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Return to: County Use Only: 117 E 5t'' Street, PO Box 58 Bayfield County Planning and Zoning Department Submission #: L,U- 0 d$ ) j Washburn, WI 54891 LAND USE PERMIT APPLICATION Permit #: a 63 permits@bayfeldcountv.wi.aov Date: q i r -c -� SECTION A:General Information '{> Authorized Agent Name (if applicable): Pro erty Owner Name: a a -n L Teleph/ e Number: _ 3/ S� Telephone Number: RECEIVED E/ -Mail Address: // � I � e,l.00-toot E -Mail Address: FNTF Mai . g Address: E-60 l,Jarnelf jtd. Mailing Address: AUG 262 U2b el Ci , State Zip: Esc �3 City, State, Zip: Planning and Zoning Agency .nom, Contractor: Telephone Number: E -Mail Address: 52 SECTIONS: Pro er :Information .r' Project Address (if different from mailing address): Dr. Gorn0c op,a./ O1 8 y .QoC 7o S, i ai nn Legal Description (if additional space is needed attach a separate sheet): Section, Township, Range: :5 cRO 'TSo OcoL) Town of: Tax ID #: 9.23 9 Lot Size (Acres/Square Feet): SECTION C: Pro'ect;Information, uheck;alhthat,a 1., Project Use is:,Residential ❑ Commercial ❑ Municipal If Commercial, estimated cost of construction: $ Project Type is: Jiew 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 sq ft): required SECTION D: Structure Information Does nota l to RVs and Signs, go.to SectionE) Structure Type is: Residence ❑ Principal Structure (describe): ❑ Accessory Structure (describe): 0 Shoreland Exempt Structure (describe): ❑ Mobile Home (provide manufactured date): ❑ Shipping Container ❑ Other (describe): Foundation Type: ❑ Basement ❑ Walkout Basement XSlab ❑ Crawlspace ❑ Ground ❑ 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: "Floor Sq Ft: D gt Loft Sq Ft: 2nd Floor Sq Ft: 3 Floor Sq Ft: GarageaS 3 tt: orch Sq Ft9 Deck Sq Ft: Other Sq Ft describe): Other Sq Ft (describe): Total Sq Ft: 5, 9i jOverall Height (finished grade to peak): .% # of Stories: Existing # of Bedrooms on property: C) j Proposed # of Bedrooms in project: ,SECTION.E: RV, and Si n,Information. check all that apply) ! r RV is: Sign is: ❑ New ❑ Replacement ❑ New ❑ Replacement ❑ On -premise ❑ Off -premise ❑ 1 -sided ❑ 2 -sided Year: Vin #: ❑ On -building 0 Multi -Tenant Length: Width: Height: Make: Model: Application Page 1 inECTION F: Site Plan — attach a site plan or draw site plan in box below (See pages I & 2 of Land Use Permit Application t fnmini inn for information that is remiired to be provided on site olanl Show location of: ❑ Driveways ❑ Frontage Roads (include name) ❑ Existing Structures ❑ Well (W) O Septic Tank (ST) ❑ Drain Field (OF) ❑ Holding Tank (HT) ❑ Privy (P) El Lake ❑ River ❑Stream/Creek ❑Pond ❑Floodplain [I Wetlands ❑Slopes over 20% N RECEIVED AUG 262026 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 105 ft O -f- ft. Notes/Comments: Front Lot Line/Right-of-Way 93 fr. ft. S;Ww 1 Side Lot Line 1 as ft a ] - fr. (North East South e circle one) T Side Lot Line 2 ft ft JOO Rear LoTLine Septic/Holding Tank Drainfield Privy Well Welland Ordinary High -Water Mark (OHWM) 5, fr- Dt fr. _ ft ft fr. n�1 ft ft ft fr. o lVl Gf En III Application Page 2 Zone Pt tfi I t fi RECEIVED AUG 262026 Plann' Bay k Co. �n9 Zoning Agency SECTION C::.tddltlonal Questions .