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Home My WebLink About26-0559Return to: County Use Only' 117 E 5'^ Street, PO Box 58 Hayfield County Planning and Zoning Department Submission #: t —t t - d Z5 '70 Washburn, WI 54891 LAND USE PERMIT APPLICATION Permit #: -b $ permitsObayfeldcounty.wi.gov Date: I °7I (dae SECTION A. General Information Property Owner Name: Jeff Jacobson Authorized Agent Name (if applicable): _ Telephone Number: Telephone Number: IVED 6129405604 E -Mail Address: E -Mail Address: %J U 6 2 26 gna,ynoss@gmai.com Mailing Address: Mailing Address: Hayfield Co. 51640, Cty Hwy Y Planning and Zoning City, State, Zip: City, State, Zip: Barnes. WI 54873 Contractor: Telephone Number: E -Mail Address: self SECTION H: Propaty Ltotmatlon Project Address (if different from mailing address): Legal Description (if additional space is needed attach a separate sheet): N112 81/2 OF LOTIACSM #109V2 Section, Township, Range: 06 Tn 4a Rg 09 Town of: Barnes Tax ID #: 156o Lot Size (Acres/Square Feet): %mss SECTION C: Project Information cheek all that apply) Project Use is: El Residential O Commercial O Municipal if Commercial, estimated cost of construction: $ Project Type is: El New Construction O Addition/Alteration (existing structure) ❑ Change Use (existing structure) O Relocate (existing structure) O RV Placement 21+ days ❑ Sign O Establishing a Business O Temporary (12 or less months) ❑ Shoreland Grading, Class A O RV Placement 4+ months, Class A O Other (describe): required (Total sq ft): required SECTION ft Sttndme Information not apply to RVs and Siw* go to Section E) Srrucna-e Type is: O Residence O Principal Structure (describe): O Accessory Structure (describe): O Shoreland Exempt Structure (describe): O Mobile Home (provide manufactured garage date): ❑ Shipping Container O Other (describe): Foundation Type: ❑ Basement O Walkout Basement O Slab ❑ Crawlspace ❑ Ground O Skids ❑ Other (explain): ,Erisring Structure: Length: Width: Height Proposed Struclure (Provide Sq Ft based on outride dimensions, including unfinished areas, attached garages/above grade decks/porches): Basement Sq Ft: 1 • Floor Sq Ft: Loft Sq Ft: 2v4 Floor Sq Ft 3N Floor Sq Ft: Garage Sq Fr. Porch Sq Pt: Deck Sq Ft: Other Sq Ft (describe): Other Sq Ft (describe): 1200 Total Sq Ft 1214 Overall Height (finished grade to peak): 181' # of Stories: 1 Existing # of Bedrooms on property: 2 Proposed # of Bedrooms in project: 0 SECTION P, RV and S8t Intonation eheak all that a .1 Sign is: R V is: ❑ New O Replacement O New O Replacement ❑ On -premise O OfT premise ❑ 1 -sided ❑ 2 -sided Year: Vin #: ❑ On -building O 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 iaiuircd to be provided on site plan) Show location oft ❑ Driveways O Frontage Roads (include name) O Existing Structures O Well (W) O Septic Tank (Si) O Drain Field (DF) ❑ Holding Tank ❑ Privy (P) O Lake O River OStream/Creek OPond OFlood lain OWetlands OSlopesover20% RECEIVED OCT 062026 Bayfield 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 508 ft. ft. Notes/Comments: Front Lot Line/Right-of-Way 488 ft. ft. Side Lot Line l (North East South West, circle one) 95 ft. ft. Side Lot Line 2 (North East South West, circle one) 286 ft ft. RearLot Line 888 0. ft. Septic/Holding Tank 154 ft. ft. Drainfield 166 ft. ft. Privy ft. ft. Well 74 ft. ft. Existing Structure/Building 42 ft. ft. Wetland ft. ft. Elevation of Floodplain f ft Ordinary High -Water Mark (OIiWM) ft. ft. Other (describe) ft. ft. Application Page 2 5• :- cr1 i K'k1 r Q �� 7 LY f. -. ifii rf jY ' - 14 t�--- ar• '. Lt A, ! i a4 `k• a: .te RECEIVE® OCT 062026 Bayfield Co. Planning and Zoning Agency 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 pemlit issued until alter 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. ❑ 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. El Yes O No Is there an existing sanitary system on the property? If yes, what kind? O Dminficld ❑Holding Tank ❑ Munici al/Public ❑ Other (describe): ❑ Yes O N Will pressurized water be installed in the structure? If yes, what