HomeMy WebLinkAbout26-0516Return to: County Use Only:
117 E 5"' Street, Po sox 58 Bayfield County Planning and Zoning Department Submission #: LU -oeeS bS
Washburn. WI 54891 LAND USE PERMIT APPLICATION Permit #: 6
permitst bayfieldcounty.wi.gov Date:
SECTION A:: General Information
Property Q,vner Name:
Authorized Agent Name (if applicable):
ra rio)cft-f Bftwoirl
Telephone Number:
Telephone Number.
(nbS 5 D Dl
E -Mail Address:
r1.Com
E -Mail Address:
?I4
ti
SEP 22 ?fl?R
Mailing Address:
Mailing Address:
1p CU-tC P1 t V --r
City, State, Zip: I LI
City, State, Zip:
Contractor: Telephone Number:
E -Mail Address:
SECTION B: Property Information
Project Address (if different from mailing address):
tea C el w1aSCV7 i s"
Legal Description (if additional spa, '- "attach a separate sheet):
,uw 5L1 z r2 Pot'7oY1t-6ntcI
Section, Township, Range: o tj 5/c/ TW.a/ A at/ Town of:
Tax ID #: ' fl ?r ^
Lot Size (Acres/Squ re Feet): / , . C -
SECTION C: Project Information (check all that apply)
Project Use is: ® Residential ❑ Commercial ❑ Municipal If Commercial, estimated cost of construction: $
Project Type is: New Construction ❑ Addition/Alteration (existing structure)
❑ Change Use (existing structure) ❑ Relocate (existing structure) O 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 sft): required
SECTION D: Structure Information Does not apply to RVs and Signs, go to Section E)
Structure Type is: I� Residence ❑ Principal Structure (describe):
❑ Accessory Structure (describe): O Shoreland Exempt Structure (describe): O Mobile Home (provide manufactured
date):
O Shipping Container 0 Other (describe):
Foundation Type:
❑ Basement ❑ Walkout Basement L9 Slab ❑ Crawlspace ❑ Ground ❑ 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" Floor Sq Ft CJ�
�7 /
Loft Sq Ft
2"" Floor Sq Ft:
3" Floor Sq Ft:
Garage Sq Ft
Porch Sq Ft
Deck Sq Ft:
Other Sq Ft (describe):
Other Sq Ft (describe):
Total Sq Ft 3Q I
Overall Height (finished grade to peak): (%' p)'
# of Stories:
Existing # of Bedrooms on property: 6
Proposed # of Bedrooms in project:
SECTION E: RV and Sign Information (check all tfiai a I
Sign is:
RV is:
❑ New ❑ Replacement
O New ❑ Replacement
❑ On -premise ❑ Off -premise
❑ I -sided ❑ 2 -sided
Year. Vin #:
❑ On -building ❑ Multi -Tenant
Length: Width: Height:
Make: Model:
Application Page 1
SECTION F: Site Plan —attach a site plan or draw site plan in box below (See pages I & 2 of Land Use Permit Application
Information for information that is requircd to be provided
on site plan)
Show location of:
❑ Driveways ❑ Frontage Roads (include name) 3
Existing Structures 12
Well (W) El Septic Tank (ST) ❑ Drain Field (DF)
❑ Hold' ig Tank (HT) ❑ Privy (P) ❑ Lake ❑ River ❑Stream/Creek ❑Pond ❑Floodplain L]Wctlands ❑Slopes over 20%
N
(r` t
� J
LC_:D
SEP 222026
Setback or distance from furthest extent of structure
County Use Only
including eaves and overhangs to (include on site plan):
Verified setbacks
Road Centerline
3 £J5
ft
— 6? ft.
Notes/Comments:
Front Lot Line/Right-of-Way
y5 ft.
7 R
Side Lot Line 1
�� ft.
�>—ft
East South Wes circle one
Side Lot Line 2
n ft
.' 7 ft.
orth t Wes circle one
d�
'Y
Rear Lot Line
1LjQ ft.
ft.
Septic/Holding Tank
5O ft.
ft.
Drainfield
Nf p ft.
R
Privy
F} ft.
R
Well
(p ft.
£( &
Existing Structure/Building
Wetland
Elevation of Floodplain
4 Aft.
ft.
Ordinary High -Water Mark (OHWM)
N f ft.
ft.
Other (describe)
ft.
ft.
