Loading...
HomeMy WebLinkAbout26-0509Return to: 117 E 5'^ Street, PO Box 58 Washburn, WI 54891 permlts0 bayfieldcounty.wi.aov County Use Only: Bayfield County Planning and Zoning Department Submission #: J.,A_ 025h7 LAND USE PERMIT APPLICATION Permit #: a6- 0 O Date: g j ib rrooperty Owner Na Authorized Agent Name (if applicable): Scsor t a� �I ( k us F Telephone Number: Telephone Number: 71s-'aq.- )Llv Mailing Address: Mailing Address: a.nwo A}4, byrC City State, Zip: City, State, Zip: \gsdN L Conttracto : .1y%1fcs. +aW,m I Telephone Number: I E -Mail Address: e SECTION B: Property L formation Project Address (if different from mailing address) s w 7po-¼3cth tct6e&tJUocAGabdipS5 Section, Township, Range: s53% Town of: ,^I. q Sc A) Tax ID #: S 19ff Lot Size (Acres/Square Feet): .5 (aCC- S SECTION C: Project Information (check all that apply) Project Use is: Residential O Commercial ❑ Municipal If Commercial, estimated cost of construction: $ Project Type is: 'New 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 O RV Placement 4+ months, Class A ❑ 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: tesidence 'rincipal Structure (describe): O Accessory Structure (describe): O Shoreland Exempt Structure (describe): O Mobile Home (provide manufactured date): ❑ Shipping Container"Other (describe): { J Foundation Type: O Basement O Walkout Basement %Slab O Crawlspace O Ground O Skids ❑ 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" Floor Sq Ft: Loft Sq Ft: 2"a Floor Sq Ft: 3`" Floor Sq Ft: Garage Sq Ft: Porch Sq Ft: Deck Sq Ft: Other Sq Ft (describe): Other Sq Ft (describe): to # of Stories: Existing # of Bedrooms on property: I Proposed # of Bedrooms in project: SECTION E. ItNrand"Si n fnformation` check all that ipply)`"'- Sign is: RV is: ❑ New O Replacement ❑ New ❑ Replacement ❑ On -premise ❑ Off -premise ❑ 1 -sided O 2 -sided Year: Vin #: ❑ On -building O Multi -Tenant Length: Width: Height: Make: Model: Application Page I RECEIVED SE? 0 9 2026 CVayld Co. pwnning and Zoning Agency .CdM A rn 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 forinformation that is required to be provided on site plan) Show location of: ❑ Driveways ❑ Frontage Roads (include name) 0 Existing Structures ❑ Well (W) ❑ Septic Tank (ST) ❑ Drain Field (DF) ❑ Holding Tank (IIT) 0 Privy (P) ❑ Lake ❑ River ❑Stream/Creek ❑Pond ❑Floodplain DWetlands ❑Slopes over 20% N'DV So 4 e sly �lu,a� Th C\rC ROc\� Setback or distance from furthest extent of structure County Use Only including eaves and overhangs to (include on site plan): Verified setbacks Road Centerline "73 ft. ft. Notes/Comments: Front Lot Line/Right-of-Way a4.f S ft. ft. Side Lgt4ine 1 No South West, circle one) .� 5 ft. ft. S' a Lot Line 2 CA ft. ft. East South West, circle one) '3 Rear Lot Line 5 o ft. ft. Septic/Holding Tank cj cc ft. ft. Drainfield j ft. ft. Privy ft. ft. Well I ft. ft. Existing Structure/Building 14 ft. II. Wetland _.—r ft. ft. Elevation of Floodplain ft. ti. Ordinary High -Water Mark (OHWM) 1ft. ft. Other (describe) ft. ft. RECEIVED Application Page 2 SEP 09 2026 Bay5el CO. A9W Planning SECTION C: Additional Questions. -;... 1_.. 