HomeMy WebLinkAbout26-0503Return to: County Use Only:
117 E 5th Street, PO Box 58 Bayfield County Planning and Zoning Department Submission #: LU-O?S I
Washburn, WI 54891 LAND USE PERMIT APPLICATION Permit jfp: a Ei o 03
—_- Date: 9 I_______ U
A: General Information
ySEVCTION
Wv
Nor erttyana Megan seisZ
Authorized Agent Name (if applicable):
Telephone Number.
Telephone Number. RECEIVED
612-803-2916
E -Mail Address:
E -Mail Address: A�� 252026
r)'deisz@gmail.com
Mailing Address:
Mailing Address:
say" Co•
2711 W 47th St
City, State, Zip:
City, State, Zip:
Minneapolis MN 55410
ENTER
Contractor:
Telephone Number:
E -Mail Address:
SECTION B: Property Information
Project Address (if ditlirent from mailim' address):
46325 Crystal Lake Road, Cable, Wl 54
Legal Description (if additional space is needed attach a separate sheet):
Sec 32 Tn 44 Rg 06 N 200' of S 500' of N 1/2 of Govt Lot 5 in V.1025 P.521 593 B IM 2004R-494753 IM 2003R-487218
Section, Township, Range: Scc ;z Tn YY R 06
Town of: Grand View
Tax ID #: 16910
Lot Size (Acres/Square Feet): 2.4 acres
SECTION C: Project Information (check all that apply)
Project Use is: O Residential O Commercial O Municipal If Commercial, estimated cost of construction: $
Project Types: El New Construction O Addition/Alteration (existing structure)
O Change Use (existing structure) O Relocate (existing structure) O RV Placement 21+ days
O Sign O Establishing a Business O Temporary (12 or less months)
O Shoreland Grading, Class A O RV Placement 4+ months, Class A O Other (describe):
required (Total sq ft): required
SECTION D: Structure Information (Does not apply to RVs and Signs, go to Section E)
Structure Type is: ❑ Residence ❑ Principal Structure (describe):
O Accessory Structure (describe): ❑ Shoreland Exempt Structure (describe): ❑ Mobile Home (provide manufactured
garage, bunkhouse date):
❑ Shipping Container ❑ Other (describe):
Foundation Type:
❑ Basement O Walkout Basement C Slab O Crawlspace O 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:
I° Floor Sq F
Loft Sq Ft:
2o4 Floor Sq Ft:
3"° Floor Sq Ft:
O
(3
233
Garage Sq F }
Porch Sq Ft:/ 6 ,
Deck Sq Ft:
Other Sq Ft (describe):
Other Sq Ft (describe): to
s ro rw fit-- yt2-
Total Sq Ft: ? 2 "5'3
Overall Height (finished grade to peak): -'j9
# of Stories: \
Existing # of Bedrooms on property: 2
Proposed # of Bedrooms in project: (
SECTION E: RV and Si.Information (check all that almly)
Sign is:
R 1' is:
❑ New O Replacement
❑ New ❑ Replacement
O On -premise ❑ Off -premise
❑ 1 -sided O 2 -sided
Year: Vin :
❑ On -building O Multi -Tenant
Length: Width: Height:
Make: Model:
Application Page I
31teRlau attacli:allt lenordra Fsif�plart)n box below (Seepages i 2ofLatul s��etdt{tA '%
'ii. ^*
form rttNtfo thai=Cs n6�d'tolia deii
lan . .. '-- �x
Show location of:
❑ Driveways 0 Frontage Roads (include name) 0 Existing Structures ❑ Well (W) 0 Septic Tank (ST) ❑ Drain Field (DF)
❑ Holding Tank HT) ❑ Privy(P) 0 Lake 0 River ❑Stream/Creek OPond ❑Flood lain OWetlands Dslopes over 20%
N
RECEIVED
AUG 252026
Bayed 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
2 90 ft.
ft.
Notes/Comments:
Front Lot LinelRight-of-Way
g70 ft.
ft.
Side Lot Line
s6 ft.
/6 f.
(North Ens Sou Wes circle one
Sid Lot Line 2
I -I M ft.
> FE.) ft.
East South West, circle one)
Rear Lot Line
'120 ft.
