HomeMy WebLinkAbout26-0471Return to: County Use Only:
117 E 5th Street, Po Box 58 Bayfield County Planning and Zoning Department Submission #:L.,IA' A24 L�
Washburn, WI 54891 LAND USE PERMIT APPLICATION Permit #: a-(7 -4 1
oermits@bavfieldcountv.wi.aov Date: a
SECTION A: General Information
Property Owner Name: NK���
Authorized Agent Name (if applicable):
_
Telephone Number:
Telephone Number:
E -Mail Address:
E -Mail Address:
Q C1fl
'Mailing Address:
w
Mailing Address:
City, Stat Zip:
City, State, Zip:
Contractor:
Telephone Number:
E -Mail Address:
SECTION B: Property Information
Project Address (if different from mailing address):
1
Legal Description (if additional space is needed attach a separate sheet):
Section, Township, Range:' _
Town of: O'er
Tax ID #: \ y'fl\j 3
Lot Size (Acres/Square Feet): flcre
,,SECT,TONG:.Pro'ect:Information,checkallthat,ap 1.)
Project Use is: XResidential ❑ Commercial ❑ Municipal If Commercial, estimated cost of construction: $
Project Type is: XNew Construction ❑ Addition/Alteration (existing structure)
0 Change Use (existing structure) 0 Relocate (existing structure) 0 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 sq ft): required
SECTION I: Structure Information (Does not:apply to RVs and Signs, go to Section E .
Structure Type is: ❑ Residence ❑ Principal Structure (describe):
0 Accessory Structure (describe): 0 Shoreland Exempt Structure (describe): ❑ Mobile Home (provide manufactured
date):
❑ Shipping Container j Other (describe): Ca r p a rt-
Foundation Type:
❑ Basement ❑ Walkout Basement 0 Slab ❑ Crawlspace Ground 0 Skids 0 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:
161 Floor Sq Ft:
Loft Sq Ft:
2nd Floor Sq Ft:
3' Floor Sq Ft:
Garage Sq Ft:
Porch Sq Ft:
Deck Sq Ft:
Other Sq Ft (describe):
Other Sq Ft (describe):
Total Sq Ft:
Overall Height (finished grade to peak): \
lD t t
# of Stories: \
Existing # of Bedrooms on property: O
Proposed # of Bedrooms in project:
SECTION E: RV and Si n lnfoxmation (check all that apply)
Sign is:
RVis:
is:
❑ New ❑ Replacement
❑ New ❑ Replacement
❑ On -premise ❑ Off -premise
PErEE,vED
❑ 1 -sided ❑ 2 -sided
Year: m
❑ On -building ❑ Multi -Tenant
AUG 0 52026
Length: Width: Height:
Make: Mode :
rSI 1 tm�nrn�gtA Sf
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) El Septic Tank (ST) ❑ Drain Field (DF)
El Holding Tank (HT) ❑ Privy (P) ❑
Lake ❑ River ❑Stream/Creek E]Pond []Floodplain ❑ Wetlands ❑Slopes over 20%
N
Nor4l-, BcoJtiry4
Ys� ry3'
� zk �
t
�
J
3�
Q
Soi-+h Bd. r,
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.
ft.
Notes/Comments:
�� ygJi
1'�
Front Lot Line/Right-of-Way
ft.
ft.
LotLine I
(3a� ft
> ft.
o East South West, circle one)
ide Lot Line 2
ft•
1320
r ft.
-7
(North East ou West, circle one
RECEIVED
Rear Lot Lin
ft.
7 75 ft.
Septic/Holding Tank
ft.
ft.
Drainfield
ft.
ft.
Privy
ft.
ft.
Well
ft.
ft.
Existing Structure/Building
ft.
i ft.
AUG 05 2026
Bayou Co.
Planning and Zoning Agency
Wetland
350 ft.
7 ft.
Elevation of Floodplain
ft.
ft.
Ordinary High -Water Mark (OHWM)
ft.
ft.
Other(describe) Eeseptitnt
9SQ
ft.
Application Page 2
SECTION G: Additional Questions
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:
❑ Yes
No
Did a licensed surveyor mark lot line(s) if project is within 10 feet of required setback? See page 2 of Land Use
Application Information for required setbacks.
❑ Yes
No
Did property owner or applicant mark lot line(s) if project is within 30 feet of required setback? See page 2 of
Land Use Application Information for required setbacks.
❑ Yes
No
Is there an existing sanitary system on the property? If yes, what kind?
❑ 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):
❑ Yes
80 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 O Class B Special Use O Conditional Use ❑ Variance
Fee payment will be made via:
Check (attached) ❑ 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 O Email to:
JR Property Owner Address O Agent Address ❑ Contractor Address O Other (provide name and email or address):
.Section,Hh,Acknowled ement and. Signatu.r,�
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, v/topic/wetlands, or contact a Department of Natural Resources service
center (715)685-2900.
I (we) declare that this application, including any accompanying information, has been examined by me (us) and to the best of my
(our) knowledge and belief it is true, correct, and complete. I (we) acknowledge that I (we) am (are) responsible for the detail and
accuracy of all information that I (we) are providing and that will be relied upon by Bayfield County in determining whether to
issue a permit. I (we) further accept liability which may be a result of Bayfield County relying on this information I (we) are
providing in or with this application. 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:. p 5LI ICL P7c(tA-c l Q r
Owner(s) or Authorized Agent Signature:9c≤4.Ji2iU Date: t7K0
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. Owner ; RftEflctors
must all be aware of permit details & conditions and permit card must be posted on property prior to start of prolect.
AUG 052026
Application Page 3 Bayfield Co.
