The URL can be used to link to this page

Home My WebLink About26-0323117 E 6i° Street PO Box 403 Washburn. WI 54891 (715) 373-6109 jpits@bayfieldcourny.wi.gov I3YFI ELD Health Zoning Submission # P.— nO Fee Paid Oo Refund Permit # Date Lcsued rLI J 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. MAY 13 2026 Bayfield Co. 1SETION A: ESTABLISHMENT INFORMATION . Establishment Name O 2OOfJ Establishment Tax ID # 3S1 Town/City of _�r79 Establishment Street Address 75 Wfsf hELTA 1≥OAA City I oN 2W/` State WI Zip s1Z'-C? SECTION B: OWNER INFORMATION Property Owner C14RtS tStCslt tr Email Address F,r3dswkeo.ot Phone Number 7 i-t)3 -Ra7o Owner Mailing Address City State Zip 55 cnjiry UI IV -Dm J6k- W\ Si%y7 SECTION C: IF OPERATING WITH PARTNER OR AGENT Legal Licensee (partnership. LLC. LIP. 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 ft of Bathrooms I C P a 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(NO) Propane P Wood Fuel Other (O). please describe Water Source: Public/Municipal Private Well P Sanitary Source: Public/Municipal Private Onsite Wastewater System ency Site Plan Show location of: ❑ Driveways 0 Frontage Ronde (include name) 0 Existing Structures 0 Well (W) 0 Septic Tank (ST) ❑ Drain Field (DF) ❑ Holding Tank (HT) 0 Lake 0 River 0 Sueam/Creek 0 Pond 0 Floodplain 0 Wetlands ❑ Slopers over 20% N RECEIVED ( MAY 132026 1, Bayfelo �\1'�" Planning and ZoningAgency Setbacks from furthest extent including eaves and overhangs of structure to: County Use Only Verified setbacks Road Centerline ft. ft. Notes/Comments: Front Lot Line/Right-of-Way ft. ft. Side Lot Line I Nonh East South West, circle one) Side Lot Line 2 (North East South West. circle one) ft. ft. ft. ft. Rear Lot Line ft. ft. Septic/Holding Tank ft. ft. Drainficld 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. It. NOTE: Please indicate "see attached" on this page if submitting site plan as a separate document. and Zoning Short -Term Rental Permit PLANNING AND ZONING QUflh1Urw I. Is the property in the shoreland, within 300 feet orariver/stream OR landward side of floodplain OR 1000 feet of a lakeepond/flowage whichever is greater? Yes ❑ No ❑ Unsure 2. Is there a wetland located on the property? O Yes f�No ❑ Unsure ny L'No O Unsure 3. Is there a floodPlain iocatea un o, ••Ht•.. •••.. •- -• - 4. Is this project associated with any of the following: ❑ Rezone ❑ Conditional Use O Special Use O Variance 5. Did ou contact the town to see if any perrnits/requirements apply to your project? Yes O 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 (S5uu per unity Check or money order payable to Bayfield Coi I unit : $500 2 units: $1,000 Zoning 3 units: $1,500 14 units: $2,000 To ensure your application is complete and can be processed by the Department, check you have the kh a gIMTED ❑ Applicant Information (Page 1) MAY 13 2026 ❑ Site Plan (Page 2) Sayfield Co. ❑ Floor Plan(s) — Provide sheet for each floor within each unit. Planning ark! -., 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. Owner(s) or Authorized Agent Printed Name: Owner(s) or Authorized Agent Signature: NOTE: If you are signing on behalf of the owner(s) a letter ► -AG- Date: 5—I3� R61 must accompany this application. 3 IN CASE OF FIRE 1. Dial 911. The address is 61575 West Delta Road in Delta. 2. Exit building on First Floor through either door. 3. From Second Floor, Exit downstairs to either First Floor door or upstairs window using egress window ladder in upstairs back bedroom. 4. Fire Extinguisher mounted on wall near furnace. Fire Extinguisher on top of broom cabinet near front door. RECEIVED J cJ ❑ co.CH • I 1. di Exii FIRsT FI_vo2 q �D D 0 Q J U,? o t 0 ba MAY 13Z026 Bayfieid Co. Planning and Zoning Agency j Ssi+,Rs � Ey 1 I 9 Ro>Tk 5 Fly FXri,,&VI5rIC'/Z SEcONO ► oot Land Use Permit Application Review Checklist Submission #: 5T9- DO3 Tax ID: (351 S -T -R: l,-4( - OS Town: bet --z What zoning district is the project located in? El R-1 El R-2 ❑R-3 ❑R-4'%R-RB El El D ❑A-1 El A-2 ❑F-1 ❑F-2 0 El 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 Shore lands (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 El No Is project associated with a nonconforming use or tructur . Yes El No Does the project require sanitary? Sanitary Permit #:l 2(/1(o 5 Public System: # of bedrooms: ZooO oy.t kOU4 . ❑ Yes VNo Does the project require an affidavit? El LLC ❑ Trust Affidavit #: Number of Units: I Number of Bedrooms: 2.. Number of Bathrooms: I Number of Stories: 2. ❑ After -the -Fact (ATF) ATF Fee Amount: Inspected by: ,� 1 � 1 Date of Inspection: Inspection Notes: O A t�s (11S Re -Inspected by: Date of Re -Inspection: Denied by: Date of Denial: Reason for Denial: Date Denial Letter Mailed: Approved by: \, Date of Approval: p\ 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 fora maximum Y � occupancy of persons. p ❑ Additional conditions may be placed and need to be adhered to at the time of permit issuance. Other Conditions: P-MYFIELD 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: DIESING, CHRISTOPHER C STR-00344 4535 N 161ST ST BROOKFIELD, WI 53005 Transaction Number: STR-00344-45814 Description Amount 1 unit $500.00 Total: $500.00 Payment Amount: $500.00 Reference: 1605 Paid by: Christopher Diesing Payment Type: Check Transaction Date: 7/9/2026 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 Shoreland LAND USE -X SANITARY -126768 SPECIAL A — SPECIAL B/CONDITIONAL — BOA — No. 26-0323 Tax ID: 13517 Issued To: DIESING, CHRISTOPHER C BAYFIELD COUNTY rJtI K'1 1 II WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION Location: S13 - T46N - R08W Town of Delta Legal Description: BASSWOOD LAKE ASSESSOR'S PLAT LOCATED IN NE 1/4 & SE NW LOTS 6 & 9 IN V.1127 P.701 814D 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 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 09, 2026 This permit may be void or revoked if any performance conditions are not Date completed or if any prohibitory conditions are violated.