HomeMy WebLinkAbout26-0555RECEIVED
Return to: eCp County Use Only:
117 E sM Street, PO BDt! SZ_ 8 Z(���yfield County Planning and Zoning Department Submission #: LU -O?&7 3
Washburn, WI 54891 LAND USE PERMIT APPLICATION j Permit #: b- oSS
eayfiea co.
PermitsC�bavfiej jauA.�otlno Agency Date: 4 P'
SECTION A: General Information
Property Owner Na e: __e M.�c lj tN�fjtS
Authorized A cat erne (if applicable): ,
Cv✓tS%vu��tPmh
Telephone Number:
Telephone Num Cr:
-its-
__
E -Mail Address:
E -Mail Address:
p wt
kve ' i
MWling Address
Mailing Address:
c13o l.) S LN
r C_ -n
Ci , State, Zip:
, St:_
Contra tor: Telephone Number: I
-1 3t/'
E -M 't Address:
't `mna /tc Pc
T r1 M�. iS
1 n nco
$ECTIONB:L'ropertvInfonnation
Project Address (if different from mailing address):
iccc GktrwtJbn ENTrain
Le al Description (if additional space i needed attach a separate sheet): qiap
�.o C. Zot < bD 33
Section, Township, Range: ebZg 7431J (Z7 yJ
Town of CJ,Ie
Tax ID #: 3P Sj 3
Lot Size (Acres/Square Feet): 2.21:1%S
SECTION C: Project Information (check all that apply)
Project Use is: ' Residential ❑ Commercial ❑ Municipal If Commercial, estimated cost of construction: $
Project Type Li: a New Construction ❑ Addition/Alteration (existing structure)
❑ Change Use (existing structure) 0 Relocate (existing structure) 0 RV Placement 21+ days
❑ Sign 0 Establishing a Business 0 Temporary (12 or less months)
0 Shoreland Grading, Class A ❑ 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: 1$'Residence ❑ Principal Structure (describe):
❑ Accessory Structure (describe): 0 Shoreland Exempt Structure (describe): ❑ Mobile Home (provide manufactured
date):
❑ Shipping Container 0 Other (describe):
Foundation Type:
❑ Basement KWalkout Basement 0 Slab 0 Crawlspace 0 Ground 0 Skids 0 Other (explain):
ExistingStructure: Length: Width: Height:
Proposed Structure (Provide Sq Ft based on outside dimensions, including unfinished areas, attached garages/above grade
decks/porches):
Basement Sq Ft:
P' Floor Sq Ft:
Loft Sq Ft:
2v° Floor S Ft:
3m Floor Sq Ft:
i zo
\Z0
iJP
Garage Sq
t
Porch Sq Ft:
Deck Sq Ft:
Other Sq Ft (describe):
Other S (describe):
H-�
Total Sq Ft: 2 b`b% .
OverallHeight (finished grade to peak): . 2A t b y t
# of Stories: z Existing #oP Bedrooms on property: N F1,
Proposed # of Bedrooms in project:
SECTION E: RV and Sin Information check all that a I
Sign is:
R V is:
❑ New ❑ Replacement
❑ New 0 Replacement
❑ On -premise ❑ Off -premise
❑ I -sided 0 2 -sided
Year: Via #:
❑ On -building ❑ Multi -Tenant
Length: Width: Height:
Make: Model:
44
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:
❑ Driveways ❑ Frontage Roads (include name) 0 Existing Structures 0 Well (W) 0 Septic Tank(ST) 0 Drain Field (DF)
❑ Holding Tank (IIT) ❑ Privy (P) 0 Lake 0 River ❑Stream/Creek ❑Pond ❑Flood lain ❑Wetlands.❑Slopes over 20%
N
�e e
RECEIVED
SEP 2 8 2026
Bayfield Co.
Planning and zonmg Agency
4J
Setback or distance from furthest extent of structure
including eaves and overhangs to (include on site plan):
County Use Only
It
Verified setbacks
1
Road Centerline
Z ZC4
ft.
> -:3 ft.
