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HomeMy WebLinkAbout26-0414��CFNED 117 E 6'" Street B---YFIELD POBx 403Bo WasWI54891 MAY 082026 (715) 373-6109yt,e yermits(tdbavfieldcountv.wu td qo, aridZonlnfl Health Zoning ST Pr OO o Submission # 3 O Fee Paid r6 fl Refund Permit # -p IIa/12 16, Date Issued 6_c _. Short -Term Rental Application Packet 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.pov/access/master.asi)). 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 Property Tax ID # Town/City of nzrnt Establishment Street Address 3375 Jcec h,i? City ICOn) /Vt2 State 621 Zip SVV'7 SECTION B: OWNER INFORMATION Property Owner ��>/ tnttte tJOe1,J/9 /t&EneG Email Address L°d$t /�or3E51&Oe6/L1 Phone Number L Vs G? -S'/7 Owner Mailing Address o?G7oo N 14vsla�✓ Jt City lt/AVCOrJ 1),4- State It Zip 600S/ SECTION C: IF OPERATING WITH PARTNER OR AGENT Legal Licensee (partnership, LLC, LLP, or Inc.) Email Address Phone Number Licensee Street Address City State Zip Agent Name (if applicable) Email Address Phone Number Agent Street Address City State Zip SECTION D: RENTAL UNIT INFORMATION (see key below) Unit Unit ID Structure Type Heating Source Water Source Sanitary Source # of Stories # of Bedrooms # of Bathrooms 1 w�l Sc ,G 2 2 3 4 trudia'Type: O1ousil Duplex (D) Cabin (C) Yurt (Y) Apartment (A) Condo CO Other (O), please describe g Source: Electric E Natural Gad'Gad'j7 Propane (P) Wood (W) Fuel (F) Other (O), please describe Water Source: Public/Municipal (M) Priv e Well P Sanitary Source: Public/Municipal (M) Private Onsite Wastewater System (P) '!SUBMIT COMPLETED ORIGINAL APPLICATION, TAX STATEMENT 'AND FEE TO: Bayfield County Zoning Department P.O. Box 58 Washburn, WI 54891 (715) 373-6138 APPLICATION FOJt PE , BAYFIELD DINTY,WISdONStN SEP2i2U11 t3aylield co. Zoning Dept INSTRUCTIONS: No permits will be issued until all fees axe paid. /^` Checks are made payable to: Bayfield County Zoning Department. r DO NOT START CONSTRUCTION UNTIL ALL PERMITS HAVE pnEN ISSU•Cp�' APPLICA7 Chan es in lans must be approved by the Zoning Department. `�•+ �I�%t' Application No.: Date: iQ i //+ Zoning District " 1� oO/n� Amount Paid: J� 0o W S �ILZ !I LAND USE: ❑ SANITARY ❑ PRIVY ❑ CONDITIONAL USE ❑ SPECIAL USE, B.O.A. ❑ OTHER NG rt i&, Y o Ii..Vj Legal Description 1/4 of 1/4 of Section 1--Township_North, Range West. Town Gov't Lot Lot Block _Subdivision r' CSM # _ _Acreage i_.-- ___. Volume __ Page of Deeds Parcel I.D. O-OIb. t - `4' 01-'($_ i _6t - 6D, t000 PropertyOwner t. 5SMIf2 + J70NNa4 koA1$ZI1O Contractor (SvNtn (Phone) �! S - 7^ Wol, Address of Property I 3i%S S IV iC, 9i Plumber __ W.,V Rtv ez W , 8999/7 Authorized Agent (Phone) __________— Telephone y/S "a79 — t'/? (Home) (Work) Written Authorization Attached: Yes ❑ No Is your structure in a Shoreland Zone? Yesid No ❑ If ves, Structure: New Addition Existing �/ Fair Market Value Square Footage Uy O • Residence or Principal Structure (# of bedrooms) Residence sq. ft. O • Residence w/deck-porch (# of bedrooms) Residence sq. ft. Porch sq. ft Decic sq. e. Deck(2) sq. ft O M Residence w/attached garage (# of bedrooms) Residence sq. ft. ❑ Residential Addition / Alteration Garage sq. ft Distance from Shoreline: greater than 75' ❑ 75' to 40' ❑ less than 40 ❑ Basement: Yes_ No Number of Stories Sanitary: New Existing jrivy City Type of Septic/Sanitary System NCB I t/ 0`1 mo5 4AvSot ❑ Mobile Home (manufactured date) O Commercial Principal Building ❑ Commercial Principal Building Addition (explain) O Commercial Accessory Building (explain) O Commercial Accessory Building Addition (explain) O Commercial Other (explain) b(Special/Conditional Use (explain) .7NO9t 'fjg. PfifA'k-- ❑ Residential Accessory Building (explain) ❑ External Improvements to Principal Building (explain) ❑ Residential Accessory Building Addition (explain) � Residentiai Other (explain) S Peer reA.mm IZCe ! 