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HomeMy WebLinkAbout26-0536. Return to: 117 E 5°' Street, PO Box 58 Bayfield County Planning and Zoning Department Washburn, WI 54891 LAND USE PERMIT APPLICATION permits(at bayfieldcou nty.wi.gov County Use Only: 11 Submission #, — O,%) Permit #:?L'rQSEeb Date: eral Information Pro erty Owner Name: Authorized Agent Name (if applicable): ;tl i L tLz fl i/a sr Rc,u @P (: 4,A4.1Iu Telephone Number: Telephone Number: (,o8-33i--eITt '_t_-zo_-o48Y E -Mail Address: E -Mail Address: Mailing A dress: coo aAt4ftti &rjsc.I Mailing Address: 3` 'i o aAeqica.cqoeo LA City, State, Zip: . U. City, State, Zip: C4'dtq Mi It+ujo wi S3S iwaea s_l Contractor: 1 Telco one Number: E -Mail Address: d; X4 dekJ;; ecc„'ho.i '7/s=zoq-o'83 SECTI0IYB:Pro'ir Inforriiaf h..., Project Address (if different from mailing address): Legal Description (if additional space is needed attach a separate sheet): Lai Sl dsM4pIgp ✓oleo a ti esnA4 nO zozos(-S83'/S/ Section, Township, Range: Lo'h f Se .+tC (zz)T"tro g4w Town of: /2.a ya/AL.O Tax ID 3j3q q 1 - Lot Size (Acres/Square Feet): Mrs• j, i SECTION C: Project Information (check all that a 1-) / - r� Project Use is: �I Residential C Commercial ❑ Municipal If ommercial, estimated cost of construction: $ Project Type is: New Construction ❑ Addition/Alteration (existing structure) ❑ Change Use (existing structure) ❑ Relocate (existing stme 1 ❑ RV Placement 21+ days g �l 7 X26 ❑ 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 7. SECTION D: Structure Information (Does not apply to RVs and Signs, go to Section E Structure Type is: Residence Principal Structure (describe): DU Accessory Structure (describe): ❑ Shoreland Exempt Structure (describe): ❑ Mobile Home (provide manufactured date): O Shipping Container ❑ Other (describe): Foundation Type: ❑ Basement ❑ Walkout Basement I Slab ❑ Crawlspace ❑ Ground ❑ Skids ❑ Other (explain): Existing Structure: /'J/A 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: Loft Sq Ft: 2nd Floor Sq Ft: 3`d Floor Sq Ft: Garage S Ft; � Porch Sq Ft: Deck Sq Ft: Other Sq Ft (describe): Other Sq Ft (describe): Total Sq Ft: a,j aCt, Overall Height (finished grade to peak): z Lq t # of Stories: 1 Existing # of Bedrooms on property: ASIA Proposed # of Bedrooms in project: .44/I SECTION -E;: RV and i n Information7check alithat ap'pl Sign is: RV is: ❑ 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 \Jej ej I_u-oaSbl SECTION F: Site Plan —attach a site plan or draw site plan in box below (See pages I & 2 of Land Use Permit Application lnlbrmation lbr information that is required to be provided on site plan) Show location of: ❑ Driveways O Frontage Roads (include name) 0 Existing Structures ❑ Well (W) 0 Septic Tank (ST) O Drain Field (DF) ❑ Holding Tank (HT) O Privy (P) ❑ Lake ❑ River ❑Stream/Creek ❑Pond DFloodplain ❑Wetlands ❑Slopes over 20% _ Wes• t —__ f f RECEIVED OCT 052076 oWs� PlanningBandZoningA9ency SEP 21 2026 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: / ��.. �'� V'' lllJJl Front Lot Line/Right-of-Way t ft, t Line 1 orth East South West, circle one) ( ft. 30' ft. ft. .W—[ Si a of Line 2 (North Eas West, circle one) oudt t ft. /5 Rear Lot Line Septic/Holding Tank ft. ft. Drainficld ft. ft. Privy ft. ft. Well ` ft. ft. Existing Structure/Building t ft. ft. Wetland ft. ft. Elevation of Floodplain ft. ft. Ordinary High -Water Mark (OH WM) ft. ft. Other (describe) ft. ft. Application Page 2 BAYFIELD COUNTY CERTIFIED SURVEY MAP NO. LOT 1 OF CSM # 757 RECORDED AS DOC. #399255 IN VOL. 5 OF CSM'S ON PG. 169 IN THE BAYFIELD COUNTY REGISTRY AND LOT 1 OF CSM #1996 RECORDED AS DOC. #2017R-568031 IN VOL. 