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HomeMy WebLinkAbout26-0095117E 6's Street PO Box 403 Washburn, WI 54891 (715) 373-6109 nermits& hayfieldcounty wi gov RECEIVOAYFIELD MAR 172026 Bayfield Co. Planning c... - Health Zoning Submission # Fee Paid Refund Permit # — ...,,{{ crD-Q4"i� Date Issued I 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. Property Tax ID can be found through NOVUS (https://novus.bayficldcountv.wi.gov/acccss/mastcr.asp). 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: ESTABLISHMENT INFORMATION Establishment Name ,cwt -A 3ose h + k 17d c t7 �i Property Tax ID 9 31V13 own/City of w1'l i t.r✓t— Establish ent Street Address �1` S ��C��,� Lc✓4 { (z_J City _ State T- _ Zi SECTION B: OWNER INFORMA') ION Own °' Phone Number PropertyEmail Address itkGtt¢ 5 rNGUl.ta -33O —6V�3i"s ^¢•v,,1 O%2 -3 g APb Y4 -u z l� `C T'Gt ( City State Z 24 __ _ SECTION C: IF OPFRATING WITH PARTNER OR AGFNT 1,Sr Legal Licensee (partnership, U -C, Lit, 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 INFORM TWee ke " klow Unit Unit ID Structure Type Heating Source Water Source Sanitary Source = of Stories = of Bedrooms of Bathrooms 1 N yin _ P '2- 4 2 c p e r 1 3 4 re Type: House Du lex Cabin C Yurt A artment A Condo (CO Other O, lease describe Hea ng Source: Electric Natural Gas G) 'ropane P Wood Fuel Other (O), please describe Water Source: Sanitary Source: Public/Municipal Private Public/Municipal rivate Onsite Wastewater S stem P Site Plan County GIS mapping tool can assist with development of a site plan. Note that parcel lines in this tool can be up to 200 feet off of the true surveyed location: https://maps.bayfieldcounty.wi.gov/LmiingWAB/ Show location of: ❑ Driveways ❑ Frontage Roads (include name) ❑ Ixisting Structures ❑ Well (W) ❑ Septic lank (ST) ❑ Drain Field (DF) ❑ Holding lank (HT) ❑ Lake ❑>Riyer ❑ Stream/Creck ❑ Pond ❑ Floodplain O Wetlands ❑ Slopers over 20%' N RCEVED MAR 172026 Bayfield Co. Planning a, -r ' -n 107 Agancy Setbacks from furthest extent including eaves and County Use Only overhangs of structure to: Verified setbacks Road Centerline ft. ft. Notes/Comments: Front Lot Line/Right-of-Way ft. Side Lot Line l ft. fi. (North East South West, circle one) Side Lot Line 2 ft. Ii. (North East South West, circle one) Rear Lot Line ft. ft. Septic/Holding Tank ft. ft. Drain field ft ft. Well ft. 11. Existing Structure/Building ft. ft. Wetland ft. ft. Ordinary High -Water Mark (OHWM) ft. ft. NOTE: Please indicate "see attached" on this page if 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 or Specialty Lodging 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. > ATCP 72.03(94): "Tourist rooming house" means any lodging place where sleeping accommodations are offered for pay to tourists or transients. It does not include hotels, motels, private boarding or rooming houses not accommodating tourists or transients, or bed and breakfast establishments regulated under Ch. ATCP 73. > ATCP 72.03 (89): "Specialty lodging" means a type of tourist rooming house with great then 400 square feet but less than 1,500 square feet in area, typically located in rural or natural settings, and provides an unconventional lodging experience with no liquid or water carried waste plumbing fixtures. ➢ Wis. Stat. § 97.67 (5) and § 97.605 (l)(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 house and specialty lodging licenses expire on June 30`" of each year. 