---_—_ ----- - =..... --— ---_._.. es C No Has the location of die proposed project' been staked? If no, what date will this be completed: Note: The site will not be inspected nor permit issued until after the staking date listed above. Yes O 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 ❑ Holdi Tank ❑ Munici al/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 Holdin Tank ❑ Munici al/Public ❑Other (describe): k.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 O Class A Special Use O Class B Special Use O Conditional Use O Variance Fee payment will be made via: Check (attached) ❑ Cash (attached) ❑ debit/credit/echeckdepartment to call once payment is ready to be taken) How would you like to receive your permit card? Mail to: ORgEmail to: ,Property Owner Address O Agent Address O Contractor Address O Other (provide name and email or address): 'Include eaves, overhangs, sanitary system, and well in staking measurements Section,H Acknow-�mmt. ` re 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 t j®rtg oe2NOiction without a permit will result in penalties. Bayfield Co. The local Town, Village, City, State or Federal agencies may also require permits. The new c n8ad P8lc&t&1'6-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.uov/tonic/wethmdc. 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. l (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: �."0 " tA) r, Date: O lI L OZ& Owners) or Authorized Agent Signature: 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 Bayfield County Impervious Surface Calculations These calculations are REQUIRED per WI Admin Code NR 115.05(1)(e) and Section 13-1-32(c) 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. The calculations are also REQUIRED in the case of a land division where the lot to be created or reconfigured will be reduced in lot area. 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 makgpmw Property Owner(s): I /� " �� /'Aple- Kev. 1rd7T CL AUG 6 Mailing A d ess: Sao r� raarnell9d. Property Address: ao676S.5>SWw''� 5)`,m5 Pr. BayBeldCo. !7 M qn 7r;e/1 TX 7°43 cornvn-"p"- 1A%X J&ySqy Prmkp andzonlnp Agency Legal Description: Section, Township, Range 1/4, 1/4, Sec or O Township 5- 0 N, Range _� W Authorized Gov't Lot I Lot # I CSM# I Vol & Page Agent/Contractor Lot(s) # Block(s) # Subdivision Town of: 13e//, W Z Parcel ID # (PIN #) I Tax ID # Date: 04- [523a a ___ 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. Impervious surface standards shall apply to the construction, reconstruction, expansion, replacement or relocation of any impervious surface that is or will be located within 300 feet of the ordinary high water mark of any navigable waterway on any riparian lot or parcel and any nonriparian lot or parcel that is located entirely within 300 feet of the ordinary high-water mark of any navigable waterway. Calculation of Impervious Surface: Percentage of impervious surface shall be calculated by dividing the surface area of the existing and proposed impervious surfaces on the lot or parcel by the total surface area of that lot or parcel and multiplying by 100. If an outlot lies between the ordinary high-water mark and the developable lot or parcel described in subd. 1. and both are in common ownership, the lot or parcel and the outlot shall be considered one lot or parcel for the purposes of calculating the percentage of impervious surfaces. 