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HomeMy WebLinkAbout26-0112117 E 6i° Street PO Box 403 Washburn, WI 54891 (715) 373-6109 V FT I;.I.D FEB 032026 Bayfidd Co. P4.nr.n a=.'. _cuing Agency Health Zoning Submission # $?R-oo3d_ Fee Paid Refund Permit # Date Issued Short -Term Rental Application Packet This application packet contains information for both a Tourist Rooming House license through Bayfield County'Ileal 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: ESTABLISHMENT INFORMATION Establishment Name Establishment Tax ID # 38705 Town/City of f3 a v'l e w Establishment Street Address 32,910 Whifg (Zonal City State ba [d ► -)_-1!5q51'4 Zip SECTION B: OWNER INFORMATION Property Owner 1 Lf4?roper r; Email Address Mar . Phone Number 2 2 6 0 5 Owner Mailing Address I 3281O WIC-fit'Road 1 City V I I'Ja 4jd State w= Zip 54814 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 below) Unit Unit ID Structure Type Heating Source Water Source Sanitary Source # of Stories # of Bedrooms # of Bathrooms ' �- H z 3 z 2 3 4 Structure Type: House Duplex (D) Cabin (C) Yurt Apartment (A) Condo CO Other O please describe Heating Source: Electric Natural Gas G Propane Wood Fuel (F) Other O please describe Water Source: Public/Municipal Private Well Sanitary Source: Public/Municipal Private Onsite Wastewater System Site Plan Show location of: Cit Driveways d Frontage Roads (include name) d Existing Structures El' Well (W) d Septic Tank (ST) d Drain Field (DF) ❑ Holding Tank (HT) ❑ Lake ❑ River ❑ Stream/Creek ❑ Pond ❑ Floodplain ❑ Wetlands ❑ Slopers over 20% 3 U FEB 0 3 2026 Planning a elo,C,,. Setbacks from furthest extent including eaves and County Use Only overhangs of structure to: Verified setbacks Road Centerline I 0 ft. ft. Notes/Comments: Front Lot Line/Right-of-Way _ ft. ft. Side Lot Line 1 ft. ft. (North East South est circle one) 1b Side Lot Line 2 ft. ft. (North ast outh West, circle one) -10 Rear Lot ine • 0•f ft. ft. Septic/Holding Tank ft. ft. Drainfield O ft. ft. Privy ,r 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. NOTE: Please indicate "see attached" on this page if submitting site plan as a separate document. 30' + to NORTH Side Lot Line 75' to Side NORTH O Lot Line " O :204:6scl HOUSE 120' to EAST Lot Line y m t__f'� R i Parking i 42' O0 0 0 0 0 ° Landscape g \ ss 00 r Pboded Area 6s O OTo' a Ic (70' to SidId e Lot Line 232' to Road Genterli e) O 105' to Side Lot Line GARAGE 40' to 22'x 22 Side Lot U A A O Septic Drainfield Tie M y m O —1 a Open File (Prairie G yrasses and Ntildfl ers) n (D -1 v r o v o r )CD Qj O a • O • Shrubs and Trees • • • • •• 220' Lot • idth Frontage to Side Lot Lin Whiting Road _ -- _ROARGENTERLIN - - RECEIVED, FEB 032026 Bayfield Co. Planning and Zoning Agency SST SAUNA 8'-10" X T-0" ft I KITCHEN °' U LIVING / -------- // DINING "\ 11.-q. X 7,-9 N :o LIVING AREA 1288 5Q FT DECK 58'3" X 12-T' 42' II - - - - - - - - - - - - - - - - - - - - - - - - - - - Zn4 !I--------- ----------------17 II BEDROO \ i1 e'•2" x 9'ii - b Y BATH CLOSET V-2" X 8'-10" 5'•9" X 10'-0'• BEDROOM 25' -OX 11'-V LIVING AREA 151 5O 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. RECEIVED ➢ regulates lodging facilities including hotels, motels and tourist rooming houses. FEB 032026 ➢ Bay5,,!j Co outlines the Moisingipmg3ppjl 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 (1)(c) "No license may be issued until all applicable fees have been paid." > Wis. Stat. § 97.605 (lxa) "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 301. 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 operaat�ti9gn: ❑ Summer O Winter l 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 Date: 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? 0 Yes CINo 0 Unsure 2. Is there a wetland located on the property? 0 Yes C'No 0 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: 0 Rezone 0 Conditional Use 0 Special Use ❑ Variance 5. Did you contact the town to see if any ermits/ uirements apply to your project? 121 Yes 0 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 your application is complete and can be processed by the Department, check you have the following items: Gd Applicant Information (Page 1) l� Site Plan (Page 2) iZ Floor Plan(s) — Provide sheet for each floor within each unit. i1 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. Owner(s) or Authorized Agent Printed Name: Owner(s) or Authorized Agent Signature: V-4.tLj bTRtobJll Date: Fib. 02, 1'0:t -fa NOTE: If you are signing on behalf of the owner(s) a letter of authorization must accompany this application. FEB 032026 Bay,ne!J Co. Plannic 9 and Zar, na Agec_ry AFFIDAVIT OF AUTHORITY (Corporation, LLC, etc.) FEB 03 2026 Piann;nrJtr tor Co. Aaarq, PURPOSE. This Affidavit of Authority is used to certify the individual submitting an application is authorized when the property is owned by a corporate/business entity. STATE OF WISCONSIN ) ss. BAYFIELD COUNTY The undersigned affirms and states as follows: 1. Address of Subject Property: 3t2 9 / D kJ kr% Vt y 12.4. 