Laserfiche WebLink
ZONING PERMIT APPLICATION www.countyofdane.com SUPPLEMENT to Web-App # <br /> PROPERTY OWNER INFORMATION CUSTOMER TO PROVIDE <br /> OWNER NAME <br /> Ryan Stodola <br /> El Zoning Status;CUP; <br /> OWNER ADDRESS (Number,Street,City,State,Zip) Deed Restriction; CSM <br /> 727 Weald Bridge Road, Cottage Grove WI 53527 <br /> Variance(# ) <br /> HOME PHONE CELL PHONE E-MAIL ADDRESS <br /> (608) 658-4853 ryan.stodola @mgschools.net ❑Site Plan drawn to scale <br /> AGENT INFORMATION (CONTRACTOR INFORMATION and includes dimensions <br /> AGENT NAME CONTRACTOR NAME <br /> Classic Custom Homes ❑Site Plan including location <br /> AGENT ADDRESS CONTRACTOR ADDRESS of well/septic <br /> 401 N. Century Avenue <br /> (City,State,Zip) (City,State,Zip) ❑Setbacks <br /> Waunakee,WI 53597 <br /> PHONE PHONE El Site Plan approval from <br /> (608) 850-4450 applicable township. <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> nicole @cchofwaunakee.com ❑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 018/0711-271-9445-0 RH-1 2.00 ' 1 frontage drawn to scale. <br /> NUMBER t�1 <br /> TOWNSHIP: SECTION: S <br /> Cottage Grove 27 '/4: %%: � - ❑Driveway permits <br /> ADDIESS: (state,county,town) <br /> Yt (/ Nora Road <br /> SM: LOT SUBDIVISION BLOCK/LOT ❑Sanitary permits <br /> 13,204 1 N/A N/A (public,private) <br /> .. ..... ..... ........ ... .. . .... ... .... .. ... <br /> PROPOSED PROJECT INFORMATION <br /> ��CtEY1�MY '=y,: <br /> PROJECT DESCRIPTION: ,. ; <br /> Single family residential home 0 Zoning Distract- <br /> . 0 This project is a new building or structure. <br /> fl Permitted t)Se?,� <br /> ❑This project is an addition/alteration to an existing building or structure. <br /> SANITARY SERVICE: PERMIT NUMBER: © RuralAdddress <br /> rEWER rs, EPTIC 13,201,500,157 (newt+ s i �'�, <br /> HEIGHT IN FEET: NUMBER OF STORIES: (Not including basement) <br /> 27.0 1.0 Q 8t F a pt I <br /> Shore lad (attachment) <br /> AREA TO NEAREST SQUARE FOOT: <br /> (Outside dimensions including unfinished area,attached garages and above grade decks or porches) <br /> BASEMENT: ,� q 1ST FLOOR: <br /> �;285.V 2'� Q�/'Y TOTAL SQUARE FOOTAGE: slope$ Sturbanc � <br /> /V</' IlHn(/#OSS)I <br /> 7NDwooR: 3RD FLOOR: <br /> O ' R@vleW Location Survey <br /> ESTIMATED CONSTRUCTION COST: aindav�a,tableoptions. <br /> (Please round to nearest dollar) $ 387,851 .00 <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? ['Yes ao ❑Don't know <br /> 2. Is there a wetland or floodplain on or near the property? [Yes no ❑Don't know <br /> 3. Have you talked with the township about your project and are they in agreement? ['Yes o <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? ❑1'es ✓ao <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) Dyes ✓IVo ❑Don't know <br /> 7. Is this to correct a violation? ❑Yes ✓N° <br /> `" <br /> —____ <br /> 545-112(4408) 45....3 9' <br /> , APPLICATION MUST BE SIGNED <br /> (Continue on Back) -. -∎ -∎ <br />