Laserfiche WebLink
DANE COUNTY ZONING PERMIT ZONING PERMIT NO. <br /> Page 1 of 2 <br /> DCPZP-2015-00519 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> STEVEN C FAUST (608) 834-3668 ACCURATE CUSTOM CREATIONS LLC (608) 279-5385 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 1512 SAPPI-IRE WAY 910 COTTAGE.CT UNIT B <br /> (City,State,Zip) (City,State,Zip) <br /> SUN PRAIRIE, WI 53590 MADISON, WI 53714 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> STEVE69FAJST@CHARTER.NET CHAD @ACCREMODELING.COM <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/41/4 <br /> 0911-253-8070-4 TOWN OF BRISTOL 25 SW NE <br /> PROPERTY AC DRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is 1757 GREENWAY RD <br /> subject to field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> METES AND BOUNDS <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: Alteration to existing building CENSUS CODE <br /> A-1 Agriculture 1 Description:2 replacement residential decks 434- Residential Addition <br /> District <br /> Category ® Residential ❑ Commercial ❑ Agricultural SEWER SANITARY PERMIT NO. <br /> ❑ Other: Private <br /> ROAD CLASSIFIC4TION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> C-Town Road YES ® NO <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> YES ❑ NO ❑ YES ® NO ❑ YES ® NO <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 380 <br /> Sq.Ft. Sq.Ft.380 <br /> PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $12,000.00 <br /> 1 Sq.Ft. Sq.Ft. PERMIT FEE <br /> $157.00 <br /> I, the uncle's gned, 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 ww i.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 SIGNATURE: O f1• _.- t DATE: <br /> Ordinances.Any unauthorized change from the information or <br /> plans submitted will invalidate the permit. • I - 7- <br /> OFFICE USE ONLY (form version 03.00.07) <br /> SURVEY REQUIREC? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> YES ® NO 07/13/2015 SJW3 <br /> DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> Initials: <br />