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 or land division approved 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(c) and Section 13-1-40(h), the property owner may do any of the following: a. Maintenance and repair all impervious surfaces: b. Replace existing impervious surfaces with similar surfaces within the existing building footprint; c. Relocate or modify 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 13-1-22. Impervious Surface Item Dimension Area (Square Footage) Existing House Existing Accessory Building/Garage Existing Sidewalk(s), Patio(s) Existing Covered Porch(s), & Deck(s) • Existing Driveway- 2o' 80' Other Structures Proposed Addition/House P ry w mg arage 70� � la d Proposed Sidewalk(s) & Patio(s) a 6X ` /ctX V t / i I/ 0o4 Proposed Covered Porch(s) & Deck(s) Proposed Driveway f a V. 3 70? 'V c36 Proposed Other Structures R Total: AU W Co. a. Total square footage of lot: b. Total impervious surface area: I J� t-' c. Percentage of impervious surface area: 100 x (b)/a = 10.66 j i B, 900 Planning and If the proposed impervious surface area is greater than 15% mitigation is required. Total square footage of additional impervious surface allowed: @ 15% @ 30% (County Use Only) Date of Inspection: Inspection Record: Zoning District ( 1 Condition(s): Stormwater Management Plan Required: DYes ❑No Signature of Inspector: Date of Approval: u/forms/impervioussurface Created: May 2012 (®Sept 2016, Sept 2020, Feb 2026) Proofed by: RECEIVED MAN 092026 ay Bayfield Co. 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 AUG 2 2026 ) ss. BAYFIELD COUNTY ) Barfield Co.Planning and Zoning 1. Address of Subject Property: 1 a ('17to 1 S �S K, Ui, 1 S Loce7 c Cos„JGOp:wl to Xt H'6NN 2. The Subject Property is owned by: �^ w1rt f k Q8JCkk1Ge 1 C\%Sk (Name of Trust) 3. The name(s) of the current Trustee(s): ` / L,e. `S 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 damage resulting from any illegalities of the application. Dated: 202 L — Print Flame Subscrib d and sw rn to before me this day of 4_ i,J , 2Q2q Notary Public, County, Wisconsin Adatlna TI)arina My Co0128120 E:pina • 10128/2028 Notary ID 3107188 My commission: oti g �a 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 AUG 262025 Bayfield Co. 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Y.q.uaOweMCYmmma. 4+IaatbuF4 mrmrb •I/.Y I I I I F I � ieay I- Be` ^� SINGLE FAMILY DWELLING leblrR .'a �rY:r`b.br ` -`oat.-.wv�`... wr`-..:u rr-m rw wi '46 TIREI cr�mom 5.0.01 F0N�1 H1Fptli ekI nm0 Pl0a -+rbr ..I.m..bm . nS . ni �J -nWa m V save rIL waemr.. cwmrewreY4wmrn4 r�wrw Yr� CAe ,o- am -.s • Q` r°.`ray.wsm —mrr MdM'I® Ai 0 wY�� ,.Q -nn ComrtaOlLW6mLeh r e IL'I iS o I o_ L..:.Larl ________ ______ MAIN vrN a Q6Fn4wrM1,..Ii1YMrY.Yr Qrxrr✓.frrlYr rrrrrrrrti.rrrrr a. v'rrlr�r�arrrrma�rwr IZtIft02-200 -O I4 Itt .30 411x MOIIr/fY�Ii�YrO. Orb�rlrra4vi M+r 4lryYY w.m.u.�r..rr�rrararwrrrmyas RECEIVED AUG 262026 Bayr&d Co. Planning and Zoning Agency Preliminary Not For Construction ° r -r r -r aedlPomR $ rdrvomp eo Y®Nm MF b 8 e ° Ns_ r -P wr+v n�anrr e k 'toll I•.P - q b ® b b e b 4-P b y ' I b a��PPI s q111? -r I. p•-, IFP V -P (:®UPPER ROOR 11 VC -1'' RECEIVED i1hi AUG 262026 1* jti'; Bayfield Co. I IIiPlanning and Zoning Agency iis i1,I Preliminary Not For Construction I SNGLE FAMILY DWELt1Nj(Q q 1S Q' M LO911!'