Loading...
HomeMy WebLinkAbout26-0567- Return to: County Use Onl 117 E 5°' Street, PO Box 58 Bayleld County Planning and Zoning Department Submission it: O ' Washburn, WI 54891 LAND USE PERMIT APPLICATION Permit #: 6-O permits@bayfieldcounty_giL%v Date: t d SECTION A:. General Information:: I'nip erty Owner Name: I :xiaborized Agent Name (it applicable): Telephone Number: Telephone Number: E -Mail Address: 9 9 E -Mail Address: MAY 9 L0L6 Mailing Address: Mailing Address: Bayfield Co. Planning n City, State, Zip: City, State, Zip: Contractor: Telephone Number: E -Mail Address: TJO$ct BProe.-.. rmatfoo NTERED i 'address): eat Project Address (if different from mar j •_.4/Ma Legal Description (if additional space is needed attach a separate sheet): to — Section, Township, Range: Town of: Tax ID #: I bb.ib _- Lot Size (Acres/Square Pccu: p, SSr SEC1W4 C.Pxojd Information(check alllthatapply) Project Use is 0 Residential '- C untmercial ❑ Municipal If Commercial, estimated cost of construction: $ Project Type is: 0 New Construction 0 Addition/Alteration (existing structure) C Change Use (existing structure) ❑ Relocate (existing structure) ❑ RV Placement 21- days Sign ❑ Establishing a Business ❑ Temporary (12 or less months) ❑ Shoreland Grading, Class A 0 RV Placement 4+ months, Class A ?3 Other (describe): required (Total sft): required SECTION D: Structure Information. (Does not apply to RVs and Sins go to SectionE Svuc(ior Trpc Ls: C Residence ❑ Principal Structure (describe): 0 Accessory Structure (describe): 0 Shorcland Exempt Structure (describe): ❑ Mobile Home (provide manufactured date): Shipping Container 0 Other (describe): Foundation Type: ❑ Basement 0 Walkout Basement 0 Slab 0 Crawlspace 0 Ground $( Skids 0 Other (explain): Existing Structure: Length: Width: Height: Proposed Structure (Provide Sq Ft based on au/side dimensions, including unfinished areas, attached garages/above grade decks/porches): "2_c- T Basement Sq Ft: I° Floor Sq Ft: Loft Sq Ft: 2"a Floor Sq Ft: 3" Floor Sq Ft: Garage Sq Ft: Porch Sq Ft: Deck Sq Ft: Other Sq Ft (describe): Other Sq Ft (describe): Total Sq Ft: Overall Height (finished grade to peak): # of Stories: ! Existing # of Bedrooms on property: Proposed # of Bedrooms in project: $CTION E: RV. and Sign Informtion. check all thtnn L Sign is: This: ❑ New 0 Replacement 0 New ❑ Replacement ❑ On -premise 0 Off -premise ❑ I -sided 0 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 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 ❑ Well (W) ❑ Septic Tank (ST) ❑ Drain Field (DF) ❑ Holding Tank (HT) ❑ Privy (P) ❑ Lake ❑ River ❑Stream/Creek ❑Pond ❑Floodplain El Wetlands over 20% N i //f_-i \ \ G yr RECEIVED MAY 292026 fti • Bayfield Co. — Planning and Zoning Agency } Setback or distance from furthest extent of structure County Use Only including eaves and overhangs to (include on site plan): verified setbacks Road Centerline ft. 7 6 ft. NotesiConunents: Front Lot Line/Right-of-Way ft. ft. ✓ ,L TG 4 Side Lot Line 1 ft. / ft. (North East South West, circle one) C.{ 8 Q t..f Side Lot Line 2 ft. — /a ft. (North East South West, circle one) Rear Lot Line ft. ft. 1.7 ems. Septic/Holding Tank ) ve ,w ft. -7/p ft. Drainfteld \ d 0 •t- ft. `j ft. Privy ft. ft. Well ft. ( ft. Existing Structure/Building rft. ft. Wetland Zap ft. j ft. Elevation of Floodplain 3© ft. ft. Ordinary High -Water Mark (OHWM) ft. ft. Other (describe) ft. ft. Application Page 2 SECTION G: Additional uestions Yes 'No Has the location of the proposed project* been staked? lino, what date will this be completed: L Zo 5 Note: The site will not be inspected nor pennit issued until after the staking date listed above. 