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HomeMy WebLinkAbout26-0570ketprn to: County Use Only: 117 E Si" Street, Po Box 58 Bayfield County Planning and Zoning Department Submission #: L U— 0 23t3 Washburn, WI 54891 LAND USE PERMIT APPLICATION Permit#: 6-O$%O permits@bayfieldcounty.wi.gov Date: a I o� SECTION A: General Information Property Owner Name: Authorized Agent Name (if applicable): Y Telephone Number: Telephone Number: t O 1 E -Mail Address: E -Mail Address: Mailing Address: -10-t Mailing Address: 3 Gk.0 3-c. e0k City, State, Zip: City, State, Zip: wl S48oty Contractor: I Telephone Number: E -Mail Address: \yen art e (a JC3- -Its L.4bt fl 8, - SECTION B: Property Information Project Address (if different from mailing address): IDeb Cke.ie.AAt 2.d 0$11 ds 1"\ St-Pi�O Legal Description t additional spaqe is needed attach a separate sheet): Sc a a..., k e9 Section, Township, Range: 2 t - fJe s Town of: r E CS Tax ID #: opt — lc W . bz q c r a Lot Size (Acres/Square Feet): -'t .s SECTION C: Project Information (check all that apply) Project Use is: S Residential ❑ Commercial O Municipal If Commercial, estimated cost of construction: $ Project Type is: N New Construction ❑ Addition/Alteration (existing structure) ❑ Change Use (existing structure) O Relocate (existing structure) O RV Placement 21+ days ❑ Sign ❑ Establishing a Business O Temporary (12 or less months) O Shoreland Grading, Class A O RV Placement 4+ months, Class A O Other (describe): required Totals (I): required SECTION D: Structure Information (Does not apply to RVs and Signs, go to Section E) Structure Type is: X Residence ❑ Principal Structure (describe): O Accessory Structure (describe): O Shoreland Exempt Structure (describe): O Mobile Home (provide manufactured date): O Shipping Container IKOther (describe): tj' a cGG 7 Y 4 d "�ouo e. W c e rt Foundation Type: O O Basement Walkout Basement Slab ❑ Crawlspace O Ground O Skids ❑ Other (explain): Existing Structure: .r Length: ' Width: Height: Proposed Structure (Provide Sq based on outside dimensions, including unfinished areas, attached garages/above grade decks/porches): Base en�q Ft: I Floor Sq Ft: Loft Sq Ft: 2" Floor q� 3'" Floor Sq Ft: 1+ U' N� Garage Sq Ft: Porch Sq Ft: Deck Sq Ft: Other Sq Ft (describe): Other Sq Ft (describe): Total Sq Ft: '.t Overall Height (finished grade to peak): '.3' # of Stories: \ Existing # of Bedrooms on property: o Proposed # of Bedrooms in project: 3 SECTION E: RV and Sign Information (check all that apply) Sign is: RV is: O New O Replacement ❑ New O Replacement ❑ On -premise ❑ Off -premise REC � V E o ❑ I -sided O 2 -sided Year: Vin #: ❑ On -building O Multi -Tenant AUG 24 2026 Length: Width: Height: Make: Model: Bayfield Co. riannnly duu cumuy nycI&) Application Page I SECTION F: Site Plan — attach a site planor draw site plan in box below (See pages 1 & 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) [' Existing Structures . Well (W) .Septic Tank (ST) Of Drain Field (DF) ❑ Holding Tank (HT) ❑ Privy (P) ❑ Lake ❑ River ❑Stream/Creek ❑Pond ❑Floodplain DWetlands ❑Slopes over 20% N ct AUG 242026 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 ft. R Notes/Comments: Front Lot Line/Right-of-Way ft. ft. Side Lot Line 1 o East South West, circle one) • ft. tOOk ft. S1dtLotLine2 (North Easj3 West, circle one) ft. �rjb d - ft. Rear Lot Line %GC 4,' ft. ft. Septic/Holding Tank ft. ft. Drainfield ft. ft. Privy ft. ft. Well ft. ft. Existing Structure/Building ft. ft. Wetland ft. ft. Elevation of Floodplain ft. ft. Ordinary High -Water Mark (OHWM) ft. ft. Other (describe) ft. ft. Application Page 2 a6 (00' 2 33 £ /eafric peeP 0 ICmCCl, G Rox pa 4-h too' + gco N U to T= a y X a y m Q t✓ x %s 1�; h g 319 9arej e 50¼,t4 propP15 L;ve 1SD�f 1 SECTION G: Additional Questions gYes ❑ 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. ❑ 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? [<Drainfreld O Holding Tank O Municipal/Public ❑ Other (describe): ❑ Yes O No Will pressurized water be installed in the structure? If yes, what kind of sanitary system will be installed or used to manage wastewater? 