4cc,sf y7*i�{51l xfemal Improvements to Accessory Building (explain) ____________- FAILURE'ISO OBTAIN A PERMIT Q STARTING CONSTRUCTION WITHOUT A PERMIT WILL RESULT IN PENALTIES 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 (arc) responsible for the detail and accuracy of all information I (we) am (am) providing and that it will be rclicd upon by Hayfield County in determining whether to issue a pennit. I (we) further accept liability which may be a insult of Hayfield County relying on this information I (we) am (am) providing in or with this application. I (we) consent to county officials charged with admini4ery'-� county ordinances to v access to the above describpl property at any rcasonahletutim for the purpose of inspection. Owner or Authorized Agent (Signature) `.N+^^^� �/Q �CA5� J Date Address to send permit 26 �l�Oft5 �.✓ W�ieo.✓"' ' /L 6o017 ATTACH Copy of Tax Statement gr • See Notice on Back (If you recently purchased the property APPLICANT — PLEASE COMPLETE REVERSE SIDE Attach agog' of Recorded Deed) Permit Issued: State Sanitary Number Date AY 082026 Dateic/i Permit Number _/1 O 963 Permit Denied ( Date) Planningand Zodnln . Agents Reason for Denial: I p Lot Line t Name of Frontage Road I. 1. Name the frontage road and use as a guideline, fill in the lot dimensions and indicate North (N). 2. Show the location, size and dimensions of the structure. 3. Show the location, size and dimensions of attached deck(s), porch(s) or garage. IMPORTANT 4. Show the location of the well, holding tank, septic tank and drain field. DETAILED PLOT PLAN IS NECESSARY, FOLLOW 5. Show the location of any lake, river, stream or pond if applicable. STEPS 1-8 (a -o) COMPLETELY. 6- Show the location of other existing structures. 7. Show the location of any wetlands or slopes over 20 percent. 8. Show dimensions in feet on the following: a. Building to all lot lines i. Privy to building b. Building to centerline of road j. Privy to lake, river, stream or pond r Ri iilriinn to Iakc river clrcam nr nnnrl k Conlin Tank and drain fiiclri to rinccct Int lint Of-': Q ! / c xg n < ttv,cfJvEd 1. Name the frontage road and use as a guideline, fill in the lot dimensions and indicate North (N). 2. Show the location, size and dimensions of the structure. MAY o820?6 gaYfieId m9 AenCY planning end Zoo 3. Show the Ic go�, , zee and dimensions of attached deck(s), porch(s) or garage. IMPORTANT 4. Show the location of the well, holding tank, septic tank and drain field. DETAILED PLOT PLAN IS NECESSARY, FOLLOW 5. Show the location of any lake, river, stream or pond if applicable. STEPS 1-8 (a -o) COMPLETELY. 6. Show the location of other existing structures. 7. Show the location of any wetlands or slopes over 70 percent. 