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117 E 6'" Street PO Box 403 Washburn, WI 54891 (715) 373-6109 permits(,bayfieldcountv.wi.gov ]3_ YFIELD AUG 172025 Health Zoning Submission # O o3 O Fee Paid OO Refund Permit # ON Date Issued Bayfield Co. Planning d Short-teZoninrm*Cita1 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. Corn leted application and applicable fees can be mailed/emailed to the address/email above. Property Tax ID can b oun ough NOVUS (his://novus.bayfieldcounty.wi.gov/access/master.asp). ENTERED City of Washburn, City of Bayfield, Town of Pilsen: License through Bayfield County Health Departm equired. 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 Cot C(4)iln-vR p,o Property Tax ID # t'3altl Town/City of Det#a Establishment Street Address to i 14 City Ire Rivcr State W( Zip S4Byl SECTION B: OWNER INFORMATION Property Owner WTFPropC'tlps 3 -Troy Fo11iS Email Address WTFPRoPERTLESA t t6 t,,,� Phone Number a IR-Saa-09(05 Owner Mailing Address Po ,ox 1Ba City Poplar State WI Zip SgBln SECTION C: IF OPERATING WITH PARTNER OR AGENT Legal Licensee (partnership, LLC, LLP, or Inc.) V.1TF Pro r-heS 3 1LLC. Email Address wTFPrortft1 s2 •3n oil Phone Number Saa-o9 (P5 Licensee Street Address Po 1R,ox t$;L City Po la✓ State Wt Zip 54gto4 Agent Name (if applicable) Email Address Phone Number Agent Street Address City State Zip -CTION D: RENTAL UNIT INFORMATION (see ke below Unit Unit ID Structure Type Heating Source Water Source Sanitary Source # of Stories # of Bedrooms # of Bathrooms 1 unit I C, 4 P P 1 d 2 3 4 Structure Type: House (H) Duplex Cabin (C) Yurt (Y) Apartment (A) Condo CO Other (O), please describe Heating Source: Electric (E) Natural Gas G Propane P 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(F) 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.bayfieldeounty.wi.gov/ZoningWAB/ Show location of: ❑ Driveways ❑ Frontage Roads (include name) ❑ Existing Structures ❑ Well (W) ❑ Septic Tank (ST) ❑ Drain Field (DF) ❑ Holding Tank (HT) ❑ Lake ❑ River ❑ Stream/Creek ❑ Pond ❑ Floodplain ❑ Wetlands ❑ Slopers over 20% ":7 bttve alf4rl 7 Setbacks from furthest extent including eaves and County Use Only overhangs of structure to: Verified setbacks Road Centerline 6 ft. ft. Notes/Comments: f� 8 IEU Front Lot Line/Right-of-Way W c e-) ft. ft. Side Lot Line l ft. Sv ft. (North East out West, circle one) I -G AUG 7 2026 ylie\d Co. ncy Band Side Lot Line oft. East South West, circle one) Z� p ft. Rear Lot Line . 3't/'3 ft. ft. Septic/Holding Tank I Z ft. ft. planning and Zoning Age Drain field t.{ 5 ft. ft. Well 12, ft. ft. Existing Structure/Building St} , 0 (, 0 ft. ft. Wetland $ or CA& r') 1 20 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. 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 sleeoina space. Sec c-�cclMd AUG 17 2026 hayfield Co, Planning and Zoning Agonc/ 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 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? 1 Yes O No O Unsure 2. Is there a wetland located on the property? Yes O No O Unsure 3. Is there a floodplain located on or near the property? O YesNo O 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 permits/requirements 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 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. /n f/ Owner(s) or Authorized Agent Printed Name: d7 / OZ-i-' Owner(s) or Authorized Agent Signature: Date: S — 7 — NOTE: If you are signing on behalf of the own r s er of authorization must accompany this application. pUG 1.7 2026 Ba aezoron9 pyenCJ p�annia9 VN4 ttv T -e + k3TF3 From: College of Natural Resources Outreach Education Subject: Registration/Purchase Confirmation Date,. Aug 7, 2026 at 10:48:11 AM To: wtfproperties2@gmail.com Login to Your Account Thank you for your order: If you registered for an event you will receive a subsequent email with further details closer to the date of the event. If you purchased