Laserfiche WebLink
DANE COUNTY ZONING PERMIT DCPZP-2015-00836 Page 1 of 2 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> TIM OBRIEN HOMES OF MADISON LLC (608)661-1100 TIM OBRIEN HOMES OF MADISON (608) 661-1100 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 2601 CROSSROADS STE 140 2601 CROSSROADS STE 140 <br /> (City,State,Zip) (City,State,Zip) <br /> MADISON, WI 53718-7981 MADISON, WI 53718-7981 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> SFROHLING @TOBHOMES.COM <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/41/4 <br /> 0910-294-4068-0 TOWN OF WINDSOR 29 SE SW <br /> PROPERTY ADDRESS HOUSE NO ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is 6661 DUSKY GLN <br /> subject to field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 278 CSM 13793 <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: New Structure/Addition CENSUS CODE <br /> R-2 Residence .34 Description:SFR W/DECK 101 - SFR (detached) <br /> District <br /> Category ® Residential ❑ Commercial ❑ Agricultural SEWER SANITARY PERMIT NO <br /> ❑ Other Public 6206 <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> E-AII Other 9229 ❑ YES ® NO <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> ❑ YES ® NO ❑ YES 0 NO ❑ YES ® NO <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 4241 <br /> 28 sq.Ft.959 Sq.Ft.2062 <br /> PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $240,000.00 <br /> 2 Sq.Ft. 1220 Sq.Ft. PERMIT FEE <br /> $368.08 <br /> I, the undersigned, am the owner of the property or an authorized agent acting on behalf of the owner of <br /> the property. I certify that the work to be performed, as part of this zoning permit, will be constructed as <br /> noted on the submitted plans and comply with the applicable zoning ordinances. I understand that failure <br /> to comply with any provision or condition of this permit renders this zoning permit null and void and <br /> subject to enforcement action. <br /> I acknowledge that I am responsible for complying with State and Federal laws concerning construction <br /> near or on wetlands, lakes, and streams. Wetlands that are not associated with open water can be <br /> difficult to identify. Failure to comply may result in removal or modification of construction that violates <br /> the law or other penalties or costs. For more information, visit the Department of Natural Resources web <br /> page at www.dnr.state.wi.us or contact the Department of Natural Resources Service Center. <br /> I hereby consent to the entry on the permitted premises by Dane County zoning inspectors for the <br /> purposes of determining compliance with the zoning ordinances. <br /> Owner&Agent hereby agree to comply with all Dane County SI NATURE: O ner/Agent _ DATE: <br /> Ordinances.Any unauthorized change from the information or . ..// ' /�r73 / <br /> plans submi tted will invalidate the permit. <br /> `/ <br /> OFFICE USE ONLY (form version 03.00.07) <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> 10/13/2015 HJH3 <br /> ® YES ❑ NO <br /> DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br />