8. Show dimensions in feet on the following: a. Building to all lot lines i. Privy to building b. Building to centerline of road j. Privy to lake, river, stream or pond TOWN BOARD RECOMMENDATION - - (CLASS A) When Town Board has completed this form, please mail to: Date Zoning Received: (stamp Here) Bayfield County Planning and Zoning Department -'-'1 =" + c' U P.O. Box 58 —Washburn, WI 54891 Phone — (715) 373-6138 www.bayfieldcoyrltyorg Fax — (715) 373-0114 e-mail: zoning@bayfieldcounty.org f + r-------------------------------------------------- y`. ----------------------------------------- Property Owner(s) is /are responsible to give this form to the Town Planning Commission and the Town Clerk. Note: Planning Commission meets prior to the Town. This is a Class A special use request. [Attach a copy of your application -front and back]. The Town will forward their recommendation to the Planning and Zoning Department. ---------------------------------------------— --------- PropertyOwnernMrnitt f-DON.✓R XBt3L-5ZKo Contractor Property Address I 337 C SGc=.✓rc ye Authorized Agent /for/jr✓t`IL Wf Sy8N7 Agent's Telephone Telephone Y%S 6%rj fjo/7 Written Authorization Attached: Yes ( ) No ( ) I Accurate VA De cription involved in this request (specify only the property involved with this application) 61/ VA .V •IV / t k/ ) c r n1 iT BF ,i/I 1/4 of 1/4, Section 1 ', Township ILN., Range 7 W. Town of DLL 74 I I Govt. Lot _Lot Block Subdivision CSM# Volume _ Page _ of Deeds Parcel l.D#ctl•. ot6" 2-- 01 (r3_?- O(. 000- L&,coo Acreage JC I I I Additional Legal Description: Applicant: (State what you are asking for) Zoning District:'___ 1ogt5% j4,'t —5pLoer-rff"-' I I (Y1r�n l•6>sfia- kCGouookt(o7 (so S(fai efs I% r----------------------------iL'� ---------------y----------------------------------------, We, the Town Board, TOWN OF do hereb recommend to ❑ Table (Approval ❑ Disapproval Have you reviewed this for Compatibility with the Comprehensive and/or Land Use Plan: This question applies to Zoning Committee Applications gjy, it does not apply to Board of Adjustment Applications ❑ Yes ❑ No Township: (In detail clearly state Town Board's reason for recommendation of tabling, approval or disapproval) 3o4r10 t pprov 2CX 45vo rn) evo nbK c -F -c on) p.✓ FUh)7 ) 7 V7p"hl VI!tc na#rti THE FOLLOWING MUST BE INCLUDED WITH THIS FORM: I Signed: 1. The Tabled, Approval or Disapproval box checked Chairman: "-c- 2. The Town's reasoning for the tabling, approval or.ttt4sa�pproval� 3. The form returned to Zoning Departmental �lC� oT'faX Supervisor: ; 'NOTE: MAY Q 2.026Supervisor d 4C (LC i Receiving Town Board approval, does notaftGw the start Clerk: of construction or business, you mustrflrstdbta'iH yDur 7/ 2.. o/ / j permit card(s) from the Planning and Zoning Department. Date:k Re_vised:_May2010-------------------------------------------1--------------------- \ efty{ -� L s-EC��J 'srae yy 149111o9 New' RECEIVED MAY 082026 Plannin Tygeld Co. g and Zoning Agency 1. Name the frontage road and use as a guideline, fill in the lot dimensions and indicate North (N). 2. Show the location.;ijZe and dimensions of the structure. 3. Show the location §3e and dimensions of attached deck(s), porch(s) or garage. IMPORTANT 4. Show the location of the well, holding tank, septic lank and drain field. DETAILED PLOT PLAN IS NECESSARY, FOLLOW 5. Show the location of any lake, river, stream or pond if applicable. STEPS 1-8 (a -o) COMPLETELY 6. Show the location of other existing structures. 7. Show the location of any wetlands or slopes over 20 percent. 