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HomeMy WebLinkAbout26-0025Return to: County Use Only: 117E 5t° Street, PG Box 58 Bayfield County Planning and Zoning Department Submission #:LU-_Jog3 Washburn, WI 54891 LAND USE PERMIT APPLICATION Permit #: $'$'0® permits@bayfieldcounty.wi.gov Date: IIla 6 SECTION A: General Information Property Owner Name: 41J -_( £k Authorized Agent Name (if applicable): Telephone Number: 7I s- 6Q J _ 176 t4 Telephone Number: RECEIVED D: ENTERED E -Mail Address: I� / k n I E -Mail Address: JAN © 2026 Zo^ Ce" Vj (61 .5 &G- Mailing Address: t� to Worth Pt41 Sr. Mailing Address: Bayfield Co. Planning PIanningandZQninAgwcy City, State, Zip: 'n " WT Sq rN (� ''w fn City, State, Zip: Contractor: Telephone Number: E -Mail Address: SECTION B: Property Information - Project Address (if different from mailing address): a.l Sc us RW x Legal Description (if additional space is needed attach a separate sheet):SW W 1" 1y,wj o 5 Row of VS '1 OCdC. in Do ?014 - 0rl'r Ita Je_ Des 1p () ao'!.CR-Go6419 f,¢1 Section, Township, Range: S13 1171f 49i_/ Town of: 1,u� �t,� r Tax ID #: ("\3M Lot Size (Acres/Square Feet): (p -SC SECTION. C: Project Information check all -that a L Project Use is: Residential ❑ Commercial ❑ Municipal If Commercial, estimated cost of construction: $ Project Type is: iCW Construction ❑ Addition/Alteration (existing structure) ❑ Change Use (existing structure) ❑ Relocate (existing structure) ❑ RV Placement 21+ days ❑ Sign ❑ Establishing a Business ❑ Temporary (12 or less months) ❑ Shoreland Grading, Class A ❑ RV Placement 4+ months, Class A ❑ Other (describe): required (Total sft): required SECTION D: Structure Information (Does not a 1 to RVs and Sis, go to Section E Structure Type is: ❑ Residence Principal Structure (describe): Gi rang e. ❑ Accessory Structure (describe): ❑ Shoreland Exempt Structure (describe): ❑ Mobile Home (provide manufactured date): ❑ Shipping Container ❑ Other (describe): Foundation Type.: ❑ Basement ❑ Walkout Basement J Slab ❑ Crawlspace ❑ Ground ❑ Skids ❑ Other (explain): Existing Structure: Length: 5L' Width:I,o Height: '-4' Proposed Structure (Provide Sq Ft based on outside dimensions; including unfinished areas, attached garages/above grade decks/porches); Basement Sq Ft: 1st Floor SaFt: Loft S t: 2"' Floor Sq Ft: 3'' Floor Sq Ft: c� : ayo k nI : � a Garage Sq Ft: Porch Sq Ft: Deck Sq Ft: Other Sq Ft (describe): Other Sq Ft (describe): Total Sq Ft: Overall Height (finished grade to peak): # of Stories: Existing # of Bedrooms on property: 6 Proposed # of Bedrooms in project: (j SECTION E: RV and Sign Information (check all that apply) Sign is: RV is: ❑ New ❑ Replacement ❑ New ❑ Replacement ❑ On -premise ❑ Off -premise ❑ 1 -sided ❑ 2 -sided Year: Vin #: ❑ On -building ❑ Multi -Tenant Length: Width: Height: Make: Model: Application Page 1 SECTION F: Site Plan — attach a site plan or draw site plan in box below (See pages 1 & 2 of Land Use Permit Application Information for information that is required to be provided on site plan) Show location of: ❑ Driveways ❑ Frontage Roads (include name) ❑ Existing Structures ❑ Well (W) ❑ Septic Tank (ST) ❑ Drain Field (DF) ❑ Holding Tank (HT) ❑ Privy (P) ❑ Lake ❑ River ❑Stream/Creek ❑Pond ❑Floodplain ❑Wetlands ❑Slopes over 20% N RECEIVED JAN 0 5 2016 Hayfield Co. planning and Zoning Agency Setback or distance from furthest extent of structure including eaves and overhangs to (include on site plan): County Use Only Verified setbacks Road Centerline 434 ft. ft. Notes/Comments: -1t�a�bmilted app! tca�n �( act1 1 Le