HomeMy WebLinkAbout25-0852Town, City, Village, State or Federal
Permits May Also Be Required
Shoreland ,
Substandard
LAND USE -X
SANITARY -18-80S
SPECIAL A —
SPECIAL B/CONDITIONAL —
BOA —
No. 25-0852 Tax ID: 20608
Issued To: KAREN M COLLINS TRUSTEE
Location: S28 - T47N - R08W
Town of Iron River
BAYFIELD COUNTY
PERMIT
WEATHERIZE AND POST THIS PERMIT
ON THE PREMISES DURING CONSTRUCTION
Legal Description: PIKE LAKE PARK LOT 25 BLOCK 2 IN V.1109 P.549 1226 (KAREN M COLLINS IRREV INCOME ONLY
TRUST DTD 06/04/2013)
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 10 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
November 21, 2025
Date
Land Use Permit Application Review Checklist
Submission 1*: ST -603101
Tax ID: 2O(pOg
S -T -R: `3-47 -O
Town: rov\ 'V` r
What zoning district is the project located in?
R-1 ❑R-2 ❑R-3 ❑R-4 ❑R-RB 0 0 QM ❑A-1 0 A-2 ❑F-1 0 F-2 0 0 M -M
Yes ❑ No
Does lot meet the zoning dimensional requirements or is t ubstandar .
Deed of record:
Yes 0 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:
0 Yes ''No
Are there wetlands on the property?
Yes ❑ No
Is project associated with a nonconforming use oi?)
Yes ❑ No
Does the project require sanitary?
Sanitary Permit #: ( S — 13 0 S Public System:
# of bedrooms: 250c3 ko41h kr-r \,L.
❑ Yes 'gNo
Does the project require an affidavit? 0 LLC 0 Trust
Affidavit #:
Number of Units: j
Number of Bedrooms: LI
Number of Bathrooms: Z
Number of Stories: 2
0 After -the -Fact (ATF)
ATF Fee Amount:
Inspected by:
Date of Inspection:
Inspection Notes:
Re -Inspected by:
Date of Re -Inspection:
Denied by:
Date of Denial:
Reason for Denial:
Date Denial Letter Mailed:
Approved by: ,
t>.5; N�_ew�nS
Date of Approval:
\\-- .S as -b
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.
'd D
Short -Term Rental is for a maximum occupancy of I persons.
❑ Additional conditions may be placed and need to be adhered to at the time of permit issuance.
Other Conditions:
117E 6'" Street
PO Box 403
Washburn, WI 54891
(715) 373-6109
permits4%bayfieldeounrv. wi. gov
RCN#ELD
NOV 052025
Health
Zoning
Submission #
�'1
1' -O0319
Fee Paid
3 3O
t,00.c30
Refund
Permit #
Date Issued
ENTERED
I1 S jg Short -Term Rental Application Packet
This application packet contains information for both a Tourist Rooming House license through Bayfield County Health
Department and a Short -Term Rental permit through Bayfield County Planning and Zoning Department. Completed
application and applicable fees can be mailed/emailed to the address/email above. Establishment Tax ID can be found
through NOVUS (https://novus.bayficldcounty.wi.gov/access/master.asp)
City of Washburn, City of Bayfield, Town of Pilsen: License through Hayfield County Health Department is required.
Please review and fill out pages 1-4.
All Other Towns: A license through the Health Department and permit through the Planning and Zoning Department are
required. Please review and fill out pages -1-5.