8. Show dimensions in feet on the following: a. Building to all lot lines i. Privy to building b. Building to centerline of road j. Privy to lake, river, stream or pond c. Building to lake, river, stream or pond k. Septic Tank and Drain field to closest lot line d. Holding tank to closest lot line I. Septic Tank and Drain field to building e. Holding tank to building m. Septic Tank and Drain field to well f. Holding tank to well n. Septic Tank, and Drain field to lake, river, stream or pond. g. Holding tank to lake, river, stream or pond o. Well to building h. Privy to closest lot line •NOTICE: All Land Use Permits Expire One (1) Year From The Date Issued. For The Construction Of New One & Two Family Dwellings: ALL Municipalities Are Required To Enforce The Uniform Dwelling Code. You Must Contact Your Town Chairman / Clerk For More Infom ation: . The local town, village, city, state or federal agencies may also require permits. Stake or mark proposed location(s) of new building, holding tank, septic, drain field, privy, and well. Inspector will not make an inspection until location(s) are staked or marked. Revised lone 2008 Kobeszko Property `Y' 30mV I � - 300 ft ® Copyright 2008 ESRI. All rights reserved. Printed on Wed Sep 21 2011 08:55:28 AM. G•� a) ii Real Estate Bayfleld County Property Listing Today's Date: 8/17/2011 Description Updated: 12/1712010 Tax ID: 12829 PIN: 04-016-2-46-07-18-2 01-000-40000 Lea PIN: 016103501000 Map ID: Munldpality: (016) TOWN OF DELTA STR: S18 T46N R07W Description: W 1/4 E 1/2 NE NW & PAR IN W 1/2 NE NW IN V.1053 P.130 LESS PAR V.624 P.237 277 Recorded Acres: 5.250 Calculated Acres: 8.419 Lottery Claims: 0 First Dollar: Yes Tax Districts Updated: 3/15/2006 I STATE 04 COUNTY 016 TOWN OF DELTA 041491 SCHL-DRUMMOND 001700 TECHNICAL COLLEGE a Recorded Documents Updated: 1/17/2011 0 LETTERS Date Recorded: 12/7/2010 2010R-536080 1053-132 © PERSONAL REPRESENTATIVES DEED Date Recorded: 12/7/2010 2010R-536079 1053-130 ® CONVERSION Date Recorded: 3/15/2006 397-82;681-66 Property Status: Current Created On: 3/15/2006 1:15:15 PM a Ownership Updated: 12/17/2010 CASIMIR A & DONNA J KOBESZKO WAUCONDA IL Billing Address: Mailing Address: CASIMIR A & DONNA J CASIMIR A & DONNA J KOBESZKO KOBESZKO 26700 NORTH HOUSTON AVE 26700 NORTH HOUSTON AVE WAUCONDA IL 60084 WAUCONDA IL 60084 10 Site Address * indicates Private Road 13375 SCENIC DR IRON RIVER 54847 O Property Assessment Updated: 5/15/2008 2011 Assessment Detail Code Acres Land Imp. G1 -RESIDENTIAL 1.250 81,600 72,600 G5 -UNDEVELOPED 4.000 400 0 2 -Year Comparison 2010 2011 Change Land: 82,000 82,000 0.0% Improved: 72,600 72,600 0.0% Total: 154,600 154,600 0.0% is Property History N/A ECEIVEQ MAY 082025 Planningand- i.J=IiCJ Town, City, Village, State or Federal Permits May Also Be Required LAND USE - X SANITARY - SIGN - SPECIAL — Class A CONDITIONAL — BOA — RECEIVED MAY 082026 Flan BaYfiold Co. ning and Zoning Agency BAYFIELD COUNTY PERMIT WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTUCTION No. 11-0393 Issued To: Casimir & Donna Kobeszko W'/4E% Location: NE '/4 of NW '/4 Section 18 Township 46 N. Range 17 W & Par in W 1/2 NE NW In V.1053 P.130 Less Par in V.624 P.237 Gov't Lot Lot Block For: Residential Other: [ 1 -Unit, Short Term Rental ] Subdivision Town of Delta CSM# Condition(s): A permit from the Bayfield County Health Department for a Tourist Rooming House is also required prior to implementation of the proposed use. NOTE: This permit expires one year 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. Doug Casina Authorized Issuing Official October 18, 2011 