HomeMy WebLinkAbout26-0545Rgturn to:
117' E 5th Street, PO Box 58
Washburn, WI 54891
permits@bavfieldcounty.wi.gov
County Use Only:
Bayfield County Planning and Zoning Department Submission #- LU-o?$73
LAND USE PERMIT APPLICATION Permit #: b
Date:
SECTION A: General Information
Mroy rel Qwnelka Name:
opTelephone
Authorized Agent Name (if applicable):
Number:
Telephone Number:
(715)580-0956
E -Mail Address:
E -Mail Address:
mpop97@gmail.com
Mailing Address:
Mailing Address:
25505 Maple Ridge Rd
City, State, Zip:
Contractor: Telephone Number: I E -Mail Address: RECEIVED
Popelka Services Inc. (715) 580-0956
SECTION B: Property Information
Project Address (if different from mailing address):
D,tiki Cu.
Legal Description (if additional space is needed attach a separate sheet): Planning and Zoning Agency
PAR IN NW NE & SW NE DESC IN 2024R-604845
Section, Township, Range: S30 T46N R05W I Town of: Kelly
Tax ID #: 39322 Lot Size (Acres/Square Feet): 14.086 Acres
Project Use is: a Residential ❑ Commercial ❑ Municipal If Commercial, estimated cost of construction: $
Project Type is: O New Construction ❑ Addition/Alteration (existing structure)
❑ Change Use (existing structure) ❑ Relocate (existing structure) — O RV Placement 21+ days
❑ Sign ❑ Establishing a Business ❑ Temporary (12 or less months)
❑ Shoreland Grading, Class A ❑ RV Placement 4+ months, Class A ❑ Other (describe):
Structure Type is:
❑ Residence
❑ Principal Structure (describe):
O Accessory Structure (describe): ❑ Shoreland Exempt Structure (describe): ❑ Mobile Home (provide manufactured
Storage Building date):
❑ Shipping Container ❑ Other (describe):
Foundation Type:
❑ Basement ❑ Walkout Basement ❑ Slab ❑ Crawlspace O Ground ❑ Skids O Other (explain):
on
areas,
Basement Sq Ft: 11" Floor Sq Ft I Loft Sq Ft: 12" Floor Sq Ft: 13'" Floor Sq Ft:
Garage Sq Ft: Porch Sq Ft: Deck Sq Ft: Other Sq Ft (describe): Other Sq Ft (describe):
Total Sq Ft: ( 3 5 y
I Overall Height (finished grade to peak): 15'
# of Stories: 1
Existing # of Bedrooms on property: 3
Proposed # of Bedrooms in project:
0
SECTION E: RV and Sign Information (check all that apply)
Sign is:
RV is:
❑ New
❑ Replacement
❑ New
❑ Replacement
❑ On -premise
❑ Off -premise
❑ I -sided
❑ 2 -sided
Year:
Vin #:
❑ On -building
❑ 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 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 (SI) ❑ Drain Field (DF)
❑ Holding Tank (HT) ❑ Privy (P) ❑ Lake ❑ River ❑Stream/Creek ❑Pond ❑Floodplain ❑Wetlands ❑Sloes over 20%
4
RECEIVED
SEP 252026
Bayfieid Co.
Planning and Zoning Agenq
Setback or distance from furthest extent of structure
including eaves and overhangs to (include on site plan):
County Use Only
Verified setbacks
Road Centerline
00 ft.r/00
/00
Notes/Comments:
.F
1/e „((North
-*C iu to s ) b 6 G 3 a
Front Lot Line/Right-of-Way
00 ft.
Side Lot Line I
(North East South West, circle one)
25
Side Lot Line 2
East South West circle one
Northft.
/%7n0UlRear
Lot Line
100 ft.
Septic/Holding Tank
lOO ft.
/Q0 ft.
Drainfield
N/A ft.
ft.
Privy
N/A ft.
ft.