5tDrainfreld O Holding Tank O Municipal/Public ❑ Other (describe): ($Yes ❑ 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 O Class A Special Use O Class B Special Use O Conditional Use O Variance Fee payment will be made via: ❑ Check (attached) ❑ Cash (attached) O debiticredit/echeck (department to call once payment is ready to be taken) How would you like to receive your permit card? ❑ Mail to: OR {Email to: C�Mt5 — W e_v v4ejt2 co. Ctl�rYN ❑ Property Owner Address O Agent Address 0 Contractor Address O Other (provide name and email or address): 'Include eaves, overhangs, sanitary system, and well in staking measurements Section Fl: 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 Dep i't nent of N"l Resources wetlands identification web page, dnr.wi.gov/toyie/wetlands. v/topic/wetlands, or contact a Department of Natural Resources service center (715)685-2900. AUG 247026 I (we) declare that this application, including any accompanying information, has been examined by me (us) q d tq tl �t��y1! Gf (our) knowledge and belief it is true, correct, and complete. I (we) acknowledge that I (we) am (are) responsilfl�in�te`�eiai)ninien 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: IV! 'toTIJOOJE S2, n -t5 LC' -n-"& Owner(s) or Authorized Agent Signature: Ct _T( ___i7 Date: f Z1. 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 �nlEr\1Set 20V°- I20L1b (2) 60' Cans F- - 10'-8" 5'-4" _ 15'-4" 10' 12' 6'-8. i HC ; Kitchen;c ' ;' .t- �? c. Utl �L:�Ll , �4x -i= •• c t i,I!NooqkLINO ♦ � '+ opt L8-316 i � * �. .1_ •C ♦ ♦ t, ..... 261_8. _ 32 Rat Ceiling L 1 IJD ffi L I t✓O Throughout `34 LI ������� in R t3 B 4Ba a;2 [.J B wL .7 Bedlrtfom`g at Liro 14' )8' II t�_. TLS 10' 8' _ _10' -r L} Sour 2ctevT5 P�R Ct r`1 W l r TZw s Ill 4tt{-r, O u�slcL¢ EZ28603A . Approx. 1600 Sq. Ft. o -Std. can light Westlake Edge 6Wa. Aaavw 337 LberlY Strain 510 Cano-Dorchester 1 ao ches ar w3u73 Fmwm Srvc ?>g' r•o a a p.,_ Vrm cn . Ih -1 2- a:iMrNlenllmor 7n Literature Thom W 0Y 3w180& -D 804 - sM _EZ LIT an, A weKse/ ItovV7 Vile.,) ED El r--" r 3 O Vie AUG 242026 Bayfield Co. Planning and Zoning Agency ra Applicant Checklist ❑ Yes 'No Will new electrical installation occur with project/structure'? If yes, contact State for inspection requirements. ❑ Yes No Will new plumbing installation occur with project/structure? If yes, contact State for inspection requirements. ❑ Yes X 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 R No Is the project located in the Floodplain? If yes, additional materials and fee will be required. Reference the FEMA Map (h r h nne and Title l3, Chapter 2 of Bayfield CountyZoning Ordinance (https://H tie..13---Zoning-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 (WNo 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 (littps://www.bayfteldcounry.wi.pov/DocumcntCenter/View/3 I 59/lmervious-Surface-PDF . ❑ Yes ,� No Are there wetlands on the property. If yes, wetland regulations will apply. A 25 -foot setback is required to any mapped wetlands. Reference Department of Natural Resource Surface Data Viewer Map htt.s://dnrma s.wi. oviH5/?Viewer—SWDV . ❑ Yes ❑ No If applicable, did you contact the road authority to see if a driveway permit or regulations apply to placement of driveway? ,,fixes ❑ 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. C4Yes ❑ 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. C(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 Colo 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 O 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.baytieldcounrs'.wi.gov/7 Il/Title-I 3---Zoninu-Code). f Yes 0 No Is the use of the project/structure allowed per Bayfield County Section 13-1-62 (hups://www.bayfieldcountv.wi.gov/71 I /Title- l3---Zoninti-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 13-140 (https://www.bayfieIdcouniv.wi.ov/7l fieldcountv.wi. ov/711/Title-l3---Zoning-Code). ❑ Yes 0 No Have all fees been included with the completed application? See Fee Schedule on website (https://www.bayfieldcounty.wi.gov/ 1389/Fee-Schedule). If no, all applicable fees need to be paid before permit can be issued. ❑ Yes X 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:i/www.bayfieldcounty.wi.gov/ I 340/A lications-Fonns . ❑ 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 (https://www.bayfieldcounty.wi.gov/1340/Applications- Fonns). Yes ❑ No Is Land Use Application completed and signed? R—LClti(d' Ell AUG 2 4 2026 Bayfield Co. planning and Zoning Agency Land Use Permit Application Information Page 6 DOCUMENT NUMBER QUITCLAIM DEED This Deed, made between Dale A Johnston, of 70735 Clevette Rd, Ashland, WI 54806, USA and Linda M Johnston, of 70735 CLEVETTE RD ASHLAND WI 54806, a married couple, (collectively the "Grantor") and Amy L Wensel, of 70735 Clevette Rd, Ashland, WI 54806, USA and Anthony M Wensel, of 70735 CLEVETTE RD ASHLAND WI 54806, a married couple, (collectively the "Grantee"). The Grantor, for valuable consideration in the amount of $10.00, conveys, as well as quitclaims, unto the Grantee, the following described real estate in Bayfield County, State of Wisconsin (the "Property"): see attached legal property description. Together with all appurtenant rights, title and interests. The Grantor warrants that the title to the Property is good, indefeasible in fee simple and free and �f clear of encumbrances. Dated this day of (J'L "�"r ,20____ Signed in the presence of: DOCUMENT NUMBER 2026R-613306 DANIEL J. HEFFNER REGISTER OF DEEDS BAYFIELD COUNTY. WI RECORDED 06/11/2026 AT 2:53 PM RECORDING FEE: $30.00 TRANSFER FEE: $280.50 PAGES:5 Ashland, WI 54806, USA, Linda M Johnston 70735 CLEVETTE RD ASHLAND WI 54806 Identification 8: 002-1042.02 990 not a homestead y I by: Dale A Johnston, and Linda M Johnston AUG 242026 Hayfield Co. Planning and Zoning Agency Witness signature Witness name Signature(s) authenticated this day of .20. TITLE MEMBER STATE BAR OF WISCONSIN (If not, authorized by § 706.07, WIs, Stats.) Dale A Johns n Linda M Johnsto This instrument drafted by: Date A Johnston 70735 Ctevette Rd, Ashland, WE 54806, USA, Linda M Johnston 70735 CLEVETTE RD ASHLAND WI 54806 (Signatures may be authenticated or acknowledged. Both are not necessary.) *Names of persons signing in any capacity must be typed or printed below their signature. Section 77.22(1) of the Wisconsin Statutes requires that prior to the recording of any transfer of an interest in real estate, a completed Real Estate Transfer Return and the fees associated with it must be provided to the Registry of Deeds. For more information on the online filing of the Real Estate Transfer, please see https://www.revenue.wi.gov/Pages/UST/retn.aspx. Spousal Acknowledgement I, Linda M Johnston of 70735 CLEVETTE RD ASHLAND WI 