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HomeMy WebLinkAbout26-0551Return to: County Use Only: 117 E 5"' Street, Po Box 58 Bayfleld County Planning and Zoning Department Submission U .i - 0 ?-S Washburn, WI 54891 LAND USE PERMIT APPLICATION Permit #: a'O permits2Wbavfieldcountv.wi.eov Date: c7 Xt7G' SECTION A: General Information Property Owner Name: Authorized A ent Name (if applicable): Jar d S c,�l*> 2 yernr Telephone N Telephone umber: "73-?iz7 E -Mail Address: E -Mail Address: Qa 4 /o' 7c ,,.c , I. «� ry ailing A dress: Mailing Addre : 2)!L k ZO r ircar Rwsr City, State, Zip: I City, tate, Zip: s — CAISLE.S SZ2-1 Contracto . Zt cP.i4or fLA3 - Telephone Number: 50 2-73-P/a-7 E -Mail Address: r )ckec e nQt SECTION BProperty Information ,. Project Address (if different from mailing address): Legal Description (if additional space is needed mach a separate sheet): Szv d -44o tht/ Section, Township, Range: 5 j j , y 3 N ,� , (p Town of: V Tax ID #: 25107 Lot Size (Acres/Square Feet): /. s 6 ACRES SECTION C: Project Information chec a thata apply) Project Use is:.8 Residential 0 Commercial 0 Municipal If Commercial, estimated cost of construction: $ Project Type is: B'New Construction 0 Addition/Alteration (existing structure) ❑ Change Use (existing structure) ❑ Relocate (existing structure) ❑ RV Placement 21+ days ❑ Sign 0 Establishing a Business 0 Temporary (12 or less months) ❑ Shoreland Grading, Class A 0 RV Placement 4+ months, Class A 0 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 ❑ Principal Structure (describe): RECEIVED 'Accessory Structure (describe): 0 Shoreland Exempt Structure (describe): ❑ Mobile Home (provide manufactured 32x42 UR ' t date): SEP 282026 ❑ Shipping Container 0 Other (describe): BaYaea Co. Foundation Type: ❑ Basement ❑ Walkout Basement S Slab 0 Crawlspace 0 Ground 0 Skids ❑ Other (explain): Existing Structure: Len 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"i Floor Sq Ft: Garage Sq Ft: Porch Sq Ft: Deck Sq Ft: Other Sq Ft (describe): Other Sq Ft (describe): 3 Total Sq Ft: Overall Height (finished grade to peak): / $ # of Stories: Existing # of Bedrooms on property: , 3 Proposed # of Bedrooms in project: SECTION E: RV and Sign Information check all that apply) Sign is: RV is: ❑ New ❑ Replacement ❑ New 0 Replacement ❑ On -premise 0 Off -premise ❑ 1 -sided 02 -sided Year: Vin#: ❑ On -building 0 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 1 & 2 of Land Use Permit Application Information for information that is required uired to be provided on site plan) Show location of: ❑ Driveways 0 Frontage Roads (include name) 0 Existing Structures 0 Well (W) 0 Septic Tank (Si') 0 Drain Field (DF) ❑ Holding Tank (HT) 0 Privy (P) ❑ Lake ❑ River ❑Stream/Creek ❑Pond ❑Floodplain ❑Wetlands ❑Sloes over 20% N SGC k7 cJ-1 RECEIVEQ SEP 28 2026 PiannM BaYfield Co. g and Zoning Agency Setback or distance from furthest extent of structure including eaves and overhangs to (include on site plan): County Use Only Verified setbacks Road Centerline /44/ ft. ft. Notes/Comments: Front Lot Line/Right-of-Way ft. ft. Sid tLine 1 ortffi ast South West, circle one) ys ft. ft. Side Lot Line 2 (North E out es circle one) (23 ft. /� ft. Rear Lot Line 72 ft. ,/o ft. Septic/Holding Tank 30 ft. ft. Drainfield t{O ft. IL Privy • ft. ft. Well ,c- ft. ft. Existing Structure/Building (p ft. ft. Wetland ft. ft. Elevation of Floodplain ft. ft. Ordinary High -Water Mark (OHWM) ft. ft. Other (describe) ft. ft. Application Page 2 A. ANDERSEN ARCHITECTURAL SPECIALIST c% 1%E A/1 iYflt&6 MORGAN DISTRIBUTION b J T> I I ,g Na r 7?') S�i. '/ W„wmn. ration Come home to quality. L/3 420 C-chg % L� Come home to Andersen. 