Loading...
HomeMy WebLinkAbout26-0422117 E 6"' Street PO Box 403 Washburn, WI 54891 (715) 373-6109 permits(dibavfieldcountv.wi. gov F YFIELD Health Zoning Submission # 043 O Fee Paid ¢92 00,00 Refund Permit # -O d' Date Issued Short -Term Rental Application Packet This application packet contains information for both a Tourist Rooming House license thro �unty Health Department and a Short -Term Rental permit through Bayfield County Planning and Zoning mpleted application and applicable fees can be mailed/emailed to the address/email above. Property T bRj pand t h NOVUS (https://novus.bayfieldcouniy.wi.sov/access/master.aspl. UI C tU D g ED Bayfield Co. City of Washburn, City of Hayfield, Town of Pilsen: License through Bayfield County Nha16b peatt? is'req 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 LgKeside Beach 4vuse LJLL Property Tax ID # - rjg0 Town/City of Esta lishment Street Address VrcGov Roar Ci��v v415hbu.cn Zii j �j7 / SECTION B: OWNER INFORMATION Property Owner Email Address Phone Number Owner Mailing Address City State Zip SECTION C: IF OPERATING WITH PARTNER OR AGENT Legal Licensee (partnership, LLC, LLP, or Inc.) Ke us,z Email Address ncs, rtie- Ph ne Number ��s-a9a-3o4 Licensee Street Address D 1 _R)OK 30S City Ashlc, n State lv \ Z' _�d to 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 9___ 2 __ 4 S Type: House H Du lex Cabin (C) Yurt Apartment A Condo CO Other (O), please describe eating of Electric (E) atural Gas G propane (P) Wood Fuel (F) Other (0), please describe rce. Public/Munici al rivate Well(P)Public/Munici Sanitary Source: al M bate Onsite Wastewater S stem P 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/ZoningWAB/ Show location of: ❑ Driveways ❑ Frontage Roads (include name) ❑ Existing Structures El Well (W) Septic Tank (ST) ❑ Drain Field (DF) ❑ Holding Tank (HT) ❑ Lake ❑ River ❑ Stream/Creek ❑ Pond ❑ Floodplain ❑ Wetlands ❑ Slopers over 20% N W a 1 Y0S at •N��ld'g i 122026 ead 1n9 Agenc.Y Zon 2nd Pi• Setbacks from furthest extent including eaves and County Use Only overhangs of structure to: Verified setbacks Road Centerline ft. ft. Notes/Comments: Front Lot Line/Right-of-Way ft. ft. Side Lot Line 1 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. Well ft. ft. Existing Structure/Building ft. ft. Wetland 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. 2 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 ATCP 72, 73, 76, 78 and 79. > ATCP 72 regulates lodging facilities including hotels, motels and tourist rooming houses. > ATCP 72.03(94): "Tourist rooming house" means any lodging place where sleeping accommodations are offered 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 wi �>� square feet but less than 1,500 square feet in area, typically located in rural or natural settings, aMov'TZfes an unconventional lodging experience with no liquid or water carried waste plumbing fixtures. AUG 122076 > Wis. Stat. § 97.67 (5) and § 97.605 (1)(c) "No license may be issued until all applicalAgo3obave been paid." planning and Zoning Agency > Wis. Stat. § 97.605 (l)(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`s 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. APPLICATION FEES — Required for all tourist rooming house within Bayfield County Check or money order payable to Bayfield County Health Department 1 unit State Fee (14%): $41.44 County Fee: $296 Pre -Inspection: $592 Total: $929.44 2-4 units State Fee (14%): $63.00 County Fee: $450 Pre -Inspection: $900 Total: $1,413.00 ❑ Rush Fee ($100) — A one-time $100 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 Niewinski (desi.niewinski(7d bavfieldcounty.wi.eov) 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 nurnoses other than tha&for which it was collected (Wis. Stat. $ 15.04 (1)(m)). Bayfield County Health Department — State Lodging License TOURIST ROOMING HOUSE REQUIREMENT CHECKLIST V Private wells shall be tested once per year for coliform bacteria and nitrate and a copy of the results provided to the Health Department. Bayfield County Health Department can collect samples during inspection. t Private well and private septic systems must be properly constructed and code compliant. n o: t- All bathroom facilities must include a toilet and sink, and at least one bathroom with a bathtub or sho ver. r Bathtub and shower flooring must be slip -resistant (have texture), or an anti -slip mat provided. r Hot and cold running water shall be available at all sinks and washing facilities. r All garbage and recycling shall be kept in separate, leak proof, nonabsorbent containers with tight fitting covers, and shall be emptied