54806, spouse of Dale A Johnston, in accordance with the above QUITCLAIM DEED, and in consideration of the above sum and other good and valuable consideration received, do hereby waive and release to the Grantee all rights of dower, curtesy, homestead, community property, and all other right, title and interest, if any, in and to the above property. Spouse's Si aiilfb`"�_y� KZLZ:ENED AUG 2 4 2026 Bayfield Co. planning and Zoning Agency STATE OF WISCONSIN COUNTY OF 1 el� Personally came before me this // 1k day of ,i a o. t , the above named Linda M Johnston, to me known or proven on the basis of satisfactory evidence to be the person who executed the foregoing Spousal Acknowledgement and acknowledged the same with lawful authority. �T m. SEAL .jI tin Notary Public, the State of Wisconsin °.,, COUN��.`�� My commission is permanent. (If not, state expiration date: D//O/ oa' ' .) Spousal Acknowledgement I, Dale A Johnston of 70735 Clevette Rd, Ashland, WI 54806, USA, spouse of Linda M Johnston, in accordance with the above QUITCLAIM DEED, and in consideration of the above sum and other good and valuable consideration received, do hereby waive and release to the Grantee all rights of dower, curtesy, homestead, community property, and all other right, title and interest, if any, in and to the above property. Spouse's Signature: �( AUG 242026 bay1il] Co. STATE OF WISCONSIN COUNTY OF & • JJ Personally came before me this // * day of �,I s -F a oa. L , the above named Dale A Johnston, to me known or proven on the basis of satisfactory evidence to be the person who executed the foregoing Spousal Acknowledgement and acknowledged the same with lawfuytbgjjty. SEAL Notary Public, the State of Wisconsin ulnlN My commission is permanent. (If not, state expiration date:! 101 , ao 9 •) RECEIVED AUG 242076 6aylield Co. Planning and Zoning Agency A parcel of land in the Northeast Quarter of the Northeast Quarter (NE Ya NE 1/4), Section Thirty-two (32), Township Forty -Eight (48) North, Range Five (5) West, described as follows: Commencing at the northeast corner of Section 32-48-5 West, thence southerly along the easterly section line of said section 560' to a point which shall be the point of beginning. Thence westerly on a line which parallels the northern line of said section to a point which is 1089' west of the point of beginning. Thence southerly 300' on a line parallel to the east line of said section to a point. Thence easterly on a line parallel to the north line of said section 1089'to a point on the eastern boundary of said section. Thence northerly on eastern boundary line of said section 300'to the point of beginning. Tax Key Number: 002-1042-02 990 PIN: 04-002-2-48-05-32-1 01-000-20000 RECEIVED AUG 24 2029 a ay eld Co Planningand Zor,:,,. Tracy Pooler From: Tracy Pooler Sent: Wednesday, September 2, 2026 10:20 AM To: amy_wensel@yahoo.com' Subject: Land Use Permit - septic re -connect Amy, We need a septic re -connect application by the plumber that will be connecting your dwelling to the septic system. We also have not seen the on-line reporting of the septic system inspection done by Birch Street Septic Service. Tracy Pooler - AZA Planning and Zoning Department 117 E 5th Street, PO Box 58 Washburn, WI 54891 Phone: 715-373-3512 Fax: 715-373-0114 Email: tract' pnoLer@12ayfie_ldcnunty.WLgQv 12-''WFIELD Fraudulent Billing Alert: Be aware that individuals submitting applications to our department have received scam emails. Bayfield County will NOT ask applicants to wire any funds. Please contact our office at zaning@bay[ieidnonnIywLgov or 715 373-6138 with any questions or concerns. Bayfield County, WI St x -� DALE A G L?NUP JU1 tt Q 4 LL i't:: I' ,,,✓"k'. � -' R'",4 a$.s��3� i � . �Y pa '� f:t. •" � "'L ^ya- yy;. .1 rZi1 � ,acir.fie;.. 