Planning and Zoning Agency
oI
ri
pc,h-ors
3a'
►a'
RECEIVED
AUG 052026
Bayfield Co.
Planning and Zoning Agency
4'OC I I I I I-4'- tat
€' 1 �I I $' I CS
Land Use Permit Application Review Checklist
r')
Submission #: _LA, -O L9ILiX
What zoning district is the project locat m?
❑ R-1 ❑ R-2 ❑ R-3 ❑ R-4 ❑ R-RB ❑ C ❑ 1 ❑ M ❑ A-1 ❑ A-2 F-1 ❑ F-2 ❑ W ❑ M -M
❑ YesZNo
ll
is lot substandard (does not meet current zoning dimensional requirements)?
Deed of record:
❑ Yes)SNo
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 o
Is impervious surface required? (Required if riparian lot OR lot is entirely within 300 feet of OHWM of
navigable waterway)
❑ Yes o
Is the project located in the Floodplain? Zone:
Yes ❑ No
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' -'Jo
Is project associated with a Special B or Conditional Use Permit? Permit #:
❑ Yes `No
Is the project associated with a Special A Use Permit?
❑ YesNo
((
Does the project require sanitary?
O Existing O New O Intercept ❑ Reconnect O Non -Plumbing O Public
Sanitary Permit #: # of Bedrooms:
❑ Yes, No
Does the project require mitigation?
Implementation Deadline: Date of Compliance:
❑ Yes o
Does the project require an affidavit? Affidavit #:
❑ Yes o
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 O Municipal
Project type is?;New Construction O Addition/Alteration O Change Use O Relocate O RV Placement ❑ Sign
❑ Establishing a Business ❑ Temporary O Shoreland Grading O Other, describe:
Structure Type is: O Residence O Principal Structure PAccessory Structure O Boathouse (one story only)
❑ Open-sided/Screened Structure (gazebo, etc.) O Stairway to navigable waters ❑ Mobile Home
❑ Shipping Container ❑ Other, describe
Total Sq. Ft. of Project: 0 Number of Stories: Overall Height:
Fee Type
Calculation
Fee Amount
❑ Habitable Residential Principal and Accessory
Structures - Enclosed Areas — all enclosed areas within
dwelling except attached non -habitable garages
$0.50 x sq ft
(minimum $125)
$
❑ Dwelling Unenclosed Areas (decks, patios, etc.) or
Attached Non -Habitable Garages
$0.20 x sq ft
(minimum $125)
$
❑ Non -Habitable Residential Principal and Accessory
Structures
$0.20 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 ❑ Land Use Revisions O Special Use Permit - Class A O Floodplain O Shoreland - Impervious
Surface ❑ Shoreland - Non -Conforming, etc. ❑ Tower Siting/Collocation 1 O Tower Collocation 2 ❑ Metallic Mine
Cl After -the -Fact (ATE) I
$
Inspected by: tc.flL.
,
Date of Inspection: 9 1
Re -Inspected by:
Date of Re -Inspection:
Denied by:
Date of Denial:
Reason for Denial:
Date Denial Letter Mailed:
Approved by: ,1L -k p
o
Date of Approval:
Co y
Condition(s):
`Must meet and maintain setbacks from furthest extension of structure including eaves and
[overhangs.
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.
❑ A Uniform Dwelling Code (UDC) Permit from the locally contracted UDC Inspection Agency must be
obtained prior to the start of construction (if applicable).
lJse 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.
To 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
o sewer and pressurized water allowed in the structure.
No plumbing or plumbing fixtures allowed.
o additional sleeping areas allowed without obtaining necessary sanitary permit(s).
and use permits shall be required for any new residence, any building or structure erected,
rebuilt, or structurally altered
Telocated.
and 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)
❑ 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 5w Street
P.O. Box 58
Washburn, WI 54891
Phone: 715-373-6138
Fax: 715-373-0114
Property Owner: Submission Number:
MCCUTCHEON, JOSHUA L & MIKKI J LU-02468
406 MAIN ST
COLFAX, WI 54730 Transaction Number:
LU-02468-4B777
Description Amount
Non -Habitable Residential Principal and Accessory $144.00
Structures - $0.20/square foot (minimum $75)
Total: $144.00
Payment Amount: $144.00
Reference: 3189
Paid by: Joshua McCutcheon / Mikki McCutcheon
Payment Type: Check
Transaction Date: 9/2/2026
Receipt of payment does not guarantee eligibility of
permit and is not proof of issuance of a permit.
Town, City, Village, State or Federal
Permits May Also Be Required
Substandard — No / Nonconforming — No
Shoreland — No I Impervious Surface - No
Floodplain - No / Wetlands - Yes
Mitigation - No / Affidavit #:
LAND USE -X
SANITARY -
SPECIAL A -
SPECIAL B/CONDITIONAL —
BOA —
No. 26-0471 Tax ID: 14763
Issued To: MCCUTCHEON, JOSHUA L & MIKKI J
Location: S25 - T44N - R08W
Town of Drummond
Legal Description: N 1/2 SE SW IN DOC 2020R- 584786 864A
BAYFIELD COUNTY
_:TI'ATr
WEATHERIZE AND POST THIS PERMIT
ON THE PREMISES DURING CONSTRUCTION
Residential Structure in F-1 zoning district
For: New Construction [1 - Story ], Accessory Structure on the Ground [720 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.
Scott Roush
Authorized Issuing Official
September 02, 2026
This permit may be void or revoked if any performance conditions are not
completed or if any prohibitory conditions are violated.
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.
Requirements (e.g., permits/licensing/tax) of Local Town, Village, City, State or Federal agencies are required.