date of Denial:
Reason for Denial:
Date Denial Letter d:
Approved by:
Date of Approval:
C ndition(s).
ust meet and maintain setbacks from furthest extension of structure including eaves and
overhangs.
or personal storage only.
❑ For personal residence only.
blot for human habitation or sleeping purposes.
❑ Town/State/DNR/Federal may require permitting
❑ A Uniform Dwelling Code (UDC) Permit from the locally contracted UDC Inspection Agency must be
obtained prior to the start of construction.
❑ A Uniform Dwelling Code (UDC) Permit from the locally contracted UDC Inspection Agency must be
obtained prior to the start of construction (if applicable).
Use best management practices to limit and prevent erosion during construction.
❑ This permit cannot be transferred if property is sold.
❑ A Bayfield County Health Dept permit is required.
❑ Check with Town regarding room tax.
❑ Short -Term Rental is for a maximum occupancy of persons.
❑ Sign must meet the requirements of Article E of the Bayfield County Zoning Ordinance.
90 be constructed per plan.
O Adhere to privy agreement.
O 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
O 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).
nd use permits shall be required for any new residence, any building or structure erected,
r located, rebuilt, or structurally altered
6 Land use permits shall be obtainedprior to the initiation of construction or a change in land use
g
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
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:
POWER FAM TRUST, RICHARD O &
CYNTHIA S
PO BOX 35
CABLE, WI 54821
Description
Shoreland - Impervious Surface
Non -Habitable Residential Principal and Accessory
Structures - $0.20/square foot (minimum $75)
Submission Number:
LU-02489
Transaction Number.
LU-02489-4C464
Amount
$25.00
$132.00
Total: $157.00
Payment Amount: $160.74
Reference: 1046954915 To FPicUr1d 0 5 QUO
Paid by: Dylan Ortman
Payment Type: Debit�0Vs (\�+ fPi�l%I
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 I Nonconforming — No
Shoreland — No / Impervious Surface - No
Floodplain - No! Wetlands - No
Mitigation - No / Affidavit #:
LAND USE -X
SANITARY -
SPECIAL A -
SPECIAL B/CONDITIONAL —
BOA —
No. 26-0442 Tax ID: 10643
Issued To: POWER FAM TRUST, RICHARD O & CYNTHIA S
Location: S15 - T43N - R07W
Town of Cable
BAYFIELD COUNTY
PERMIT
WEATHERIZE AND POST THIS PERMIT
ON THE PREMISES DURING CONSTRUCTION
Legal Description: STONE PINE SUBDIVISION LOT 11 1251 (RICHARD O & CYNTHIA S POWER FAM TRUST DTD 11/04/2025)
IN DOC 2025R-609839
Residential Structure in R-1 zoning district
For: New Construction [1 - Story ], Accessory Structure on the Ground [660 Total sq. ft.]
(Disclaimer): You are responsible for complying with state and federal laws concerning construction near or on wetlands, lakes, and streams. Any
future expansions or development would require additional permitting.
Condition(s): See back of card
NOTE: This permit expires two years from date of issuance if the authorized construction
work or land use has not begun.
Changes in plans or specifications shall not be made without obtaining approval.
This permit may be void or revoked if any of the application information is found
to have been misrepresented, erroneous, or incomplete.
This permit may be void or revoked if any performance conditions are not
completed or if any prohibitory conditions are violated.
Scott Roush
Authorized Issuing Official
August 24, 2026
Date
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.
Use best management practices to limit and prevent erosion during construction.
To be constructed per plan.
No sewer and pressurized water allowed in the structure.
No plumbing or plumbing fixtures allowed.
No additional sleeping areas allowed without obtaining necessary sanitary permit(s).
Land use permits shall be required for any new residence, any building or structure erected, relocated, rebuilt,
or structurally altered.
Land use permits shall be obtained prior to the initiation of construction or a change in land use.