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HomeMy WebLinkAbout26-0519'return to: County Use Only: •7 E 5w Street, PO Box 58 Bayfield County Planning and Zoning Department Submission #: LU -Od556 Washburn, WI 54891 LAND USE PERMIT APPLICATION Permit #: O permits@bayfieldcounty.wi.gov Date: d'9 Oe' SECTION A: General Information �.,,,,,._- ` Property Owner Name: Gurney Authorized Agent Name (if applicable): Edward R Telephone Number: Telephone Number: 715-509-1882 E -Mail Address: E -Mail Address: 6 eddie@barabooawning.com Mailing Address: Mailing Address: nmj a;, L,Q, 625 Prairie Ave City, State, Zip: City, State, Zip: EITERED Baraboo, WI, 53913 Contractor: Telephone Number: E -Mail Address: N/A SECTION B: Property Information Project Address (if different from mailing address): 16915 S Ridge Rd, Cable, WI 54821 Legal Description (if additional space is needed attach a separate sheet): kriJq, AJJl4;,' 3 L).444rZ, tc o+ 7 I14, lid 10C — ' 7 Section, Township, Range: S22, T43N, R07W Town of: Cable Tax ID #: 10618 Lot Size (Acres/Square Feet): 0.880 Ac SECTION C: Project Information (check all that apply) z - r Project Use is: a Residential ❑ Commercial ❑ Municipal If Commercial, cstimated cost of construction: $ Project Type is: R 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 ❑ RV Placement 4+ months, Class A ❑ Other (describe): required Total sq ft): required ,SECTIQ.J1: Structure Information (Does not apply to RVs and Signs, go to Section EL_. _ Structure Type is: ❑ Residence ❑ Principal Structure (describe): El Accessory Structure (describe): ❑ Shoreland Exempt Structure (describe): ❑ Mobile Home (provide manufactured Garage date): ❑ Shipping Container ❑ Other (describe): Foundation Type: ❑ Basement ❑ Walkout Basement O Slab O Crawlspace ❑ Ground ❑ Skids ❑ Other (explain): Existing Structure: Length: r Width: Height: i 5r Proposed Structure (Provide Sq Ft based on outside dimensions, including unfinished areas, attached garages/above grade decks/porches). Basement Sq Ft: Pt Floor Sq Ft: Loft Sq Ft: 2n^ Floor Sq Ft: 3`a Floor Sq Ft: Garage Sq Ft: Porch Sq Ft: Deck Sq Ft: Other Sq Ft (describe): Other Sq Ft (describe): O Total Sq Ft: + Q Overall Height (finished grade to peak): j S' # of Stories: ( Existing it of Bedrooms on property: It Proposed # of Bedrooms in project: O SECTION E: RV and Sign Information (check all that a I _. Sign is: RV is: ❑ New ❑ Replacement ❑ New ❑ Replacement ❑ On -premise ❑ Off -premise ❑1 -sided ❑2 -sided Year: Yin it: ❑ On -building ❑ Multi -Tenant Length: Width: Height: Make: Model: Application Page 1 o94 sue,, 51.5*1 RECEIVED ,/ SEP 172026 ao, BaYfield Co. Planning and Zoning Agency 0' 8 1 I. NDA M LARONGE DAVID B & AI 9 ! Tax ION 1061 / 4811 I COO ��1 a,' Q W0 � 66' �'--- N � 16915 S RIDGE RD �� AND MELISSA GURNEY x�# 10 28 GI)0 It 77 246.12' A- Lurre.i4 Ccbin C - .,.il.1 rnovej 5kJ -t 3 Nvi Grcj— I 36 U 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 required to be provided on site plan) Show location of: ❑ Driveways ❑ Frontage Roads (include name) ❑ Existing Structures ❑ Well (W) ❑ Septic Tank (ST) ❑ Drain Field (DF) ❑ Holding Tank (HT) ❑ Privy (P) ❑ Lake ❑ River ❑Stream/Creek ❑Pond ❑Floodplain ❑Wetlands ❑Slopes over 20% N Q /1t�tiC�,/1 tatku,^� �GC� Rzc:tilrV SEP 112026 Planning and Zon n9 A9ency 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. > 3 ft. Notes/Comments: Front Lot Line/Right-of-Way ft. ft. Side Lot Line 1 (North East South Wes circle one) o T ft. Okl / Z ft. Side Lot Line 2 (Northp South West, circle one) ft. ft. Rear Lot Line > ft. ft. Septic/Holding Tank ft. ft. Drainfield lb Lr ft. > j7,ft. Privy ft. ft. Well 6 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 SECTION G;.Additional,Qgestions , . _. „,- _ .r_� .. a, ,,;, p„. .. . - Yes ❑ No Has the location of the proposed project including eaves and overhangs and the sanitary system and well been staked? If no, what date will this be completed: 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 -E.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. U t e.nsc.i Sutra o r Yes O No Is there an existing sanitary system on the property? If yes, what kind? Drainfield ❑ Holding Tank ❑ Municipal/Public ❑ Other (describe): ❑ Yes 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 0 Holding Tank O Municipal/Public O Other (describe): ❑ Yes 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: .,, RECEiVeo ❑ 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) O debit/credit/echeck (department to call once payment is ready tSfPtali1e How would you like to receive your permit card? BaYfieid Co. ❑ Mail to: OR )R Email to: Edcflt�3rarGiJ00avwi r,h, LOM Planning and zoning qgg O Property Owner Address O Agent Address O Contractor Address O Other (provide name and email or add❑r8 ): 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.gov/tonic/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 forthe purpose of inspection. 