HomeMy WebLinkAbout26-0167117 E o Street
PO Box 403
Washburn, WI 54891
(715) 373-6109
yermits(�.bavfieldcounty. w i.gov
B-= -YFIELD
MAR 7ls 91195
Health
Zoning
Submission #
Fee Paid
Refund
Permit #
—O
Date Issued
/1)1)44
Short -Term Rental Application Packet
This application packet contains information for a Short -Term Rental permit through Bayfield County Planning and
Zoning Department. Completed application can be mailed/emailed to the address/email above.
SECTION A: ESTABLISHMENT INFORMATION
Establishment Name
C kU� e a� 1�es A ps
Establishment Tax ID #
Z 3 `'.3
Town/C'ty of
�%
Establishment Street Address
Z 0tl%Gr c%
City
Ce
State I
VI /
Zip
W1JZ/
SECTION B: OWNER INFORMATION
Property Owner
7'tice ev $/ T/
Email Address
wf477�adC44,
Phone Number
7- q -fl 5 -
Owner Mailing Address
5Scz Xer 1%'e
City
Z1�dlia�i� d s
State I
/
Zip
Gz�
SECTION C: IF OPERATING WITH PARTNER OR AGENT
Legal Licensee (partnership, LLC, LLB 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 ke
below
Unit
Unit ID
Structure
Type
Heating
Source
Water
Source
Sanitary Source
# of Stories
# of
Bedrooms
# of
Bathrooms
4cC-
P
P
1
2
2
3
4
Structure Type:
House (H) Duplex (D) Cabin (C) Yurt Apartment (A) Condo CO Other O please describe
Heating Source:
Electric (E) Natural Gas G Propane P Wood Fuel (F) Other (O), 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) ❑ Existing Structures ❑ Well (W) ❑ Septic Tank (ST) ❑ Drain Field (DF)
❑ Holding Tank (HT) ❑ Lake ❑ River ❑ Stream/Creek ❑ Pond ❑ Floodplain ❑ Wetlands ❑ Slopers over 20%
N
Setbacks from furthest extent including eaves
overhangs of structure to:
and
County Use Only
Verified setbacks
Road Centerline
ft.
ft.
Notes/Comments:
Front Lot Line/Right=of--Way
ft.
ft.
Side Lot Line 1
(North East South West, circle one)
ft.
ft.
Side Lot Line 2
(North East South West, circle one)
ft.
ft.
Rear Lot Line
ft.
ft.
Septic/Holding Tank
ft.
ft.
Drainfield
ft.
ft.
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.
NOTE: Please indicate "see attached" on this page if submitting site 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? IS'Yes ❑ No ❑ Unsure
2.
Is there a wetland located on the property? ❑ Yes eNo ❑ 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: ❑ Rezone ❑ Conditional Use ❑ Special Use
❑ Variance
5.
Did you contact the town to see if any permits/requirements apply to your project? O 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 ($500 per unit)
Check or money order payable to Bayfield County Planning and Zoning
I unit : $500 2 units: $1,000 3 units : $1,500 4 units : $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)
LSite Plan (Page 2)
Floor Plan(s) — Provide sheet for each floor within each unit.
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. , „T,
Owner(s) or Authorized Agent Printed Name:
Owner(s) or Authorized Agent Signature:
Dater/5ezc-
NOTE: If you are signing on behalf of the owner(s) a letter of authorization must accompany this application.
3
Apr 16 04 09:23a Nelson Surveying, Inc. 17156825100
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SECOND AMENDMENT TO GARMISCH USA CONDOMINIUM
LOCATED IN GOVERNMENT LOT 1 AND PART OF GOVERNMENT LOT 2 OF
SECTION 14 N 1/2 - NW 1/4 OF SECTION 23, ALL IN T. 43 N., R 6 W.,
IN THE TOWN OF NAMAKAGON• BAYFIELD COUNTY, WISCONSIN.
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SURVEYING OF HAYWARD, INC
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CONDOMINIUM
LOT 1 AND PART OF GOVERNMENT LOT 2 OF
:/2 — NW 1/4 OF SECTION 23, ALL IN T. 43 N., R. 6 W.,
1GON, HAYFIELD COUNTY, WISCONSIN.
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Cf7ORS"
''4 + SECOND FLOOR
)1 356 SQ. FT.
UNIT 10
CHATEAU DE ALPS' RRST FLOOR
954 SO. FT.
I.) FOOIPRMI Den,r OF 400 50. FT.
2.) NNIIWTW IN l#L EJD'MSI0N
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08:24 Andry Rasmussen a Sons
Oil riLi IJ 1,V1liU i
Tdepboao: (715) 3734138
Fax: (715) 373.0114
e-mail: xqn1nnbavfl.kfcountv.cte
Web Site: ww_h avficl olmy.crv� eaie2
1 715 798 3470 P.01
LUIUI U 1utr t t
BayfWd County o::rt awe
Post Ofllce Box
117 But Fifth S
Wasbbnr», WI
SEPTIC SYSTEM INSPECTION FORM
Requested by: _ 1l!/s77►/YE t4 County: _____
Address: !''y dotls Oft Town, Clty-.4lege: A1A4kA*,o N
City. State, Zip: /.VU✓4/W /N 44Z64 Phone: J2 94
Legal Description: Y4 of 1/. of Section /0- T_ N, R - W
Ownerloccupant_ S� Gs St6oVe Septic Address, #. Name: 61 w>' / o
Address: Septic Serves: �•Ll�yiscW a- .4. Ces'A,
City. State, .ip: „ MkOAWA1 (ex # of homes, barn, school, church, industry, etc.)