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 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 Is there an existing sanitary system on the property? If yes, what kind? rainfield 0 Holding Tank O Municipal/Public 0 Other (describe): ❑ Y No ill 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): ❑ Yes1 No ill sleeping occur in the structure? If yes, contact local Uniform Dwelling Code (UDC) for approval and inspection requirements. Is Ui6 ct associated with any of the following: ❑ Rezone ❑ Class A Special Use O Class B Special Use ❑ Conditional Use ❑ Variance Fee payment will be made via: MCheck (attached) O Cash (attached) w <_ debit/credit/echeck (department to call once payment is ready to be taken) w H `� would you like to receive your permit card? to: '.MailO r{IEmailto: S&�facgoIKNerao'7opIc.\oo.COM Property Owner Address O Agent Address O Contractor Address O 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 elate 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.eov/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: �- 4 J e i A f1 Owner(s) or Authorized Agent Signature:,. _* ors • 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. RCC%V G© Application Page 3 SEP 0 9 2026 gayfield co. Planning and Zoning'gen Thank you for your submission. Please note, as mentioned in the disclaimer, the pricing reflected in your building confirmation may not be final. American Steel Carports, Inc. reserves the right to adjust the pricing if necessary. Should any changes be required, we will notify you promptly to confirm the final details of your order. View USA BUILDINGS DIRECT Customer Order - 28 Aug 2026 Name Install Address City Email Style: Triple Wide (26'-30' Wide) Roof Overhang: 6' 30, X 40' Roof A -Frame Width Frame Style: Vertical Length Gauge: 14 -Gauge Framing Leg Style: Standard Brace: Standard Brace USA Buildings Direct 3100 Central Ave #260 Toledo, OH 43606 844-923-3961 sales(:alusabuildingsdirect.com 0rder# 1787671079002602 I Micah Hoffman State WI Zip Code 54856 Phone: (419) 863-3025 Phone # Mobile # Micah usabuildinosdir Roof Black • j Installation Surface: Concrete Trim: Black • Wind 100mph Wind Warranty Package 10' Siding: Ash Gray jj Warranty: (Concrete) Leg Height Wainscot Black • Design Link: https://steel.usebuildingsdirect.com/?ing=en-GB&dealer=Micah#6bd0226551 f58bbcd9a034ba6739792e Front Left Side Back VP - hhps:l/steel.usabLf !€u 4%r,Ealer-Micah#6bd0226551f58bbcd9a034ba6739792e su 09 2026 Baru CO - Planning and Zonmg 114 Customer Signature: Date: Delivery Date (may vary depending on weather): Delivery Notes: Dealer or Manufacturer Signature: Date: Pricing Table (For Internal Use): American Steel Carports - Michigan Flyer This estimate is provided by USA Buildings Direct. Use of this estimate with any other company violates the terms and conditions of USA Buildings Direct and will be subject to legal action. USA= BUILDINGS DIRECT Micah Hoffman (419) 863-3025 Micah@usabuildingsdirect.com #1787671079002602 https://steel.usabuildingsdirect.conV?dealer--Mi h#6bdO22655lf58bbod9aO34ba6739792e 4/4 RECENED SFP 09 2026 Saab Planning and Zoning Agency LEFT SIDE 4' 9' D1 14' I - z O 9' D1 4' D2 3 _1. 34' RIGHT SIDE Dl 9'x 8'Roll-Up Door 02 Standard Walk-in Door (36 x 80) Closed Wall #1787671079002602 https://steel.usabuildingsdireecclAd h#6bd0226557f56bbcd9a034ba6739792e SEP 0 9 2026 BaYfield Co. Pl2nnin9 and Z°ningAPW or D O 2/4 A ilicant Checklist I _;. C'yes ❑ No Will new electrical installation occur with projecUstructure? If yes, contact State for inspection requirements. ❑ Yes 4o Will new plumbing installation occur with project/structure? If yes, contact State for inspection requirements. ❑ Yes J4o Is