Well
1oo ft•
r12 ft.
Existing Structure/Building
85 ft.
ft.
Wetland
N/A ft.
ft.
Elevation of Floodplain
N/A ft.
ft.
Ordinary High -Water Mark (OHWM)
N/A ft.
ft.
Other (describe)
N/A ft.
ft.
Application Page 2
SECTION G: Additional Questions
O Yes
❑ 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.
O 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
O 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. RECEIVED
O Yes
❑ No
Is there an existing sanitary system on the property? If yes, what kind?
❑ Drainfield O Holding Tank O Municipal/Public O Other (describe):
El Yes
El No
Will pressurized water be installed in the structure? If yes, what kind of sanitary system will beor used
to manage wastewater? eayr�ek �.
O Drainfield ❑ Holding Tank O Municipal/Public ❑ Other (describe): Planning and Zoning
❑ Yes
Q 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 El 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 to be taken)
How would you like to receive your permit card?
O Mail to: OR O Email to:
El Property Owner Address O Agent Address O Contractor Address O Other (provide name and email or address):
*Include eaves, overhangs, sanitary system, and well in staking measurements
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.eov/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.
Owner(s) or Authorized Agent Printed Name: MrrcHAEL
Owner(s) or Authorized Agent Signature: 1 Date: 0911 412026
NOTES:
1. If you are signing on behalf of the owner(s) a le er 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
Rand ecor s HomepageJ LLonlng Mapj Li-lelpi
ililila
patial
earth
1
5
armin, INCREMENT P, USGS, EPA, USDA
9/23/26, 10:58 PM Real Estate Tax Bill
ALYVIA C ADAMSKI
TOWN OF KELLY TREASURER STATE OF WISCONSIN - BAYFIELD COUNTY TOWN OF KELLY
LORRI MATTES REAL ESTATE PROPERTY TAX BILL FOR 2025
60050 ROY ANDERSON RD PAYMENTS should reference: Tax ID: 39322
DOCUMENT RECORDING, or anything Else should reference:
MASON WI 54856 PIN: 04-026-2-46-05-30-1 03-000-11000
Phone: (715) 718-1638 Alternate/Legacy ID:
E -Mail: Imattesl@live.com Ownership: ALYVIA C ADAMSKI
MITCHAEL J POPELKA
ALYVIA C ADAMSKI & MITCHAEL J POPELKA
25505 MAPLE RIDGE RD
MASON WI 54856
Please include self-addressed, stamped envelope for return receipt.
Please inform your treasurer of any billing address chances.
Assessed Value
Average
Net Assessed Value
Real Estate Tax: 2,827.99
Land
Improved
]j
Assessment Ratio
Rate
First Dollar Credit; -53.10
(Does NOT reflect lottery
Lottery Credit: -0.00
$22,000
$115,500
$137,500
0.65085
or first dollar credit)
Net Real Estate Tax: 2,774.89
0.020567214
Total Due: 2,774.89
Estimated Fair Market Value
An "X" means unpaid
School taxes reduced by
Land
Improved
IQJ.
year taxes.
school levy tax credit.
For payment in full
$214.19
Pay to TOWN OF KELLY TREASURER by
$33,800
$177,500
$211,300
January 31, 2026
Estimated State Aids °7o Tax
Allocated Tax District
Net Tax Change
Warning.
axing Jurisdiction
2024
2025
2024 2025
If not paid by due dates, installment
COUNTY
0
19,120
0.00
739.95 100.0
TOWN OF KELLY
0
191,403
0.00 1,007.19 100.0
option is lost and total tax is delinquent
ASHLAND SCHOOL
0
821,198
0.00 1,032.24 100.0
and subject to interest and if applicable,
TECHNICAL COLLEGE
0
31,470
0.00 48.61 100.0
penalty. (See reverse)
Totals
0
1,063,191
0.00 2,827.99 100.0
First Dollar Credit 0.00 53.10 100.0
Lottery & Gaming Credit
0.00 0.00 0.0
Net Property Tax 0.00 2,774.89 100.0
Important: Be sure this covers your property. Note
that this description is for tax bills only and may not be a full
legal description. See reverse side for important information.