11 OF CSM'S ON PG'S 385-386 IN THE BAYFIELD COUNTY REGISTRY ALL LOCATED IN GOVERNMENT LOT 3, SECTION 34, TOWNSHIP 51 NORTH, RANGE 6 WEST,TOWN OF BELL, BAYFIELD COUNTY, WISCONSIN. .N Tfg RINGSARE GR$ BASED WITH THE EAST INS CF SLOCR5 MEASURED roosAR SGG•36 rW WVEYORS NOTE: ORDINARY HIGH WATER MARK IS APPROXIMATE FOR REFERENCE ONLY. \ _. \ Q(F \ off \\ Qu \\ / LAND BELOW THE ORDINARY HIGH V/ATER TK OF A LAKE OR NAVIGABLE STREAM IS IJECT TO THE PUBLIC TRUST IN NAVIGABLE TEES THAT IS ESTABLISHED UNDER ARTICLE IX. :710,11 OF THE STATE CONSTITUTION. SHORELIIIE MEASUREMENT PER IAYFIELD COUNTY SUBDIVISION CONTROL ORDINANCE SEC. 14 -I'S (n). LOT I 32Os '\ LOT3n1Wt LEGEND —SET 1 1/4"O.D. x 18" IRON WEIGHING 1.68 LBS PER UN. —SET MAD. NAIL I —FD. 1 1/4" IRON PIPE —WATER VALVE —SANITARY MANHOLE I —RECORDED AS DIMENSION r \ / M1 ^O torts torts xanr5u 0Ai5 P or9ALC171A13roSx 1.4.0 At,os Ss/ -_04 F WIDE INGRESS a AnroCu1NOGN;RCIWc:J iEXISTItNG ED 2 -ILITYNT9.907'091 i LOTS 1 66, 797 snFL s 1.53 Femxe N000011"E "9s4.31' —t_, (154.40) 1 �•-� f. f0 N80.39'5g^yy �"� LAKE SUPERIOR 60' 0' 60' 120' 18 SCALE FEET SEP 21 2026 Pb; --- 60.175 sq.F1. 1..lonecv 1102"W n:s i.D,,; c 1T.r1:37,1Ax OCT 0 5 2026 Barfield c0. ping' and Zoning' Ag'enc, P. loll xenrsuexoxsions - 287. LINE TI LINE BEARING 1 S66'38'OA' ll NCO1DI'14.W 13 NOO"O1'1A'W 1 14 NOO'00'11'E I Lb N00'OO'11'E p,R1VA7 I FIELD WORK COMF _ E ROAD 14.63' 1 Pine Ridge Land 1465) 1455) 1 Prorcssio,nl Land Si PROPOSED Value S ONn11M in a 1S WIDEYJ PATRICK A. M' 29390 Wood EASEMENTTO TO LAKE Ashland. WIPhone (715) ----�� WWRIDG PROJECT G NO. F SHEET 1 OF SECTION G: Additional Questions (S� Yes ❑ No Has the location of the proposed project' been staked? lino, what date will this be completed: Note: The site will not be inspected nor permit issued until after the staking date listed above. 40 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. W 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. r ld Yes O No Is there an existing sanitary system on the property? If yes, what kind? Pt Ke s - ❑ Drainfield ❑ Holding Tank Municipal/Public O Other (describe): Yes o Will pressurized water be installed in the structure? If yes, what kind of sanitary system will be installed or used to manage wastewater? ❑ Drainfield ❑ l loldin Tank Municipal/Public ❑ Other (describe): ❑ Yes 031 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 O Class A Special Use O Class B Special Use O Conditional Use O Variance Fee payment will be made via: cEIVED ❑ Check (attached) ❑ Cash (attached) O debitfcreditlecheck (department to call once payment is read a taken) I -low would you like to receive your permit card? OCT 5 2026 ❑ Mail to: OR�Email to: Property Owner Address Agent Address O Contractor Address ❑ Other (provide name and htttolddressj: Include ca -es. „ihm s, sanitary .v.mnt arts 11 ii, slaking nr.r urenr<°r. . . _nd Zoning Agency .. _.�jnn na. a Section tl: Acknowledgement and Signature All Land Use Permits expire Two (2) Yeats 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 stinting construction without a permit will result in penalties. SEP 21 2026 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 die local Uniform Dwelling Code (UDC) authority. �ldditiohs'andl alterations to one - and two-family dwellings may require review and approval by die UDC authority. All municipalities are required to en?torce 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, dar.wi.ttov/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 Bayfreld County in determining whether to issue a permit. I (we) further accept liability which may be a result of Hayfield County relying on this information I (we) are providing in or with this application. I (we) consent to county officials charged with administering coup rdinances to have access to the above -described property at any reasonable t' ie pu ose of inspection. Owner(s) or Authorized Agent Printed Name: ________________________________________________________ Owner(s) or Authorized Agent Signature: N Date: NOTES: I. 