HomeMy WebLinkAbout26-0244Return to: County Use Only:
117 E 5"' Street, Po Box 58 hayfield County Planning and Zoning Department Submission #: LU— 073 IL
Washburn, WI 54891 LAND USE PERMIT APPLICATION Permit#: -03'1
permits@lbavfieldcountv.wi.gov Date: b / l o ( d-oe�
SECTION A: General Information
Property Owner Name:
A PRoRoK
Authorized Agent Name (if applicable):
KGNN6R L PJnt
RiclVED
Telephone Number:
'715 (,L1a -039(0
Telephone Number:
E -Mail Address: jeoi m a �(. o m
E -Mail Address:
n_roro
Mailing Address: I
N1o9g DCEK freRD Pfi
Mailing Address: planning and Zoning Agency
City, Slot; Zip:
i li&T6ly
City, State, Zip:
Contractor:
Telephone Number:
E -Mail Address:
O uine `r
SECTION B: Property Information
Project Address (if different from mailing address.):
S31' -(D CT 13R(QNES WI
Legal Description (if additional space is needed attach a separate sheet):
PNR 1N Sw SW /N DaC 2o3R - 59737
Section, Township, Range: 30 fl) W5 ice. 0 9
Town of: S R R N e S
Tax ID #: a 9 c 9
Lot Size (Acres/Square Feet): toe A d 5 O
SECTION C: Project Information (check all. that.a l
Project Use is: Residential 0 Commercial 0 Municipal If Commercial, estimated cost of construction: $
Project Type is: 0 New Construction g Addition/Alteration (existing structure)
❑ Change Use (existing structure) 0 Relocate (existing structure) 0 RV Placement 21+ days
❑ Sign 0 Establishing a Business 0 Temporary (12 or less months)
❑ Shoreland Grading, Class A ❑ RV Placement 4+ months, Class A 0 Other (describe):
required Total sq ft): required
SECTION D: Structure Info 'on (Does not apply to RVs and Signs, go to Section E
Structure Type is: 0 Residence 0 Principal Structure (describe):
W Accessory Structure (describe): 0 Shoreland Exempt Structure (describe): 0 Mobile Home (provide manufactured
L'ovcr ouer ErJTR1 Doo(Z date):
❑ Shipping Container 0 Other (describe):
Foundation Type:
❑ Basement 0 Walkout Basement ® Slab ❑ Crawlspace ❑ Ground ❑ Skids 0 Other (explain):
Existing Structure: Length: Width: It, Height:
Proposed Structure (Provide Sq Ft based on outside dimensions, including unfinished areas, attached garages/above grade
decks/porches): '7' K g '
Basement Sq Ft:
I" Floor Sq Ft:
Loft Sq Ft:
2o°Floor Sq Ft:
3"° Floor Sq Ft:
N /}
Garage Sq Ft:
Porch SqJt
Deck Sq Ft:
Other Sq Ft (describe):
Other Sq Ft (describe):
N A
00
Total Sq Ft:
Overall Height (finished grade to peak): 2
# of Stories: /
Existing # of Bedrooms on property:
Proposed # of Bedrooms in project:
SECTION E: RV and Sign Information (check all that apply)
Sign is:
RV is:
❑ New 0 Replacement
0 New 0 Replacement
0 On -premise 0 Off -premise
0 1 -sided 0 2 -sided
Year: Vin #:
❑ On -building 0 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:
P4 Driveways 9 Frontage Roads (include name) 19 Existing Structures JO Well (W) Il Septic Tank (ST) lM Drain Field (DF)
❑ Holding Tank (HT) 0 Privy (P) O Lake 0 River ❑Stream/Creek ❑Pond ❑Flood lain ❑Wetlands ❑Sloes over 20%
N
P$k>�
RECEIVED
a
JUN 022026
T
t g r t
Bayfield Co.
r Planning and Zoning Agency
i
P Rr
0
'
_
P Ro PoSED
Roo F Cuv�'1cd
W I TIf `1'q' Su PpOR"tS
4y
I
_
—
— — Cen 1 l'crlit-)
Setback or distance from furthest extent of structure
County
Use Only
including eaves and overhangs to (include
on site plan):
Verified setbacks
Road Centerline
/ o (o ft.
ft.
Notes/Comments:
C e Ic tc rI (4 t n
��iJ,N� °1
Front Lot Line/Right-of-Way
a p ft.
ft.