the project/structure to be used for commercial purposes? If yes, contact the State of Wisconsin Commercial Buildings & Structures to determine if they require review and approval. ❑ Yes No Is the project located in the Floodplain? If yes, additional materials and fee will be required. Reference the FEMA Map(httos:/Imsc.fema.gov/portal/home) and Title 13, Chapter 2 of Bayfield County Zoning Ordinance (https://www.bayfieldcounty.wi.zov/71 llTitle-l3---Zoning -Code). ❑ Yes tL.No Is the project located in the Shorelands, within 300 feet of a river/stream OR landward side of floodplain OR 1000 feet of a lake/pond/flowage (whichever is greater)? If yes, shoreland regulations will apply. ❑ Yes to Is your property a waterfront lot and will any part of your project be located within 300 feet of the water OR is your entire lot located within 300 feet of the water? If yes to either, complete and include Impervious Surface Form (htps://www.bavfieldcountvwi.aov/DocumentCenter/View/3 159/Jmervious-Surface-PDF). ❑ Yes No Are there wetlands on the property. If yes, wetland regulations will apply. A 25 -foot setback is required to any mapped wetlands. Reference Department of Natural Resource Surface Data Viewer Map (httDs://dnrmaos.wi.gov/115/?ViewerSWDV). ❑ Yes No If applicable did you contact the road authority to see if a driveway permit or regulations apply to placement of driveway? t t \ e f C- ❑ Yes No Was the property purchased recently? If yes, inc de a recorded deed. A copy of recorded deed can be acquired from the Bayfield CoCounty Register of Deed's office. `fi<( Yes O No Is a site plan included with all information requested on Page 1 of the Land Use Permit Application Information? If no, a site plan with all applicable information on Page I is required for all submissions. ❑ Yes No Is a floor plan(s) included with all information requested on Page 4 of the Land Use Permit Application Information? Floor plans are required for residences, commercial buildings, or additions/alterations to these structures. ❑ Yes No If structure is in Shorelands, have building elevations with all information requested on Page 5 of the Land Use Permit Application Information been included? ❑ Yes kNo Is this application to correct a violation or has the project already commenced? If yes, at minimum an after -the - fact fee will a 1 . If not ermittable, the structure will need to be removed. Yes O No If addition, does the existing structure meet required setbacks, see Page 2 of the Land Use Permit Application Information? If no, be aware that it is the property owner's responsibility to show the structure was legally placed and there may be limitations to expansion of the structure, see Bayfield County Section 13-1-40 (httns://www.bavfleldcountv.wi.nov/7 11/Title-I 3—Zonin -Code . D Yes 0 No Is the use of the project/structure allowed per Bayfield County Section 13-1-62 (httos:/lwww.bayfieldcounty.wi.gov/711/fitle-13—Zoning-Code). If no, be aware it is the property owner's responsibility to show the use was legally established and there may be limitation to expansion of the use, see Bayfield County Section 13-1-40 (https://www.bayfieldcountv.wi.eovt7 Il/Title-l3---Zoning-Code . ❑ Yes ❑ No Have all fees been included with the completed application? See Fee Schedule on website (https://www.bayfieldcounty.wi.gov/1389/Fee-Schedule). If no, all applicable fees need to be paid before permit can be issued. ❑ Yes to Is property owned by multiple owners or is someone aside from the property owner applying? If yes, a Letter of Authorization Form needs to be included. Form available on website fieldcoun .wi. ov/1340/A lications-Forms . (https://www.bayfleldcounty.wi.20v/1340/Applications-Fonns). ❑ Yes &j4o Is property owned by a Trust or Business entity (LLC, Corp., etc.)