HomeMy WebLinkAbout26-0506Return to: County Use Only:
117 E 5th Street, PO Box 58 Bayfield County Planning and Zoning Department Submission #:
Washburn, WI 54891 LAND USE PERMIT APPLICATION
ermits@bavfieldcounty wi gov Permit#: a O O
Date: g02 6
SECTION A; GentralInformation
Authorized Agent Name (if applicable):
ropejr y Owner Name: I
T t t is��F MtiF_
Telephone Number.-
�c, -64s... l7ii
Telephone Number:
E -Mail Address:
E -Mail Address: MAY I
(_L O qtr' Ai L o
`
Mailing Address:
P r-� B C a' t f.Cf
Mailing Address:
Planning and Zoning Agency
City, fate Zip:
(Na lit
City, State, Zip:
S S" �9
'ENTERED
Contractor:
Telephone Number:
E -Mail Address:
SECTION R: Property Information
Project Address (if different from mailing address):
TIb ' Tl-i
Legal Description (if additional space is needed attach a separate sheet):
`EE c-xi-Irr3ir A'
Section, Township, Range: )[, . T' _ 03
Town of: ) t j)j
Tax ID #: S C �5 Lot Size (Acres/Square Feet):
SECTION C: Project Information (check all that apply)
Project Use is: U Residential O Commercial ❑ Municipal If Commercial, estimated cost of construction: $
Project Type is: O New Construction ❑ Addition/Alteration (existing structure)
O Change Use (existing structure) ❑ Relocate (existing structure) O RV Placement 21+ days
❑ Sign O Establishing a Business ❑ Temporary (12 or less months)
O Shoreland Grading, Class A I?) RV Placement 4+ months, Class A O Other (describe):
required Total sq ft): required CAM .,t C
SECTION D: Structure Information (Does not applyto RVs and Sips, go to Section
Structure Type is: O Residence O Principal Structure (describe):
O Accessory Structure (describe): O Shoreland Exempt Structure (describe): O Mobile Home (provide manufactured
date):
❑ Shipping Container O Other (describe):
Foundation Type:
❑ Basement O Walkout Basement O Slab O Crawlspace O Ground O Skids O 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:
1't Floor Sq Ft:
Loft Sq Ft:
2°d Floor Sq Ft:
3'd Floor Sq Ft:
Garage Sq Ft:
Porch Sq Ft:
Deck Sq Ft:
Other Sq Ft (describe):
Other Sq Ft (describe):
Total Sq Ft:
Overall Height (finished grade to peak):
# of Stories: Existing # of Bedrooms on property:
Proposed # of Bedrooms in project
SECTION E RV and Sign Information (check all that apply)
Sign is:
RPis.: CAI PZ'�
❑ New O Replacement
)i New O Replacement
O On -premise O Off -premise
❑ 1 -sided ❑ 2 -sided
Year: 7-0 t 2/ Vin #: 4{ i D i 2'd
❑ On -building O Multi -Tenant
4f. k'4 a 1 z y 4
Length: Width: Height:
Make- J Model: t3 ' / I it
1
Application Page 1
SECTIElan — attach a site plan or draw site plan in box below (See pages I & 2 of Land Use Permit Application
Informamation
that is required to be provided on
site plan)
Show lo
1I Drivontage Roads (include name) ❑ Existing Structures ❑ Well (W) ❑
Septic Tank (ST) ❑ Drain Field (DF)
❑ HoldT) ❑ Privy (P) ❑ Lake 0 River ❑Stream/Creek ❑Pond DFloodplain
❑Wetlands OSlopes over 20%
N
SEC /t ZiAI
VIELO
RECEiVED
MAY 212026
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
ft.
4 ft.
Notes/Comments:
C� /e tl/►!. t( -r
D iQc3
Front Lot Line/Right-of-Way
ft.
ft.
tLine l
o East Sout ircle one
ft.
ft
k'�'w/,r O
lX�
t e Lot Line
(Nortl West, circle one)
ft.
ft
66<
Rear Lttinr
ft.
ft.
