Laserfiche WebLink
w <br /> ZONING PERMIT APPLICATION www.countyofdane.com SUPPLEMENT to Web-App # <br /> PROPERTY OWNER INFORMATION CUSTOMER TO PROVIDE <br /> OWNER NAME <br /> David and Gloria Read <br /> IN <br /> OWNER ADDRESS (Number,Street,City,State,Zip) Zoning Status;CUP; <br /> Deed Restriction;CSM <br /> 2251 Williams Point Drive,Stoughton,Wisconsin 53569 Variance(# 3.579 ) <br /> HOME PHONE CELL PHONE E-MAIL ADDRESS <br /> (608)291-3111 <br /> 13 Site Plan drawn to scale <br /> AGENT INFORMATION I CONTRACTOR INFORMATION and includes dimensions <br /> AGENT NAME CONTRACTOR NAME <br /> Sarah Manternach Terrace Custom Builders IN Site Plan including location <br /> AGENT ADDRESS CONTRACTOR ADDRESS of well/septic <br /> 1553 11th Drive 1553 11th Drive <br /> (City,State,Zip) (City,State,Zip) t2 Setbacks <br /> Friendship,WI 53934 Friendship,WI 53934 <br /> PHONE PHONE <br /> Site Plan approval from <br /> (608) 339-7888 (608) 339-7888 applicable township. <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> sarah @terracehomes.com ron @terracehomes.com Floor plans to scale <br /> PROPERTY/LOCATION INFORMATION (http://accessdane.co.dane.wi.us/) <br /> PARENT PARCEL NUMBER: CURRENT ZONING: ACREAGE: in Elevation of property <br /> rig PARCEL 046/0611-191-3868-1 R-3 Shoreland 0.61 frontage drawn to scale. <br /> NUMBER <br /> TOWNSHIP: SECTION: <br /> Pleasant Springs 19 1/41 NE %IA: NW ❑ Driveway permits <br /> ADDRESS: (state,county,town) <br /> 2251 Williams Point Drive, Stoughton, WI <br /> ❑Sanitary permits <br /> CSM: LOT 1 8 Williams Point <br /> SUBDIVISION BLOCK/LOT (public,private) <br /> v <br /> PROPOSED PROJECT INFORMATIONIICW <br /> PROJECT DESCRIPTION: <br /> Construct New Single Family Home 0 ZZonning District <br /> . 0 This project is a new building or structure. 0 PermiUed Use? <br /> ❑This project is an addition/alteration to an existing building or structure. <br /> SANITARY SERVICE: PERMIT NUMBER: 0 MEW Adckess <br /> FT/ EWER SEPTIC ( sting) <br /> HEIGHT IN FEET: NUMBER OF STORIES: (Not including basement) <br /> 1.0 0 We iand/Roodplain/ <br /> Shoreland (attachment) <br /> AREA TO NEAREST SQUARE FOOT: <br /> (Outside dimensions including unfinished area,attached garages and above grade decks or porches) © € - it <br /> BASEMENT: 1 ,680.0 1ST FLOOR: 2,952.0 4 TOTAL SQUARE FOOTAGE: 4 (slopes, Nbance, <br /> 2ND FLOOR: 0 3RD FLOOR: fi <br /> 0.0 0.0 <br /> 2,952.0 0 Review Location Survey <br /> ESTIMATED CONSTRUCTION COST: ♦ ♦ ♦ ♦ ♦ ♦ and available options. <br /> (Please round to nearest dollar) 170,000,00 <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? ❑✓Yes ao ❑Don't know <br /> 2. Is there a wetland or floodplain on or near the property? Efres OVo ['Don't know <br /> 3. Have you talked with the township about your project and are they in agreement'? [Yes ao <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? Dyes ao <br /> 5. Is this project associated with a rezone/CUP/variance(petition/appeal# 3,579 ) (leave blank if none) <br /> 6. Is a location survey required? (see reverse) ❑Yes �Vo ❑Don't know <br /> 7. Is this to correct a violation? ❑Yes ✓�Vo <br /> if GI APPLICATION MUST BE SIGNED <br /> 545-112(8i09) <br /> (Continue on Back) ■ -+ <br />