Application Page 2
SECTION G: Additional Questions
es
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
❑ No
Did a licensed surveyor mark lot line(s) if project' 'thin 10 feet of required setback? See page 2 of Land Use
Application information for required setbacks. Nfl
Yes
❑ No
Did property owner or applicant mark lot line(s) if project k's 'thin 30 feet of required setback? See page 2 of
Land Use Application Information for required setbacks. RI
Yes
❑ No
Is there an existing sanitary system on the property? If yes, what kind?
O Drainfield olding Tank O Municipal/Public ❑ Other (describe):
I,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):
Yes
❑ No
Will sleeping occur in the structure? If yes, contact local Uniform Dwelling Code (UDC)fpr approval and
inspection requirements.
Is the project associated with any of the following: r4OSEP 2 2 226
O Rezone O Class A Special Use O Class B Special Use O Conditional Use El Variance
Fcc payment will be made via: E•ay;eid Co.
Check (attached) ❑ Cash (attached) O debit/credit/echeck (department to call once payment is rea8yto'ibe taken) a:,en
I -low would you like to receive your permit card?
Mail to: OR O Email to:
t Property Owner Address O Agent Address O Contractor Address ❑ Other (provide name and email or address):
`Include caves, overhangs, sanitary system, and well in staking measurements
Section# 1:. 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.gov/toi)ic/wetiands, 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: ri " ( foC{n�/y�
Owner(s) or Authorized Agent Signature: ?tL/t-c1?%r4__ Date:_______
NOTES:
.
1. If you are signing on behalf of a owner(s) a letter of autho tion 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
P
all Framing Notes:
See Schedules for header sizes
CS- 1SP shear method to be used. See Shear page for shear panel details.
LMN&AREA
tA0 50 I,
1at Floor
SEP 222025
wn: Wit!
Eayffe; :a
Pler;ri::p antl
anry
surd
Elevation 1
Elevation 2
P.b
Elevation 3
Elevation 4
c'sL= x_ELv
SEP 222026
Phnnt
A
3p
�x
nn:
SCALE
Shear Plan Notes:
-rep Shear sheathing method to be used.
Ib al shear requirements uah this method.
Shear Panel Locations
LIVING AREA
am so fl
ihLCE,I%(E j) Shear Plan View
SEP 222026
pj;C3Yfieid
Zoning Ag t, ,
Jr
DAIS:
SCALE.
P.7
Elevation 5
arceruwse,�
9 I .
a
Elevation 6
m
SEP 222026
¢ a
6srfie7 Co.
wn:
SCAM
Real Estate Bayfield County Property Listing
Today's Date: 9/22/2026
LG7 Description
Updated: 6/26/2025
Tax ID:
21130
PIN:
04-026-2-46-05-14-3 02-000-20000
Legacy PIN:
026102803990
Map ID:
Municipality:
(026) TOWN OF KELLY
STR:
S14 T46N R05W
Description:
SW NW SW IN DOC 2025R-607861
Recorded Acres:
10.000
Calculated Acres:
10.063
Lottery Claims:
0
First Dollar:
Yes
Zoning:
(AG -1) Agricultural -1
ESN:
119
Tax Districts
Updated: 3/15/2006
1
STATE
04
COUNTY
026
TOWN OF KELLY
020170
ASHLAND SCHOOL
001700
TECHNICAL COLLEGE
Recorded Documents
Updated: 3/15/2006
® WARRANTY DEED
Date Recorded: 6/13/2025
2025R-607861
® WARRANTY DEED
Date Recorded: 3/11/2008
2008R-519547 991-53
0 CONVERSION
Date Recorded:
487170 692-424;876-723
0 WARRANTY DEED
Date Recorded: 11/5/2003
2003R-487170 876-723
Property Status: Current
Created On: 3/15/2006 1:15:38 PM
Ownership Updated: 6/26/2025
GRANT S & BRIGETTE N BLUDORN MARENGO WI
Billing Address:
Mailing Address:
GRANT S & BRIGETTE N
GRANT S & BRIGETTE N
BLUDORN
BLUDORN
63534 MARENGO RIVER RD
63534 MARENGO RIVER RD
MARENGO WI 54855
MARENGO WI 54855
Site Address * indicates Private Road
61280 KELLY RD MASON 54856
91 Property Assessment
Updated:
3/9/2026
2026 Assessment Detail
Code
Acres
Land
Imp.
5m -AGRICULTURAL FOREST
6.500
5,200
0
G1 -RESIDENTIAL
1.000
4,200
4,000
G4 -AGRICULTURAL
2.500
500
0
2 -Year Comparison
2025
2026
Change
Land:
9,800
9,900
1.0%
Improved:
4,000
4,000
0.0%
Total:
13,800
13,900
0.7%
If Property History
N/A
RICE ED
SEP 2 2 2026
Bayfield Co.