Septic/Holding Tank
ft.
ft.
Drainfield
ft.
ft.
Privy
ft.
ft.
Well
ft.
R
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
ZECE VED
SECTION G: Additional
Questions
❑ Yes
No
Has the location of the proposed project including caves and overhangs and the sanitary system and well been
staked? If nn what date will this be completed: 6 O a -0e.6
❑ 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
0 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?
Tv
!1
O Drainfield O Holding Tank O Municipal/Public Dl Other (describe): Cot'ti .o--i I
❑ Yes
R No
Will pressurized water be installed in the structure? If yes, what kind of sanitary system will b installed or used
to manage wastewater?
0 Drainfield 0 Holding Tank 0 Municipal/Public 0 Other (describe):
Yes
O 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 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) debit/credit/echeck (department to call once payment is ready to be taken)
How would you like to receive your permit card?
k7 Mail to: OR ❑ Email to:
'T Property Owner Address O Agent Address O Contractor Address ❑ Other (provide name and email or address):
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. Sanitary permit
issuance, if required, needs to occur prior to Land Use Permit issuance. Failure to obtain a permit or starting construction without a
permit will result in penalties.
The local Town, Village, City, State or Federal agencies may also require permits. The new construction of one- & two-family
dwellings requires review and approval by the local Uniform Dwelling Code (UDC) authority. Additions and alterations to one -
and two-family dwellings may require review and approval by the UDC authority. All municipalities are required to enforce the
UDC.
If subject property is part of a Condominium Plat, applicant hereby certifies and represents that applicant has all necessary
approvals and recorded documents required to complete the project for which this permit is sought including requirements set forth
in Wisconsin statutes pertaining to condominium associations, the Declaration of the Condominium Association in which the
property is located, and all other rules, regulations and requirements pertaining to that Condominium Association.
You are responsible for complying with state and federal laws concerning construction near or on wetlands, lakes, and streams.
Wetlands that are not associated with open water can be difficult to identify. Failure to comply may result in removal or
modification of construction that violates the law or other penalties or costs. For more information, visit the Department of Natural
Resources wetlands identification web page, dnr.wi.eoi 'topic wetland-,, 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: `4 tTri& A OF
Owner(s) or Authorized Agent Signature: Date: 5/i Zl:o
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
Exhibit A
The Northeast Quarter of the Southwest Quarter (NEYSW'/4), Section Sixteen (16), Township
Forty-eight (48) North, Range Eight (8) West, Town of Tripp, Bayfield County, Wisconsin.
AND
The Northwest Quarter of the Southwest Quarter (NW%<SW'/4), Section Sixteen (16), Township
Forty-eight (48) North, Range Eight (8) West, Town of Tripp, Bayfield County, Wisconsin, LESS
highway right-of-way.
AND LESS: A parcel of land located in the Northwest Quarter of the Southwest Quarter
(NW'/4SW'/4), Section Sixteen (16), Township Forty-eight (48) North, Range Eight (8) West,
Town of Tripp, Bayfield County, Wisconsin, more particularly described as follows:
Commencing at the West 1/4 comer of said section; thence S. 89°09'39" E., along the E -W '/4 line
a distance of 33.02 feet to the point of beginning, which is located along the East right of way of
C.T.H. "A", thence S 89°09'39" E., and continuing along said'/4 line a distance of 738.31 feet;
thence S. 01°1437" E., a distance of 590 feet, thence N. 89°09'39" W., a distance of 738.31 feet
to the East right of way of C.T.H. "A", thence N. 01°14'37" W., along said right of way a
distance of 590.00 feet to the point of beginning.
ECEiVED
MAY 21 2026
Bayfield Co.
Planning and Zoning Agency
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II
AFIELD
PLANNING & ZONING DEPARTMENT
117 E 5`^ Street
PO Box 58
Washburn, WI 54891
(715)373-6138
permits@bayfieIdcounty.wi.gov
www.bayfieldcounty.wi.gov/zoning
County Use Only — Date Received
RECEIVtU
AUG 122026
fsap�ie�1 Cc.
