Laserfiche WebLink
- <br /> ZONING PERMIT APPLICATION • .countyofdane.com SUPPLEMENT to Web-App# <br /> 1 <br /> PROPERTY OWNER INFORMATION CU - OMER TO PROVIDE <br /> OWNER NAME <br /> Edward & Patricia Bierer <br /> 116 Zoning Status: CUP; <br /> OWNER ADDRESS (Number,Street,City,State,Zip) Deed Restriction; CSM <br /> Lot 3 Old Stage Road Brooklyn,WI 53521 Variance(# ) <br /> HOME PHONE I CELL PHONE E-MAIL A DRESS <br /> (608) 334-5486 ' (608)630-1234 ebierer @stellar-services.net n ite Plan drawn to scale <br /> AGENT INFORMATION CONTRACTOR INFORMATION and includes dimensions <br /> AGENT NAME CONTRA+TOR NAME <br /> Bill Bu ler Builders Inc. S e Plan including location <br /> AGENT ADDRESS CONTRAI TOR ADDRESS well/septic <br /> 7138 Iubbard Avenue <br /> (City.State.Zip) (City,Stat:.Zip) ❑Set acks <br /> Middl- on,WI 53562 <br /> PHONE PHONE Q ite Plan proval from <br /> (608) 831-1111 pp ca e township. <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> bbbutler@tds.net Fl r plans to scale <br /> PROPERTY/LOCATION INFORMATION (http://acc:essdane.co.dane.wi.usl) <br /> PARENT PARCEL NUMBER: CUR 7 JIM( ACREAGE' vation of property <br /> Q PARCEL NUMBER I 1 052/0510-352-9580-0 RH DCPREZ 3.36 f ontage drawn to scale. <br /> TOWNSHIP: SECTI• . ' , <br /> 1/4 <br /> Rutland 35, : . N y41 : ,S E riveway permits <br /> state,coup town <br /> ADDRESS: . / —" ( ty° ) <br /> P �� c S.nitary permits <br /> CSM: LOT SUBDIVI`•N BLOCK/LOT 13,829 3 i (a •(iC,private) <br /> PROPOSED PROJECT INFORMATION STAFF REVIEW <br /> PROJECT DESCRIPTION: <br /> New Home 111.0 * 1:0,"k- por ., a.ning District <br /> . ©This project is a new building or structure. ❑ i r itted Use? <br /> QThis project is an addition/alteration to an existin+l building or structure. <br /> SANITARY SERVICE: PERMIT BER: Address <br /> ..EWER is.EPTIC �� ���s .. C ocfio...... (n le xtsttng) <br /> HEIGHT IN FEET: b a / NUMBER IF STORIES: (Not inctudiog basement) <br /> // ._2re ❑ Wetland/F odplain/ <br /> AREA TO NEAREST SQUA•E FOOT Shore d (attachme ) <br /> (Outside dimensions including unfinished area, attached ga ages and above grade decks or porches) <br /> BASEMENT: 1ST FLOOR <br /> ❑ ErosionContr ermit <br /> 2,147.0 1 3,408.0 ,, TOTAL SQUARE FOOTAGE: ,j, (slopes,d rbance, <br /> filling/ ess) <br /> 2ND FLOOR. 1 3RD FLOOR. <br /> 5,555.0 Q Review Location Survey <br /> ESTIMATED CONSTRUCTION COST; --4. --i. -4. ,� .� 523,209.00 and available options. <br /> (Please round to nearest dollar) <br /> 1. The property is within 300 feet of a stream or 1001 feet from a pond or lake? QYes QNo []Don't know <br /> 2. Is there a wetland or floodplain on or near the pro.-rty? [Yes I_INo [Don't know <br /> 3. Have you talked with the township about your proj ct and are they in agreement?, ['Yes QNo <br /> 4, Has there been a zoning permit issued for this property in the past 5 years? QYes QNo <br /> 5. Is this project associated with a rezone/CUP/varia ce(petition/appeal# ) (leave blan one) <br /> 6. Is a location survey required? (see reverse) Efres o UDon't know <br /> 7. Is this to correct a violation? QYes No <br /> / <br /> /r 'U� APPLICATION MUST BE SIGNED <br /> et <br /> j /�1 f (Continue on Back) —► -+ —. <br /> 545-112(4/0 `�J <br /> (it) <br />