kind of sanitary system will be installed or used to manage wastewater? O Dminficld ❑ Holdin Tank ❑ Munici al/Public ❑ Other (describe): ❑ Yes Will sleeping occur in the structure? If yes, contact local Uniform Dwelling Code (UDC) for inspection requirements. UCT U b 2026 Is the project associated with any of the following: ❑ Rezone O Class A Special Use ❑ Class B Special Use O Conditional Use O Variance Fee payment will be made via: pp�� d Co. nd Zoning Age O Check (attached) O Cash (attached) red 0 debit/ct/echeck (department to call trace t is to be is t & How would you like to receive your permit card? ❑ Mail to: OR a Email to: O Property Owner Address O Agent Address O Contractor Address O Other (provide name and email or address): Include mvq overhangs. sanitary system, and well in staling measurements Section H: Acknowledgement ement 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. 1(we) further accept liability which may be a result of Bayfield County relying on this information 1(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 lime for the purpose of inspection. Owner(s) or Authorized Agent Printed Name: Owner(s) or Authorized Agent SignalUre: : NOTES: 1. If you are signing on behalf of the owner o letter of authorization must accompany this application. 2. Specific condiuons/instnictions may be stated on the face of the issued Land Use Permits. Owners, agents, & contractors must all be aware of permit details & conditions and pemtit cud must be posted on property prior to start of project. Application Page 3 cy 23' 3' 4' 4' 10' 6' 16' 4' Garage, detached structure, dimensions 30'w x 40'd with 2' overhangs. Front elevation. Sidewall 12'. Garage doors 10'x10' and 16'x8'. 18'l" Left elevation. Building width 30'; overall 34' with 2' overhangs. Roof pitch 4/12. Entry door 36" Endwall A RECEIVED OCT 062026 aayfield Co. Planning and Zoning Agency Garage, detached structure, dimensions 30'w x 40'd with 2' overhangs. Right elevation. Building width 30', overall 34' with 2' overhangs. Roof pitch 4/12. Entry door 36" Endwall B 4' 3' 23' RECEIVED OCT 062026 Plannin BaYfiew Co. 9 and Zoning Agency Garage, detached structure, dimensions 30'w x 40'd with 2' overhangs. Rear elevation. Building length 40', overall 44' with 2' overhangs. Northwest corner view RECEIVED OCT 062026 Bayfield Co. Planning and Zoning Agency Garage, detached structure, dimensions 30'w x 40'd with 2' overhangs. Floor plan Endwall A (n ....,,.; 0 a CD = CD C) C1) C7 C/) ................. Endwall B 11 RECEIVED OCT 082076 Bayfield Co. Planning and Zoning Agency Bayfield County, WI • II 7 JEFFREY BRIAN & DEBRA ANN JACOBSON UiIII4Q C;�llTl kTY H'Pr", R �, ,'� ✓.� Tax463 1550 M,, 1 + 4 ash D W e e-- itt 44,• T4' a�l� y�• _ ^^3SS iW Daly r i s l t �'' 4. r�M�w '• r, �.,.. RONALD 1, TERRY • t s a Ii.k$ A,.l. j11,112126, 2:07 PM Novus-Wisconsin Access rev. 12.0206 Real Estate Bayfield County Property Listing Property Status: Current �s Today's Date: 10/12/2026 Created On: 3/15/2006 1:14:45 PM Z Description Updated: 6/2/2026 Tax ID: 1560 PIN: 04-004-2-44-09-06-2 02-000-30000 Legacy PIN: 004107208990 Map ID: Municipality: (004) TOWN OF BARNES STR: S06 T44N R09W Description: N1/2 51/2 OF LOT IA CSM #109 V.2 P.135 (LOCATED IN NW NW) IN DOC 2020R- 584940 Recorded Acres: 9.627 Calculated Acres: 9.627 Lottery Claims: 1 First Dollar: Yes Zoning: (F-1) Forestry -1 ESN: 104 'I Tax Districts Updated: 3/15/2006 1 STATE 04 COUNTY 004 TOWN OF BARNES 041491 SCHL-DRUMMOND 001700 TECHNICAL COLLEGE a Ownership Updated: 6/2/2026 JEFFREY BRIAN & DEBRA ANN JACOBSON BARNES WI Billing Address: Mailing Address: JEFFREY BRIAN & DEBRA JEFFREY BRIAN & DEBRA ANN JACOBSON ANN JACOBSON 51640 COUNTY HWY Y 51640 COUNTY HWY Y BARNES WI 54873 BARNES WI 54873 P Site Address * indicates Private Road 51640 COUNTY HWY Y BARNES 54873 ® Property Assessment Updated: 10/4/2016 2026 Assessment Detail Code Acres Land Imp. G1 -RESIDENTIAL 8.000 18,500 44,000 2 -Year Comparison 2025 2026 Change Land: 18,500 18,500 0.0% Improved: 44,000 44,000 0.0% Total: 62,500 62,500 0.0% ,V Recorded