1 =,LE A 1 3r_q 1 " .5 6/26, 10:04 AM Novus-Wisconsin Access rev. 12.0206 ' Real ,Estate Bayfield County Property Listing . Today's Date: 8/26/2026 Description Updated: 4/10/2024 Tax ID: 447 PIN: 04-002-2-48-05-32-1 01-000-20000 Legacy PIN: 002104202990 Map ID: Municipality: (002) TOWN OF BARKSDALE SIR: S32 T48N ROSW Description: PAR IN NE NE IN DOC 2024R-602670 Recorded Acres: 7.500 Calculated Acres: 7.496 Lottery Claims: 0 First Dollar: Yes Zoning: (AG -1) Agricultural -1 ESN: 103 Tax Districts Updated: 3/15/2006 1 STATE 04 COUNTY 002 TOWN OF BARKSDALE 046027 SCHL-WASHBURN 001700 TECHNICAL COLLEGE ,4 Recorded Documents Updated: 3/15/2006 © WARRANTY DEED Date Recorded: 3/21/2024 20248-602670 Al CONVERSION Date Recorded: 579-314;669-372;766-491 Property Status: Current Created On: 3/15/2006 1:14:42 PM .3J Ownership Updated: 4/10/2024 DALE A & LINDA M JOHNSTON ASHLAND WI Billing Address: Mailing Address: DALE A & LINDA M DALE A & LINDA M JOHNSTON JOHNSTON 70735 CLEVETTE RD 70735 CLEVETTE RD ASHLAND WI 54806 ASHLAND WI 54806 Site Address * indicates Private Road 70845 CLEVETTE RD ASHLAND 54806 ®Property Assessment Updated: 6/24/2021 2026 Assessment Detail Code Acres Land Imp. GI -RESIDENTIAL 7.500 25,300 23,300 2 -Year Comparison 2025 2026 Change Land: 25,300 25,300 0.0% Improved: 23,300 23,300 0.0% Total: 48,600 48,600 0.0% M Property History N/A 9, ,r https://novus.bayreldrounty.wi.gov/access/master.asp?paprpid=447 1/1 9/24/26, 2:55 PM "Real Estate Bayfield County Property Listing Today's Date: 9/24/2026 Novus-Wisconsin Access rev. 12.0206 Property Status: Current Created On: 3/15/2006 1:14:42 PM Z Description Updated: 8/26/2026 Tax ID: 447 PIN: 04-002-2-48-05-32-1 01-000-20000 Legacy PIN: 002104202990 Map ID: Municipality: (002) TOWN OF BARKSDALE STR: 532 T48N R05W Description: PAR IN NE NE IN DOC 2026R-613306 Recorded Acres: 7.500 Calculated Acres: 7.496 Lottery Claims: 0 First Dollar: Yes Zoning: (AG -1) Agricultural -1 ESN: 103 y Tax Districts Updated: 3/15/2006 1 STATE 04 COUNTY 002 TOWN OF BARKSDALE 046027 SCHL-WASHBURN 001700 TECHNICAL COLLEGE Ownership Updated: 8/26/2026 AMY L & ANTHONY M WENSEL ASHLAND WI Billing Address: Mailing Address: AMY L & ANTHONY M WENSEL AMY L & ANTHONY M WENSEL 70735 CLEVETTE RD 70735 CLEVETTE RD ASHLAND WI 54806 ASHLAND WI 54806 Site Address * indicates Private Road 70845 CLEVETTE RD ASHLAND 54806 • Property Assessment 2026 Assessment Detail Code GI -RESIDENTIAL Updated: 6/24/2021 Acres Land Imp. 7.500 25,300 23,300 2 -Year Comparison 2025 2026 Change Land: 25,300 25,300 0.0% Improved: 23,300 23,300 0.0% Total: 48,600 48,600 0.0% ,' Recorded Documents Updated: 3/15/2006 1} Property History © QUITCLAIM DEED N/A Date Recorded: 8/11/2026 2026R-613306 9j WARRANTY DEED Date Recorded: 3/21/2024 2024R-602670 ® CONVERSION Date Recorded: 579-314;669-372;766-491 https://novus.bayfieldcounty.wi.gov/access/master.asp?paprpid=447 1/1 Land Use Permit Application Review Checklist •Submission #: A What zoning district is the project located in? ❑R-1 ❑R-2 ❑R-3 ❑R-4 DR-RB ❑C ❑1 ❑M2'C1 ❑A-2 ❑F-1 ❑F-2 ❑W DM -M ❑ Yes o 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)? ❑ Yes ZfNo 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 LR7' No Are there wetlands on the property? ❑ Yes No Is project associated with a nonconforming use or structure? ❑ Yes VfNo Is project associated with a variance? Case #: ❑ Yes PT No Is project associated with a Special B or Conditional Use Permit? Permit #: ❑ es r No Is the