often to prevent decomposition and overflow. y Appliances and furnishings shall be clean, in good repair and installed to facilitate cleaning. C Eating and cooking utensils shall be in good repair and cleaned by washing, rinsing, sanitizing (chlorine, iodine, quaternary ammonia), and air -drying. r Mattress protectors must be provided, cover the mattress, and be of non-absorbent material. r Linens (sheets) shall be washed between guests and be of sufficient size to cover the bed. r^ Blankets, quilts, and bedspreads shall be washable and maintained in a clean condition. r Housekeepers with communicable diseases shall refrain from working. l Lodging facilities shall meet the Wisconsin building code pursuant to chap 101 and 145. r" Fuel burning appliances shall vent to the outdoors in accordance with manufacturers instructions. ,.— Smoke alarms are required on each floor, outside separate sleeping areas, and inside each sleeping room. v Beds shall be arranged to provide an aisle of at least 2 feet in width on one side of each bed. All sleeping areas shall have 50% or more of the floor space with a ceiling height of at least 7 feet high. /J(*- Bunk beds shall be no more than 2 high with a 2.5 foot separation between bunks and to the ceiling. There must be at least two directions of escape from every floor. All exterior doors shall have key locking from the outside and non -key locking from the inside. s Each sleepitaiPn e provided with an evacuation diagram indicating 2 evacuation routes. Windows se screegp Openable windows are required in dwellings that lack air conditioning. r Adequate gu 4 4ti2nH1"ails are required on stairs with more than 3 risers and elevated platforms or decks exceeding 30" above the'flooBra ,grade,.Space between guards shall be equal or less than 6". Adequate ventil m tiust be provided to all bathrooms. r Pressure release valves on hot water heaters must be piped to within six inches of'ftoor. r There shall be no plumbing cross connections that may contaminate potable water supply. y- There shall be no electrical shock hazards (exposed wires within reach and missing plates). r There shall be directions for use of fireplaces and wood stoves. r All dwellings shall be maintained and equipped in a manner conducive to the health, comfort, and safety of all guests. They shall be kept in good repair and sanitary condition. y Effective measures shall be taken to minimize the presence of insects and rodents. y A guest register shall be maintained and kept available at all times. Register shall include name, contact information, arrival and departure dates, number of guests. ✓ No food items, alcohol, or other personal goods shall be accessible to guests beyond shelf stable prepackaged single service food items. >— Carbon monoxide detectors shall be installed within 21 feet of all bedrooms, in sleeping rooms with fuel fired appliances and in the basement if there is a fuel fired appliance present. J A report forms shall be completed after death, injury, or illness reports where an EMS response is initiated. 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. ) fl ar, cap bxW-Rt c) 9 C\ose� dim rzECEIVEO AUG 12 2026 Bayfield Co. Planning and Zoning Agency ---- _. :' JEt NOTE: Please indicate "see attached" on this page if submitting floor plan as a separate document. 5 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? ❑ Yes No ❑ Unsure 3. Is there a floodplain located on or near the property? ❑ Yes ❑ No 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 ermits/re uirements apply to yourproject? 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 rder 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. _ Owner(s) or Authorized Agent Printed Name: cK!'!^\ ITL ( (t t C Owner(s) or Authorized Agent Signature: Date: NOTE: If you are signing C g o behalf of the owner(s) a letter of authorization must accompany this application. AEU U6 12 2026 Ba,, Zap n9 A9 enay pVannm9 and U / i/J RECEIVED AUG 12 2026 Bayfield Co. Plaming and Zoning A9% £ n V. 8/11/26. 