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HomeMy WebLinkAbout26-0522Return to: County Use Only: 117 E 51° Street, PO Box 58 Bayfield County Planning and Zoning Department Submission #: LU-Oa&66 Washburn, WI 54891 LAND USE PERMIT APPLICATION Permit#: permitstWbayfieldcounty.wl.gov Date: ci!49 1a_oe SECTION.A:,GencralInformation Prputy Ow per Dante: Authorized Agent Name (if applicable): Je VV t\\n vr'i' Telephone Number: • 7/S S 4'8M or `1ISb8dtj 190 Telephone Number: RECEIVED E -Mail Address: E -Mail Address: SEP 222026 9%a3 Mailing Address: 57�'7O Four CzyfltYs &rtwe ltd Mailing Address: BaylStdCo. PtwwtpwtdzontgAgency City, State, Zip: W_ VeS, City, State, Zip: son Contractor: eY t n S\eaOar r+s Telephone Number: ?Gw`i x'5 180 E -Mail .Address: e, rs`Q'dVrVprlciaT5}2eltnC.C 'SECTTONB:Property Informafion — _ Project Address (iidiflcrent from mailing address): Legal Description (if addittiionA 41 spice is needed attach a separate sheet): ng''sd Section, Township. Range: _ c . Town of: L i n C p t� Tax ID :': .1_-2 3. 90 Lot Size (Acres/Square Feet): 5.,)1 Ij SECTION C: Project Information check all thatapply Pr,rf cr Live iv: _S Residential G Commercial ❑ Municipal IiC'onunercial, estimated cost of construction: $ Project Type is: 9 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 44 months. Class A ❑ Other (describe): required (Total sit): required SECTION D: Structure Information (Does not apply to RVs and Signs, go to Section! Structure Type is: ❑ Residence ❑ Principal Structure (describe): W Accessory Structure (describe): ❑ Shoreland Exempt Structure (describe): ❑ Mobile Home (provide manufactured A CV ed of Lk r3)e date): ❑ Shipping Container ❑ Other (describe): Foundation Type: ❑ Basement 0 Walkout Basement ® Slab ❑ Crawlspace ❑ Ground ❑ 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: I' Floor Sq Ft: Lot) Sq Ft: 2"d 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: 12-Oo Overall Height (finished grade to peak): J3,ye �4 It of Stories: 1 Existing # of Bedrooms on property: Proposed # of Bedrooms in project: SECTION E: RV and Sin Information (check all that apply) Sign is: R t' is: ❑ New ❑ Replacement ❑ New ❑ Replacement ❑ On -premise ❑ Off -premise ❑ I -sided ❑ 2 -sided Year: Vin #: ❑ On -building 0 Multi -Tenant Length: Width: Height: Make: Model: Application Page I SECTION F: Site Plan — attach a site plan or draw site plan in box below (See pages 1 & 2 of Land Use PermitApplication Information for information that is required to be provided on site plan) Show location of: ® Driveways )d Frontage Roads (include name) & Existing Structures iF Well (W) i*-Septic Tank (Sl) 9 Drain Field (DF) ❑ Holding Tank(HT) O Privy (P) ❑ Lake ❑ River ❑Stream/Creek ❑Pond ❑Floodplain IT] ❑Slopes over 20% N � m r yr Garage •' . r ' :: arm {s ,�, c ti•r ht, f_ tt r ✓ 21°t , s TT �e a^dtl n S __________________ ___ Setback or distance from furthest extent of structure County Use Only including eaves and overhangs to (include on site plan): Verified setbacks Road Centerline jC ft. Ip 3ft. Notes/Comments: RECEIVrp Front Lot Line/Right-of-Way / ft. Si Lot Line I ft. (NorthEast South West, circle one) 303 SEP nn 2026 Bayriea Co Planntn0 and Zoning Agency Ste Lot Line 2 (North East ou est, circle one) ft. / zs 7 Rear Lot Line 3 ft. Septic/Holding Tank L/F7 91 f. R. Drainfield GI/' g ft. ft. 4 Privy /./)4- fl. ft. Well 13 q, S ft. J ' ft. Existing Structure/Building (j ft. ft. Wetland � ft. fL Elevation of Floodplain R ft. ft. Ordinary High -Water Mark (OHWM) ft. ft. Other(describe) t/J� ft. ft. Application Page 2 2@ 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 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. ll Yes O No Is there an existing sanitary system on the property? If yes, what kind? H0QhA Sj SI-evv, ❑ Drainfield ❑ Holding Tank ❑ Municipal/Public 1 .