Proper Description / Location of Property
Site Address: 25505 MAPLE RIDGE RD
Description: Sec 30 Tn 46 Rg 05 PAR IN NW NE & SW NE DESC
IN 2024R-604845
Acreage: 14.000
Document: 2024R-604845
FOR INFORMATIONAL PURPOSES ONLY - Voter -Approved Temporary Tax Increases
Total
Total Addnl Taxes
Year
Taxing Jurisdiction
Addnl Taxes
Applied to Property
Increase Ends
ASHLAND SCHOOL
72,232
319.49
2030
ASHLAND SCHOOL
81,825
361.92
2036
RECEIVED
5EP 251026
Bayfield Co.
Planning and Zoning Agcy
httpe://novits.bayfieldcountywi.gov/access/master.asp?paprpid=39322 1/4
RECEIVED
SEP 257026
BayWid Co.
Planning and Zoning Agency
RECEIVED
z52026
2026
Baru co.
Planning and zoning A9Y
In
SI
N
l
l
N
PER FOOT OF BUILDING WNG m:
SFRMFA 1?I na+ SURFACE. SOFT. J60.49
FI�tN.€L WSUlAnoH SURFACE. $OFT 47.60
V LUKE CAPACITY. CUFT. J01.7'
PROFILE OF S -MODEL 2S', 1
SCALE: 1/4 IN.
RECEIVED
Letter of Authorization SEP 272075
13avfield County Planning & Zoning Department
Bayfieid Co.
Planning and Zoning Agency
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.
1 i/i c .,,,Ski (property owner). authorize /l'1 i &1'C/ ('O PT
(authorized agent) to submit a L ?(ii 0Se_._fr -, , (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.) (!�s {rcY lien rC oche/ 4s ,i kapplication on my behalf for
the following described property:
P �a R T(1 1,VUJW4 a,tl 5 i, i Al I « .i n 70?? F'c bo N8 is
Legal description of subject property:
Address of subject property: ais05 NIA/e tcd9c iJr C 4's cX
/�1/,(/i'1d
Signs re
� l�/aoa6
Land Use Permit Application Review Checklist
Submission #: — a
What zoning district is the project located in?
❑ R-1 ❑ R-2 ❑ R-3 ❑ R-4 ❑ R-RB ❑ C ❑ 1 ❑ M -1 ❑ A-2 ❑ F-1 ❑ F-2 ❑ W ❑ M -M
❑ Yes L'No
l
Is lot substandard (does not meet curre zoning dimensional requirements)?
Deed of record:
❑ Yes lflso
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 Flo
Is impervious surface required? (Required if riparian lot OR lot is entirely within 300 feet of OHWM of
navigable waterway)
❑ Yes No
Is the project located in the Floodplain? Zone:
❑ Yes o
Are there wetlands on the property?
❑ Yes"o
Is project associated with a nonconforming use or structure?
❑ Ye/No
Is project associated with a variance? Case #:
❑ Yes wo
Is project associated with a Special B or Conditional Use Permit? Permit#:
❑ Yes
Is the project associated with a Special A Use Permit?
❑ Yes l No
Does the project require sanitary?
0 Existing 0 New ❑ Intercept ❑ Reconnect 0 Non -Plumbing ❑ Public
Sanitary Permit #: # of Bedrooms:
❑ Yes to
Does the project require mitigation?
