Laserfiche WebLink
DANE COUNTY ZONING PERMIT DCPZP 2015 00234 Pagel of 2 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> SAM J TARTAMELLA (608) 347-7762 CLEARY BUILDING (608) 770-0325 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 484 SUGAR HILL RD 2201 GAINSBORO RD P. 0 Q 0 X ??oaa 0 <br /> (City,State,Zip) (City,State,Zip) <br /> BROOKLYN, WI 53521 DAVIS, IL 61019 vefoil , WI 6:Z93 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> DZEAL @CLEARYBUILDINGS.COM <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0509-272-4535-0 TOWN OF OREGON 27 NW SW <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is 484 SUGAR HILL RD <br /> subject to field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 3 CSM 05643 <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: New Structure/Addition CENSUS CODE <br /> RH-2 Rural Homes 2.3 Description:30x54 residential detached garage 438-Garage <br /> District <br /> Category ® Residential ❑ Commercial ❑ Agricultural SEWER SANITARY PERMIT NO. <br /> ❑ Private <br /> Other: <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> C-Town Road 6123 D YES II NO <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> El YES 10 NO ❑ YES ® NO ❑ YES ® NO <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 1620 <br /> 16'4" Sq.Ft. Sq.Ft. 1620 <br /> PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $15,000.00 <br /> 1 Sq.Ft. Sq.Ft. PERMIT FEE <br /> $171.50 <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 zoning ordina •--. <br /> Owner&Agent hereby agree to comply with all Dane County SIGNA U- ': 0 ell• -t- t DATE: <br /> Ordinances.Any unauthorized change from the information or I' <br /> plans submitted will invalidate the permit. 'y 2 /' <br /> OFFICE USE ONLY (form version 03.00.07) <br /> SURVEY REQUI— . DATE ISSUED I TIALS 1st INSPECTION DATE INITIALS <br /> /%�'ES ® NO 04/30/2015 SJW3 <br /> DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> Initials. ... 1 - ,� P/01, <br />