Laserfiche WebLink
DANE COUNTY ZONING PERMIT DCPZP INGPER500763 Page 1 of 2 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> DAVID E TOFTE (608) 764-5233 CHRIS MILLER CONSTRUCTION LLC (608) 206-1106 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 1986 NORA RD 3186 KINNEY ROAD <br /> (City,State,Zip) (City,State,Zip) <br /> COTTAGE GROVE, WI 53527 COTTAGE GROVE, WI 53527 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> CHRIS.MILLER.CONSTRUCTION @GMAIL.COM <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0711-262-9890-3 TOWN OF COTTAGE GROVE 26 NW SE <br /> PROPERTY ADDRESS HOUSE NO ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is ' 1986 NORA RD <br /> subject to field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> ■ <br /> METES AND BOUNDS <br /> ZONING DISTRICT PARCEL ACREAGE <br /> PROPOSED PROJECT: New Structure/Addition CENSUS CODE <br /> R-1A Residence 1.5 Description:28'X 24'DETACHED GARAGE 438 - Garage <br /> District <br /> Category 0 Residential ❑ Commercial ❑ Agjicultural SEWER SANITARY PERMIT NO. <br /> ❑ Other Private <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO DEED RESTRICTION <br /> C-Town Road 3877 <br /> ❑ YES ❑ NO <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> El YES ® NO ❑ YES ® NO ❑ YES ® NO <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 672 <br /> 12 Sq.Ft. Sq.Ft.672 <br /> PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $25,000.00 <br /> 1 Sq.Ft Sq.Ft PERMIT FEE <br /> $100.40 <br /> I, the undersigned, am the owner of the property or an authorized agent acting on behalf of the owner of <br /> the property. I certify that the work to be performed, as part of this zoning permit, will be constructed as <br /> noted on the submitted plans and comply with the applicable zoning ordinances. I understand that failure <br /> to comply with any provision or condition of this permit renders this zoning permit null and void and <br /> subject to enforcement action. <br /> I acknowledge that I am responsible for complying with State and Federal laws concerning construction <br /> near or on wetlands, lakes, and streams. Wetlands that are not associated with open water can be <br /> difficult to identify. Failure to comply may re$ult 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 Diepartment of Natural Resources Service Center. <br /> I <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: Owner/Agent DATE: <br /> Ordinances.Any unauthorized change from the information or �- �) ��j <br /> plans submitted will invalidate the permit. COW j /' ':-_`: 9- ~15 <br /> OFFICE USE ONLY (form version 03.00.07) <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> 09/22/2015 PMK2 <br /> /❑ <br /> El YES ® NO DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> Initials: l _ / 1 - <br />