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Home My WebLink About26-0311117 E 6`h Street PO Box 403 Washburn, WI 54891 (715) 373-6109 permits a bayfieldcounty.wi.gov 14..YFIELD MAY 14 2026 Bayfield Co. Plannin and Z tin A Short -Term Rental A ? i€ation Packet Health "-nin 2T OO • — Submission # Fee Paid Refund Permit# _-b-O311 L7 Date Issued 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.bayfieldcounty.wi.eov/access/master.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 Taajl�acz t 5 Pronely Tax ID # .575x$ Town/City of Establishment Street Add ss �J City ___ Sttate® _J Zip ,y�y SECTION B: OWNER INFORMATION Property Email Address Phone Number Owner Mailing Address Ci State Zip SECTION C: IF OPERATING WITH PARTNER OR AGENT Leal Licensee (partner ip, LLC, Email Address Phone Number ,y Licensee Street Address f64' IS City State Zip Agent�� (if applicable) Email Address Phone Number Agent treet Address Ci Sta Zip SECTION D: RENTAL UNIT INFORMATION (see ke b w Unit Unit ID Structure Type Heating Source Water Source Sanitary Source # of Stories # of Bedrooms # of Bathrooms 2 3 4 Str pe: se(H u lex (D) Cabin (C) Yurt (Y) Apartment (A) Condo CO Other (O), please describe ea mg Source: Electric (E) Natural Gas NG ro ane P ' Wood (W) Fuel F Other (O), please describe Water Source: Public/Municipal M rivate Well P Sanitary Source: Public/Municipal (M)(Private Onsite Wastewater S stem P FM I Fj 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/ZeningWAB/ Show location of: ❑ Driveways ❑ Frontage Roads (include name) ❑ Existing Structures ❑ Well (W) ❑ Septic Tank (ST) ❑ Drain Field (DF) ❑ Holding Tank (HT) 91 Lake O River ❑ Stream/Creek ❑ Pond ❑ Floodplain ❑ Wetlands ❑ Slopers over 20% l __i1 � L�, r a✓J/S/ a I � I I T !✓yam Setbacks from furthe t extent including eaves and County Use Only overhangs of structure to: Verified setbacks Road Centerline ft. ft. Notes/Com t Q Front Lot Line/Right-of-Way ft. ft. Side Lot Line I ft. ft. (North East South West, circle one) Side Lot Line 2 ft. ft. (North East South West, circle one) Rear Lot Line ft. ft. Septic/Holding Tank ft. ft. Drain field ft. ft. MAY 1 4 2026 gayl;eld Co. Planning end Well ft. ft. Existing Structure/Building ft. ft. Wetland ft. ft. Ordinary High -Water Mark (OII W M) ft. ft. NOTE: Please indicate "see attached" on this page if submitting site plan as a separate document. oT 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 ❑ Unsure 2. Is there a wetland located on the property? 0 Yes No 0 Unsure 3. Is there a floodplain located on or near the propert? 9. Yes El No 0 Unsure 4. Is this project associated with any of the following: El Rezone ❑ Conditional Use ❑ Special Use ❑ Variance 5. Did you contact the town to see if any ermits/re uirements apply to your project? 0 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 —Required for Short Term Rentals where Bayfield County Zoning Regulations apply 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: El Applicant Information (Page 1) El Site Plan (Page 2) El Floor Plan (Page 5) 0 Fees 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: X J° —. Owner(s) or Authorized Agent Signature: i Date: L51J6 2D NOTE: If you are signing on behalf of the owner(s) a letter of authorization must accompany this application. RECEIVED MAY 14 2026 Bayfield Co. Planning and Zoning Agency 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 sleeping space O /FfX Co X \pp ,Oe/YfGfO \C' mM t( ,00zca ,g RAH K t '7 ¼tL R-LCEIVED MAY 14 2026 Bayfield Co. Planning and Zoning Agency NOTE: Please indicate "see attached" on this page if submitting floor plan as a separate document. 5 Land Use Permit Application Review Checklist Submission #: 5Ti2- O03'S Tax ID: 2'7S2 S -T -R: O9 —50— O9} Town: old What zoning district is the project located in? LI ❑R-1 ❑R-2 ❑R-3 0 R-4 0 R-RB 0 0 0 A-1 ❑A-2 ❑F-1 ❑F-2 0 ❑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: O Yes No Are there wetlands on the property? O Yes No Is project associated with a nonconforming use or structure? XYes'11 No Does the project require sanitary? Sanitary Permit #: .-. i Oh57 Public System: # of bedrooms: 2.000 5^l J IV\ O Yes No Does the project require an affidavit? 0 LLC 0 Trust Affidavit #: Numberof Units: I Numberof Bedrooms: Numberof Bathrooms: 2 Number of Stories: Z ❑ After -the -Fact (ATF) ATF Fee Amount: Inspected by: i 1•� 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/Fecleralmay 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.2._ persons. 0 Additional conditions may be placed and need to be adhered to at the time of permit issuance. Other Conditions: P 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: BONNEY, TODD M 86645 VALLEY RD BAYFIELD, WI 54814 Description 1 unit Submission Number: STR-00345 Transaction Number. STR-00345-45B75 Amount $500.00 Total: $500.00 Payment Amount: $500.00 Reference: 3343 Paid by: Adventures North Rentals LLC Payment Type: Check Transaction Date: 7/6/2026 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 - 20-199S SPECIAL A — SPECIAL B/CONDITIONAL — BOA — No. 26-0311 Tax ID: 37528 Issued To: BONNEY, TODD M BAYFIELD COUNTY PERMIT WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION Location: S09 - T50N - R04W Town of Bayfield Legal Description: PAR IN SE NE IN V.878 P.263 LESS THAT PART DESC IN DOC 2016R-566362 Residential Structure in A-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 8 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. July 02, 2026 This permit may be void or revoked if any performance conditions are not Date completed or if any prohibitory conditions are violated.