HomeMy WebLinkAbout25-0305I17 I. Ol Street
I'U Ru'. 403
U adthurn. \CI 14891
715) 373-610')
R'YF D
FEB Q52025 2025
Zoning Dept I
BaField Co.
Short -Term kental Application Packet
I hi, application packet contains information 11a' n Short- I erns Rental permit Through Ila\lield County Planning and
Lnning I)epmrunenl. ( otitpleled application Can he n)ailed'emailed to he addresaemaiI ahole.
Health
Zoning
Submission N
Fee Paid
Refund
Permit k
Date Issued
LSECTION A: ESTABLISHMENT INFORMATION
I sWhlichment Name Establishment Tax ID # Tolsn)C'itv of 4M0LMY►1
AyyLr4 j cd Lod(je �4
Istrlbhshment Street Address �UGmntl.t3cn Cit
it
State
Zip
y o o I u 5 ad
Ur
5v8a1
[.SECTION B: OWNER INFORMATION
I'nlperl} Ott net See-, Ann &;cJtsn Iintail Address Phone Number
tr_rot.�t t- Jeri gnnt:rsCl�5on�q^) I.toYn 71&-aao,3-qZs
l
( hl tier \failing Address fdt
State
Zip
/5ioeaC r,'
(,JZ
912955
SECTION C: IF OPERATING WITH PARTNER OR AGENT
I eual Licensee 1pannrnhip. I It . I I I'...r Inr.l Lurlil Address
I icen,ce Street .Address
('its
Phone Number
State 1 Zip
\µ•m Name (il applicable) l,tnail Address Phone Number ----- -
�loR+n ]�ry VaeA'on Rer,- i In-Qo Rnor,l.haor.r4ro)occ4ic4y" T15 79Y 52
\gent Street ddrtfss rnaittrsy'•h — --� State I zip
ti35ad I adunaa hl�d (P°' Q� (��o) it
t t SyBdl
SECTION D: RENTAL UNIT INFORMATION (see key below)
1'nit Unit It) Structure Ilruine \\atel Sanilar\ tintnce of Stories ol. of
Ilpe 1 Source Source Fiedroonls ' Hathroonls
t4
si rod rtire ' N pc:
!±, e(Ili DLIpIC\II)) C. ahin(C'1 Ylln l Y) Apartmeln(:\) cUndo((UI (Idler(O). Il'a,ediserihe
heating Source:
I lectric ( F. ) Natured (ie, I NU t Propane (PI \1 olxl f \1') Fuel (F) Other (U), please describe
Water Source: Sanitary Source:
Vu hl ic Mun ic ilial (M) Pri % ale \\ ell (11) public Municipal (M) Prilate ()rl,iteUa,tctcaterS\,lem(1') __
AFFIDAVIT OF AUTHORITY
(Trust)
PURPOSE. This Affidavit of Authority is used to certify the individual applying for a permit is authorized
when the property is owned by a Trust.
STATE OF WISCONSIN
ss.
BAYFIELD COUNTY
The undersigned affirms and states as follows:
1. Address of Subject Property: 4' St & &LL\OY\ AMScL A
to , W 1 s 4% Z-1
2. The Subject Property is owned by: 1Y cLsL t_ v- A— 't t k
(Name of Trust)
3. The name(s) of the current Trustee(s): t'/4—t-i.t.-'L i'
I certify that the Trust named in paragraph 2 is valid and in effect on the date signed below. I am
the duly appointed agent of the Trust 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. I further certify that the information and
statements made within this affidavit are true, accurate, and complete to the best of my
knowledge.
5. I am authorized by the above -named Trust to apply for and bind the Trust 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: f • 2t2..c
Prin ame
Subscribed and sworn to before me this
day of/ i I Ct,A 20.35.
Notary Public, t'a.-( a... d'�County, Wisconsin
My commission:'1 L!-�
DENISE:HUE87NER
Nota
State of
Land Use Permit Application Review Checklist
Submission #: 31-O00`l
Tax ID: 5 V1
S -T -R: 01- y,3- O
Town: N
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:
❑ 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?
XYes ❑ No
Does the project require sanitary?
Sanitary Permit #: O g -73S Public System:
# of bedrooms: o? 02000 9c.,t kn c1, v 2)'
Yes ❑ No
Does the project require an affidavit? ❑ LLC'Trust Eo+rod r...Lbok fAn.l(�L
Affidavit #: trvjv 0
Number of Units:
Number of Bedrooms: i
Number of Bathrooms: 1
Number of Stories: (
❑ After -the -Fact (ATF)
ATF Fee Amount:
Inspected by: n
Iv J
Date of Inspection: `' _t5
l J
Inspection Notes:
Re -Inspected by:
Date of Re -Inspection:
Denied by:
Date of Denial:
Reason for Denial:
Date Denial Letter Mailed:
Approved by: ,
Date of Approval: 5
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 18-0457)
SANITARY - 08-73S
SPECIAL A -
SPECIAL B/CONDITIONAL -
BOA -
BAYFIELD COUNTY
PERMIT
WEATHERIZE AND POST THIS PERMIT
ON THE PREMISES DURING CONSTRUCTION
No. 25-0305 Tax ID: 25196
Issued To: ARROWWOOD LODGE LLC / CONRAD NELSON FAMILY TRUST
Location: S07 - T43N - R05W
Town of
Legal Description: NAMAKAGON VILLAGE LOTS 1-3 BLOCK 7 TOG WITH VAC PARK AVE IN DOC 2017R-570866 665
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
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
May 27, 2025
Date