any items they will be shipped directly to the address on file once paid in full. If the shipping address is different from the billing address, please email Mnr with the correct shipping address. Homeowner Package Quantity: 1 at $78.00 each Select: Select Registrant: Troy Follis 578.00 Subtotal: $78.00 Total: 578.00 Paid: ->J?, �•`; Amount Due: 50.00 If you paid via credit card, it will appear as payment to UWSP-WISCONSIN CENTER. Please contact us with any questions: cnr.outreach.education©a uwspdu or by phone: • Extension Lakes/Clean Boats/Clean Waters: 715-346-2116 • Water and Environmental Analysis Lab (water test kits): 715-346-3209 • Wisconsin Center for Environmental Education (KEEP/LEAF/PLT): 715-346-4854 • Wisconsin Center for Wildlife: 715-346-3241 Payment History Date Type Amount Payment Type Notes Paid By Aug 7 2026 PAID $78.00 cc Wendy Follis RECEIVED AUG 17 2026 Bayfield Co. Planning and Zoning Agency RECEIVED (/dashboard) AUG 17 2026 Bayfield Co. planning and Zoning Agency Wisconsin Department of Safety and Professional Services SPS Division of Industry Services Online Building Permit System Step 7 Print Confirmation 0 Your filing number is DIS-082138670. Please print for your record. Click here for Print JURISDICTION : Town of DELTA PROJECT TYPE : New PERMITS: Construction HVAC Electric Plumbing Erosion PARCEL NUMBER : 04-016-2-46-08-03-2 (tel:04-016-2-46-08-03-2) 02-000-60000 (tel:02-000- 60000) Owner NAME : Troy and Wendy Follis ADDRESS 48945 County Road O, Maple, 54854 CONTACT (218) 522-0965 (tel:(218) 522-0965), wtfproperties2@gmail.com Contractors DWELLING CONTRACTOR NAME: https://eslawi.gov/apex/confirmation?permitid=a0y8y0000005hlF 8/3/26, 9:57 PM Page 1 of 6 LIC/CERT #: EXP DATE: ADDRESS , , CONTACT, DWELLING CONTRACTOR QUALIFIER NAME: LIC/CERT #: EXP DATE: ADDRESS , , CONTACT, HVAC CONTRACTOR/QUALIFIER NAME: LIC/CERT#: : EXP DATE: ADDRESS,, CONTACT, ELECTRICAL CONTRACTOR NAME: BENSON ELECTRIC COMPANY LIC/CERT # : 1204900 (tel:1204900) EXP DATE: 06/30/2023 ADDRESS 1102 N 3RD ST, SUPERIOR, 54880 CONTACT (218) 522-0965 (tel:(218) 522-0965), tfollis@becotm.com ELECTRICAL MASTER ELECTRICIAN NAME : WILLIAM THOMAS SLATTENGREN LIC/CERT #:1070461 (tel:1070461) EXP DATE: 06/30/2023 ADDRESS 28 RYAN LANE, ESKO, 55733 CONTACT, MASTER PLUMBER bathe �p�09A!oCi plynnin9 acid NAME: GREG BROWN LIC/CERT #: 699374 EXP DATE : 03/31/2023 ADDRESS 1102 5TH AVE E, ASHLAND, 54806 CONTACT (715) 209-0161 (tel:(715) 209-0161), gregbrownplumbing@gmail.com https:;/esla.wi.yov/apex/confirmation?perm itio=a0y8y0000005hIF 8/3/26, 9:57PM Page 2 of 6 SUBMITTER NAME : Troy Follis ADDRESS 4894 S County Road O, MAPLE, 54854 CONTACT (218) 522-0965 (tel:(218) 522-0965), wtfproperties2@gmail.com LOT AREA AREA3444.00 SQ. FT. 1 OR MORE ACRES SOIL WILL BE DISTURBED false LOCATION : Town of DELTA BUILDING ADDRESS: 10005 Hwy H, Delta, 54856 COUNTY Bayfleld SUBDIVISON LOT NO. BLOCK NO. ZONING Altls 17 'LU2 DISTRICT: PERMIT NUMBER :21-0119 SETBACKS Front ft.: Rear ft.: Left Ft.:Right ft.: PROJECT INFORMATION 1. PROJECT TYPE : New 2. AREA: AREA INVOLVED (SQ FT) Unit 1 Unit 2 Total Unfin. Bsmt. 0.00 Living Area 672.00 672.00 Garage 0.00 Deck/Porch 0.00 Total 672.00 0.00 672.00 https:ffesla.wi.govfapex/confirmation?permitid=aoye y0000005htF 3. OCCUPANCY : One Family 4. CONSTRUCTION TYPE :Site Built 5. STORIES :1 -Story 6. ELECTRIC: Entrance Panel Amps 200, Underground 7. WALLS :Wood Frame 8. USE : Seasonal 9. HVAC EQUIP: Furnace 10. SEWER :Sanitary Permit, 21-0119 11. WATER :On -Site Well 12. ENERGY SOURCE: Space Htg : LP , Water Htg: Elec, 13. HEAT LOSS :15220 14. EST. BUILDING COST w/o LAND :100000.00 I understand that I: am subject to all applicable codes, laws, statutes and ordinances, including those described on the reverse side of the last ply of this form; am subject to any conditions of this permit; understand that the issuance of this permit creates no legal liability, express or implied, on