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HomeMy WebLinkAbout26-0485Rbturn to: 117 E St° Street, PO Box 58 Washburn, WI 54891 permits b ayfi e l d c o u n ty. w i. R ov Baytield County Planning and Zoning Department LAND USE PERMIT APPLICATION County Use Only: Submission # L.v'Oa-'-b3 Permit #:0?�S Date: _Q4LJ naral tfvrts a 'ou �-- Property Owner Name: DEAN & LONNI BRICKSON Authorized Agent Name (if applicable): AARON GUSKI Telephone Number: Telephone Number: 218-590-8032 715-209-1094 E -Mail Address: E -Mail Address: RF/) dmbrickson@msn.com _ uildagc@gmail.com Mailing Address: Mailing Address: 64765 BASS LAKE ROAD 13335 COUNTY HIGHWAY H City, State, Zip: City, State, Zip: IRON RIVER, WI 54847 IRON RIVER, WI 54847 Contractor: Telephone Number: E -Mail Address: AARON GUSKI CONSTRUCTION LLu 7152091094 builoagc@gmail.com tip' nform,aion Project Address (if different hom mailing address): 64765 BASS LAKE ROAD, IRON RIVER, WI 54847 Legal Description (if additional space is needed attach a separate sheet): PAR IN SW NE IN 2026R-611373 711A Section, Township, Range: S33 T47N R08W Town of: IRON RIVER Tax ID #: 19975 Lot Size (Acr:s/Square Feet): 8.7 ACRES Project Use is: O Residential O Commercial O Municipal If Commercial, estimated cost of construction: $ Project Type is: El New Construction O Addition/Alteration (existing structure) ❑ Change Use (existing structure) O Relocate (existing structure) O RV Placement 21+ days ❑ Sign ❑ Establishing a Business O Temporary (12 or less months) ❑ Shoreland Grading, Class A O RV Placement 4+ months, Class A O Other (describe): required Totals ft): required Structure Type is: O Residence 0 PrincipalStructure(describe): ❑ Accessory Structure (describe): El Shoreland Exempt Structure (describe): El Mo6ipe IIg Uotide manufactured date): Bayfield Co. Planning anti.. ..c,n Agery ❑ Shipping Container O Other (describe): Foundation Type: ❑ Basement El Walkout Basement ❑ Slab O Crawlspace ❑ Ground O Skids O Other (explain): Existing Structure: NA Length: Width: NA Height: " Proposed Structure (Provide Sq Ft based on outside dimensions, including unfinished areas, attached garages/above grade decks/porches): Basement Sq Ft: 1" Floor Sq Ft: Loft Loft S� 2"d Floor Sq Ft: 3rd Floor Sq Ft: 1775 1775 NA NA a r!t Garage Sq Ft: Porch Sq Ft: Deck Sq Ft: Other Sy Ft (describef 1 Other 4 Ft (des ribe): 990 117 523 480 BONUS ROOM J NA Total Sq Ft: JT 0 Overall Height (Snishec grade to peak): # of Stories: L sis m ; of Lied moms on pt o iert Q P opc s.:c L deco.us is in project °'9 £: RY'sixd yret.'-.[tuna thggjcat. k aJ di 't z7i 1 _). Sign is. .._— _______ — - I? O New O Replacement ❑ N ew O Replacement O On -premise O Off -premise ❑ I -sided O 2 -sided Year: Vin #: ❑ On -building ❑ Multi -Tenant Length: Width: Height: Make: Model: Application Page 1 SECTiq Site Flan nttR c t ]}at eplan ur drltfy t tlan in,bQ% below ('seepages I & 2 of 1 a 1d ennrt Application Info "tttniatton� s'tc�'1#yired t lt1'P to be. pr'i4 on ze. plan Show location of: ❑ Driveways ❑ Frontage Roads (include name) O Existing Structures ❑ Well (N) O Septic Tank (ST) O Drain Field (DF) ❑ Holding Tank (HT) ❑ Privy (P) ❑ Lake O River ❑Streant/Creek ❑Pond.❑Floodplai.i ❑Wetlands ❑Slopes over 20% N RECEIVE -G AUG 12 2p2& Plannin 88Yfield Co. 9 and Zorinc Agency Setback or distance from furthest extent of structure County Use Only including eaves and overhangs to (include on site plan): VerifitYl setbacks Road Centerline 154+1- ' . jOO f fl. Notes/Comments: f C C-� Front Lot Line/Right-of-Way 275' +1 ft. ft. 5, z.