Ue( (.4(1.5SK t4� UQi�� P'i'p I(bt�t Yt �i p , ( SI�Q U�� t �(6p ,q l; PQ (111Git Oti Lj$ �IY C k(p¢ .R r,� Mrw LA waS 011(w hei{f/VlLi S0 pndru�y tbmltkQ Pr p(at1 k,kD 1 � G(!Ar eeP C2 c S 9 S,OYU PJ b/t%'U WGS vQ✓' p?VjltpF _ dGA�J(� fT -SA V0 Ats war h3 S didn 4 Vfl &t.tJ YOU M. Front Lot Line/Right-of-Way ac ft. - ft. Side Lot Line I (North East South est circle one) ft. So_ ft. Side Lot Line 2 o as South West, circle one) r �-7 ft. 7' I d ft. Rear Lo ine j0) ft. ft. Septic/Holding Tank ft. ft. Drainfield ft. ft. Privy ft. ft. Well ft. ft. Existing ft. ft. Wetland ft. ft. Elevation of Floodplain ft. ft. Ordinary High -Water Mark (OHWM) ft. ft. Other (describe) ft. ft.him tall (Iv Ora / Application Page 2 d�tLt w&t/ SECTION G: Additional Questions ❑ Yes ❑ No Has the location of the proposed project including eaves and overhangs and the sanitary system and well been staked? If no, what date will this be completed: ❑ Yes ❑ No Did a licensed surveyor mark lot line(s) if project is within 10 feet of required setback? See page 2 of Land Use Application Information for required setbacks. ❑ Yes ❑ No Did property owner or applicant mark lot line(s) if project is within 30 feet of required setback? See page 2 of Land Use Application Information for required setbacks. ❑ Yes fia'Fo Is there an existing sanitary system on the property? If yes, what kind? ❑ Drainfield ❑ Holding Tank ❑ Municipal/Public ❑ Other (describe): ❑ Yes o Will pressurized water be installed in the structure? If yes, what kind of sanitary system will be installed or used to manage wastewater? ❑ Drainfield ❑ Holding Tank ❑ Municipal/Public ❑ Other (describe): ❑ Yes o4o Will sleeping occur in the structure? If yes, contact local Uniform Dwelling Code (UDC) for approval and inspection requirements. octa e peciaI useass U spectaflTh� U (2onainnhi�fuse U Variance Fee payment will be made via: ❑ Check (attached) ❑ Cash (attached) ❑ debit/credit/echeck (department to call once payment is ready to be taken) How would you like to receive your permit card? 14 ❑ Mail to: OR EPEmail to: JA Property Owner Address ❑ Agent Address ❑ Contractor Address ❑ Other (provide name and email or address): Section H: Acknowledgement and Signature ..' All Land Use Permits expire Two (2) Years from the date of issuance if construction or use has n permit issuance, if required, needs to occur prior to Land Use Permit issuance. Failure to obtain a permit "c5tISRGetion without a permit will result in penalties. JAN 052026 The local Town, Village, City, State or Federal agencies may also require permits. The new construction of one- & two-family dwellings requires review and approval by the local Uniform Dwelling Code (UDC) authority.AWt&rs to one - and two-family dwellings may require review and approval by the UDC authority. All municipalities are required to enforce the UDC. If subject property is part of a Condominium Plat, applicant hereby certifies and represents that applicant has all necessary approvals and recorded documents required to complete the project for which this permit is sought including requirements set forth in Wisconsin statutes pertaining to condominium associations, the Declaration of the Condominium Association in which the property is located, and all other rules, regulations and requirements pertaining to that Condominium Association. You are responsible for complying with state and federal laws concerning construction near or on wetlands, lakes, and streams. Wetlands that are not associated with open water can be difficult to identify. Failure to comply may result in removal or modification of construction that violates the law or other penalties or costs. For more information, visit the Department of Natural Resources wetlands identification web page, dnr.wi.eov/topic/wetlands, or contact a Department of Natural Resources service center (715)685-2900. 