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DANE COUNTY ZONING PERMIT ZONING PERMIT NO. Page 1of2 DCPZP-2016-00273 OWNER INFORMATION AGENT/CONTRACTOR INFORMATION OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE ANDREW T SEABORG (608)575-3013 Thompson Custom Builders LLC (608)838-3140 BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) 7659 SUMMERFIELD DR 5830 Lexington Street (City,State,Zip) (City,State,Zip) VERONA, WI 53593 McFarland, WI 53558 E-MAIL ADDRESS E-MAIL ADDRESS PARCEL NO. TOWNSHIP SECTION 1/4 1/41/4 0708-191-2113-0 TOWN OF MIDDLETON 19 NE NW PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE (Assignment of new address is 7659 SUMMERFIELD DR subject to field verification.) LOT BLOCK C.S.M.NO.or PLAT NAME 67 SAUK POINT ESTATES ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: Alteration to existing building CENSUS CODE A-1 Agriculture Description:workshop,laundry,bedroom,2 bath addition to 434- Residential Addition District residence Category ® Residential ❑ Commercial ❑ Agricultural SEWER SANITARY PERMIT NO. ❑ Other: Private ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION E-All Other ❑ YES ❑ NO SHORELAND FLOOD ZONE WETLAND EC/SW NO. ❑ YES ® NO ❑ YES D NO ❑ YES ❑ NO HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET 1056 34 Sq.Ft.528 Sq.Ft.528 PROJECT COST NO.OF STORIES 2nd FLOOR 3rd FLOOR $259,000.00 1 Sq.Ft. Sq.Ft. PERMIT FEE $129.20 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 s unty zoning inspectors for the purposes of determining compliance with the zoning ord.• -- e Owner&Agent hereby agree to comply with all Dane County SI e A •=,;�' • /Agent DATE: Ordinances.Any unauthorized change from the information or r'/ � 9 j� plans submitted will invalidate the permit. ; `, -/ OFFICE USE ONLY (form version 03.01.00) SURVEY RE*d DATE ISSUED ITIALS 1st INSPECTION DATE INITIALS ES ® NO 0 5/1 8120 16 RLB NITIALS DATE REVIEWED INITIALS 2nd INSPECTION DATE Initials Z I' - i i