(O ft
Septic/Holding Tank
120 ft
f ft.
Drainfield
t5 fl.
it ft.
Privy
ft.
ft.
Well
S ft.
ft.
Existing Structure/Building
25 ft.
ft.
Wetland
>cc ft.
ft.
Elevation of Floodplain
r ` ft.
ft
Ordinary High -Water Mark (OHWM)
g ft.
Other (describe)
ft.
ft.
Application Page 2
SECTION
G: Additional
Questions
a Yes
O 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
jil 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. '2r74.-' ` .. ° ' e (. V!t s C u eve'' - it 1
Yes
Q No
Is there an existing sanitary system on the property? If yes, what kind? G t -e- P'i'< < S r u "'u w1
Drainfield ❑Holdin Tank ❑ Munici aliPublic ❑ Other (describe): '' b 'Y
'$1 Yes
O No
Will pressurized water be installed in the structure? If yes, what kind of sanitary system will be installed or used
to manage wastewater?
V Drainfield ❑ Holdin Tank ❑ Munici al/Public ❑ Other (describe):
Q Yes
O No
Will sleeping occur in the structure? If yes, contact local Uniform Dwelling Code (UDC) for approval and
action requirements.
Is the project associated with any of the following:
❑ Rezone ❑ Class A Special Use ❑ Class B Special Use ❑ Conditional Use ❑ Variance
Fee payment will be made via:
❑ Check (attached) O Cash (attached) 0 debit/credit/echeck (department to call once payment is ready to be taken)
How would you like to receive your permit card? Cfr / om
5 /n/t be I ¶7
❑ Mail to: ORAEmail to: { 5 q A
❑ Property Owner Address O Agent Address O Contractor Address F Other (provide name and email or address):
'Include caves, overhangs, sanitary system, and well in staking measurements
Section H: Acknowledgement and Signature
All Land Use Permits expire Two (2) Years from the date of issuance if construction or use has not begun. p�jj;;��,�it
issuance, if required, needs to occur prior to Land Use Permit issuance. Failure to obtain a permit or startiri ftoEbout a
permit will result in penalties.
AUG 25
The local Town, Village, City, State or Federal agencies may also require permits. The new construction of one- & two`-t`A(nMy
dwellings requires review and approval by the local Uniform Dwelling Code (UDC) authority. Additio s and ing4pto one -
and two-family dwellings may require review and approval by the UDC authority. All municipalities ar @0Ardaut$grq&Aty
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, dtr.wt is tt>pic retiands, 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 reasonabl for t�rpose,of jnspection. M N S
/_Utt"
/
2ffbe;; a
Owner(s) or Authorized Agent Printed Name: r
Date: a 2.td ≥4
Owner(s) 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(g) 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.
Pursuant to Chapter 1, Title 13, Section 13-1-106(d) of the Bayfield County Zoninfi Planning and
Zoning Department employees assigned to inspect properties shall have access to s252026
properties to make
inspections. AUG
Property Owner(s): �.v be F J } M it E D <� s }.
1,
Bayeeld Co.
Planning and Zoning Agen y
Mailing Address:
'jail W4?'SF (atNlit,"NSS`tso
Property Address 1
442LV Cv- l4 L*A ", Crbt.� VS ri-t;(
Legal Description:
Section, Township, Range
1/4, 1/4,
Sec i% Township
ME N, Range Lo(. W
N -9Or o -f 5500` 2
0
Authorized Agent/Contractor
Govt Lot Lot #
5
CSM# Vol & Page
Lot(s) #
Block(s) #
Subdivision
Town of:
Gnat V ew
Parcel ID # (PIN#)
Tax ID #
Date:
/J 11
oa-ot_1•14D2k OS OOS-os000
Impervious Surface: An area that releases as runoff all or a majority of the precipitation that falls on it.
"Impervious surface" excludes frozen soil but includes rooftops, sidewalks, driveways, parking lots and streets
unless specifically designed, constructed and maintained to be pervious.
Calculation of Impervious Surface: Percentage of impervious surface shall be calculated by dividing the
surface area of existing and proposed impervious surfaces on the portion of a lot or parcel that is within 300
feet of the ordinary high water mark by the total surface area of the lot or parcel, multiplied by 100.