Notes/Co
nts: 1
Cs c� v��
/f MG�J r 4
' (I J t,
/ T.p
T vevged
la -42' -2-6
Front Lot Line/Right-of-Way t4wA
ft.
Side ire I
o E South West, circle one)
>/0
Side Lo ine2
North East South circle one)
I� ft.
>)pft.
Rear Lot Line eDUI4IgZ
ft.
7/D ft.
Septic/HoldingTank
� ft.
'LO ft.
Drainfeld
D ft.
t.l ft.
Privy
p. R.
ft.
Well
lrl) ft.
o ft.
Existing StructureJBuilding
R. ft.
ft.
Wetland
N ft.
ft.
Elevation of Floodplain
p. ft.
ft.
Ordinary High -Water Mark (OHWM)
Pc ft.
ft.
Other (describe)
j4..
ft.
ft.
RECEIVED
fV SEP 282026
llayfield Co.
Planning and Zoning Agency
0
U-
U-
RECEIVED
SEP 2.8 2026
sayfield Co.
fanning and Zoning Agency
SECTION G: Additional
Questions
is Yes
❑ No
Has the location of the proposed project* been staked? If no, what date will this be completed: Z
Note: The site will not be inspected norpermit issued until after the staking date listed above.
Yes
0 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.
J 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.
❑ Yes
PQ No
Is there an existing sanitary system on the property? If yes, what kind?
0 Drainfield 0 Holding Tank ❑ Municipal/Public ❑ Other (describe):
El Yes
❑ No
Will pressurized water be installed in the structure? If yes, what kind of sanitary system will be installed or used
to manage wastewater?
Drainfield ❑ Holding Tank 0 Municipal/Public 0 Other (describe):
jWYes
0 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:
, 1
0 Rezone 0 Class A Special Use ❑ Class B Special Use ❑ Conditional Use 0 Variance ot)
Fee payment will be made via:
Check (attached) 0 Cash (attached) ❑ debit/creditlecheck (department to call once payment is ready to be taken)
How would you like to receive your permit card?
+$ Mail to: OR ❑ Email to:
0 Property Owner Address 0 Agent Address SContractor 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. 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.gov/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.
6 u U1 /'
Owner(s) or Authorized Agent Printed Name: Cpl ,�.,} S
Owner(s) or Authorized Agent Signature: J(/CZ /L'-" _— Date: / /al2
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.
1 FRONT PISS CLTVE �`�
2 BACK PERSPECTWE
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RECEIVED
SEP 28 2026
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Planning and Zoning Agency
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Land Use Permit Application Review Checklist
Submission #: -02
What zoning district is the prof ct located in?
❑ 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 o
Is lot substan and (does not meet current zoning dimensional requirements)?
Deed of record:
❑ Yes to
(
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 o
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:
❑ YesNo
Are there wetlands on the property?
❑ Yes6 No
Is project associated with a nonconforming use or structure?
❑ Ye No
Is project associated with a variance? Case #:
❑ Yes o
Is project associated with a Special B or Conditional Use Permit? Permit #:
❑ Yes1To
Is the project associated with a Special A Use Permit?
Yes ❑ No
Does the project require sanitary?
❑ Existing VNew ❑ Intercept ❑ Reconnect 0 Non -Plumbing O Public
Sanitary Pe mit #: 21 — # of Bedrooms:
❑ Yes ;0lo
Does the project require mitigation?
Implementation Deadline: Date of Compliance:
❑ Yes o
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?