� Stu '(eG'f 4 u26' i Side Lot Line 1 1O^I � ft 92 + ft. U� ort East South West. circle one) i of Line 2 i 7-L ft. 97 +�- -- _ � q' ft. out (North Eastest circle one) Rear Lot Line 668' +/- ft. ft. ,)QQ4 \ I IIQ(.! 11L+ ln5y�� Septic/Holding Tank 40'+/- ft. ft. Drainfield `7 / Privy na ft. ft Well 14'+/- ft r-_ ft. Existing Structure/Building na f Wetland Elevation Floodplain na ft. ft. Y I.t of na ti. Ordinary High -Water Mark (OHWM) 275' +/- Other (describe) it ,`t I Application Page 2 rt 3 d "um a tans H Yes ❑ No Has the location of the 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 H 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 H 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 H No Is there an existing sanitary system on the property? If yes, what kind? ❑ Drainfield ❑ Holding Tank ❑ Municipal/Public ❑ Other (describe): H Yes O No Will pressurized water be installed in the structure? If yes, what kind of sanitary system will be installed or used to manage wastewater? O Drainfield ❑ Holding Tank ❑ Municipal/Public ❑ Other (describe): H 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) O Cash (attached) H debit/credit/echeck (department to call once payment is ready to be taken) How would yot_O4ke to receive your permit card? El Mail to: OlMmail to: ❑ Property Owner Address H Agent Address ❑ Contractor Address ❑ Other (provide name and email or address): *Include eaves, osrrhangs. sail tans systcm. and well in stakine measm enlen--5 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 tha ecessary approvals and recorded documents required to complete the project for which this permit is so g vrirements 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 CondomiAt ® 45!94166. You are responsible for complying with state and federal laws concerning construction near r on' etftYdgclakes, and streams. Wetlands that are not associated with open water can be difficult to identify. Failure to com�? A11ar r in4e%e(0I 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/toyie/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 examired 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: 4 Date: 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 4W +/- NORTH PROP. 181E 524' +/— NORTH PROP. LINE 20% + SLOPE 20% + SLOPE 20% + SLOPE SOUTH PROP. LINE 20% + SLOPE SET BACK'S RI KlfdOW. flC O6f. irAEq YNNB 1U FlOI OIIOI flMKI1M! 6' NMNE OIF4NW fAlJOR q N �bPN�;a'r �o m• SOUTH LOT LINE OF OWNERS SECOND PARCEL 20% + SLOPE 20% + SLOPE 20% + SLOPE 20% + SLOPE 184 SOUTH ALA stLkCa&C 3c�- 3 6 (� c� B— S'&bC 1�-�-D D ✓va c e �c rl��. 'H2 �r. BLACKTOP DRIVEWAY_` 20% + SLOPE LIE / 4 /4' a N �d o N C m N CSJ CJ 2 - hkc� W ay 14' )fe /,. Jw 31 O ,R,a „ la a` 0 \ C (a L. II ! µtiEf ( -I-fl— uti �s[es tr m ewr wTUFT WB a� �Y IMjnMwtam rtwJ � ' � vtlpv�wa usv BTUBj4t l ubx ed U�i�w��M BIn�mum�e M agsaBa. pW Wuu Yw TWW 1W. WILL •XtTO1 K -i4 ICI Imo' H AT 9004 I. twum0.JO w 0*00 40 Il-ON 1194 0900* 'at 40 09-18 In Onto. 80*0 ...a.a1a,. w ale 0*09*04 I.n *009001 na. 1104404 19044 08*0914 loOt - TO ft 40 OttO O* x4W&1 awrra www 40 'wwc �xRn � Mncows+ne avx 'as x''p wi 11814 m.wrs In 40110900 Ott I*49fl4In18 40*0 409 ro+a 0 90400n,w te Rena 043 4e raD,R 01)44 000*438* h M flrt Zap! 43t 4,4.04440090 L 4.11*? 