HomeMy WebLinkAbout25-0309€jEJ 117E6tStreet FIELD
PO Box 403
Washburn, WI 54891
(715) 373-6109
permitsna bavfieldcotmty.wi sov
/p, h N 27 9P75
Health
Zonin
Submission#
Fee Paid
Refund
Permit #
—
Date Issued
Short -Term Rental Application Packet
This application packet contains information Ihr a Short -Terns 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
4/i,✓ o S
Establishment Tax ID #
y,-000yg2«3
T wn/City of
cwn o i ma ax
Establishment Street Address
144755 iS2n, Poi1ttc
City -OS'State
Wi.
Zip
5'fB� l
SECTION B: OWNER INFORMATION
Property Owner
lhtcfi�/G@thrA Tffiac
Email Address
dd JU .r�ComeaeL,net
Phone Number
5&3 451-76$3
Owner Mailing Address City
/3 z..C dhunst / ssv_ ll e-
State
1
Zip
___
SECTION C: IF OPERATING WITH PARTNER OR AGENT
Legal Licensee (partnership, LLC, LLP, or Inc.)
Email Address
Phone Number
Licensee Street Address
City
State
Zip
Agent Name (if applicable)
Email Address
Phone Number
Agent Street Address
City
State
Zip
SECTION D: RENTAL UNIT INFORMATION (see ke
below)
Unit
Unit ID
Structure
Type
Heating
Source
Water
Source
Sanitary Source
# of Stories
# of
Bedrooms
# of
Bathrooms
P
P
-P
/
2
3
4
Structure Type:
House H Duplex (D) Cabin (C) Yuri (Y) Apartment (A) Condo CO Other (0), please describe
Heating Source:
Electric (E) Natural Gas G Propane P Wood Fuel (F) Other (O), please describe
Water Source:
Public/Municipal Private Well (P)
Sanitary Source:
Public/Municipal (M) Private Onsite Wastewater System (P)
Land Use Permit Application Review Checklist
Submission #: 5712— 00031
Tax ID: Z4 Q3
S -T -R: 0 q -Y3 —o4
What zoning district is the project located in?
1❑ R-2 ❑ R-3 ❑ R-4 ❑ R-RB ❑ C ❑ I ❑ M ❑ A-1 ❑ A-2 ❑ F-1 ❑ F-2 ❑ W ❑ M -M
Yes ❑ No
Does lot meet the zoning dimensional requirements or is it substandard?
Deed of record:
iYes ❑ No
Is the project located in the Shorelands (Shorelands are lands within 300 feet of a river/stream OR
landward side of floodplain OR 1000 feet of a lake/pond/flowage, whichever is greater)?
Yes ❑ No
Is the project located in the Floodplain?
Zone:
❑ Yes 'No
Are there wetlands on the property?
Yes ❑ No
Is project associated with a nonconforming use or structure?
Yes ❑ No
Does the project require sanitary?
Sanitary Permit #: 2'1 i '- 1 Public System:
# of bedrooms:
Does the project require an affidavit?
❑ Yes No
Affidavit #:
Number of Units: (
Number of Bedrooms:3
Number of Bathrooms:
Number of Stories: I
❑ After -the -Fact (ATF)
ATF Fee Amount:
Inspected by: n I C$i •� wi �� I , 1
1 �(
Date of Inspection: Q 5
Inspection Notes:
-?r'Cv¼tiS PCYYYS OaseA
Re -Inspected by:
Date of Re -Inspection:
Denied by:
Date of Denial:
Reason for Denial:
Date Denial Letter Mailed:
Approved by:
es;
Date of Approval:
S- - a5
.�ew�
aso3o�
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 W 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 ,Floodplain,
Substandard
LAND USE - X (previous 08-0589)
SANITARY - 247249
SPECIAL A -
SPECIAL B/CONDITIONAL —
BOA —
No. 25-0309 Tax ID: 24463
Issued To: THIER, DARWIN E & CYNTHIA D
Location: S09 - T43N - R06W
Town of
BAYFIELD COUNTY
PERMIT
WEATHERIZE AND POST THIS PERMIT
ON THE PREMISES DURING CONSTRUCTION
Legal Description: S 100' OF N 1313' OF GOVT LOT 1 IN DOC 2017R-571276 351G
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 6 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. May 28, 2025
This permit may be void or revoked if any performance conditions are not
completed or if any prohibitory conditions are violated.
Date