Short-Term Rental License Application

Please complete the online form below, or click the button below to download the PDF application. Payment and printed applications can be submitted in person or mailed to:

Village of Pepin
508 Second Street
P.O. Box 277
Pepin, WI, 54759

Questions? Please contact the Village of Pepin Clerk at (715) 442-2461

Download PDF Application

This Application is for anyone that wants to apply for an Operating License for a short-term rental (aka Tourist Rooming House) business as required by Village Ordinance Chapter 115 in the Village of Pepin. A short-term rental is defined in Chapter 115 of the Code of Ordinances as:

“A dwelling offered for rent as a tourist rooming house as defined by ATCP Ch 72.03, for a fee, and for fewer than 30 days. Excluded from this definition are Bed and Breakfast establishments, hotels, and motels.”

The State Lodging establishment inspections and State Licenses are contracted and issued through Pepin County Health Department for the State of Wisconsin.

"*" indicates required fields

Please Indicate if this is a:*

A New Business Application (Fee $500)

Renewal of an Existing Short-Term Rental License (Fee $300)

Preliminary Review Process Application (Fee $200)

Please indicate the anticipated date of first operation

Village Short Term Rental License No.

1.) Required Contact Information:

Address of proposed Short-Term Rental business*

Street Address Address Line 2 City State ZIP Code

Email*

Owner of property contact information

Name*

First Last

Email*

Phone*

Address*

Street Address Address Line 2 City State ZIP Code

Business Operating Entity contact information

Name*

First Last

Email*

Phone*

Address*

Street Address Address Line 2 City State ZIP Code

Local host representative contact information

Name*

First Last

Email*

Phone*

Address*

Street Address Address Line 2 City State ZIP Code

2.) Required Location Information

1. Attach a copy of a completed state lodging establishment inspection form dated within one year of the date of issuance along with proof of payment.*

Max. file size: 64 MB.

2. Attach a building floor plan and requested maximum occupancy.*

Max. file size: 64 MB.

3. Attach a Site plan including a designation of available on-site parking.*

Max. file size: 64 MB.

4. Attach a copy of the house manual for renters intended to satisfy the requirements of Chapter 115.08.*

Max. file size: 64 MB.

5. Attach a copy of a completed fire hazard inspection report from an authorized Village Fire Inspector showing no deficiencies, dated not more than one year before the date of issuance or renewal.*

Max. file size: 64 MB.

6. Attach a copy of the State of Wisconsin License for a Tourist Rooming House issued for the specified location under Wis. Stat. 254.64.*

Max. file size: 64 MB.

7. Attach a copy of a Seller’s permit, Consumer's Use Tax Certificate, or Use Tax Certificate as needed, issued by the Wisconsin Department of Revenue, or alternatively a demonstration of satisfaction of this requirement for this location by a Lodging Marketplace.*

Max. file size: 64 MB.

8. Provide any Lodging Marketplace affiliation and contact information below. (if none, so state).*

3.) Tax Information

As a short-term rental business, you are required to pay taxes on the rental income you receive. These taxes include:

8% local transient room tax
5.5 sales tax

As a business, you are liable for the taxes whether you pass them along to your customer or not. Please identify the entity that will be submitting the required Room Tax to the Village of Pepin:*

Contact Information*

4.) Proof of Insurance

Attach a copy of proof of Insurance against claims of personal injury and property damage for short-term property rental. Coverage provided by a Lodging Marketplace can be used to satisfy this requirement.*

Max. file size: 64 MB.