TOWN BOARD RECOMMENDATION (TBA) FORM
Note: Receiving Town Board approval does not allow the start of construction or business. You must first obtain your permit(s) from
the Zoning Department. The Zoning Department must send the TBA form to the town clerk.
Property Owner:
Telephone Number:
E -Mail Address:
MOE, MITCHELL K & LYNETTE C
6056452221
mitchellkmoe@gmail.com
Authorized Agent (if applicable)
Telephone Number:
E -Mail Address:
MOE, MITCHELL K & LYNETTE C
6056452221
mitchellkmoe@gmail.com
Contractor (if applicable):
Telephone Number:
E -Mail Address:
Subject Property Information
Property Address:
NA
Legal Description (use Tax Statement or Deed):
NW SW LESS 0.39A HWY IN V.933 P. 33 & LESS PAR DESC IN DOC 2025R-610394 184A
Section, Township, Range:
Town of:
Tax ID #:
S16 - T48N - R08W
Tripp
39655
Zoning District:
Project has: Wetlands
Lot Size (Acres/Square Feet):
A -I
68 ACRES
Request Lpformation,
Requesting: El Special Use A ❑ Special Use B ❑ Conditional Use O Rezone O Subdivision Plat/Land Division
❑ Other
Briefly state what is being requested and why (if needed attach additional sheet):
RV placement 4+ months. I have visited the site and it meets setbacks. The property owners plan to get a composting toilet for their
sanitary system on the property.
Town Use Only:
We, the To OWN OFQ do hereby recommend to:
D
Signatures:
Tabl pproval �❑ pis�proval_ -
Chairman
Supervisor:
What is yo asoning for tabl ng, approval, or disapproval (if needed attach additional
sheet)?
t VtN \A7W V3ttll'CW..L A1,5.',N AA.lk-t;— 00 .4JI
Supervisor:
Supervisor:
ewsrsr() (_Cad f`firdT5 &// O' '1
eOc,A4, c Seald r�
gab lid
D te:
Qd 9 —' 0
eturn corn form to the Zoning
Hive you reviewed this for Compatibility with the Compreh nsiv and/or Land Use Plan?:
ri3f°tYes ❑ No
p1ete4
Department
Land Use Permit Application Review Checklist
Submission #: d
What zoning district is the project located in?
❑ R-1 ❑ ❑ R-3 ❑ R-4 ❑ R-RB ❑ C ❑ 1 ❑ M IAA -1 ❑ A-2 ❑ F-1 ❑ F-2 ❑ W ❑ M -M
❑ Yes No
Is lot substandard (does not meet current zoning dimensional requirements)?
Deed of record:
❑ Yes o4
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 a10
Is impervious surface required? (Required if riparian lot OR lot is entirely within 300 feet of OHWM of
navigable waterway)
❑ Y s m4o
Is the project located in the Floodplain? Zone:
Yes ❑ g0
Are there wetlands on the property?
❑ Yes N
Is project associated with a nonconforming use or structure?
❑ Yes rw4
Is project associated with a variance? Case #:
❑ Y% No
Is project associated with a Special B or Conditional Use Permit? Permit #:
s ❑ No
Is the project associated with a Special A Use Permit?
Yes ❑ No
Does the project require sanitary? //•W —001 7
0 Existing 0 New ❑ Intercept ❑ Reconnect I Non -Plumbing ❑ Public
Sanitary Permit 4*: 24 -OS OS #ofBedrooms:
❑ Yes No
Does the project require mitigation?
Implementation Deadline: Date of Compliance:
❑ Yes 4o
Does the project require an affidavit? Affidavit #:
❑ Yes 4p
Did licensed surveyor mark lot line(s), if project is within 10 feet of required setback?
❑ Yes l4io
Di pplicant/property owner mark lot line(s), if project is within 30 feet of required setback?