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. c Owner(s) or Authorized Agent Printed Name: r Owner(s) or Authorized Agent Signature: Date: NOTES: I. If you are signing on behalf of the owner(s) a letter of authorization must accompany this application. 2. Specific conditions/instructions may be stated on the face of the issued Land Use Permits. Owners, agents, & contractors must all be aware of permit details & conditions and permit card must be posted on property prior to start of project. Application Page 3 RECEIVED Bayfield County, WI JAN 052026 (1/55//22026, 8:06:54 AM /`., n 1:1,298 L__.' Approximate Parcel Boundary G(-fl.)(.t V� L AS /r 0 0.01 0.03 0.06 ml Road Type , 0 0.03 0.05 0.1 km O — Federal BeyAeq Count' Land Ramres Depahmem • Building aeyNdcl county oning Application MlpaY1mepebayAeldro niywI9ovrzoningWAW Applicant Checklist O Yes ❑ No Will new electrical installation occur with project/structure? If yes, contact State for inspection requirements. O Yes No Will new plumbing installation occur with project/structure? If yes, contact State for inspection requirements. ❑ Yes No Is the project/structure to be used for commercial purposes? If yes, contact the State mercial Buildings & Structures to determine if theyrequirereview_midapproval. ❑ Yes No Is the project located in the Floodplain? If yes, additional materials and fee will be ree czopRce the FEMA Map (https://msc.fema.gov/portal/home) and Title 13, Chapter 2 of Bayfield bounty oningbbrdinance (htrns://www.bayfleldcounty.wi.gov/711/Title-13---Zoning-Code). BayfieldCo. ❑ Yes oNo Is the project located in the Shorelands, within 300 feet of a river/stream OR land P@Ift &P('IF/8RQ110 3( OR 1000 feet of a lake/ ond/flowa a whichever is eater ? If es, shoreland re ulations will a I . O Yes i)4o Is your property a waterfront lot and will any part of your project be located within 300 feet of the water OR is your entire lot located within 300 feet of the water? If yes to either, complete and include Impervious Surface Form (https://www.bavfieldcounty.wi.gov/DocumentCenter/Vicw/3 I 59/Imervious-Surface-PDF . ❑ Yes 13No Are there wetlands on the property. If yes, wetland regulations will apply. A 25 -foot setback is required to any mapped wetlands. Reference Department of Natural Resource Surface Data Viewer Map (https://dnrmaps.wi.gov/H5/?VieweSWDV). Yes ❑ No If applicable, did you contact the road authority to see if a driveway permit or regulations apply to placement of driveway? ❑ Yes No Was the property purchased recently? If yes, include a recorded deed. A copy of recorded deed can be acquired from the Bayfield County Register of Deed's office. 'Yes ❑ No Is a site plan included with all information requested on Page I of the Land Use Permit Application // Information? If no, a site plan with all applicable information on Page 1 is required for all submissions. ❑ Yes ❑ No Is a floor plan(s) included with all information requested on Page 4 of the Land Use Permit Application Information? Floor plans are required for residences, commercial buildings, or additions/alterations to these structures. ❑ Yes ❑ No If structure is in Shorelands, have building elevations with all information requested on Page 5 of the Land Use Permit Application Information been included? §DYes ❑ No Is this application to correct a violation or has the project already commenced? If yes, at minimum an after -the - fact fee will apply. If not permittable, the structure will need to be removed. ❑ Yes ❑ No If addition, does the existing structure meet required setbacks, see Page 2 of the Land Use Permit Application Information? If no, be aware that it is the property owner's responsibility to show the structure was legally placed and there may be limitations to expansion of the structure, see Bayfield County Section 13-1-40 (httys://www.bayfieldcountv.wi.gov/7II fieldcoun .wi. ov/71 I/Title-13---Zoning-Code). Yes ❑ No Is the use of the project/structure allowed per Bayfield County Section 13-1-62 (https://Nvww.bayfieldcounty.wi.gov/7l l/Title-13---Zoning-Code). If no, be aware it is the property owner's responsibility to show the use was legally established and there may be limitation to expansion of the use, see Bayfield CounSection 13-1-40 (httys://www.bayfieldcounty.wi.gov/71 l/Title-13---Zonin-Code. Yes ❑ No Have all fees been included with the completed application? See Fee Schedule on website (httos://www.bayfieldcounty.wi gov/1389/Fee-Schedule). If no, all applicable fees need to be paid before permit can be issued. ❑ Yes No Is property owned by multiple owners or is someone aside from the property owner applying? If yes, a Letter of Authorization Form needs to be included. Form available on website (https://www.bavfieldcounty.wi.gov/1340/Applications-Forms). ❑ Yes ttio Is property owned by a Trust or Business entity (LLC, Corp., etc.)? If yes to either, an Affidavit of Authority needs to be included. Forms available on website (httos://www.bayfieldcounty.wi.gov/1340/Applications- Forms). Yes El No Is Land Use Application completed and signed? Land Use Permit Application Information Page 6 1/7/26, 8:43 AM Novus-Wisconsin Access rev. 12.0206 Real Estate Bayfield County Property Listing Today's Date: 1/7/2026 9 Description Updated: 2/26/2025 Tax ID: 19319 PIN: 04-024-2-47-08-13-2 03-000-20000 Legacy PIN: 024103309000 Map ID: Municipality: (024) TOWN OF IRON RIVER SIR: 513 T47N R08W Description: SW NW LYING S OF S ROW OF US HWY 2 DESC IN DOC 2024R-605245 LESS PAR DESC IN DOC 2025R-606479 355A1 Recorded Acres: 10.550 Calculated Acres: 11.322 Lottery Claims: 0 First Dollar: No Zoning: (F-1) Forestry -1 ESN: 118 I Tax Districts Updated: 3/15/2006 1 STATE 04 COUNTY 024 TOWN OF IRON RIVER 163297 SCHL-MAPLE 001700 TECHNICAL COLLEGE ,4.. Recorded Documents Updated: 3/15/2006 ® QUIT CLAIM DEED Date Recorded: 2/7/2025 2025R-606479 © QUIT CLAIM DEED Date Recorded: 11/4/2024 2024R-605365 ® WARRANTY DEED Date Recorded: 10/25/2024 2024R-605245 O WARRANTY DEED Date Recorded: 9/5/2024 2024R-604607 ® QUIT CLAIM DEED Date Recorded: 7/28/2021 2021R-589982 O CONVERSION Date Recorded: 625-285;657-74;663-349 Property Status: Current Created On: 3/15/2006 1:15:33 PM a Ownership Updated: 10/31/2024 ANDREW T LAZORIK MELLEN WI Billing Address: Mailing Address: ANDREW T LAZORIK ANDREW T LAZORIK 610NMAINST 610NMAINST MELLEN WI 54546 MELLEN WI 54546 10 Site Address * indicates Private Road 12155 US HWY 2 ® Property Assessment IRON RIVER 54847 Updated: 8/2/2012 2025 Assessment Detail Code Acres Land Imp. G6 -PRODUCTIVE FOREST 12.140 20,600 0 2 -Year Comparison 2024 2025 Change Land: 20,600 20,600 0.0% Improved: 0 0 0.0% Total: 20,600 20,600 0.0% if Property History N/A https://novus.bayfieldcounty.wi.gov/access/master.asp?paprpid=19319 1/1 Bayfield County, WI 1/7/2026, 8:43:48 AM 1:976 r- '.