Laserfiche WebLink
DANE COUNTY ZONING PERMIT DCPZP 2014-00912 Page 1 of 2 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> JEFFREY S WARD (608)280-6751 TEMPLE BUILDERS LLC (608) 729-3990 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 5 TAILWIND CT 2501 W BELTLINE HWY <br /> (City,State,Zip) (City,State,Zip) <br /> VERONA, WI 53593 MADISON, WI 53713 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> becky©templebuild.com <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0708-092-2701-0 TOWN OF MIDDLETON 9 NW NW <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE I <br /> (Assignment of new address is 7278 LEGACY DR <br /> subject to field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 1 LEGACY HIGHLANDS <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: New Structure/Addition CENSUS CODE <br /> A-1 Agriculture 1.208 Description:sfr with screen porch 101 -SFR (detached) <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-Ali Other <br /> ❑ YES ® NO <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> ❑ YES ® NO ❑ YES ® NO ❑ YES ® NO <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 26'-0" Sq.Ft.2680 Sq.Ft.3875 <br /> 6555 <br /> PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $400,000.00 <br /> 1 Sq.Ft. Sq.Ft. PERMIT FEE <br /> $541.63 <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 z• a' g erdinances. <br /> Owner&Agent hereby agree to comply with all Dane County SIG T : Owntt'fllAge t DATE <br /> Ordinances.Any unauthorized change from the information or /�. <br /> plans submitted will invalidate the permit / — 4 /( `4/ <br /> OFFICE USE ONLY (form versio,i 03.00.07) <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> 12/11/2014 SSA1_1fES tus� NO DATE REVIEWED INITIALS 1 2nd INSPECTION DATE INITIALS s Initials: 'u ( fq G,�(i`// 1 <br />