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i . Return to: County Use Only: t3Q o 117 I: 5t° Street, PO Box 58 Bayfield County Planning and Zoning Department Submission #: L 0 Washburn, WI 54891 LAND USE PERMIT APPLICATION Permit #: — Q3gQ permits0bayfieldcounty.wi.gov Date: SECTION A: General Information Pro, rty Owner Name: I Authorized Agent Name (if applicable): J or t; ;G Tele hone umber: �`- Tale hone Number: Z o t rr- a o- o E -Mail Address: h 00, t: D1rn E -Mail Address: MailiAddress: 1 n %7 Ic L Mailing Address: CEIVEp S D 9 G nt City, State s City, State, Zip: JUL 012026 SDt'I w Contactor: j Telephone Number: E -Mail Address:Bayfiy Co er (•6th 5— _ 3�?I Planning and Zonin A SECTION B: Property Information Project Address (if different from mailing address): Legal Description (if additional space is needed atta h a separate sheet): z E aR Section, Township, Range: 53 u Town of: e. S 0-n jV Tax ID #: 3 Lot Size (Acres/Square Feet): SECTION C: eject Information (check all thatapply) Project Use is: idential 0 Commercial 0 Municipal If Commercial, estimated cost of construction: $ Project Type is: 0 New Construction Addition/Alteration (existing structure) ❑ Change Use (existing structure) Cl Relocate (existing structure) 0 RV Placement 21+ days ❑ Sign 0 Establishing a Business 0 Temporary (12 or less months) ❑ Shoreland Grading, Class A 0 RV Placement 4+ months, Class A 0 Other (describe): required Total sq ft): required SECTION D: Structure Information (Does not apply to RVs mid$igns, go to Section Structure Type is: 'Residence ❑ Principal Structure (describe): ❑ Accessory Structure (describe): ❑Shoreland Exempt Structure (describe): ❑ Mobile Home (provide manufactured date): ❑ Shipping Container ❑ Other (describe): Foundation Type: ❑ Basement Walkout Basement 0 Slab ❑ Crawlspace 0 Ground ❑ Skids 0 Other (explain): Existing Structure: Length: Width: Height: Proposed Structure (Provide Sq Ft based on outside dimensions, including unfinished areas, attached garages/above grade decks/porches): Basement Sq F la Floor Sq Ft: / 7 Loft Sq Ft: 2" Floor Sq Ft: 3b Floor Sq Ft: Garage Sq Ft:g3 D 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: 7 Existing # of Bedrooms on property: 3 Proposed # of Bedrooms in project: 3 +pta SECTION E: RV and Sign Information((check allibat. 7 ) Sign is: RV is: ❑ New 0 Replacement 0 New ❑ Replacement 0 On -premise 0 Off -premise ❑ I -sided ❑ 2 -sided Year: Vin #: 0 On -building ❑ Multi -Tenant Length: Width: Height: Make: Model: Application Page 1 SECTIONF: Site Plan — attach a site plan or draw site plan in box below (See pages 1 & 2 of Land Use Pennit.Application Information for information that is inquired to be rtwided on site plan) Show location of: ❑ Driveways O Frontage Roads (include name) O Existing Structures O Well (W) O Septic Tank (ST) O Drain Field (DF) ❑ Holding Tank O Privy (P) O Lake O River OStream/Creek ❑Pond ❑Flood lain ❑Wetlands ❑Sloes over 20% 4 RECEIVED JUL 012026 Sayfeid 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 ft ft Notes/Comments: Front Lot Line/Right-of-Way ft R Side Lot Line 1 (North East South West, circle one) ft. ft Side Lot Line 2 (North East South West, circle one) ft. ft Rear Lot Line ft. ft. Septic/Holding Tank ft. ft. Drainfield ft R Privy ft. ft Well ft. IL Existing Structure/Building ft. ft Wetland ft ft. Elevation of Floodplain R ft Ordinary High -Water Mack (OHWM) R ft. Other (describe) ft ft Application Page 2 SECTION G: Additional Qnejtiona ❑ Yes © No Has the location of the proposed project* been staked? If no, what date will this be completed: Note: The site will not be inspected nor permit issued until after the staking date listed above. ❑ 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 ❑ No Is there an existing sanitary system on the property? If yes, what kind? Drainfield ❑ Holding Tank ❑ Municipal/Public ❑ Other (describe): ❑ Yes ltd No Will pressurized water be installed in the structure? If yes, what kind of sanitary system will be installed or used to manage wastewater? O Drainfield ❑ Holding Tank ❑ Municipal/Public O Other (describe): ❑ Yes ll No Will sleeping occur in the structure? If yes, contact local Uniform Dwelling Code (UDC) for approval and inspection requirements. Is the project associated with any of the following: ❑ Rezone O Class A Special Use ❑ Class B Special Use ❑ Conditional Use ❑ Variance Fee payment will be made via: Check (attached) ❑ Cash (attached) O debit/credit/echeck (department to call once payment is ready to be taken) How would ye to receive your p it card? 