Project use is? Residential ❑ Commercial ❑ Municipal
Project type is? ❑ New Construction ❑ Addition/Alteration ❑ Change Use ❑ Relocate Placement ❑ Sign
❑ Establishing a Business ❑ Temporary ❑ Shoreland Grading 0 Other, describe:
Structure Type is: O Residence 0 Principal Structure 0 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: Number of Stories: Overall Height:
Fee Type
Calculation
Fee Amount
❑ Habitable Residential Principal and Accessory
Structures - Enclosed Areas — all enclosed areas within
dwelling except attached non -habitable garages
$0.50 x sq ft
(minimum $125)
$
❑ Dwelling Unenclosed Areas (decks, patios, etc.) or
Attached Non -Habitable Garages
$0.20 x sq ft
(minimum $125)
$
❑ Non -Habitable Residential Principal and Accessory
Structures
$0.20 x sq ft
(minimum $75)
$
❑ Commercial Principal Structures
$250 + $0.005 x
cost of construction
(minimum $250)
$
❑ Commercial Accessory Structures
$150 + $0.005 x
cost of construction
(minimum $150)
$
❑ Municipal Principal and Accessory Structures
n/a
$0 (exempt from fees)
❑ Return Inspection 0 Land Use Revisions Special Use Permit - Class A 0 Floodplain 0 Shoreland - Impervious
Surface 0 Shoreland - Non -Conforming, etc. O Tower Siting/Collocation 1 0 Tower Collocation 2 0 Metallic Mine
❑ After -the -Fact (ATF)
$
4 gU 'la ce Un9-, +
Inspected by:
Date oflnspecti n:
a
Re -Inspected by:
Date of Re -Inspection:
Denied by:
Date of Denial:
Reason for Denial:
Date Denial Letter Mailed:
Approved by:
Date oaf App .
11k
(11w L
Con ' on(s):
Must meet and maintain setbacks from furthjst extension of structure including eaves and
overhangs.
0 For personal storage only.
residence only.
zsonal
human habitation or sleeping purposes.
tate/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.
❑ To be constructed per plan.
❑ Adhere to privy agreement.
❑ Temporary permit allowing existing structure for a period of less than 1 year.
❑ RV may not be used for permanent residence or storage.
DRVJ1owedfor
❑ 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 Farms/Applications/Land Use/Updated 2/25/2026 mdk
P 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:
MOE, MITCHELL K & LYNETTE C LU-02282
PO BOX 445
WATKINS, MN 55389 Transaction Number:
LU-02282-46565
Description
Amount
Recreational Vehicle (RV) Placement
$75.00
Special Use - Class A
$250.00
Total:
$325.00
Payment Amount:
$325.00
Reference: 5802
Paid by: Mitchell K or Lynette C Moe
Payment Type: Check
Transaction Date: 9/21/2026
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 / Impervious Surface - No
Floodplain - No I Wetlands - Yes
Mitigation - No / Affidavit #:
LAND USE -X
SANITARY — Non -Plumbing Composting Toilet (26-0505)
SPECIAL A - (Town of Tripp - August 10, 2026)
SPECIAL B/CONDITIONAL —
BOA —
No. 26-0506 Tax ID: 39655
Issued To: MOE, MITCHELL K & LYNETTE C
Location: S16 - T48N - R08W
Town of Tripp
BAYFIELD COUNTY
PERMIT
WEATHERIZE AND POST THIS PERMIT
ON THE PREMISES DURING CONSTRUCTION
Legal Description: NW SW LESS 0.39A HWY IN V.933 P. 33 & LESS PAR DESC IN DOC 2025R-610394 184A
For: Recreational Vehicle (RV) in A-1 zoning district
Make: KYRV Model #: Bullet VIN #: 4YDT28424CX421844 Year: 2012
(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.
Emily Macgillivray
Authorized Issuing Official
September 21, 2026
Date
Condition(s): Must meet and maintain setbacks from furthest extension of structure including eaves and overhangs.
Town/State/DNR/Federal may require permitting.
No sewer and pressurized water allowed in the structure.