HomeMy WebLinkAbout25-0855117E 6thStreet
PO Box 403
Washburn, WI 54891
(715) 373-6109
permits _ bayfieldcountv.wi.gov
13 YFIELD
Health
Zoning
Submission #
-
Fee Paid
Refund
Permit#
-
Date Issued
►l $
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.
IA �A i -aq -aba5
SECTION A: ESTABLISHMENT INFORMATION
Est blishment Nam
► � •
Establishment Tax ID #
Town/City of
q
Establishment treet Address J
a5 G' ck (Oi
City Stat Zi
1�
_'_
SECTION B: OWNER INFORMATION , CO
Property Owner
i and
Email Address pit -Keying Phone Number&I -85'7^5388 ci,„
PrfM4 I 360 55 3
Owner Mailing Address
ag81 Je-rCM (J
City
State
TA
Zip
5a33
SECTION C: it OPERATING WITH PARTNER OR AGENT
Legal Licensee (
•
artnership, LLC, LI I'. or Inc.)
LL
Email Address �coym
; oL
hone Number
-3 -5573
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
4 -
-st--
-S-H---
3
4
Structure Type:
House (H) Duplex (D) Cabin (C) Yurt (Y) Apartment (A) Condo CO Other (O), please describe
Heating Source:
Electric Natural Gas (NG) Wood Fuel (F) Other (O), please describe
Water Source:
Public/Municipal (M) Private Well
Sanitary Source:
Public/Municipal (M) Private Onsite Wastewater System (P)
c`4
Land Use Permit Application Review Checklist
Submission#:5?12-0eO`jO
Tax ID: 25 8G
S -T -R: 2j-43-0(0
What zoning district is the project located in?
❑ R-1 ❑ R-2 ❑ R-3 ❑ R-4 R-RB ❑ C Dl ❑ 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? Co✓�d
Deed of record:
❑ Yes 9No
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 'Jo
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?
' S'es ❑ No
Does the project require sanitary?
Sanitary Permit #: 78(a).. Public System:
#of bedrooms: Pj , �, a urtS
Yes ❑ No
Does the project require an affidavit?
Affidavit #:
Number of Units: I
Number of Bedrooms: Cf
Number of Bathrooms: H
Number of Stories: I
❑ After -the -Fact (ATF)
ATF Fee Amount:
Inspected by: Des, i
Date of Inspection:
Inspection Notes:
— pre.Aous rYyn; } a 19-azy�
Re -Inspected by:
Date of Re -Inspection:
Denied by:
Date of Denial:
Reason for Denial:
Date Denial Letter Mailed:
Approved by
Date of Approval:
s-oSS
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.
b
hort-Term Rental is for a maximum occupancy of persons.
ti 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 19-0241)
SANITARY - 297862
SPECIAL A —
SPECIAL B/CONDITIONAL —
BOA —
No. 25-0855 Tax ID: 25286
Issued To: PICKERING, MIKE PICKERING, CHRIS
Location: S21 - T43N - R06W
Town of NAMAKAGON
BAYFIELD COUNTY
1:1:1 ►'i I4I
WEATHERIZE AND POST THIS PERMIT
ON THE PREMISES DURING CONSTRUCTION
Legal Description: LAKEWOODS FOREST RIDGES CONDOMINIUM UNIT B LOT 3 TOG WITH UND INT IN COMMON
ELEMENTS IN DOC 2020R-581543
Residential Structure in R-RB 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.
Desi Niewinski
Authorized Issuing Official
November 26, 2025
This permit may be void or revoked if any performance conditions are not
completed or if any prohibitory conditions are violated.
Date