Laserfiche WebLink
toms <br /> ZONING �T�w 11O w acorn SUPPLEMENT to Web App # <br /> ZONING <br /> PROPERTY OWNER INFORMATION CUSTOMER TO PROVIDE <br /> OWNER NAME <br /> Dan & Kay Gilbert \El Zoning Status;CUP; <br /> OWNER ADDRESS (Number,Street,City,State,Zip) Deed Restriction;CSM <br /> 10615 Glen Flora Rd., Kiel, WI 53042 Variance(# ) <br /> HOME PHONE CELL PHONE E-MAIL ADDRESS <br /> 608-301-7041 drgilberRwans.net Site Plan drawn to scale <br /> AGENT INFORMATION I CONTRACTOR INFORMATION and includes dimensions <br /> AGENT NAME CONTRACTOR NAME <br /> Randy Marten Marten Building & Design 3 Site Plan including location <br /> AGENT ADDRESS CONTRA OR ADDRESS of well/septic <br /> P.O. Box 64 P.O. Box 64 <br /> (City,State,Zip) (City,State Zip) Setbacks <br /> Sun Prairie, WI 53590 Sun Prairie, WI 53590 <br /> PHONE PHONE Site Plan approval from <br /> 608-212-6934 608-212-6934 applicable township. <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> randylc7i,martenbuildinq.com randy(c�martenbuilding.com Floor plans to scale <br /> PROPERTY/LOCATION INFORMATION (http://accessdane.co.dane.wi.us/) Elevation of property <br /> PARENT PARCEL NUMBER: CURRENTZONING: ACREAGE: p p r <br /> ❑PARCEL 091119446000 Al .993 frontage drawn to scale. <br /> NUMBER <br /> TOWNSHIP: SECTION: <br /> Bristol 1/4: wy4: 1:l DrivOiyigrmits <br /> ADDRESS: c�1 (state,bounty,town) <br /> 1 0 G LO <br /> S — L—P�1� Sanitary permits <br /> CSM: LOT 10 Lehman's Additi�SUBDIVISION BLOCK/LOT (public,private) <br /> PROPOSED PROJECT INFORMATION STAFF REVIEW <br /> PROJECT DESCRIPTION: \— <br /> Single Family New Contruction �!Zoning District <br /> . WiThis project is a new building or structure. " 'Permitted Use? <br /> ❑This project is an addition/alteration to an existing building or structure. <br /> SANITARY SERVICE: PERMIT NUMBER: Rural Address <br /> WIEWER IEPTIC 13-2015-00285 (new/existing) <br /> HEIGHT IN FEET: NUMBER OF STORIES: (Not including basement) <br /> 19'-6" 1 LI Wetland/Floodptain/ <br /> AREA TO NEAREST SQUARE FOOT: Shoreland (attachment) <br /> (Outside dimensions including unfinished area,attached garages and above grade decks or porches) ❑ ErosionControl permit <br /> BASEMENT: 1842 1ST FLOOR: 2996 <br /> j TOTAL SQUARE FOOTAGE: 4 (Slopes,disturbance, <br /> 2ND FLOOR: 3RD FLOOR: filling/access) <br /> 4838 <br /> Li Review Location Survey <br /> ESTIMATED CONSTRUCTION COST: and available options. <br /> (Please round to nearest dollar) ♦ • • • ♦ ♦ $ 412,316.00 <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? ❑Yes Oslo ❑Don't know <br /> 2. Is there a wetland or floodplain on or near the property? :Yes w"Jo ❑Don't know <br /> 3. Have you talked with the township about your project and are they in agreement'? [ Yes EINo <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? Dies [ lo <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 Nlo ['Don't know <br /> 7. Is this to correct a violation? :Yes 171Vo <br /> APPLICATION MUST BE SIGNED <br /> (Continue on Back) ■ ■ —► <br /> 545-112(4/08) <br />