—� Approximate Parcel Boundary Road Type — Federal 2 Building 0.01 0.02 0.04 ml 0.02 0.04 0.07 km Bayfield cowry Lana Rem,ds Depatlmenl Bayetl County Zoning Applimgon Mlps'L/mapsDmygoidmunlywi gov2omngWAB/ Emily Macgillivray From: Emily Macgillivray Sent: Monday, January 12, 2026 8:29 AM To: 'Andrew Lazorik' Cc: Dylan Ortman Subject: RE: 12155 US Hwy 2 (Tax ID 19319) Hi Andrew, Thanks for submitting the floor plans. I have approved your application. Please note, there is a condition on the permit that you need to reach out to DOT to make sure your driveway is in compliance (Halle Sharp is the DOT contact for our area: h a lle.sha rpCa�dot.wi.gov). Since the storage Loft is an additional 560 square feet, there will be an additional payment of $224 required (560 sq ft x 0.20 = $112 which is double because it is AfterThe Fact). You can make this payment over the phone by credit/debit card or e -check, or you can mail or drop of a check to our office. Our clerk, Dylan, will call you for this additional payment before he issues the permit, or if you prefer, you can call Dylan whenever it's most convenient for you at 715-373-3515. If you have any questions for me, please let me know! Kind regards, Emily Macgillivray (she/her) Assistant Zoning Administrator Planning and Zoning Department Bayfield County 117E 5s' Street, PO Box 58 Washburn, WI 54891 Phone: 715-373-3511 emily.maceillivray nbayfieldcounty.wi.gov Fraudulent Billing Alert: Be aware that individuals submitting applications to our department have received scam emails. Bayfield County will NOT ask applicants to wire any funds. Please contact our office atzoning@bayfieldcounty.wi.gov or 715 373-6138 with any questions or concerns. From: Andrew Lazorik <andrewlazorik@gmail.com> Sent: Friday, January 9, 2026 8:59 AM To: Emily Macgillivray<emily.macgillivray@bayfieldcounty.wi.gov> Subject: Re: 12155 US Hwy 2 (Tax ID 19319) You don't often get email from andrewlazorik@gmail.com. Learn why this is important On Fri, Jan 9, 2026 at 8:57 AM Andrew Lazorik <andrewlazorik(cDgmail.com> wrote: Hi Emily, I dropped off a floor plan, that i drew up, at your office this morning but figured i would also emailyou a copy of it as well. just let me know if you have any questions. thanks. On Thu, Jan 8, 2026 at 9:57 AM Emily Macgillivray<emily.macgillivrayCaibayfieldcounty.wi.gov> wrote: Hi Andrew, I visited the site yesterday and confirmed the setbacks. I noticed there were glass doors toward the bank of the building that seemed to lead to a separate room and windows that look like there could be a second story in the back. Before I approve your application, I will need a floor plan that shows the rooms in the garage and clarifies whether there is an additional story in the back. There is an example floor plan on pg. 4 of our Land Use Permit application. Floor plans can be hand drawn as long as they clearly show the measurements and use of each room. You can email me a picture of the floor plans, or you can mail them or drop them off to our office. If you have any questions, please let me know! Kind regards, Emily Macgillivray (she/her) Assistant Zoning Administrator Planning and Zoning Department Bayfield County 117E5th Street, POBox 58 Washburn, WI 54891 Phone: 715-373-3511 emily.macgillivray n.bayfieldcounty.wi.gov Fraudulent Billing Alert: Be aware that individuals submitting applications to our department have received scam emails. Bayfield County will NOT ask applicants to wire any funds. Please contact our office at zoning(�bayfieldcounty.wi.gov or 715 373-6138 with any questions or concerns. Land Use Permit Application Review