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Home My WebLink About26-0361Return to: County Use Only: 117 E 5th Street, PO Box 58 Bayfield County Planning and Zoning Department Submission #: LU- O.t)$ Washburn, WI 54891 LAND USE PERMIT APPLICATION Permit #:6 OSt permitsela bayfieldcounty.wi.eov Date: 11 4'(d-°)6 SECTION A: General Information 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: 7/l o�a6 rgallik@tameron.com bzar@no2septic.com Mailing Address: Mailing Address: 709 CRESTED FERN LN 50181 St Hwy 13 City, State, Zip: City, State, Zip: Hoover, AL 35244 Ashland, WI, 54806 Contractor: Telephone Number: E -Mail Address: Dykstra Construction 715-682-9599 info@dykstraconstructioninc.com SECTION B: Proptf" tiformation Pro ect Address (if different from mating addr - s): IrZ !� '-12c6 o t0 VLF W� /tI\ASov, Legal Description (if additional space is needed attach a separate sheet): SW NW IN V.1008 P.106 208 Section, Township, Range: S30 T47N R06W Town of: Keystone Tax ID #: 21991 Lot Size (Acres/Square Feet): 40.32 SECTION C: Project Information (check all that apply) Project Use is: El Residential ❑ Commercial O Municipal If Commercial, estimated cost of construction: $ Project Type is: O New Construction ❑ Addition/Alteration (existing structure) ❑ Change Use (existing structure) O Relocate (existing structure) ❑ RV Placement 21+ days ❑ Sign O Establishing a Business O Temporary (12 or less months) ❑ Shoreland Grading, Class A ❑ RV Placement 4+ months, Class A ❑ Other (describe): required Total sq if): required SECTION D: Structure Information (Does not apply to RVs and Signs, go to Section E Structure Type is: ID Residence ❑ Principal Structure (describe): ❑ Accessory Structure (describe): ❑ Shoreland Exempt Structure (describe): ❑ Mobile H�i �lufactured date): ❑ Shipping Container O Other (describe): JUL 09 2026 Foundation Type: Bayfield Co. ❑ Basement ❑ Walkout Basement O Slab O Crawlspace ❑ Ground ❑ Skids ❑ OtherP(ezpia1nt Zoning Agency 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 Ft: I a Floor Sq Ft: Loft Sq Ft: 2°a Floor Sq Ft: 3r° Floor Sq Ft: 2628 Ggrage Sq Ft: Porch Sq Ft: Deck Sq Ft: Other Sq Ft (describe): Other Sq Ft (describe): 408 Total Sq Ft: 3 03 6 Overall Height (finished grade to peak): 25'-4" # of Stories: 1 Existing # of Bedrooms on property:0 Proposed # of Bedrooms in project: 3 and Sin Information (check all that a 1'= Sign is: Rv is: ❑ New O Replacement O New ❑ Replacement ❑ On -premise O 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 yx l r Driveways Frontage Roads (include name) ❑ Existing Structures yu Well (W) ❑ Septic Dl Tank (Si) ❑ Drain Field (DF) 1. Holding Tank (HT) ❑ Privy (P) ❑ Lake ❑ River ❑Stream/Creek ❑Pond ❑Floodplain ❑ Wetlands ❑Slopes over 20% mss. •.� - C`CAITIlAIYC)R AM)O.. f PVATF wcn.u.srk i= S4+1 £ ` O ROB D GALL K JR flJsWnT2tggT1 +1• r71. L 1' } ms. -Yir `- S ≥-Y�• :f r $. aesSetback or distance from furthest extent of structure County Use Only including eaves and overhangs to (include on site plan): Verified setbacks Road Centerline 599 ft. ft. Notes/Comments: RECEIVED Front Lot Line/Right-of-Way q4 ft. ft. JUL 092026 Side Lot Line l /3o ft. ft. (No as outh West, circle one) (� Bayfeld Co. Side inc 2 ft. ft. (North East Sou est circle one) 606 Planning and Zoning Agency Rear Lot Line !