'Mail to: Omailto:/t)rvc �v/1Shot7.cv'vm Property Owner Address O Agent'Address ❑ Contractor Address ❑ Other (provide name and email or address): *Include eaves, overhangs, sanitary system, and well in staking measurements — — Section B:Acknowledgement andSignature - All Land Use Permits expire Two (2) Years from the date of issuance if construction or use has not begun. Sanitary permit issuance, if required, needs to occur prior to Land Use Permit issuance. Failure to obtain a permit or starting construction without a permit will result in penalties. The local Town, Village, City, State or Federal agencies may also require permits. TRf° of one- & two-family dwellings requires review and approval by the local Uniform Dwelling Code (UDC) an onty. Ad tons and alterations to one - and two-family dwellings may require review and approval by the UDC authority. All m i ' r e required to enforce the UDC. JUL U I LULJ If subject property is part of a Condominium Plat, applicant hereby certifies and represen� s all necessary approvals and recorded documents required to complete the project for which this Pffi Pi gitaiZYUMg 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/wedands, 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, Owner(s) or Authorized Agent Printed Name: .--_- -/c' Owner(s) or Authorized Agent Signature: Date: C NOTES: 1. If you are signing on behalf owners) ale zation 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 M. Bedroom �• Mud Any Pdr. U ng!Dirig (I' Garage RECEIVED JUL 012026 Bayfeld Co. Planning and Zoning Agency w..ra w r } Z fl blech.I ..d. i Bath ;� Storage d _ 1i1 F` Bedroom --- Bedr � I 1 RECEIVED JUL 012026 BayCo. Planning and Zoning Agency u� V bud nMY - UM. Bedroom I Ptlr.� — __•.[1 g -L nn. S mmMunn.E SRtN 4+5'1 SW EuepvtlabBR wBste 1W gvRN•An+ebthbRt.6'u4Nrd W In Obin N BRP 4 -EEW M TRESVdV ••w�E�IMIEOPurBR— pv.NNbe�thrp COBRA. .OE1+ERLLMIO SV6cCMWOTOAS rDVEAR AlL EBPNO CONETINSON SITE. 2. PEML BRING AND ETOON EItv.MIx100E DETEAM+EO aY AMOTOR PRIORI TO x1152 P5.5112 FOR REFERENCE. E+re CCHICM& DRIVEWAY, Aw 0225950 TO RR DEIFIw110EV CONTRACTOR CONTRACTORTTOTET°1wO Mx4 CP ALL NNOE& EffiNq YND nAVNEZ1. PRIOR TO n CONSIPVCIM 521519 nO 512112502MB OUTLINED W ONNINY INS A000M MTIA ROSES RRORGD}IC MO SCIEWIEa. Wzm°°C FAEACER FOUNDATION CORCTETE wrNt TO TINE EICEa LONCRETE0P 7.0122105 f0.W ED 104(512022 ARE To TOUGH NwO O2Eaa NOTED omvm�. n rtAMN5POET ouExs°r+4ArerocEwRERaPER aPOST L4 •.. NOTED • mmvan WALNaT®OINE1IR9E DPNWYI W$E.5002OUENyM'B PEE IOCENTODCFPAV4GEWNDVMESs XI.RITEDEO 9516E oENTRrmR vAATNbx c5NSIRCTwx 9 z x. sews w 1r o c. MxTEss wren FIG NIYEN4 NE015*10 B1uYWTs SIZES. SPECS AND CONNECTION DETAILS TORE ItlWl ESBYUUEfILRan + swENswrw.wTICTOW TOPS 5P ELECT105 RICAL VED POTS DMEmm REFER 1. N.CFCRYMLLMMTCTO1roE FORCE EEECTNGTUYOrtsPERCWE REFER TO IN, NRIEOW AN°EpLLM] RNIBTORINITIAL YRCEOAYDV5. +n NT'COWWINOOW+E YOnAW PPWOEOVRnRS201,1011 CN11OFEM LOCATION. MID °R DE Ill MN Wh9. pBTI.LL PER MAxVIACI V PE PS P W ON CPEwsO. MID LmGPWE 17.21150510512122515. 7Na0O+sm5clpxawu°cuCRON 5MIIIIBLNL11. SITE52* WSNNa5ICE +T.OVLLOECIMATEPoAT STEMS SPUCNM UEENW5 WATME VEIECOII IRIS FfluE WUIJIO CODEE102C1. L0EFOW TO OR IXCEFD YnaGOx6lxe VNAOW pYIINIp CODE mat. +MNLPAONRE&1RSSIIPLDFIOIR9mIOTDYSMDPE011REMENTS SA%RP �.r ivwuiEXCEn AS Nolen DTI6Rx+SEI 15.2E RE mw EARED. z.wMMLImump -AS M&IRLFACTU9XD VTilEa PPOODENUVNO MID EOLNW PER GLLLOO SPECPT/.MNN. OS sluxLESS STOPS. vmmE RN muEACE vmm TREATED LLLIRER 5*0110 TO M£A EPA PA CS LLJNIIER FRS0 TO M 511012 E' OF SON Ew+A C3 A lILT RE a'(0,15015 A— RE xuLlD PEA x05 C✓APTFA It .SEE EWSAID OEOEIGrYJxS FOR EXTERIOR WALLCOAINN:ION NY wAOB . ML E2TRUGRLOCATIONS. MID ANEl[ 51051511E LOTTE ISIS MORN, E GAMIN OPO11N 2112110 NW1DE RUT GREATER 11501010 £11410 MEN RTII°O 9114 EMOIN01 LITIELE TO 0.5221 POSIT 1EAG0s IEOIONOI 9tEc WED JUN 252026 Bayrwld Co. Planning and Zcnmp Agenc7 N(o-rav-cifti H o-kne AoLoUjoiA L _Extreme MPRRII D: Submitted WRE ii DST 06-24-2026 i Cover x+vN/N�et� 26-09-1338 E��•Extreme v +— DESIGNED: SDbmifled --- — DRAWN: WRE APPROVED: WRE ....� z � RECEIVED 0 a . ,.• JUN2520Z6 5 2026 Q 5 Aoa-ENT L - Bayfield Co. m v v E LO Planning and Zoning Agency ;a C C Living Rm Bedroom „ LL — > _ Dining Rm Bedroom BaNa\? 'ZF Deck ,. r T. 1/4" — 1'-0° - 06-24-2026 i� noa MAIN FLOOR �'—� Demolition 26-06-1338 JUN 252026 Extreme BaNeld Co. -.— ___ Pianflineind Zoning Agency DESIGNED: SubmiI AA,, V•""'" nw.WN: WRE a o WRE MechALaun . V II N/7 �= Y=•.s: ..................................................i.; `4 �.: :2 Y p asemen 'c-'., t H. F - : -.\.'\------------------- ECd= o II i ____ _________--- 7` O m == ___ 1/4 = AlI 06-24-2026 Foundation ORGN 2&x16.1338 m RCC,,EC ..t €4� � C E AJ C Extreme JUN 252026 DESIGNED: Submitted Bayfeld Co. DRAWN: WRE Planning and Zoning Agency APPROVED: we.w gym. umvwwwm WRE Q5� Y Ln W U g gg y O � . 8z _ C C LO CDD O _________ _____ ___it ______ CIL-_ 114'=1'-0' 06-24-2026 Basement Mach./Laund. Storage Bedroom r �"--"'-i Be m Ramlly Rm io.°m' ui I`�9 t j ......... am. U. .Devoe REC R'Ei. 26-06-,338 Bayfield Co. Planning and Zoning Agency extreme .,tIn .. oesloNm: Submitted ••� DMVM: WRE eretl Porch =� 1Tk�� MPRO D: WRE —� F0Y r Rd. r :_....._..I'—...._. ...._ _..._......