Implementation Deadline: Date of Compliance:
❑ Yes 3≥No
Does the project require an affidavit? Affidavit #:
es ❑ No
Did licensed surveyor mark lot line(s), if project is within 10 feet of required setback?
es 0 No
Did applicant/property owner mark lot line(s), if project is within 30 feet of required setback?
roject use is?Mzgesidential ❑ Commercial ❑ Municipal
Project type s?`E New Construction O Addition/Alteration ❑ Change Use O Relocate ❑ RV Placement 0 Sign
❑ Establishing a Business O Temporary ❑ Shoreland Grading ❑ Other, describe:
Structure Type is: O Residence O Principal Structure ccessory Structure O Boathouse (one story only)
❑ Open-sided/Screened Structure (gazebo, etc.) O Sbirway to navigable waters ❑ Mobile Home
❑ Shipping Container O Other, describe
Total Sq. Ft. of Project: Number of Stories:
Overall Height:
Fee Type
Calculation
Fee Amount
❑ Habitable Residential Principal and Accessory
Structures - Enclosed Areas — all enclosed areas within
dwelling except attached non -habitable garages
$0.50 x sq ft
(minimum $125)
$
❑ Dwelling Unenclosed Areas (decks, patios, etc.) or
Attached Non -Habitable Garages
$0.20 x sq ft
(minimum $125)
$
❑ Non -Habitable Residential Principal and Accessory
Structures
$0.20 x s ft
q
(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 O Land Use Revisions ❑ Special Use Permit - Class A O Floodplain 0 Shoreland - Impervious
Surface ❑ 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:
<d /t.,&i& t
2d'
Re -Inspected by:
Date of Re -Inspection:
Denied by:
Date of Denial:
Reason for Denial:
Date Denial Letter Mailed:
Approved by:
Date of Approval: /p
Condition(s):
❑ Must meet and maintain setbacks from furthest extension of structure including eaves and
overhangs.
or personal storage only.
❑ For personal residence 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.
❑ 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.
Jo be constructed per plan.
❑_Adhere to privy agreement.
❑ Temporary permit allowing existing structure for a period of less than 1 year.
❑ RV may not be used for permanent residence or storage.
❑ RV allowed for
❑ RV must be removed by
,' No sewer and pressurized water allowed in the structure.
No plumbing or plumbing fixtures allowed.
No additional sleeping areas allowed without obtaining necessary sanitary permit(s).
and use permits shall be required for any new residence, any building or structure erected,
elocated, rebuilt, or structurally altered
and 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
Planning & Zoning Department
117E 51 Street
P.O. Box 58
Washburn, WI 54891
Phone: 715-373-6138
Fax: 715-373-0114
Property Owner:
Submission Number:
ADAMSKI,ALYVIA C
LU-02573
25505 MAPLE RIDGE RD
MASON, WI 54856
Transaction Number.
POPELKA, MITCHAEL J
LU-02573-57611
25505 MAPLE RIDGE RD
MASON, WI 54856
Description Amount
Non -Habitable Residential Principal and Accessory $270.40
Structures - $0.20/square foot (minimum $75)
Total: $270.40
Payment Amount: $270.40
Reference: 1171
Paid by: Popelka Services Incorporated
Payment Type: Check
Transaction Date: 10/8/ 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 I Wetlands - No
Mitigation - No / Affidavit #:
LAND USE -X
X
SANITARY -
SPECIAL A -
SPECIAL B/CONDITIONAL -
BOA -
BAYFIELD COUNTY
PERMIT
WEATHERIZE AND POST THIS PERMIT
ON THE PREMISES DURING CONSTRUCTION
No. 26-0545 Tax ID: 39322
Issued To: ADAMSKI, ALYVIA C & POPELKA, MITCHAEL J
Location: S30 - T46N - R05W
Town of Kelly
Legal Description: PAR IN NW NE & SW NE DESC IN 2024R-604845
Residential Structure in A-1 zoning district
For: New Construction [1 - Story ], Accessory Structure on the Ground [1352 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 Scott Roush
work or land use has not begun.
Authorized Issuing Official
Changes in plans or specifications shall not be made without obtaining approval.
This permit may be void or revoked if any of the application information is found
to have been misrepresented, erroneous, or incomplete. October 08, 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.
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.