/p ft. ft. Septic/Holding Tank ' 5 ft. ft. Drainfield ft. ft. Privy ft. ft. Well 1c 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 SECTION G: Additional Questions lYes ❑ 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 ❑ No Will pressurized water be installed in the structure? If yes, what kind of sanitary system will be installed or used to manage wasterater? ❑ Drainfield Holding Tank ❑ Municipal/Public ❑ Other (describe): 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 ❑ Class B Special Use O Conditional Use O Variance Fee payment will be made via: Check (attached) O Cash (attached) ❑ debit/credit/echeck (department to call once payment is ready to be taken) I -tow would you to receive your permit card? �like ❑ Mail to: OR W Email to: O Property Owner Address g Agent Address ❑ Contractor Address O Other (provide name and email or address): *Include eaves, overhangs, sanitary system, and well in staking measurements ' Section H: 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 ily dwellings by the local Uniform Dwelling Code (UDC) Additio requires review and approval authority. one - and two-family dwellings may require review and approval by the UDC authority. All municipalities are required to enforce the UDC. JUL 09 2026 If subject property is part of a Condominium Plat, applicant hereby certifies and represents that appliq t has dt"'aiy approvals and recorded documents required to complete the project for which this permit is sought incluaingQrequrtQei$gfiLkeg 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. CV Owner(s) or Authorized Agent Printed Name: t¶�w4't Owner(s) or Authorized Agent Signature: Date: 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 Dy iiIa' 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 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 Hack M 20260953.0, CAT) Client Name WISCONSIN BUILDERS mw.O ASSOCIATION 30/06/2026 Date EWGEIVED JUL 092026 Piannin Bayfieid Co. g and Zoning Agency Ag_ Arrow NNNIDNG CENTER 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-us0ge54ezRa6 aa9mg "2026 - Authorize to Sign" History ti Document created by Brodie Zar (bzar@no2septic.com) 2026-06-30 - 2:33:43 PM GMT 124 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 Aa 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 RECEIVED JUL 092026 Bayfield Co. Planning and Zoning AgerIq Adobe Acrobat Sign DOCUMENT NO. STATE BAR OF WISCONSIN FORM 2 WARRANTY DEED Eleanore Gallik, conveys and warrants to Robert D. Gallik Jr. and Laurie B. Gallik, husband and wife as joint tenants the following described real estate in BAYFIELD County, State of Wisconsin: The Southwest Quarter of the Northwest Quarter (SW''/A NW'/), Section Thirty (30), Township Forty-seven (47) North, Range Six (6) West, Town of Keystone, Bayfield County, Wisconsin. PATRICIA A OLSON BAYFIELD COUNTY WI REGISTER OF DEEDS 20488--524Z3E54 12/26/2008 08:00AM IF EXENPT #: RECORDING FEE: 11.68 TRANSFER FEE: 128.68 PAGES: 1 RETURN TO Robert D. Gallik '5�3a27 A)e//h ,'b1" Cr# V'' f /XT Tax Parcel No: 04-028-2-47-06-30-2 03 -000 - This is not homestead property. Exception to warranties: Municipal and zoning ordinances and agreements entered under them, recorded easements for the distribution of utility and municipal services, recorded building and use restrictions and covenants, and further except 2008 real estate taxes. Dated this day of December, 2008 AUTHENTICATION Signatures authenticated this day of 20 TITLE: MEMBER STATE BAR OF WISCONSIN (If not, authorized by § 706.06, Wis. Scats.) THIS INSTRUMENT WAS DRAFTED BY WEHNER LAW OFFICE Richard Weiner (Signatures maybe authenticated or acknowlei 'Nantes of persons signing in any capacity should be WARRANTY DEED gno or•pn i Oniow un szgnaan r r .• s, ��Hllttl{{11�� leanore Gallik ACKNOWLEDGMENT STATE OF WISCONSIN OUNTY OF kSHLAND I ss. .