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HomeMy WebLinkAbout26-0453Return to: County Use Only: 117 E 5u' Street, PO Box 58 Bayfeld County Planning and Zoning Department Submission #�{71 I_U'O Washburn, WI 54891 LAND USE PERMIT APPLICATION Permit #: 34- o'453 permits(abayfiieldcountv.wi.eov Date: a ?'aab Property Owner Name: Authorized Agent Name (if applicable): VERONIKA BACHANOVA PETR BACHAN William R Erickson Telephone Number: Telephone Number: _ _ -- E-Mail Address: Mailing Address: Mailing Address: "'— - 5101 WEST 66TH ST 71470 Stat Hwy 13 ea ld Co. City, State, Zip: City, State, Zip: Planning and Zoning Agency EDINA MN 55439 Ashland, WI 54806 Contractor: Telephone Number: E -Mail Address: Bodin Construction 715-292-4691 bodinconstruction©gmail.com "CTION B: P • e y - Project Address (if different from mailing address): 22860 STATE HWY 13 CORNUCOPIA 54827 Legal Description (if additional space is needed attach a separate sheet): PLAT OF TIERRA SHORES LOT 6 IN DOC.2023R-599243 Section, Township, Range: S27 T51 N R06W Town of: Bell Tax ID #: 8256 Lot Size (Acres/Square Feet): tee Acre Project Use is: O Residential O Commercial O Municipal If Commercial, estimated cost of construction: $ Project 7jrpe is: O New Construction O Addition/Alteration (existing structure) O Change Use (existing structure) O Relocate (existing structure) O RV Placement 21+ days ❑ Sign 0 Establishing a Business ❑ Temporary (12 or less months) ❑ Shoreland Grading, Class A El RV Placement 4+ months, Class A O Other (describe): SECTION D: Structure Information (Does not anot apply to RVs and Signs, go to Section E) Structure Type is: H Residence ❑ Principal Structure (describe): O Accessory Structure (describe): O Shoreland Exempt Structure (describe): ❑ Mobile Home (provide manufactured date): O Shipping Container O Other (describe): Foundation Type: 0 Basement O Walkout Basement H Slab ❑ Crawlspace O Ground O Skids O Other (explain): Proposed Structure (Provide Sq Ft based on outside dimensions, including unfinished areas, attached garages/above grade decks/porches): Basement Sq Ft: I" Floor Sq Ft: Loft Sq Ft: 2na Floor Sq Ft: 3rd Floor Sq Ft: 1864 Garage Sq Ft: Porch Sq Ft: Deck Sq Ft: Other Sq Ft (describe): Other Sq Ft (describe): 572 560 Total Sq Ft: aqq 6 Overall Height (finished grade to peak): 21'-8" # of Stories: Existing # of Bedrooms on property: Proposed # of Bedrooms in project: 3 SECTION E: RV and 3f information (check all that apply) Sign is: RV is: ❑ New ❑ Replacement O New ❑ Replacement ❑ On -premise ❑ Off -premise ❑ 1 -sided ❑ 2 -sided Year: Vin #: ❑ On -building O Multi -Tenant Length: Width: Height: Make: Model: Application Page 1 SECTION F: Site Plan — attach a site plan or draw site plan in box below (See pages 1 & 2 of Land Use Permit Application Information for information that is required to be provided on site plan) Show location of: ❑ Driveways ❑ Frontage Roads (include name) ❑ Existing Structures ❑ Well (W) ❑ Septic Tank (ST) ❑ Drain Field (DF) Holding Tank (HT) ❑ Privy (P) ❑ Lake O River E]Stream/Creek ❑Pond ❑Floodplain ❑Wetlands ❑Slopes over 20% N RECEIVED AUG 10 2026 Bayfield Co. Planning and Zoning Agency Setback or distance from furthest extent of structure County Use Only including eaves and overhangs to (include on site plan): Verified setbacks Road Centerline 200 ft. ft. Notes/Comments: " p c1 S` -d \ ' G Front Lot Line/Right-of-Way ft. ft. 148 W. VV S �ya�c 11//�( W� 9 V 1 k OLCo fC(tn.q J to f o ,�„„N C)WRP4 7 i�T(7uGt '"I Side Lot Line 1 (North East South West, circle one) ft. north 15\ ft' Side Lot Line 2 (North East South West, circle one) ft. 93 uiks ft. ink - Rear Lot Line 136 . ft. ft. Septic/Holding Tank -- ft. ft. Drainfield ___ R. ft. Privy — ft. ft. Well 25 ft. Existing Structure/Building — ft. ft. Wetland — ft. ft. Elevation of Floodplain — ft. ft. Ordinary High -Water Mark (OHWM) 148 ft. 1�ft. Other (describe) ft. ft. Application Page 2 SECTION G: Additional Questions _ El Yes ❑ No Has 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: O 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 