Laserfiche WebLink
DANE COUNTY ZONING PERMIT DCPZP 2016100682 Pagel oft <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAM PHONE <br /> CLARA LINGARD (608)845-7406 -Patifeie•Anderson rAt f;L., Q, (608)628-2611 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 112 N FRANKLIN ST 112 North Franklin Street <br /> (City,State,Zip) (City,State,Zip) <br /> VERONA, WI 53593 Verona,WI 53593 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> kpander2e4 • live.com kpander t • live.com <br /> r T <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0607-224-9501-0 TOWN OF SPRINGDALE 22 SE SE <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is 2217 ERB RD <br /> subject to field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> METES AND BOUNDS <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: New Structure/Addition CENSUS CODE <br /> A-1 Agriculture 40.2 Description:sfr w/cov frt por, 18'x12'open deck 101 -SFR(detached) <br /> District <br /> Category ® Residential ❑ Commercial ❑ Agricultural 'SEWER SANITARY PERMIT NO. <br /> ❑ Other: Private 13-2016-00323 <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> C-Town Road DCPREZ-0000-00000 1 ❑ YES ❑ NO <br /> i <br /> SHORELAND FLOOD ZONE / WETLAND / EC/SW NO.2 <br /> ❑ YES ® NO ❑ YES Q' NO ❑ YES q NO Ec ^. c i(0 - o , <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 4914 <br /> 18 Sq.Ft.1740 Sq.Ft.3174 <br /> PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $300,000.00 <br /> 1 Sq.Ft. Sq.Ft. PERMIT FEE <br /> $418.55 <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 subject <br /> 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 difficult <br /> to identify. Failure to comply may result in removal or modification of construction that violates the law or <br /> other penalties or costs. For more information, visit the Department of Natural Resources web page at <br /> 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 SIGN1A,,,y•weer/.l• :- • DATE: <br /> Ordinances.Any unauthorized change from the information or <br /> plans submitted will invalidate the permit. _ ' _� ./, at I°/ /t' <br /> OFFICE USE ONLY (form ver;ion 03.01.00) <br /> SURVEY REQUIRED? . DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> 10/14/2016 RLB <br /> U YES ® NO DATE RREEVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> Initial �f`'_ \ I c —&o -s/(0 9 6v oC <br /> 1 <br />