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 I unit State Fee (14%): $41.44 County Fee: $296 Pre -Inspection: $592 Total: $929.44 2-4 units State Fee (14%): $63.00 County Fee: $450 Pre -Inspection: $900 Total: $1,413.00 ❑ 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. *If property is obtaining licenses from 5 or more units please contact Desi Niewinski (desi. niewinski(ai bavf icldcountywi gov) 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)). Sienature: . i _ _ /1 n Date: 1 kELCtJVD MAR 172026 6ayfeid Cc. Fanning if Floor Plan One floor plan for each level'of building which will be available to renters. Please attach additional sheet if needed. Provide exterior dimensions sufficient to calculate floor area (square feet) for each level. Label each internal room and indicate if it MAR 17 2026 Bayiielil Co. Planning s:I , _. _ NOTE: Please indicate "see attached" on this page il'submitting floor plan as a separate document. Bayfield County Planning and Zoning Short -Term Rental Permit 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? Y -Yes ❑ No ❑ Unsure 2. Is there a wetland located on the property? O Yes No O Unsure 3. Is there a flood lain located on or near the property? O Yes $ No O 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? V 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 -Required for Short Term. Rentals where Bayfield County Zoning Regulations apply !1 Check or money order payable to Bayfield County Planning and Zomng I unit: $500 2 unit : $1,000 3 unit: $1,500 4 unit: $2,000 To ensure your application is complete and can be processed by the Department, check you have the following items: Applicant Information (Page 1) to Plan (Page 2) Floor Plan (Page 5) ees paid — Health Department and Zoning Department I (we) declare that this application, including any accompanying information, has been examined by me (us) and to the best of my (our) knowledge and belief it is true, correct, and complete. I (we) acknowledge that I (we) am (are) responsible for the detail and accuracy of all information that I (we) are providing and that will be relied upon by Bayfield County in determining whether to issue a permit. I (we) further accept liability which may be a result of Bayfield County relying on this information I (we) are providing in or with this application. I (we) consent to county officials charged with administering county ordinances to have access to the above -described property at any reasonable time for the purpose of inspection. _ Owner(s) or Authorized Agent Printed Name: Owner(s) or Authorized Agent Signature: Date: 3 IR' lur NOTE: If you are signing on behalf of the owner(s) a er of authorization must accompany this application. • �Z; Vi �� 09111111111 Sc, r Zon, FD. 1' I.P. P.O.B. N53'5TOZW 0.98' FROM CALC'D : t'yJ POSI TION I o ' v••,\ V, I,\VV I, V V , 'Sf1I ILIV VVVIV 11, VVIJV ViYV11V. * Survey done jctorkb Cmsr(1k•lior, FD. 2' I.P. N80'5T0TE- 20.30' BEARINGS ARE GRID BASED WCCS-BAYFIELD COUNTY �RQ{i S65°57'42'E 219.52' �� FD. 1Ya"I.P. 16$.83, ���■��tOID C.T.H. "H•� 0� N57.43'42'W M do...Y FROM CALCD POSITION LOT 36,482 Sq.Ft. 0.84 Acres Im 8b� pJBd%// 10 � SEC a 714 4AER QZ SEC. 2a 747N, R8W sourHEAsrcoRNEa FD. BRKOFF SEC, 28, T47N, RSW SAY. CTY. AEON. FD. 3' CJ.P. - - 572.35' 2,066.66' - P.O.C. N69'38'47'E 2.639.01' RcL sr_lV0_V MAR 17 2026 Bayfield Co. planning an" ?,,'1'�nd AcenCY LOT1 153,144 Sq.Ft 3.51 Acres FD.tI.P. %N 54.54' 24' ± -- PD. 1"LP. N81.4T31'W 16.73' DRIVEWAY I 1 75' StL N86° 39' 54"W tlllr,r,, 69.36' CO \OMOKKUEN S-2992 ASHLAND, WI LEGEND Iirntltt Q -SET 1 1/4" IRON PIPE WEIGHING 1.68 LBS PER UN. FOOT • -F0. 1 1/4" IRON PIPE (UNLESS OTHERWISE NOTED) 120' 0' 120' 240' 360' SCALE FEET _ S14° 02' 52"E 108.35' dGM- -3-- S29° 12' 12'E x130.06' S2'± loD bo° 3 �i FD. 1y{ I.P. Ate/ S18.20'40'E %•'S.! 25.02 flf Q S66° 57' 31"W 62.92' SHORELINE MEASUREMENT 285 FEET Pine Ridge Land Surveying, LLC. Professional Land Surveying Services Value & Duality in a TimmdvMmmer_ PATRICK A. MCKUEN, PIS 29390 Woodland Rd. Ashland, Wisconsin Phone (715) 682-2969 Cell (715) 292-5601 W WW. PINERIDGESURVEYING.COM PROJECT NO. STEEBS17-28-47-8 SHEET 1 OF 2 SHEETS L/ a' -5CArOph^ i✓ -' n ', h 5 'Rooms Mc' Ccck1 54L 5 o' Co A rc.1 % 04-;14h I2,o 1 M a Ccaph t Toby Z 50' r mN m 4 g G S AFFIDAVIT OF AUTHORITY (Trust) PURPOSE. This