-d Personally came before me this p ,3'day of December 2008, the above named Eleanore Gallik to me known to be the person(s) who executed the foregoing instn e djcknowledge the same. L. County, Wis. My Commission's expiration date: April 1, 2012 V1008 P106 -on LLIK RESIDENCE GENERAL NOTES • AU WOKS IS ft eE PERFORMED IN AECORMNtt WITH flit STATESVILOING. PLNMSOSA, ELECTRICAL, 050 HLNC LODES [YRRWRYIN EFI[R. • ALL REOUSRW EYILOING PEMLI3 WILL St OBTAINED SF THE OWNER AND/OR THE CONIRALNR NASD MUST & ro1RD AT THE JOBAIE. • CONTRACTOR IS RESPONSIBLE FOR HYlMNE ALL LON7ACT OCSSMEM5 FOR ACCURACY BEFORE PROLBFDING WITH CONSIFILCIION. • ALL HATERIAL5.NF/LIES. NA EQILIPHLNT SHALL & INSTALLED AS PER IMNUF. SYWLFTLSROMS APED AS PER LOCAL COW ANOSEQU WGEWT. LOCATED PER FLAN. CONDmd15 AT ME/OS SITE ALL PROPERTY LINES ARE ASSUMES UNLESS A LERTIfi DLEARNER MAP HAS BEEN PROULDN FUR THE PROPERTY. FROM THE EASE YM OT ME BUELDLW ME CONTRACTOR IS TO HAVE ALL UTILITY LOSES SERRIED BY mE APPROPRIATE UTILITY LOCATING Ni SERVILE. flit CONTRACTOR SHALL BE PEES VCNSIBLE N HAVE LOCATE DONE PRIOR TO BRMELNO GROWN. PROVIDE A MINIMUM OF IS ORAIAN& ELOPE AWAY FROM THE ENTIRE PRRDREIFA OF ME BUINIMG. ALL EXISTING E W LOING DIMEN4ONS MUST & FRLDVERITOD (' W HN APPLICABLE). SCALING OF DRAWINGS. CONERACYOR(L) TO VERIFY AU DIMENSIONS PRIOR N CONSTRUCTION W AY V UCASLE. THE FIRE RATING OP MN41 ANO LEUTAGS MUSTREL EWTAAEO BEHIND ALL INSTALLED POSTURES (PATH UNITS. VANLTIEL, CEILING PEWS. ELECTRICAL SOLES, IXHALLST PANS. ETC.) CONTRACTOR N VEREry RD. REQUIRMENTE FOR WINDOWS 6 EXTERIOR DOORS WITH WINDOW MANUFACTURER PRIOR TO OROLRLAG. SEEERWCT PLANS. ELINATIQW AHD/OR BUIWIMC SECTIONS FOR WINDOW OPERATIONS AND DIRECTION OF MGR SWINGS. TBD COUNTY RD F MASON WI 54856 PREPARED FOR: ROBERT 4 LAURIE GALLIX TRD COUNTY RDE MASON, WI 54856 RECEIVED JUL 092076 Bayfield Co. Planning and Zoning Agency SHEET INDEX TITLESHEET FOUNDATION 4 ROOFPLANS FLOOR PLAN ELEVATIONS SECTION 4 DETAILS GARAGE DETAILS + -- I FOUN'TAY7ON PLAN /� uw¢: ve•. ra RECEIVED JUL 092026 Bayfield Co. Planning and Zoning Agency w Ii it Ut Li. RECEIVED JUL 092026 Bayfield Co. Planning and Zoning Agency z J 0 0 J U H R, ryxry gCi L62e qR rwYt V1L IY6gR ENI v_a, ` ) IIUgR SOYixW STPORCx i 16ogR scxaNrwcx if 1A16yR TOTAL ARM p I wccT ELFVATW& suunne•- ra sw[:fhe'. ye lJUI OP 7025 iyfield Co. Plan , and Zoning Agency CROSS SECTION 1 r.euwvoLaSu�n N . fa' RE�EIVEB� ® Br --.— J LOOZOZG CONTROL TOINT DETAIL xorToxwLE wAwY. Plannin o@ g .a [ (J s muu u wawa nxy ATITC ACCESS DETAIL 0 INTERIOR GRADE BEAM DETAIL StwtEu Sn•- ra• NOTTOSGLE EM IWTNia WTThM NAITJYY R.LL W1P T[agIWIWRCN WITH NTM TWuwo rcnnuu TTrs6 Iwuuno LOI $. 4y1 Y'ft FOUNDATION DETAIL Norco aces ® w' 144 z O 3I ;I ROOFPLAN xwu: ur - ra• NORTW ELEVATION SG -W . rr CROSS SECTION 2 WEST ELEVATION SOUTif ELEVATION . 1'.J I rRuc I NORnI � i i i �• •� PLAN , �.' I• .i i,' -.' �rntne I ' x LE: y, • t'a' RECEIVED '.Ul._ 092026 Bayfeld Co. "!arming and Zoning Agency 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 & Description Updated: 11/1 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 R06W 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 I 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 Property Status: Current Created On: 3/15/2006 1:15:40 PM a Ownership Updated: 2/22/2021 ROBERT D GALLIK JR HOOVER AL LAURIE B GALLIK HOOVER AL Billing Address: Mailing Address: GALLIK, ROBERT D JR & GALLIK, ROBERT D JR & GALLIK, LAURIE B GALLIK, LAURIE B 709 CRESTED FERN W 709 CRESTED FERN LN HOOVER AL 35244 HOOVER AL 35244 r Site Address * indicates Private Road ►/4 ® Property Assessment Updated: 6/9/2026 2026 Assessment Detail Code Acres Land Imp, 5m -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% Property History N/A https:/fnovus.