64 Owner(s) or Authorized Agent Printed Name: a r � (� L'r (te,V� Owner(s) or Authorized Agent Signature: /.n f�---�/ Date: q 1 7 a6 NOTES: 1. 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. Application Page 3 Land Use Permit Application Review Checklist Submission #: * " What zoning district is the project located in? ❑ R-1 ❑ R-2 ❑ R-3 ❑ R-4 M..R-RB ❑ C ❑ 1 ❑ M ❑ A-1 ❑ A-2 ❑ F-1 ❑ F-2 ❑ W ❑ M -M )Q'es No Is lot substandard (does not meet current zoning dimensional requirements)? If Deed of record: ❑ Yes lM 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 )-No Is impervious surface required? (Required if riparian lot OR lot is entirely within 300 feet of OHWM of / navigable waterway) ❑ Yes o Is the project located in the Floodplain? Zone: ❑ Yes' No Are there wetlands on the property? ❑ Yes Is project associated with a nonconforming use or structure? ❑ Yes No Is project associated with a variance? Case #: ❑ Yes o Is project associated with a Special B or Conditional Use Permit? Permit #: Is the project associated with a Special A Use Permit? Does the project require sanitary? ❑ Yes o ❑ Yes No O Existing ❑ New O Intercept O Reconnect ❑ Non -Plumbing ❑ Public Sanitary Permit #: # of Bedrooms: ❑ Yes1tJo Does the project require mitigation? Implementation Deadline: Date of Compliance: ❑ Yes o Does the project require an affidavit? Affidavit #: '�IYes'D No Did licensed surveyor mark lot line(s), if project is within 10 feet of required setback? es ❑ No Did applicant/property owner mark lot line(s), if project is within 30 feet of required setback? Project use is?,EResidential ❑ Commercial ❑ Municipal Project type is?'New 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 (k\Accessory Structure O Boathouse (one story only) ❑ Open-sided/Screened Structure (gazebo, etc.) O Stairway to navigable waters ❑ Mobile Home ❑ Shipping Container O Oth r, describe Total Sq. Ft. of Project: JO O 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 ❑ Dwelling Unenclosed Areas (decks, patios, etc.) or $0.20 x sq ft (minimum $125) Attached Non -Habitable Garages $ ❑ 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 O Land Use Revisions O Special Use Permit - Class A O Floodplain O Shoreland - Impervious Surface O Shoreland - Non -Conforming, etc. O Tower Siting/Collocation 1 O Tower Collocation 2 O Metallic Mine ❑ After -the -Fact (ATF) $ Inspected by: Date of Inspection: Re -Inspected by: Date of Re-Inspec ion: Denied by: Date of Denial: Reason for Denial: Date Denial Letter Mailed: Approved by: L. Date of Approval: Condition(s): lust meet and maintain setbacks from furthest extension of structure including eaves and overhangs. $For personal storage only. (❑ For personal residence only. Plot 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. ❑ A Uniform Dwelling Code (UDC) Permit from the locally contracted UDC Inspection Agency must be obtained prior to the start of construction (if applicable). , Jse 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. 7'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. o plumbing or plumbing fixtures allowed. o additional sleeping areas allowed without obtaining necessary sanitary permit(s). nd use permits shall be required for any new residence, any building or structure erected, elocated, rebuilt, or structurally altered permits shall be obtained prior to the initiation of construction or a change in land use ;�Land.use qurements (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 117 E 5th Street P.O. Box 58 Washburn, WI 54891 Phone: 715-373-6138 Fax: 715-373-0114 Property Owner: Submission Number: GURNEY,EDWARD J AND MELISSA LU-02556 625 PRAIRIE AVE BARABOO, WI 53913 Transaction Number: LU-02556-566E9 Description Amount Non -Habitable Residential Principal and Accessory $216.00 Structures - $0.20/square foot (minimum $75) Total: $216.00 Payment Amount: $216.00 Reference: 1101 Paid by: Edward Gurney / Melissa Gurney Payment Type: Check Transaction Date: 9/29/2026 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 - Yes / Nonconforming - No Shoreland - No / Impervious Surface - No Floodplain - No / Wetlands - No Mitigation - No / Affidavit #: LAND USE -X SANITARY - SPECIAL A - SPECIAL B/CONDITIONAL — BOA — No. 26-0519 Tax ID: 10618 Issued To: GURNEY, EDWARD J AND MELISSA Location: S22 - T43N - R07W Town of Cable BAYFIELD COUNTY WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION Legal Description: SOUTHRIDGE ADDITION TO WILDE RIVER LOT 77 1743 IN DOC 2024R-604467 Residential Structure in R-RB zoning district For: New Construction [1 - Story ], Accessory Structure on a Slab [1080 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. Scott Roush Authorized Issuing Official September 29, 2026 Date Condition(s): Must meet and maintain setbacks from furthest extension of structure including eaves and overhangs. For personal storage only. Not for human habitation or sleeping purposes. Use best management practices to limit and prevent erosion during construction. To be constructed per plan. 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.