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ZONING PERMIT APPLICATION w .countyofdane.com SUPPLEMENT to Web-App# <br /> ww <br /> PROPERTY OWNER INFORMATION CUSTOMER TO PROVIDE <br /> OWNER NAME <br /> Ken & Monica Hovind <br /> ❑Zoning Status: CUP; <br /> OWNER ADDRESS (Number,Street,City,State.Zip) Deed Restriction; CSM <br /> 4511 Shooting Star, Middleton, WI 53562 Variance(# ) <br /> HOME PHONE CELL PHONE E-MAIL ADDRESS <br /> (608) 575-4510 ❑Site Plan drawn to scale <br /> AGENT INFORMATION CONTRACTOR INFORMATION and includes dimensions <br /> AGENT NAME CONTRACTOR NAME <br /> Jason Franzen Hart DeNoble Builders, Inc ❑Site Plan including location <br /> AGENT ADDRESS CONTRACTOR ADDRESS of well/septic <br /> 7923 Airport Road 7923 Airport Road <br /> (City,State.Zip) (City.State,Zip) ❑Setbacks <br /> Middleton, WI 53562 Middleton, WI 53562 <br /> PHONE PHONE ❑Site Plan approval from <br /> (608) 831-4422 (608) 831-4422 applicable township. <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> jfranzen @denoblebuilders.com El Floor plans to scale <br /> PROPERTY/LOCATION INFORMATION (http://accessdane.co.dane.wl.us/) ❑ Elevation of property <br /> PARENT PARCEL NUMBER: CURRENT ZONING: ACREAGE <br /> ❑PARCEL 038/070808284500 A-1 1.50 frontage drawn to scale. <br /> NUMBER <br /> TOWNSHIP SECTION: <br /> Middleton y4: IRA: ❑Driveway permits <br /> ADDRESS: ��0 (state, county,town) <br /> 55 Si,t.IVIN� P""'"°Y` ❑Sanitary permits <br /> CSM: LOT 2 SUBDIVISION BLOCK/LOT <br /> (public, private) <br /> 2 (p P ) <br /> PROPOSED PROJECT INFORMATION STAFF REVIEW <br /> PROJECT DESCRIPTION: �w <br /> New, single family residence I,o v1f 4 fi( poi-e,k ❑ Zoning District <br /> . IMIThis project is a new building or structure. <br /> ❑ Permitted Use? <br /> ❑This project is an addition/alteration to an existing building or structure. <br /> SANITARY SERVICE: PERMIT NUMBER ❑ Rural Address <br /> EWER SEPTIC (new/existing) <br /> HEIGHT IN FEET: NUMBER OF STORIES: (Not including basement) <br /> 25.0 1.0 ❑ Wetland/Floodplain/ <br /> Shoreland (attachment) <br /> AREA TO NEAREST SQUARE FOOT: <br /> (Outside dimensions including unfinished area,attached garages and above grade decks or porches) <br /> BASEMENT' 1ST FLOOR: ❑ ErosionControl permit <br /> 3,033.0 5,096.0 j TOTAL SQUARE FOOTAGE: 4, (slopes,disturbance, <br /> 2ND FLOOR: 3RD FLOOR: <br /> filling/access) <br /> 8,129.0 <br /> ❑ Review Location Survey <br /> ESTIMATED CONSTRUCTION COST: <br /> (Please round to nearest dollar) <br /> -' .- ♦ — ♦ $ 575,000.00 and available options. <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? ❑Yes ONo ❑Don't know <br /> 2. Is there a wetland or floodplain on or near the property? ❑Yes ea No ❑Don't know <br /> 3. Have you talked with the township about your project and are they in agreement? ❑✓Yes ❑No <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? ❑Yes ONo <br /> 5. Is this project associated with a rezone/CUP/variance(petition/appeal# ) (leave blank if none) <br /> 6. Is a location survey required? (see reverse) ❑Yes ❑✓No ['Don't know <br /> 7. Is this to correct a violation? ❑Yes Is No <br /> Lit & 5g- / 1 APPLICATION MUST BE SIGNED <br /> l(' (Continue on Back) -♦ <br /> 545-112(4,081 <br />