HomeMy WebLinkAbout26-0557Return to: County Use Only:
117 E 5t° Street, PO Box 58 Bayfield County Planning and Zoning Department Submission #: L U0a,5'
Washburn, WI 54891 LAND USE PERMIT APPLICATION Permit #:6 _O J7
permits@bayfieldcounty.wi.gov Date: \O/ 13/ 2-o a'6
SE,CTIO A: General Ia1`u - ation
Property Owner Name:
Authorized Agent Name (if applicable):
Craig Florine
Rob Linsdey RE
Telephone Number:
Telephone Number:
715-209-1354
715-209-7253
E -Mail Address:
E -Mail Address: SEP 29 ?!J26
pheasantdr@gmail.com
organicdrafter@gmail.com
Mailing Address:
Mailing Address: planning and Zoning Agency
47500 North Hamlin Lake Rd
217 E 4th st
City, State, Zip:
City, State, Zip:
Drummund WI 54832
washburn wi 54891
Contractor:
Telephone Number: E -Mail Address: 9j
SECTION B: Property Information
Project Address (if ditTcrent from mailing address):
Legal Description (if additional space is needed attach a separate sheet):
PAR IN GOVT LOT 1 DESC IN DOC 2024R-605932
Section, Township, Range: (018) TOWN OF DRUMMONDSTR: S25 T44N R08W
Town of: drummund
Tax ID ": 14753
Lot Size (Acres/Square Feet): 2.870 acres
FCTION C: Project Information (checliollthat apply),
Project Use is: I/i Residential ❑ Commercial ❑ Municipal It Commercial estimated cost of construction: $
Project Type is: El New Construction ❑ Addition/Alteration (existing structure)
❑ Change Use (existing structure) ❑ Relocate (existing structure) El RV Placement 21+ days
❑ Sign El Establishing a Business ❑ Temporary (12 or less months)
El Shoreland Grading, Class A El RV Placement 4+ months, Class A ❑ Other (describe):
required (Total sq ft): required
SECTION D: Structure Information (Does not apply to RVs and Signs, go to Section E)
Structure "Type is: ❑ Residence ❑ Principal Structure (describe):
El Accessory Structure (describe): ❑ Shoreland Exempt Structure (describe): El Mobile Home (provide manufactured
garage/shed date):
❑ Shipping Container ❑ Other (describe):
Foundation Type:
El Basement El Walkout Basement El Slab ❑ Crawlspace El Ground ❑ Skids ❑ Other (explain):
Existing Structure: Length: Width: Height:
Proposed Structure (Provide Sq Ft based on outside dimensions, including unfinished areas, attached garages/above grade
decks/porches):
Basement Sq Ft:
l't Floor Sq Ft:
Loft Sq Ft:
2ad Floor Sq Ft:
3rd Floor Sq Ft:
Garage Sq Ft:
Porch Sq Ft:
Deck Sq Ft:
Other Sq Ft (describe):
Other Sq Ft (describe):
1142
Total Sq Ft: 1142
Overall Height (finished grade to peak): 22' 9.5"
It of Stories: 1
Lxisting f,• of Bedrooms on property:3 Proposed # of Bedrooms in project: 0
SECTION E: RV and Sin Information (thdtappl9`.
Sign is:
RV is:
❑ New ❑ Replacement
❑ New ❑ Replacement
❑ On -premise ❑ Off -premise
❑ I -sided ❑ 2 -sided
Year: Vin #:
El 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 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) O Existing Structures O Well (W) ❑ Septic Tank (ST) ❑ Drain Field (DF)
❑ Holding Tank (HT) O Privy (P) ❑ Lake ❑ River ❑Stream/Creek DPond ❑Floodplain ❑Wetlands ❑Slopes over 20%
N
RECEIVED
SEP 292026
saylield co.
Planning 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
ft.
7
Notes/Comments:
to/`1} /��
(/
G t.
Front Lot &tght-of--Way
ft.
ft.
Side Lot Line
(North East South West circle one)(SNorth
34'1 10° ft.
East South West, circle one
ast So
5314[[ ft.
.orth
Rear Lot Line
+100
Septic/HoldingTank
+100' ft.
ft.
Drainfield
90' ft.
ft.
-, Ic
Privy
100' ft.
ft.
Well
ft.
ft.
Existing Structure/Building
86' ft.
ft.
