HomeMy WebLinkAbout26-0360Return to: County Use Only:
117 E 5th Street, PO Box 58 Bayfield County Planning and Zoning Department Submission #: Ll)-0 9
Washburn, WI 54891 LAND USE PERMIT APPLICATION Permit #: b, O 7 O
permits(Ebavfieldcounty.wi.gov Date:
Property Owner Name: Authorized Agent Name (if applicable):
Robert Gallik JR Brodie Zar
Telephone Number: Telephone Number:
715-209-7871
E -Mail Address: E -Mail Address:
Mailing Address:
Mailing s
709 CRESTED FERN LN
50181 St Hwy 13
City, State, Zip:
City, State, Zip:
Hoover, AL 35244
Ashland, WI, 54806
Dykstra Construction
Project Address (if different from mailing address):
65560 County Hwy E Mason, WI 54856
Legal Description (if additional space is needed attach a separate sheet):
SW NW IN V.1008 P.106 208
Section, Township, Range: $30 T47N R06W Town of: Keystone
Tax ID #: 21991 1 Lot Size (Acres/Square Feet): 4032 1
Project Use is: H Residential ❑ Commercial ❑ Municipal If Commercial, estimated cost of construction: $
Project Type is: H New 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):
SECTION D: Structure Information (Does not apply to RVs and Signs, go to Section E
Structure Type is: ❑ Residence ❑ Principal Structure (describe):
El Accessory Structure (describe): ❑ Shoreland Exempt Structure (describe): ❑ Mobile Home (jCEIMhjhed
36x40' Detached Garage date):
❑ Shipping Container O Other (describe): JUL 0 9 2026
Foundation Type: nelc La.
Planning and Zoning Agency
❑ Basement ❑ Walkout Basement O Slab ❑ Crawlspace ❑ Ground ❑ Skids O Other (explain):
Proposed Structure (Provide Sq Ft based on outside dimensions,
areas,
Basement Sq Ft: 11# Floor Sq Ft: I Loft Sq Ft: 1 2°° Floor Sq Ft: 131° Floor Sq Ft:
Garage Sq Ft: Porch Sq Ft: Deck Sq Ft: Other Sq Ft (describe): Other Sq Ft (describe):
1440
Total Sq Ft: 744o Overall Height (finished grade to peak): 19'
# of Stories: 1 I Existing # of Bedrooms on property: 0 Proposed # of Bedrooms in project: 0
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 I & 2 of Land Use Permit Application
Information for information that is required to be provided on site plan)
Show location of:
Driveways f$L Frontage Roads (include name) ❑ Existing Structures Well (W) ❑ Septic Tank (Si') ❑ Drain Field (DF)
Holding Tank (HT) ❑ Privy (P) ❑
Lake 0 River OStream/Creek ❑Pond ❑Floodplain ❑Wetlands ❑Slopes over 20%
XT
=xz—
I,
is It
, _ ek r 1Wt"
wc ru.0 u< rt.. Ofl t� Silt snx
L21'
,-'
LI ROB>Y T. D GALC J R
21991
�JE-
O
k 4K�
Setback or distance from furthest extent of structure
County Use Only
including eaves and overhangs to (include on site plan):
verified setbacks
Road Centerline
pCj ft.
ft.
Notes/Comments:
Front Lot Line/Right-of-Way
3L3 ft.
ft.
Side Lot Line 1
/ i IF ft.
ft.
(Northg South West, circle one)
@T
Side Lot Line 2
,2. j ft.
ft.
(North East South circle one
JUL 0 9 2026
Rear Lot Line
9 7 ft.
ft.
Tank
ft.
ft.
Septic/Holding
SaYfiek Co.
Plenningand Zoningggen
Drainfield
ft.
ft.
Privy
IL.
R.
Well
2.0 ft.
ft.
Existing Structure/Building
ft.
ft.
Wetland
ft.
ft.
Elevation of Floodplain
ft.
ft.
Ordinary High -Water Mark (OHWM)
ft.
ft.
Other (describe)
ft.
ft.
Application Page 2
S CTION C: Additional Questions
kYes
❑ 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
o
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
o
Is there an existing sanitary system on the property? If yes, what kind?
0 Drainfield ❑ Holding Tank ❑ Municipal/Public ❑ Other (describe):
❑ Yes
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 ❑ Other (describe):
O Yes
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:
O Rezone O Class A Special Use O Class B Special Use O Conditional Use ❑ Variance
Fee payment will be made via:
Check (attached) 0 Cash (attached) ❑ debit/credit/echeck (department to call once payment is ready to be taken)
ow would you like to receive your permit card?