Side Lot Line 1
orth East South We circle one
ft.
a 5 0
ft.
Pt o o f GM CA boo' W a t1
3 we(( to
P oa7'
Side Lot Line 2
orth East South Wes circle one
ft.
S D
ft.
Rear Lot Line
,1 o O ft.
ft.
Septic/Holding Tank
o1 5 # ft.
ft.
Drainfield
5O ft.
ft.
Privy
N/A ft.
ft.
Well
r'/ ' ft.
ft.
Existing Structure/Building
0 ft.
ft.
Wetland
N6 ft.
ft.
Elevation of Floodplain
N ft.
ft.
Ordinary High -Water Mark (OHWM)
rl Pt ft.
ft.
Other (describe)
ft.
ft.
Application Page 2
SEC I'ION
G: Additional
Questions
❑ Yes
❑ No
Has the location of the proposed projectbeen 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. N /t
❑ Yes
0 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. N I Pr
Yes
❑ No
Is there an existing sanitary system on the property? If yes, what kind?
�I Drainfield 0 Holding Tank 0 Municipal/Public 0 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?
❑ Drainfreld ❑ Holdin Tank ❑ Munici al/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:
❑ Rezone 0 Class A Special Use 0 Class B Special Use ❑ Conditional Use ❑ Variance N/ ft
Fee payment will be made via:
3 Check_ attached 0 Cash (attached) 0 debit/credit/echeck (department to call once payment is ready to be taken)
How would you like to receive your permit card? tC
$$ Mail to: OR 0 Email to:
95 Property Owner Address ❑ Agent Address 0 Contractor Address 0 Other (provide name at 4'idij arliflaiss):
*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 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 of one- & two-family
dwellings requires review and approval by the local Uniform Dwelling Code (UDC) authority. Additions and alterations to one -
and two-family dwellings may require review and approval by the UDC authority. All municipalities are required to enforce the
UDC.
if subject property is part of a Condominium Plat, applicant hereby certifies and represents that applicant has all necessary
approvals and recorded documents required to complete the project for which this permit is sought including requirements set forth
in Wisconsin statutes pertaining to condominium associations, the Declaration of the Condominium Association in which the
property is located, and all other rules, regulations and requirements pertaining to that Condominium Association.
You are responsible for complying with state and federal laws concerning construction near or on wetlands, lakes, and streams.
Wetlands that are not associated with open water can be difficult to identify. Failure to comply may result in removal or
modification of construction that violates the law or other penalties or costs. For more information, visit the Department of Natural
Resources wetlands identification web page, dnr. wi. rvltopic; 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.
KG N N E Trl R PR u ,¢ 0 k!
Owner(s) or Authorized Agent Printed Name:
Owner(s) or Authorized Agent Signature: B Date: 5/n/ d iv
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 proiect.
Application Page 3
Bayfield County, WI
5=170 COU}1 iJY?Y
11
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' ' 16/8/26, 8:48 AM Novus-Wisconsin Access rev. 12.0206
Real Estate Bayfield County Property Listing Property Status: Current /7
Today's Date: 6/8/2026 Created On: 3/15/2006 1:14:49 PM
S Description Updated: 8/21/2025
Tax ID:
2998
PIN:
04-004-2-45-09-30-3 03-000-12000
Legacy PIN:
004120609000
Map ID:
Municipality:
(004) TOWN OF BARNES
STR:
530 T45N R09W
Description:
PAR IN SW SW IN DOC 2023R- 599376
1315F
Recorded Acres:
1.148
Site Address * indicates
Private Road
Calculated Acres:
1.148
53140 COUNTY HWY Y
BARNES 54873
Lottery Claims:
0
First Dollar:
Yes
® Property Assessment
Updated:
10/4/2016
Zoning:
(R-2) Residential -2
ESN:
104
2026 Assessment Detail
Code
Acres
Land
Imp.
