Laserfiche WebLink
DANE COUNTY ZONING PERMIT ZONING ERMIT 01054 : Page 1 of.2 <br /> OWNER INFORMATION • AGENT/CONTRACTOR INFQRMA�IQ ; *' <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> BRIAN ACKER (608) 335-0840 QUALITY WEST CONSTRUCTION INC (608) 798-3774 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 550 OLD INDIAN MOUND TRL PO BOX 12 <br /> (City,State,Zip) (City,State,Zip) <br /> SUN PRAIRIE, WI 53590 MOUNT HOREB, WI 53572 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> BRIAN @AVIDPLUMBING.COM QUALITYWESTINC @GMAIL.COM <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0811-221-8515-0 TOWN OF SUN PRAIRIE 22 NE NW <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME <br /> (Assignment of new address is 2200 COUNTY HIGHWAY T <br /> subject to field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 1 CSM 10271 <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT New Structure/Addition CENSUS CODE <br /> A-2 (1)Agriculture 1.046 Description:4 bdrm SFR+front porch(no deck) 101 - SFR (detached) <br /> District <br /> Category ® Residential ❑ Commercial ❑ Agricultural SEWER SANITARY PERMIT NO. <br /> 0 Other: <br /> Private 13-2015-00054 <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> B-County Highway 8241 <br /> C' Y=s G N= <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> 0 YES ® NO ❑ YES 0 NO ❑ YES C71 NO <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 5578 <br /> 16 Sq.Ft.2165 sq.Ft.3413 <br /> PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $340,000.00 <br /> 1 Sq.Ft. Sq.Ft. PERMIT FEE <br /> $468.35 <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 f' lure <br /> to comply with any provision or condition of this permit renders this zoning permit null and void a.-,c; <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 zoning ordinances. <br /> Owner&Agent hereby agree to comply with all Dane County SIGNATU; r nor/Agent DAT E: <br /> Ordinances.Any unauthorized change from the information or <br /> plans submitted will invalidate the permit. /ref <br /> OFFICE USE ONLY (form version 03.00.07) <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> 04/08/2015 SJ W 3 <br /> 9 ❑ YES ® NO DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> Initials: G e- <br /> , <br />