Documents Updated: 3/15/2006 Property History WARRANTY DEED N/A Date Recorded: 10/20/2020 2020R-584940 � D ® WARRANTY DEED Date Recorded: 2/1/2016 2016R-562159 1155-612 ® SHERIFFS DEED Date Recorded: 12/15/2015 2015R-561664 1153-842 ® CONVERSION Date Recorded: 482971 842-733;860-295 ® WARRANTY DEED Date Recorded: 6/18/2003 2003R-482971 860-295 https://novus.bayfieldcountywi.gov/access/master.asp?paprpid=1560 1/1 Land Use Permit Application Review Checklist Submission #: .a S What zoning district is the project located in? ❑ R-1 ❑ R- ❑ R-3 ❑ R-4 ❑ R-RB ❑ C ❑ 1 ❑ M ❑ A-1 ❑ A-2 2F-1 ❑ F-2 ❑ W ❑ M -M ❑ Yes 4Zio Is lot substandard (does not meet current zoning dimensional requirements)? Deed of record: ❑ Yes 0 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)? ❑ Yes /I 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 o Are there wetlands on the property? ❑ Yes 2 No Is project associated with a nonconforming use or structure? ❑ Yes o Is project associated with a variance? Case #: ❑ Yes No Is project associated with a Special B or Conditional Use Permit? Permit #: ❑ Yes �No Is the project associated with a Special A Use Permit? ❑ Yes ['No Does the project require sanitary? 0 Existing 0 New 0 Intercept ❑ Reconnect ❑ Non -Plumbing ❑ Public Sanitary Permit #: # of Bedrooms: ❑ Yes VNo 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? ❑ Yes No Did applicant/property owner mark lot line(s), if project is within 30 feet of required setback? Project use is? Residential 0 Commercial 0 Municipal Project type is? ZNew Construction 0 Addition/Alteration 0 Change Use 0 Relocate 0 RV Placement ❑ Sign ❑ Establishing a Business 0 Temporary 0 Shoreland Gradi g 0 Other, describe: Structure Type is: ❑ Residence 0 Principal Structure Accessory Structure ❑ Boathouse (one story only) ❑ Open-sided/Screened Structure (gazebo, etc.) 0 Stairway to navigable waters ❑ Mobile Home ❑ Shipping Container 0 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 Attac d Non -Habitable Garages $0.20 x sq ft (minimum $125) $ on -Habitable Residential Principal and Accessory Structures $0.20 x ___ _Qsq ft 77 (minimum $75) $ O ❑ 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 0 Land Use Revisions 0 Special Use Permit - Class A 0 Floodplain 0 Shoreland - 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: 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: Condition(s): ❑ Must meet and maintain setbacks from furthest extension of structure including eaves and overhangs. for personal storage only. ❑ For personal residence only. for human habitation or sleeping purposes. ,ot . iown/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. 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. ❑ S$p 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 ❑ 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 ❑ 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 B=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: JACOBSON, JEFFREY BRIAN & DEBRA ANN 51640 COUNTY HWY Y BARNES, WI 54873 Description Non -Habitable Residential Principal and Accessory Structures - $0.20/square foot (minimum $75) Submission Number: LU-02590 Transaction Number: LU-02590-575AD Amount $240.00 Total: $240.00 Payment Amount: $240.00 Reference: 7240 Paid by: Jeffrey / Debra Jacobson Payment Type: Check Transaction Date: 10/14/2026 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 / Wetlands — No Mitigation — No / 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. 26-0559 Tax ID: 1560 Issued To: JACOBSON, JEFFREY BRIAN & DEBRA ANN Location: S06 - T44N - R09W Town of Barnes Legal Description: N1/2 S1/2 OF LOT 1A CSM #109 V.2 P.135 (LOCATED IN NW NW) IN DOC 2020R- 584940 Residential Structure in F-1 zoning district For: New Construction [1 - Story ], Accessory Structure on a Slab [1200 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 Tracy Pooler 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 14, 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. 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 (if applicable). To be constructed per plan.