Laserfiche WebLink
DANE COUNTY ZONING PERMIT DCPZP 2015 00,33 Page 1 of 2 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> NORMAN A RICK (608)437-5258 Badger Home Improvement (608)437-5698 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 2418 TOWN HALL RD 144 Glen View Road <br /> (City,State,Zip) (City,State,Zip) <br /> MT HOREB,WI 53572 Mount Horeb, WI 53572 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> dennis @badgerhomeimprovement.com <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/41/4 <br /> 0607-212-8500-7 TOWN OF SPRINGDALE 21 NW NW <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is 2418 TOWN HALL 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: Alteration to existing building CENSUS CODE <br /> A-1 Agriculture Q Description:18'x 14'x 10'bdrm addn to sfr w/crawl space 434-Residential Addition <br /> District ( , <br /> Category ® Residential ❑ Commercial ❑ Agricultural SEWER SANITARY PERMIT NO. <br /> ❑ Other. Private Letter <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> C-Town Road <br /> ❑ YES ❑ NO <br /> SHORELAND FLOOD ZONE / WETLAND / EC/SW NO. <br /> ® YES ❑ NO ❑ YES 1 NO ❑ YES E. NO <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 252 <br /> 10 Sq.Ft. Sq.Ft.252 <br /> PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $50,000.00 <br /> 1 Sq.Ft. Sq.Ft. PERMIT FEE <br /> $68.90 <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 SIGN URE: Owner/Agent DATE: <br /> Ordinances.Any unauthorized change from the information or <br /> plans submitted will invalidate the permit. L .4 Va <br /> OFFICE USE ONLY (form version 03 00 07) <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> 03/30/2015 RLB <br /> Initials: �YE� ® NO DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> �K <br />