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HomeMy WebLinkAbout26-0268117 E 61h Street PO Box 403 Washburn, WI 54891 (715) 373-6109 permi ts(bavfiel dcounty. wi.gov R YFIELD Health Zoning Submission # 'TK-o_3 Fee Paid C, o Refund Permit # ,-tea Date Issued L - --' Short -Term Rental Application Packet This application packet contains information for both a Tourist Rooming House license througldj\X "ty 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 f iathrough NOVUS(https://novus.bayfieldcounty.wi.gov/access/master.asp). 6ayfieid Co. City of Washburn, City of Bayfield, Town of Pilsen: License through Bayfield County HeaiiiYept'rimeRtis '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: ESTABLISHMENTINFORMATION Establishment Name Property Tax ID I -`IS lq Iown:City of Uv� me ra Establishment Stteet Address 2LuTAM \ City State WI Zip Sol L _ INrbRMATION Property Owner Email Address Phone Number w 1, wt 4NotGY in Sl l c (1 trail 11S 31 1q2) I Owner Mailing Address V -.C r)CC L City �W`11t1`1 ct�t, State 1�1 Zip 5tik7L tcllON 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 key below' Unit I Unit ID Structure Type I lcating Source Water Sanitary Source Source —; of Stories II of Bedrooms # of Bathrooms 1 N P P ,- Z 2 3 4 Structure Type: House (H) Duplex D Cabin (C) Yurt (Y) Apartment (A) Condo CO Other (O). please describe Heating Source: Electric (E) Natural Gas G Propane (P) Wood (W) 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: C Driveways O Frontage Roads (include name) C Existing Structures O Well (W) O Septic'lank (S I) C Drain Field (Dl) C Holdin 'Tank (IiT) ❑ Lake C River C Stream/Creek ❑ Pond O Flood lain O Wetlands O Slopers over 20% N RECEIVED [ U 2026 Say5eld Co. Planning ar,d Zoning Agency Setbacks from furthest extent including eaves and overhangs of structure to: County Use Only Verified setbacks Road Centerline 6 (j ft. ft. Notes/Comments: Front Lot Line/Right-of-Way j ft. ti. Side Lot Line 1 (North East South es circle one) tl r ft. 7 5 ft. Side Lot Line 2 East South West, circle one ft. ft. R'SfLotLine ft. ft. Septic/Holding Tank ft. ft. Draintield jj4. ft. ft. Privy ft. ft. Well ft. ft. Existing Structure/Building 3ft. ft. Wetland TV7Aft. ft. Elevation of Floodplain i4 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. RECEIVED Connected To Municipal Sewerl APR 202026 Bayfield Co. Planning and Zoning Agency Privacy Fence 4�Y ^yth L House with 3ft roof over hang Privacy nce e Property Line —/,, Ot`�e Detached garage !I R ad Setback 9011 'li; North 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 ATI'J?B,VED 78 and 79. > ATCP 72 regulates lodging facilities including hotels, motels and tourist rooming houses. APR 2 0 2026 Bayfield co. > ATCP 72.03(94): "Tourist rooming house" means any lodging place where sleeping accommo9�lKt4t��9i26'1i"C' 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 (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 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. - Req I unit ,. State Fee (14%): $41.44 all tourist rooming house w d County Health Department County Fee: $296 1 Pre -Inspection: £592 1 Total: $929.44 2-4 units State Fee (14%): $63.00 j 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 (desi.niewinskicutbayfieldcountv.wi 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)). Signature: Date: 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 will be used for sleepinga ace. RECEIVED APR 202026 eareea co. Planning and Zcning Agency U NOTE: Please indicate "see attached" on this oaae if submittine floor Wan as a sennrnte dnennient 5 4\G\ Y\ tJfF Bayfield County Planning and Zoning Short -Term Rental Permit PLANNING AND ZONING QUESTIONS I. 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 No O Unsure 2. Is there a wetland located on the property? O Yes No O 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 O Special Use ❑ Variance 5. Did you contact the town to see if any ermits/re uirements apply to yourproject? 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 -,Required for.Short Term Rentals where Bayfield County Zoning Regulations apply CheckAr mone grder ray ble to Bayfield County Planning and Zoning I unit : $500 2 unit: $1,000 3 unit : $1,500 4 unit: $2,000 To ensure'yourapplication is complete and can be processed by the Department, check you have the following items: IJ pplicant Information (Page 1) RECEIVED/ Site Plan (Page 2) APR 2 U 2026 © Floor Plan (Page 5) ❑ Fees paid — Health Department and Zoning Department Bayfield Co. Planning and Zoning Agency 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. 4 Owner(s) or Authorized Agent Printed Name: Owner(s) or Authorized Agent Signature: �r ( i :/ Date: zI — /7— 2opc NOTE: If you are signing on behalf of the owner(s) a letter of authorization must accompany this application. Land Use Permit Application Review Checklist Submission #: S T R- OOSSS Tax ID: S -T -R: 33- -'l Town: Lruntnoni What zoning district is the project located in? ❑ R-1 ❑ R-2 DR -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 >6 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 or structure? ❑ Yes %No Does the project require sanitary? CC -- i 7(\ivvw%r4 Sanitary Permit #: Public System: C # of bedrooms: ❑ Yes No Does the project require an affidavit? ❑ LLC ❑ Trust Affidavit #: Number of Units: I Number of Bedrooms: Number of Bathrooms: 2, Number of Stories: ) ❑ After -the -Fact (ATF) ATF Fee Amount: Inspected by. \ i N n S �; Date of Inspection: C_ I L J "I lQ Inspection Notess::, �,l occ - iN Jc c1jsI - ()WAL✓S I U Re -Inspected by: Date of Re -Inspection: Denied by: Date of Denial: Reason for Denial: Date Denial Letter Mailed: Approved by: es; tstvjr&c-c Date of Approval: Condition(s): XTown/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: I3-4-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: GUSKI,BRADY PO BOX 82 DRUMMOND, WI 54832 Description 1 unit Submission Number: STR-00335 Transaction Number. STR-00335-45AFE Amount $500.00 Total: $500.00 Payment Amount: $511.90 Reference: 5561296385 Paid by: Brady Guski Payment Type: Credit Card Transaction Date: 6/3/2026 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 SANITARY — Drummond SPECIAL A - SPECIAL B/CONDITIONAL — BOA — No. 26-0268 Tax ID: 14519 Issued To: GUSKI, BRADY BAYFIELD COUNTY PERMIT WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION Location: S33 - T45N - R07W Town of Drummond Legal Description: PAR IN SW SW IN DOC 2020R- 583502 579E3 Residential Structure in R-4 zoning district For: [1 -Unit] Short -Term -Rental (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 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 June 18, 2026 Date