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HomeMy WebLinkAbout26-0525Return to: County Use Only: 119 E 5`Ii Street, PO Box 58 Bayfield County Planning and Zoning Department Submission #: i-L(- b a � Washburn, WI 54891 LAND USE PERMIT APPLICATION Permit #: — OSt} permits@bayfieldcountv.wi.gov Date: q 3O �a -cab SECTION A: General Information -- Property Owner Name: Authorized Agent Name (if applicable): i- A J L( E M Telephone Number. Telephone Number: olsc R E -Mail Address: E -Mail Address: '°46 t.T5t.pD Mal( • Com SEP Mailing Address: Address: Srailing 't~ SrBa el ity, p Si? Z City, State, Zip: ntnngand ZoningAgency ltate,CZip, WS V�/y 1 Co tractor: Telephone Number: E -Mail Address: t„ t --I. D r L5 2v `S uo 1 ZS3 .cc. trez SECTION B: Property Information Project Address (if different from mailing address): to gc- TrThver L1r 48 o P r Pb&t" 12O I O Legal Description (if additional space is needed attach a separate sheet): t2- 1N e- sw g cWSC Irc v 1(99 p l0i Section, Township, Range: S O 6 6 67 Town of: e I k* Tax ID It: Lot Size (Acres/Square Feet): SECTION C: Project Information (check all Project Use is: A Residential ❑ Commercial El Municipal If Commercial, estimated cost of construction: $ Project Type is: ® New Construction ❑ Addition/Alteration (existing structure) El Change Use (existing structure) El Relocate (existing structure) ❑ RV Placement 21+ days ❑ Sign ❑ Establishing a Business ❑ Temporary (12 or less months) El 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: ❑ Residence El Principal Structure (describe): ® Accessory Structure (describe): El Shoreland Exempt Structure (describe): ❑ Mobile Home (provide manufactured �o,c Mo )oLt giv date): ❑ Shipping Container El Other (describe): Foundation Type: ❑ Basement ❑ Walkout Basement El Slab El Crawlspace ® Ground El 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: 151 Floor Sq Ft: Loft Sq Ft: 2nd Floor Sq Ft: 3 d Floor Sq Ft: 4' *' oCofr orL Garage Sq Ft: Porch Sq Ft: Deck Sq Ft: Other Sq Ft (describe): Other Sq Ft (describe): Total Sq Ft: by ! Overall Height (finished grade to peak): # of Stories: Existing It of Bedrooms on property: Proposed # of Bedrooms in project: SECTION E: RV and Si ;Information (check all that apply) Sign is: RVis: is: El New ❑ Replacement ❑ New ❑ Replacement ❑ On -premise ❑ Off -premise ❑ 1 -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 required to be provided on site plan) Show location of: N Driveways ❑ Frontage Roads (include name) 611 Existing Structures l Well (W) I1$ -Septic-'Punk (ST) N Drain Field (DF) ❑ Holding Tank (HT) ❑ Privy (P) It Lake ❑ River O Stream/Creek ❑Pond ❑Floodplain []Wetlands O Slopes over 20% N RECEIVED / I SEP 18 2026 y Bayfield Co. Planning and Zoning Agency SCoT � �L;P4 ¼ tySZ� �RIFP e-iaw5 t3��nAG� (Z -Z-05 LS va 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. ft. Notes/Comments: Front Lot Line/Right-of-Way ft. ft. Side Lot Line 1 ft. ft. (North East South West, circle one) Side Lot Line 2 ft. ft. (North East South West, circle one) Rear Lot Line ft. ft. Septic/Holding Tank ft. R Drainfield ft. ft. Privy ft. ft. Well ft. ft. Existing Structure/Building ft. ft. Welland ft. ft. Elevation of Floodplain ft. ft. Ordinary High -Water Mark (OHWM) ft. ft. Other (describe) ft. ft. Application Page 2 RECEIVED SEP 18 2n�a SECTION G: Additional Questions 9 Yes ❑ No Has the location of the proposed project* been staked? If no, what date will this beltiW "'°'"Y 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 is within 10 feet of required setback? See page 2 of Land Use Application Information for required setbacks. ❑ Yes R 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. W Yes ❑ No Is there an existing sanitary system on the property? If yes, what kind? ® Drainfield ❑ Holding Tank ❑ Municipal/Public ❑ Other (describe): ❑ Yes iN No Will 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): ❑ Yes 19 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 0 Class B Special Use ❑ Conditional Use 0 Variance Fee payment will be made via: ❑ Check (attached) ❑ Cash (attached) ❑ debit/credit/echeck (department to call once payment is ready to be taken) How would you like to receive your permit card? ❑ Mail to: OR ® Email to: M Property Owner Address ❑ Agent Address ❑ Contractor Address ❑ Other (provide name and email or address): 'Include eaves. overhangs, sanitary system, and well in staking measurements Section H: Acknowled ement,gnd. j _alnre _, 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.Qov/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 relied upon by Bayfield County in determining whether to issue a permit. I (we) further accept liabilityr vHii m eFu Bayfield County relying on this information I (we) are providing in or with this application. I (we consen t coun Is charged with administering county ordinances to have access to the above -described property at , y reas le C o e f inspection. Owner(s) or Authorized Agent Printed Name: o— 6 Owner(s) or Authorized Agent Signature: 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. Application Page 3 Bayfield County Impervious Surface Calculations These calculations are REQUIRED per WI Admin Code NR 115.05(1)(e) and Section 13-1-32(c) and 13-1-40(h) of the Bayfield County Code of Ordinances. The undersigned hereby makes application for construction, reconstruction, expansion, replacement or relocation of any impervious surface within 300 feet of the ordinary high-water mark and agrees that all activities shall be in accordance with the requirements of the Bayfield County Code of Ordinances and all other applicable ordinances and the laws of the State of Wisconsin. The calculations are also REQUIRED in the case of a land division where the lot to be created or reconfigured will be reduced in lot area. Pursuant to Chapter 1, Title 13, Section 13-1-106(d) of the Bayfield County Zoning Ordinance(s), Planning and Zoning Department employees assigned to inspect properties shall have access to said properties to make inspections. Property Owner(s): r, ✓ OMr4t Mailing Address: Property Address: y 76 ( 44- 3y /3 Aga) Legal Description: Section, Township, Range 1/4, 1 S0 SE 1/4, I t Sec Township � / Y� N, Range ___ W 'a r 5� I� i I ti , Authorized Agent/Contractor Gov't Lot I Lot # I CSM# I Vol & Page 'fi1✓t utLL4 tJE+ Lot(s) # Block(s) # Subdivision Town of: Parcel ID#(PIN#) p4,po0 —(woeo Tax ID# Date: o4-btL-Z-9b-07 —06-5 p5j 1 a l `i-Z6 Impervious Surface: An area that releases as runoff all or a majority of the precipitation that falls on it. "Impervious surface" excludes frozen soil but includes rooftops, sidewalks, driveways, parking lots and streets unless specifically designed, constructed and maintained to be pervious. Impervious surface standards shall apply to the construction, reconstruction, expansion, replacement or relocation of any impervious surface that is or will be located within 300 feet of the ordinary high water mark of any navigable waterway on any riparian lot or parcel and any nonriparian lot or parcel that is located entirely within 300 feet of the ordinary high-water mark of any navigable waterway. Calculation of Impervious Surface: Percentage of impervious surface shall be calculated by dividing the surface area of the existing and proposed impervious surfaces on the lot or parcel by the total surface area of that lot or parcel and multiplying by 100. If an outlot lies between the ordinary high-water mark and the developable lot or parcel described in subd. 1. and both are in common ownership, the lot or parcel and the outlot