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Home My WebLink About26-0460117 E 6'° Street PO Box 403 Washburn, WI 54891 (715) 373-6109 permits c bay fi e l d co u n tv.wi. eov ■ C O UN TV 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. Prit bapan be found thro NOVUS (https://novus.bayfieldcounty.wi.eov/access/master.asp). y tl� ENT ED City of Washburn, City of Hayfield, Town of Pilsen: License through Bayfield CotU9Ht2tIIZartment is req er Please review and fill out pages 1-4. Bayed co All Other Towns: A license through the Health Department and permit through Th nTFti ;Md4 ijpg Department are required. Please review and fill out pages 1-5. SECTION A: ESTABLISHMENT INFORMATION Establishment Name Property Tax ID # 2(, 3�7 Town/City of 6rl�nka Establishment Street Address 5770 stare Hwy 13 City 'Port Wlrt9 State WI Zip fr&S SECTION B: OWNER INFORMATION Property Owner Ravipl d- Mary Car(eon Email Address F rn`CarleJap2@yahw.O Phone Number on2-30/1966 Owner Mailing Address 2 Invern2J3 Dr City I AanV&to State MN Zip 96ov) 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 'H P P P 2 7- 2 3 4 Structure Type: House Duplex D Cabin (C) Yurt (Y) Apartment (A) Condo CO Other (O), please describe Heating Source: Electric E Natural Gas G Propane Wood W Fuel (F) Other (O), please describe Water Source: Public/Municipal M Private Well (P) Sanitary Source: Public/Municipal (M) Private Onsite Wastewater System (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 O Frontage Roads (include name) O Existing Structures O Well (W) ❑ Septic Tank (ST) ❑ Drain Field (DF) ❑ Holding Tank (HT) ❑ Lake O River O Stream/Creek O Pond O Floodplain ❑ Wetlands ❑ Slopers over 20% N L a1C e- F 15► -21' -� t homy- Cj � w s� � W Setbacks from furthest extent including eaves and County Use Only overhangs of structure to: Verified setbacks =''^ rrvFD Road Centerline ft. ft. Notes/Comments: AUG 12 2026 Bayfield Co. Planning and Zoning Agency Front Lot Line/Right-of-Way tL t2 -ft. ft. Side Lot ine I orth as South West, circle one ft. to3, (off ft. Side Lot Line 2 - ft. ft. North East South a circle one 0 ,t3') Rear Lot Line co— I. tit ft. ft. Septic/Holding Tank { rj 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. Bayfield County Health Department — State Lodging License Health Department (State Lodging License): Al! 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 with dREGr�flt7Eiare feet but less than 1,500 square feet in area, typically located in rural or natural settings, and provides an unconventional lodging experience with no liquid or water carried waste plumbing fixtures. AUG 122026 > Wis. Stat. § 97.67 (5) and § 97.605 (1)(c) "No license may be issued until all apl$abl&4 J11iaere been paid." fling and Zoning Agency > Wis. Stat. § 97.605 (1)(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 30i° 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 ($50) — A one-time $50 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(a.bayfieldcountv.wi.gov) 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 purposes other than that for which it was collected (Wis. Stat. § 15.04 1 m . Signature: Date: x-526 Bayfield County Health Department — State Lodging License TOURIST ROOMING HOUSE REQUIREMENT CHECKLIST • 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. • Private well and private septic systems must be properly constructed and code compliant. • All bathroom facilities must include a toilet and sink, and at least one bathroom with a bathtub or shower. • Bathtub and shower flooring must be slip -resistant (have texture), or an anti -slip mat provided. • Hot and cold running water shall be available at all sinks and washing facilities. • 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. • Appliances and furnishings shall be clean, in good repair and installed to facilitate cleaning. • Eating and cooking utensils shall be in good repair and cleaned by washing, rinsing, sanitizing (chlorine, iodine, quaternary ammonia), and air -drying. • Mattress protectors must be provided, cover the mattress, and be of non-absorbent material. • Linens (sheets) shall be washed between guests and be of sufficient size to cover the beJJECV'IV Ei • Blankets, quilts, and bedspreads shall be washable and maintained in a clean condition. AUG i 2 2026 • Housekeepers with communicable diseases shall refrain from working. • Lodging facilities shall meet the Wisconsin building code pursuant to chap 101 and 145. seyneld co. nin and Zoning Ag • ency Fuel burning appliances shall vent to the outdoors in accordance with manufacturers iRis�pucPions. • Smoke alarms are required on each floor, outside separate sleeping areas, and inside each sleeping room. • 