1. DATE 1 �`° -4-T--F q SH POJIJ i JOB %yl6W-D 4F' / i ifl I _ d v q i (a% r �t5L-PTI zj lI 1 N. zL C El H \I I L, cn;J4 I RECEIVED SEP 282025 yfield Co. Planni, and Zoning Agency 2C7b ANDERSEN® PLRMA_SHIELD® WINDOWS & PATIO DOORS: FOR COMMERCIAL! & INSTJTUTIONALi USE SECTION G: Additional Questions 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. ❑ 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. l5 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. l� Yes ❑ No Is there an existing sanitary system on the property? If yes, what kind? P( Drainfield ❑ Holding Tank ❑ Municipal/Public ❑ Other (describe): ❑ Yes 2rNo 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 2'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 0 Class A Special Use 0 Class B Special Use 0 Conditional Use ❑ Variance Fee payment will be made via: Zr Check (attached) ❑ Cash (attached) ❑ debidcredit/echeck (department to call once payment is ready to be taken) How would you like to receive your permit card? 2'Mail to: OR ❑ Email to: 0 Property Owner Address VAgent Address 13 Contractor Address 0 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. San 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. SEP 2 8 2026 The local Town, Village, City, State or Federal agencies may also require permits. The new construction o11e- & (OtdtGniily dwellings by the local Uniform Dwelling Code Additions and"aY1 Iffi fi3 i cr requires review and approval (UDC) authority. and two-family dwellings may require review and approval by the UDC authority. All municipalities are required to enforce the UDC. If subject property is part of a Condominium Plat, applicant hereby certifies and represents that applicant has all necessary approvals and recorded documents required to complete the project for which this permit is sought including requirements set forth in Wisconsin statutes pertaining to condominium associations, the Declaration of the Condominium Association in which the property is located, and all other rules, regulations and requirements pertaining to that Condominium Association. You are responsible for complying with state and federal laws concerning construction near or on wetlands, lakes, and streams. Wetlands that are not associated with open water can be difficult to identify. Failure to comply may result in removal or modification of construction that violates the law or other penalties or costs. For more information, visit the Department of Natural Resources wetlands identification web page, dnr.wi.gov/topic/wetlands, or contact a Department of Natural Resources service center (715)685-2900. 1 (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 reaso�nable time for the purpose of ,inns/pecttion. Owner(s) or Authorized Agent Printed Name: Zl C- H Pwtp () t_ Ibr\ o' ) Owner(s) or Authorized Agent Signature: ( /- Date: 2c. 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 21 Yes ❑ No Will new electrical installation occur with project/structure? If yes, contact State for inspection requirements. ❑ Yes 2'No Will new plumbing installation occur with project/structure? If yes, contact State for inspection requirements. ❑ Yes O No Is the project/structure to be used for commercial purposes? If yes, contact the State of Wisconsin Commercial Buildings & Structures to determine if they require review and approval. ❑ Yes J2'No Is the project located in the Floodplain? If yes, additional materials and fee will be required. Reference the FEMA Map (https://msc.fema.po`/portal/home) and Title 13, Chapter 2 of Bayfield County Zoning Ordinance (https://www.bayfieldcounty.wi.gov/7 fieldcoun .wi. ov/711/Title-13--Zonin-Code . 