/x Md,onla Carom soon I r�a---_____ ii:Hi ,1 1M -4P RECENE® Fill}� \ AUG 2 6 2026 1111 —if W. ll eayrea co. it Planning and Zoning Agency{! a1 ll Preliminary s l.. _____________ __ Not For Construction 1. EI wear Elevation_ .. . 'a'"0 ♦`� SINGLE FAMILY DWELLING FlEvnn ���e:milare�i oobvnn®WYwn91n I Ml�nbabIMIOl�albDrtnlba,bYO*�1.babwelY, 4bb..Ib Mbgbsb b Ir• .IW�lMaIYl� �wrt�bbbawa,�agaaaa RECEIVED 1 � 4 AUG 2 6 2026 F7amkv and Zoning Agency MCQp{I�C�P I I 1IIL O lie -1-C L. 111111". E 16LiCI lJii10 ___________ 1 _IM �i; Pie Preliminary s ..... ti Not For Construction............ SINGLE FAMILY GWELLING oww a (y�ew aEVAT f&`Y ,nn.nn e y°"" MABa TBD 0 t. --------- mrcnn Wbmuin AS orirrrlrlwPPMryrri rr�r�rrvYr rrV4r Nrr+rr+exrtie.rw4rrr+r�tif.r�rirrrriWr+✓0'rrrr�arr� LI FRONT aIOHT _ RECEIVED AUG 262025 ." eayr�a co. Plannkg antl Zoning Agency U FH0Mf CFMEA 1£{`1 ilIdb REAR LEFT Not For GA?r ruction au FS1111,3LE FAMILY DWELLING CAB 4V2'm.�:�'m M111rrrM�/Tb/MM1�Ir1YOtAI�r�r�slMYrIY�ISYYrMrR�rrh�Ir��rY O W Yi���r4MMPtl��r•/4.�ra W s�YlYlr W MPrrbrrlMe�Y1�F LOGAN LEWI5 7704904 50'x72'x 18' 3 -PLY 2x8 COLUMNS 8'-0' O.C. 4/I 2 42-4-5 (AG) 12Y" HEEL ADVANTAGE 29ga STEEL (I) ADDENDUM RECEIVED AUG 267026 Bayfield Co. plannkp and Zoning Agency BUILD ON CONCRETE H TREATED 2x8 SILL PLATE 4 SILL SEAL 24° BOXED EAVES 4 GABLES W 2x6 FASCIA WAINSCOT (ALL WAILS - MATTE BIACFJ 4545 5gFt OF HOU5EWP.nP (I) 14'x 14' OHD xi NIGH LIFT TRACK 4 2x8 FMD W INTEWOR TRIM (I) 12114' OHD eW HIGH UPT TRACK 4 2x8 FIO W INTERIOR TRIM ( I) 12112' OHD u1 HIGH LIFT TRACK 4 2x8 FN W INTERIOR TRIM (1) 71 W SERVICE DOOR (BIACPJ vd 9-LnE 4 2x8 Pp vW INRRIOR TRIM (2) 6'x6'-8' - 2x8 SERVICE DOOR FAO (INSTALL CUSTOMER DOOR) (4) 612 - 2.8 WINDOW Pp (INSTALL CUSTOMER WINDOW) (214x4' - 2.8 WINDOW F/O (INSTALL CUSTOMER WINDOW) ( I) 3x5' - 2.8 WINDOW F/O (INSTALL CUSTOMER WINDOW) (I) 6x5' - 2x8 WINDOW F/O (INSTALL CUSTOMER WINDOW) (3) 2.3' - 2x6 WINDOW F/O (INSTALL CUSTOMER WINDOW (3) 3k4' - 2x8 WINDOW P/O (INSTALL CUSTOMER WINDOM CONTINUOUS CLOSURE VENTING 618' STEP DOWN OPEN LEAN v.1 RIB STEEL CEILING 4 COLUMN COVERS 12x72' STEP DOWN OPEN LEAN W RIB STEEL CEUNG 4 COLUMN COVERS —N FLOOR PLAN SCALE: 3132- 1'Q ENGINEERING DEPARTMENT 1 289168th Stn et Eau'gdee. W164708 Paz (715) 871-1218 Office (715) 874.4211 SEE FOR MORE 6'xN STEP DOWN OPEN ienI 4 RIB STEEL CEILING 4 COLUMN COVERS (SEE SMEET 2 FOR REMAINING DIMENSIONSI M S-uIt. DEAD BOLT R 2.B Fp W INTERIOR TPJM j 5 cR� FIRST LEVEL 314' - 2.8 WINDOW MD (INSTALL CUSTOMER WINDOWS) 213' - 2x8 WINDOW PC — (INSTALL CUSTOMER WINDOWS) INSTALL CU9 (2 127E Sit?DOWNI OPEN LEN .1 P40STEEL CBUNG 4 COLUMN COVERS LOGAN LEWIS CORNUCOPIA. WI 50* 72' x I B' I:WACAPD WG51ORDER NG12GW W EWIS.LOGAN. DWG 1211CMDPp vdMCMUPTR INTER)ORTPoM IC OME TlOII BY ft H wu xn Na AS NOTED 7704904 —CT f3cc 2II TRo. I of I I 08/24/26 T'3V9 lit RECEIVED AUG 262026 Bayfi&id Co. planing and Zoning AgenCY —N FLOORPLAN SCALE: 3/32'. It ENGRNEERI NG DEPARTMENT 289468th Street E. Ckht W164798 Fcx (716) 8744218 Office (716) 874-4211 24' BC(D GVE 24• BOXED GR&E 612' - 2v8 WINDOW P,O 6V8' Sit? DOWN OPEN ILW W RIB DNSTPLL