_. C M. ero�om a_ Pdr. 2 e k nmv..i M. Bath S LIWng/Dining �......_:3 • •", r:P. Kitchen �� ........................................................... e .... to L N C v O L N cN6 U m SO E 1/4' 1-0•• nsnnenh DAtE: 06-24-2026 .emrog Nob'. Unless noted, all dimensions ere to tough framing. Main Floor t• Si - r ____ overed orch rc` S Floor Loading Specifcations for all floor framing and components Floor LL = 40psf FLoor DL= 15psf Deflection Criteria = 4480 "I ...e...„, Roof Loading Specitrations for Roof Framing Products and Components Total Load = 57psf -LL = 40 psf -DL = 17 psf -top chord =7psf - bottom chord =10 psf RECE7VE'D JUN 252025 hayfield Co. Planning and Zcaing Agency artn:„M.I le ^•"�"� to u«v+al �5.5 RIO O4E 000,mru , —:;.so : "' Cross Section �-n^ RW'NG No 26 -OE -1398 Extreme Mpflcllrpc DESIGNED'. Submitted DRAWN: WRE APPROVED: WRE Cross Section DRAWAG No. 26.06.1339 aiamfpvsgvea4.1 •wiuq namt•nmpnvep.11 55� •coat r nu..e i. I ay.p�io<w�•�°• EXLPEII12n .� � rt� 1w_v nr._ .�... L:1;I1:tI:t::2_ Pnng aAncy °�'°`� °E51GNE°� Submluea ________________DRA4: WOE D \w.d___ WRE ewpnva 7°I•• e:elµpnaia er•izi vrMr.Iea aar+aw vnewar map• s•a•un aowviw.nwa- 12 \ rrawr..,sa nrnr� wan :vnra jrc•cs ..mwr.. 70 au°mare •vnvo..oaa.a"var...v Q J (p . d a1 U n - �•• Cross Section C ta: 1 e ,• 0 0 e 2, = 1,,0 . N�..mn �, = a.a.. as :::5 .o.'a ,,.,.�aar°„a ~•dam"' .,.e. Crossf Section Scale: _ 1O L Floor Loading Roof Loading Specilcations for Specifcatlons for all floor framing and components „,., ,,,,, Roof Framing Products and Components 1/2. =1,-°. Floor LL = 40psf Z,'°\Total Load = 57psf DATE 06-24-2026 FLoor DL = 15psf .....__._F..........._......... -LL = 40 psf :.................................................. .....................-DL=17psf Deflection Criteria = L/480 Cro38 Section -top chord = 7psf ca e1 2" = 1-0" - bottom chord =10 psf Cross Section //� _ _ Sd'UC_J�.iPd-�S��'I.k '3y�_"u_�}�y��__3�jjf�� TSY{ h-•.�![y._�___ i _ _______ _ ��i�.'T {lil2 _ _ � •� 2_\__ERi_-l_-____ .ry� _ J_______ +gam+! u d..:n iYS__ ___ __________ ___ u� t_ E� a..� uaIa1. r_.�._ �i � �o � Ill illlllllll VIII IIJ ! I,I I, "IMi ;I IIII�iIP !i_�-_ V - .11.11.. I —I '.I.1LII.I1am a LI LI LI LI =`b iy � am.mteasi' / r.z iiy_=` _ :yY=t-.y-_r_Y._ y_-_ _-__:;'___+_'.-rfi_ =?.vr==v__r__r::=:sr___: i_yiy_:r= :�_=-i_?-:- ? • �r� IL -=11 -11 - y, IIIIIIII�IIIIIIIIII�IIIIIIIIII �tI * L1_ tllllllllll�lllllllllll IIIIIIIIII�IIIIIIIII6�IIIIIIIIIG � _ • ii�t __s n ______ _--_ _y__ -_ _y__y_S �S�f�Lg+�_v__S__:_y_Y__:_l._f.--r t1V Y 1S '•LY _ _':SC'!_C_rJ�J' F.JC'_3r_ ______+-C_I__ Y __ 1.M1 .d..'__ _ _ y II � I�� 111 �I I. L���I lll�����u�u����u��ullIIIIIIIIIIIIII�IIIIIIIIIIIII, I'/ ! ifav Tracy Pooler From: Tracy Pooler Sent: Wednesday, July 8, 2026 11:30 AM To: 'mrvchk@yahoo.com' Subject: Septic needs for addition - tax #22033 - 64250 moravchik lane Jeff, In looking into your proposal to add onto your dwelling I need one more item. Because of the size of this addition there is a requirement for us to investigate your septic status. I am not finding any septic information in our record starting in 1969. Because of the lack of records a septic system verification is required. (15-1-10(g)). It Looks like there was a house change/remodel per the air photos between 1961 and 1980, I do not see records that a new system was installed. Attached is a System Verification Form to be completed https://www_bayfiotdcounty wi gov/DOcumentCenterNlew/346/Se tii�c-System-Inspection-Form by a septic inspector or master plumber https://www bavfietdcouniy wi gov/DocumentCenterNiew/16863/Contractor-List Tracy Pooler - AZA Planning and Zoning Department 117 E 5th Street, PO Box 58 Washburn, WI 54891 Phone: 715-373-3512 Fax: 715-373-0114 Email: tr8cy pooler@bayfieldcounty w v XFIELD Fraudulent Bitting Alert: Be aware that individuals submitting applications to our department have received scam emails. Bayfield Countywitl NOT ask applicants to wire any funds. Please contact our office atzpjiing@beyfIeLdcounty.wi.gov or 715 373-6138 with any questions or concerns. Tracy Pooler From: Tracy Pooler Sent: Thursday, July 9, 2026 10:36 AM To: 'Jeff Moravchik' Subject: RE: Septic needs for addition - tax #22033 - 64250 moravchik lane Attachments: 20260709102127287_APPLICATION FOR PERMIT.pdf; 20260709101344375_State and County.pdf Jeff, I looked for any permits for John Maslek and Dale Nixon. Attached are two copies of permits that I can find. The land use indicated that it was in section 31, but looking at the map, I believe that this is your structure in section 32. The planned septic install in 1977 was for 1 bedroom. With the 3 bedrooms planned, by ordinance the septic needs to be addressed to handle the added septic load before I can issue the Land Use Permit for the dwelling. Tracy Pooler - AZA Planning and Zoning Department 117 E 5th Street, PO Box 58 Washburn, WI 54891 Phone: 715-373-3512 Fax: 715-373-0114 Email: tracy.pooler@bayfi_ le�county.wi.gov B-kYFJ 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 zojiIngebayfieldcounty wi gov or 715 373-6138 with any questions or concerns. From: Tracy Pooler Sent: Thursday, July 9, 2026 9:33 AM To: 'Jeff Moravchik' <mrvchk@yahoo.com> Subject: RE: Septic needs for addition - tax #22033-64250 moravchik lane Jeff, With that time frame I will try to find it another way Tracy Pooler - AZA Planning and Zoning Department 117 E 5th Street, PO Box 58 Washburn, WI 54891 Phone: 715-373-3512 Fax: 715-373-0114 Email: ttaypooler@baylleUcoijnty1wLgov B'YFIELD 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 zonin abayfieldcounty.wi.gov or 715 373-6138 with any questions or concerns. From: Jeff Moravchik <mrvchk@yahoo.com> Sent: Wednesday, July 8, 2026 11:32 PM To: Tracy Pooler <trace.pooler@bayfieldcounty.wi.gov> Subject: Re: Septic needs for addition - tax #22033 - 64250 moravchik lane Yes I know this house was built in the 80s brand new the old house was below this house and was later removed. The septic was put in new then I know since I grew up next door to here. So just let me know what I need ok Jeff Sent from my iPhone On Jul 8, 2026, at 11:30 AM, Tracy Pooler <tracy..pooler@bayfj AC-Qwlty,wi.2ov> wrote: Jeff, In looking into your proposal to add onto your dwelling I need one more item. Because of the size of this addition there is a requirement for us to investigate your septic status. I am not finding any septic information in our record starting in 1969. Because of the lack of records a septic system verification is required. (15-1-10(g)). It looks like there was a house change/remodel per the air photos between 1961 and 1980, I do not see records that a new system was installed. Attached is a System Verification Form to be completed https://www.bay[jeLdcounty wi gov/DocumentCenterNiew/346/Se t�System- Inspection-Form by a septic inspector or master plumber https://www. baldieldcou niy.wi.gov/DocumentCenterNiew/16863/Contractor-List Tracy Pooler - AZA Planning and Zoning Department 117 E 5th Street, PO Box 58 Washburn, WI 54891 Phone: 715-373-3512 Fax: 715-373-0114 Email: tracy.pooler@bavfieldcountv.wi.gov <image001.png> Fraudulent BitlingAlert: 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 zoni @tayfLeWco niv_wi. ov or 715 373-6138 with any questions or concerns. Tracy Pooler From: Tracy Pooler Sent: Monday, July 13, 2026 8:40 AM To: 'Jeff Moravchik' Subject: RE: Septic needs for addition - tax #22033 - 64250 moravchik lane Jeff, There are a couple options: • Provide plans and new Land Use Permit Application page #1, that declare that there are 2 bedrooms in the house. • You may file for a Flows and Loads Affidavit in which a document is recorded upon the property that there are 3 bedrooms in the house, but it only has the capacity and will only occupy the density of 2 bedrooms (4 people). https://www.baldiel county.wi.gov/DocumentCenter/View/ 34LFlows Loads- Affidavit?bides • Get permits and install a new septic system with the minimum capacity of 3 bedrooms Tracy Pooler - AZA Planning and Zoning Department 117 E 5th Street, PO Box 58 Washburn, WI 54891 Phone: 715-373-3512 Fax: 715-373-0114 Email: traces po2er®bayfieldcounty.wi.gov YFIELD 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(o)bayfieldcounty.wi.gov or 715 373-6138 with any questions or concerns. From: Jeff Moravchik <mrvchk@yahoo.com> Sent: Thursday, July 9, 2026 9:35 PM To: Tracy Pooler <tracy.pooler@bayfieldcounty.wi.gov> Subject: Re: Septic needs for addition - tax #22033-64250 moravchik lane Yes that's the property good work!! I'm in the same house he built alway had 3 bedrooms. But only John and his wife lived here Were same just my wife and I living here but I do understand the rules why we didn't add any bedrooms. So let me know what I need to do ok appreciated. My cell is 715-209-0834 if u need me Jeff Sentfrom my iPhone On Jul 9, 2026, at 10:36 AM, Tracy Pooler<tracy.pooter@bayfieldcountywiVgov> wrote: Jeff, I Looked for any permits forJohn Maslek and Dale Nixon. Attached are two copies of permits that I can find. The Land use indicated that it was in section 31, but looking at the map, I believe that this is your structure in section 32. The planned septic install in 1977 was for 1 bedroom. With the 3 bedrooms planned, by ordinance the septic needs to be addressed to handle the added septic load before I can issue the Land Use Permit for the dwelling. Tracy Pooler- AZA Planning and Zoning Department 117 E 5th Street, PO Box 58 Washburn, WI 54891 Phone: 715-373-3512 Fax: 715-373-0114 Email: tracery.nooler@bavfieldcounty.wi.. ov <image001.png> 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.govor715373-6138 with any questions or concerns. From: Tracy Pooler Sent: Thursday, July 9, 2026 9:33 AM To: 'Jeff Moravchik' <mrvchk@yahoo.com> Subject: RE: Septic needs for addition - tax #22033-64250 moravchik lane Jeff, With that time frame I