❑ Yes o
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 i ? Jew Construction O Addition/Alteration 0 Change Use 0 Relocate 0 RV Placement ❑ Sign
❑ Establishing as Business ❑ Temporary O Shoreland Grading 0 Other, describe:
Structure Type is:Residence 0 Principal Structure O Accessory Structure O Boathouse (one story only)
❑ Open-sided/S reened Structure (gazebo, etc.) 0 Stairway to navigable waters ❑ Mobile Home
❑ Shipping Container O Other, d scribe
Total Sq. Ft. of Project: 43 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)
$ `f
1
I/ Dwelling Unenclosed Areas (decks, patios, etc.) or
Attached Non -Habitable Garages
q
$0.20 x "1I s ft
(m iniimum $125)
$ % I . U
❑ 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 O Shoreland - Non -Conforming, etc. ❑ Tower Siting/Collocation 1 0 Tower Collocation 2 O Metallic Mine
❑ After -the -Fact (ATF)
$
\249.6 0
a
Inspected by: cl
Date of Inspection:
Re -Inspected by:
Date of Re -Inspection:
Denied by:
Date of Denial:
Reason for Denial:
Date Denial Letter Mailed:
Approved by: �0 \
Date of
Condition(s):
Must meet and maintain setbacks from furthest extension of structure including eaves and
C overhangs.
❑ For personal storage only.
or personal residence only.
( ❑ Not for human habitation or sleeping purposes.
own/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
prior to the start of construction (if applicable).
,,,obtained
/ 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.
�Jfo 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,
re cated, rebuilt, or structurally altered
Land use permits shall be obtained prior to the initiation of construction or a change in land use
(e.g., permits/licensing/tax) of Local Town, Village, City, State or Federal agencies are
euired
P24-1equirements
anitation requirements must be met (if applicable)
❑ Additional conditions may be placed and need to be adhered to at the time of permit issuance
Other Conditions:
K: Applications and Forms/Applications/Land Use/Updated 2/25/2026 mdk
P YFIELD Bayfield County
Planning & Zoning Department
117 E 5th Street
P.O. Box 58
Washburn, WI 54891
Phone: 715-373-6138
Fax: 715-373-0114
Property Owner: Submission Number:
VIRKUS, GUSTAVE OTTO & JULIE MAE LU-02577
8730 WESTMORELAND LN
ST LOUIS PARK, MN 55426 Transaction Number.
LU-02577-57A25
Description Amount
Habitable Residential Principal & Accessory $1,120.00
Structures -enclosed areas $0.50/ square foot
(minimum $125)
Habitable Residential Principal Structure - $89.60
unenclosed area or non -habitable garage
$0.20/square foot (minimum $125)
Total: $1,209.60
Payment Amount: $1,245.00
Reference: 6695 To Ce/Fvn d
Paid by: Trent Johnson Construction
t1/h� na4A P1�Ale,
Payment Type: Check m7n. ce-e' (io(/f)tej
Transaction Date: 10/12/2026
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 I Affidavit #:
LAND USE —X
X
SANITARY — New 26-138S
SPECIAL A —
SPECIAL B/CONDITIONAL —
BOA —
No. 26-0555 Tax ID: 39513
Issued To: VIRKUS, GUSTAVE OTTO & JULIE MAE
BAYFIELD COUNTY
PERMIT
WEATHERIZE AND POST THIS PERMIT
ON THE PREMISES DURING CONSTRUCTION
Location: S28 - T43N - R07W
Town of Cable
Legal Description: LOT 2 TELEMARK HILLS PHASE I IN DOC 2025R-606333
Residential Structure in R-RB zoning district
For: New Construction [2 - Story ], Residence on a Walkout Basement [2688 Total sq. ft. ] Height of 20'
(Uisclaimerl: You are responsible loi complying with state and federal laws concerning construction near or on wetlands, lakes, and streams. Any
future expansions or development would require additional permitting.
Condition(s): See back of card
NOTE: This permit expires two years from date of issuance if the authorized construction
work or land use has not begun.
Changes in plans or specifications shall not be made without obtaining approval.
This permit may be void or revoked if any of the application information is found
to have been misrepresented, erroneous, or incomplete.
This permit may be void or revoked if any performance conditions are not
completed or if any prohibitory conditions are violated.
Scott Roush
Authorized Issuing Official
October 12, 2026
Date
Condition(s): Must meet and maintain setbacks from furthest extension of structure including eaves and overhangs.
For personal residence only.
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.
Use best management practices to limit and prevent erosion during construction.
To be constructed per plan.
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).