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, WI TURGUT U/GAl T .ion 3836 -�/ a 110lo. �dI ID ,111�UN �J � —� 4r sas �.�— V /V /c /0Q1, -� — _ 4 •, . ; -C.L.a. tiE; yrRU `r Y i� PgULG MAGI I I(E M4R DTT HO!) A R E T PU Sim„ �•Tax(FDa 3S390—�+ SCOT EI LID..d31AtEN501V T FI0 _Jdi RJC � IIIT RVI 0SFFUG 410 Uzi 9/25/2023, 9:42:13 AM _. 1:500 Approximate Parcel Boundary I r Fc.. �6 1,L'4o''' A -11/w.417 0 0.01 0.01 0.02 ml bayfeld_gls.SDE.T_Bayfeld fit=c:t 9VCY 0 0.01 0.01 0.03km �4cJ ,8Z — Index NGT1E % ,zruwr[ iR''s �erni Intermediate SEP 212026 p/A,uTra�' Wl (PA55 4/JOFe-- SoivL / Lae- /S.1/h/.i•Q+++y T t %- Bayfield Co. Planning and Zoning Agency Real Estate Tax Statement BAYFIELD COUNTY, WISCONSIN Printed: 9/25/2023 9:55:41 AM RE= LC = Tax Due: New OVA"'`2G�zaBtr� Jarr� WARREN E GALL TRUST AGREEMENT 2903 BIBLE CAMP RD MCFARLAND WI 53558 GALL TRUST AGREEMENT, WARREN E Tax ID: 38391 Legacy PIN: PIN: 04-006-2-50-04-22-4 05-001-51000 Property Description Site Address: N/A Municipality: TOWN OF BAYFIELD Description: (Not for use on Legal Doarments) SE 522 T50N-R04W GOVT LOT 1 Plat Name: GOVT LOT 1 LOT 5 CSM #2132 (LOCATED IN GOVT LOT 1) IN DOC 2020R-585662 (WARREN E GALL TRUST AGREEMENT DID 5/20/1999) TOG WITH EASE Document: 2020R-585662 Acreage: 1.180 2022 Assessments Code Acres land irn3 Tai Cl - RESIDENTIAL 1.180 15,900 0 15,900 Total Values: 1.180 15,900 0 15,900 Estimated Fair Market Value: 19,200 MFLO = Managed Forest Land Open NNN THERE ARE NO PRIOR DELINOUENT PAYMENTS DUE NNN Tax m 38391 Total Due NNN THERE ARE NO TAXES DUE ON TAX ID 38391 NNN Bayfieid County Treasurer JENNA GALLIGAN PO BOX 397 WASHBURN WI 54891 Phone: (715) 373-6131 Online Pay Site Lt s://www.havfleldcounty.wi.aov/151/Treasurer SE? 212026 Ba Piannin Yfeld Oo. 0 and Zoning Agj1ty I ioN,city,Village, State or Federal 11 %itsMayAlso Be Required ' I U�USE-X SARY- t �. CXTONAL - 26A051 Tax ID: 38391 BAYFIELD COUNTY PERMIT WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION Issued To: WARREN E GALL TRUST AGREEMENT /4 of '/4 Section 22 Township 50 N. Range 4 W. Town of Bayfield (A1t� Lot 5 Block Subdivision CSM# 2132 IC 2020R•585662 TOG WITH EASE PontialSUucture in R-RB zoning district FxRincipalStructure: (I- Story ]; Garage on a Slab (30' x 40') = 1200 sq. ft. ] Height of 28' (Disclaimer): Any future expansions or development would require additional permitting. 0a9ion(s):Must meet and maintain setbacks including eaves and overhangs. For Personal Storage Only. Not for Human Habitation or Sleeping Purposes. No pressurized water in structure without a letter of approval from Pikes Bay Sanitary District. Town/State/DNR permits may be required. 1liE ihisperilexpires two years from date of issuance if the authorized construction Alessandro Hall, AZA workahrduse has not begun. ruacErvE Authorized Issuing Official Char sieplans or specifications shall not be made without obtaining approval. Thispadlmay be void or revoked if any of the application information is found bhaetcenmisrepresented, erroneous, or incomplete. ihispa may be void or revoked if any performance conditions are not rom*ierif any prohibitory conditions are violated. SEP 21 2026 March 4, 2024 Bayfield co. ?'fanning and Z Date P°Mr+≤@ S Fr(2 L Qtc7 a 1. GoU 24-?? od cOs- �� AFFIDAVIT OF