Impervious Surface Standard: Allow up to 15% impervious surface but not more than 30% impervious
surface on the portion of a lot or parcel that is within 300 feet of the ordinary high water mark. A permit can be
issued for development that exceeds 15% impervious surface but not more than 30% impervious surfaces with
a mitigation plan that meets the requirements of the Bayfield County Ordinance(s).
Existing Impervious Surfaces: For existing impervious surfaces that were lawfully placed when constructed
but that do not comply with the standards in Section(s) 13-1-32(g) and Section 13-1-40(h), the property owner
may do any of the following:
a. Maintenance and repair of all impervious surfaces:
b. Replacement of existing impervious surfaces with similar surfaces within the existing building footprint;
c. Relocation or modification of existing impervious surfaces with similar or different impervious surfaces,
provided that the relocation or modification does not result in an increase in the percentage that existed
on the effective date of the county shoreland ordinance, and meets the applicable setback
requirements in Section 13-1-32.
Impervious Surface Item Dimension Area (Square Footage)
Existing House
_ , r i `
Existing Accessory
iA: u. ,Car dor
Building/Garage
Z`i j 1
37L( •al6 Cc..k c" ;
Existing Sidewalk(s), Patio(s) &
Deck(s)
RE CEfV
Existing Covered Porch(es),
Driveway & Other Structures
AUG
Proposed Addition/House
sareea co.
Plannkig and
Proposed Accessory
Building/Garage
O 2 9
t U
Proposed Sidewalk(s) & Patio(s)
Proposed Covered Porch(es) &
i
6 X Z
Decks)
/� Y
Proposed Driveway
2'v 'c / 2 '
Proposed Other Structures
Total:
a. Total square footage of lot: I I Sf 3 0 3 5 ^
I,
b. Total impervious surface area:O2
c. Percentage of impervious surface area: 100 x (b)/a = 2 , 6Z
If the proposed impervious surface area is greater than 15% mitigation is required.
Total square footage of additional impervious surface allowed: @ 15% @ 30%
Issuance Information (County Use only)
Date of Inspection:
Inspection Record:
•
Zoning District I 1
Lake, Classification
Condition(s):
Stormwater
Management Plan Required:
❑ Yes ❑ No
Signature of Inspector:
Date of Approval:
u/formsrimpervioussurface
Created: May 2012 (GtApr 2016: Sept 2020) Proofed by:
RECEIVED
AUG 252026
PlaCaYfield Co
n,
"g and Zoning Ages,
(Iaoo gauoAV)
.IN2ll &'2s CoAv)
-
n
1
x !
m pip•- p'. et;,.et
Ii
5g0r
1ins�.z-5.- ---
RECEIVED
AUG 257076
Barfield Co.
plannkg and Zoning Agency
L._._._
REAR ELEVATION
.r•
FRONT ELEVATION
.ua. w•.w
LEST ELEVATION
.ca .1•- a-
RECEIVED
AUG 252026
Bayfield Co. •,<�.�.
Planning and Zoning Agency
UPPER FLOOR PLAN
ucas.T7a
24
W
VT V' _. I.'
2Y'X we -fl' YY
"� m
MAIN FLOOR PLAN/TO r28,
"`°`4 e°r^
Land Use Permit Application Review Checklist �� ./�
ubmission #: —
�i
Ft
What zoning district is the project located m?
-1 ❑ R-2 ❑ R-3 ❑ R-4 ❑ R-RB ❑ C ❑ 1 ❑ M ❑ A-1 ❑ A-2 ❑ F-1 ❑ F-2 ❑ W ❑ M -M
❑ Yes o
Is lot substandard (does not meet current zoning dimensional requirements)?
Deed of record:
es ❑ No
Is the project located in the Shorelands (Shorelands are lands within 300 feet of a river/stream OR
landward side of floodplain OR 1000 feet of a lake/pond/flowage, whichever is greater)?
9es ❑ No
((
Is impervious surface required? (Required if riparian lot OR lot is entirely within 300 feet of OHWM of
navigable waterway)
❑ Yes �No
Is the project located in the Floodplain? Zone:
❑ Yes o
Are there wetlands on the property?
❑ Yes frNo
Is project associated with a nonconforming use or structure?