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? ❑ Drainfeld O Holding Tank ❑ Municipal/Public O Other (describe): ❑ Yes 19 No Will sleeping occur in the structure? If yes, contact local Uniform Dwelling Code (li�4G..�U and y� inspection requirements. Is the project associated with any of the following: ❑ Rezone O Class A Special Use O Class B Special Use O Conditional Use ❑ Variance SEP 222026 Fee payment will be made via: ❑ Check (attached) O Cash (attached) JR debit/credit/echeck (department to call once payment ' How would you like to receive your permit card? ❑ Mail to: OR k� Email to: J V 2 009 4361 W J2. C.9 •n ❑ Property Owner Address ❑ Agent Address ❑ Contractor Address ❑ Other (provide name and email or address): *Include eaves, overhangs, sanitary system, and well in staking measurements 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.aov/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. sL ff t`�i "1 Owner(s) or Authorized Agent Printed Name: V il.b( ( Owners) or Authorized Agent Signature:ft Date: NOTES: 1. If you are signing on behalf of owes) a letter of authorization must accompany this application. 2. Specific conditions/instructio 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 Perspective View Left Side — lv- - 30 Wij RECENED SEP 2 2 2026 wo mgH Front — Right Side rASI- Back - S off, • - L 4j@, SA L _ r , tx t..w 4Cg Q1 � s (Si ,_-, * t 4it: • -•;1 : __ ifd,ilt" . i - r R Lb,/Tax Ib ti 22, TOWN OF. JNCOL H! ,e — - RECEIVED 'SEP 222026 Bay1&d Co. --t?PWtnkg and Zoning A9encY �II ai a Re8l Estate Bayfleld County Property Listing Today's Date: 9/23/2026 Description Updated: 2/8/2022 Tax ID: 22390 PIN: 04-030-2-45-05-01-2 03-000-20000 Legacy PIN: 030100105000 Map ID: Municipality: (030) TOWN OF LINCOLN STR: SOl T45N R05W Description: PAR IN SW NW IN V.1126 P.234 12A Recorded Acres: 5.106 Calculated Acres: 5.586 Lottery Claims: 0 First Dollar: Yes Zoning: (AG -1) Agricultural -1 ESN: 121 Tax Districts Updated: 3/15/2006 1 STATE 04 COUNTY 030 TOWN OF LINCOLN 041491 SCHL-DRUMMOND 001700 TECHNICAL COLLEGE ' Recorded Documents Updated: 2/22/2010 ® WARRANTY DEED Date Recorded: 6/12/2014 2014R-554599 1126-234 © TERMINATION OF DECEDENT'S INTEREST Date Recorded: 9/16/2009 2009R-528807 1026-5 ® TERMINATION OF DECEDENT'S INTEREST Date Recorded: 9/16/2009 2009R-528806 1026-1 ® CONVERSION Date Recorded: 3/15/2006 172-599;763-955 ® WARRANTY DEED Date Recorded: 4/26/1999 448854 763-955 Property Status: Current Created On: 3/15/2006 1:15:41 PM at Ownership Updated: 2/8/2022 JEFFREY & JULIE VAILLANCOURT MASON WI Billing Address: Mailing Address: JEFFREY &JULIE JEFFREY &JULIE VAILLANCOURT VAILLANCOURT 57690 FOUR CORNERS STORE RD 57690 FOUR CORNERS STORE RD MASON WI 54856 MASON WI 54856 T Site Address " indicates Private Road 57690 FOUR CORNERS STORE RD MASON 54856 -- Property Assessment Updated: 9/19/2025 2026 Assessment Detail Code Acres Land Imp. Gl-RESIDENTIAL 1.000 10,500 94,000 G4 -AGRICULTURAL 4.106 300 0 2 -Year Comparison 2025 2026 Change Land: 10,800 10,800 0.0% Improved: 94,000 94,000 0.0% Total: 104,800 104,800 0.0% 1 Property History N/A 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 ❑1 0M4-1 ❑A-2 ❑F-1 ❑F-2 ❑W DM -M ❑ Yes o Is lot substandard (does not meet curreiSt zoning dimensional requirements)? Deed of record: ❑ Yes �i4tp 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 lH4o / Is impervious surface