shall be considered one lot or parcel for the purposes of calculating the percentage of impervious surfaces. Impervious Surface Standard: Allow up to 15% impervious surface but not more than 30% impervious surface on the portion of a lot or parcel that is within 300 feet of the ordinary high-water mark. A permit can be issued for development or land division approved that exceeds 15% impervious surface but not more than 30% impervious surfaces with a mitigation plan that meets the requirements of the Bayfield County Ordinance(s). Existing Impervious Surfaces: For existing impervious surfaces that were lawfully placed when constructed but that do not comply with the standards in Section(s) 13-1-32(c) and Section 13-1-40(h), the property owner may do any of the following: a. Maintenance and repair all impervious surfaces: b. Replace existing impervious surfaces with similar surfaces within the existing building footprint; c. Relocate or modify existing impervious surfaces with similar or different impervious surfaces, provided that the relocation or modification does not result in an increase in the percentage that existed on -the effective date of the county shoreland ordinance and meets the applicable setback requirements in Section 13-1-22 srP 182026 eayeeid co. planning and Zoning Agency RIECEIVED SEP 187076 Impervious Surface Item Dimension 6ayfeldCo. Area (Square Footage) Planning and Zoning Agen.:'. Existing House /300 Existing Accessory Building/Garage Existing Sidewalk(Patio(s) 7 1 G' f 7�y Existing Covered Porch(s), & Deck(s) _ • Existing Driveway j 0 o Other Structures Proposed Addition/House Proposed Accessory Building/Garage Ok () / 200 Proposed Sidewalk(s) & Patio(s) Proposed Covered Porch(s) & Deck(s) •p x 0 1oa Proposed Driveway Proposed Other Structures Total: -7 z -z_ a. Total square footage of lot: S cG r220 (. b. Total impervious surface area: c. Percentage of impervious surface area: 2- 100x(b)/a= : a% If the proposed impervious surface area is greater than 15% mitigation is required. Total square footage of additional impervious surface allowed: @ 15% @ 30% (County Use Only) Date of Inspection: 7 G �V Inspection Record: Zoning District ( ) Condition(s): Stormwater Management Plan Required: DYes ❑No ���ctor: - / Date of Approvay ,� u/fomns/impervioussurface Created: May 2012 (®Sept 2016, Sept 2020, Feb 2026) Proofed by: eBUILDINGS' Proposal Project: Date: 9/10/2026 Page: 5 of 8 306 30'x11'x40' (#1) Column Plan SEP 18 2026 Bayfield Co. planning and Zoning Agency 0' 15' 30' C OON A B • B 0' 3'6" 126" 286" 40' n ® e o a 80-22833-20260910-16235696-8BD3-9 U 2026 Morton Buildings, Inc. Initials: MORTON Proposal Project: BUILDINGS p Date: 9/10/2026 Page: 2 of 8 One, 160" x 9'0" Overhead Door Opening, 16' 2" X 9'!" Panel, OHD/Operator requires P4" Headroom, Available Headroom is 2' 3", . Morton Buildings will provide preparation for future interior liner See Subcontract Section for Detailed Door Information (Location C) Porches One, 40' lineal feet of coverage, 10' wide Porch with 4/12 Pitch, approx. 84.5" grade to porch rafter Start porch on South wall 0' from left edge of building for 40' Start of porch open and end of porch open Roof of porch to be Fluoroflexh 1000 Hi -Rib Steel Minimum .019 Morton Foundation System of concrete lower in ground with laminated wood column upper. RECEIVED Unfinished rafters under porch with soffit only covering the overhang I' sidewall overhang without gutters, I' overhang on West end and 1' overhang on East end SEP 182026 Subcontracts Bayfield Co. SITE PREP planning and Zoning Agency Prepare 60' X 60' site for 30' X 40' Morton Building with a 10' porch. Prepare driveway and turn around in front of the building pad with class 5. Preparation consists of: Clearing of trees and removal of