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Home My WebLink About26-0495Return to: 117 E 5th Street, PO Box 58 Washburn, WI 54891 permits@bayfieIdcounty.wi.gov Hayfield County Planning and Zoning Department LAND USE PERMIT APPLICATION County Use Only: Submission #: Permit #: Date: I J-oJ-b eneralInformation' Property Owner Name: Authorized Agent Name (if applicable): EfdTERED epho umb Tele one Number: '��--- 6r/-216-o24 E -Mail Address: - E ail dress: _ E M kit Ma' ' Address: Mailing Address: l G'ty, State, Zi :I City, Stat yZip: cq ontractor: Telephone Number: E -Mail Address: rSECTION B: Property Information Project Address (it' different from mailing address): Legal Description (if additional ace is needed attach a separate sheet): s_. Section, Township, Range: Town of: Tax ID 4: 2 t Lot Size (Acres/S are eet): SECTION C: Project In ormation (check all that apply) Project Use is:'Residential ❑ Commercial ❑ Municipal If Commercial, estimated cost of construction: $ Project Type is: ❑ New Construction 1�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 RFCEIVED ECTION D: Structure Information Does. not apply to RVs and Signs, go to Section E Structure Type is: `F}L esidence tZfjl te' e�ct�Fh5 ❑PrincipalgenctUel" be): JCCtr Fort* ❑ Accessory Structure (describe): ❑ Shoreland Exempt Structure (describe): ❑ Mobile Ilon p & manufactured date): Planning and Zoning Agency ❑ Shipping Container ❑ Other (describe): Foundation Type: ❑ Basement ❑ Walkout Basement ❑ Slab ❑ Crawlspace ❑ Ground ❑ Skids Other (explain): S 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: I" Floor Sq Ft: Loft Sq Ft: 2°d Floor Sq Ft: 3`d Floor Sq Ft: Garage Sq Ft: Porch Sq t: Deck Sq Ft: Other Sq Ft (describe): Other Sq Ft (describe): Total Sq Ft: Overall Height (finished grade to peak): # of Stories: Existing # of Bedrooms on property: Proposed # of Bedrooms in project: .;SECTION E: RV and Sign Information check all that apply) Sign is: RVis: ❑ New ❑ Replacement ❑ New ❑ Replacement ❑ On -premise ❑ Off -premise ❑ I -sided ❑ 2 -sided Year: Vin #: ❑ On -building ❑ Multi -Tenant Length: Width: Height: Make: Model: .CQ 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 ❑ Holding Tank (HT) ❑ Privy (P) ❑ name) ❑ Existing Structures ❑ Well (W) ❑ Septic Tank (ST) ❑ Drain Field (DF) Lake ❑ River ❑Stream/Creek ❑Pond ❑Floodplain ❑Wetlands ❑Slopes over 20% N RECEIVED SEP 022026 BayfiefJ Co. Planning and Zoning Agency Setback or distance from furthest extent of structure including eaves and overhangs to (include on site plan): County Use Only Verified setbacks Road Centerline ft. ft. Notes/Comments: Front Lot Line/Right-of-Way ft. ft. Side Lot Line 1 (North East South es circle one) 2/ ft. ft. Side Lot Line 2 (North East South West, circle one) ft. ft. Rear Lot Line ft. ft. Septic/Holding Tank ft. ft. Drainfield ft. ft. Privy ft. ft. Well ft. ft. Existing Structure/Building ft. ft. Wetland ft. ft. Elevation of Floodplain ft. ft. Ordinary High -Water Mark (OHWM) ft. ft. Other (describe) ft. ft. Application Page 2 o&G: Addi' u. tuw ❑ 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. ≤41&O ❑ Yes o 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 C No Did property owner or applicant mark lot line(s) if project is within 30 feet of required setback? See page 2 of / V Land Use Application Information for required setbacks. Ji es ❑ No Is there an existing sanitary system on the property? If yes, what kind? ❑ Drainfield ❑ Holding Tank ❑ MunicipalPublic ❑ Other (describe): ❑ Yes rio 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 IVJ'lo Will sleeping occur in the structure? If yes, contact local Uniform Dwelling Code (UDC) for approval and inspection requirements. Is the project associated with any of the following: ❑ Rezone ❑ Class A Special Use ❑ Class B Special Use ❑ Conditional Use ❑ Variance Fee payment will be made via: El Check (attached) El Cash (attached) 4ebit/credit/echeck (department to call once payment is ready to be taken) How would you like to receive your permit card? ❑ Mail to: OR mail to: /J ❑ operty Owner Address Agent Address O Contractor Address O Other (provide name and email or address): 'IncIude caves. occrhan_s. sunirery s,,lcm. and II in flaking ,neasurements Section H: Acknowledgement and Signature All Land Use Permits expire lAvo (3) 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 staiStRncpgs6iy:,4j9B without a ��TT VV LL permit will result in penalties. LL UULLOO Bayfield co. The local Town, Village, City, State or Federal agencies may also require permits. The new constru�l�BNrdfatt3k-ZArt�W ily 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.goy/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: t— Owner(s) or Authorized Agent Signature: Date: 15 3 NOTES: I. If you are signing on behalf of the owner(s) a letter of authorization must accompany this application. 2. Specific conditions/instructions maybe 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. 'At Application Page 3 Bayfield County, WI nyywnnuale ralcei oumlumy l .Ju v r_vw Road Type x V / /�� 0 0.01 0.01 0.02 km // Bayfield Co. County 1/1/)%l.�/y(/, Planning and Zoning Agency Building Footprint 2015 U // ` 1/ V I/I l C7 Bayfna Cwnn ww Re onoannrem Building �(/ BayfSG County Zoning Aop bon 1111p5Ylmaps baylolticounlywi 9ov/Zonm9WAB/ a� / Bayfield County, WI ;!F _ iLLEn ; 9/2/2026, 9:15:51 AM Approximate Parcel Boundary Road Type County Building Footprint 2015 a Building a RECEIVED SEP 022025 Planning and Z� FQBY!1t;1v 232:6 . _ TF2td5FEF IIi' /Tae tO #37442 L•CHEESE LLC « 1:358 0 0 0.01 0.02 ml 0 0.01 0.01 0.02 km Bayfield County Land Records Depahment BayfieM county Zoning Ap eca4on bttps://maps.bayfieldccunlywi.gov/ZoningwAB/ 8.-0. OVERA DEPT LATTICE SKIRT UNDER PORCH (DASHED)- FOUNDATION: CONCRETE PIER/BLOCK - NO RAILINGS 2. FRONT ELEVATION -VIEW LOOKING NORTH -3 COLUMNS, NO RAILINGS, 8WEIVED SEP 022026 Bayflela Co. OOF 2'f256b h�-ASPHALT SH INGLE TO I -t ATCEI Planning antl Zoning Agenq COLW A E e.0 COLUMNC 6�6 LEFT OF STAIRS 46 FAR SUPPORTSCENTER BR:II OPEN-NORAILING NOCOLU;INONRIGHT F jAIS 20'-0" WIDTH 3. SIDE ELEVATION -VIEW LOOKING EAST- 8DEPTH, NO RAILINGS Real'Estate Bayfield County Property Listing Today's Date: 8/31/2026 4 Description _ _ Updated: 4/19/2022 Tax ID: 22134 PIN: 04-028-2-47-06-36-3 03-000-40000 Legacy PIN: 028104103000 Map ID: Municipality: (028) TOWN OF KEYSTONE STR: S36 T47N R06W Description: PAR IN SW SW IN V.832 P.904 325 DESC IN DOC 2021R-589661 Recorded Acres: 1.000 Calculated Acres: 1.066 Lottery Claims: 1 First Dollar: Yes Zoning: (C) Commercial ESN: 120 J0 Tax Districts Updated: 3/15/2006 1 STATE 04 COUNTY 028 TOWN OF KEYSTONE 020170 ASHLAND SCHOOL 001700 TECHNICAL COLLEGE . Recorded Documents Updated: 10/13/2009 0 WARRANTY DEED Date Recorded: 7/9/2021 2021R-589661 0 TERMINATION OF DECEDENT'S INTEREST Date Recorded: 7/9/2021 2021R-589660 0 QUIT CLAIM DEED Date Recorded: 3/13/2017 2017R-567557 0 TERMINATION OF DECEDENT'S INTEREST Date Recorded: 1/27/2009 2009R-524754 1009.482 0 CONVERSION Date Recorded: 3/15/2006 475659 408-93;410-120;832- 904 0 QUIT CLAIM DEED Date Recorded: 9/18/2002 475659 832-901 Property Status: Current Created On: 3/15/2006 1:15:40 PM 42 Ownership Updated: 4/19/2022 AMANDA CARRILLO ASHLAND WI Billing Address: AMANDA CARRILLO 23840 COUNTY HWY F ASHLAND WI 54806 Mailing Address: AMANDA CARRILLO 23840 COUNTY HWY F ASHLAND WI 54806 P Site Address * indicates Private Road 23840 COUNTY HWY F ASHLAND 54806 EJ Property Assessment Updated: 10/28/2025 2026 Assessment