❑ Yes o
Is project associated with a variance? Case #:
❑ Yes o
Is project associated with a Special B or Conditional Use Permit? Permit #:
❑ Yes Liclo
Is the project associated with a Special A Use Permit?
fYes ❑ No
Does the project require sanitary?
❑ Existing ❑ New Intercept ❑ Reconnect ❑ Non -Plumbing ❑ Public
Sanitary Permit #: &- QS O a' # of Bedrooms:
❑ Yes 1'2 No
Does the project require mitigation?
Implementation Deadline: Date of Compliance:
❑ Yes No
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 ❑ Municipal
Project type is. ew Construction ❑ Addition/Alteration ❑ Change Use ❑ Relocate ❑ RV Placement ❑ Sign
❑ Establishing a Business ❑ Temporary ❑ Shoreland Grading O Other, describe:
Structure Type is: O Residence O Principal Structure ccessory Structure ❑ Boathouse (one story only)
❑ Open-sided/Screened Structure (gazebo, etc.) O Stairway to navigable waters ❑ Mobile Home
❑ Shipping Container thee, escribe 1 t1V'o Lt5 R_.
Total Sq. Ft. of Project: ZL S 3 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)
$
❑ 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 O Land Use Revisions O Special Use Permit - Class A ❑ Floodplain C�Shoreland - Impervious
Surface ❑ Shoreland - Non -Conforming, etc. ❑ Tower Siting/Collocation 1 ❑ Tower Collocation 2 ❑ Metallic Mine
❑ After -the -Fact (ATF)
$
Inspected by: Date of Inspection: Z
Re -Inspected by: Date of Re -Inspection:
Denied by: Date of Denial:
Reason for Denial:
Date Denial Letter Mailed:
Approved by:q. Date of Approval:
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.
9Town/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.
Uniform Dwelling Code (UDC) Permit from the locally contracted UDC Inspection Agency must be
obtained prior to the start of construction (if applicable).
, tJse 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.
o be constructed per plan.
❑ Adhere to privy agreement.
❑ Temporary permit allowing existing structure for a period of less than 1 year.
❑ RV may not be used for permanent residence or storage.
❑ RV allowed for
❑ RV must be removed by
❑ No sewer and pressurized water allowed in the structure.
❑ No plumbing or plumbing fixtures allowed.
❑ No additional sleeping areas allowed without obtaining necessary sanitary permit(s).
Land use permits shall be required for any new residence, any building or structure erected,
e_located, rebuilt, or structurally altered
(tfLand 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
❑1Sanitation 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-1YFIELD 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:
DEISZ, ROBERT J & MEGAN E LU-02511
2711 W 47TH ST
MINNEAPOLIS, MN 55410 Transaction Number:
LU-02511-55541
Description Amount
Shoreland - Impervious Surface $25.00
Habitable Residential Principal & Accessory $248.00
Structures - enclosed areas $0.50/square foot
(minimum $125)
Habitable Residential Principal Structure - $351.40
unenclosed area or non -habitable garage
$0.20/square foot (minimum $125)
Total: $624.40
Payment Amount: $624.40
Reference: 701
Paid by: Robert J Deisz / Megan E Deisz
Payment Type: Check
Transaction Date: 9/18/2026
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 — Intercept 26-0502
SPECIAL A -
SPECIAL B/CONDITIONAL -
BOA -
BAYFIELD COUNTY
PERMIT
WEATHERIZE AND POST THIS PERMIT
ON THE PREMISES DURING CONSTRUCTION
No. 26-0503 Tax ID: 16910
Issued To: DEISZ, ROBERT J & MEGAN E
Location: S32 - T44N - R06W
Town of Grand View
Legal Description: N 200' OF S 500' OF N 1/2 OF GOVT LOT 5 IN V.1025 P.521 593B IM 2004R-494753 IM 2003R-487218
Residential Structure in R-1 zoning district
For: New Construction [2 - Story ], Accessory Structure on a Slab [2253 Total sq. ft. ] Height of 24'
(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 Scott Roush
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 18, 2026
This permit may be void or revoked if any performance conditions are not Date
completed or if any prohibitory conditions are violated.
Condition(s): 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.
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).