El No Did property owner or applicant mark lot line(s) if project is within 30 feet of required ��Ic �r�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 El Municipal/Public El Other (describe): AUG 102026 ❑ Yes ❑ No Will pressurized water be installed in the structure? If yes, what kind of sanitary system wi�bigsaa led or used ' to manage wastewater? Planning and Zoning Agency El Drainfield ❑ Holding Tank El Municipal/Public ❑ Other (describe): Q 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: O Rezone O Class A Special Use ❑ Class B Special Use ❑ Conditional Use ❑ Variance Fee payment will be made via: O Check (attached) ❑ Cash (attached) O debit/credit/echeck (department to call once payment is ready to be taken) How would you like to receive your permit card? El Mail to: OR ❑ Email to: El Property Owner Address ❑ Agent Address ❑ Contractor Address ❑ Other (provide name and email or address): eclioyi:LAcknowled ementandSi 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/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 time for the purpose of inspection. Owner(s) or Authorized Agent Printed Name: Owner(s) or Authorized Agent Signature: \ iS Date: _n 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 RECEIVED Bayfield County AUG 10 2026 Impervious Surface Calculations Bayfield Co. These calculations are REQUIRED per WI Admin Code NR 115.05(1)(e) and Sectiofilab®p9 iremdert8-1- 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): VERONIKA BACHANOVA, PETR BACHAN Mailing Address: Property Address 5101 WEST 66TH ST EDINA MN 55439 22860 STATE HWY 13 CORNUCOPIA 54827 Legal Description: Section, Township, Range sH 1/4, es 1/4, Sec 21 Township su. N, Range o, W Authorized Agent/Contractor Gov't Lot Lot # CSM# Vol & Page William R Erickson Lot(s) # Block(s) # Subdivision Town of Bell Parcel ID # (PIN #) Tax ID # Date: 04- 016251-06274 x- a-oe000 8256 08-06-2026 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 Existing Accessory Building/Garage Existing Sidewalk(s), Patio(s) & Deck(s) Existing Covered Porch(es), Driveway & Other Structures Proposed Addition/House 40x48 home 1864 Proposed Accessory Building/Garage 22x26 attached garage 572 Proposed Sidewalk(s) & Patio(s) Proposed Covered Porch(es) & Deck(s) 560 covered Porched 560 RECEIVED Proposed Driveway 66x16 1056 AUG 1 026 Proposed Other Structures Planning and Zoning Agency Total: 4052 a. Total square footage of lot: b. Total impervious surface area: 4052 c. Percentage of impervious surface area: 100 x (b)/a = 4_e4 If the proposed impervious surface area is greater than 15% mitigation is required. Total square footage of additional impervious surface allowed: @ 15% 12545 @ 30% 25.090 Issuance Information (County Use Only) Date o �9p �1 Inspection Record: Zoning District ( ) Lakes Classification ( ) Condition(s): Stormwater Management Plan Required: ❑ Yes ❑ No Signature of Inspector: Date ofOfVf ia Proofed by: 0 25 50 100 Ownership; VERONIKA BACHANOVA PETR BACHAN Mailing Address: PETR and VERONIKA BACHANOVA • 5101 WEST 66TH ST EDINA MN 55439 Site Address: 22860 State Hwy 13 Cornucopia, WI 54827 Tax ID: 8256 PIN: 04-010-2-51-06-27-4 00-326-06000 Municipality: TOWN OF BELL STR: 527 T51 N RO6W Description: PLAT OF TIERRA SHORES LOT 6 IN DOC 2023R-599: Area: 1.920 Acre Zoning: (R-RB) 7 e RECEIVED AUG 10 2026 Bayfield Co. Planning and Zoning Agency +or- 376' Prop. Well Loc. +or- 136' G i AUG 10 2026 Bayfield Co. planning and Zoning Agency 400 SQ-FT.;COW. orcIl A O Bedroom 3 g Bedroom 2 i Living Room 1864 SQ.FT. LIVING Y amt Foyer M. Bath Y .16OSQFT.- ." . Gov. Porch • : _ Y M. Bedroom Garage 572 SQ.FT. C bn •: ' N. GARAGE _.........-. ®Meth: ------ Laund. ✓t NORTH Letter of Authorization 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. 