Checklist Submission #: O What zoning district is the project located in? ❑ R-1 ❑ R-2 ❑ R-3 ❑ R-4 ❑ R-RB ❑ C DIEM ❑ A-1 ❑ A-2 l041 ❑ F-2 ❑ W ❑ M -M ❑ Yes t34o Is lot substandard (does not meet current zoning dimensional requirements)? Deed of record: ❑ Yes LB4o 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 impervious surface required? (Required if riparian lot OR lot is entirely within 300 feet of OHWM of navigable waterway) ❑ Yes @'3io 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? O Yes Q4Io Is project associated with a variance? Case #: ❑ Yes 4Jg. Is project associated with a Special B or Conditional Use Permit? Permit #: ❑ Yes o Is the project associated with a Special A Use Permit? ❑ Yes o Does the project require sanitary? ❑ Existing O New ❑ Intercept ❑ Reconnect O Non -Plumbing 0 Public Sanitary Permit It: # of Bedrooms: ❑ Yes chclo Does the project require mitigation? Implementation Deadline: Date of Compliance: ❑ Yes No Does the project require an affidavit? Affidavit #: ❑ Yes ❑ No Did licensed surveyor mark lot line(s), if project is within 10 feet of required setback? ❑ Yes ❑ No Did applicant/property owner mark lot line(s), if project is within 30 feet of required setback? Project use is? dential ❑ Commercial ❑ Municipal Project type is? New Construction ❑ Addition/Alteration ❑ Change Use O Relocate ❑ RV Placement ❑ Sign ❑ Establishing a Business O Temporary ❑ Shoreland Grading ❑ Other, describe: Structure Type is: ❑ Residence VPrincipal Structure 0 Accessory Structure O Boathouse (one story only) ❑ Open-sided/Screened Structure (gazebo, etc.) O Stairway to navigable waters ❑ Mobile Home ❑ Shipping Container ❑ Other, describe Total Sq. Ft. of Project: Number of Stories: 6 R -Overall Height: Fee Type Calculation Fee Amount ❑ Dwelling Enclosed Areas — all enclosed areas within dwelling except attached non -habitable garages $0.75 x sq ft (minimum $125) $ ❑ Dwelling Unenclosed Areas (decks, patios, etc.) or Attached Non -Habitable Garages $0.20 x sq ft (minimum $125) $ ❑ Habitable Residential Accessory Structures $0.50 x sq ft (minimum $75) Non -Habitable Residential Principal and Accessory Structures $0.20 xuL&.' _s q ft (minimum $75) $ ❑ Commercial/Municipal Principal Structures $250 + $0.005 x cost of construction (minimum $250) $ ❑ Commercial/Municipal Accessory Structures $150 + $0.005 x cost of construction (minimum $150) $ ❑ Return Inspection O Land Use Revisions O Special Use Permit - Class A O Floodplain O Shoreland - Impervious Surface O Shoreland - Non -Conforming, etc. ❑ Tower Siting/Collocation 1 ❑ Tower Collocation 2 ❑ Metallic Mi After -the -Fact (ATF) b $ Inspected by: gm Date of Inspection: Re -Inspected Date of Re -Inspection: Denied by: Date of Denial: Reason for Denial: Date Denial Letter Mailed: Approved by: Date of Approval: f Condd'' ion(s): ;"Must meet and maintain setbacks from hest extension of structure including eaves and ove angs. For personal storage only. ❑ For personal residence only. CCki�'J t for human habitation or sleeping purposes. G3 Town/State/DNR/Federal may require permitting ❑ A Uniform Dwelling Code (UDC) Permit from the locally contracted UDC Inspection Agency must be obtained prior to the start of construction. ❑ A Uniform Dwelling Code (UDC) Permit from the locally contracted UDC Inspection Agency must be obtained prior to the start of construction (if applicable). ❑ Use best management practices to limit and prevent erosion during construction. ❑ This permit cannot be transferred if property is sold. 0 A Bayfield County Health Dept permit is required. ❑ Check with Town regarding room tax. ❑ Short -Term Rental is for a maximum occupancy of persons. ❑ Sign must meet the requirements of Article E of the Bayfield County Zoning Ordinance. WTo be constructed per plan. ❑ Adhere to privy agreement. ❑ Temporary permit allowing existing structure for a period of less than 1 year. ❑ RV may not be used for permanent residence or storage. ❑ RV allowed for ❑ RV must be removed by ❑ No sewer and pressurized water allowed in the structure. ❑ No plumbing or plumbing fixtures allowed. ❑ No additional sleeping areas allowed without obtaining necessary sanitary permit(s). ❑ Land use permits shall be required for any new residence, any building or structure erected, relocated, rebuilt, or structurally altered ❑ Land use permits shall be obtained prior to the initiation of construction or a change in land use ❑ Requirements (e.g., permits/licensing/tax) of Local Town, Village, City, State or Federal agencies are required ❑ Sanitation requirements must be met (if applicable) Additional conditions may be placed and need to be adhered to at the time of permit issuance �� Other Conditions: Hiw44 C,4a Dot (Road 4u4ho i (y) 'z ehsure driutcc&y l.$ lri Compl`u.wce' . IE3AYFIELD 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: LAZORIIC, ANDREW T LU-02093 610 N MAIN ST MELLEN, WI 54546 Transaction Number: LU-02093-3B111 Description Amount After -the -Fact - failure to obtain permit prior to start $560.00 of project Non -Habitable Residential Principal and Accessory $560.00 Structures - $0.20/square foot (minimum $75) Total: $1,120.00 Payment Amount: $896.00 Reference: 1105 Paid by: Andrew T Lazorik Payment Type: Check Transaction Date: 1/12/2026 Receipt of payment does not guarantee eligibility of permit and is not proof of issuance of a permit. BAYFIELD 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: LAZORIK, ANDREW T 610 N MAIN ST MELLEN, WI 54546 Description Additional Fee Amount Submission Number: AP -00056 Transaction Number: AP-00056-3B3E5 Amount $224.00 Total: $224.00 Payment Amount: $229.33 Reference: 5902697715 Paid by: ANDREW LAZORIK Payment Type: Credit Card Transaction Date: 1/12/2026 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 Substandard — No! Nonconforming — No Shoreland — No / Impervious Surface — No Floodplain — No I Wetlands — No Mitigation — No / Affidavit #: LAND USE —X X SANITARY - SPECIAL A - SPECIAL B/CONDITIONAL — BOA — No. 26-0025 Tax ID: 19319 Issued To: LAZORIK, ANDREW T Location: S13 - T47N - R08W Town of Iron River BAYFIELD COUNTY PERMIT WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION Legal Description: SW NW LYING S OF S ROW OF US HWY 2 DESC IN DOC 2024R-605245 LESS PAR DESC IN DOC 2025R- 606479 355A1 Residential Structure in F-1 zoning district For: New Construction [1.5 - Story ], Principal Structure on a Slab [2800 Total sq. ft. ] Height of 24' (Disclaimer): You are responsible for complying with state and federal laws concerning construction near or on wetlands, lakes, and streams. Any future expansions or development would require additional permitting. Condition(s): See back of card 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. Emily Macgillivray Authorized Issuing Official January 12, 2026 Date Condition(s): Must meet and maintain setbacks from furthest extension of structure including eaves and overhangs. For personal storage only. Not for human habitation or sleeping purposes. Town/State/DNR/Federal may require permitting. To be constructed per plan. Must contact DOT (Road Authority) to ensure driveway is in compliance.