Planning and Zoning Agency
Land Use Permit Application Review Checklist
Submission #: t
What zoning district is the project located in?
❑ R-1 ❑ R-2 ❑ R-3 ❑ R-4 ❑ R-RB ❑ C ❑ 1 ❑ M A A-1 ❑ A-2 ❑ F-1 ❑ F-2 ❑ W ❑ M -M
0 Yes to
Is lot substandard (does not meet curre t zoning dimensional requirements)?
Deed of record:
El Yes alp
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)?
0 Ye3�No
Is impervious surface required? (Required if riparian lot OR lot is entirely within 300 feet of OHWM of
navigable waterway)
❑ Yes 410
Is the project located in the Floodplain? Zone:
❑ Yes..No
Are there wetlands on the property?
❑ YeNo
Is project associated with a nonconforming use or structure?
❑ Yes o
Is project associated with a variance? Case #:
❑ Yes >Jo
Is project associated with a Special B or Conditional Use Permit? Permit #:
❑ Yes cNo
Is the project associated with a Special A Use Permit?
es ❑ No
Does the project require sanitary? j 9.oa90 Itt?l /qo
xisting ❑ New ❑ Intercept %Reconnect ❑ Non -Plumbing ❑ Public
Sanitary Permit #: 26 — a 257 # of Bedrooms: /
❑ Yes o
Does the project require mitigation?
Implementation Deadline: Date of Compliance:
❑ Yes o
Does the project require an affidavit? Affidavit #:
El 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?
Proje use is3 Residential El Commercial 0 Municipal
Project type is? New Construction El Addition/Alteration El Change Use ❑ Relocate ❑ RV Placement ❑ Sign
❑ Establishing a Business 0 Temporary 0 Shoreland Grading ❑ Other, describe:
Structure Type is:, -Residence 0 Principal Structure 0 Accessory Structure 0 Boathouse (one story only)
❑ Open-sided/Screened Structure (gazebo, etc.) El Stairway to navigable waters ❑ Mobile Home
❑ Shipping Container ❑ 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 (exemptfrom fees)
❑ Return Inspection 0 Land Use Revisions 0 Special Use Permit - Class A ❑ Floodplain El Shoreland - Impervious
Surface ❑ Shoreland - Non -Conforming, etc. El Tower Siting/Collocation 1 ❑ Tower Collocation 2 0 Metallic Mine
❑ After -the -Fact (ATF)
$
Inspected by: g1
O GS r
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:
�
Date of Approval: � 2
C
Condition(s):
,Must meet and maintain setbacks from furthest extension of structure including eaves and
overhangs.
❑ For personal storage only.
or personal residence only.
❑ Not for human habitation or sleeping purposes.
[own/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.
'ro 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).
.and use permits shall be required for any new residence, any building or structure erected,
related, 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
nitation 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
11 YFIELD Bayfield County
Planning & Zoning Department
117 E 5w Street
P.O. Box 58
Washburn, WI 54891
Phone: 715-373-6138
Fax: 715-373-0114
Property Owner: Submission Number:
BLUDORN, GRANT S & BRIGETTE N LU-02565
63534 MARENGO RIVER RD
MARENGO, WI 54855 Transaction Number.
LU-02565-56203
Description
Amount
Habitable Residential Principal & Accessory
$440.00
Structures - enclosed areas $0.50/square foot
(minimum $125)
Total:
$440.00
Payment Amount:
$440.00
Reference: 1588
Paid by: Brigette N Bludorn / Grant S Bludom
Payment Type: Check
Transaction Date: 9/24/2026
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 / Wetlands — No
Mitigation — No / Affidavit #:
LAND USE - X
SANITARY — Reconnect 26-0254
SPECIAL A -
SPECIAL B/CONDITIONAL -
BOA -
BAYFIELD COUNTY
PERMIT
WEATHERIZE AND POST THIS PERMIT
ON THE PREMISES DURING CONSTRUCTION
No. 26-0516 Tax ID: 21130
Issued To: BLUDORN, GRANT S & BRIGETTE N
Location: S14 - T46N - R05W
Town of Kelly
Legal Description: SW NW SW IN DOC 2025R-607861
Residential Structure in A-1 zoning district
For: New Construction [1 - Story ], Residence on a Slab [880 Total sq. ft. ] Height of 14'
(I )is:clrinun): 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 24, 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): 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.
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).