AUTHORITY (Trust) PURPOSE. This Affidavit of Authority is used to certify the individual submitting an application is authorized when the property is owned by a Trust. STATE OF WISCONSIN ) ss. BAYFIELD COUNTY The undersigned affirms and states as follows: CAei/tcinc4n d4 1. Address of Subject Property: Ldt (c/2 /JG✓/1 c O / 4e l"` I rr L/ II ��n$ 4`'e"e AS(c 2. The Subject Property is owned by: -�Glnr LJ G r1 /� C.11 ZUAe "f h 6YALf J�r� M /, (Name of Trust) 3. The name(s) of the current Trustee(s): + cc Stro t 4. I certify that the Trust named in paragraph 2 is valid and in effect on the date signed below. I am the duly appointed agent of the Trust named above in paragraph 2, and I have the authority under the terms of said authorization to submit an application to the Bayfield County Zoning Department concerning the Property described in paragraph 1. I further certify that the information and statements made within this affidavit are true, accurate, and complete to the best of my knowledge. 5. I am authorized by the above -named Trust to apply for and bind the Trust to the terms and conditions of any decision or permit that may be issued by the Bayfield County Zoning Department. 6. By signing this affidavit, I attest that I am unaware of any known or unknown person(s) who would contest this application. I agree to indemnify Bayfield County or such person or legal entity suffering /a damage resulting from any illegalities of the application. g Dated: / 37 etnr.e /o^� . Print Name Subscribe and sworn o before me this d?y ofJL Ali 64J//e i{&in≥ Notary Public, County, Wisconsin RECEIVED SEP 2.8 2026 gyy{ied Co. pwnni ig a`d ZoniN Agenc)' My commission: PROCESSING INFORMATION INITIAL PROCESSING. Once the department receives your affidavit, the department will review it for completeness. If the information is not complete, the department may reject your affidavit and the application. REQUEST FOR MORE INFORMATION. The department may request that you provide more information or evidence to support your affidavit. DECISION. The department will review all documents submitted as part of the application for registration and title, this form included, and may approve, deny or request more information. Letter of Authorization Bayfield County Planning & Zoning Department PURPOSE. This Letter of Authorization is used to authorize a single property owner to act on behalf of multiple property owners or a designated agent to act on behalf of the property owner/s. If multiple property owners, each property owner must submit this signed letter. I, 3GMCS l � I / b fl(propertyowner), authorize (c/(g ( Gt th / cr (authorized agent) to submit a (Example: land use, special use, conditional use, rezone/map amendment, appeal, variance, text amendment, etc.) for the following described project (Example: construction of residence or other structure, short-term rental or other use change, etc.) 4rA1 c (On 3+rqc f i G h application on my behalf for the following described property Legal description of subject property: Address of subject property: Lo T 5 6SM 2)3. ature 5122 6 Dated 1ZEGENED SEP 26 226 plsnnl^9 and Zoo CAc$ X4'.1 cpv r' ', WARRANTY DEED DOCUMENT NUMBER 2026R-613725 This deed, made between Warren E. Gall Trust Agreement, dated May 20, 1999, and any amendments thereto, Grantor, and James and Elizabeth Hagstrom Joint Revocable Trust dated 10/16/2008, and any amendments thereto, Grantee, Grantor, for a valuable consideration, conveys and warrants to Grantee the following described real estate, together with the rents, profits, fixtures and other appurtenant interests, in Bayfield County, State of Wisconsin: As Described in