Wetland
na ft.
ft.
Elevation of Floodplain
na ft.
ft.
Ordinary High -Water Mark (OHWM)
200'+ ft.
ft.
Other (describe)
ft.
U.
Application Page 2
El 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
El 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.
O Yes
El 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.
El Yes
❑ No
Is there an existing sanitary system on the property? If yes, what kind?
El Drainfield ❑ Holding Tank ❑ Municipal/Public ❑ Other (describe):
❑ Yes
El 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 O Holding Tank El Municipal/Public El Other (describe):
❑ Yes
El No
Will sleeping occur in the structure? If yes, contact local Uniform Dwelling Code (UDC)
inspection requirements.
Is the project associated with any of the following: SIP tO Z026
❑ Rezone O Class A Special Use O Class B Special Use ❑ Conditional Use ❑ Variance
Fee payment •will be made via: P'fflfl,g and Zoning Agency
❑ Check (attached) El Cash (attached) El debit/credit/echeck (department to call once payment is ready to be taken)
How would you like to receive your permit card?
❑ Mail to: OR El Email to:
El Property Owner Address El Agent Address ❑ Contractor Address ❑ Other (provide name and email or address):
`Include caves. overhangs, sanitan system, and well in slaking measurements
�Sectian ; 9 aknnwled emenL,attd S' nak.
All Land Use Perm its 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 ov�/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: ___
Owner(s) or Authorized Agent Signature: Date: epr
NOTES:
1. If you are signing on behalf of the owner(s) a letter of author ation 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
CONTENTS: PROJECT LOCATION: RENDERING:
Sheet Number Sheet Name —
1
2
Al
Cover
SITE
floor plan*^^
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A3
SECTIONS
PERSPECTIVE
PROJECT TEAM: AREA CALCULATIONS:
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** INBOUND NOTIFICATION : FAX RECEIVED SUCCESSFULLY **
TIME RECEIVED REMOTE CSID DURATION PAGES STATUS
September 30, 2026 at 11;44:17AM CDT 7156829638 67 4 Received
09-30-'26 09:49 FROM- MMC 0phthrrology 7156829638 T-214 P0001/0004 F-995
RECEIVE,)
AFFIDAVIT OF AUTHORITY
(Trust)
SEP 302026
Planni BayfieW Co.
PURPOSE. This Affidavit of Authority is used to certify the individual submitting an application is a� Zoning Ag ,
authorized when the property is owned by a Trust.
STATE OF WISCONSIN
) as.
BAYFIELD COUNTY
The undersigned affirms and states as follows:
i! & NnRY-N f/AMMLt- '44KE R.D
1. Address of Subject Property: b)R to tM IM O N b , ku2-
2. The Subject Property is owned by: t?4/6 W Pto I%V tr 7-RkSr
(Name of Trust)
3. The name(s) of the current Trustee(s): GIB A /6 W JDLo 12/NE'
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.
Dated:
r4! Ge>Ri4
Print Name ..........
t
Subscribed and sworn to before me thistom.
day ofAaCPL, 20x2 a 0
sconsrb \Notary Public,
�: e
09-30-'26 09:49 FROM- MMC Ophthmology 7156829638 T-214 P0002/0004 F-995
RECEIVED
II WI
n/� SEP 202026
My commission: t0 1"1 !' 1 co.
mg and Zony)g gge„r,Y
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.
09-30-'26 09:50 FROM- MMC Ophthmology 7156829638
T-214 P0003/0004 F-995
Letter of Authorization
Bayfield County Planning & Zoning Department
RECEIVE(r
SEP 30?026
Plannh,y�bOnN�Y
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, C'S'FIo'uw (property owner), authorize aaouns y
(authorized agent) to submit a N.-uwooy(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.) qangathodcanmicuon application on my behalf for
the following described property:
Legal description of subject property; PARINGOVtLOTi DescLN oocsm eaos9sz
Address of subject property: 47500 NOMNsminlxkeRd o,ummunovns,es2
Signature �
1/3 o/2a :
Dated
Land Use Permit Application Review Checklist
Submission #:
What zoning district is the project located in?
1❑ R-2 ❑ R-3 ❑ R-4 ❑ R-RB ❑ C Dl ❑ M ❑ A-1 ❑ A-2 ❑ F-1 ❑ F-2 ❑ W ❑ M -M
O Yes "b,m
Is lot substandard (does not meet current zoning dimensional requirements)?