1, VERONIKABACHANOVAand PETR BACHAN (property owner), authorize Wii iam EricMaon (authorized agent) to submit a Land Use pa.RAPPlicaUan (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.) cnnawcbonof.asdence application on my behalf for the following described property: Legal description of subject property: PLAT OF TIERRA SHORES LOT 6 IN DOG 2023R-599243 Address of subject property: 22866 STATE HWY 13 CORNUCOPIA 54827 Signature 41iz/z r92 6 Dated RECEWED AUG 10 2026 Bayfield Co. Planning and Zoning Agency Letter of Authorization 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. I, VERONIKA BACHANOVA and PETR BACHAN (property owner), authorize William Erickson (authorized agent) to submit a Land Use permit Application (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.) Construction of residence application on my behalf for the following described property: Legal description of subject property: PLAT OF TIERRA SHORES LOT 6 IN DOG 2023R-599243 Address of subject property: Signature' 1)0 4 RECEIVED Dad — AUG 10 2026 Bayfield Co. Planning and Zoning Agency Bell Sanitary District #1 PO Box 146 Cornucopia, WI 54827 August 17, 2026 Bayfield County Zoning 117 East 5th Street Washburn, WI 54891 Good day: RECEIVED AUG 17 2026 Bayfield Co. Planning and Zoning Agency This is to inform you that the building site at 22875 Tierra Rd, Cornucopia WI 54827 in the village of Cornucopia WI is an established hook-up to the Bell Sanitary District #1 Collection system. Sincerely, Pauline N Colamatteo Pauline N Colamatteo Business Manager Bell Sanitary District #1 P O Box 146 Cornucopia WI 54827-0146 8/13/26, 9:39 AM Novus-Wisconsin Access rev. 12.0206 Real Estate Bayfield County Property Listing Property Status: Current Today's Date: 8/13/2026 Created On: 3/15/2006 1:15:03 PM Description Updated: 6/30/2023 Ownership Updated: 6/30/2023 Tax ID: 8256 VERONIKA BACHANOVA EDINA MN PIN: 04-010-2-51-06-27-4 00-326-06000 PETR BACHAN EDINA MN Legacy PIN: 010111803006 Map ID Municipality: (010) TOWN OF BELL S1R: 527 T51N R06W Description: PLAT OF TIERRA SHORES LOT 6 IN DOC 2023R-599243 Recorded Acres: 1.920 Calculated Acres: 1.872 Lottery Claims: 0 First Dollar: No Zoning: (R-RB) Residential -Recreational Business ESN: 107 S Tax Districts Updated: 3/15/2006 1 STATE 04 COUNTY 010 TOWN OF BELL 044522 SCHL-SOUTHSHORE 001700 TECHNICAL COLLEGE 047070 BELL SANITARY DISTRICT #1 •+ Recorded Documents Updated: 3/15/2006 0 WARRANTY DEED Date Recorded: 6/2/2023 2023R-599243 ® CONVERSION Date Recorded: 490961 Billing Address: VERONIKA BACHANOVA 5101 WEST 66TH ST EDINA MN 55439 Mailing Address: VERONIKA BACHANOVA 5101 WEST 66TH ST EDINA MN 55439 r Site Address * indicates Private Road 22860 STATE HWY 13 CORNUCOPIA 54827 Property Assessment Updated: 8/2/2013 2026 Assessment Detail Code Acres Land Imp. Gl-RESIDENTIAL 1.920 163,700 0 2 -Year Comparison 2025 2026 Change Land: 163,700 163,700 0.0% Improved: 0 0 0.0% Total: 163,700 163,700 0.0% If Property History N/A https://novus.bayfieldcounty.wi.gov/access/master.asp?paprpid=8256 1/1 Bayfield County, WI 8/13/2026, 9:39:38 AM 1:343 Rivers Approximate Parcel Boundary 0 0 0.01 0.02 ml 0 0.01 0.01 0.02 km Building y n ea r a County Land Records Department Baytteld Canty ZaYngAppllcaUon hLtps./fmapt.bay1tetdcounty.wt.gov/ZontnWAS/ Emily Macgillivray From: Emily Macgillivray Sent: Friday, August 14, 2026 10:07 AM To: bill@extrememeasuresplans.com Subject: RE: Land Use Permit application for 22860 State Hwy 13 Great. Once I get the Letterfrom Mark, I can proceed with approving the application. Kind regards, Emily Macgillivray (she/her) Assistant Zoning Administrator Planning and Zoning Department Bayfield County 117 E 5th Street, PO Box 58 Washburn, WI 54891 Phone: 715-373-3511 emily.mac ilg tivray�na,bayfieldcounty.wi.gov 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 zoning(abayfieldcounty.wi.gov or 715 373-6138 with any questions or concerns. From: bill@extrememeasuresplans.com <bill@extrememeasuresplans.com> Sent: Friday, August 14, 2026 9:59 AM To: Emily Macgillivray <emily.macgillivray@bayfieldcounty.wi.gov> Subject: RE: Land Use Permit application for 22860 State Hwy 13 Scott just replied that the stakes did include the Porch on the NW however did not include the 160 sq. ft. entry porch on the SW side. I'll have Mark forward a letter once he returns. ■EXTREME MEASURES bred .. Kcm. Ao`tG. BILL ERICKSON Ss BILLS OmCc 71:65 02. 