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 sleeping space. UT p IA EPRECEIVED MAY 082026 Bayfiei<jPlanning Zo Co. anaa Zoning Agency NOTE: Please indicate "see attached" on this page if submitting floor plan as a separate document. Bayfield County Planning and Zoning Short -Term Rental Permit PLANNING AND ZONING QUESTIONS I. Is the property in the shoreland, within 300 feq,p,f a river/stream OR landward side of floodplain OR 1000 feet of a lake/pond/flowage, whichever is greaterV Yes O No O Unsure 2. Is there a wetland located on the property? Cites ❑ No Unsure 3. Is there a floodplain located on or near the property? O Yes O No DUnsure 4. Is this project associated with any of the following: ❑ Variance ❑ Rezone ❑ Conditional Use ❑ Special Use 5. Did you contact the town to see if any ermits/re uirements apply to your project? ❑ Yes 4o 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: Applicant Information (Page 1) Site Plan (Page 2) Floor Plan (Page 5) 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. 1 j Owner(s) or Authorized Agent Printed Name: C ��t 'C /(B /3 FtZ'4?O Owner(s) or Authorized Agent Signature: Date: NOTE: If you are signing on behalf of the owner(s) a letter of authorization must accompany this application. MAY 082026 Bayfield Co. Planning and Zoning Agency Land Use Permit Application Review Checklist Submission #: STit- Ov O Tax ID: S -T -R: - - Town: What zoning district is the project located in? -1 ❑ R-2 ❑ R-3 ❑ R-4 ❑ R-RB ❑ C Dl ❑ 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)? O 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 structure: Ayes ❑ No Does the project require sanitary? Sanitary Permit #:q ,7ZZD Public System: # of bedrooms: -3 ❑ Yes No Does the project require an affidavit? O LLC O Trust Affidavit #: Number of Units: I Number of Bedrooms: 3 Number of Bathrooms: Z Number of Stories: Z O After -the -Fact (ATF) ATF Fee Amount: Inspected by: \ Date of Inspection: Q I 1 _� Inspection Notes: -vvtvc%Q% �tvrh;a- fl -o33 Ilk lG.{F&i ob iln;A& flw b,A4v, S ,Y -A- P' iir cv W tv a((rwnw Re -Inspected by: Date of Re -Inspection: Denied by: Date of Denial: Reason for Denial: Date Denial Letter Mailed: Approved by: nC\�, C YV y lD Date of Approval: I^ _2L —OMI-I p( 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. r - (O 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: 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: KOBESZKO, CASIMIR A & DONNA J 26700 NORTH HOUSTON AVE WAUCONDA, IL 60084 Description 1 unit Submission Number: STR-00340 Transaction Number. STR-00340-456BD Amount $500.00 Total: $500.00 Payment Amount: $500.00 Reference: 1361 Paid by: Casey Kobeszko / T & C Rental Payment Type: Check Transaction Date: 8/13/ 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 ,Wetlands LAND USE —X (previous 11-0393) SANITARY - 467220 SPECIAL A - SPECIAL B/CONDITIONAL — BOA — No. 26-0414 Tax ID: 12829 Issued To: KOBESZKO, CASIMIR A & DONNA J BAYFIELD COUNTY PERMIT WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION Location: S18 - T46N - R07W Town of Delta Legal Description: W 1/4 E 1/2 NE NW & PAR IN W 1/2 NE NW IN V.1053 P.130 LESS PAR V.624 P.237 277 Residential Structure in R-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 6 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. August 12, 2026 This permit may be void or revoked if any performance conditions are not Date completed or if any prohibitory conditions are violated.