Laserfiche WebLink
DANE COUNTY ZONING PERMIT ZONING PERMIT NO Page 1 oft <br /> DCPZP-2017-00367 <br /> OWNER INFORMATION • AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> DUROCHER LIVING TR Roessler&Sons Construction (608)798-2291 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 4654 CHALET ST 1825 Bourbon Rd., <br /> (City,State,Zip) (City,State,Zip) <br /> MIDDLETON, WI 53562 Cross Plains, WI 53528 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> jhduroch @hotmail.com groessler @roesslerandsons.com <br /> PARCEL NO TOWNSHIP SECTION 1/4 1/41/4 <br /> 0708-064-2111-0 TOWN OF MIDDLETON 6 SE NW <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is 4654 CHALET ST <br /> subject to field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 11 CHALET MEADOWS <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: Alteration to existing building CENSUS CODE <br /> R-1 Residence .616 Description:sunroom/deck addn 434-Residential Addition <br /> District <br /> Category ® Residential ❑ Commercial ❑ Agricultural SEWER SANITARY PERMIT NO. <br /> ❑ Other Private <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> E-AII Other <br /> YES IA NO <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> o YES ® NO ❑ YES ® NO ❑ YES 0 NO <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 364 <br /> 20 Sq.Ft. Sq.Ft.364 I <br /> PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $50,000.00 <br /> 1 Sq.Ft. Sq.Ft. PERMIT FEE <br /> $77.30 <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 SIG, •TURE: Owner/ t ent DATE: <br /> Ordinances.Any unauthorized change from the information or As <br /> plans submitted will invalidate the permit. —Z Z-/7 <br /> OFFICE USE ONLY (form version 03.01.01) <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> 06/22/2017 SC W 1 <br /> ❑ YES ® NO frI <br /> IDATE REVIEWED INITIALS 2nd INSPECTION DATE INALS <br /> Initials: /-�/C1^ <br />