LU5TCMER WINDOWS) SRI. CBUNG I COWMN COVERS 24• BO.KO GABIE NDTEI VEWPW IXALT DOOR NIP WINDOW LOCATIONS N OWNER CONTINUOUS CLOSURE VENDNG w Ir 1 ry 343' - 2x8 WINDOW hO (INSTALL CUSTOIRR WINDOWS) SECOND LEVEL 444' - 2xO WINDOW Pp (INSTALL CUSTONSR WINDOWS) 612- 2x0 WINDOW PO (INSTALL CU5TOMCR WINW W9) 24BOXED CAVE 12172 STEP DOWN OPEN WEAN N WB bEN STEEL CEIUNG 4 COLUMN LOVERS OP 24' BOXED EAVE LOGAN LEWI5 CORNUCOPIA. WI IMCAD'DWGS\ORDERINGT2G\WLLEVI9.LOG NDWG 50'x72'x I& NC. DATE Ocswmox br 0 oaz40 .aysep eu 5C.V2 ICO NJ. A5 NOTED 7704904 DP Y 9xCt No BCC 2 08/24,26 of I RECEIVED AUG 262076 TRIM: MATTE BUCK SOFFIT! MATTE BUCK Co. COLUMN COVERS: MATTE BUCK Bayfield LEAN CEILING: MATTE BLACK Manning and Zoning Agency 44.OIT5FT TO AVOID COIFR TRIM FROM UNONG ON A RIB Of LAST WdL st1W5 CONTINUW5 CLOSUR[ V[MING MF.TTf dKIL I NAtURAL ROWN SAWN aCLRA 6L2 WINPON W 61T WINDOW Fq Sky' WINWWFq NATUMLROUGry II '..AVM C[DM l MATTE BLACK G 41g SANK CCDARNATUML ❑❑❑❑❑❑❑i ❑❑❑❑❑Ia'IEll RID 314' WINDOW F0 NANRAL Fp12Y14p1D Fp SAWN 6}5' CLDNt WWCON I II w/NIGNUITL WNIGI1UFT4 INTERIOR RM HRNORTWM ,MAT1E Fn` dACIC SOUTH SCULL T.3' 2V 6AGd' 611G'L' 414 OFf`.SCT TO AVOID CGRNOt TRIM FROM WINDOW SC WINDOW fp DLV'RPp POOR 10 LANITNG ON A RIB Of UST CJNf 9X@T9 CONIINUd15 CLOSURG V[MNIG MATR BIAQ. 4'.4' WINDOW 110 612' MNOOp Fp 6}2 WINDOW Fq R1xg11 NATURAL ROIIOII NATURAL R4UGN SAWN BANN LO}Vt Ma1TCBIACF SAWN QF SAWN CNM ❑❑❑❑❑❑ 2}12'g10 W NGN Un; .� M IMFRIORTRIM MATR BOLT,ffifflj MATIF BIACR NORTn 3}4 W:NDOIV FA 314'WINDOW Fp SOUTn 7 O (&ILIJ FAD.ea mu ernsw etas IMND. urt111and ENOINEERINODstARTAEE T LOGAN LEWIS NO DAtt oBNrNnrox n A$ NOTED 7704904 2884 68th Street pijdin Ean Claire, LLe CORNUCOPIA. VA o CdeAt RCUMCO IXC LTNWN Pt yiftI NO 744218E Fax (715) 8744218 F� SO' x 72' x I8' _ E CC 7 OmTs (715) 8744211 Is Wr Lo fwAem sour ILJI3MP .aL�WGypRDEwNG126l9Wtw15.LOG•N.oAG9 0&24/26 JOf RECEIVED AUG 267026 Bayfield CO. Planning and Zoning Agency NOR: 5HAlOW rOUNDATON5 NOT DTENDNG B& W THE FROST VNE ARE DE51GNEO TO BE PROTECTED FROM THE EEfECT5 Of FROST HEAVE BY USING NON -FROST SUsCEMIXE HLL MATEFUAL AND INSUTATION AROUND THE FOUNDATION PERIMETER UPRIEATED BUIFOING5 OR UNHEATED AREAS MAY ALSO REW IRE CONTINUOUS INSIAATION UNDER THE 5IAO. IN ALL CASES. THE SDE SHALL BE GRADED MOUND THE BUILDING TO URMN 5URf CE WATER AWAY FROM THE FOUNDATION 5Y5RM, CONCRETE COMPRESIVE YIELD STRENGTH UcS - 3500 P51 REWRy - ♦0.000 PSI '"NOTE: All RIGID IN5UTATION. POLY. REBATE CZNGRETE. MD CONCRETE WORK BY OTHERS F.m CIR4e, WT 54708 Fu (715) 8744218 Office (715) 87442U OPTTO-0UT CONCRETE OP RAN 2' W5UIRION I c SLOrE TO l RER niCHt -SECOND POUR - 4 I4. is nN E'VL'RY P8 CAST INTO 9 _N 1R5T POUR MMN 5V9 oMot EA I N I8r OTHERS) oo _ 3U rIEIOTRGWTE PN Wx l 9•-I I•SIOPD AREA c] _ IN CONCRETE C OV64TEAD DOOR OPENNG TO PREVENT WATER FROM 5CERNG UNDER DOOR O •NOR: HOLD R) INSULATION F ENINO COTTON OF APPROMI IN COORCPENING DOOR OFENINO _ rPIOTROWLIANW. I I• -I t '51OPEOAREA Q IN CONCRETE C OVERHEAD DOOR OPENING TO PREVENT WATER PREkA 5EMNG UNDER ODOR 12' GRAOZfA A 14.ORADEBEMI TO PREVENT WATER rROM SEEPING UNDER DOOR •NOTE, HOLD RIGID IN5IAATFON TO EELOW BOTTOM or ARROAOI IN DOOR OPENING 14' GRAOEDEMI SLOPE TO DESIRED rrtcn iiI 14' . 