Laserfiche WebLink
DANE COUNTY ZONING PERMIT DCPZP 2015-00841 Pagel oft <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> PAULSON LIVING TR (608) 846-2523 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 529 W MOHAWK TRL <br /> (City,State,Zip) (City,State,Zip) <br /> DEFOREST, WI 53532 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> DAN @PAULSONLLC.NET <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/41/4 <br /> 0910-081-8830-4 TOWN OF WINDSOR 8 NE NW <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is 4290 HAWK TRL <br /> subject to field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 2 CSM 07018 <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: Alteration to existing building CENSUS CODE <br /> A-2 (1)Agriculture 1 Description:POOL+DECK ADDN(REMOVAL OF OLD POOL 434- Residential Addition <br /> District AND DECK) <br /> Category ® Residential ❑ Commercial ❑ Agricultural SEWER SANITARY PERMIT NO. <br /> ❑ Other: Private <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> E-AII Other 10663 <br /> ❑ YES ® NO <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> ❑ YES ® NO ❑ YES ® NO ❑ YES is NO <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 5 822.5 <br /> Sq.Ft. Sq.Ft.822.5 <br /> PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $8,000.00 <br /> 1 Sq.Ft. Sq.Ft. PERMIT FEE <br /> $111.69 <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 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 www.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 , TURE: Owner • •ent DATE: <br /> Ordinances.Any unauthorized change from the information or <br /> plans submitted will invalidate the permit. ` ` N 1 Iv- l 4-)5 <br /> OFFICE USE ONLY (form version 03.00.07) <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> 10/14/2015 HJ H 3 <br /> SO <br /> ❑Q YES ® NO DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS PP v \V <br />