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Home My WebLink About26-0056117 E 6" Street PO Box 403 Washburn, WI 54891 (715) 373-6109 permits;bav lleldcounty.wi.gov FEB 1 t rtt28 B 3'FIELD; ^EH'TEAE'i3/ � Health Zoning Submission ft ` STR-00 FeePaid Soo.oe Refund Permit# - oo Date Issued :k 'h _; b 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 (httos•//novus bavfieldcounty wi uov/access/master aso) 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 14O0Z" v$ Hilltop Hygge Lo�1j;^, i- toy irl Establishment Tax ID # 36 $ c7 Town/City of Town of Washburn Establishment Street Address 29900 Wannebo Rd City Washburn State WI Zip 54891 SECTION 8: INFORMATION Property Owner Peter & Katherine Kebbekus Email Address pkeb66@gmail.com Phone Number (218) 340-4647 Owner Mailing Address 42920 Lakeshore Dr City Washburn State WI Zip 54891 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: RENTALUN IT INFORMATION (see key below) Unit Unit 1D Structure Type I leating Source Water Source Sanitary Source # olStories # of Bedrooms # of Bathrooms H P P P 2 2 1 2 3 4 Structure Type: House(H)Du lex D Cabin C Yurt Y A artment A Condo CO Other O , lease describe Heating Source: Electric (E) Natural Gas G Propane (P) Wood (W) Fuel (F) Other (0), please describe Water Source: Public/Municipal M Private Well P Sanitary Source: Public/Munici al M Private Onsite Wastewater S stem P Site Plan Show location of ❑ Driveways 0 Frontage Roads (include name) ❑ Existing Structures ❑ Well (W) ❑ Septic Tank (ST) ❑ Drain Field (OF) O Holding Tank (l -IT) ❑ Lake O River ❑ Stream/Creek iJ Pond C Floodplain O Wetlands ❑ Slopers over20% N utn n 'e — :WM6e1New.len..y — II :DeiWwr/ shnomN pmyny Fine 330n Ad Ptldmaa:299W Wannebv Pd 33011 Wa,Fpum, WI House: Main Low': 5Y eY HM9inR nob 2nd L,WI: Ras? ]5h Iron 0House ]Shhwn 3160 sc/h for ,endl , N1eterota(l,Ye) M1YyllwttmvY :::7 ERYriul >]5h DomE Pmts p,epgry tat >]Sh/n>nW _y — >ZOhmm Nye. ,63ftftnn, 0 Centedint zW WanntbOhd FEB 1 1 2026 Bayfield Co. Planrn'. cn.: -_s'.. i;J Aency Setbacks from furthest extent including eaves and County Use Only Verified setbacks overhangs of structure to: Road Centerline >55 ft. ft. Notes/Comments: Front Lot Line/Right-of-Way >68 ft, ft. Side Lot Line I West IL ft. (North East South West, circle one) Side Lot Line 2 East>75 ft' ft. (North East South West, circle one Rear Lot Line North >75 n. It. Septic/Holding Tank >25 Ii. ft. Drainfield R. Privy It. ft. Well >20 Ii ft. Existing Structure/Building It. ft. Wetland ft. It. Elevation of Floodplain ft. ft. Ordinary High -Water Mark (OHWM) M) >75 It. ft. NOTE: Please indicate "see attached" on this page it submitting 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 ATCP 72, 73, 76, 78 and 79. ➢ ATCP 72 regulates lodging facilities including hotels, motels and tourist rooming houses. ➢ Bayfield County Ordinance Title 9— Chapter 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 breakfbrsad establishments regulated under Ch. ATCP 73. EEB 1 1 2973¢ ➢ Wis. Stan. § 97.67 (5) and § 97.605 (1)(c) "No license may be issued until all applicable fees aye been pal' Bayfield Co. > Wis. Stat. § 97.605 (1)(a) "No person may conduct, maintain, manage or operate a hotel, iSl JF% Id Zoning Agency 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'". 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: ❑ Summer O Winter IN 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. ❑ 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 purposwtla than that for which it was collected (Wis. Stat. § 15.04 l m . Signature: Date: .y Bayfield County Planning and Zoning Short -Tern[ Rental Permit PLANNING AND ZONING QUESTIONS I. 