HomeMy WebLinkAbout25-0867117E 6's Street
PO Box 403
Washburn, WI 54891
(715) 373-6109
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Submission #
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Permit #
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Date Issued
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Short -Term Rentaloipplication Packet
This application packet contains informationFfor 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/entailed to the address/email above. Establishment Tax ID can be found
through NOVUS (httns://novus.bayfieldcounty wi gov/accessimaster asp)
City of Washburn, City of Bayfield, Town of Pilsen: License through Bayfield County Health Department is required.
Please review and fill out pages 111.
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
(?dcc
aso _7
Establt hment Street Address City State Zip
COLE
W
SECTIO B: OWNER INFORMATION
Pr petty O er E it Addresss, Phone Number
Owner Mailing Address State Zip
E.Ht& 4W-coAJIC ►,c,l 5'175
SECTION C: IF OPERATING WITH PARTNER OR AGENT
Legal Licensee ership, LLC, LLP, or Inc.) I
Email Address
Phone Number
Licensee Street Address
City
Sfhte
Zip
Agent Name (if applicable)
Email Address
Phone Number
Agent Street Address
City
State
Zip
SECTIO D: RENTAL UNIT INFORMATION see key
below
Unit
Unit ID
Structure
Heating
Water
Sanitary Source
# of Stories
# of
# of
Type
Source
Source
Bedrooms
Bathrooms
)
"
2
3
4
Structure Type:
House Duplex D Cabin C Yurt Apartment (A) Condo CO Other (O), lease describe
Heating Source:
Electric (E) Natural Gas (NO) Propane P Wood Fuel Other (O), please describe
Water Source:
Sanitary Source:
Public/Municipal Private Well P
Public/Municipal Private Onsite Wastewater System
Site Plan
Show location of:
g Driveways Jr Frontage Roads (include name) ' Existing Structures RI Well (W) ( Septic Tank (ST) Drain Field (DF)
❑"'iiamii g4eak (HT) Lake •
p -%,,d• R -Wetlands. ❑ Slopers over 20%
f
RECEIVED
L
:-,
\�r7
GEC 01 2025
�at,n
Setbacks from furthest extent including eaves
and
County Use Only
overhangs of structure to:
Verified setbacks
Centerline
ft.
ft.
Notes Comments:
t Lot Line/Right-of-Way
ft
ft
Lot Line I
h EastSouth West, circle one
ft.
1 C
ft.
Loi Line 2
h East South West :circle one
!' ft
yy6
ft
Lot Line
ool ft.
ft.
c/Holding Tank
jElevationofflooKdpl
, Q ft.
ft.
field
26 ft.
ft.
ft.
ft.
5J pei :if j Vl inti w t,
Q ft.ft.
ng StructureBuilding
7� ft.
ft.
nd
— ft.
ft.tion
ofFloodplain
�` ft.
ft.
Ordinary High -Water Mark (OHWM)
4_ i ft.
ti
NOTE: Please indieate "can 4+r9a,va+
•1.:.. _ _ ;C __z__....
u nuuuu.uug site plan as a separate document.
Bayfield County Health Department State Lodging License
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 ATOP 72,=Z3 :A, y` t.)
78 and 79.
DEC U 1 2025
➢ ATCP 72 regulates lodging facilities including hotels, motels and tourist rooming houses.
➢ Bayfield County Ordinance Title 9 —Chanter 2 Food ProtectionS Lodging. Pools Campgrounds,P
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. Star. § 97.67 (5) and § 97.605 (1)(c) "No license may be issued until all applicable fees have been paid."
> Wis. Star. § 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'ti. 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 ❑ Winter .4 Year -Round
— License Fee ($286.30 (County fee: $272, State fee: $14.30)) + Pre -Inspection Fee ($300)
ion 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 comply with applicable Wisconsin Administrative Code(s). Personally identifiable information you provide may be
used for purposes otbgr than that for which it was collected (Wis. Star. 8 15.04 (1 Vmll
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Bayfield County Planning and Zoning Short -Term Rental Permit GLC 012025
cdviceIJ Co.