will tryto find it another way Tracy Pooler- AZA Planning and Zoning Department 117 E 5th Street, PO Box 58 Washburn, WI 54891 Phone: 715-373-3512 Fax: 715-373-0114 Email: troy.poo1er@ia?ieldcou0ly.wLgov <image001.png> 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@b e1de9smty.w goy or 715 373-6138 with any questions or concerns. From: Jeff Moravchik <mrvchk@vahoo.com> Sent: Wednesday, July 8, 2026 11:32 PM To: Tracy Pooler <trace.Pooler@bayfieldcounty.wi.eov> Subject: Re: Septic needs for addition - tax #22033-64250 moravchik lane Yes I know this house was built in the 80s brand new the old house was below this house and was later removed. The septic was put in new then I know since I grew up next door to here. So just let me know what I need ok Jeff Sent from my iPhone On Jul 8, 2026, at 11:30 AM, Tracy Pooler <tacy. o�@bavfieldcounty.wi.guv> wrote: Jeff, In looking into your proposal to add onto your dwelling I need one more item. Because of the size of this addition there is a requirement for us to investigate your septic status. I am not finding any septic information in our record starting in 1969. Because of the lack of records a septic system verification is required. (15-1-10(g)). It looks like there was a house change/remodel per the air photos between 1961 and 1980, I do not see records that a new system was installed. Attached is a System Verification Form to be completed https://www.bavfie dcounty.wi.gov/DocumentCenter/View/3461_Sept c- System -Inspection -Form by a septic inspector or master plumber https://.bayfieldcountv.wi.gov/DocumentCenterNiew/16863/Contract or -List Tracy Pooler - AZA Planning and Zoning Department 117 E 5th Street, PO Box 58 Washburn, WI 54891 Phone: 715-373-3512 Fax:715-373-0114 Email: treCy.p_ooler bayfieldcountv_wLgov <image0ol.png> Fraudulent Billing Alert: Be aware that individuals submitting applications to our department have received scam emails. Bayfield County will NOT ask applicants to wire anyfunds. Please contact our office at zQn1ngbyfleWcntywLgQv or 715 373-6138 with any questions or concerns. <20260709102127287_APPLICATION FOR PERMIT.pdf> <20260709101344375_State and County.pdf> olarr„o N3 26.061338 EIS/ . rr-..I Extrnme oaiu rr..lwr IRS ED: Submtod f A fxStraHCut *r • .mnCAi TI r DRAWN WRE i` Q• WRE ••-••••• IS.., >' .r �>. l(Elf Al AWll A wAlPS Nll A eea(}gb>edaan��ube.wb _ (( �Yf9L 7i♦.iL MChJ1Lu1d. Bath Storage - U) Bedroom - Family <. Rm Stofago V trnllwf.«rwE 1/4" • COTE 06.24-2028 Basement I Tracy Pooler From: Jeff Moravchik <mrvchk@yahoo.com> Sent: Wednesday, July 15, 2026 7:51 AM To: Tracy Pooler Subject: Re: Septic needs for addition - tax #22033 - 64250 moravchik lane Good morning please see plans for 2 bedrooms first floor the sa a one bedroon asement one bedroom Sent from my iPhone On Jul 14, 2026, at 11:14 AM, Tracy Pooler<tracy.pooler@bayfieldcounty.wi.gov> wrote: Jeff, Is not for me to have an opinion. If it is only the 2 of you and do not plan to sleep in more than 2 bedrooms — go option 1 If its ma -pa and 2 kids and the desire is for each child to have their own room — go option 2 I there are a number of individuals with lengthy stays or larger families than 4 individuals — go option 3 It may not affect you currently but future family dynamics and at the time of sale to others it is a strong discussion point. Tracy Pooler - AZA Planning and Zoning Department 117 E 5th Street, PO Box 58 Washburn, WI 54891 Phone: 715-373-3512 Fax: 715-373-0114 Email: tracy.pooler@bavfieldcounty wi gov <image001.png> 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@ba fjdiieldcounty.wi.gov or 715 373-6138 with any questions or concerns. APPLICATION FOR PERMIT BAYFIELD COUNTY, WISCONSIN Application No. Date --- -/s/_ 7 7 --------- Zoning Dist. Cc'c'rl taLfwtr�/__ LAND USE ❑ SANITARY © WELL ❑ CONDITIONAL ❑ Land: of 3� t ___-__-- T. ______N. R. --------W. Town of __ ���/, = v of Sec. Name -------- `1 D_h-b--- AA_10.K-------------- Contractor -- ---------------------------------- Address --------- £:r_i1iQ.SLrirW_SC--------- Plumber ----_---------------------------------- Telephone------------2Ylr = 2YJJ------------------- Well Driller -- ---------------------------------- CONSTRUCTION (See Reverse Side) Structure — New --------------Addition -------------- No of Stories __________________________________ Basement — Yes ----------------- No ---------------- Sq. Feet of Floor Space _________________________ Est. Cost of Const. Structure Use ------------------------------------------------------------- Ittea'vlence. Garage, Storage. Uruuxbie. tavern, Etc.! Sanitary — Septic Tank & Disposal Field _________________Privy ----------------- Holding Tank _________________ Remarks: --------------------------------------------------- -------------------------------------------- -------------------------------------------------------------------------------------------------------- Fee:---------------,=---------------------------Amount Paid: Note: Submit completed application and fee to: Zoning Administrator, Courthouse, Washburn, WI. 54891. Do not start construction until all permits have been received by the applicant. Changes in plans mist be ap- proved by the Zoning Administrator. A permit may be revoked if misrepresentation of any of the infor- mation conveyed herewith is found to exist. Owner (or Agent) ------------------------------------------ Address-------------------- --------------------------------------- - OFFICE USE ONLY — Permit Issued: State Tank No. _______o3Lg Date ______� _a�._ �____ Permit No. - 7____.