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DANE COUNTY ZONING PERMIT DCPZP-2015-00722 Page 1of2 OWNER INFORMATION AGENT/CONTRACTOR INFORMATION OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE TROY P ROST (608) 320-0232 BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) 6436 SUNSET DR (City,State,Zip) (City,State,Zip) VERONA, WI 53593 E-MAIL ADDRESS E-MAIL ADDRESS troy1210 @yahoo.com PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 0608-361-9000-8 TOWN OF VERONA 36 NE SW PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE (Assignment of new address is 6436 SUNSET DR subject to field verification.) LOT BLOCK C.S.M.NO.or PLAT NAME METES AND BOUNDS ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: Alteration to existing building CENSUS CODE RH-3 Rural Homes 10 Description:deck addn to interior remodeling project of existing sfr 434 - Residential Addition District Category ® Residential ❑ Commercial ❑ Agricultural SEWER SANITARY PERMIT NO. Private affidavit ❑ Other ROAD CLASSIFICATION REZONE NO. C.0 P.NO VARIANCE NO DEED RESTRICTION C-Town Road 8910 ❑ YES L1 NO SHORELAND FLOOD ZONE WETLAND EC/SW NO. ❑ YES ® NO ❑ YES ® NO ❑ YES ® NO HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET 144 10 Sq.Ft Sq.Ft 144 PROJECT COST • NO.OF STORIES 2nd FLOOR 3rd FLOOR $300.00 1 Sq.Ft Sq.Ft. PERMIT FEE $60.80 I, the undersigned, am the owner of the property or an authorized agent acting on behalf of the owner of the property. I certify that the work to be performed, as part of this zoning permit, will be constructed as noted on the submitted plans and comply with the applicable zoning ordinances. I understand that failure to comply with any provision or condition of this permit renders this zoning permit null and void and subject to enforcement action. I acknowledge that I am 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 web page at www.dnr.state.wi.us or contact the Department of Natural Resources Service Center. I hereby consent to the entry on the permitted premises by Dane County zoning inspectors for the purposes of determining compliance with the zoning ordinances. Owner&Agent hereby agree to comply with all Dane County SIGNATU : 0 er/A'nt ATE: Ordinances.Any unauthorized change from the information or f plans submitted will invalidate the permit. t, �lt� OFFICE USE ONLY (form version 03.00.07) SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS 09/10/2015 SC W 1 YES ® NO DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS Initi 4.7 1 /