HomeMy WebLinkAbout26-0446117E 6°i Street N � Z
PO Box 403
Washburn, WI 54891
(715) 373-6109
perm its@0bavfieldcountv.wi. t.ovv
VFIELD
FE8 2 7 9n75
Health
Zoning
Submission #
-001
Fee Paid
Refund
Permit #
Date Issued
a
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 -Tenn Rental permit through Bayfield County Planning and Zoning Department. Completed
application and applicable fees can be mailed/emailed to the address/email above.
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
Establishment Tax ID #
VCc3
Town/City of
e -E4
Establishment Street Address
\3095 DecRTrd-d Lav c *2
City State
�\d - -- Wl
Zip
5'4$'-n
SECTION B: OWNER INFORMATION
Property Owner
� "k Zos�
Email Address
wen a 1ao �o c .l. coM
Phone Number
21�- 3' g - 8Ot-I
Owner Mailing Address
i(o3 W, Qv n 54
City�
Vulul�.
State
IhnJ
Zip
5ST03
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 ke
below)
Unit
Unit ID
Structure
Type
Heating
Source
Water
Source
Sanitary Source
# of Stories
# of
Bedrooms
# of
Bathrooms
I
" &L-rct. t
+i 1
a
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 (NG) Propane P Fuel F Other O lease describe
Water Source: j_§Zn_VtFaryturce:
Public/Municipal (M) Private Well (P)
Public/Municipal (M) Private Onsite Wastewater System (P)
Site Plan
Show location of:
❑ Driveways 0 Frontage Roads (include name) 0 Existing Structures 0 Well (W) ❑ Septic Tank (ST) 0 Drain Field (DF)
❑ Holding Tank O Lake O River 0 Stream/Creek O Pond 0 Floodplain O Wetlands O Slopes over 20% ❑
N
Setbacks from furthest extent including eaves and
overhangs of structure to:
County Use Only
Verified setbacks
Road Centerline
40 ft.
R
Notes/Comments:
Front Lot Line/Right-of-Way
ft.
ft.
Side Lot Line 1
(North DEas outhDWestEl check one)
1 ft.
ft.
Side Lot Line
(NorthflEastDSouthDWestfrcle one)
ft
ft.
Rear Lot Line
S ft.
ft.
Septic/Holding Tank
ft.
ft.
Drainfield
5 ft.
ft.
Privy
tJ14 ft.
ft.
Well
-1S ft.
ft.
Existing Structure/Building
\g,4 ft.
ft.
Wetland
ft.
ft.
Elevation of Floodplain
ft.
ft.
Ordinary High -Water Mark (0HWM)
225
NOTE: Please indicate "see attached" on this page if submitting site plan as a separate document.
,
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TOWN OF DELTA, BAYFIELD COUNTY, WISCONSIN "°"' °'" ' °' ' " e° ..t
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40 0. 40 60 120 -- - / 78215 STATE HIGHWAY 13
SCPLE FEET L� R ASHM CKN WISCONSIN
R.LS. 962
C.
DEER TRAIL LODGE CONDOMINIUM
LOCATED IN THE NV2 AND THE SW% OF THE NWi%
SECTION 7, T.46 N., R.7 W.
TOWN OF DELTA, BAYFIELD COUNTY, WISCONSIN
n 22
48 24'
48 4'
72' 28
UNITS 13-20
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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 0 Unsure
2.
Is there a wetland located on the property? ❑ Yes 0 No 'Unsure
3.
Is there a floodplain located on or near the property? 0 Yes 0 No 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 your project? M 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 ($500 per unit)
Check or money order payable to Bayfield County Planning and Zoning
1 unit : $500
2 units : $1,000
3 units : $1,500
4 units: $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)
1� Site Plan (Page 2)
1 Floor Plan(s) — Provide sheet for each floor within each unit.
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: Qa-w'( '.05(.l
Owner(s) or Authorized Agent Signature: � Date: Q 1.( 1a.5
NOTE: If you are signing on behalf of the owner(s) a letter of authorization must accompany this application.
3
Land Use Permit Application Review Checklist
Submission #: T - O4 l3
Tax ID: 3(Dx7
S -T -R: D7 • 0 1
What zoning district is the project located in?
❑ R-1 ❑ R-2 ❑ R-3 ❑ R-4 ER-RB ❑ C ❑ 1 ❑ M ❑ A-1 ❑ A-2 ❑ F-1 ❑ F-2 ❑ W ❑ M -M
❑ Yes 'No
Does lot meet the zoning dimensional or is it substandard?
r�requirements
Deed of record: KLSo r /c6 .ctw
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:
❑ 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?
SanitaryPermit #: 154W- ISS I Public System:
1
# of bedrooms: a brbawtc✓ CDAAO
S
❑ Yes X,No
Does the project require an affidavit?
Affidavit #:
Number of Units: I
Number of Bedrooms: Z
Number of Bathrooms: 1
Number of Stories:
❑ After -the -Fact (ATF)
ATF Fee Amount:
Inspected by:
ew ��
Date of Inspection:
y—ZZ Z6
Inspection Notes:
' ho , (ccs LJUJt�
—Ms A✓ U
Re -Inspected by:
Date of Re -Inspection:
Denied by:
Date of Denial:
Reason for Denial:
Date Denial Letter Mailed:
Approved by: I)QC
s1�,
Date of Approval: 29-2I
C J Y `
1 \��1
�p �a
Condition(s):
iiTown/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 7 persons.
❑ Additional conditions may be placed and need to be adhered to at the time of permit issuance
Other Conditions:
Town, City, Village, State or Federal
Permits May Also Be Required
Shoreland
LAND USE -X
SANITARY -1548-1551
SPECIAL A -
SPECIAL B/CONDITIONAL -
BOA -
BAYFIELD COUNTY
PERMIT
WEATHERIZE AND POST THIS PERMIT
ON THE PREMISES DURING CONSTRUCTION
No. 26-0446 Tax ID: 13687
Issued To: ZOSEL, PAUL W
Location: S07 - T46N - R07W
Town of DELTA
Legal Description: DEER TRAIL LODGE EXPANDABLE CONDOMINIUM UNIT 2 TOG WITH UND INT IN COMMON ELEMENTS
& LIMITED COMMON ELEMENTS IN DOC 2022R-596796
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 4 persons.
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
August 24, 2026
Date