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Home My WebLink About25-0109117 E 6" Street PO Box 403 Ft—, YFIE Washburn, WI 54891 (op JITITIVET, (715)373-6109 permits(abavfieldcountv.wi.gov I elf Cc:. 2onitte) i�t t Short -Term Rental Application Health Zoning Submission # $ - Fee Paid Refund Permit # Date Issued 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 Ae L11ds A Establishment Tax ID # 11S6-0X4W 0—a_; Town/Cityof -- ie Establishment —Street -Address— - — City i— - _ State, 7 {-p�! SECTION B: OWNER INFORMATION Property ON net 1�t( Email Address n e' M _/ Phone timber ' Owqfr Mainnli Addrreesss ox Ci / �Stta9te Zi SECTION C: IF OPERATING WITH PARTNER OR AGENT Legal Licensee (partnership, I.I.C, LLP, 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: RENTAL UNIT INFORMATION see key below Unit Unit ID Structure Type Heating Source Water Source Sanitary Source # of Stories # of Bed/rooms # of Bathrooms 1 /ane // /7pae, l�ti llb'/l 1 //C p 1 � `1 � 3� ✓ Z 2 wood" J� 3 4 Structure Type: House H Duplex Cabin C Yuri Apartment A Condo CO Other (0), please describe Heating Source: Electric E Natural Gas G Propane P Wood Fuel F Other O lease describe Water Source: Public/Municipal M Private We11 P Sanitary Source: Public/Municipal M Private Onsite Wastewater System P Site Plan no IJU 1. Show location of - El rt^nn 77�� '[� ❑ Driveways ❑ Frontage Roads (include name) ❑ Existing Structures ❑ Well (W) ❑ Septic Tank (STTtS" QiI Re ❑ Holding Tank (HT) ❑ Lake ❑ River ❑ Stream/Creek ❑ Pond ❑ Floodolain ❑ Wetlands ❑ Slooes over 20% fl �16 el Setbacks from furthest extent including eaves and overhangs of structure to: Road Centerline ft. Front Lot Line/Right-of-Way ft. Side Lot Line 1 ft. North❑East❑South❑West❑ check one Side Lot Line 2 ft. a "A,d ity Use Only Bed setbacks ft. Note 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 Ordinary High -Water Mark (O NOTE: Please indicate "see ft. I ft. on this nase if snhmittinv cite Won ns a cennrntp dnrompnt is 1. Using the frontage road as a guideline, fill in the lot dimensions and indicate North (N). 2. Show the approximate location and size of the building. n E C E � V E 3. Show the location of the well, septic tank, and drain field. i,$ 2D25 D 4. Show the location of any lake, river or stream if applicable. f Z 5. Shaw diauansions in feet on the following: Hayfield Co. Zoning &N' 1b a. building to all lot lines b. building to centerline of road c. building to lake, river, or stream d. septic tank to closest lot line Lf S rr % 4 /' e. septic tank to building I Z Y f. septic tank to well L Z �--- g. septic tank to lake, river, or stream h. drain field to closest lot line L drain field to building 6 j. drain field to well k, drain field to lake, river, or stream 1. well to building r Ll Lot Line _ � r (( pI (Q N R�-�l> �`� e m � i� 3G"$' ZB �.`J • �f °�. Cyis��r5 141.2 of LN Cl- I N Frontage Road Indicate whether or not the following locations are stgked: Structure . . . . Yes ✓ _ No _____ Drain Field . . . Yes _____ No Septic Tank . . . Yes _____ No _____. Well . . . . . Yes _____ No _____ Bayfield County Health Department— State Lodging L�nse NLg'LULJT Health Department (State Lodging License): All rental units require a Tourist Rooming HowS - ahp f p$tate of Wisconsin Department of Agriculture, Trade and Consumer Protection (WDATCP) or their autho agent (Bayfield County Health Department. ➢ Bayfield County Health Department issues permits on behalf of the State of WDATCP under ATCP 72, 73, 76, 78 and 79. ➢ ATCP 72 regulates lodging facilities including hotels, motels and tourist rooming houses. ➢ Bayfield County Ordinance Title 9 —Chapter 2 Food Protection, Lodging, Pools, Campgrounds Recreational/Educational Camps, Tattoo and Body Piercing Establishments outlines the licensing program and the authorized agent agreement between the Bayfield County Health Department and the State of Wisconsin. ➢ ATCP 72.03(20): "Tourist rooming house" means all lodging places and tourist cabins and cottages, other than hotels and motels, in which sleeping accommodations are offered for pay to tourists or transients. It does not include private boarding or rooming houses not accommodating tourists or transients, or bed and breakfast establishments regulated under Ch. ATCP 73. ➢ Wis. Stat. § 97.67 (5) and § 97.605 (1)(c) "No license may be issued until all applicable fees have been paid." ➢ Wis. Stat. § 97.605 (1)(a) "No person may conduct, maintain, manage or operate a hotel, restaurant, temporary restaurant, tourist rooming house, vending machine commissary or vending machine if the person has not been issued an annual license by the department or by a local health department that is granted agent status under s. 97.615 (2)." ➢ Within 30 days after receiving a complete application for a license, the department or its agent shall either approve the application and issue a license or deny the application. If the application for a license is denied, the department or its agent shall give the applicant reasons, in writing,for the denial. ➢ A license shall not be issued to an operator without prior inspection. ➢ Tourist rooming houses license expires on June 30'". ATCP 72 requires an annual renewal application and fee. Failure to maintain proper permitting will result in penalties. Licenses are non -transferable, except to immediate family members as allowed in ATCP 72. APPLICATION FEES — Required for all tourist rooming house within Bayfield County Check or money order payable to Bayfield County Health Department When will your rental be in operation: ❑ Summer ❑ Winter eYear-Round ❑ $575 — License Fee ($275) + Pre -Inspection Fee ($300) Pre -Inspection Fee includes bacteriological sample analysis for private drinking water supply. ❑ Rush Fee ($50) — A one-time $50 rush fee will be charged for inspections requested within 7 business days. However, depending on scheduling, staff may not be able to accommodate all rush requests. Your signature below will acknowledge you have received information as to where to obtain a copy of the code and will comply with applicable Wisconsin Administrative Code(s). Personally identifiable information you provide may be used for purposes.othe[than that/for which it was collected (Wis. Stat. & 15.04 (1)(m)). MMJ Baeld County Health Department —State Lodging Li > TOURIST ROOMING HOUSE REQUIREMENT CHECKL JAN��2.7 !i 1 DO • Private wells shall be tested once per year for coliform bacteria and a copy of the results providard o ge' ei3 f lfa t Department. • Private well and private septic systems must be properly constructed and code compliant. • All bathroom facilities must include a toilet and sink, and at least one bathroom with bathtub or shower. • Hot and cold running water shall be available at all sinks and washing facilities. • All garbage and recycling shall be kept in separate, leak proof, nonabsorbent containers with tight fitting covers, and shall be emptied often to prevent decomposition and overflow. • Appliances and furnishings shall be clean, in good repair and installed to facilitate cleaning. • Eating and cooking utensils shall be in good repair and cleaned by washing, rinsing, sanitizing (with 1 capful of Bleach to I gal. of water), and air -drying. • Mattress and pillow covers or protectors must be provided. • Linens (sheets) shall be washed between guests. • Blankets, quilts, and bedspreads shall be washable and maintained in a clean condition. • Sheets shall be of sufficient size to cover the bed and have a fold —back of at least 12 inches. • Housekeepers with communicable diseases shall refrain from working. • All home construction shall comply with the Uniform Dwelling Code if constructed after June 1, 1980. A UDC inspection may be requested depending on existing conditions. • All cabins or homes constructed after June 1, 1980 must have two exits. • Facilities with three or more units in one building must comply with the commercial building code. • Fuel feed appliances must meet ventilation requirements based on the International Fuel Gas and International Mechanical Codes. • At least one smoke alarm per floor level shall be installed in cabins or homes constructed before April 1, 1992. After 1992, smoke alarms are required in each sleeping room. • Every sleeping room must be 400 cubic feet per occupant over 12 years of age and 200 cubic feet per occupant under 12 years of age. All sleeping area ceilings shall be at least 7 feet high. • There must be at least two directions of escape from every sleeping room. • All exterior doors shall have key locking