12' OPASEDEAM LEAN PORCH SUB -SECOND POUR - 72 I • OUT -TO -OUT LEAN CONCRETE FOUNDATION PLAN N LOGAN LEWIS CORNUCOPIA WI 5a R 721 R 101 14. IT 4'. P2'GRADEBEA 1'v 12' GRADEBEPM DOJPIPON El Pupae, EEC II :ON SWL IOC NO. A5 NOTED 7704904 ]FAKN CT INSET NO ecc '"08124/26 9of I I • SRY2dCaNAN 26 2026 5We3 BG.Qlf AUG BZyfield Co. size. run and Zoning AJenCY IZMre.6'mW eetm planning zw TR MRO f•RM WNm r , sveo()Re wXcn 211GtTnAT w51LL5VL o-21N1AI15 •• '•) •_•2 • i•'• • /.i ICJ W911UiICN Abco GNLf •: • f#OSEOIN NKAPRO1CCfMCOKRING T•• .: .1 .., TO INKS ..• .. X!IPW CW CJNCPZIG Y 9GOlNSG1I.l10N� 14'� ,.•`v'_ _ 1.' I Yb[ 1411 A GRADE BEAM DETAIL SWb 255 caua1 s1Xp)eJlrs 4t WE WLHOR o -z 'PDRRM COJ[RING u 5 " y Rr Omflc9l '5•.1�� � r P£MC �I SWA I Rl%1WiATl �( i 1 teramex9l — 1/11y GNPofOWA +I(STO tR4 CGMIxuW9 (ST o11TR91 B GRADE BEAM DETAIL Scab 1•-r0 We.3 *100! MOOR RN TO 5254512(5.44415Kre, 4-Itt 2 caurn W661051 a1CHCR-rA4115 TO POST sit -Zoo NaLS fJPI SCC .yxpx aplRl mm WML ran PASRx Sif[l ® MIH SIC6 Cf CVCRY tO O TOr S 0011W xCM9 Cf N151o6•CVO PMI[N 2M iRPRo GINROOP 0 WtCD TO PUR W I OC RIMS 04 0.2.410 O'C,I MONg1 I 02*215 0.2 TNM I15 9We3oUCStT l2T� s •ISW ML15 Yore' C'ASM'CIKIICR St lWAlmfl411S1 SILT SCAt PIW T4uTUIG Yz' 3✓f •' v1RWJP0[Cofre XJ .S .!. 4' ,' • .•2•'i4• yq[1PCXYg18Rl/J. •' iJ', •• •J 114'P2CPIXCCO •w COIxII SUE.I6 WPIXr ROXPCRGd MxCXRC V.'{^ II .'s,Irao fKA51 — t ;. 51 054015) 2'RIGIOIX9VUllp\' — .4'''.��f IBYOIM: 1411y(2)M Hn �tawaP.c In14•GRJLtKM1 • . 14 CLNIINVWSIer OR:V51 Y C GRADE BEAM •RIJ40u� DETAIL coxm"m I mromexst ENGINEERING DEPARTMENT LOGAN LEWIS 2884 58th Street Exn Cleh'e, W154706 ICORNUCOPIA. WI 50 x 72l x I & Pu (716) $74-1218 Once (716) 874-4211 "` "'uK" eMcnocx+csvoeoexllrgee5ovivnsta.Jw.ovti 50. 041! ofsajrsas Sr cat )COPxi A5 NOTED 7704904 wrmm 3Hf1f NC. BCC 0824/26 I Oof Real Estate Bayfield County Property Listing Property Status; Current Today's Date: 8/14/2026 Created On: 3/15/2006 1:15:03 PM Description Updated: 3/24/2025 At Ownership Updated: 3/24/2025 Tax ID: 8232 RED MAPLE REV TRUST MANSFIELD TX PIN: 04-010-2-50-06-20-2 00-282-05000 Legacy PIN: 010111801005 Billing Address: Mailing Address; Map ID: RED MAPLE REV TRUST RED MAPLE REV TRUST Municipality: (010) TOWN OF BELL 560 TURNER WARNELL RD 560 TURNER WARNELL RD STR: $20 TSON R06W MANSFIELD TX 76063 MANSFIELD TX 76063 Description: SISKIWIT SHORES (LOCATED IN GOVT 1t LOT 4) LOT 5 IN DOC 2025R-606771 T Site Address * indicates Private Road Recorded Acres: 2.040 20670 S SISKIWIT SHORES RD CORNUCOPIA 54827 Calculated Acres: 2.109 Lottery Claims: 0 0 Property Assessment Updated: 9/10/2015 First Dollar: No Zoning: (R-1) Residential -1 2026 Assessment Detail ESN: 107 Code Acres Land Imp. Gl-RESIDENTIAL 2.040 83,100 0 Tax Districts Updated: 3/15/2006 2 -Year Comparison 2025 2026 Change l STATE Land: 83,100 83,100 0.0% 04 CO N L Improved: 0 0 0.0% 010 TOWN Total. 83,100 83,100 0.0% 044522 SCHL-SOUTHSHORE 001700 TECHNICAL COLLEGE Is Property History s Recorded Documents Updated: 3/15/2006 --------- N/A ® WARRANTY DEED Date Recorded: 3/10/2025 2025R-606711 B WARRANTY DEED Date Recorded: 4/9/2021 2021R-588007 R RECEIVED ® CONVERSION Date Recorded: 470847 817-579;817-519 AUG 2 6 2026 Bayfield Co. Planning and Zoning Agency RECIEIver; Letter of Authorization AUG 14 20� Bayfield County Planning & Zoning Department Flammn9 dZa. 