SECTION A: ESTABLISHMENT INFORMATION
Establishment Name
Establishment Tax ID # Town/City of
l in ► r 1—
ZcY'°1€ Trop 22
City State Zip
T-to,d ✓ — cffi OL41 f7
Establishment Street Address
p 5 . 3u s tc G
SECTION B: OWNER INFORMATION
Property Owner
Go i I
Email Address
I Phone Number
atw-'3So-aa$F
b1,
Owner Mailing Address
City
State
Zip
S. W-cl.
Po kr
SECTION C: IF OPERATING WITH PARTNER
OR AGENT
l Licensee (partnership, LLC LLRor Inc.,
Email Address
Phone Number
7p w )3%s.ha-fP me)t
219^ 42$- IZA )
Licensee street Address
City
State
Zi
3Lit► t, t1, ST
er:vvt-
LJ
Agent Name (if applicable)
_
Email Address I
Phone Number
Agent Street Address
31&21 E. 4{x4r
City
�.,i
s,, ;._
State
t. )
Zip
aeon
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
1
�
7
9
2
3
4
Structure Type:
House (H) Duplex (D) Cabin (C) Yurt (Y) Apartment (A) Condo CO Other (O), please describe
Heating Source:
Electric (E) Natural Gas G Propane Wood (W) Fuel (F) Other (O), please describe
Water Source:
Sanitary Source:
Public/Municipal (M) Private Well (P)
Public/Municipal (M) Private Onsite Wastewater System (P)
Site Plan
Show location of: �
llVbriveways D4 ontage Roads (include name) IiV Existing Structures 1f! Well (W) ❑ Septic Tank (ST) ❑ Drain Field (DF)
K-4lolding Tank (HT) [+Lake ❑ River 0 Stream/Creek ❑ Pond 0 Floodplain ❑ Wetlands 0 Slopers over 20%
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NOV 052025
Plannln Seyfield Co,
9 and ZanIng Agency
Setbacks from furthest extent including eaves and
overhangs of structure to:
County Use Only
Verified setbacks
Roa Centerline
02 ft.
ft.
Notes/Comments:
Fron of Line/Right-of-Way
ft.
ft.
Si Lot Linc 1
N rth East South West, circle one)
3'2.Cft.
ft.
Sid Lot Linc 2
(North East South West. circle one
...-ft.
ft.
Rear Lot Line
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
ft.
ft.
Ordinary High -Water Mark (OHWM)
Crft.
tt.
NOTE: Please indicate "see attached" on this page if submitting site plan as a separate document.
Bayfield County Health Department — State Lodging License _NOV Q5 2Q25.
Health Department (State Lodging License): All rental units require a Tourist Rooming House license through the State,;,
of Wisconsin Department of Agriculture, Trade and Consumer Protection (WDATCP) or their authorized 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.
> [afield 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'h. 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:
0 Summer 0 Winter Year -Round
$586.30 — License Fee ($286.30 (County fee: $272, State fee: $14.30)) + Pre -Inspection Fee ($300)
Pre -Inspection Fee includes bacteriological sample analysis for private drinking water supply.
O 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 comp)fWtt4 applicable Wisconsin Administrative Code(s). Personally identifiable information you provide may be
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Bayfield County Planning and Zoning Short -Term Rental Permit
PLANNING AND ZONING QUESTIONS
I.
Is the property in the shorcland, within 300 feet of river/stream OR landward side of floodplain OR 1000 feet
of a lake/pond/flowage, whichever is greater? es O No O Unsure
2.
Is there a wetland located on the property? O Yes Xo ❑ Unsure
3.
Is there a floodplain located on or near the property? O Yes"No O Unsure
4.
Is this project associated with any of the following: ❑ Rezone ❑ Conditional Use O Special Use
❑ Variance
5.
Did you contact the town to see if any ermits/re uirements apply to your project? O Yes o
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
I unit: $500 ) 1 2 unit: $1,000 1 3 unit: $1,500 1 4 unit: $2,000
To ensure your application is complete and can be processed by the Department, check you have the following items:
tsd' Applicant Information (Page 1)
(Nte Plan (Page 2)
BKFloor 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
Owner(s) or Authorized Agent Signatu
NOTE: If you are signing on behalf of the owner(s) a letter of authorization must accompany this application.
:wer�t�'_Ii�E�3
NOV 052025
BaYIIefrJ Co.
Planning and Zoning Agency
B -AYFIELD Bayfield County
Planning & Zoning Department
117 E 5th Street
P.O. Box 58
Washburn, WI 54891
Phone: 715-373-6138
Fax: 715-373-0114
Property Owner:
Submission Number:
KAREN M COLLINS TRUSTEE
STR-00319
9405 S BUSKEY BAY DR
IRON RIVER, WI 54847
Transaction Number:
STR-00319-38D86
Description Amount
1 unit $500.00
Total: $500.00
Payment Amount: $500.00
Reference: 1506
Paid by: Collins Buskey Bay LLC
Payment Type: Check
Transaction Date: 11/21/2025
Receipt of payment does not guarantee eligibility of
permit and is not proof of issuance of a permit.