Laserfiche WebLink
DANE COUNTY ZONING PERMIT ZONING PERMIT 1 20 Page of <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> GIRRAJ P GUPTA Waldner Construction Inc. (608) 235-4371 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 5320 CONGRESS AVE UNIT 2 PO Box 1103 <br /> (City,State,Zip) (City,State,Zip) <br /> MADISON, WI 53718 Sun Prairie, WI 53590 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> danieljwaldner©yahoo.com <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0810-022-0452-0 TOWN OF BURKE 2 NW NE <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is 6372 Gehrke CI R <br /> subject to field verification.) <br /> LOT BLOCK I C.S.M.NO.or PLAT NAME <br /> 42 GEHRKE'S KNOLL <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: New Structure/Addition CENSUS CODE <br /> A-1 Agriculture .47 Description:sfr w/covered porch&at grade patio 101 -SFR (detached) <br /> District <br /> Category ® Residential ❑ Commercial ❑ Agricultural SEWER SANITARY PERMIT NO. <br /> ❑ Other: <br /> Private 13201600013 <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> E-AII Other <br /> YES ® NO <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> ❑ YES ® NO ❑ YES ® NO ❑ YES ® NO <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 4455 <br /> 19 Sq.Ft.1260 Sq.Ft.2277 <br /> PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $325,000.00 <br /> Sq.Ft.918 Sq.Ft PERMIT FEE <br /> $384.13 <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 SI NATURE: Owner/Agent BATE: <br /> Ordinances.Any unauthorized change from the information or , , ,, . f J D t <br /> plans submitted will invalidate the permit V V <br /> OFFICE USE ONLY (form version 03.00.07) <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> ® YES ❑ NO 02/01/2016 SCW1 <br /> 1 ` DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> Initials: (��W 9-I 91 Ike <br />