project associated with a Special A Use Permit? Yes ii No Does the project require sanitary? a -b.05&9 �Reconnect ❑ Existing 0 New 0 Intercept ❑ Non -Plumbing ❑ Public SanitaryPermit #: 771/75' 6 # of Bedrooms: j ❑ Yes 2io Does the project require mitigation? Implementation Deadline: Date of Compliance: ❑ Yes 'No Does the project require an affidavit? Affidavit #: ❑ Yes 2(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? esidential ❑ Commercial ❑ Municipal Project type is? New Construction ❑ Addition/Alteration ❑ Change Use ❑ Relocate ❑ RV Placement ❑ Sign 0 Establishing a Business ❑ Temporary ❑ Shoreland Grading 0 Other, describe: Structure Type is: Residence 0 Principal Structure 0 Accessory 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: Overall Height: )3 Fee Type Calculation Fee Amount habitable Residential Principal and Accessory (minimum $125) Structures - Enclosed Areas — all enclosed areas within $0.50 x sq ft $ dwelling except attached non -habitable garages 9ez ❑ Dwelling Unenclosed Areas (decks, patios, etc.) or $0.20 x sq ft (minimum $125) Attached Non -Habitable Garages $ Non -Habitable Residential Principal and Accessory $0.20 ��ft (minimum $75) Structures x sq $ 1 X ❑ Commercial Principal Structures $250 + $0.005 x (minimum $250) cost of construction $ ❑ Commercial Accessory Structures $150+$0.005 x (minimum $150) cost of construction $ ❑ Municipal Principal and Accessory Structures n/a $0 (exempt from fees) ❑ Return Inspection ❑ Land Use Revisions ❑ Special Use Permit - Class A 0 Floodplain 0 Shoreland - Impervious Surface ❑ Shoreland - Non -Conforming, etc. 0 Tower Siting/Collocation 1 0 Tower Collocation 2 0 Metallic Mine ❑ After -the -Fact (ATE) $ Inspected by: Date of Inspection: y h 2 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. ❑/6or personal residence only. ❑ Not for human habitation or sleeping purposes. wn/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. 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 P YFIELD Bayfield County Planning & Zoning Department 117E 5th Street P.O. Box 58 Washburn, WI 54891 Phone: 715-373-6138 Fax: 715-373-0114 Property Owner: Submission Number: WENSEL, ANTHONY M & AMY L LU-02503 70735 CLEVETTE RD ASHLAND, WI 54806 Transaction Number: LU-02503-4CADD Description Amount Habitable Residential Principal & Accessory $800.00 Structures - enclosed areas $0.50/square foot (minimum $125) Habitable Residential Principal Structure - $3.20 unenclosed area or non -habitable garage $0.20/square foot (minimum $125) Total: $803.20 Payment Amount: $804.45 Reference: 6362741185 Paid by: Amy Wensel Payment Type: Other Transaction Date: 8/24/2026 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 - No / Impervious Surface - No Floodplain - No I Wetlands - No Mitigation - No I Affidavit #: LAND USE -X SANITARY — Reconnect 26-0569 SPECIAL A — SPECIAL B/CONDITIONAL — BOA — No. 26-0570 Tax ID: 447 Issued To: WENSEL, ANTHONY M & AMY L Location: S32 - T48N - R05W Town of Barksdale Legal Description: PAR IN NE NE IN DOC 2024R-602670 BAYFIELD COUNTY PERMIT WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION Residential Structure in A-1 zoning district For: New Construction [1 - Story ], Residence on a Slab [1616 Total sq. ft. ] Height of 13' (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. Tracy Pooler Authorized Issuing Official October 19, 2026 Date Condition(s): For personal residence only. A Uniform Dwelling Code (UDC) Permit from the locally contracted UDC Inspection Agency must be obtained prior to the start of construction. Town/State/DNR/Federal may require permitting. To be constructed per plan.