HomeMy WebLinkAbout25-0312117E 61, Street
PO Box 403
Washburn, WI 54891
(715) 373-6109
permits@bayfieldcounty.wj.gov
$=I�-YFIE�LD
u L MAY 72025
Health
Zoning
Submission #
7
Fee Paid
Refund
Permit #
Date Issued
Bayfield C;,.
Short -Term Rental Application Packet
This application packet contains information for a Short -Term Rental permit through Bayfield County Planning and
Zoning Department. Completed application can be mailed/emailed to the address/email above.
SECTION A: ESTABLISHMENT INFORMATION
Establishment Name
Establishment Tax ID #
Town//City of
'7C-t'7C-G I4OLSG-
t
1 'l✓f�t-b
Est blishment Street Address Cy State 1 Zip
it
(O3(OO Iti1� (�e5 - UL .
-O fa?fte cs- `t$W
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SECTION B: OWNER INFORMATION
Property Owner
kwt CA2cF �YLptRj
Email Address
I Phone Number
Mlc_t.(t_
Sol* ce fie14(2 mcl.
3rz Y93-'(s?U
Owner Mailing Address
I City
State
Zip
sg)VtF AS ��oN5�es1J Nt
SECTION C: IF OPERATING WITH PARTNER OR AGENT
Legal Licensee (partnership, LLC, LLP, or Inc.)
Email Address
Phone Number
5oLS1e— f Oti5E £ Lt
S�Is��ce(�R ktelr�Cx wl •c'
3'2` :?> 99SE)
Licensee Street Address
City
State
Zip
/c;a,SaJtc
Agent Name (if applicable)
4
Finail Address
/
Phone NupIber
/
Agent Street Address
City
Sta e
Zip
SECTION D: RENTAL UNIT INFORMATION see ke
below)
Unit
Unit ID
Structure
Heating
Water
Sanitary Source
# of Stories
# of
# of
Type
Source
Source
Bedrooms
Bathrooms
0
r`t Cr
P
P
i
2
3
4
Structure Type: -$ MatHEE-, v -.a )
House (H) Duplex (D) Cabin (C) Yurt (Y) Apartment (A) Condo CO Other O please describe Sit fie of rtn ,N
Heating Source:
Electric E) Natural Gas (NG) Propane P Wood W Fuel (F) Other (O), lease describe
Water Source:
Sanitary Source:
Public/Municipal (M) Private Well (P)
Public/Municipal (M) Private Onsite Wastewater System (P)
Land Use Permit Application Review Checklist
Submission it: SiP — oofl7
Tax ID: 575
S -T -R: 4 'So -O'-1
Town:
,C
What zoning district is the project located in?
❑ R-1 ❑ R-2 ❑ R-3 ❑ R-4 ❑ R-RB ❑ C ❑ 1 ❑ M -1 ❑ A-2 ❑ F-1 ❑ F-2 ❑ W ❑ M -M
❑ YesXNo
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?
YYes ❑ No
Does the project require sanitary?
lip 3floc)
Sanitary Permit#: Public System:
# of bedrooms: 3
❑ Yes No
Does the project require an affidavit? 0 LLC ❑ Trust
Affidavit #:
Number of Units: I
Number of Bedrooms: I
Number of Bathrooms:
Number of Stories: I
❑ After -the -Fact (ATF)
ATF Fee Amount:
Inspected by:
Date of Inspection: i -_ -as
Inspection Notes:
�rev�o�s O b 13�
Re -Inspected by:
Date of Re -Inspection:
Denied by:
Date of Denial:
Reason for Denial:
Date Denial Letter Mailed:
Approved by:
' t
Date ofApproval:
Je
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.
/iShort-Term Rental is for a maximum occupancy of LO 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 22-0138)
SANITARY- 163909
SPECIAL A -
SPECIAL B/CONDITIONAL —
BOA —
No. 25-0312 Tax ID: 5759
Issued To: OVERLAND, CARA NICOLE KOOI, MICHAEL T
BAYFIELD COUNTY
PERMIT
WEATHERIZE AND POST THIS PERMIT
ON THE PREMISES DURING CONSTRUCTION
Location: S12 - T50N - R04W
Town of Bayfield
Legal Description: BORN FREE ACRES LOTS 2 & 32021 R-592716
Residential Structure in A-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 Date
completed or if any prohibitory conditions are violated.