19 B.COM OFFICE ]156825019 MOBILE: 715-204397] wtw.extnnteMtasM.rrsPtaNS.COMt From: Emily Macgillivray<emily.macgillivray@bavfieldcounty.wi.gov> Sent: Friday, August 14, 2026 9:56 AM To: bill@extrememeasuresplans.com Subject: RE: Land Use Permit application for 22860 State Hwy 13 Hi Bill, Sounds good about the stakes. I'LL need a letter from Mark Ehlers or someone else at the sanitary district confirming they are good with the reconnect before I can approve the Land Use Permit application. Kind regards, Emily Macgillivray (she/her) Assistant Zoning Administrator Planning and Zoning Department Bayfield County 117E 5`h Street, PO Box 58 Washburn, WI 54891 Phone: 715-373-3511 emily.macgillivray(@bayfieldcounty.wi.gov 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 zoning@)bayfieldcounty. i. ov or 715 373-6138 with any questions or concerns. From: bill@extrememeasuresplans.com <bill@extrememeasuresplans.com> Sent: Friday, August 14, 2026 9:48 AM To: Emily Macgillivray<emily.macgillivray@bayfieldcounty.wi.gov> Subject: RE: Land Use Permit application for 22860 State Hwy 13 I am not sure about the stakes. Scott Boding staked it out with the owner. I'll confirm an let you know. Petr has been in contact with the Sanitary district. Mark Ehlers has been out of town on vacation however is aware and they will reconnect once he returns. IEXTREMEMEASUR EXTREME EE BmvnWCdOnN __ Dream. Plan. Done. BILL ERICKSON 's BILLS OFFICE 825PL.INB.COM OFFICE 7 1 6682501 9 MOBILE: 7155-209-3977 www. EXtnateMea5urespLa n£..com Land Use Permit Application Review Checklist Submission #: What zoning district is the project I ated in? ❑ R-1 DR-,-OR-3 ❑ R-4 L'f R-RB ❑ C ❑ I ❑ M ❑ A-1 ❑ A-2 ❑ F-1 ❑ F-2 ❑ W ❑ M -M ❑ Yes o Is lot substandard (does not meet current zoning dimensional requirements)? Deed of record: es ❑ No Is the project located in the Shorelands (Shorelands are lands within 300 feet of a river/stream OR landward side of floodplain OR 1000 feet of a lake/pond/flowage, whichever is greater)? Yes ❑ 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 Q.4o Are there wetlands on the property? ❑ Yes 121'Jo Is project associated with a nonconforming use or structure? ❑ Yes GYNo Is project associated with a variance? Case #: ❑ Yes flhio Is project associated with a Special B or Conditional Use Permit? Permit #: ❑ Y s No Is the project associated with a Special A Use Permit? EM'S'es ❑ No Does the project require sanitary? � 0 Existing 0 New ❑ Intercept ❑ Reconnect 0 Non -Plumbing E1ublic Sanitary Permit #: # of Bedrooms: S.oc 4f1tcckcd It ❑ Yes E9iclo Does the project require mitigation? Implementation Deadline: Date of Compliance: ❑ Y s 4Io Does the project require an affidavit? Affidavit #: Yes 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? Residential ❑ Commercial ❑ Municipal Project type is? l24ew Construction ❑ Addition/Alteration ❑ Change Use ❑ Relocate ❑ RV Placement ❑ Sign 0 Establishing a Busine s ❑ Temporary ❑ Shoreland Grading ❑ Other, describe: Structure Type is: 04esidence ❑ Principal Structure 0 Accessory Structure 0 Boathouse (one story only) ❑ Open-sided/Screened Structure (gazebo, etc.) ❑ Stairway to navigable waters ❑ Mobile Home ❑ Shipping Container ❑ Other, describe Total Sq. Ft. of Project: Number of Stories: Overall Height: Fee Type Calculation Fee Amount 0 Habitable Residential Principal and Accessory Structures - Enclosed Areas — all enclosed areas within dwelling except attached non -habitable garages $0.50 x I�G4 sq ft (minimum $125) $ n� T ❑ Dwelling Unenclosed Areas (decks, patios, etc.) or Attached Non -Habitable Garages $0.20 Ia ft r' x uJ s q (minimum $125) $ ❑ Non -Habitable Residential Principal and Accessory Structures $0.20 x s ft q (minimum $75) $ ❑ Commercial Principal Structures $250 + $0.005 x cost of construction (minimum $250) $ ❑ Commercial Accessory Structures $150 + $0.005 x cost of construction (minimum $150) $ ❑ Municipal Principal and Accessory Structures n/a $0 (exempt from fees) ❑ Return Inspection 0 Land Use Revisions 0 Special Use Permit - Class A 0 Floodplain ❑ Shoreland - Impervious Surface ❑ Shoreland - Non -Conforming, etc. ❑ Tower Siting/Collocation 1 0 Tower Collocation 2 ❑ Metallic Mine ❑ After -the -Fact (ATF) $ Inspected by:!