0 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 ❑ 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 ❑ No Is there an existing sanitary system on the property? If yes, what kind? Drainfield ❑ Holding Tank ❑ Munici aL/Public ❑ Other (describe): 0 Yes g'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 ❑ Municipal/Public ❑ Other (describe): ❑ Yes gNo Will sleeping occur in the structure? If yes, contact local Uniform Dwelling Code (UI cErr,Ebnd inspection requirements. Ts the project associated with any of the following: Z 9 226 ❑ Rezone O Class A Special Use O Class B Special Use O Conditional Use O Variance Fee payment will be made via: yfielq Co. O Check (attached) ❑ Cash (attached) ,Jkdebit/credit/echeck (department to call once payment isl tdbb 9 U1 How would you like to receive your permit card? e} tNe5fcf ❑ Mail to: OR%Email to: 0.& c ue4nk r!"t ❑ Property Owner Address ❑ Agent Address O Contractor Address O Other (provide name and email or address): 'Include caves, 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, takes, 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. Owner(s) or Authorized Agent Printed Name: /4/1a. tl _ 1.P 1Oiweo., /f.P 1 D f el SAS �, 4 O& t_ 4... Owner(s) or Authorized Agent Signature: . /.�6r�-4--- / Date: r 4r sO 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. Ti Application Page 3 • ApplicautChecklist - ❑.Yes INo Will new electrical installation occur with project/structure! It yes. contact State for inspection requirements. ❑ Yes XNo Will new plumbing installation occur with project/structure'? If yes, contact State for inspection requirements. ❑ Yes o 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 lTo is the project located in the Floodplain? If yes, additional materials and fee will be required. Reference the FEMA Map (httos://msc.fema.gov/portal/home) and Title 13, Chapter 2 of Bayfield County Zoning Ordinance (httnsj/www.bayfieldcountv.wi.gov/7 I_li'fitle-1 3—Zonin -Code . '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/pond/flowage (whichever is greater)? If yes, shoreland regulations will apply. ❑ Yes ' to 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 htt s://www.ba fieldcount .wi. ov/Documen CenterNiew/3159/Im ervious-Surface-PDF . Are there wetlands on the property. If yes, wetland regulations will apply. A 25 -foot setback is required to any J tes ❑ No mapped wetlands. Reference Department of Natural Resource Surface Data Viewer Map (https://dnrmaps.wi.gov/H5/?VieweeSWDV). ❑ Yes 0 No if applicable, did you contact the road authority to see if a driveway permit or regulations apply to placement of driveway? ❑ Yes i$•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. (KYes ❑ No Is a site plan included with all information requested on Page I of the Land Use Permit Application information? if no, a site plan with all applicable information on Page I 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. El 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 *No Is this application to correct a violation or has the project already commenced? If yes, at minimum an after -the - fact fee will apply. If not permittable, 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 may be limitations to expansion of the structure, see Bayfield County Section 13-1-40 (https://www.bavtieldcountv.wi.aov/7 1 l/Title-13---Zonin -Code). ❑ Yes SNo is the use of the project/structure allowed per Bayfield County Section 13-I -62 (https://www.bayfieldcounty.wi.gov/7(htti)s:/Iwww.bayfieldcounty.wi.gov/71 I/Title-I3--Zoning-Code). 