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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 z J Q - O O 2 E U z w, p= g a� e a�s i� a U ROOF ALAN sc r::n• - ,••p• NORM ELEVATION SCALE: Sir . 1W CROSS SECTION 2 WEST ELEVATION SCALE: in• . it TRUE NORTH PLAN IORT1! JUL 09 2026 Bayfield Co. Planning and Zoning Agency a• ¢MTMroMT rpn,. V( wzt7td.$CALE: 3m CONTROL TOTNT DETAIL uorrouwcanF eRune .�"... rn.avu,Tr�".• fMERIQR. GQNCR£T£ DETAIL �.... ' uoi ine.ur INTERIOR GRADE 'B M DETAIL ?JOT TO SCALE ATTIC ACCESS DETAIL SCALE:] 2A"• ra• JUL 092026 Bayfield C rniw and Zoni WINDOW SCHEDULE 0 CD 0 0 o m 0 e O a a 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.