HomeMy WebLinkAbout25-0096117 E 6" Street %t
PO Box 403
Washburn, Wl 54891
(715)373-6109
pennits@bgyfleldcouniy.wi.gov
R- YFIELD
Health
Zoning
Submission #
S —
Fee Paid
Refund
Permit #
Date Issued
Short -Term Rental Application Packet
This application packet contains information for a Short -Term Rental permit through Bayfield County Planning and
Zoning Department. Completed application can be mailed/emailed to the address/email above.
SECTION A: ESTABLISHMENT INFORMATION
Establishment Name
rolla �
Establishment Tax ID #
Town/City of
Namtn��`t�o✓�
Establislifftbnt Street Address
q i
f-A I
City
State
21
Zip'r
t
SECTION B: OWNER INFORMATION
Property Owner
Email Address
Oaf-DI�ftneS406�L
Phone Number
-71336 D
Owner Mailing AddregO I City
�. rLLC1t'd h1P, iEarron
State
�J1
Zip
y�IZ
SECTION C: IF OPERATING WITH PARTNER OR AGENT
Legal Licensee (parincrs ' . LLC, I.LP, or h1c.)
Email Address ,
Phone Number
It; 104 I�
Lice e Street Address I
2
Chi,
t
Stat
, I
Zip
JWY21'
A ent Name (i applicable)
Q
Email Add
ss
f 7
Phone Number
5
Agent
Street Addres
b L 1 14
City
rr&r')
State
Zip
I Z
SECTION D: RENTAL UNIT INFORMATION see key
below
Unit
Unit ID
Structure
Type
Heating
Source
Water
Source
Sanitary Source
# of Stories
# of
Bedrooms
# of
Bathrooms
I
Y
cJ lQ
— 0
— �
- -
— —
--
-
— L
3
•L5b
4
Structure Type:
House H Duplex Cabin C Yurt Y Apartment A Condo CO Other (0), please describe
Heating Source:
Electric Natural Gas G Propane P Wood W Fuel F Other (0), please describe
Water Source:
Public/Municipal M Private Well P
Sanitary Source:
Public/Municipal Private Onsite Wastewater System P
rrq f) ; 9n=.1
Land Use Permit Application Review Checklist
Submission #: 5-T (j_ 00%3
Tax ID: 2.5D(y
S-T-R: 12--y 3- b (o
What zoning district is the project located in?
❑ R-1 ❑ R-2 ❑ R-3 ❑ R-4 R-RB ❑ C ❑ I ❑ M ❑ A-1 ❑ A-2 ❑ F-1 ❑ F-2 ❑ W ❑ M-M
❑ Yes '1.No
Does lot meet the zoning dimensional reouirements or is it substandard?
Deed of record:
19 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 �.No
Is the project located in the Floodplain?
Zone:
❑ Yes '`)�No
Are there wetlands on the property?
Yes ❑ No Is project associated with a nonconforming use or structure?
Yes ❑ No Does the project require sanitary?
Sanitary Permit #: I — 110S Public System:
# of bedrooms: 9
❑ Yes '9,No Does the project require an affidavit?
Affidavit #:
Number of Units: 3
Number of Bedrooms:
Number of Bathrooms: I , I , 1
Number of Stories: I , I I
❑ After -the -Fact (ATF)
ATF Fee Amount:
Inspected by:
OCSi Q
Date of Inspection:
Inspection Notes:
-FreNAb�S ptrm: I1-�3$�j
Re -Inspected by:
Date of Re -Inspection:
Denied by:
Date of Denial:
Reason for Denial:
Date Denial Letter Mailed:
Approved by: n I \�
Date of Approval: •3
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. f�
Short -Term Rental is for a maximum occupancy of v 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 ,
LAND USE — X (previous 17-0383)
SANITARY—17-110S
SPECIAL A —
SPECIAL B/CONDITIONAL—
BOA —
BAYFIELD COUNTY
PERMIT
WEATHERIZE AND POST THIS PERMIT
ON THE PREMISES DURING CONSTRUCTION
No. 25-0096 Tax ID: 25066
Issued To: FOGARTY, JAMES P
Location: S12 - T43N - R06W
Town of
Legal Description: LOT 1 OF CSM #397 V.3 P.304 (LOCATED IN PART OF NAMAKAGON LAKE SHORE SUBDIVISION) IN V.859
P.737 709
Residential Structure in R-RB zoning district
For: [3-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
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.
Desi Niewinski
Authorized Issuing Official
March 21, 2025
Date