Detail Code Acres Land Imp. G1 -RESIDENTIAL 1.000 10,000 94,000 2 -Year Comparison 2025 2026 Change Land: 10,000 10,000 0.0% Improved: 94,000 94,000 0.0% Total: 104,000 104,000 0.0% ,k Property History N/A RECEIVED SEP 027016 Bayfield Co. Planning and Zoning Agency Bayfield County, WI } i+L ,+5 s II 'ST4 : DRUID/Tax�ID # 22134 lIP IU7.Tux- C S L•TRAr 9/8/26, 8:04 AM Novus-Wisconsin Access rev. 12.0206 Real Estate Bayfield County Property Listing Property Status: Current Today's Date: 9/8/2026 Created On: 3/15/2006 1:15:40 PM t' Description Updated: 4/19/2022 Tax ID: 22134 PIN: 04-028-2-47-06-36-3 03-000-40000 Legacy PIN: 028104103000 Map ID: Municipality: (028) TOWN OF KEYSTONE STR: S36 T47N RO6W Description: PAR IN SW SW IN V.832 P.904 325 DESC IN DOC 2021R-589661 Recorded Acres: 1.000 Calculated Acres: 1.066 Lottery Claims: 1 First Dollar: Yes Zoning: (C) Commercial ESN: 120 Tax Districts Updated: 3/15/2006 1 STATE 04 COUNTY 028 TOWN OF KEYSTONE 020170 ASHLAND SCHOOL 001700 TECHNICAL COLLEGE ' Ownership Updated: 4/19/2022 AMANDA CARRILLO ASHLAND WI Billing Address: Mailing Address: AMANDA CARRILLO AMANDA CARRILLO 23840 COUNTY HWY F 23840 COUNTY HWY F ASHLAND WI 54806 ASHLAND WI 54806 T Site Address * indicates Private Road 23840 COUNTY HWY F ® Property Assessment ASHLAND 54806 Updated: 10/28/2025 2026 Assessment Detail Code Acres Land Imp. G1 -RESIDENTIAL 1.000 10,000 94,000 2 -Year Comparison 2025 2026 Change Land: 10,000 10,000 0.0% Improved: 94,000 94,000 0.0% Total: 104,000 104,000 0.0% .a Recorded Documents Updated: 10/13/2009 Property History O WARRANTY DEED N/A Date Recorded: 7/9/2021 2021 R-589661 93 TERMINATION OF DECEDENT'S INTEREST Date Recorded: 7/9/2021 2021R-589660 U QUIT CLAIM DEED Date Recorded: 3/13/2017 2017R-567557 ® TERMINATION OF DECEDENT'S INTEREST Date Recorded: 1/27/2009 2009R-524754 1009-482 ® CONVERSION Date Recorded: 3/15/2006 475659 408-93;410-120;832- 904 0 QUIT CLAIM DEED Date Recorded: 9/18/2002 475659 832-901 https://novus.bayfieldcounty.wi.gov/access/master.asp?paprpid=22134 1/1 Land Use Permit Application Review Checklist 'Submission #: 24 iS What zoning district is the project located in? ❑ R-1 ❑ R-2 ❑ R-3 ❑ R-4 C ❑ l ❑ M ❑ A-1 ❑ A-2 ❑ F-1 ❑ F-2 ❑ W ❑ M -M • y es2'No Is lot substandard (does not meet current zoning dimensional requirements)? Deed of record: ❑ Yes j2'13 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 )2No Is impervious surface required? (Required if riparian lot OR lot is entirely within 300 feet of OHWM of navigable waterway) ❑ Yes ZNo Is the project located in the Floodplain? Zone: ❑ Yes 7Kbo Are there wetlands on the property? ❑ Yes No Is project associated with a nonconforming use or structure? ❑ Yes No Is project associated with a variance? Case #: ❑ Yes rfij0 Is project associated with a Special B or Conditional Use Permit? Permit #: ❑ Yes VNo Is the project associated with a Special A Use Permit? Does the project require sanitary? ❑ Yes No 0 Existing 0 New 0 Intercept ❑ Reconnect ❑ Non -Plumbing El Public Sanitary Permit #: # of Bedrooms: ❑ Yes 2110 Does the project require mitigation? — Implementation Deadline: Date of Compliance: ❑ Yes dNo Does the project require an affidavit? Affidavit #: ❑ Yes ei1cio Did licensed surveyor mark lot line(s), if project is within 10 feet of required setback? ❑ Yes 1iJo 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? O New Construction gdition/Alteration ❑ Change Use ❑ Relocate ❑ RV Placement ❑ Sign ❑ Establishing a Business ❑ Temporary 0 Shoreland Grading ❑ Other, describe: Structure Type is:esidence 0 Principal Structure ❑ Accessory Structure 0 Boathouse (one story only) ❑ Open-sided/Screened Structure (gazebo, etc.) 0 Stairway to navigable waters ❑ Mobile Home ❑ Shipping Container 0 Other, describe