Parcel ID (Tax) #034'— /072__04" o/O Date of construction: _-,f#
$�PT!C TANK INFORMA� T� ION
Information obtained from: owner X pumper other
Tank Construction ILHR 83.15(1): concrete steel fiberglass__ other_-,�,,,
Approximate tank size (if known) se4
Has the tank been pumped on a regular basis per county maintenance agreement?
Yes_ N ✓ Per owner Per pump Pumper's name /Wfo�I
Has the tank been pumped prior to the inspection? Y No_____ Per owner ✓ Per pumper
Was inspector on site during tank pumping? Yes_ No ✓
Was sludge/scum level greater than 113 of total volume prior to pumping? Yes. No
Evaluate condition of baffles:
Inlet Outlet
Good ✓
Need replacement
Missing
JUIAN GLES
General condition of septic tank.
i.e.: cracksiholes in cover, sidewalls, bgttam
explain: nop l A,$ gp 9' -
is service cover more than 8' underground? Yes___,_ No_XIs service port in code compliance? Yes_'
No___
19� u1/ za
Is service cover above grade" Yes,__ ✓ No_ Is service cover riser properly sized and watertight? Y ✓ 4240,
No
Does cover have a warning label, chain and locking device if above grade? Yes_____ No
is there a manhole riser on tank? Yes ✓ No____
Is there a 4' or larger inspection opening at baffle opposite service cover? Yes No ✓
Is Inspection opening or pipe at least 6• above grade? Yes_____ No ✓ yA
AUG-29-2006 08:24 Andry Rasmussen 9 Sons 1 715 798 3470 P.02
SEET1C SYSTEM
Conventional Bed Trench Pit (circle one)
in Ground Pressure Mound
At Grade Privy
Approximate Age:_ — Other (explain
)
Total Area:__.e 3W sq.
Is septic tank and dosing tank in setback compliance from:
Distance in feet:
building? Yes ✓ No — Unknown_,
well? Yes_ No__— Unknown_—_
Yes No Unknown___._
high water mark? .--- -�—
lot tine? Yes No Unknown..
pool? Yes., No....
other? Yes____
Unknown_____
is there a dosing chamber? Yes_ No
Pump — floats — alarm siphon checked for proper operation? Yes No — NA
is absorption field in setback compliance from: Distance in feet
lot line? Yes_ Noi Unknown
high water mark? Yes ✓ _ No,. Unknowns,,,
pool? Yes— No..__. Unknowns
well? (except for schools) Yes" No Unknown,____
other? Yes____ No_ Unknown,_
Is there an approved vent present? Yes_____ No_ ✓ � m Q�
Is there water present in the vent? Yes__, No,___ # of inchesJ~ a J # 1 '
Is there existing soil site evaluation available? Yes_____ No_
Was boring done by a CST (Certified Soil Tester)? Yes-- No" Unknown +.
is owner aware of any backups, surface seepage or discharge, odors, slow drainage, eta? Yeses No ���•
If yes explain /.0%
I certify that the above Information is true and correct to the best of my knowledge as observed an
rperational aspects and observations reported are based on the conditions noted at the time of Nspection. This
inspect+on does not in any guarantee or warrantee the continued operation of the system described herein.
i_:--..--..--.-- •1-- - - - ____________
napoctce's Signature Credential Number Date
Attachments required:
'Approved plans ❑ Soil test report ❑ Copy of maintenance records (if available)
d8"x10plot plan of house, well, tank(s) and soil absorption system
Land Use Permit Application Review Checklist
Submission#: 5-TP— 00153
Tax ID: 33C3
S -T -R: iy- 43-Clo
Town: Vcrn - - -
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: Co ndt wy-\: \ u
Z'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 \P No
Is the project located in the Floodplain?
Zone:
❑ Yes 'No
Are there wetlands on the property?
XYes ❑ No
Is project associated with a nonconforming use or trucfuri?.
Yes ❑ No
Does the project require sanitary? 5 S�CW` � -v- A ,2OOin 0yl
Sanitary Permit#: U Pub it System:
*tj t Lc VG+� CKn1
# of bedrooms: $b0 wl
).Yes ❑ No
Does the project require an affidavit? 1gLLC ❑ Trust Ier Ft atv
Affidavit #:
Number of Units:
Number of Bedrooms: y
Number of Bathrooms: 3
Number of Stories: ,
❑ After -the -Fact (ATF)
ATF Fee Amount:
Inspected by:
�,
Date of Inspection:
iu-a-as
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 5 persons.
❑ Additional conditions may be placed and need to be adhered to at the time of permit issuance.
Other Conditions:
Town, City, Village, State or Federal
Permits May Also Be Required
Shoreland
LAND USE - X
SANITARY -
SPECIAL A -
SPECIAL B/CONDITIONAL-
BOA -
BAYFIELD COUNTY
PERMIT
WEATHERIZE AND POST THIS PERMIT
ON THE PREMISES DURING CONSTRUCTION
No. 26-0167 Tax ID: 25323
Issued To: TORKE REV LIVING TRUST
Location: S14 - T43N - R06W
Town of NAMAKAGON
Legal Description: GARMISCH USA CONDOMINIUM UNIT 10 TOG WITH UND INT IN COMMON ELEMENTS IN DOC 2022R-
596246
Residential Structure in R-RB 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 5 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. May 12, 2026
This permit may be void or revoked if any performance conditions are not Date
completed or if any prohibitory conditions are violated.