❑ Mail to: OR Email to:
❑ Property Owner Address $ Agent Address O Contractor Address ❑ Other (provide name and email or address):
*Include eaves, overhangs, sanitary system, and well in staking measurements
Section A: Acknowledgement and Signature
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. The new construction a4ytyp,fa ily
dwellings requires review and approval by the local Uniform Dwelling Code (UDC) authority. Additions an a one -
and two-family dwellings may require review and approval by the UDC authority. All municipalities are required to enforce the
UDC. UU 09 OZ6
If subject property is part of a Condominium Plat, applicant hereby certifies and represents that applicpl#,h%" 99ary
coin
approvals and recorded documents required to complete the project for which this permit is sought including requirh@IWforth
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.gov/tooic/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.
4 ty 2e'r
Owner(s) or Authorized Agent Printed Name: LJtJ
�'
7����d�/ Date: 26
Owner(s) or Authorized Agent Signature:
NOTES:
1. 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
fljtsii*
CONSTRUCTION Inc.
6-30-2026
New Home
Rob Gallik
Tax ID: 21991
7860 US Hwy 2 - Iron River WI 54847
(715) 682-9599
Info@dykstraconstructioninc.com
RECEIVED
JUL 092026
Bayfield Co.
Planning and Zoning Agency
I, Rob Gallik, give Tim Dykstra & Dykstra Construction Inc., the
authority to sign permit documents, on my behalf, for the duration of the
Gallik project
Rao Jun 39. 20Z 0953.07 COL
Client Name
30/06/2026
Date
4fl �Op}WJ.NO 9y@9
Fo
BUILDERS •N ABC Arrow
ASSCCIA11ON BBB° n"BUILBI® lm)?
2026 - Authorize to Sign
Final Audit Report 2026-06-30
Created:
2026-06-30
By:
Brodie Zar (bzar@no2septic.com)
Status:
Signed
Transaction ID:
CBJCHBCAABAAcoIVAhe197bgF-usOge54ezRa6Laa9mg
"2026 - Authorize to Sign" History
tJi Document created by Brodie Zar (bzar@no2septic.com)
2026-06-30 - 2:33:43 PM GMT
E Document emailed to Rob Gallik (rgallik@tameron.com) for signature
2026-06-30 - 2:33:47 PM GMT
ti Email viewed by Rob Gallik (rgallik@tameron.com)
2026-06-30 - 2:52:43 PM GMT
6o Document e -signed by Rob Gallik (rgallik@tameron.com)
Signature Date: 2026-06-30 - 2:53:07 PM GMT - Time Source: server - Signature Appearance Selected: MOBILE_DRAW
o Agreement completed.
2026-06-30 - 2:53:07 PM GMT
JUL 092025
Sayfield Co.
Planning and Zoning Agency
Adobe Acrobat Sign
ESIDENCE
TBD COLLNTY RD £ MASON WI 54856
ALL WORK LI Doer rearowmw
ACCORCNNLI WIIN TNCST TLBWLDIS.G.
%(W EIAG. RLC A(LLL. AND 10440 COOLS
QMRLNRY IN (I)ICE.
ALLREQYIRL9 BUILDING PERMITS WILL BE
OBTAINED BY RIG! OWNER AND/OR THE
CONRACTOR AND MUESE POSIN AT THE
JOB Sm.
CCW TRACTOR IS RLIroNARLE FOR
VIOInES ALL CONTRACT OOLIWOSTS FOR
AcOSCYRTORE PRIXLLOINR WITH
CONSTROCIION.
ALL MATERIALS, SR%LIU, AND ECYRNINT
SHALL BE INSTALLED AS PER MNJUP.
SPECIEICATSONS AND AS PER USUAL CODES
CONDmONS AT 1HIJOBSIfE
ALL PROPERTY LINES ARE ASSUASW UNLESS A
CLRTIUW SURVEY MAP HAS VLW PROVIDED
FOR Slit PROPERTY.
ALL BUILDING SETNCKS ARE MEASURED
FROM 114! (SW LIKE OFIHEBURDING
MECONTGCTOR Y TO TNK ALL UTILITY
LOSES VLRRICO BYENI APPROFRGrt
UTILITY LOGRAG SIRVIa. TNT
CONTRACTOR SHALL BE RESPONSIBLE DO
YAW A LOCATE DOW! PRIOR TO BRMESNG
GROUND.
PROVIDE A MINIMUM OF 2% DRAANOE SLOP'
ARwY ROM THE ENTIRE P£RPICRR OF THE
BUILDING.