90040/I 9400, Malty level& Bonus Room Floor Flnn Al C rrw t1 I1 ftff-RI1_ i"Y t!±.t 1�t_ t"t i J 54 _jl�$I!T ------L O O it © O at at ""Mr au�ie C'9 rn a i .aaa111Ca1 Floor Plan) Wndona A2 Docusign Envelope ID: 45C1 FF49-8129-816C-81F2-9E96B5AD132E Letter of Authorization RECEIVED Bayfield County Planning & Zoning Department AUG 12 ?O?n Bayfield Co. Planning and Zuc, y AGer,cy 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, Dean and Lonnie Bk:kson (property owner), authorize AW01 Gusl (authorized agent) to submit a land uae pennk (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.) con>xrudlonofResidence and accessory sNrcWre application on my behalf for the following described property: Legal description of subject property: PAR IN SW NE IN 202641.611373 711A TAX ID 193]5 Address of subject property: 64765 BASS LAKE ROAD IRON RIVER WI 54647 DocuSlpned W. Signed by: Dean Brickso n -e �'ONNI BRICK c 2BE623F73iF i3,H... - 4B4 - Signature 8/11/2026 8/11/2026 Dated 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 make inspections. Property Owner(s): Dean & Lonni Brickson Mailing Address: Property Address: 64765 Bass Lake Road Iron River WI 54847 64765 Bass Lake Road Iron River WI 54847 Legal Description: Section, Township, Range 1/4, 1/4, Sec 33 Township 47 N, Range 08 w Authorized Agent/Contractor Gov't Lot Lot# CSM# Vol & Page Aaron Guski Lot(s) # Block(s) # Subdivision Town of. Iron River Parcel ID # (PIN #) Tax ID # Date: 04- 024-2-47-08-33-2 03-000-02000 19975 08/11 /2& C IVE® AUG 12207& Impervious Surface: An area that releases as runoff all or a majority of the precipitat a that fallsonit. "Impervious surface" excludes frozen soil but includes rooftops, sidewalks, driveways, parkirf§94otsM ' 1freets unless specifically designed, constructed and maintained to be pervious. Impervious surface standards shallaj$l98togthe 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 wer a 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 Other Structures Proposed Addition/House 1775 Proposed Accessory Building/Garage 990 Proposed Sidewalk(s) & Patio(s) -- Proposed Covered Porch(s) & Deck(s) 117+523=640 Proposed Driveway 14613 Proposed Other Structures R CtIVtZ) Total: 18018 AU( 12 2026 Pla dfdB a. Total square footage of lot: lasaoosi nning n,ZAe�� b. Total impervious surface area: 1eoie c. Percentage of impervious surface area: 100 x (b)/a = 13.21 If the proposed impervious surface area is greater than 15% mitigation is required. Total square footage of additional impervious surface allowed: @ 15% 2<vsf @ 30% 22872r (County Use Only) Date of Inspection: Inspection Record: - ---- -------- ----- Conditions): Stormwa ter Management Plan Required: -1 Yes C= No Signature of Inspector: Date of Approval: u/tormslimpervioussurface Created: May 2012 (®Sept 2016, Sept 2020, Feb 2026) Proofed by. DoSuslgn Envelope 10: CF34C9E1-OAF5-497F-9177-4516484CDD25 WARRANTY DEED THIS DEED between Grantor, Louise N. Kubista, as Trustee of the RAYMOND A. KUSISTA I:'AMILY TRUST, CREATED UNDER THE EOBISTA LIVING TRUST DATED AUGUST 15, 2002,, does hereby convey. and warrant to Grantees, DEAN M. 13RICKSON and LONNI M. BRICKSON, husband and wife, as tenants by the entirety, of 5378 Roosevelt Drive, Hermantown, Minnesota 55811; the following described real .estate in the Town of Iron River, County of Bayfield and State of