PLANNING AND ZONING QUESTIONS
1.
Is the property in the shoreland, within 300 feet of a river/stream OR landward side of floodplain OR 1000 feet
of a lake/pond/flowage, whichever is greater? jt' Yes (l No O Unsure
2.
Is there a wetland located on the property? O es allo O 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: O Rezone 0 Conditional Use ' Special Use
❑ Variance
5.
Did you contact the town to see if any ermits/re u cements apply to your project? 0 Yes ❑ No
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
Ch!ormeq order payable to Bayfield County Planning and Zoning
unit: $500 2 unit: $1,000 3 unit : $1,500 4 unit : $2,000
To ensure your application is complete and can be processed by the Department, check you have the following items:
Q'Applicant Information (Page 1)
Site Plan (Page 2)
Floor Plan(s) — Provide sheet for each floor within each unit.
O 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. A
Owner(s) or Authorized Agent Printed Name:
Owner(s) or Authorized Agent
NOTE: If you are signing on behalf of the owner(s)
Date:
of authorization must accompany this application.
nency
Land Use Permit Application Review Checklist
Submission#: ST --C
Tax ID: aSC7
S -T -R: ( —'j — 0(p
Town: S\ C rrG c -'
What zoning district is the project located in?
R-1 ❑ R-2 ❑ R-3 ❑ R-4 ❑ R-RB DC DI ❑ M DA -1 ❑ A-2 ❑ F-1 OF -2 ❑ W ❑ M -M
Yes ❑ No
Does lot meet the zoning dimensional requirements or is it substa ?
Deed of record:
WYes ❑ 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 structure?
'Yes ❑ No
Does the project require sanitary?
'J
Sanitary Permit #: 95— I L Public System:
#of bedrooms:
XYes ❑ No
Does the project require an affidavit? LLC ❑ Trust
Affidavit #:
Numberof Units: I
Numberof Bedrooms: '—(
Numberof Bathrooms: a
Numberof Stories:
❑ After -the -Fact (ATF)
ATF Fee Amount:
Inspected by:
Date of Inspection:
Inspection Notes:
lr LLC cx\re an t� Q d - i�
— ��78v Work
o er STA ot2( cvlAlbn5
Re -Inspected by:
Date of Re -Inspection:
Denied by:
Date of Denial:
Reason for Denial:
Date Denial Letter Mailed:
Approved by:
Date of Approval:
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:
P=YFIELD 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:
STALTER PROPERTIES 1 LLC
STR-00322
E4063 STATE RD 72
MENOMONIE, WI 54751
Transaction Number
STR-00322-3991A
Description Amount
1 unit $500.00
Total: $500.00
Payment Amount: $500.00
Reference: 3374
Paid by: Stalter Properties LLC
Payment Type: Check
Transaction Date: 12/11/2025
Receipt of payment does not guarantee eligibility of
permit and is not proof of issuance of a permit.
Town, City, Village, State or Federal
Permits May Also Be Required
Shoreland ,Wetlands
Substandard
LAND USE -X
SANITARY - 25 -ISIS
SPECIAL A -
SPECIAL B/CONDITIONAL -
BOA -
BAYFIELD COUNTY
raitl?ai i i
WEATHERIZE AND POST THIS PERMIT
ON THE PREMISES DURING CONSTRUCTION
No. 25-0867 Tax ID: 25075
Issued To: STALTER PROPERTIES 1 LLC
Location: S12 - T43N - R06W
Town of NAMAKAGON
Legal Description: NAMAKAGON LAKE SHORE SUBDIV W 15' OF LOT 8 AND N EASTERLY 100' OF LOT 9 IN V.1002 P.818
TOG WITH EASE 715 IN DOC 2025R-609461
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 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. December 11, 2025
This permit may be void or revoked if any performance conditions are not Date
completed or if any prohibitory conditions are violated.