5:18 PM Bayfield County Zoning Application 1.4 ® Bayfield County Zoning Application 1.4 + '780 X Q% Show search results for 780 fPRPID/Tnx+I€7 # 781 • SCOTT S GUCINSKI Parcel Boun ♦ (1 S, p I e G Ow+E 3 •" RICH G 0 . P PIb/TaxID LAKESIDE BEACHIHOU5EILIt LC PRPIfi�ITax Ifs # 779 Ta MRs V & FLORENCE J BLAHwIK o) moT TEES RECEWED AUG 12 2026 Bayfield Co. Planning and Zoning Agency 0 20 40ft 808,279.484 473,604.231 Feet https://maps.bayfieldcounty.wi.gov/ZoningWAB/ 1/1 8/11/26, 5:20 PM Bayrield County Zoning Application 1.4 (1 of 1) Parcel Boundary: NOVUS -Tax and Property Information TaxID#: 780 Name: , LAKESIDE BEACH HOUSE LLC Site Address (Physical Address): 73100 BIRCH GROVE RD, WASHBURN, WI, 54891 Mail Address: PO BOX 305, ASHLAND, WI, 54806 Click Here to Update or Correct Mail Address Last Tax Amount: $3,333.69 Est Fair Mrkt Val Imp: $179,300.00 Est Fair MrktVal Land: $139,200.00 Total Imprvmnt Value: $142,200.00 Total Land Value: $110,400.00 Sale Amount: $0.00 Sale Date: Deed Vol Page: Deed Document#: Section: 18 Town: 48 Range: 04 Municipality: TOWN OF BARKSDALE TOWN OF BARKSDALE School District: WASHBURN SCHOOL DISTRICT Short Description: BIRCH GROVE PLATS LOT 5 GIS Acres: 0.44 Deed Acres: 0.44 Parcel Problem Area Note: RECEIVED AUG 12 2026 Bayfield Co. planning and Zoning Agency https://maps.bayrieldcounty.wi.gov/ZoningWAB/ 1/2 8/11/26, 5:37 PM Bayfield County Zoning Application 1.4 ® Bayfield County Zoning Application 1.4 + ■ v lakeside beach house Ilc X Q� — Show search results for lakeside ... Swipe layer Bayfield County Zoning Base Map RECEIVED AUG 122076 Bayfield Co. Planning and Zoning '.renoi 808,265.026 473,629.229 Feet https://maps.bayfieldcounty.wi.gov/ZoningWAB/ 1/1 'Sec. 183.0201 Wis. Stats. ;l �*:... lSn State of Wisconsin Department of Financial Institutions ARTICLES OF ORGANIZATION - LIMITED LIABILITY COMPANY Executed by the undersigned for the purpose of forming a Wisconsin Limited Liability Company under Chapter 183 of the Wisconsin Statutes: Article 1. Name of the limited liability company: Lakeside Beach House, LLC Article 2. The limited liability company is organized under Ch. 183 of the Wisconsin Statutes. Article 3. Name and email address of the initial registered agent: Kim M Pearce birch@ncis.net Article 4. Street address of the initial registered office: 28445 State Highway 137 Ashland, WI 54806 United States of America Article 5. Street address of the principal office: P.O. Box 305 Ashland, WI 54806 United States of America Article 6. Name and complete address of each organizer: Kim M. Pearce P.O. Box 305 Ashland, WI 54806 United States of America Other provisions (optional). (No other provisions declared.) Other Information. This document was drafted by: Ryan J. Long Organizer Signature: Kim M. Pearce AUG 12 2026 Bayfield Co. Planning and Zoning Agency Date & Time of Receipt: 9/2/2025 3:18:02 PM Order Number: 202509026750183 RECEIVED AUG ..1 22026 hayfield Co. Planning and Zoning Agency ARTICLES OF ORGANIZATION - Limited Liability Company(Ch. 183) Filing Fee: $130.00 Expedite Fee: $25.00 Total Fee: $155.00 ENDORSEMENT State of Wisconsin Department of Financial Institutions EFFECTIVE DATE 9/2/2025 Entity ID Number FILED L086092 RECEIVED AUG 12 2026 Bayfield Co. Planning and Zoning Agency Land Use Permit Application Review Checklist Submission #: T R—o035Tax ID: 0 S -T -R: - - Town: gcr�o47 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 standar 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 'gNo Is the project located in the Floodplain? Zone: ❑ Yes No Are there wetlands on the property? ❑ Yes -KNo Is project associated with a nonconforming use or structure? VYes ❑ No Does the project require sanitary? sanitary Permit #:235L1%g Public System: #of bedrooms: 200D a( ko (d; )(Yes ❑ No Does the project require an affidavit? LLC ❑ Trust Affidavit #: Number of Units: I Number of Bedrooms: y Number of Bathrooms: Number of Stories: ❑ After -the -Fact (ATF) ATF Fee Amount: Inspected by: e5; ��W i V15 i 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: \; �C J J Date of Approval: _I _ J 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 8 persons. ❑ Additional conditions may be placed and need to be adhered to at the time of permit issuance. Other Conditions: B--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: Submission Number: LAKESIDE BEACH HOUSE LLC STR-00359 PO BOX 305 ASHLAND, WI 54806 Transaction Number: STR-00359-4BE4E Description Amount 1 unit $500.00 Total: $500.00 Payment Amount: $500.00 Reference: 1044 Paid by: Lakeside Beach House LLC 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 , Substandard LAND USE -X SANITARY - 235468 SPECIAL A - SPECIAL B/CONDITIONAL— BOA — No. 26-0422 Tax ID: 780 Issued To: LAKESIDE BEACH HOUSE LLC BAYFIELD COUNTY PERMIT WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION Location: S18 - T48N - R04W Town of Barksdale Legal Description: BIRCH GROVE PLATS LOT 5 BLOCK 1 IN DOC 2025R-606805 52 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 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. August 13, 2026 This permit may be void or revoked if any performance conditions are not Date completed or if any prohibitory conditions are violated.