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? ❑ Yes ❑ No ❑ Unsure 2. Is there a wetland located on the property? ❑ Yes ❑ No ❑ Unsure 3. Is there a floodplain located on or near the property? 0 Yes ❑ No 0 Unsure 4. Is this project associated with any of the following: ❑ Rezone ❑ Conditional Use ❑ Special Use ❑ Variance 5. Did you contact the town to see if any ermits/re uirements apply to your project? ❑ 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 Check or money order payable to Bayfield County Planning and Zoning 1 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 �followingyitems: ❑ Applicant Information (Page 1) FEB 112026 ❑ Site Plan (Page 2) ❑ Floor Plan(s) — Provide sheet for each floor within each unit. Bayfield Co. Planning and Zoning Agency ❑ 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. (� �1 \ Owner(s) or Authorized Agent Printed Name: i ete t&e"&5 Owner(s) or Authorized Agent Signature: Date: J G v Z Zu 2 NOTE: If you are signing on behalf of the owner(s) a letter of authorization must accompany this application. rYd _ 1S.5' IiT MA' Td P.94r reuvnnw +w. cvemm r�ro rmwax __. Sif afB SPM4'8 - Guabm _ ss ___ flj __ - flT <IT - - HI HI III1I1I1IIiI1I11 3m,. §-- -- - 91 Bedroom t 3tN . � ssu• h Living Rm i Bath z� H a a a I I L_`a m s s Open Derk TITIILI n TaY w5 I'I !z� m —� r I, Kitchen xi's h uz a Bedroom 2 a.�wamB,Wa I LEA t� — _a m - —_�� -. T HIHC Land Use Permit Application Review Checklist Submission #: SrrtooL..b Tax ID: 3 O 7 S -T -R: --4'7,- Town: WGu.Chbur What zoning district is the project located in? ❑ R-1 ❑ R-2 ❑ R-3 ❑ R-4 ❑ R-RB ❑ C ❑ 1 ❑ 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: ❑ 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 9i No Is the project located in the Floodplain? Zone: ❑ Yes allo Are there wetlands on the property? ❑ Yes No Is project associated with a nonconforming use or structure? Yes ❑ No Does the project require sanita ? Sanitary Permit #: a'1 — I (a Public System: #of bedrooms: 1ccO cp.k btukii� ❑ Yes No Does the project require an affidavit? ❑ LLC ❑ Trust Affidavit It: Number of Units: I Number of Bedrooms: o l Number of Bathrooms: 1 Number of Stories: ca, ❑ After -the -Fact (ATF) ATF Fee Amount: Inspected by: [\ \ Date of Inspection: l f �� Inspection Notes: 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. Q� Short -Term Rental is for a maximum occupancy of V persons. ❑ Additional conditions may be placed and need to be adhered to at the time of permit issuance. Other Conditions: B--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: KEBBEKUS, KATHERINE AND PETER 42920 Lakeshore Dr Washburn, WI 54891 Description 1 unit Submission Number: STR-00326 Transaction Number: STR-00326-3E53F Amount $500.00 Total: $500.00 Payment Amount: $500.00 Reference: 4649 Paid by: Peter & Katherine Kebbekus Payment Type: Check Transaction Date: 2/17/ 2026 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 LAND USE -X X SANITARY - 24-162S SPECIAL A - SPECIAL B/CONDITIONAL — BOA — No. 26-0056 Tax ID: 30587 Issued To: KEBBEKUS, KATHERINE AND PETER BAYFIELD COUNTY PERMIT WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION Location: S02 - T48N - R05W Town of WASHBURN Legal Description: PAR IN SE SE IN V.391 P.386 34A IN DOC 2024R-603638 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 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. February 17, 2026 This permit may be void or revoked if any performance conditions are not Date completed or if any prohibitory conditions are violated.