Attached Addendum/Exhibit A By executing this deed, the undersigned certify/certifies that this transaction has been approved by said entity; and that the undersigned is/are duly qualified and authorized to execute this document on its behalf. This is not homestead property. DANIEL J. HEFFNER REGISTER OF DEEDS BAYFIELD COUNTY. WI RECORDED 09/11/2026 AT 1:42 PM RECORDING FEE: $30.00 TRANSFER FEE: $255.00 PAGES: 2 ELECTRONICALLY RECORDED Return To: James and Elizabeth Hagstrom Joint Revocable Trust dated 10/16/2008 7540 California Love Trail Middleton, WI 53562 Exceptions to warranties: Municipal and zoning ordinances and agreements entered under them, recorded easements for the distribution of utility and municipal services, recorded building and use restrictions and covenants, and other encumbrances of record. Dated: September 11, 2026 State of Wisconsin ) )S.S. County of Ashland Warren E. Gall Trust Agreement, dated May 20, 1999 Warren E. Gall Trustee RECEWED SEP 28 2026 Bayf Co. pperwy Ptannmg and ZAn" Personally came before me on September 11, 2026 the above named Warren E. Gall to me known to be the person(s) who executed the foregoing instrument and hereby ackn g� ledge the same. S e L. Hhn Notary Public, State of Wisconsin My Commission expires: March 20, 2028 THIS INSTRUMENT WAS DRAFTED BY: Michaels. Brandner Gowey Abstract & Title Company, Inc. Bayfield County Register of Deeds Document #2026R-613725 Page 1 of 2 GOWEY Title885 W. Broadway Avenue Real Estate Closings Medford, WI 54451 Titlelnsurance www.goweytitle.com File No. G-2606879 ADDENDUM/EXHIBIT A Lot Five (5) of Certified Survey Map No. 2132 as recorded in Volume 12 of Certified Survey Maps on Page 290, as Document No. 2020R-583451, located in and being part of Government Lot One (1), Section Twenty-two (22), Township Fifty (50) North, Range Four (4) West, Town of Bayfield, Bayfield County, Wisconsin. TOGETHER WITH an easement for ingress and egress, and all necessary utilities, including sanitary, electric and gas utilities, being 33 feet wide, as identified in Certified Survey Map No. 2125 as recorded in Volume 12 of Certified Survey Maps on Page 271, as Document No. 2020R-582880, for the benefit of said Lot 5 of Certified Survey Map No. 2132, running under, over and upon Lots 2 and 3 of Certified Survey Map No. 2125, and Lot 6 of Certified Survey Map No. 2132, all located in Government Lot 1, Section 22, Township 50 North, Range 4 West, Town of Bayfield, Bayfield County, Wisconsin, more particularly described as follows: The Northern most 33 feet of Lots 2 and 3 of Certified Survey Map No. 2125 and Lot 6 of Certified Survey Map No. 2132, running a total distance of 381.69 feet. And together with an easement for foot access to the shore of Lake Superior, being 15 feet wide, as identified in CSM 2125, running over and upon Lot Three (3), CSM 2125, and Lot Six (6), CSM 2132, running 7.5 feet on either side of the property boundary separating said Lot Three (3), CSM 2125, and Lot Six (6), CSM 2132. This access easement is for the benefit of, and appurtenant to, this Lot 5, CSM 2132 and shall run with the land to grantee's successors, heirs, and assigns. Tax ID Number(s): 04-006-2-50-04-22-4 05-001-51000 sayfield County Register of Deeds Document #2026R-613725 Page 2 of 2 Bayfield County, WI 1:3,322 0 0.04 0.08 10/2/2026, 9:56:18 AM • Wetlands Lake Superior Shoreline Recession Segments Rivers The average annual rate of duff recession In this read, of shoreline is approximately 0.2 feel. Flood Plain Boundaries Active Dec 16th. 2011 .