- Permit Denied (Date) ------------------------ Reasonfor denial:---------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------- ------------------------------------------------------------ Appealed ---------- Appeal No. ------------ Inspection Record: -------------------------------------- By-ftCt.__ Date A_ j4 }L't1 1 --- Variance--------------------------------------------------------- - Condition --------------------------------------------------Signed: _ :_!?; _eP ----------------- Zoning Atlmin b[rator 1. Using the frontage road as a guideline, fill in the lot dimensions and indicate North (N). 2. Show the aproximabe location and size of the building. 3. Show the location of the well, septic tank, and drain field. 4. Show the location of any lake, river or stream if applicable. 5. Show dimensions in feet on the following: a. building to all lot lines .b. building to centerline of road c. building to lake, river, or stream d. septic tank to closest lot line e. septic tank to building f. septic tank to well g. septic tank to lake, river, or stream h. drain field to closest lot line i. drain field to building j. drain field to well k. drain field to lake, river, or stream 1. well to building Tu )j Lot Line /Th f 11 e N tlk e Frontage Road I:-' O 9 Indicate whether or not the following locations are staked: Structure. . . . Yes _ __ No_._____ Drain Field . . . Yes_,�'�_ No Septic Tank . . . Yes - -- No Well . . . . . Yes_, _ No • WISCONSIN DEPARTMENT OF HEALTH AND SOCL L SERVICES . lj 'DIVISION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH P.O.BOX 3013 MADISON, WISCONSIN 53701 REPORT ON SOIL BORINGS AND PERCOLATION TESTS CATION Y., - jC, Section. i14J R E (or)/ Township or Municipality No. Block No < ... County Subdivision Na . -ter's Name: -� �. "�,/ .r/. ,j v.�'� r ling Address: /'.: -.• • . 'E OF OCCUPANCY: :Residence '+` No: of Bedrooms Other :LUENT DISPOSAL SYSTEM NEW ADD171ON REPLACEMENT_____________ fES OBSERVATIONS MADE SOIL' BORINGS' '�' '� *'` = .� PERCOLATION TESTS 'j ' "7 L MAP SHEET__' 1 f?] c . SOIL 7 YPE fir:.' ' _ PERCOLATION TESTS ST DEPTH CHARACTER OF SOIL HOURS ,- WATER IN TEST TIME DROP IN WATER LEVEL, INCHES M- INCHES THICKNESS IN INCHES SINCE HOLE HOLE AFTER INTERVAL RATE PERIOD 1 PERIOD 2 PERIOD 3 1ST WETTED SWELLING IN MINUTES MIN/IN / rl X SOIL BORING TESTS EST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, INCHES OBSERVED ESTIMATED HIGHEST MBER INCHES (DEPTH TO BEDROCK IF OBSERVED) • •, --- •�� 72' mo+%• tI ' rI -- . r 1 .. ' r^- - PLAN VIEW (Locate percolation tests,soil bore holes and suitable soil areas.) Indicate on the plan the location and square feet of suitable areas. Indicate number of square feet of absorption area needed for building type and occupancy. Indicate scale or distances. Give reference point. Indicate slope. ' oernu�®gym® I RrR R®..®®. ■NOMM■■®■■®®®®®®MEM E■®®®®® ■n®®®EE®NEMEEN a =ENE®®®■ • the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures ,; md•methods specified in the Wisconsin Administrative Code, and that the data recorded and location of test holes are correct`: ,.. o the best of my knowledge and belief ' r 4ame (print) . r rr ,.s-,4 S )4'4'Y2 }Signature ertification No . > •; e ofinstaller if '�"` 'f � —M-:..,sr 7 '•, C Local Authority; „� } i� xJ`."a. JY<!i S Y C�" 1a I ~~ •<: ^ 4 '.. �'� ",V11 7` (�` �'' yr �0•. ' ....y r• h �.3f;s f: +ol)g3 �� 4 '� t �5� .f'k � 1�' ^ :'.%•'? .J Y`CM: R N�.i y J I . 6 7 State and County Slate Permit -- Permit Application County Per for Private Domestic Sewage Systems County 4 NOTES STATE APPROVAL REQUIRED Approval Received from State if Required State Plan 1.0. OWNER OF PROPERTY Mailing Address: / 11sLeJ< R.≥_M,sciVWIs �c h LOCATION: , Y '/., Section car. , T N, R E (or) W Lot# City nearest road, lake or landmark BIk# Village Subdivision Name, Township j C,r44 ifo 11eL TYPE OF OCCUPANCY: Commercial Industrial 'Other (specify) -variance Single family . Duplex No. of Bedrooms .2— No. of Persons t� TYPE OF APPLIANCES: Dishwasher YES __�_NO Food Waste Grinder YES NO # of Bathrooms Automatic Washer _YES ......X..NO Other (specify) SEPTId TANK CAPACITY Total gallons No. of tanks /_ 'Holding tank capacity _-Total gallons No. of tanks New Installation Addition Replacement Prefab Concrete . 