2. The Subject Property is owned by: I�xKe- IVfA-. TYC eS, l.l.L. (Name of Company) 3. The name(s) of the current President or Managing Member: .{ 1 V t5bb -4,. Da 4A- t'.\5keloabM. 4. I certify that the company named in paragraph 2 is valid and in effect on the date signed below. I am the duly appointed agent of the Company named above in paragraph 2, and I have the authority under the terms of said authorization to submit an application to 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 Company to apply for and bind the Company to the terms and conditions of any decision or permit issued 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. Dated: c' b Ra3�ac Subscribed and sworn to before me this 3 day of Ft k ^}x�1 202&. Notary Public, Ra\l 'LI County, Wisconsin My commission: 3 / '-if 2a EMMA GROVE Notary Public State of Wisconsin Town, City, Village, State or Federal -RequiredBAYFI ELD C� U NTY Permits May Also Be LAND USE - X SANITARY - none P E R M IT SIGN - SPECIAL - NA CONDITIONAL - WEATHERIZE AND POST THIS PERMIT BOA - ON THE PREMISES DURING CONSTRUCTION a\- Ora I No: 05122102-2021 Tax ID: 6680 Issued To: S WHITING ROAD LLC Location: PAR IN NE SE IN V.1110 P.800 Section 32 Township 50 N. Range 04 W. BAYVIEW 390AA Govt Lot 0 Lot Block Subdivision: CSM# For Residential / Kitchen / 18L x 18W x 1 OH Condition(s): Must obtain a Uniform Dwelling Code (UDC) permit from the locally contracted UDC inspection agency, if required. Must meet and maintain setbacks. Notes: Land transaction in process to accommodate 75ft house setback to property line. Metes -and -bounds description attached to application. Owners must record new deeds to finalize. An inspection of existing unknown sanitary system was conducted and is satisfactory for this addition. System appears to be somewhat modern but no permit is found on file. System possibly installed without permit when house was permitted for rebuild after a fire in the 1990's. A single boring soil test is scheduled and must be submitted to Bayfield County by September 30, 2021. NOTE: This permit expires one year from date of issuance if the authorized Todd Norwood construction 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, Tue Aug 24 2021 erroneous, or incomplete. Date (Disclaimer): Any future expansions or development requires additional permitting. This permit may be void or revoked if any performance conditions are not completed or if any conditions are violated. (Disclaimer): Any future expansions or development requires additional permitting. Krystal Hagstrom From: paymentconfirmation@allpaid.com Sent Thursday, May 13, 2021 2:10 PM To: permits Subject: ACH Transfer Summary -05/13/2021 Follow Up Flag: Follow up Flag Status: Completed 24 Hour Customer Service #: 800-989-7780 ACH TRANSFER EMAIL PLC: BAYFIELD COUNTY PLANNING AND ZONING DATE: 05/13/21 a002r9 117 EAST FIFTH STREET WASHBURN, WI 54891 FOR: LAND/GRAVEL/SANITARY PERMITS On 05/13/2021, GovPayNet transferred funds to your account in the amount of: $225.00 1 Transaction Date 05/12/2021 $150.00 31578426 05/12/2021 $75.00 31577412 Total 2 Transactions: Name Payment Amount Reference # ATTENTION BAYFIELD COUNTY PLANNING AND ZONING: You have already approved the above transactions. No further action is required. This amount will appear in your account on the second business day from the transfer date. © 2007-2021 AllPaid, Inc. Thank you for using AIIPaid Form #: ACH 2 Land Use Permit Application Review Checklist Submission #: STq,oO3 Tax ID: 3%7°S S -T -R: 3 S O— O Town: a vie*/ 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 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 o ructure., Yes 0 No Does the project require sanitary? Sanitary Permit #: Public System: # of bedrooms: 'Yes 0 No Does the project require an affidavit? LLC ❑ Trust Affidavit #: Number of Units: ( Number of Bedrooms: 3 Number of Bathrooms: Z Number of Stories: 2- ❑ After -the -Fact (ATF) ATF Fee Amount: Inspected by: T. Date of Inspection: 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. ( ^ %Short -Term Rental is for a maximum occupancy of �J persons. ❑ Additional conditions may be placed and need to be adhered to at the time of permit issuance. Other Conditions: 13-4 FIELD 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: LAKE NOTE PROPERTIES LLC STR-00324 32910 WHITING RD BAYFIELD, WI 54814 Transaction Number: STR-00324-43E66 Description Amount 1 unit $500.00 Total: $500.00 Payment Amount: $500.00 Reference: 5617087 Paid by: Kathy Noteboom Payment Type: Check Transaction Date: 4/14/2026 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 — SPECIAL A — SPECIAL B/CONDITIONAL — BOA — No. 26-0112 Tax ID: 38705 Issued To: LAKE NOTE PROPERTIES LLC Location: S32 - T50N - R04W Town of Bayview Legal Description: PAR IN NE SE IN DOC 2021R-591939 Residential Structure in F-1 zoning district For: [1 -Unit] Short -Term -Rental BAYFIELD COUNTY PERMIT WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION (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. 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 14, 2026 Date