Total Sq. Ft. of Project: ¶11/ Number of Stories: Overall Height: Fee Type Calculation Fee Amount ❑ Habitable Residential Principal and Accessory (minimum $125) Structures - Enclosed Areas — all enclosed areas within $0.50 x sq ft $ dwelling except attached non -habitable garages welling Unenclosed Areas (decks, patios, etc.) or $0.20 xft q (minimum $125) Attached Non -Habitable Garages $ /A s ❑ Non -Habitable Residential Principal and Accessory $0.20 x sq ft (minimum $75) Structures $ ❑ Commercial Principal Structures $250 + $0.005 x (minimum $250) cost of construction $ ❑ Commercial Accessory Structures $150 + $0.005 x (minimum $150) cost of construction $ ❑ 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 Inspection: -_j Re -Inspected by: Date of Re -Inspection: Denied by: Date of Denial: Reason for Denial: Date Denial Letter Mailed: Approved by: Date of Approval/j__/T Condition(s): ❑ Must meet and maintain setbacks from furthest extension of structure including eaves and overhangs. ❑ For personal storage only. ❑ For personal residence only. ❑ Not for human habitation or sleeping purposes. J� ' /State/DNR/Federal may require permitting A Uniform Dwelling Code (UDC) Permit from the locally contracted UDC Inspection Agency must be obtained prior to the start of construction. ❑ A Uniform Dwelling Code (UDC) Permit from the locally contracted UDC Inspection Agency must be obtained prior to the start of construction (if applicable). ❑ Use best management practices to limit and prevent erosion during construction. ❑ This permit cannot be transferred if property is sold. ❑ A Bayfield County Health Dept permit is required. ❑ Check with Town regarding room tax. ❑ Short -Term Rental is for a maximum occupancy of persons. ❑ Sign must meet the requirements of Article E of the Bayfield County Zoning Ordinance. 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 B- `--YFI E LD 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: CARRILLO, AMANDA LU-02525 23840 COUNTY HWY F ASHLAND, WI 54806 Transaction Number: LU-02525-4DA49 Description Amount Habitable Residential Principal Structure - $125.00 unenclosed area or non -habitable garage $0.20/square foot (minimum $125) Total: $125.00 Payment Amount: $127.98 Reference: 5655537375 Paid by: Michael Lund Payment Type: Debit Transaction Date: 9/15/2026 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 — No Mitigation — No / Affidavit #: LAND USE -X SANITARY - SPECIAL A - SPECIAL B/CONDITIONAL — BOA — No. 26-0495 Tax ID: 22134 Issued To: CARRILLO, AMANDA BAYFIELD COUNTY _at_tlllll l WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION Location: S36 - T47N - R06W Town of Keystone Legal Description: PAR IN SW SW IN V.832 P.904 325 DESC IN DOC 2021R-589661 Residential Structure in C zoning district For: Addition/Alteration [1 - Story ], Residence [Porch] on Sonotubes [144 Total sq. ft. ] Height of 15' (Disclaimer): You are responsible for complying with state and federal laws concerning construction near or on wetlands, lakes, and streams. Any future expansions or development would require additional permitting. Condition(s): See back of card NOTE: This permit expires two years from date of issuance if the authorized construction work or land use has not begun. Changes in plans or specifications shall not be made without obtaining approval. This permit may be void or revoked if any of the application information is found to have been misrepresented, erroneous, or incomplete. This permit may be void or revoked if any performance conditions are not completed or if any prohibitory conditions are violated. Tracy Pooler Authorized Issuing Official September 15, 2026 Date Condition(s): 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. To be constructed per plan.