Laserfiche WebLink
ZONING PERMIT APPLICATION www.countyofdane.com SUPPLEMENT to Web-App# <br /> PROPERTY OWNER INFORMATION CUSTOMER TO PROVIDE <br /> OWNER NAME <br /> Enterprise Rental Zoning Status;CUP; <br /> OWNER ADDRESS (Number,Street,City,State,Zip) Deed Restriction;CSM <br /> 200 W Belt line Hwy,Madison,WI 53713 Variance(# ) <br /> HOME PHONE CELL PHONE E-MAIL ADDRESS <br /> 0 Site Plan drawn to scale <br /> AGENT INFORMATION I CONTRACTOR INFORMATION and includes dimensions <br /> AGENT NAME CONTRACTOR NAME <br /> Shulfer Architects,LLC(Steve Shulfer) Supreme Structures 0 Site Plan including location <br /> AGENT ADDRESS CONTRACTOR ADDRESS of well/septic <br /> 1918 Parmenter St.,Suite 2 2906 Marketplace Dr. <br /> (City,State,Zip) (City,State,Zip) ❑Setbacks <br /> Middleton,WI 53562 Madison,WI 53719 <br /> PHONE PHONE 5I Site Plan approval from <br /> (608) 836-7570 (608) 224-0777 applicable township. <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> sjshuifer@shulferarchitects.com dan@supremestructures.com ig Floor plans to scale <br /> PROPERTY/LOCATION INFORMATION (http://accessdane.co.dane.wi.us!) <br /> PARENT PARCEL NUMBER: CURREN—ZONI ACREAGE: ❑Elevation of property <br /> 0 PARCEL eot=r-' C2____ _ 6.08 frontage drawn to scale. <br /> N MBER - - ��■iI <br /> TOWNSHIP: SECTION <br /> Town of Madison 36 1/4: SW 1/1/,. NW 0 Driveway permits <br /> ADDRESS: (state,county,town) <br /> 200 W Beltline Hwy, <br /> CSM LOT SUBDIVISON BLOCK/LOT ❑Sanitary permits <br /> 2. PLAT (public,private) <br /> PROPOSED PROJECT INFORMATION ,'tA, rnl[5w <br /> PROJECT DESCRIPTION: ,..+•t ..; t <br /> New sign band on front(south)side of building 0 1 � 74' <br /> This project is a new building or structure. <br /> • dThis project is an addition/alteration to an existing building or structure. <br /> SANITARY SERV E: PERMIT NUMBER: 0 �rR� • <br /> f� <br /> EWER 1)EPTIC <br /> HEIGHT IN FE T NUMBER OF STORIES: (Not induding basement) <br /> 16.0 1.0 0 <br /> AREA TO NEAREST SQUARE FOOT: <br /> Shprelal c ( neiat) ', <br /> (Outside dimensions including unfinished area,attached garages and above grade decks or porches) <br /> BASEMENT: 1ST FLOOR: 6 "+ apt# a P. <br /> 33,600.0 + TOTAL SQUARE FOOTAGE: j E '' <br /> 2ND FLOOR: 3RD FLOOR: 33,600.0 .a,. <br /> - „'C <br /> ESTIMATED CONSTRUCTION COSTh'� <br /> QQ <br /> (Please round to nearest dollar) "� "� ♦ ♦ '� �D .; .. <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? [Yes Zlo ODon't know <br /> 2. Is there a wetland or floodplain on or near the property? QYes 3 o 'Don't know <br /> 3. Have you talked with the township about your project and are they in agreement? QYes Jo <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? EYes IVo <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 EliVo QDon't know <br /> 7. Is this to correct a violation? QYes EN <br /> APPUCATION MUST BE SIGNED <br /> 545-112(4/06) (Continue on Back) -4. -+ -+ <br />