Wisconsin: A parcel of land located in the NW%, Section 33, Township 47 North, Range 8 West, described as follows: DOCUMENT NUMBER 2O26R-6 11373 DANIEL J. HEFFNER REGISTER OF DEEDS BAYFIELD COUNTY, WI RECORDED 03/10/2026 AT 1 1:32 AM RECORDING FEE: $30.00 TRANSFER FEE: $390.00 PAGES: 2 ELECTRONICALLY RECORDED Recording Area Name and Return Address Associated TitleS Closing. Services Agency, Inc. 1601 E. Cloverland Drive Ironwood, MI 49938 Commencing at the quarter corner between Sections 28 and 33, D 4-2-47yfj2 03-0 O-oaoo Township 47 North, Range 8 West; Parcel Identification Number (P1W) thence West along the North line of Section 33, a distance of This is non-howest a eope1,316,2 eYt tr which,is faet to 1/8 corner; thencan irot e angle AUG 122026 to the left 90° 21', a distance of 1,309.5 feet to an iron pipe which s first distance of 429 3 f et to int of determination; an iron pipe; thence 90° a n ang18 `n' o Age= the right 46° 11', a distance of 211.2 feet to an iron pipe located on the lakeshore of Wilderness Lake which is known as PLACE OF BEGINNING; thence retracing on the same line to first point of determination; thence angle to the left 90°, a distance of 20.2 feet to an iron pipe; thence angle to the right 90°, a distance of 538.8 feet to an iron pipe; thence angle to the left 90°, a distance of 378.8 feet to an iron pipe; thence angle to the left 90°, a distance of 752.0 feet to an iron piper thence angle to the right 32° 56, a distance of 171.5 feet to an iron pipe located on the water's edge of Wilderness Lake; thence Northeasterly along the water's edge a distance of 40.0.0 feet to. the PLACE or BEGINNING. The historical legal description for the above parce:: erroneously indicated the land was in the SW% of the NExt, Section 33, Township 47 North, Range 8 West. SUMECT TO AND TOGETHER WITH all matters of record, including but not limited to, easements, exceptions, reverters, reversions, reservations, rights for interests in ores, rights for interests in metals, rights for mineral interests, mining Bayfield County Register of Deeds Document #2026R-611373 Page 1 of 2 Docuslgn ErrMope ID: CF34CSE1-OAF&497F-91 T74S1 B484CDD28 development rights for ores, mining development rights for metals and mining development rights for minerals, to the extent such matters are not extinguished, barred or limited by law; zoning ordinances or reculations, if any; and those matters discoverable by an inspection or an accurate survey of the land. FOR THE SUM OF ONE HUNDRED THIRTY THOUSAND AND NO/100 ($130,000.00) DOLLARS. I WITNESS WHEREOF, the Grantor has caused these present to be signed this day of /Ca , 2026. Signed in the presence of: NO WITNESSES REQUIRED FOR THE STATE OF STATE OF G/%SGnfi� )ss. COUNTY OF Qcnf Signed by: RAYMOND A. KUBISTA FAMILY TRUST CREATED UND$R THE KUBISTA LIVING TRUST DATED AUGUST 15, 2.002 ouise N. Ku ist Its Trustee The foregoing instrument was acknowledged before me, a Notary Publ' this � day of .,.tc''C , 2026, by Louise N. Rubista, as V�L� of the Raymond A. Kubista Family Trust Created under the Kubista Living Trust Dated August7,5r 002. AUG 12 2026 field Co. , /Q -TManning znd Zonin f �ArC'r a �a V gAgency ''it ' PUBL1G 2' Notary Public ' a State of UISC''J7 4 `• ..... a r� County of 6aw.