? If yes to either, an Affidavit of Authority needs to be included. Forms available on website (https://www bayfreldcounri wi eov/1340/Apolications- Forms). es O No Is Land Use Application completed and signed? RtC�iVEQ Land Use Permit Application Information Page 6 SEP 0 9 2026 Bayfield co. Planning and Zoning Aga MAP OF SURVEY A PARCEL OF LAND LOCATED IN THE SE 1/4 OF THE NW 1/4 OF SECTION 23, T 46 N., R. 6 W., IN THE TOWN OF MASON, BAYFIELD COUNTY, WISCONSIN t 00.10061146102 BASED GN ME SOUIM UNE W THE NW 1/4 OG 11010010 2]. 11410 Al 0A4r51- E PNtldIY oEscla•16r1 .L IWOIIa1NO [144114 x MIt 1/40101 Ml 1/4010001101 24 1.44 x. N AL 111W ICµ W "'I 041100010.31111.'4[9[019[ ER /3101015: 16 LCGrz 116 PMI W 1X6110, 140006 Al A 3/L' *11I PW Al OE VLSI 1/4 fAAO a 501 s601 xJ MAD xlx x s4151 L. I]xb no 61 M Y 0*11110 L -I 1/4 lit 6 1110 OCICx zx TO A 1-I/C FP XR Al M CF, 1/16 (/0401. 111x11 011W Mxlf W YANWG 0111= iRL 541 IWII W G6dW0 NT YElL5 40 1411001 14WIG SM Cl 1/4 INE. N 0tI(2C 1. 31316 x.1 10 A I -T/4' 6x NXE 61 M NEST IFX W 0/600 1/4 011W NY I/4. I00µ. LI NNC YN IEEE IM. N 0041451 E 500.00 no TO A 1-I/4' 1011 PFE IMµ£ S W 14'24 E 16.11 06110 A 1-I/4' WI 016 011 60 E -I 1/4 Lilt, 1101£ d 016 CA 1/4 IK. S Ip4r5I' P. 5NI01QI 10 M xWf LAO P1001 (011016 217,514 006101E no M. 8 5.00 /0105. 1... 21.]6 EWW[ FEET.' PICA 6 030.0011. LII C x0110 M NOM W NAY W FNM 6R.04 600. ULI 10014.3019' CW 1/16 CON. P.O.B. leww • 010111100 AS 1000.1LU6141Al p 7 -,/Coll F6l NWmw•xxv (/ A6xX0 /(PINEMOI N 89'4751' E TOTAL AREA 217,800 SOFT. 5.00 ACRES (n60 21.714 91111 156. x101 O 030 ACAS. [11011TH W 114E ROR W RAT a FYNI MM MW) EAOdf 019011111.31 A10rCN 116.029 Nx I11L1114iapl oRA. IIxFA NO N.Poh'5 A PNNII 111100 [4001114 1 01 4 1/4 a 110 IM I/A a 00010X23.1.41k. N. NN.. IA 1400.1014114 411301, 6'111110 a1Nrc. 10001611. 120012 25 Rn 011101 6€ a M 16[4001100 0100001140 61011411: TO I1rIR 111 P01111' a a4'xxm: 000 (005 Al A F/0/ 1401 014 .V IIL WEST I/+ 4Po0R 015/60001101 03*00 FIN. I OVA/51' E 10701001ELI 61 M 0]014[01140 LA 1/4 IIIE Of 60 50061 1310 000 00061 00 001406x40. 00x2 000 510 IWT W 0051,0x10 NT 110101 .1100 x1000@ La`MG 010 E -N 1/4 LNE 410 II !:0111 CENIINLOIE. N MY0W C. A.Ot LEO. 11101101 IN 21418 E. 11210 REl. II6NU N f25GW 1. 10.02 FOR. 1101=I N'A'W' C. 17.37 xll R M 111116W Yn CENltllY¢ II x10010 THAT M Mt [.105 CY TILL [M1YYEO W 500005001 110301010, AS KE60. TO %0N AT lit L -w I/4 LINL OF CM 1OC10I 23 NO TERWMIE Al A L6 Nil LEFT 1/51 WNW P4Atlll TO 06 44101 tilt w SCI SE 1/4 WMIx 1/4 01 5440 0000104 23, 660.00' LINE TAIAI LIE ES— All' 111*141 C S 9R•4rm' w smao� SE -tilt 550.00 tO L L w l/4 S 894751 w W-6* FAITH CHURCH ROAD 660.00 (66' RAW) W 1/4 CORNER 70 C 1/4 CORNER - N 894751'0. 