'Poured in Place Steel Other (specify) EFFLUENT DISPOSAL SYSTEM: Percolation Rate 1) _ 2) 3) Total Absorb Area sq. ft. New Addition Replacement 'Fill ••System No. of Trenches Seepage Trench: No. Lin. Feet Width Depth Tile Depth,=-, Seepage Bed: Length rjS Width _/ Depth _- Tile Depth_ ) No. - of Lines � Seepage Pit: Inside diameter Liquid Depth_ Tile Size 'V Percent slope of land___________________Distance from critical slope .—•r ti the undersigned, do hereby certify that the information I have reported is in accord with Section H62.20, isconsin Administrative Code, and that I have sized the effluent disposal system from the EH -115 prepared the Certified Soil Tester, •.r AME _r = C.S.7. # J •O L and other information stained from caner/builder), c�-�r� > MP/MPRSW# Phone # 7 b/ �� L umber's Signature lumber's Address PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord witn H62.20, including well). I .- . !. 1 / ni::1 ii IZc� _jaa _ 1C' Ew o Not Write in • Space Below - FOR DEPARTMENT USE ONLY -ate of Application .) 3�7x Fees Paid: State County _ Date__ 'ermit Issued/Rejected (date) Issuing Agent Name Valid# Date Rec'd— tspection Yes No W 153701 county (white copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, '.state (pink copy) 4. plumber (canary copy) Revised Date 6/1!76 - '� yc. ..t .� , .�. - - � � a. i; y;•,y:I fl r' Y+ • •'N � ' Y'rf yak I a . w 1 1a f�^ ' i l sr = t i `i `•3 1 %J � !' L r r� 'r { > ≥. :: =" + y" #'•.... j:' � s.. y :J TL : C; t *.r .JLr { ..3`,~4.,-'+�,.. ci-. •sly t• :.. yy�� �•px�!7. *• s P- •-•Sv.r rt:a�,�.:, +•;:.' r, x. .. �_,�; :x.r :• �f _,. .r_: �x1 . a% .t;:• j,:. ' .r;^�• /,•" r: ,�. yr-rr .s . . r' - ,� .-G i.:i �, .(•kS�•, f11 'j rh..r� •i : fir. S ,�• .,,� ""'s a,. �3%• •i S ... •.l f 'r �: •r :...;' Aft.+.'� : i-r:i • • S l:f•S��tl::i••s�:.p ei9r -. s.l :.,.:.y.,•.i.. �.. 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"•,.y{�T �!{,yj. � :F +'SE' .. f :"� : � `'"' , ,r•:F .aN. ?• 71.% i:r nt.: AI t?r ,� .:. '«.a 4'3'R•'• c !;j' yS ' :}:3 . �� &J at ui ••k:E {` J /�`•A li :.}�"Il n.9••%N'WG's :a�-d Y.i f.•' r .a' •'::7 �" 9� f�• La .�'�I •�• {" k • a�{ iYi•�y� wry(`,E, q/��%% .1� F1�RS .3.. JI H.� _�.C: <•'1 T : t[^ Q'�y y• ..t. Sr•. ? 4 .�„y M} f�'�j. 1 t♦• t .�.� •Y.�! j� >•>•1 .l•.'L"�H•• J A i%•':ykf XC K1'f:•:r 1 e... j ' yi .�•Tw q'.�af i..•% JR'• !r.• . : • � E r.ry r }..Sj wsy. �, r,/ +�' :• • z r j- + '•�"' _7"'.: _ ' 2• 1•" .. i'. 4. •.4 ate.• �"-' f•.. �• ?yir...x . .., }::'r .J L•jxv -ar 1,..i J r: �_ i. }aE :• (. : Ir1: y •F BAYFIELD COUNTY, WISCONSIN Office of Zoning Administrator Washburn, Wisconsin 54891 David K. Lee Zoning Administrator May 4, 1977 Edward Sechen Rt. 2 Mason, Ws. 54856 Dear Mr. Sechen; Telephone: 715-373-2392 715-373-2878 I'm returning the Plb.67 form you submitted for the proposed John Maslak sanitary system because an error has been made in the sizing of this system. According to the Wisconsin Administrative Code H.62-20 the perculation class 2 seepage bed requires 315 square feet per bedroom. For this dwelling 630 square feet of seepage bed must be provided rather than the 5oo square feet you indicated. Also be sure and include on your sketch the area of the alternate site and please use the recommended scale of 1 inch equals 40 feet and draw in that sketch. Forgive the delay in processing this application but close attention must be given to accuracy. Thank you for your co-operation. Sincerely, vtd)� David K. Tee" Zoning Administrator DKL/lb Bayfield County, WI ;ca J=FR. E' ha1 & SARAH L MORA.CHIK Ti.: Dk 2233? 665,,3:1 PM Novus-Wisconsin Access rev. 12.0206 reai Estate Bayfield County Property Listing Property Status: Current Today's Date: 7/6/2026 Created On: 3/15/2006 1:15:40 PM 9 Description Updated: 12/22/2021 Tax ID: 22033 PIN: 04-028-2-47-06-32-3 03-000-20000 Legacy PIN: 028103106990 Map ID: Municipality: (028) TOWN OF KEYSTONE STR: S32 T47N RO6W Description: N 1/2 SW SW IN V.883 8513 IM 2004R- 489172 Recorded Acres: 20.000 Calculated Acres: 19.885 Lottery Claims: 1 First Dollar: Yes Zoning: (AG -1) Agricultural -1 ESN: 120 �V Tax Districts Updated: 3/15/2006 1 STATE 04 COUNTY 028 TOWN OF KEYSTONE 020170 ASHLAND SCHOOL 001700 TECHNICAL COLLEGE Recorded Documents Updated: 3/15/2006 ® CONVERSION Date Recorded: 489172 883-513 .32 Ownership Updated: 12/22/2021 JEFFREY M & SARAH L MORAVCHIK MASON WI Billing Address: Mailing Address: JEFFREY M & SARAH L JEFFREY M & SARAH L MORAVCHIK MORAVCHIK 64250 MORAVCHIK LN 64250 MORAVCHIK LN MASON WI 54856 MASON WI 54856 P Site Address * indicates Private Road 64250 MORAVCHIK LN MASON 54856 Property Assessment Updated: 6/9/2026 2026 Assessment Detail Code Acres Land Imp. G4 -AGRICULTURAL 18.000 3,600 0 G7 -OTHER 2.000 12,000 199,000 2 -Year Comparison 2025 2026 Change Land: 15,300 15,600 2.0% Improved: 199,000 199,000 0.0% Total: 214,300 214,600 0.1% W Property History N/A 711 //� ,/ https://novus.bayfieldcounty.wi.gov/access/master.asp?paprpid=22033 