•.o;+ Commission Expires: k-/1"24 Acting in County of *Names of persons signing in arty capacity should be typed or printed below their signatures. Drafted by: Steven J. Tinti (1022429) LAW OFFICE OF STEVEW J. TINTI Attorney at Law P.O. Box 99 Crystal Falls, MI 49920 (906) 875-7451 a;KubletaTzvstB.f].ckaon.wd. 022626 Bayfield County Register of Deeds Document #2026R-611373 Page 2 of 2 Bayfield County, WI 8/25/2026, 11:20:34AM 1:1,331 Wetlands L—i Approximate Parcel Boundary Rivers Road Type k±'1 Lakes Town Building Footprint 2015 Building 0 0.01 0.03 0.06 ml 0 0.03 0.05 0.1 km Bayfield County Land Rewrds Department Beyiteid County Zoning Appilwtion baps/Imeps,baytetdwuniywl gov/ZoningWABI 8/25/26, 11:20 AM Novus-Wisconsin Access rev. 12.0206 Real Estate Bayfield County Property Listing Today's Date: 8/25/2026 F& Description Updated: 8/5/2026 Tax ID: 19975 PIN: 04-024-2.47-08-33-2 03-000-02000 Legacy PIN: 024109001000 Map ID: Municipality: (024) TOWN OF IRON RIVER STR: 533 T47N R08W Description: PAR IN SW NE IN 2026R-611373 711A Recorded Acres: 8.700 Calculated Acres: 9.490 Lottery Claims: 0 First Dollar: No Zoning: (R-1) Residential -1 ESN: 118 `S Tax Districts Updated: 3/15/2006 1 STATE 04 COUNTY 024 TOWN OF IRON RIVER 163297 - SCHL-MAPLE 001700 TECHNICAL COLLEGE Property Status: Current Created On: 3/15/2006 1:15:34 PM a Ownership Updated: 8/5/2026 DEAN M & LONNI M ERICKSON IRON RIVER WI Billing Address: Mailing Address: DEAN M & LONNI M DEAN M & LONNI M ERICKSON BRICKSON 64765 W BASS LAKE RD 64765 W BASS LAKE RD IRON RIVER WI 54847 IRON RIVER WI 54847 10 Site Address * indicates Private Road 64765 W BASS LAKE RD IRON RIVER 54847 El Property Assessment Updated: 8/11/2024 2026 Assessment Detail Code Acres Land Imp. Gl-RESIDENTIAL 8.700 136,300 0 2 -Year Comparison 2025 2026 Change Land: 136,300 136,300 0.0% Improved: 0 0 0.0% Total: 136,300 136,300 0.0% Recorded Documents Updated: 10/7/2009 �I © WARRANTY DEED OR Property History Date Recorded: 3/10/2026 2026R-611373 N/A ® TRUSTEES DEED Date Recorded: 9/14/2009 2009R-528750 1025-789 ® CONVERSION Date Recorded: 3/15/2006 475871 229-552;833- 597;833-597 ® WARRANTY DEED Date Recorded: 12/4/2002 2002R-477770 840-459 https://novus.bayfieldoounty.wi.govlaocess/master.asp?paprpid=19975 1/1 Land Use Permit Application Review Checklist -Submission #: d What oning district is the project located in? Lz]'R-1 ❑ R-2 ❑ R-3 ❑ R-4 ❑ R-RB ❑ C Dl ❑ M ❑ A-1 ❑ A-2 ❑ F-1 ❑ F-2 ❑ W ❑ M -M 0 Yes Lwo Is lot substandard (does not meet current zoning dimensional requirements)? Deed of record: Yes ❑ 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)? es ❑ No Is impervious surface required? (Required if riparian lot OR lot is entirely within 300 feet of OHWM of navigable waterway) ❑ Yes w4o Is the project located in the Floodplain? Zone: ❑ Yes ELPo Are there wetlands on the property? ❑ Yes ljNo Is project associated with a nonconforming use or structure? ❑ Yes i 4o Is project associated with a variance? Case #: ❑ Yes 113490 Is project associated with a Special B or Conditional Use Permit? Permit #: ❑ es No Is the project associated with a Special A Use Permit? Does the project r uire sanitary? O Existing 64cfrw O Intercept ❑ Reconnect O Non -Plumbing ❑ Public Sanitary Permit #: # of Bedrooms: Yes ❑ No ❑ Yes G4 Does the project require mitiga ion? Implementation Deadline: Date of Compliance: ❑ Yes LWfjo Does the project require an affidavit? Affidavit #: ❑ Yes ijj,i4 Did licensed surveyor mark lot line(s), if project is within 10 feet