Affidavit of Authority is used to certify the individual applying for a permit is authorized when the property is owned by a Trust. STATE OF WISCONSIN ) ss. BAYFIELD COUNTY The undersigned affirms and states as follows: 1. Address of Subject Property: - ° � q5 Mt Ca.ty j _ — j --t- 2. The Subject Property is owned by: D 3. The name(s) of the current In ryh fr L �6� 2Gu.t 1O i 1R&ti. TYI.zSt- 4. I certify that the Trust named in paragraph 2 is valid and in effectbfi the date signed below. I am the duly appointed agent of the Trust named above in paragraph 2, and I have the authority under the terms of said authorization to apply for permits from the Bayfield County Zoning Department concerning the Property described in paragraph 1. I further certify that the information and statements made within this affidavit are true, accurate, and complete to the best of my knowledge. 5. I am authorized by the above -named Trust to apply for and bind the Trust to the terms and conditions of any permit that may be issue by the Bayfield County Zoning Department. 6. By signing this affidavit, I attest that I am unaware of any known or unknown person(s) who would contest this application. I agree to indemnify Bayfield County or such person or legal entity suffering a damage resulting from any illegalities of the application for permit. Datedi PLC n% Print Name day b Subscribed and sworn to before me this MAN 6 Ff sotaIfm=DIAN 1, 20301 (`Notary Public, County, Wiseensin %%�•1f/le5'� My commission' MAR 172026 Bayfield Co. Planning an' ':ring.Agency Land Use Permit Application Review Checklist Submission #: "r — O033C) Tax ID: 37 7 3 S -T -R: 2t-41- CS Town: Snh k'fv What zoning district is the project located in? R-1 ❑ R-2 ❑ R-3 ❑ R-4 ❑ R-RB DC DI ❑ 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 ` 'No Is the project located in the Floodplain? Zone: ❑ YesNo Are there wetlands on the property? ❑ Yes XNo Is project associated with a nonconforming use or structure? Yes ❑ No Does the project require sanitary? SanitaryPermit#: I1003 /4IOMIIS Public System: # of bedrooms: .Y 3 Yes ❑ No Does the project require an affidavit? 0 LLC ,Trust Affidavit #: Number of Units: I Number of Bedrooms: 5 Number of Bathrooms: Number of Stories: a ❑ After -the -Fact (ATF) ATF Fee Amount: Inspected by: Date of Inspection: Inspection Notes: -k we -oao3 -�cb� c�,� k' I 3wa. Lof I ►-D5 I fie. Ye v\ccI oas Sgat t vnk 1 per in, 4Cc4 . Re -Inspected by: Date of Re -Inspection: Denied by: Date of Denial: Reason for Denial: Date Denial Letter Mailed: Approved by: j\ \ }� M Date of Approval: -oodlS 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 Y F I E LD 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: THE JOSEPH R & KATHRYN M STR-00330 DONAHUE, JOINT REV TRUST 20223 FORTUNE CREEK TR Transaction Number: FARIBAULT, MN 55020 STR-00330-42C40 Description Amount 1 unit $500.00 Total: $500.00 Payment Amount: $500.00 Reference: 6018 Paid by: Joseph or Kathryn Donahue Payment Type: Check Transaction Date: 4/1/2026 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 Shoreland LAND USE -X SANITARY - 404115 SPECIAL A - SPECIAL B/CONDITIONAL - BOA - BAYFIELD COUNTY PERMIT WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION No. 26-0095 Tax ID: 37673 Issued To: THE JOSEPH R & KATHRYN M DONAHUE, JOINT REV TRUST Location: S28 - T47N - R08W Town of Iron River Legal Description: LOT 1 CSM #2007 IN DOG 2024R- 603550 (LOCATED IN SW SE) (THE JOSEPH R & KATHRYN M DONAHUE JOINT REV TRUST AND ANY AMENDMENTS THERETO) 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 6 persons. Guest cabin in the garage is not to be used for rental or sleeping space until it is permitted. 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. April 01, 2026 This permit may be void or revoked if any performance conditions are not Date completed or if any prohibitory conditions are violated.