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. • 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. • Each sleeping space shall be provided with an evacuation diagram indicating 2 evacuation routes. • Windows shall be screened. Openable windows are required in dwellings that lack air conditioning. • Adequate guards & handrails are required on stairs with more than 3 risers and elevated platforms or decks exceeding 30" above the floor or grade. Space between guards shall be equal or less than 6". • Adequate ventilation must be provided to all bathrooms. • Pressure release valves on hot water heaters must be piped to within six inches of floor. • There shall be no plumbing cross connections that may contaminate potable water supply. • There shall be no electrical shock hazards (exposed wires within reach and missing plates). • There shall be directions for use of fireplaces and wood stoves. • 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. • Effective measures shall be taken to minimize the presence of insects and rodents. • 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. • A report forms shall be completed after death, injury, or illness reports where an EMS response is initiated. Cl 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 sleein space. RECEIVED AUG 12 2026 Bayfield Co. Planning and Zonirg.4gency s r g0.thra�m cJ{ro rus) P. enirahc t IS} f iuoll (1,6W sq,P+) ol� 5� o to ga�ytrt�r't H- intl Pt'3tIo 4 C _ NOTE: Please indicate "see attached" oh this page if submitting floor plan as a separate document. F7 Hayfield County Planning and Zoning Short -Term Rental Permit PLANNING AND ZONING QUESTIONS 1. 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 O No O Unsure 2. Is there a wetland located on the property? ❑ Yes D§ No O Unsure 3. Is there a floodplain located on or near the property? O Yes Di No O Unsure 4. Is this project associated with any of the following: ❑ Rezone El Conditional Use ❑ Special Use El Variance 5. Did you contact the town to see if any ermits/re uirements apply to your project? ❑ 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 gpURwing items: RECtI V E ❑ Applicant Information (Page I) ❑ Site Plan (Page 2) AUG 12 2026 ❑ Floor Plan (Page 5) Bayfield Co. ❑ Fees paid — Health Department and Zoning Department planning and zoning 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. /n__� Owner(s) or Authorized Agent Printed Name: 1 tnlvt Uxri ttbfl Owner(s) or Authorized Agent Signature: / t' Lam______ Date: S —Z & NOTE: If you are signing on behalf of the owner(s) a letter of authorization must accompany this application. Land Use Permit Application Review Checklist 'Submission #: - oo3 Tax ID: -6S7 S -T -R: 35.. o- g Town: C),t I f n h. 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 substandard? Deed of record: XYes ❑ 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 ONo Is project associated with a nonconforming use or structure? Yes ❑ No Does the project require sanitary? Sanitary Permit #:4(p715-7 System: 1'�/Public # of bedrooms: ot$ 00 otk kol�i� F— ❑ Yes ')ZNo Does the project require an affidavit? O LLC 0 Trust Affidavit #: Number of Units: ) Number of Bedrooms: 2. Number of Bathrooms:2 Number of Stories: 2. ❑ After -the -Fact (ATF) ATF Fee Amount: Inspected by: �� ,�W��Sk Date of Inspection: 8 10 a�0 Inspection Notes: Re -Inspected by: Date of Re -Inspection: Denied by: Date of Denial: Reason for Denial: Date Denial Letter Mailed: Approved by:j - �2w;v�5 Date of Approval: o coo 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 I persons. ❑ Additional conditions may be placed and need to be adhered to at the time of permit issuance. Other Conditions: }4YFIELD Bayfield County Planning & Zoning Department 117E 5th Street P.O. Box 58 Washburn, WI 54891 Phone: 715-373-6138 Fax: 715-373-0114 Property Owner. Submission Number: CARLETON, DAVID EVERETT & MARY STR-00358 JOAN 312 INVERNESS DR Transaction Number: MANKETO, MN 56001 STR-00358-4CF76 Description Amount 1 unit $500.00 Total: $500.00 Payment Amount: $500.00 Reference: 1158 Paid by: David or Mary Carleton Payment Type: Check Transaction Date: 9/1/2026 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 - 467157 SPECIAL A - SPECIAL B/CONDITIONAL — BOA — No. 26-0460 Tax ID: 26397 Issued To: CARLETON, DAVID EVERETT & MARY JOAN BAYFIELD COUNTY PERMIT WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION Location: S35 - T50N - R09W Town of ORIENTA Legal Description: LOT 3 CSM #1093 IN V.7 P.47 IN DOC 2021 R-591243 Residential Structure in R-RB zoning district For: [1 -Unit] Short -Term -Rental, Maximum Occupants Allowed is 10 (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 10 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 27, 2026 Date