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Home My WebLink About26-0534117 E 6`h Street PO Box 403 Washburn, WI 54891 (715) 373-6109 perm itsnbavfiel dcounty.wi.eov F YFIELD Health Zoning Submission# OO Fee Paid Do• o ° Refund Permit # -0 Date Issued d 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 Qe_partment. Completed application and applicable fees can be mailed/emailed to the address/email above. Property Tax ID can be fouhd through NOVUS (https://novus.bayfieldcounty.wi.gov/access/rnaster.asp). AUG 19 2026 City of Washburn, City of Bayfreld, Town of Pilsen: License through Bayfield County Health Department is required. Please review and fill out es a 1-4. Bayfieid Co. pages Plannin Zonin All Other Towns: A license through the Health Department and permit through the Planning andaZontngal%$Mment are required. Please review and fill out pages 1-5. SECTION A: ESTABLISHMENT INFORMATION Establishment Name Dragonfly Cottage Property Tax ID # 2061 Town/City of Barnes Establishment Street Address 49645 E Shore Rd, Solon Springs, 54873 City State Zip SECTION B: OWNER INFORMATION Property Owner Robin Pharo Email Address robinlpharo@gmail.com Phone Number 608-513-5617 Owner Mailing Address 1709 Ben Franklin St, Verona WI 53593 City State Zip 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 1 H P P P 1 2 2 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 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 (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 El Frontage Roads (include name) El Existing Structures ❑ Well (W) ❑ Septic Tank (ST) ❑ Drain Field (DF) El Holding Tank (HT) El Lake El River El Stream/Creek El Pond ❑ Floodplain ❑ Wetlands ❑ Slopers over 20% N See attached EVawlYEf AUG 19 2026 Hayfield Co. Planning and Zoning Agency 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 l 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. E PLAN - 1/10 SCALE RECEIVED 'arcel geometry using estimated 175' meandering water edge ning/layout purposes only — not a survey. AUG 197026 hayfield Co. 750.00' Planning and Zoning Agency II 20' NORTH 5.0 30' WATER HOUSE �_- approx. 224" x 52' 6.00' 10.00'. 75' SEPTIC TANK t EDGE (10' FROM SOUTH EAST CORNER) 794.66' 100.00' 5.00' 0 10' 20' 4 HOUSE SETBACKS SCALE: 1/10 Water edge: 30' 1ON DRAWING = 10' ACTUAL North edge: 20' House footprint taken from SITE AREA TARGET: 2.030 Barnes floor plan. (88,426.8 SQ. FT.) WEST EDGE: ESTIMATED MEAD WATER LINE =175' TOTAL LEN( 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(20): "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. ) Wis. Stat. § 97.67 (5) and § 97.605 (1)(c) "No license may be issued until all applicable fees have been paid." ➢ 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 vend a JVffBe 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)." AUG 19 2026 > Within 30 days after receiving a complete application for a license, the department cgaj4teggj)t shall either approve the application and issue a license or deny the application. If the appli6'MiFiiRq'AQ�'ll?dft6eti5denied, 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 30t° 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 I unit State Fee (14%): $41.44 County Fee: $296 Pre -Inspection: $592 Total: $929.44 2 units State Fee (14%): $63.00 County Fee: $346 Pre -Inspection: $900 Total: $1,309.00 3 units State Fee (14%): $63.00 County Fee: $396 Pre -Inspection: $900 Total: $1,359.00 4 units State Fee (14%): $63.00 County Fee: $446 Pre -Inspection: $900 Total: $1,409.00 ❑ 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.niewinskic bayfieldcounty.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 th t for which it was collected (Wis. Stat. § 15.04 I m . Signature: y Date: 8/19/2026 6�JW 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. RECEIVED • Mattress protectors must be provided, cover the mattress, and be of non-absorbent material. AUG 9 2026 • Linens (sheets) shall be washed between guests and be of sufficient size to cover the bed. • Blankets, quilts, and bedspreads shall be washable and maintained in a clean condition. Bayfield Co. Planning and Zoning Agency • Housekeepers with communicable diseases shall refrain from working. • Lodging facilities shall meet the Wisconsin building code pursuant to chap 101 and 145. • 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. • 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. 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 sleenine space. See attached RECEIVED AUG 19 2026 Bayfield Co. Planning and 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 feet of a river/stream OR landward side of floodplain OR 1000 feet of a lake/pond/flowage, whichever is greater? El Yes ❑ No ❑ Unsure 2. Is there a wetland located on the property? ❑ Yes LYl No ❑ Unsure 3. Is there a floodplain located on or near the property? ❑ Yes IN 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 your project? O 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) AUG 19 2026 O Fees paid — Health Department and Zoning Department Bayfield co. 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. Owner(s) or Authorized Agent Printed Name: Owner(s) or Authorized Agent Signature: 91 —/ f3lai'C Date: Robin Pharo 8/19/26 NOTE: If you are signing on behalf of the owner(s) a letter of authorization must accompany this application. �8.4 q Sunroom 177.09 sq ft Bedroom 121.72 sq ft AUG 19 2026 Bayfield Co. Planning and Zoning Agency Living Room 177.36 sq ft Hall 62.29 sq ft 5.89 sq fl Bathroom 36.53 sq ft 3.36 sq I 7.73 sq ft Bathroom 19.60 sq ft Bedroom 128.27 sq ft Land Use Permit Application Review Checklist Submission #: S j —OO a— Tax ID: a0 & S -T -R: - Town: o -e What zoning district is the project located in? ❑R-2 ❑R-3 ❑R-4 DR-RB ❑C ❑1 ❑M ❑A-1 ❑A-2 ❑F-1 ❑F-2 ❑W EM -M ❑ Yes 'No Does lot meet the zoning dimensional requirements or is it substandard? Deed of record: 'Yes O 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 XNo Is the project located in the Floodplain? Zone: O Yes No Are there wetlands on the property? Yes ❑ No Is project associated with a nonconforming use or@ructure. Yes ❑ No Does the project require sanitary? Sanitary Permit #: 01K —i31 S Public System: # of bedrooms: a ❑ Yes No Does the project require an affidavit? O LLC ❑ Trust Affidavit #: Number of Units: 1 Number of Bedrooms:?. Number of Bathrooms: Z Number of Stories: I ❑ After -the -Fact (ATF) ATF Fee Amount: Inspected by: N�ew��ns �� Date of Inspection: 8 -z5 -2(o Inspection Notes: Re -Inspected by: Date of Re -Inspection: Denied by: Date of Denial: Reason for Denial: Date Denial Letter Mailed: Approved by: Date of Approval: / OS 3L( a 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. C 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: I3-YFIELD Bayfield County Planning & Zoning Department 117 E 5w Street P.O. Box 58 Washburn, WI 54891 Phone: 715-373-6138 Fax: 715-373-0114 Property Owner: Submission Number: PHARO, ROBIN LYNN STR-00362 1709 Ben Franklin St Verona, WI 53593 Transaction Number: STR-00362-55BF9 Description Amount 1 unit $500.00 Total: $500.00 Payment Amount: $511.90 Reference: 7993580795 Paid by: Robin Pharo Payment Type: Credit Card Transaction Date: 10/5/2026 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 - 08-131S SPECIAL A - SPECIAL B/CONDITIONAL - BOA - BAYFIELD COUNTY PERMIT WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION No. 26-0534 Tax ID: 2061 Issued To: PHARO, ROBIN LYNN Location: S17 - T44N - R09W Town of Barnes Legal Description: 2 PAR IN GOVT LOT 3 IN DOC 2025R-608337 668BB 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 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 October 05, 2026 Date