'P
Cl-RESIDENTIAL
1.150
5,500
10,800
Tax Districts
Updated: 3/15/2006
1
STATE
2 -Year Comparison
2025
2026
Change
04
COUNTY
Land:
5,500
5,500
0.0%
004
TOWN OF BARNES
Improved:
10,800
10,800
0.0%
041491
SCHL-DRUMMOND
Total:
16,300
16,300
0.0%
001700
TECHNICAL COLLEGE
Q2 Ownership Updated: 8/21/2025
KENNETH R & LYNN M PROROK CHETEK WI
Billing Address:
KENNETH R & LYNN M
PROROK
N1098 DEER HEAD PT
CHETEK WI 54728
Mailing Address:
KENNETH R & LYNN M
PROROK
N1098 DEER HEAD PT
CHETEK WI 54728
cis Recorded Documents
O WARRANTY DEED
Date Recorded: 6/15/2023
O WARRANTY DEED
Date Recorded: 9/23/2021
O CONVERSION
Date Recorded:
Updated: 3/15/2006
2023R-599376
2021R-591101
217-483;647-53;676-348
Is Property History
N/A
https://novus.bayfieldcounty.wi.gov/access(master.asp?paprpid=2998 1/1
Land Use Permit Application Review Checklist
Submission #:
What zonin district is the project located in?
❑ R-12 ❑ R-3 ❑ R-4 ❑ R-RB 0 C 0 1 ❑ M ❑ A-1 ❑ A-2 ❑ F-1 ❑ F-2 ❑ W ❑ M -M
i Yes 0 No
ll
Is lot substandard (does not meet current zoning dimensional requirements)?
Deed of record: eZ y y6
❑ Yes..Q1c1
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 No
Is the project located in the Floodplain? Zone:
❑ Yes No
Are there wetlands on the property?
❑ Yes _21
Is project associated with a nonconforming use or structure?
❑ Yes 2110
Is project associated with a variance? Case #:
❑ Yes Q -re
Is project associated with a Special B or Conditional Use Permit? Permit #:
❑ Yeso
Is the project associated with a Special A Use Permit?
Does the project require sanitary?
0 Existing ❑ New ❑ Intercept ❑ Reconnect 0 Non -Plumbing 0 Public
Sanitary Permit #: ,2 /3 # of Bedrooms:
❑ Yes,J≥No
❑ Yes No
Does the project require mitigation?
Implementation Deadline: Date of Compliance:
❑ Yes J210
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 jzilo
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? ❑ New Construction Addition/Alteration 0 Change Use 0 Relocate 0 RV Placement 0 Sign
❑ Establishing a Business ❑ Temporary ❑ Shoreland Grading 0 Other, describe:
Structure Type it esidence 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: Number of Stories: Overall Height: Q
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)
$ /�
❑ Dwelling Unenclosed Areas (decks, patios, etc.) or
Attached Non -Habitable Garages
$0.20 x sq ft
(minimum $125)
$
❑ 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 0 Shoreland - Non -Conforming, etc. ❑ Tower Siting/Collocation 1 ❑ Tower Collocation 2 0 Metallic Mine
0 After -the -Fact (ATF)
$
M
Inspected by:
Date of Inspection:
Re -Inspected y:
Date of Re -Inspection:
Denied by:
Date of Denial:
Reason for Denial:
Date Denial Letter Mailed:
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.
❑ For personal residence only.
❑ Not for human habitation or sleeping purposes.
�'fown/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.
,f q /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.
Ojgn 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
BYFIELD 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:
PROROK, KENNETH R & LYNN M
N1098 DEER HEAD PT
CHETEK . WI 54728
Description
Habitable Residential Principal Structure -
unenclosed area or non -habitable garage
$0.20/square foot (minimum $125)
Submission Number:
LU-02316
Transaction Number:
LU-02316-478EF
Amount
$125.00
Total: $125.00
Payment Amount: $125.00
Reference: 5129
Paid by: Kenneth R Prorok / Lynn Prorok
Payment Type: Check
Transaction Date: 6/10/2026
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 — Yes / Nonconforming — No
Shoreland — No I Impervious Surface — No
Floodplain — No / Wetlands — No
Mitigation — No / Affidavit #:
LAND USE -X
SANITARY —
SPECIAL A —
SPECIAL B/CONDITIONAL —
BOA —
No. 26-0244 Tax ID: 2998
Issued To: PROROK, KENNETH R & LYNN M
Location: S30 - T45N - R09W
Town of Barnes
Legal Description: PAR IN SW SW IN DOC 2023R- 599376 1315F
BAYFIELD COUNTY
PERMIT
WEATHERIZE AND POST THIS PERMIT
ON THE PREMISES DURING CONSTRUCTION
Residential Structure in R-2 zoning district
For: Addition/Alteration [1 - Story ], Residence on a Slab [56 Total sq. ft.] Height of 10'
(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
June 10, 2026
Date
Condition(s): 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.