ALL LRISWSG SwtDDSG DIMENSIONS MUST
BE FIELD W WRED LWNDI APPLIGBm.
SCALING OPDUAWINGS. CONTRACTOR(S)TO
WRIFVSLL DIMENSIONS PRIOR TO
CONSRUCRON.
TAWLICABLI. THE FIRE MTAGOF WALLS
ANOCEILIM'J MUSTS! MAWTAERCO STRING
ALL INSTALLED FIXTURES CHAIN UNITS.
V.WIRQ. CULIIM FANS. ELECTRICAL BORES,
IXNAUST FANS. ETC.)
CONRACTOR TO (RHO? R.O. RTpSIREMMIT
FOR WINDOWS O TKIIRIOR DOORS WITH
WINDOW M MAFACRMLR PRIOR TO
ORDERING,
RERREAC:E PLANS, ELEYARONS AND/OR
SWFNG,.
PREPARED FOR:
ROBERTE LALLRILGALLIIC
TRV COLLNTY RD E
MASON, WI 54856
a si I v _ L ■ : IIC;t1�7L11J'
JUL 092028
Dayfield Co.
Planning and Zoning Agency
SHEET INDEX
TITLE SHEET
FOW OArION Er ROOF PLANS
FLOOR PLAN
ELEVATIONS
SECTION 6 DETAILS
GARAGE DETAILS
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NORM ELEVATION
SCALE: Sir . 1W
CROSS SECTION 2
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SCALE: in• . it
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NORTH
PLAN
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JUL 09 2026
Bayfield Co.
Planning and Zoning Agency
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ATTIC ACCESS DETAIL
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JUL 092026
Bayfield C
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Bayfield County, WI
7/14/26, 8:49 AM
Novus-Wisconsin Access rev. 12.0206
Real Estate Bayfield County Property Listing
Today's Date: 7/14/2026
9 Description Updated: 11/17/2020
Tax ID: 21991
PIN: 04-028-2-47-06-30-2 03-000-10000
Legacy PIN: 028102703000
Map ID:
Municipality:
(028) TOWN OF KEYSTONE
STR:
530 T47N RO6W
Description:
SW NW IN V.1008 P.106 208
Recorded Acres:
40.320
Calculated Acres:
40.700
Lottery Claims:
0
First Dollar:
No
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: 2/4/2009
® WARRANTY DEED
Date Recorded: 12/26/2008 2008R-524354 1008-106
® CONVERSION
Date Recorded: 3/15/2006 433-5
a Ownership
ROBERT D GALLIK JR
LAURIE B GALLIK
Billing Address:
GALLIK, ROBERT D JR &
GALLIK, LAURIE B
709 CRESTED FERN LN
HOOVER AL 35244
Property Status: Current
Created On: 3/15/2006 1:15:40 PM
Updated: 2/22/2021
HOOVER AL
HOOVER AL
Mailing Address:
GALLIK, ROBERT D JR &
GALLIK, LAURIE B
709 CRESTED FERN LN
HOOVER AL 35244
�'P Site Address * indicates Private Road
N/A
® Property Assessment
Updated: 6/9/2026
2026 Assessment Detail
Code
Acres
Land
Imp.
Sm-AGRICULTURAL FOREST
26.320
23,700
0
G4 -AGRICULTURAL
14.000
2,800
0
2 -Year Comparison
2025
2026
Change
Land:
26,300
26,500
0.8%
Improved:
0
0
0.0%
Total:
26,300
26,500
0.8%
670' Property History
N/A
https://novus.bayfieldcounty.wi.gov/access/master.asp?paprpid=21991 1/1
Land Use Permit Application Review Checklist
Submission #:
What zoning district is the project located in?
❑R-1 ❑R-2 ❑R-3 ❑R-4 DR-RB ❑C ❑1 ❑M�A--1 ❑A-2 ❑F-1 ❑F-2 OW DM -M
❑ Yes 2iNo
Is lot substandard (does not meet current zoning dimensional requirements)?
Deed of record:
❑ Yes l4Io
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 I2iNo
•
Is impervious surface required? (Required if riparian lot OR lot is entirely within 300 feet of OHWM of
navigable waterway)
❑ Y s 17'cio
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?
❑ Yes No
Is project associated with a variance? Case #:
❑ Yes No
Is project associated with a Special B or Conditional Use Permit? Permit #:
❑ Yes No
Is the project associated with a Special A Use Permit?
❑ Yes No
Does the project require sanitary?