of required setback? ❑ Yes olIo Did plicant/property owner mark lot line(s), if project is within 30 feet of required setback? Project use is? Re ' ential ❑ Commercial 0 Municipal Project type is? Iiew Construction ❑ Addition/Alteration ❑ Change Use ❑ Relocate ❑ RV Placement ❑ Sign ❑ Establishing a Busines ❑ Temporary 0 Shoreland Grading O Other, describe: Structure Type is: L2idence O Principal Structure 0 Accessory 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: Number of Stories: �2 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) $ /7x I ❑ Dwelling Unenclosed Areas (decks, patios, etc.) or Attached Non -Habitable Garages C Ii $0.20 x oci 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 0 Special Use Permit - Class A 0 Floodplain Shoreland - Impervious Surface 0 Shoreland - Non -Conforming, etc. 0 Tower Siting/Collocation 1 0 Tower Collocation 2 ❑ Metallic Mine ❑ After -the -Fact (ATF) $ Inspected by: Date of Inspect'o mtc Q J Re -Inspected by: Date of Re -Inspection: Denied by: Date of Denial: Reason for Denial: Date Denial Letter Mailed: Approve by: Date of Approval: Condit' (s) E1ciust meet and maintain setbadcfr-oyi furthest extension of structure including eaves and overhangs. ❑ Fo�personal storage only. I3 -(or personal residence only. ❑ NN t for human habitation or sleeping purposes. LWfo n/State/DNR/Federal may require permitting J - 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 ned prior to the start of construction (if applicable). Xsle best managementpractices to limit andprevent erosion during construction. g ❑ 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. Sjn must meet the requirements of Article E of the Bayfield County Zoning Ordinance. Vo e 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 L'- 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: BRICKSON, DEAN M & LONNI M LU-02483 64765 Bass Lake Rd Iron River, WI 54847 Transaction Number: LU-02483-4C01D Description Amount Shoreland - Impervious Surface $25.00 Habitable Residential Principal & Accessory $1,775.00 Structures - enclosed areas $0.50/square foot (minimum $125) Habitable Residential Principal Structure - $422.00 unenclosed area or non -habitable garage $0.20/square foot (minimum $125) Total: $2,222.00 Payment Amount: $2,274.88 Reference: 2514775055 Paid by: Aaron Guski Payment Type: Debit 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 / Impervious Surface - Yes Floodplain - No / Wetlands - No Mitigation - No I Affidavit #: LAND USE -X SANITARY — New 26-103S SPECIAL A - SPECIAL B/CONDITIONAL — BOA — No. 26-0485 Tax ID: 19975 Issued To: BRICKSON, DEAN M & LONNI M Location: 533 - T47N - R08W Town of Iron River BAYFIELD COUNTY PERMIT WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION Legal Description: PAR IN SW NE IN V.1012 P.954 711A (RAYMOND A KUBISTA FAMILY TRUST CREATED UNDER KUBISTA LIVING TRUST DID 08/15/2002) Residential Structure in R-1 zoning district For: New Construction [2 - Story ], Residence on a Walkout Basement [5660 Total sq. ft. ] Height of 32' (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 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 be void or revoked if any of the application information is found to have been misrepresented, erroneous, or incomplete. September 11, 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 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.