�: lakes • AB v Base gcodplffin white Was good elevations are provided. Approximate Parcel Boardary Road Type — Lake Superior Proposed Setback Line Slab Building FaolpriM 2015 Tpwn Bunting ...... Private 0.16 mi 0 0.05 0.1 0.2 km Baygeb County Land Records Department Bayf sd County Zoning Application hllpe:flmape.baylleMrapnty wlgov2oningWAS/ Bayfield County, WI El 132 r \:s \ * `�'� �'` ��' 1Y `F��' Y lam• \ \ 9 ` t �t' o'�'�\5 NR41 sdldtnc.. - N.'` i S,. - r Sr.vv •y V \ \ r V \1-:-: III r I o'': J , L R c' 14 I JH •) p 'i w yl tvv3\ S v v to W'rk . s i I r, S R • i I I r ,a_ i � , \\ >•.4 0., � �, r M17r �~-.� �' �.— •.. I � ^+ , ° `^ .r a--���. 10/2/2026, 957:17 AM Rivers Lakes r--- Approximate Parcel Boundary Road Type Private Lake Superior Shoreline Recession Segments The average annual rate of bluff recession in this reach of shoreline is approximately 0.2 feet. Flood Plain Boundaries Active Dec 16th, 2011 AE = Base floodplain where base flood elevations are provided. Lake Superior Proposed Setback Line Building Footprint 2015 Building 1'.831 0 0.01 0.02 • , 0.04m1 0 0.01 0.03 0.06n Bayfletl County Lend Records Deperinent Seyfleld County Zordng Application htrpe:llmaPo.bayf&dmuntyvn eovRwrin,,WAW 10/5/26, 3:12 PM Novus-Wisconsin Access rev. 12.0206 Real Estate Bayfield County Property Listing Property Status: Current Today's Date: 10/5/2026 Created On: 1/15/2021 12:31:42 PM Description Updated: 9/25/2026 Ownership Updated: 9/25/2026 Tax ID: 38391 JAMES & ELIZABETH HAGSTROM JOINT SCOTTSDALE AZ PIN: 04-006-2-50-04-22-4 05-001-51000 REV TRUST DTD 10/18/2008 Legacy PIN Map ID: Municipality: (006) TOWN OF BAYFIELD STR: S22 TSON R04W Description: LOT 5 CSM #2132 (LOCATED IN GOVT LOT 1) IN DOC 2026R-613725 (JAMES AND ELIZABETH HAGSTROM JNT REV TRUST DTD 10/16/2008) SUBJ TO EASE Recorded Acres: 1.180 Calculated Acres: 1.180 Lottery Claims: 0 First Dollar: No ESN: 105 I Tax Districts Updated: 1/15/2021 1 STATE 04 COUNTY 006 - TOWN OF BAYFIELD 040315 SCHL-BAYFIELD 001700 TECHNICAL COLLEGE 047060 PIKES BAY SANITARY Billing Address: JAMES & ELIZABETH HAGSTROM JOINT RI DTD 10/18/2008 28103 N 96TH PLACE SCOTTSDALE AZ 85262 Mailing Address: JAMES & ELIZABETH V TRUST HAGSTROM JOINT REV TRUST DTD 10/18/2008 28103 N 96TH PLACE SCOTTSDALE AZ 85262 P Site Address * indicates Private Road N/A ® Property Assessment Updated: 7/27/2026 2026 Assessment Detail Code Acres Land Imp. Gl-RESIDENTIAL 1.180 21,400 0 2 -Year Comparison 2025 2026 Change Land: 15,900 21,400 34.6% Improved: 0 0 0.0% Total: 15,900 21,400 34.6% a� Recorded Documents Updated:1_/15/20211 Property History ® WARRANTY DEED Parent Properties Tax ID Date Recorded: 9/11/2026 20268-613725 04-006-2-50-04-22-4 05-001-50000 4919 © QUIT CLAIM DEED 04-006-2-50-04-22-4 00-257-04000 5902 Date Recorded: 11/23/2020 2020R-585662 04-006-2-50-04-22-4 00-257-05000 5905 ® CERTIFIED SURVEY MAP 04-006-2-50-04-22-4 00-257-06000 5917 Date Recorded: 7/31/2020 2020R-583451 12-290 HISTORY ® Expand All History, White=Current Parcels Pink=Retired Parcels 38391 This Parcel T Parents i Children https://novus.bayfieldcounty.wi.gov/access/master.asp?paprpid=38391 1/1 Land Use Permit Application Review Checklist Submission #: 0 What zoning district is the project lgpated in? ❑ R-1 ❑ R- ❑ R-3 ❑ R-4 EQ -RB ❑ C ❑ 1 ❑ M ❑ A-1 ❑ A-2 ❑ F-1 ❑ F-2 ❑ W ❑ M -M ❑ Yes r4Io Is lot substandard (does not meet current zoning dimensional requirements)? Deed of record: ❑ Yes IJ4 o - 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 Li14o Is impervious surface required? (Required if riparian lot OR lot is entirely within 300 feet of OHWM of navigable waterway) ❑ Yes l 4lo Is the project located in the Floodplain? Zone: ❑ Yes AJ Are there wetlands on the property? ❑ Yes IcZ'No Is project associated with a