2a Yes ❑ No Is the project located in the Shorelands, within 300 feet of a river/stream OR landward side of floodplain OR 1000 feet of a lake/ and/flowa a whichever is eater ? if yes,_shorelandregulations_will_apply. ❑ Yes O No Is your property a waterfront lot and will any part of your project be located within 300 feet of the water OR is your entire lot located within 300 feet of the water? If yes to either, complete and include Impervious Surface Form (httns://www.bayfleldcounty.wi.ov/DocumentCenter/Vicw/3 I s9llmpervious-Surface-PDF). ❑ Yes 0'No Are there wetlands on the property. Tf yes, wetland regulations will apply. A 25 -foot setback is required to any mapped wetlands. Reference Department of Natural Resource Surface Data Viewer Map (https://dnrmaps.wi.gov/115/?Viewer"SWDV). ❑ Yes O No If applicable, did you contact the road authority to see if a driveway permit or regulations apply to placement of driveway? ❑ Yes .0' No Was the property purchased recently? If yes, include a recorded deed. A copy of recorded deed can be acquired from the Bayfield County Register of Deed's office. O'Yes O No Is a site plan included with all information requested on Page 1 of the Land Use Permit Application Information? if no, a site plan with all applicable information on Page 1 is required for all submissions. ❑ Yes ❑ No Is a floor plan(s) included with all information requested on Page 4 of the Land Use Permit Application Information? Floor plans are required for residences, commercial buildings, or additions/alterations to these structures. ❑ Yes ❑ No If structure is in Shorelands, have building elevations with all information requested on Page 5 of the Land Use Permit Application Information been included? ❑ Yes O No Is this application to correct a violation or has the project already commenced? If yes, at minimum an after -the - fact fee will a I . If not ermittable, the structure will need to be removed. ❑ Yes ❑ No If addition, does the existing structure meet required setbacks, see Page 2 of the Land Use Permit Application Information? If no, be aware that it is the property owner's responsibility to show the structure was legally placed and there maybe limitations to expansion of the structure, see Bayfield County Section 13-1-40 (https://www.bayfieldcounty.wi.gov/71 l/Title-13--Zonin -Code . 0 Yes O No Is the use of the project/structure allowed per Bayfield County Section 13-1-62 (https://www.bayfieldcounty.wi.gov/71 If no, be aware it is the property owner's responsibility to show the use was legally established and there may be limitation to expansion of the use, see Bayfield County Section 13-1-40 (https://www.bayfieldcounty.wi.gov/7 I 1/Title-13--Zoning-Code). ❑ Yes O No Have all fees been included with the completed application? See Fee Schedule on website (httns://www.bayfieldcountv.wi.gov/l bayfieldcouniy.wi.gov/1389/Fee-Schedule). If no, all applicable fees need to be paid before permit can be issued. ❑ Yes 2'No Is property owned by multiple owners or is someone aside from the property owner applying? If yes, a Letter of Authorization Form needs to be included. Form available on website (https://www.bayfieldcounty.wi.gov/l fieldcoun .wi. ov/1340/Applications-Forms). ❑ Yes ❑ No Is property owned by a Trust or Business entity (LLC, Corp., etc.)? If yes to either, an Affidavit of Authority needs to be included. Forms available on website (httns://www.bayfueldcountv.wi.gov/l gov/1340/Applications- Forms). O'Yes O No Is Land Use Application completed and signed? RECEIVED SEP 282026 Bayfield co. Planning and Zoning Agency Land Use Permit Application Information Page 6 REAR ELEVATION '1 � _______________ O ________________ # �0 CM - - ___ II II - Y � U f t f ry rr{ L' l� : RIGHT ELEVATION ED RECEIVED LEFT ELEVATION Am SEP 282025 Bayfieid Co. Planning and Zoning Agency fli: FRONT ELEVATION C i,.. ra MAIN FLOOR PLAN . Yf. rN 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): Mailing Address: y34 -O C7y 11,ui 'D Property Address: y c 4,L- h cAaLE 1v1 c�,vau ..iz e�I Legal Description: Section, Township, Range 1/4, 1/4, Sec Township 93 N, Range _____W Authorized Agent/Contractor Gov't Lot Lot Lot # CSM# I Vol & Page cy cR�-lo) qV /e 6 7 YC Lot(s) # I Block(s) # I Subdivision Town of: 40 4oa1 LAAd SNhRi 4Art.AKA £3t?L,/ Parcel ID # (PIN #) Tax ID # Date: 04- 034 -'L -Y3 -o6 /y -1 00'-yi' o ≥r!6-7 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 ppsty�yctton, reconstruction, expansion, replacement or relocation of any impervious surface that is or will be loca�R ' `369tfbet 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. SEP 2 8 2026 Calculation of Impervious Surface: Percentage of impervious surface shall be calculated by vid' t%fr#ace area of the existing and proposed impervious surfaces on the lot or parcel by the total surface area 184 ifl"'%Mgt" Sind 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. Impervious Surface Item Dimension Area (Square Footage) /�_� � Existing House 4 r�Ur" 3sy sL J 7 4X 26 Existing Accessory Building/Garage yY P Y312-0 6Ki6 2 6 Existing Sidewalk(s), Patio(s) - - - -_ Existing Covered Porch(s), & Deck(s) gir p"6 - Y ZV / 'r 6 � i 4 1'1,04 Existing Driveway 2 y'r 1- `/ Z f 'r /o y ,exit Zoi(� Other Structures BxI2 9 G Proposed Addition/House Proposed Accessory Building/Garage 32 J( Y7- 13 L/ y Proposed Sidewalk(s) & Patio(s) Proposed Covered Porch(s) & Deck(s) RECEWED Proposed Driveway SEP 2 8 2028 Proposed Other Structures Total: Planning and Zoning Agency a. Total square footage of lot: % 7 b. Total impervious surface area: c. Percentage of impervious surface area: 100 x (b)/a = /O 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: Inspection Record: Zoning District ( I Condition(s): Stormwater Management Plan Required: ❑ Yes ❑ No Signature of Inspector: Date of Approval: u/farms/impervioussurface Created: May 2012 (®Sept 2016, Sept 2020, Feb 2026) Proofed by: 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. I4tMJ11 / U (property owner), authorize (authorized agent) Submit a La,u n lrc t' (Example: and 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.) application on my behalf for the following described property: Legal description of subject property: .S1 Y "3 i2° 't Address of subject property: /3`r 26 C -I RECEIVED SEP 282026 earrew Co. Planning and Zoning Agency Real Estate Bayfleld County Property Listing Today's Date: 9/28/2026 A Description Updated: 8/11/2023 Tax ID: 25107 PIN: 04-034-2-43-06-14-1 00-227-47000 Legacy PIN: 034111309000 Map ID: Municipality: (034) TOWN OF NAMAKAGON 5Th: S14 T43N R06W Description: NAMAKAGON LAKE SHORE SUBDIV LOT 40 IN V.1046 P.746 755 IN DOC 2023R- 599848 Recorded Acres: 1.500 Calculated Acres: 1.575 Lottery Claims: 0 First Dollar: Yes Zoning: (R-RB) Residential -Recreational Business ESN: 123 Tax Districts Updated: 3/15/2006 1 STATE 04 COUNTY 034 TOWN OF NAMAKAGON 041491 SCHL-DRUMMOND 001700 TECHNICAL COLLEGE <4 Recorded Documents Updated: 9/20/2010 0 WARRANTY DEED Date Recorded: 7/28/2023 20238-599848 0 TERMINATION OF DECEDENT'S INTEREST Date Recorded: 4/13/2023 2023R-598677 0 TERMINATION OF DECEDENT'S INTEREST Date Recorded: 4/13/2023 2023R-598676 0 WARRANTY DEED Date Recorded: 9/14/2010 2010R-534567 1046-746 Property Status: Current Created On: 3/15/2006 1:15:49 PM r� Ownership Updated: 8/11/2023 JEFFERY R & SHAWN M NYGAARD LIVING CABLE WI TRUST Billing Address: Mailing Address: JEFFERY R & SHAWN M JEFFERY R & SHAWN M NYGAARD LIVING TRUST NYGAARD LIVING TRUST 15705 MCAULLY 15705 MCAULLY CABLE WI 54821 CABLE WI 54821 P Site Address * indicates Private Road 43620 COUNTY HWY D CABLE 54821 5 Property Assessment Updated: 4/13/2026 2026 Assessment Detail Code Acres Land Imp. Gi-RESIDENTIAL 1.500 152,500 229,700 2 -Year Comparison 2025 2026 Change Land: 152,500 152,500 0.0% Improved: 5,200 229,700 4,317.3% Total: 157,700 382,200 