the state or municipality; and certify that all the above information is accurate. If one acre or more of soil will be disturbed, I understand that this project is subject to ch. NR 151 regarding additional erosion control and stormwater management and the owner shall sign the statement on the back of the permit if not signing below. I expressly grant the building inspector, or the inspector"s authorized agent, permission to enter the premises for which this permit is sought at all reasonable hours and for any proper purpose to inspect the work which is being done. 6 I vouch that I am or will be an owner -occupant of this dwelling for which I am applying for an erosion control or construction permit without a Dwelling Contractor Certification and have read the cautionary statement regarding contractor responsibility on the reverse side of the last ply of this form. SIGN/PRINT NAME: Troy Follis DATE 8/18/2021 7:39 PM Pub 1 �11026 gay6eld Go. _ 4fypom9 zed 7,069 P9ertcl APPROVAL SECTION 8/3/26, 9:57 PM page 4 of 6 ISSUING JURISDICTION FEES: Plan Review Fee Inspection Fee 579.00 WIS Permit Seal Fee 33.00 Other Fee Total Fee 612.00 Other Fee Explanation Enter Approval Conditions here: Town of State -Contracted Municipality Number of Delta Inspection Agency #: Dwelling Location 04016 PERMIT(S) WIS ISSUED PERMIT SEAL# Construction 523999 HVAC Electrical Plumbing Erosion AUG 17 2UZ6 Bayffeid Co. planning and Zoning Agency (Max. Size 600 characters) PERMIT ISSUED BY: Name Robert Lietha Issue Date 8/26/2021 Telephone (218) 393-6482 Cert No. 959814 Building Permit # 61 2024 Approval conditions listed on the plans. (Max. Size 600 characters) START NEW PERMIT REQUEST >> (/APEX/CUSTOM ER_PORTAL_INTRO_PAGE) https://esIa.wi.gov/apex/confirmation?permitid-a0y8y0000005hIF 8/3/26, 9:57PM Page 5 of 6 CONTACT (HTTPS://DSPS.WI.GOV/PAGES/PROGRAMS/CONTACTS.ASPX) PRIVACY NOTICE (HTTPS://WWW.WISCONSIN_GOV/PAGES/POLICIES.ASPX) WWW.WISCONSIN.GOV (HTTP://WWW.WISCONSIN.GOV) © 2026 State of Wisconsin. AUG 17 2026 Bayfield Co. Planning and Zoning Agency 813126. 9:57 PM Pape 6 of 6 Land Use Permit Application Review Checklist Submission #: S`T) - Oo 6O Tax ID: S -T -R: - Town: e, or 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: 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 KNo Is project associated with a nonconforming use or structure? Yes ❑ No Does the project require sanitary? e,(dsr exK `dc( s'ts Sanitary Permit # g... -W rS Public System: W/ I goo jz n 1� �ai # of bedrooms: N"3 roost k"M ❑ Yes No Does the project require an affidavit? O LLC ❑ Trust Affidavit #: Number of Units: I Number of Bedrooms: oQ Number of Bathrooms: Number of Stories: ❑ After -the -Fact (ATF) ATF Fee Amount: Inspected by: ;ew�v�b Date of Inspection: - -a� Inspection Notes: - 10005 O�ac�rm -a- (eech Ire(4 Re -Inspected by: Date of Re -Inspection: Denied by: Date of Denial: Reason for Denial: Date Denial Letter Mailed: Approved by: . Date of Approval: (a _ I ) 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 X 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: Submission Number: WTF PROPERTIES 3 STR-00360 PO BOX 182 POPLAR, WI 54864 Transaction Number: STR-00360-4DDB2 Description Amount 1 unit $500.00 Total: $500.00 Payment Amount: $500.00 Reference: 2734 Paid by: WTF Properties 3 LLC Payment Type: Check Transaction Date: 9/11/2026 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 SANITARY - SPECIAL A - SPECIAL B/CONDITIONAL - BOA - BAYFIELD COUNTY PERMIT WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION No. 26-0488 Tax ID: 13274 Issued To: WTF PROPERTIES 3 Location: S03 - T46N - R08W Town of Delta Legal Description: PAR IN NW1/4 IN DOC 2020R- 581979 TOG WITH EASE 687 & 691 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 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. 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. Authorized Issuing Official September 11, 2026 Date