stumps. Removal of organic matter, topsoil, vegetation, and unsuitable soil types. Material to be stockpiled for use in finish grading around building following construction. Erosion and Sediment Control as required. Suitable fill materials to be cut from high areas and placed in low areas. Additional structural fill of high quality to be supplied bringing site up to designated benchmark, +/- one (1) inch. Prior to placing fills to raise site grade and/or after cuts are made to the subgrade elevations, the subgrades should be proof rolled. Soft areas identified by the proof -rolling should be investigated and stabilized accordingly. Structural Fill material will be placed and compacted in 3" to 12" lifts depending on type of fill material and compaction equipment (plate compactor, vibratory roller, or sheep's -foot). Fill to be compacted to 95% of maximum dry density and free of rocks 4" or larger except in column area where maximum size to be 1" or less. If site preparation is performed during wet conditions, the moisture content of the soils maybe more than the optimum moisture content required to achieve proper compaction. Contractor is responsible for the moisture conditioning of fill materials to achieve proper compaction. Perimeter to slope a minimum of 5% (6" in 10ft.) and up to 10% slope (12" in 1 Oft.) away from perimeter of 30 X 40 Morton Building to shed water and must support MBI safety equipment allowing for safe operation. Contractor is responsible for site safety based on OSHA guidelines. Dig clearance to be called and maintained. Install 162" x 91" Raynor Insulated M200C (R-18.30) - 2" Thick, Pencil Grooved, Stucco Panel, Black - 2" Heavy Duty Track and hardware - Standard Radius Track - Standard (10,000 cycle) springs. - Door and Operator require 16" of headroom. - Available Headroom is 2'-3". 80-22833-20260910-16235696-8BD3-9 ,42026 Motlon Builtlmgs. Inc. Initials: w Iii C) 0I y C 5 U Tg m m c3, C c3 vy z N2 vi N N . o o M o 0 y N -I, { m v 4 Si"ie•. 9/25/26, 12:18 PM Real Estate Bayfield County Property Listing Today's Date: 9/25/2026 Novus-Wisconsin Access rev. 12.0206 Property Status: Current Created On: 3/15/2006 1:15:15 PM Description Updated: 6/8/2020 Tax ID: 12511 PIN: Legacy PIN: Map ID: Municipality: 5Th: Description: Recorded Acres: Calculated Acres: Lottery Claims: First Dollar: Zoning: ESN: 04-016-2-46-07-06-3 04-000-60000 016100903980 (016) TOWN OF DELTA 506 T46N R07W PAR IN SE SW & SW SE IN 5.060 3.946 Yes (R-1) Residential -1 110 Ownership Updated: 6/8/2020 CHARLES BOMAR CHIPPEWA FALLS WI JULIE KEOWN-BOMAR CHIPPEWA FALLS WI Billing Address: Mailing Address: V.1148 P.101 BOMAR, CHARLES & KEOWN- BOMAR, CHARLES & KEOWN- BOMAR, JULIE BOMAR, JULIE 6496 187TH ST 6496 187TH ST CHIPPEWA FALLS WI 54729 CHIPPEWA FALLS WI 54729 10 Site Address * indicates Private Road 13480 E PHANTOM LAKE RD * IRON RIVER 54847 Tax Districts Updated: 3/15/2006 © Property Assessment Updated: 4/5/2012 1 STATE 2026 Assessment Detail 04 COUNTY Code Acres Land Imp. 016 TOWN OF DELTA Cl-RESIDENTIAL 5.060 107,700 55,100 041491 SCHL-DRUMMOND 001700 TECHNICAL COLLEGE 2 -Year Comparison 2025 2026 Change Land: 107,700 107,700 0.0% Improved: 55,100 55,100 0.0% y' Recorded Documents Updated: 5/24/2011 Total: 162,800 162,800 0.0% ® WARRANTY DEED Date Recorded: 8/28/2015 2015R-560165 1148-101 L� ® WARRANTY DEED dal Property History Date Recorded: 3/8/2011 2011R-537599 1059-114 N/A CONVERSION Da te Recorded: 3/15/2006 495-344;545-385;577-80-81 � /1 https://novus.bayfieldcounty.wi.gov/access/master.asp?paprpid=12511 1/1 Land Use Permit Application Review Checklist Submission #: X555 What zoning district is the project located in? AE R-1 ❑ R-2 ❑ R-3 ❑ R-4 ❑ R-RB ❑ C ❑ I ❑ M ❑ A-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 ❑ No 