(! ll Date of Inspection: Re -Inspected by: Date of Re -Inspection: Denied by: Date of Denial: Reason for Denial: Date Denial Letter Mailed: Approved by: Date of Approval: Condi . n(s): ust meet and maintain setbacks from furthest extension of structure including eaves and overhangs. ❑ FoJ personal storage only. or personal residence only. ❑ Not for human habitation or sleeping purposes. T wn/State/DNR/Federal may require permitting L9"A Uniform Dwelling Code (UDC) Permit from the locally contracted UDC Inspection Agency must be obtained prior to the start of construction. O A Uniform Dwelling Code (UDC) Permit from the locally contracted UDC Inspection Agency must be obtjned 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. ❑ SigrFnust meet the requirements of Article E of the Bayfield County Zoning Ordinance. o be constructed per plan. ❑ Adhere to privy agreement. ❑ Temporary permit allowing existing structure for a period of less than 1 year. ❑ RV may not be used for permanent residence or storage. ❑ RV allowed for ❑ RV must be removed by ❑ No sewer and pressurized water allowed in the structure. ❑ No plumbing or plumbing fixtures allowed. ❑ No additional sleeping areas allowed without obtaining necessary sanitary permit(s). ❑ Land use permits shall be required for any new residence, any building or structure erected, relocated, rebuilt, or structurally altered ❑ Land use permits shall be obtained prior to the initiation of construction or a change in land use ❑ Requirements (e.g., permits/licensing/tax) of Local Town, Village, City, State or Federal agencies are required ❑ Sanitation requirements must be met (if applicable) ❑ Additional conditions may be placed and need to be adhered to at the time of permit issuance Other Conditions: K: Applications and Forms/Applications/land Use/Updated 2/25/2026 mdk B.SYFIELD Bayfield County Planning & Zoning Department 117 E 51 Street P.O. Box 58 Washburn, WI 54891 Phone: 715-373-6138 Fax: 715-373-0114 Property Owner: Submission Number: BACHANOVA, VERONIKA LU-02478 5101 WEST 66TH ST EDINA, MN 55439 Transaction Number. BACHAN, PETR LU-02478-4CA90 5101 WEST 66TH ST EDINA, MN 55439 Description Amount Shoreland - Impervious Surface $25.00 Habitable Residential Principal & Accessory $932.00 Structures - enclosed areas $0.50/ square foot (minimum $125) Habitable Residential Principal Structure - $226.40 unenclosed area or non -habitable garage $0.20/square foot (minimum $125) Total: $1,183.40 Payment Amount: $1,183.40 Reference: 3838 & 3839 Paid by: Extreme Measures Payment Type: Check Transaction Date: 8/24/2026 Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit. Town, City, Village, State or Federal Permits May Also Be Required Substandard — No I Nonconforming — No Shoreland — Yes I Impervious Surface — Yes Floodplain — No / Wetlands — No Mitigation — No / Affidavit #: LAND USE -X SANITARY — Public SPECIAL A - SPECIAL B/CONDITIONAL - BOA - BAYFIELD COUNTY PERMIT WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION No. 26-0453 Tax ID: 8256 Issued To: BACHANOVA, VERONIKA & BACHAN, PETR Location: S27 - TSIN - R06W Town of Bell Legal Description: PLAT OF TIERRA SHORES LOT 6 IN DOC 2023R-599243 Residential Structure in R-RB zoning district For: New Construction, Residence on a Slab [2996 Total sq. It] Height of 21' 8" (Disclaimer): You are responsible for complying with state and federal laws concerning construction near of 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 he void or revoked if any of the application information is found to have been misrepresented, erroneous, or incomplete. August 24, 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. 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. Use best management practices to limit and prevent erosion during construction. To be constructed per plan.