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, Looan'o (property owner), authorize JMp Bat sd —PeekE 10" (authorized agent) to submit a IANOOSEPERNn&anyopwp•maepa.GEtMwh 000.00 (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.) cwsuxmnolaKo application on my behalf for the following described property: Legal description of subject property: SISIONIT SNORES ILOCATEO IN GOVT LOT 4)LOTS Address of subject property: 206703 SISKIWIT SHORES RD Comuoopla W15444 Signature 8114/26 Dated F e"„ 1 FIELD 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: SIEH, TIMOTHY C SS -00817 1346 Arrowhead Rd No 203 Duluth, MN 55811 Transaction Number: SS -00817-4D017 Description Private Sewage System (Septic Tanks) Amount $400.00 Total: $400.00 Payment Amount: $400.00 Reference: 6345 Paid by: Polkoski Plumbing, PO Box 522, Iron River WI 54847 Payment Type: Check Transaction Date: 8/31/2026 Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit. Bayfield County, WI 8/31/2026, 9:19:40 AM 1:716 Wetlands Rivers Lakes Approximate Parcel Boundary Road Type — Town Building Footprint 2015 a Building 0 0.01 0.01 0.03 mi I r t S , . II 0 0.01 0.03 0.05 km Baylleld County Land Records 8epenment eayfsd County Zocdng Appintm Mlpaalnwps.bayfeldcoumy wi govWZmingWA8f Bayfield County, WI 8/31/2026, 9:20:24 AM 1:716 Wetlands Approximate Parcel Boundary Rivers Road Type — Town Building Footprint 2015 Building 0.01 0.01 0.03 ml 0.01 0.03 0.05 km eayri&d County Land Reads Department aayflek County Zoning Application aapa/maps eayfeldmunlyar gw2oningWAS/ Land Use Permit Application Review Checklist Submission #: O a '19 Whaa .zoning district is the project located in? 4i ❑R-2 ❑R-3 ❑R-4 ER-RB ❑C ❑1 ❑M ❑A-1 ❑A-2 ❑F-1 ❑F-2 ❑W DM -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) ❑ Ye o Is the project located in the Floodplain? Zone: Yes O No Are there wetlands on the property? ❑ Yes fl-Na Is project associated with a nonconforming use or structure? ❑ Yes f4No Is project associated with a variance? Case #: ❑ Yes cTSig Is project associated with a Special B or Conditional Use Permit? Permit #: ❑ Y No Is the project associated with a Special A Use Permit? Does the project require sanitary? ❑ Existing 2New ❑ Intercept ❑ Reconnect ❑ Non -Plumbing ❑ Public Sanitary Permit #: /&ES #of Bedrooms: Yes O No ❑ Yes 94o Does the project require mitigation? Implementation Deadline: Date of Compliance: ❑ Yes D10 Does the project require an affidavit? Affidavit U: es ❑ No Did licensed surveyor mark lot line(s), if project is within 10 feet of required setback? Yes ❑ No Did pplicant/property owner mark lot line(s), if project is within 30 feet of required setback? Project use is? 9lesidential O Commercial O Municipal Project type is? New Construction ❑ Addition/Alteration ❑ Change Use ❑ Relocate ❑ RV Placement ❑ Sign ❑ Establishing a Business ❑ Temporary ❑ Shoreland Grading O Other, describe: Structure Type is: esidence O Principal Structure O Accessory Structure O Boathouse (one story only) ❑ Open-sided/Screened Structure (gazebo, etc.) O Stairway to navigable waters ❑ Mobile Home ❑ Shipping Container O Other, describe Total Sq. Ft. of Project: a 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 nn ? $0.50 x a7L& sq ft (minimum $125) $ )2? `xO ❑ Dwelling Unenclosed Areas (decks, patios, etc.) or Attached Non -Habitable Garages Q(O $0.20 x s ft q (mini um $125) $ 3q ao ❑ 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 O Land Use Revisions O Special Use Permit - Class A O Floodplain ' horeland - Impervious Surface ❑ Shoreland - Non -Conforming, etc. ❑ Tower Siting/Collocation 1 O Tower Collocation 2 O Metallic Mine ❑ After -the -Fact (ATF) $ Inspected by:All� Date of Insp ction: fI4((4(((4,1i5 Re -Inspected by: Date of Re -Inspection: Denied by: Date of Denial: Reason for Denial: Date Denial Letter Mailed: Approved by: f v Date of Approval• Ii C Condi ' n(s): ust meet and maintain setbacks from furthest extension of structure including eaves and overhangs. For personal storage only. —❑ for personal residence only. ❑ t for human habitation or sleeping purposes. BT n State DNR Federal may require permitting / / / q P g Q'A Uniform Dwelling Code (UDC) Permit from the locally contracted UDC Inspection Agency must be P g Y obtained prior to the start of construction. ❑ A Uniform Dwelling Code (UDC) Permit from the locally contracted UDC Inspection Agency must be obtai ed prior to the start of construction (if applicable). LXfse 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. ❑ Si must meet the requirements of Article E of the Bayfield County Zoning Ordinance. lan. I "fo be constructed plan. P ❑ 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. 0 RV allowed for ❑ RV must be removed by ❑ No sewer and pressurized water allowed in the structure. 0 No plumbing or plumbing fixtures allowed. ❑ No additional sleeping areas allowed without obtaining necessary sanitary permit(s). 0 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=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: Submission Number: RED MAPLE REV TRUST LU-02514 560 TURNER WARNELL RD MANSFIELD, TX 76063 Transaction Number: LU-02514-4DA4D Description Amount Shoreland - Impervious Surface $25.00 Habitable Residential Principal & Accessory $1,368.00 Structures - enclosed areas $0.50/square foot (minimum $125) Habitable Residential Principal Structure - $639.20 unenclosed area or non -habitable garage $0.20/square foot (minimum $125) Total: $2,032.20 Payment Amount: $2,032.20 Reference: 1013 Paid by: Peak Excavation MN LLC Payment Type: Check Transaction Date: 9/10/2026 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 — Yes I Impervious Surface - Yes Floodplain - No / Wetlands - Yes Mitigation - No / Affidavit #: LAND USE -X SANITARY — New 26-125S SPECIAL A — SPECIAL B/CONDITIONAL BOA — No. 26-0483 Tax ID: 8232 Issued To: RED MAPLE REV TRUST Location: S20 - T50N - R06W Town of Bell BAYFIELD COUNTY PERMIT WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION Legal Description: SISKIWIT SHORES (LOCATED IN GOVT LOT 4) LOT 5 IN DOC 2025R-606771 Residential Structure in R-1 zoning district For: New Construction [2 - Story ], Residence on a Slab [5932 Total sq. ft. ] Height of 28' (I)isclaitrei ): You are I c_:I,onsil,le iol complying with state and tedeml laws cvncouiing consul action new 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. Emily Macgillivray Authorized Issuing Official September 10, 2026 Date 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.