111 s _ , Land Use Permit Application Review Checklist 'Submission#: Z3 tG What zoning district is the project located in? ❑R-1 ❑R-2 ❑R-3 ❑R-4 OR-RB ❑C ❑1 0M1 ❑A-2 ❑F-1 ❑F-2 ❑W DM -M ❑ Yes saiio Is lot substandard (does not meet current zoning dimensional requirements)? Deed of record: ❑ Yes 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 2 -No Is the project located in the Floodplain? Zone: ❑ Yes No Are there wetlands on the property? ❑ Yes o Is project associated with a nonconforming use or structure? ❑ Yes Ilo Is project associated with a variance? Case #: ❑ Yes io Is project associated with a Special B or Conditional Use Permit? Permit #: ❑ Yes No Is the project associated with a Special A Use Permit? es ❑ No Does the project require sanitary? JJESiisting 0 New 0 Intercept 0 Reconnect 0 Non -Plumbing 0 Public Sanitary Permit #: # of Bedrooms: /Z ❑ Yes , 'No 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 dNo Did applicant/property owner mark lot line(s), if project is within 30 feet of required setback? Project use is? Residential 0 Commercial 0 Municipal Project type is? ❑ New Construction Addition/Alteration 0 Change Use 0 Relocate 0 RV Placement 0 Sign ❑ Establishing a Business 0 Temporary 0 Shoreland Grading ❑ Other, describe: Structure Type ivdResidence 0 Principal Structure 0 Accessory Structure 0 Boathouse (one story only) ❑ Open-sided/Screened Structure (gazebo, etc.) 0 Stairway to navigable waters ❑ Mobile Home ❑ Shipping Container 0 Other, describe Total Sq. Ft. of Project: A. Number of Stories: 1 Overall Height: Fee Type Calculation Fee Amount Habitable Residential Principal and Accessory tructures - Enclosed Areas — all enclosed areas within dwelling except attached non -habitable garages $0.50 x /9 2 sq ft (minimum $125) $ ❑ Dwelling Unenclosed Areas (decks, patios, etc.) or Attached Non -Habitable Garages $0.20 x �j'� sq ft (minimum $125) $ b KO ❑ Non -Habitable Residential Principal and Accessory Structures $0.20 x sq ft (minimum $75) $ ❑ Commercial Principal Structures $250 + $0.005 x cost of construction (minimum $250) $ ❑ Commercial Accessory Structures $150 + $0.005 x cost of construction (minimum $150) $ ❑ Municipal Principal and Accessory Structures n/a $0 (exempt from fees) ❑ Return Inspection ❑ Land Use Revisions ❑ Special Use Permit - Class A 0 Floodplain 0 Shoreland - Impervious Surface ❑ Shoreland - Non -Conforming, etc. 0 Tower Siting/Collocation 1 0 Tower Collocation 2 0 Metallic Mine ❑ After -the -Fact (ATF) I $ M Inspected by: Date of Inspecti�: 7 Re -Inspected by: Date of Re -Inspection: Denied by: Date of Denial: Reason for Denial: Date Denial Letter Mail Approved by. Date of Approval: Condition(s): ❑ Must meet and maintain setbacks from furthest extension of structure including eaves and overhangs. ❑ For personal storage only. ,Efor personal residence only. for human habitation or sleeping purposes. To n/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. ❑ 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. ,afbe 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 lumbing 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: K: Applications and Forms/Applications/Land Use/Updated 2/25/2026 mdk AYFIELD 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: MORAVCHIK, JEFFREY M & SARAH L LU-02390 64250 MORAVCHIK LN MASON, WI 54856 Transaction Number: LU-02390-491DB Description Amount Habitable Residential Principal & Accessory $520.00 Structures - enclosed areas $0.50/square foot (minimum $125) Habitable Residential Principal Structure - $166.40 unenclosed area or non -habitable garage $0.20/square foot (minimum $125) Total: $686.40 Payment Amount: $702.74 Reference: 7320217595 Paid by: Jeff Moravchik Payment Type: Credit Card Transaction Date: 7/16/2026 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 / Wetlands — No Mitigation — No / Affidavit #: LAND USE - X SANITARY - Existing 6367 SPECIAL A - SPECIAL B/CONDITIONAL - BOA - BAYFIELD COUNTY PERMIT WEATHERIZE AND POST THIS PERMIT ON THE PREMISES DURING CONSTRUCTION No. 26-0340 Tax ID: 22033 Issued To: MORAVCHIK, JEFFREY M & SARAH L Location: S32 - T47N - R06W Town of Keystone Legal Description: N 1/2 SW SW IN V.883 P.513 IM 2004R-489172 Residential Structure in A-1 zoning district For: Addition/Alteration [2 - Story ], Residence on a Walkout Basement [1872 Total sq. ft. ] Height of 20' (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 Tracy Pooler work or land use has not begun. Authorized Issuing Official 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. July 16, 2026 This permit may be void or revoked if any performance conditions are not Date completed or if any prohibitory conditions are violated. Condition(s): For personal residence only. 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. To be constructed per plan. No additional sleeping areas allowed without obtaining necessary sanitary permit(s).