26%.78' (N ..' C 3110.14'. alt.: 1077764 0101210 alp, 40501 YYO; I PCI - SO PICT 60014AA0e,3Ea4 .007 R on yb2 00 7µ06(N 1@ .M PO N/ PAIIMR.2 ]00006x; nl*1001/41101027 9110110105 EEFNILLIE I. PETER A 11001 x. N010110YL 4q 000121[1 x 110E EWE 01 1000101. MRSO' 011R/M1: nul CN ITS 011001E W yNx4 FN111MEp. I 1 Alt 5000001 000 141PLO A PI%4 W IMO IOGImxMsl/101TIE Tw y1aYCIG1 u. T. ulL lePtx MrAIIW WSOL OLYIm muxrv, x10/061 IWI 1x5 YIP S A FROE 007051010101 a 540 51EM1EY: 11111 x 5PMY 010 xV (IALY OWtr NIN M NN.HS6 0 6011111 A -E ) W M wl$P/91.YIINiIR°K 1111 510 Y AXON 110'41'tl.'I614x 01151 0 CAT 01101 155000 My W336 r'+: �9ps Prz PEl11wxrlall IJ:O. 0 50 ACCESS EASI µENT 0. / h 2 SLCI'N 560/101 NW 1/4 OF SEC. 23 (NG SCALE) NW COR. I N 1/4 COR.� 1-1/(621 Mw -1/4-x01 In NW -NW Iry NE -NW I I s e IW A SW -NW I I� SD -NW N 111111 W 1/4 COR, 4' 011 NW PN C 7 4 COR. 5� x01 CA 1189147'57'E ---�L 265578' (N 10561? E 260151) C 1/4 COR. SEC 23 667_99• J/4'IIINW X CLIENT: FAULKNER, S. NCORPORA TED SONY: 1 WCN _50/10/1 50 0 50 711 5480! IB54 SAP N0. 5348 Bayfield County, WI IF '','I A;r1f, C- Lt'. ULKNER 334U T 0 RGHfI _' rte^ "# � � ✓; t �, . 44c- - : y -. vgyy�Hnn•,.�.,:r....tw'. Jli_l L'li-.I LI".:•. Li , .. _ ' F f.I:SDIJ C PAv'EL ;- -j•.H_ E0,D0RE J & KIM M KLEIvIEK•"�' O.4, IC fit'&' %�" a ,:Tax lD# 23645 - Ta xIID# 23f r I. ,ti 1 I ih11. 'I. -. t.ai IiIT,. -. •fir+ 8111/26, 10:55 AM Novus-Wisconsin Access rev. 12.0206 Real Estate Bayfield County Property Listing Property Status: Current —[ Today's Date: 9/11/2026 Created On: 10/20/2022 1:19:20 PM '�' Description Updated: 1/13/2025 Tax ID: 38888 PIN: 04-032-2-46-06-23-2 04-000-13000 Legacy PIN: Map ID: Municipality: (032) TOWN OF MASON STR: S23 T46N R06W Description: PAR IN SE NW TOG WITH EASE IN DOC Recorded Acres: Calculated Acres Lottery Claims: First Dollar: Zoning: ESN: 2022R-596285 5.000 5.520 0 Yes (F-1) Forestry -1 122 Tax Districts Updated: 10/20/2022 1 STATE 04 COUNTY 032 TOWN OF MASON 041491 SCHL-DRUMMOND 001700 TECHNICAL COLLEGE 'a' Recorded Documents Updated: 3/15/2006 © WARRANTY DEED Date Recorded: 9/8/2022 2022R-596285 a PERSONAL REPRESENTATIVES DEED Date Recorded: 8/17/2021 20218-590369 ® PERSONAL REPRESENTATIVES DEED Date Recorded: 8/17/2021 20218-590368 © CONVERSION Date Recorded: 510-329;533-183 HISTORY © Expand All History White=Current Parcels Pink=Retired Parcels aa Ownership Updated: 11/17/2022 SANDRA LYNN FAULKNER MASON WI Billing Address: Mailing Address: SANDRA LYNN FAULKNER SANDRA LYNN FAULKNER 19270 CALVIN BENSON RD 19270 CALVIN BENSON RD MASON WI 54856 MASON WI 54856 T Site Address * indicates Private Road 23340 FAITH CHURCH RD MASON 54856 ® Property Assessment Updated: 3/16/2026 2026 Assessment Detail Code Acres Land Imp. G1 -RESIDENTIAL 1.000 8,000 10,000 G6 -PRODUCTIVE FOREST 4.000 4,800 0 2 -Year Comparison 2025 2026 Change Land: 6,000 12,800 113.3% Improved: 0 10,000 100.0% Total: 6,000 22,800 280.0% M Property History Parent Properties Tax ID 04-032-2-46-06-23-2 04-000-10000 23644 25L ® Tax ID: 23644 Pin: 04-032-2-46-06-23-2 04-000-10000 Leg. Pin: 032104504000 38888 This Parcel t Parents 3 Children S%V https://novus.bayfieldcounty.wi.gov/access/master.asp?paprpid=38888 1/1 Land Use Permit Application Review Checklist Submission #: What zoning district is the project located in? ❑R-1 ❑R-2 ❑R-3 ❑R-4 DR-RB ❑C ❑I ❑M ❑A-1 ❑A-2 1 ❑F-2 ❑W DM -M ❑ Yes Z110 Is lot substandard (does not meet current zoning dimensional requirements)? Deed of record: ❑ Yes )2'IGo 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 ,.Jo Is impervious surface required? (Required if riparian lot OR lot is entirely within 300 feet of OHWM of navigable waterway) ❑ Yes 1Io Is the project located in the Floodplain? Zone: ❑ Yes aio Are there wetlands on the property? ❑ Yes Q1Jo Is project associated with a nonconforming use or structure? ❑ Yes edNo Is project associated with a variance? Case #: ❑ Yes .ETNo Is project associated with a Special B or Conditional Use Permit? Permit #: ❑ Yes No Is the project associated with a Special A Use Permit? ❑ Yes No Does the project require sanitary? ❑ Existing 0 New 0 Intercept ❑ Reconnect 0 Non -Plumbing ❑ Public Sanitary Permit #: # of Bedrooms: ❑ Yes No Does the project require mitigation? Implementation Deadline: Date of Compliance: ❑ Yes 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? esidential ❑ Commercial ❑ Municipal Project type is?w Construction ❑ Addition/Alteration ❑ Change Use ❑ Relocate ❑ RV Placement ❑ Sign ❑ Establishing a Business ❑ Temporary 0 Shoreland Grading ❑ Other, describe: Structure Type is: 0 Residence 0 Principal Structure _2'Ccessory Structure ❑ Boathouse (one story only) ❑ Open-sided/Screened Structure (gazebo, etc.) ❑ Stairway to navigable waters ❑ Mobile Home ❑ Shipping Container 0 Other, describe Total Sq. Ft. of Project: C'C 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 hed Non -Habitable Garages $0.20 x sq ft (minimum $125) $ KAc on -Habitable Residential Principal and Accessory ctures $0.20 x 12Gb 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. 0 Tower Siting/Collocation 1 0 Tower Collocation 2 0 Metallic Mine ❑ After -the -Fact (ATF) I $ Inspected by: ,77/ / Date of Inspection: /,tt/F , // Re -Inspected by: I Date of Re -Inspection: Denied by: I Date of Denial: Reason for Denial: Date Denial Letter Ma' Approved by: ' 'fi _ _ Date of Approval: Condition(s): ❑ Must meet and maintain setbacks from furthest extension of structure including eaves and o rhangs. For personal storage only. ❑ For personal residence only. Not for human habitation or sleeping purposes. ❑ 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. 0 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. Ojgn 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. ❑ 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 P •YFIELD Bayfield County Planning & Zoning Department 117E 5th Street P.O. Box 58 Washburn, WI 54891 Phone: 715-373-6138 Fax: 715-373-0114 Property Owner. Submission Number: FAULKNER, SANDRA LYNN LU-02537 23340 FAITH CHURCH RD MASON, WI 54856 Transaction Number: LU-02537-4DD5E Description Amount Non -Habitable Residential Principal and Accessory $240.00 Structures - $0.20/square foot (minimum $75) Total: $240.00 Payment Amount: $240.00 Reference: 3047 Paid by: Sandra L Faulkner 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 - No Mitigation - No / Affidavit #: LAND USE —X SANITARY — SPECIAL A — SPECIAL B/CONDITIONAL — BOA — No. 26-0509 Tax ID: 38888 Issued To: FAULKNER, SANDRA LYNN Location: S23 - T46N - RO6W Town of Mason BAYFIELD COUNTY PERMIT WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION Legal Description: PAR IN SE NW TOG WITH EASE IN DOC 2022R-596285 Residential Structure in F-1 zoning district For: New Construction [1 - Story ], Accessory Structure on a Slab [1200 Total sq. ft. ] Height of 14' (I Iiclaimer): 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 21, 2026 Date Condition(s): For personal storage only. Not for human habitation or sleeping purposes. A Uniform Dwelling Code (UDC) Permit from the locally contracted UDC Inspection Agency must be obtained prior to the start of construction (if applicable). To be constructed per plan.