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Home My WebLink About26-0096117 E 6's Street A, FIELD PO Box 403 RECD Washburn, WI 54891 (715) 373-6109 MAR 19 2020 permi ts(a)bavfieldcounty.wi.gov Bayfield Co. Planning Health Zoning Submission # $ It °0331 Fee Paid Refund Permit # - 0096 Date Issued 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 b ou through NOVUS (https://novas.bayfieldcounty.wi.gov/access/mastecasp) ENTERED City of Washburn, City of Bayfield, Town of Pilsen: License through Bayfield County Health Department Z ed. 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 Mtchme.I Ae.rrwi Establishment Tax ID # /77/ Town/City of 7bo oF8&rncs Establishment Street Address 3sry 7m Q IQoqJ City 7otavy of &McS State W t Zip 57jfl3 SECTION B: OWNER INFORMATION Property Owner 1 Mi cA0. JCron Email Address rehe&her {kr2vkansdry nr 1 Phone Number Vf 7- flfll'1 Owner Mailing Address 73/2 Sco-Es vie City lb 0rAt.e State zZ46'(y Zip 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 T�—� 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 �1 P 2 32 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 Wood Fuel (F) Other (0), please describe Water Source: Public/Municipal (M) Private Well P Sanitary Source: Public/Municipal M Private Onsite Wastewater System (P) Site Plan Show location of: ❑ Driveways ❑ Frontage Roads (include name) 0 Existing Structures 0 Well (W) 0 Septic Tank (ST) 0 Drain Field (DF) ❑ Holding Tank (HT) ❑ Lake ❑ River 0 Stream/Creek 0 Pond 0 Floodplain 0 Wetlands 0 Slopers over 20% N RECEIVED MAR 192026 Bayfield Co. Planning and: r.:,:A;enry Setbacks from furthest extent including overhangs of structure to: eaves and County Use Only Verified setbacks Road Centerline I, 6$Q ft. ft Notes/Comments: Front Lot Line/Right-of-Way Z .o ft. ft. Side Lot Line I (North East South West, circle one) � ft. "{ ft. Side Lot Line 2 (North East South West, circle one) /D� ft. ft. Rear Lot Line ft. ft. Septic/HoldingTank J/ ft. ft. Drainfield / ft. ft. Privy ft. ft. Well %2 ft. ft. Existing Structure/Building Vy R ft. ft. Wetland L/6 ft. ft. Elevation of Floodplain /l% f} ft. ft. Ordinary High -Water Mark (OHWM) 147 p ft. ft. NOTE: Please indicate "see attached" on this page if submitting site plan as a separate document. Site Plan for 3559 Twin Bay Rd., Barnes, WI (measurements based on Bayfield County GIS Web Map https://maps. bayfieldcountywi.gov/BayfieldCountyGlSMap/) Lot Dimensions = 202 ft. x 935 ft., 4.14 acres Existing features = upland, wetland, and lake frontage Road Setbacks = 1,730 ft. to US 27 State Hwy, and 1,650 ft. to Twin Bay Road (town rd.), shared easement driveway. Setbacks from Structure to Lot Lines = 48 ft. on north side and 103 ft. on south side Setback from Structure to OHWM = 430 ft. tv 7i a a Septic tank to well distance = 75 ft. Septic tank to closest property line (south) distance = 90 ft. fit! N Septic field to well distance = 100 ft. Septic field to closest property line (south) distance = 66 ft. n r-. rn "lei . \" s T't f _' :_ . • � �,. It ' („;� ti.ya ' JL4Jt- 1eui u �1 ..r MICHAEL B HANA HERRON 4, w — Tv ID 19817i} } .i• \h: t -� .." !kf- 1 N A House with 2 ft. roof overhang Square footage of single-family home as a structure to be used for short term rental = 1,480 sqft Septic tank from furthest extension of a structure distance = 11 ft. 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 2 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 breakfast establishments regulated under Ch. ATCP 73. > Wis. Stat. § 97.67 (5) and § 97.605 (1)(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.lirenied, the department or its agent shall give the applicant reasons, in writing,for the denial. t�Ct+CI VED > A license shall not be issued to an operator without prior inspection. MAR 192026 > Tourist rooming houses license expires on June 30`s. ATCP 72 requires an annual renetsai�rpQ met �pele 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 ❑ Winter Ig Year -Round g $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 (l)(m)). Signature; q Date: q-� / 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? Yes O No O Unsure 2. Is there a wetland located on the property? 0 Yes O No ❑ Unsure 3. Is there a floodplain located on or near the property? ❑ Yes No O Unsure 4. Is this project associated with any of the following: 0 Rezone El Conditional Use ❑ Special Use ❑ Variance 5. Did you contact the town to see if any ermits/re uirements apply to yourproject?'. 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 mom der payable to Bayfield County Planning and Zoning 1 un' : $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: qd• Applicant Information (Page 1) Vite Plan (Page 2) Floor Plan(s) — Provide sheet for each floor within each unit. L Dees 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. Owner(s) or Authorized Agent Printed Name: /11% IC hoe. I Mcro n Owner(s) or Authorized Agent Signature: Date: 3-11 Zaz C NOTE: If you are signing on behalf of the owner(s) a letter of authorization must accompany this application. F EC�IVED MAR 19 2026 Bayfield Co Planning ar,d MAIN FLOOR PLAN r4 MOTL...L rtoae • i -O r — I � � nunu Cl oiI w ®I UPPER FLOOR PLAN I". - I molt. S ►I. • a-0- Land Use Permit Application Review Checklist •Submission #: SIR- 00 33\ Tax ID: S -T -R: b- 111- Town:pat'neo 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 XNo 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 0 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 . j2 -No Is project associated with a nonconforming use or structure? Yes ❑ No Does the project require sanitary? Sanitary Permit #: 15-13`{ S Public System: # of bedrooms: cQ ❑ Yes ,No Does the project require an affidavit? ❑ LLC ❑ Trust Affidavit it: Number of Units: j Number of Bedrooms: 3 Number of Bathrooms: Number of Stories: ❑ After -the -Fact (ATF) ATF Fee Amount: Inspected by: i�es�, ��w�� Date ofInspection: 3-a(�-a� 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): ,own/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. Li 'Short -Term Rental is for a maximum occupancy of 1 persons. ❑ Additional conditions may be placed and need to be adhered to at the time of permit issuance. Other Conditions: F 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: HERRON, MICHAEL & HANA 7312 SCOTS LN LAKEWOOD, IL 60014 Description 1 unit Amount: Reference: 1143 Paid by: Herron Construction Company Payment Type: Check Transaction Date: 4/2/2026 Submission Number: STR-00331 Transaction Number: STR-00331-43339 Amount $500.00 $500.00 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 LAND USE -X SANITARY - 15-134S SPECIAL A — SPECIAL B/CONDITIONAL — BOA — No. 26-0096 Tax ID: 1981 Issued To: HERRON, MICHAEL & HANA Location: S16 - T44N - R09W Town of Barnes BAYFIELD COUNTY PERMIT WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION Legal Description: LOT 4 CSM #1360 IN V.8 P.179 (LOCATED IN GOVT LOT 2 & SE NW) (PRIVATE WATERBED NOT INCLUDED) TOG WITH & SUBJ TO EASE IN DOC 2020R-585067 Residential Structure in R-3 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 4 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. This permit may be void or revoked if any performance conditions are not completed or if any prohibitory conditions are violated. Desi Niewinski Authorized Issuing Official April 01, 2026 Date