from the outside and non -key locking from the inside. • Windows shall be screened. Openable windows are required in dwellings that lack air conditioning. • Adequate guards & handrails are required on stairs and elevated platforms or decks exceeding 18". • Adequate ventilation must be provided to all bathrooms. • Pressure release valves on hot water heaters must be piped to within six inches of floor. • There shall be no plumbing cross connections that may contaminate potable water supply. • There shall be no electrical shock hazards (exposed wires within reach and missing plates). • There shall be directions for use of fireplaces and wood stoves. • All dwellings shall be maintained and equipped in a manner conducive to the health, comfort, and safety of all guests. They shall be kept in good repair and sanitary condition. • Effective measures shall be taken to minimize the presence of insects and rodents. • A guest register shall be maintained and kept available at all times. • No food items, alcohol, or other personal goods shall be accessible to guests beyond shelf stable prepackaged single service food items. • Carbon monoxide detectors shall be installed within 15 feet of all bedrooms, in sleeping rooms with fuel fired appliances and in the basement if there is a fuel fired appliance present. 4 Bayfield County Planning and Zoning Short -Term Rental e N .ioN 9 s3 M/ti PLANNING AND ZONING QUESTIONS 1. Is the property in the shoreland, within 300 feet of a river/stream OR landward side of t of a lake/pond/flowage, whichever is ter? ❑ Yes RrNo ❑ Unsure 2. Is there a wetland located on the property? ❑ Yes I3 No ❑ Unsure 3. Is there a flood lain located on or near the ? ❑ Yes O�No ❑ Unsure 4. Is this project associated with any of the following: ❑ Rezone ❑ Conditional Use ❑ Special Use ❑ Variance 5. Did you contact the town to see if any permits/requirements apply to yourproject? ❑ Yes ❑ No Zoning Department Use Permits: Short -Term Rental permits through Bayfield County Planning and Zoning Department are non -transferable, except as per the exemptions identified in ATCP 72.04(3). Short -Term Rental permits are regulated by Bayfield County Ordinance Section 13-1-35. APPLICATION FEES Check or money order payable to Bayfield County Planning and Zoning 1 unit : $500 2 unit : $1,000 3 unit: $1,500 4 unit : $2,000 To ensure your application is complete and can be processed by the Department, check you have the following items: ❑ Applicant Information (Page 1) ❑ Site Plan (Page 2) ❑ Floor Plan(s) — Provide sheet for each floor within each unit. ❑ Fees paid 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: Owner(s) or Authorized Agent Signature: NOTE: If you are signing on behalf of the owners) a letter of authorization must accompany this application. 5 Land Use Permit Application Review Checklist Submission #:S-Tg-0003(o 7 Tax ID: 516-Ao S-T-R: 1'41- 50 -041 What zoning district is the project located in? ❑ R-1 ❑ R-2 ❑ R-3 ❑ R-4 D<R-RB ❑ C ❑ 1 ❑ M ❑ A-1 ❑ A-2 ❑ F-1 ❑ F-2 ❑ W ❑ M-M ❑ Yes '�YNo Does lot meet the zoning dimensional requirements or is it substandard? Deed of record: ❑ Yes 'Q�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? XYes Does the project require sanitary? Sanitary Permit#:Public System: PAL, # of bedrooms: ❑ Yes VNo Does the project require an affidavit? Affidavit #: Number of Units: ) Number of Bedrooms: Number of Bathrooms:3 Number of Stories: I , S ❑ After -the -Fact (ATF) ATF Fee Amount: Inspected by: Date of 3-a�-as Inspection Notes: 1" Re -Inspected by: Date of Re -Inspection: Denied by: Date of Denial: Reason for Denial: Date Denial Letter Mailed: Approved by: D �S. Date of Approval: �i��2WiVlS�1 c�- 0 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 LAND USE —X (Previous 08-0421) SANITARY — 5636 SPECIAL A — SPECIAL B/CONDITIONAL — BOA — No. 25-0109 Tax ID: 5876 Issued To: HAUGEN-HOSSZU, JULIE A HOSSZU,FRANK Location: S14 - T50N - R04W Town of Bayfield BAYFIELD COUNTY PERMIT WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION Legal Description: DEERFIELD ESTATES FIRST ADD IN SW NW & N 1/2 NW SW LOT 9 213H Residential Structure in R-RB zoning district For: [2-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 6 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 27, 2025 Date