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 ❑ R-RB ❑ C ❑ 1 ❑ M A-1 ❑ A-2 ❑ F-1 ❑ F-2 ❑ W ❑ M -M ❑ Yes p rcX'o Is lot substandard (does not meet current zoning dimensional requirements)? Deed of record: ❑ Yes Y "° 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 p -No Is impervious surface required? (Required if riparian lot OR lot is entirely within 300 feet of OHWM of navigable waterway) ❑ Yes �fo Is the project located in the Floodplain? Zone: es O No Are there wetlands on the property? ❑ Yes ❑'No Is project associated with a nonconforming use or structure? ❑ Yes 2'No Is project associated with a variance? Case #: ❑ Yes l7lio Is project associated with a Special B or Conditional Use Permit? Permit #: ❑ Yes l7io Is the project associated with a Special A Use Permit? es ❑ No Does the projectquire sanitary? 0 Existing ew 0 Intercept 0 Reconnect ❑ Non -Plumbing ❑ Public Sanitary Permit #: c 6 - q 6, # of Bedrooms: 3 ❑ Yes No Does the project require mitigation? Implementation Deadline: Date of Compliance: ❑ Yes l'No Does the project require an affidavit? Affidavit #: ❑ Yes H'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? esidential O Commercial 0 Municipal Project type is?knew Construction ❑ Addition/Alteration ❑ Change Use ❑ Relocate ❑ RV Placement ❑ Sign ❑ Establishing a Business ❑ Temporary ❑ Shoreland Grading 0 Other, describe: Structure Type is: Residence ❑ Principal Structure ❑ Accessory Structure 0 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: rt Number of Stories: Overall Height: Fee Type Calculation Fee Amount Habitable Residential Principal and Accessory Structures- Enclosed Areas— all enclosed areas within dwelling except attached non -habitable garages $0.50 x sq ft (minimum $125) $ / V ti Dwelling Unenclosed Areas (decks, patios, etc.) or Attached Non -Habitable Garages $0.20 x p sq ft (minimum125) $ gy ❑ 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 O Land Use Revisions O Special Use Permit - Class A 0 Floodplain O Shoreland - Impervious Surface O Shoreland - Non -Conforming, etc. O Tower Siting/Collocation 1 ❑ Tower Collocation 2 ❑ Metallic Mine ❑ After -the -Fact (ATF) $ M Inspected by: Date of - Re -Inspected by: Date of Re -Inspection: Denied by: Date of Denial: Reason for Denial: Date Denial Letter Mailed: Approved by: Date of Approval: n Condition(s): ❑ Must meet and maintain setbacks from furthest extension of structure including eaves and overhangs. ❑ For personal storage only. or personal residence only. ❑ Not for human habitation or sleeping purposes. wn/State/DNR/Federal may require permitting ,d A Uniform Dwelling Code (UDC) Permit from the locally contracted UDC Inspection Agency must be obtained prior to the start of construction. O 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. )Zto 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 Fortes/Applications/land Use/Updated 2/25/2026 mdk P -YFIELD 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-02418 709 CRESTED FERN LN HOOVER, AL 35244 Transaction Number: GALLIK,LAURIE B LU-02418-49B64 709 CRESTED FERN LN HOOVER, AL 35244 Description Amount Habitable Residential Principal & Accessory $1,314.00 Structures -enclosed areas $0.50/ square foot (minimum $125) Habitable Residential Principal Structure - $81.60 unenclosed area or non -habitable garage $0.20/square foot (minimum $125) Total: $1,395.60 Payment Amount: $1,395.60 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 — No / Impervious Surface - No Floodplain - No / Wetlands - Yes Mitigation - No I Affidavit #: LAND USE -X SANITARY — New 26-96S SPECIAL A - SPECIAL B/CONDITIONAL — BOA — No. 26-0361 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 ], Residence on a Slab [3036 Total sq. ft. ] Height of 26' (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 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.