Deed of record:
Yes ❑ No
Is the project located in the Shorelands (Shorelands are lands within 300 feet of a river/stream OR
landward side of floodplain OR 1000 feet of a lake/pond/flowage, whichever is greater)?
s o
Is impervious surface required? (Required if riparian lot OR lot is entirely within 300 feet of OHWM of
navigable waterway)
❑ Yes o
Is the project located in the Floodplain? Zone:
❑ Yes o
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 #:
❑ Ye 9ro
Is project associated with a Special B or Conditional Use Permit? Permit #:
❑ Yes'>No
Is the project associated with a Special A Use Permit?
❑ Ye o
Does the project require sanitary?
0 Existing 0 New ❑ Intercept ❑ Reconnect 0 Non -Plumbing ❑ Public
Sanitary Permit #: # of Bedrooms:
❑ Yes Wo
Does the project require mitigation?
Implementation Deadline: Date of Compliance:
❑ Yes _ -No
Does the project require an affidavit? Affidavit #:
❑ Yes o
Did licensed surveyor mark lot line(s), if project is within 10 feet of required setback?
es ❑ No
Did applicant/property owner mark lot line(s), if project is within 30 feet of required setback?
Project use is? esidential 0 Commercial ❑ Municipal
Project type is new Construction 0 Addition/Alteration ❑ Change Use ❑ Relocate ❑ RV Placement ❑ Sign
❑ Establishing a Business ❑ Temporary O Shoreland Grading ❑ Other, describe:
Structure Type is: O Residence ❑ Principal Structure ,, -Accessory Structure O Boathouse (one story only)
❑ Open-sided/Screened Structure (gazebo, etc.) ❑ ≤tairway 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)
$
on -Habitable Residential Principal and Accessory
r Sctures
t A{
$0.20 x sq ft
(minimum $75)
$
❑ Commercial Principal Structures
$250 + $0.005 x
cost of construction
(minimum 50)
$
❑ 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 O Shoreland - Impervious
Surface O Shoreland - Non -Conforming, etc. O Tower Siting/Collocation 1 O Tower Collocation 2 0 Metallic Mine
❑ After -the -Fact (ATF)
$
Inspected by: •'It- 1'!t
Date of Inspection:
Re -Inspected by:
Date of Re -Inspection:
Denied by:
Date of Denial:
Reason for Denial:
Date Denial Letter Mailed:
Approved by:
Date of Approval:
O
0
Condition(s):
ust meet and maintain setbacks from furthest extension of structure including eaves and
overhangs.
or personal storage only.
❑ For personal residence only.
- of 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.
o 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
j%lo 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
and use permits shall be obtained prior to the initiation of construction or a change in land use
?I.,
❑ equirements (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
.A FIELD 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: Submission Number:
CRAIG W FLORINE TRUST DTD 11/22/24 LU-02581
47500 North Hamlin Lake Rd
Drummond, WI 54832 Transaction Number.
LU-02581-57AA5
Description Amount
Non -Habitable Residential Principal and Accessory $228.40
Structures - $0.20/square foot (minimum $75)
Total: $228.40
Payment Amount: $228.40
Reference: 1032
Paid by: Rob Lindsey Design & Build LLC
Payment Type: Check
Transaction Date: 10/13/2026
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 — Yes / Impervious Surface — No
Floodplain — No / Wetlands — No
Mitigation — No / Affidavit #:
LAND USE — X
SANITARY -
SPECIAL A -
SPECIAL B/CONDITIONAL —
BOA —
No. 26-0557 Tax ID: 14753
Issued To: CRAIG W FLORINE TRUST DTD 11/22/24
Location: S25 - T44N - R08W
Town of Drummond
BAYFIELD COUNTY
PERMIT
WEATHERIZE AND POST THIS PERMIT
ON THE PREMISES DURING CONSTRUCTION
Legal Description: PAR IN GOVT LOT 1 DESC IN DOC 2024R-605932 (CRAIG W FLORINE TRUST DTD 11/22/2024)
Residential Structure in R-1 zoning district
For: New Construction [1 - Story ], Accessory Structure on a Slab [1142 Total sq. ft. ] Height of 23'
(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
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 13, 2026
Date
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.
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.