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)? es ❑ No Is impervious surface required? (Required if riparian lot OR lot is entirely within 300 feet of OHWM of navigable waterway) ❑ Yes ,-Ifo Is the project located in the Floodplain? Zone: ❑ Yes No Are there wetlands on the property? ❑ Yes t10 Is project associated with a nonconforming use or structure? ❑ Yes No Is project associated with a variance? Case #: ❑ Yes 6No 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 fl'No Does the project require sanitary? ❑ Existing 0 New ❑ Intercept ❑ Reconnect 0 Non -Plumbing 0 Public Sanitary Permit #: # of Bedrooms: ❑ Yes 9'No Does the project require mitigation? Implementation Deadline: Date of Compliance: ❑ Yes o Does the project require an affidavit? Affidavit #: ❑ Yes g1io Did licensed surveyor mark lot line(s), if project is within 10 feet of required setback? ❑ Yes Z6Jo Did applicant/property owner mark lot line(s), if project is within 30 feet of required setback? Project use is?j21sidential ❑ Commercial 0 Municipal Project type is?,J214w Construction ❑ Addition/Alteration ❑ Change Use ❑ Relocate ❑ RV Placement ❑ Sign ❑ Establishing a Business ❑ Temporary ❑ Shoreland Grading ❑ Other, describe: Structure Type is: 0 Residence ❑ Principal Structure 4ccessory Structure ❑ Boathouse (one story only) ❑ Open-sided/Screened Structure (gazebo, etc.) ❑ 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 Atted Non -Habitable Garages $0.20 x sq ft (minimum $125) $ Non -Habitable Residential Principal and Accessory Structures $0.20 x sq ft (minimum $75) $ 3Pd' ❑ 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 0 Special Use Permit - Class A 0 Floodplain Shoreland - Impervious Surface 0 Shoreland - Non -Conforming, etc. 0 Tower Siting/Collocation 1 0 Tower Collocation 2 ❑ Metallic Mine ❑ After -the -Fact (ATF) $ Inspected by: Date of Inspection: Re -Inspected by: Date of Re -Inspection: Denied by: Date of Denial: Reason for Denial: Date Denial Letter M led: Approved by: Date of Approval: Condition(s): ❑ Must meet and maintain setbacks from furthest extension of structure including eaves and overhangs. r 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 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. ❑ Jgn 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 p.pu pp Planning & Zoning Department 117 E 5th Street P.O. Box 58 Washburn, WI 54891 Phone: 715-373-6138 Fax: 715-373-0114 Property Owner: BOMAR,CHARLES 6496 187TH ST CHIPPEWA FALLS, WI 54729 KEOWN-BOMAR,JULIE 6496 187TH ST CHIPPEWA FALLS, WI 54729 Description Shoreland - Impervious Surface Non -Habitable Residential Principal and Accessory Structures - $0.20/square foot (minimum $75) Submission Number: LU-02555 Transaction Number: LU-02555-55A11 Amount $25.00 $320.00 Total: $345.00 Payment Amount: $353.21 Reference: 1048458905 Paid by: Molly Larson Payment Type: Debit Transaction Date: 9/18/2026 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 - Yes / Impervious Surface — Yes Floodplain — No / Wetlands — No Mitigation — No I Affidavit #: LAND USE - X SANITARY - SPECIAL A - SPECIAL B/CONDITIONAL - BOA - BAYFIELD COUNTY PERMIT WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION No. 26-0525 Tax ID: 12511 Issued To: BOMAR, CHARLES & KEOWN-BOMAR, JULIE Location: S06 - T46N - RO7W Town of Delta Legal Description: PAR IN SE SW & SW SE IN V.1148 P.101 Residential Structure in R-1 zoning district For: New Construction [1 - Story ], Accessory Structure on the Ground [1600 Total sq. ft.] (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 Tracy Pooler 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 30, 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): For personal storage 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 (if applicable). To be constructed per plan.