❑ Existing ❑ New ❑ Intercept ❑ Reconnect 0 Non -Plumbing 0 Public
Sanitary Permit #: # of Bedrooms:
❑ Yes No
Does the project require mitigation?
Implementation Deadline: Date of Compliance:
❑ Yes �ijo
Does the project require an affidavit? Affidavit It:
❑ Yes o
Did licensed surveyor mark lot line(s), if project is within 10 feet of required setback?
❑ Yes 4No
Did applicant/property owner mark lot line(s), if project is within 30 feet of required setback?
Project use is? esidential ❑ Commercial ❑ Municipal
Project type is?,j2lIew Construction ❑ Addition/Alteration ❑ Change Use ❑ Relocate ❑ RV Placement ❑ Sign
❑ Establishing a Business ❑ Temporary 0 Shoreland Grading 0 Other, describe:
Structure Type is: 0 Residence 0 Principal Structure Ccessory Structure ❑ Boathouse (one story only)
❑ Open-sided/Screened Structure (gazebo, etc.) 0 Stairway to navigable waters ❑ Mobile Home
❑ Shipping Container ❑ Other, describe
Total Sq. Ft. of Project: Number of Stories: Overall Height:
Fee Type
Calculation
Fee Amount
❑ Habitable Residential Principal and Accessory
Structures - Enclosed Areas — all enclosed areas within
dw ing except attached non -habitable garages
$0.50 x sq ft
(minimum $125)
$
Dwelling Unenclosed Areas (decks, patios, etc.) or
Attached Non -Habitable Garages
x sq ft
/y/Z7 $0.20
(minimum $125)
$
❑ Non -Habitable Residential Principal and Accessory
Structures
$0.20 x s ft
q
(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 0 Land Use Revisions ❑ Special Use Permit - Class A 0 Floodplain ❑ Shoreland - Impervious
Surface 0 Shoreland - Non -Conforming, etc. ❑ Tower Siting/Collocation 1 0 Tower Collocation 2 0 Metallic Mine
❑ After -the -Fact (ATF)
$
V
41
Inspected by:
Date of Inspection 3
Re -Inspected by:
Date of Re -Inspection:
Denied by:
Date of Denial:
Reason for Denial:
Date Denial Letter Mailed:
Approved by:
Date of Approval:
Condition(s):
0 Must meet and maintain setbacks from furthest extension of structure including eaves and
over angs.
For personal storage only.
❑ For personal residence only.
ONt for human habitation or sleeping purposes.
wn/State/DNR/Federal may require permitting
0 A Uniform Dwelling Code (UDC) Permit from the locally contracted UDC Inspection Agency must be
'ed prior to the start of construction.
niform Dwelling Code (UDC) Permit from the locally contracted UDC Inspection Agency must be
E
ed 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.
❑ Si n must meet the requirements of Article E of the Bayfield County Zoning Ordinance.
To 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:
K: Applications and Forms/Applications/land Use/Updated 2/25/2026 mdk
B -4 -FIELD
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:
GALLIK JR, ROBERT D
LU-02419
709 CRESTED FERN LN
HOOVER, AL 35244
Transaction Number:
GALLIK,LAURIE B
LU-02419-49B63
709 CRESTED FERN LN
HOOVER, AL 35244
Description Amount
Non -Habitable Residential Principal and Accessory $288.00
Structures - $0.20/square foot (minimum $75)
Total: $288.00
Payment Amount: $288.00
Reference: 37518
Paid by: Dykstra Construction Inc
Payment Type: Check
Transaction Date: 7/22/2026
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 - Yes I Impervious Surface - No
Floodplain - No / Wetlands - Yes
Mitigation - No / Affidavit #:
LAND USE - X
SANITARY -
SPECIAL A —
SPECIAL B/CONDITIONAL —
BOA —
No. 26-0360 Tax ID: 21991
Issued To: GALLIK JR, ROBERT D & GALLIK, LAURIE B
Location: S30 - T47N - R06W
Town of Keystone
Legal Description: SW NW IN V.1008 P.106 208
BAYFIELD COUNTY
PERMIT
WEATHERIZE AND POST THIS PERMIT
ON THE PREMISES DURING CONSTRUCTION
Residential Structure in A-1 zoning district
For: New Construction [1 - Story ], Accessory Structure on a Slab [1440 Total sq. ft. ] Height of 19'
(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.
Tracy Pooler
Authorized Issuing Official
July 22, 2026
Date
Condition(s): For personal storage only.
Not for human habitation or sleeping purposes.
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 (if applicable).
To be constructed per plan.