HomeMy WebLinkAbout25-0095117 E 6' Street
PO Box 403
Washburn, WI 54891
(715)373-6109
perm its(a,bavfieldco untv.w i. gov
B-=YFIELD
FEB 1 4 2025
Health
zoning
Submission #
Fee Paid
Refund
Permit #
Date Issued
Baylield Co. Zoning Dept
Short -Term Rental Application Packet
This application packet contains information for a Shot -Term Rental permit through Baylield County Planning and
Zoning Department. Completed application can be mailed/emailed to the address/email above.
SECTION A: ESTABLISHMENT INFORMATION
Establishment an Establisl�� t Tax ID # wn/j,ity o
Establishment Street Addreg
A W State Zip
Property Owner Email Address Phone Number
C,��� $ �rP'� ��$A. CJlnt t� vVietaV • � d 5 — Pad a
Owner Mailinv Address City State Zip
SECTION C: IF OPERATING WITH PARTNER OR AGENT
Legal Licensee (partnership, I,I.C, 1.1,11, or Inc.) Email Address Phone Number
Licensee Street Address City State Zip
Agent Name (if applicable) Email Address Phone Number
Agent Street Address City State Zip
SECTION D: I
Unit Unit ID
I
'AL UNIT INFORMATION see
Structure Heating Water
Type Source Source
�� I +•Ica
Sanitary Source
# of Stories
# of
# of
Bedrooms
Bathroc
3epL
2
H
3
3
4
Structure Type:
ous Duplex
Cabin C Yurt Apartment A
Condo CO Other (0), please describe
eating Source:
Electric atural NG Propane P Wood W Fuel F
Other (0), please describe
Water Source,
Public/Municipal M
Private We
Sanitary Source:
Public/Municipal M
rivate Onsite Wastewater S ste
1
AFFIDAVIT OF AUTHORITY
(Corporation, LLC, etc.)
PURPOSE. This Affidavit of Authority is used to certify the individual applying for a permit is authorized
when the property is owned by a corporatelbuslness entity.
STATE OF WISCONSIN )
) ss.
BAYFIELD COUNTY. }
The undersigned affirms and states as follows:
1. Address of Subject Property: 5-0 O � 3
4T tom! .5,11906,
2. The Subject Property is owned by: 60 (peS t occ 6J-frxa_'_�- C--- .
(Name of Company)
3. The name(s) of the current President or Managing Member: i/Gtr7
4. 1 certify that the company named in paragraph 2 is valid and in effect on the date signed below. I
am the duly appoin..ed agent of the Company named above in paragraph 2, and I have the
authority under 'the terms of said authorization to apply for permits from the Bayfield County
Zoning Department concerning the Property described in paragraph 1. t further certify that the
Information and statements made within this affidavit are true, accurate, and complete to the best
of my knowledge.
5. 1 am authorized by the above -named Company to apply for and bind the Company to the terms
and conditions of any permit that may be issue 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 for permit.
Dated: 3 2 57
Print Name
Subscribed and sworn to before me this J,��
day of L� Wh , 20X . .�` ��• .. 4f0, �i,��
•. .• 0
Lao
WJ
• y' • r
• • -
Nota Public, County, Wisconsin
My c mission: ; cs�,,• . 11B1-� r�
OF �sGp``��
����ttttttt~t��
Land Use Permit Application Review Checklist
Submission #: STO—ND IC&
Tax ID: 313
S-T-R: S-9g —05
What zoning district is the project located in?
R-1 ❑ R-2 ❑ R-3 ❑ R-4 ❑ R-RB ❑ C ❑ 1 ❑ M ❑ A-1 ❑ A-2 ❑ F-1 ❑ F-2 ❑ W ❑ M-M
❑ Yes No
Does lot meet the zoning dimensional requirements -or is it substandard?
Deed of record:
)dyes ❑ 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 �40
Is the project located in the Floodplain?
Zone:
Yes ❑ No
Are there wetlands on the property?
❑ Yes XNO
Is project associated with a nonconforming use or structure?
(Yes ❑ No
Does the project require sanitary?
Sanitary Permit #: W — a G S Public System:
# of bedrooms: 4/
Yes ❑ NO
Does the project require an affidavit?
Affidavit #:
Number of Units: I
Number of Bedrooms: 4(
Number of Bathrooms: of
Number of Stories: a
❑ After-the-Fact(ATF)
ATF Fee Amount:
Inspected by:
�es�dS
Date of Inspection:
Inspection Notes:
- V�oil
Re -Inspected by:
Date of Re -Inspection:
Denied by:
Date of Denial:
Reason for Denial:
Date Denial Letter Mailed:
Approved by: �
N
Date of Approval:
es � ��ew��
J
Condition(s):
Town/State/DNR/Federal may require permitting
❑ 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.
❑ Additional conditions may be placed and need to be adhered to at the time of permit issuance
Other Conditions:
Town, City, Village, State or Federal
Permits May Also Be Required
Shoreland ,Wetlands
LAND USE —X (previous 21-0021)
SANITARY — 20-90S
SPECIAL A —
SPECIAL B/CONDITIONAL —
BOA —
No. 25-0095 Tax ID: 313
Issued To: RACHAEL & DEREK BRATAGER
BAYFIELD COUNTY
PERMIT
WEATHERIZE AND POST THIS PERMIT
ON THE PREMISES DURING CONSTRUCTION
Location: S25 - T48N - R05W
Town of
Legal Description: PAR IN GOVT LOTS 3 & 4 IN V.746 P.79 LESS HWY IN DOC 2022R-594667 195
Residential Structure in R-1 zoning district
For: [1-Unit] Short -Term -Rental
(Disclaimer): Any future expansions or development would require additional permitting.
Condition(s): Town may require permitting. Short -Term Rental is for a maximum occupancy of 8 persons.
NOTE: This permit expires two years from date of issuance if the authorized construction Desi Niewinski
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. March 21, 2025
This permit may be void or revoked if any performance conditions are not Date
completed or if any prohibitory conditions are violated.