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HomeMy WebLinkAbout26-0083I17 E 60 Street PO Box 403 Washburn, WI 54891 (71RC- V D MAR 022026 Bayfieid Co. Planning anj Zoning Agency P--YFIELD Health Zoning Submission # -00 Fee Paid Refund Permit # - 0033 Date Issued 0 a 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 ( ) City of Washburn, City of Bayfield, Town of Pilsen: License through Bayfield 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: ESTABLISHMENTINFORMATI0N Establishment Name L'I)Kc Fioui;- Establishment Tax ID # 100 79 Town/City of Establishment Street Address I3560 Cot I City orbit' State wl Zip S'1s7, 'SECTION B: OWNER INFORMATION Pro Prerty Owner kanom inln Email Address Z2lsakri c(!79,VA41- Phone Number Ga4 65) •2.53 •L$7C Owner Mailing Address �I3 2ttncr h vc- Cit Levllle State MN Zip 55113 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: RENTAL UNIT INFORMATION see k :below Unit Unit ID Structure Type Heating Source Water Source Sanitary Source # of Stories # of Bedrooms # of Bathrooms 1 Pt P US 2 3 4 Structure Type: House (H) Duplex D Cabin (C) Yurt Y Apartment (A) Condo CO Other (0), please describe Heating Source: Electric E Natural Gas G Propane P Wood (W) Fuel (F) Other O please describe Water Source: Public/Municipal Private Well (P) Sanitary Source: Public/Municipal M Private Onsite Wastewater System (P) EHi RE -fltiVED MAR 022026 Site Plan Bayfield Co. Planning and Zening Agency Show location of: ❑ Driveways ❑ Frontage Roads (include name) 0 Existing Structures ❑ Well (W) 0 Septic Tank (ST) O Drain Field (DI') ❑ Holding Tank (HT) 0 Lake ❑ River-❑ . Streem/Creek 0 Pond 0 SFlood lain 0 Wetlands 0 Slopers over 20%. Spruce S-fi 13 &cV H ailkc GLx o r N /-) pus JZuarayt av c Vk HWy 11 Setbacks from furthest extent including eaves and County Use Only overhangs of structure to: Verified setbacks Road Centerline 75 ft. ft. Notes/Comments: Front Lot Line/Right-of-Way 6 0 ft. ft. Side Lot Line I ft, ft. (North East Sou Wes circle one) Side Lot "ne 2 (No t oath West, circle one ft. M ft. Rear tine (j ft, ft Septic/Holding Tank ft, ft. Drainfield ft, g.. Privy ft. ft. Well ft. _. ft. Existing Structure/Building ft. ft. Wetland ft. ft Elevation of Floodplain ft. ft. Ordinary High -Water Mark (OHWM) ft. ft. rn-rr_ m____ e_ -n_ .,, .. ,C„n wtucatc ace attacneu on mts page it submitting site plan as a separate document. RECEIVED MAR 0 2 2026 Bayfield County Health Department — State Lodging License hayfield Co. Planning and Zoning Agency 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. ➢ regulates lodging facilities including hotels, motels and tourist rooming houses. 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. ➢ Wis. Stat. § 97.67 (5) and § 97.605 (lxc) "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 30r°. 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 Beyliield County Check or money order payable to Bayfield County Health Department When will your rental be in operation: ❑ 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. ❑ 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 other than that for which it was collected (Wis. Stat. § 15.04 1 m . Signature: qi4r, 1��� Date: 3I 31 1 i`(i RECEIVED MAR 022026 Bayfield County Planning and Zoning Short -Term Rental Permit Bayfi@ICo. ening Agency • PLANNING AND ZONING QUESTIONS 1. Is the property in the shoreland, within 300 feet of a river/p6eam OR landward side of floodplain OR 1000 feet of a lake/pond/flowage, whichever is greater? ❑ Yes No O Unsure 2. Is there a wetland located on the property? O Yes No O Untite 3. Is there a floodplain located on or near the property? O Yes ltNo O Unsure 4. Is this project associated with any of the following: O Rezone ❑ Variance O Conditional Use ❑ Special Use 5. Did you contact the town to see if any its/ uirements apply to your project? Yes O 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 I unit: $500 2 unit: $1,000 3 unit: $1,500 4 unit: $2,000 To ensure y application is complete and can be processed by the Department, check you have the following items: NJ /Cpplicant Information (Page 1) @'frite Plan (Page 2) S Floor Plan(s) — Provide sheet for each floor within each unit. (VFees 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 ��u (f(, Owner(s) or Authorized Agent Printed Name: I - M tt t ' `a H 44p I 4 Owner(s) or Authorized Agent Signature: Date: NOTE: If you are signing on behalf of the owner(s) a letter of authorization most accompany this application. Kittnen 11'3" x 8'2' Stairs •(Down) Stairs (Up) Living Room 17'1" x 117" • Dining Room 106" x 11'9" 1.4 RECEIVED MAR 032026 Bayfield Co. Plannir. j z�,, �: • Bathroor• 6'11" x 10'4" 4'1" x 2'2" Bedroom 12'0" x 10'l" 4'0" x 2'2" RECEIVED MAR 032026 Bayfield Co. Planning and Zoning AgenCY Land Use Permit Application Review Checklist Submission #: s-( -00 Tax ID: O O S -T -R: - y3- Town: What zoning district is the project located in? R-1 ❑ R-2 ❑ R-3 ❑ R-4 ❑ R-RB ❑ C ❑ I ❑ 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 )KNo 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 XNo 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? ❑ Yes ,No Does the project require sanitary? Sanitary Permit If: Public System: Card.¢, # of bedrooms: ❑ Yes [No Does the project require an affidavit? ❑ LLC ❑ Trust Affidavit If: Number of Units: Number of Bedrooms: Z Number of Bathrooms: Number of Stories: 2 ❑ After -the -Fact (ATF) ATF Fee Amount: Inspected by: D� I, \�I f;�c j� Vv J �--( Date of Inspection: 2 _r�,r1 / _ I o4lY Inspection Notes: Re -Inspected by: Date of Re -Inspection: Denied by: Date of Denial: Reason for Denial: Date Denial Letter Mailed: Approved by: A \ . t s ��W ��S�` Date of Approval: � _ 1 1 I �f 00% le 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: }3XYFIELD 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: KANNAPIRAN, MADHU 813 Brenner Ave Roseville, MN 55113 Description 1 unit Submission Number: STR-00327 Transaction Number: STR-003273F7FF Amount $500.00 Total: $500.00 Payment Amount: $511.90 Reference: 5801165665 Paid by: Madhu Kannapiran Payment Type: Credit Card Transaction Date: 3/6/2026 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 Substandard LAND USE -X SANITARY — Cable SPECIAL A — SPECIAL B/CONDITIONAL — BOA — No. 26-0083 Tax ID: 10074 Issued To: KANNAPIRAN, MADHU BAYFIELD COUNTY PERMIT WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION Location: S18 - T43N - R07W Town of Cable Legal Description: ASSESSOR'S PLAT NO. 2 LOT 17 BLOCK 9 IN V.1128 P.673 IN DOC 2021 R-589749 15V Residential Structure in R-1 zoning district For: [1 -Unit] Short -Term -Rental, Maximum Occupants Allowed is (Disclaimer): Any future expansions or development would require additional permitting. Condition(s): Town may require permitting. 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. March 11, 2026 This permit may be void or revoked if any performance conditions are not Date completed or if any prohibitory conditions are violated.