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DANE COUNTY ZONING PERMIT ZONING PERMIT NO. Page 1 oft DCPZP-2015-00504 OWNER INFORMATION AGENT/CONTRACTOR INFORMATION OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE HART FAMILY TR (920)539-7195 Marten Building&Design (608)212-6934 BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) 2916 PEBBLE VALLEY CT P 0 BOX 64 (City,State,Zip) (City,State,Zip) SUN PRAIRIE,WI 53590 Sun Prairie,WI 53590 E-MAIL ADDRESS E-MAIL ADDRESS HARTS4 @ATT.NET randy @martenbuilding.com PARCEL NO. TOWNSHIP SECTION 1/4 1/41/4 0911-194-7076-2 TOWN OF BRISTOL 19 SE SE PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE (Assignment of new address Is 2916 PEBBLE VALLEY CT subject to field verification.) LOT BLOCK C.S.M.NO.or PLAT NAME 6 PEBBLE VALLEY ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: New Structure/Addition CENSUS CODE R-1 Residence Description:sfr w/cov frt por,west coy deck,cov por 101 -SFR(detached) District Category ® Residential ❑ Commercial ❑ Agricultural SEWER SANITARY PERMIT NO. ❑ Othe Private r. ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION E-AII Other 2136 ❑ YES ❑ NO SHORELAND FLOOD ZONE WETLAND EC/SW NO. ❑ YES ❑ NO ❑ YES ❑ NO ® YES ❑ NO HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET 24 Sq.Ft.2340 Sq.Ft.3836 6176 PROJECT COST NO.OF STORIES 2nd FLOOR 3rd FLOOR $558,807.00 1 Sq.Ft. Sq.Ft. PERMIT FEE $513.20 I, the undersigned, am the owner of the property or an authorized agent acting on behalf of the owner of the property. I certify that the work to be performed, as part of this zoning permit, will be constructed as noted on the submitted plans and comply with the applicable zoning ordinances. I understand that failure to comply with any provision or condition of this permit renders this zoning permit null and void and subject to enforcement action. I acknowledge that I am responsible for complying with State and Federal laws concerning construction near or on wetlands, lakes, and streams. Wetlands that are not associated with open water can be difficult to identify. Failure to comply may result in removal or modification of construction that violates the law or other penalties or costs. For more information, visit the Department of Natural Resources web page at www.dnr.state.wi.us or contact the Department of Natural Resources Service Center. I hereby consent to the entry on the permitted premises by Dane County zoning inspectors for the purposes of determining compliance with the zoning ordinances. Owner&Agent hereby agree to comply with all Dane County SIGNATURE: Owner/Agent DATE: Ordinances.Any unauthorized change from the Information or plans submitted will Invalidate the permit. CP ' -i,S OFFICE USE ONLY (form version 03.00.07) SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS 07/08/2015 RLB / ❑ YES ® NO DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS Initials f r