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-I-40 (https://www.bayfieldcountv.wi.gov/7 It/Title-l3---Zoning-Code). ❑ Yes No Have all fees been included with the completed application? See Fee Schedule on website (htts://www.bayfieldcountv.wi.gov/1389/Fee-Schedule). if no, all applicable fees need to be paid before permit can be issued. ❑ Yes 14o 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 (httns://www.bavtieldcounty.wi.govll 340/A lications-Forms . ❑ Yes o 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 (https://www.bayfleldcountv.wi.gov/1340/Applications- Forms). _______ g'Yes _______ ❑ No is Land Use Application completed and signed? RECEIVED MAY 292026 Bayfield Co. Planning and Zoning Agency Land Use Permit Application Information Page 6 Land Use Permit Application Review Checklist I Submission #: - O2 O What zoning district is the project located in? -1 ❑ R-2 ❑ R-3 ❑ R-4 ❑ R-RB ❑ C Ell ❑ M ❑ A-1 ❑ A-2 ❑ F-1 ❑ F-2 ❑ W ❑ M -M ❑ Yes Ro Is lot substandard (does not meet current zoning dimensional requirements)? Deed of record: es ❑ 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 .No Is impervious surface required? (Required if riparian lot OR lot is entirely within 300 feet of OHWM of navigable waterway) ❑ Yes flNo Is the project located in the Flood plain? Zone: ❑ Yes No Are there wetlands on the property? ❑ Yes o 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 ao Is the project associated with a Special A Use Permit? ❑ Yes o Does the project require sanitary? 0 Existing 0 New ❑ Intercept 0 Reconnect 0 Non -Plumbing 0 Public Sanitary Permit #: # of Bedrooms: ❑ Yes No Does the project require mitigation? Implementation Deadline: Date of Compliance: ❑ Yes o 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 ❑ Commercial ❑ Municipal Project type (srZNew Construction ❑ Addition/Alteration ❑ Change Use ❑ Relocate ❑ RV Placement ❑ Sign ❑ Establishing a Business 0 Temporary ❑ Shoreland Grading ❑ Other, describe: Structure Type is: ❑ Residence ❑ Principal Structure ❑ Accessory Structure ❑ 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: 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) $ El Municipal Principal and Accessory Structures n/a $0 (exempt from fees) ❑ Return Inspection O Land Use Revisions ❑ Special Use Permit - Class A O Floodplain ❑ Shoreland - Impervious Surface ❑ Shoreland - Non -Conforming, etc. 0 Tower Siting/Collocation 1 O Tower Collocation 2 ❑ Metallic Mine ❑ After -the -Fact (ATF) $ Inspected by: Date of Inspection: Mt o ? ` Re -Inspected by: Date of Re-Inspec ion: Denied by: Date of Denial: Reason for Denial: Date Denial Letter Mailed: Approved by: ,q 4S Date of Approval Condition(s): ≥FtVlust meet and maintain setbacks from furthest extension of structure including eaves and overhangs. $For personal storage only. /❑ For personal residence only. 21Jot 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. 10 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 A FIELD 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: FORNESS, JEANETTE S & ALLAN LU-02306 48085 CHAPINWOOD RD CABLE, WI 54821 Transaction Number: LU-02306-4A874 Description Amount Non -Habitable Residential Principal and Accessory $75.00 Structures - $0.20/square foot (minimum $75) Total: $75.00 Payment Amount: $76.95 Reference: 1623215165 Paid by: Allan Forness Payment Type: Debit Transaction Date: 10/16/2026 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 — No Floodplain — No I Wetlands — No Mitigation — No / Affidavit #: LAND USE -X SANITARY - SPECIAL A - SPECIAL B/CONDITIONAL - 26-0527 BOA - BAYFIELD COUNTY 1 fl_1'T" WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION No. 26-0567 Tax ID: 16822 & 16616 Issued To: FORNESS, JEANETTE S & ALLAN Location: S29 & 520 - T44N - R06W Town of Grand View Legal Description: PAR IN GOVT LOT 4 IN DOC 2020R-583445 510 (MFL-CLOSED 25 YRS-YR OF ENTRY 2014) & PAR IN SW 1/4 IN DOC 2020R-583445 373 (10.45 ACRES MFL-CLOSED 25 YRS-YR OF ENTRY 2014) Residential Structure in R-1 zoning district For: New Construction, Shipping Container on Skids [160 Total sq. ft.] (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 16, 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): 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.