142.4% N/A Property History RECEIVED SEP 282026 Bayfield Co. Planning and Zoning Agency Land Use Permit Application Review Checklist Submission #: LL4 - 013 1K What zoning district is the project located in? ❑ R-1 ❑ R-2 ❑ R-3 ❑ R-4 -RB ❑ C Dl ❑ M ❑ A-1 ❑ A-2 ❑ F-1 ❑ F-2 ❑ W ❑ M -M ❑ Yes l)lo l Is lot substandafd (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,No Is the project located in the Floodplain? Zone: ❑ Yes Micjo Are there wetlands on the property? ❑ Yes No Is project associated with a nonconforming use or structure? ❑ Yes No Is project associated with a variance? Case #: ❑ YesNo Is project associated with a Special B or Conditional Use Permit? Permit #: ❑ YecSNo Is the project associated with a Special A Use Permit? ❑ Yes o Does the project require sanitary? O Existing ❑ New O Intercept ❑ Reconnect 0 Non -Plumbing ❑ Public Sanitary Permit #: # of Bedrooms: ❑ Yes o Does the project require mitigation? Implementation Deadline: Date of Compliance: ❑ YesPNo Does the project require an affidavit? Affidavit #: ❑ Yes jauITb Did licensed surveyor mark lot line(s), if project is within 10 feet of required setback? Ves ❑ No Did applicant/property owner mark lot line(s), if project is within 30 feet of required setback? Project use is? esidential ❑ Commercial ❑ Municipal Project type is? flew Construction O Addition/Alteration ❑ Change Use 0 Relocate ❑ RV Placement 0 Sign 0 Establishing a Business 0 Temporary 0 Shoreland Grading 0 Other, describe: Structure Type is: 0 Residence 0 Principal Structure ccessory Structure 0 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: I Overall Height: Ic 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 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 O Special Use Permit - Class A 0 Floodplain IiZ3horeland - Impervious Surface 0 Shoreland - Non -Conforming, etc. 0 Tower Siting/Collocation 1 0 Tower Collocation 2 0 Metallic Mine ❑ After -the -Fact (ATF) $ Inspected by: < / I� 94 J Date of Inspection: / Re -Inspected by: Denied by: Reason for Denial: Date Denial Letter Mailed: Approved by: Date of Re -Inspection: Date of Denial: Date of Approval: Condition(s): r / ❑ Must meet and maintain setbacks from furthest extension of structure including eaves and overhangs. or personal storage only. ❑ For personal residence only. Shot 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. ❑ Sign 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 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). and 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 Planning & Zoning Department 117 E 5w Street P.O. Box 58 Washburn, WI 54891 Phone: 715-373-6138 Fax: 715-373-0114 Property Owner. NYGAARD LIVING TRUST, JEFFERY R & SHAWN M 15705 MCAULLY CABLE, WI 54821 Description Shoreland - Impervious Surface Non -Habitable Residential Principal and Accessory Structures - $0.20/square foot (minimum $75) Submission Number: LU-02578 Transaction Number: LU-02578-5672B Amount $25.00 $268.80 Total: $293.80 Payment Amount: $293.80 Reference: 018307 Paid by: Rick Yerhot Builder Payment Type: Check Transaction Date: 10/9/2026 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 / Affidavit #: LAND USE - X SANITARY - SPECIAL A - SPECIAL B/CONDITIONAL - BOA - BAYFIELD COUNTY Vii: JAI WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION No. 26-0551 Tax ID: 25107 Issued To: NYGAARD LIVING TRUST, JEFFERY R & SHAWN M Location: S14 - T43N - R06W Town of Namakagon Legal Description: NAMAKAGON LAKE SHORE SUBDIV LOT 40 IN V.1046 P.746 755 IN DOC 2023R-599848 Residential Structure in R-RB zoning district For: New Construction [1 - Story], Accessory Structure on a Slab [1344 Total sq. ft. ] Height of 18' (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 09, 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.