required? (Required if riparian lot OR lot is entirely within 300 feet of OHWM of navigable waterway) ❑ Yes Ls4o Is the project located in the Floodplain? Zone: ❑ Yes No Are.there wetlands on the property? ❑ YesNNo Is project associated with a nonconforming use or structure? ❑ Yes o Is project associated with a variance? Case #: ❑ Yes -.No 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 O New 0 Intercept O Reconnect O Non -Plumbing 0 Public Sanitary Permit #: # of Bedrooms: ❑ Yes �No Does the project require mitigation? Implementation Deadline: Date of Compliance: ❑ Yes o Does the project require an affidavit? Affidavit #: ❑ Yes ,,'Jo Did licensed surveyor mark lot line(s), if project is within 10 feet of required setback? ❑ Yes Jo Did applicant/property owner mark lot line(s), if project is within 30 feet of required setback? Proje use is? . -Residential ❑ Commercial ❑ Municipal Project type is New Construction ❑ Addition/Alteration ❑ Change Use ❑ Relocate ❑ RV Placement ❑ Sign ❑ Establishing a Business ❑ Temporary ❑ Shoreland Grading ❑ Other, describe: Structure Type is: O Residence 0 Principal Structure,:,Accessory Structure 0 Boathouse (one story only) ❑ Open-sided/Screened Structure (gazebo, etc.) 0 Stairway to navigable waters O Mobile Home ❑ Shipping Container 0 Other, describe Total Sq. Ft. of Project: p Number of Stories: Overall Height: 3 2 Fee Type Calc lotion 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) $ O 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 ❑ Land Use Revisions ❑ Special Use Permit - Class A 0 Floodplain 0 Shoreland - Impervious Surface 0 Shoreland - Non -Conforming, etc. ❑ Tower Siting/Collocation 1 O Tower Collocation 2 0 Metallic Mine 0 After -the -Fact (ATF) $ Inspected by: 5 Date of Inspection: Re -Inspected by: Date of Re -Inspection:) Denied by: Date of Denial: Reason for Denial: Date Denial Letter Mailed: Approved by: Date of Approval: Condition(s): ust meet and maintain setbacks from furthest extension of structure including eaves and overhangs. or personal storage only. ❑ For personal residence only. lot 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 dbtained 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). se 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 .lo sewer and pressurized water allowed in the structure. %o 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, elcated, rebuilt, or structurally altered use permits shall be obtained prior to the initiation of construction or a change in land use equirements (e.g., permits/licensing/tax) of Local Town, Village, City, State or Federal agencies are squired ❑ 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: VAILLANCOURT, JEFFREY & JULIE 57690 FOUR CORNERS STORE RD MASON, WI 54856 Description Non -Habitable Residential Principal and Accessory Structures - $0.20/square foot (minimum $75) Submission Number. LU-02566 Transaction Number. LU-02566-566EA Amount $240.00 Total: $240.00 Payment Amount: $245.71 Reference: 1815757825 Paid by: Jeffrey Vaillancourt Payment Type: Credit Card 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 — No / 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. 26-0522 Tax ID: 22390 Issued To: VAILLANCOURT, JEFFREY & JULIE Location: 501 - T45N - R05W Town of Lincoln Legal Description: PAR IN SW NW IN V.1126 P.234 12A BAYFIELD COUNTY PERMIT WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION Residential Structure in A-1 zoning district For: New Construction [1 - Story ], Accessory Structure on a Slab [1200 Total sq. ft. ] Height of 13.25' (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.