nonconforming use or structure? ❑ Yes lAQo is project associated with a variance? Case #: ❑ Yes �..4 Is project associated with a Special B or Conditional Use Permit? Permit #: ❑ Yes N Is the project associated with a Special A Use Permit? ❑ Yes No Does the project require sanitary? O Existing 0 New 0 Intercept ❑ Reconnect 0 Non -Plumbing 0 Public Sanitary Permit It: # of Bedrooms: ❑ Yes o Does the project require mitigation? Implementation Deadline: Date of Compliance: ❑ Yes No Does the project require an affidavit? Affidavit #: Yes ❑ No Did licensed surveyor mark lot line(s), if project is within 10 feet of required setback? s ❑ No Did applicant/property owner mark lot line(s), if project is within 30 feet of required setback? Project use is? D4esi�iential O Commercial ❑ Municipal Project type is? ew Construction ❑ Addition/Alteration ❑ Change Use ❑ Relocate ❑ RV Placement ❑ Sign ❑ Establishing a Business ❑ Temporamr ❑ Shoreland Grading O Other, describe: Structure Type is: O Residence I,P4ncipaI Structure ❑ Accessory Structure O Boathouse (one story only) ❑ Open-sided/Screened Structure (gazebo, etc.) O 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 Atta d Non -Habitable Garages $0.20 x sq ft (minimum $125) $ on -Habitable Residential Principal and Accessory Structures $0.20 x -'c(�sq ft (minimum $75) $ 6O ❑ 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 O Floodplain ❑ 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 InspectOa ( ( Q Re -Inspected by: Date of Re -Inspection: Denied by: Date of Denial: Reason for Denial: Date Denial Letter Mailed: Approved b Date of Approval: l Condi ' n(s): Must meet and maintain setbacks om furthest extension of structure including eaves and over ngs. or personal storage only. ❑ For personal residence only. DApfor human habitation or sleeping purposes. Ca'fown/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. ❑ SS' n must meet the requirements of Article E of the Bayfield County Zoning Ordinance. BTo 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 ❑ Ry,m6st be removed by o 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 I3 !-YFIELD Bayfield County Planning & Zoning Department 117 E 5h Street P.O. Box 58 Washburn, WI 54891 Phone: 715-373-6138 Fax: 715-373-0114 Property Owner: Submission Number. HAGSTROM, JAMES & ELIZABETH LU-02561 7540 CALIFORNIA LOVE TRAIL MIDDLETON, WI 53562 Transaction Number. LU-02561-55C1A Description Amount Non -Habitable Residential Principal and Accessory $505.60 Structures - $0.20/square foot (minimum $75) Total: $505.60 Payment Amount: $505.60 Reference: 1088 Paid by: James Hagstrom / Elizabeth Hagstrom Payment Type: Check Transaction Date: 10/6/2026 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 I Nonconforming — No Shoreland — No / Impervious Surface — No Floodplain — No I 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. 26-0536 Tax ID: 38391 Issued To: HAGSTROM, JAMES & ELIZABETH Location: S22 - T50N - R04W Town of Bayfield Legal Description: LOT 5 CSM #2132 (LOCATED IN GOVT LOT 1) IN DOC 2026R-613725 (JAMES AND ELIZABETH HAGSTROM JNT REV TRUST DTD 10/16/2008) SUBJ TO EASE Residential Structure in R-RB zoning district For: New Construction [1 - Story ], Principal Structure on a Slab [2528 Total sq. ft. ] Height of 28' (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 Emily Macgillivray 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. October 06, 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 storage only. Not for human habitation or sleeping purposes. Town/State/DNR/Federal may require permitting. To be constructed per plan. No sewer and pressurized water allowed in the structure.