Laserfiche WebLink
DANE COUNTY ZONING PERMIT DCPZP 2016-00212 Page 1 of 2 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> Ed ()Connor (608)438-5352 Gehin Custom Homes LLC (608) 576-9536 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 610 Feller Dr., W3238 Daytonwood Ave., <br /> (City,State,Zip) (City,State,Zip) <br /> Belleville, WI 53508 Belleville, WI 53508 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> burnedby39 @aol.com gch6230 @gmail.com <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0508-292-8955-0 TOWN OF MONTROSE 29 NW NW <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is 545 Feller DR <br /> subject to field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 1 CSM 14223 <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: New Structure/Addition CENSUS CODE <br /> RH-1 Rural Homes —22:913- Description:sfrw/porches and deck 101 - SFR (detached) <br /> District a , 0 <br /> Category ® Residential ❑ Commercial ❑ Agricultural SEWER SANITARY PERMIT NO. <br /> ❑ Other: <br /> Private 13201600057 <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> C-Town Road 10938 ❑ YES () NO <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. r� I /� <br /> ❑ YES ® NO ❑ YES ® L-- <br /> NO ❑ YES lI NO 1-�—C i—1©I C CG <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 5164 <br /> 15 Sq.Ft. 1925 Sq.Ft.3239 <br /> PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $350,000.00 <br /> 1 Sq.Ft. Sq.Ft. PERMIT FEE <br /> $437.30 <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 ■ww.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 S NATURE: Owner/A•ent DATE: <br /> Ordinances.Any unauthorized change from the information or — �'Z�'�� <br /> plans submitted will invalidate the permit. 1 <br /> OFFICE USE ONLY (form version 03.01.00) <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> 05/02/2016 SCW1 <br /> ® YES ❑ NO <br /> DATE REVIEWED KO INITIALS 2nd INSPECTION DATE INITIALS <br /> Initials: 9.111K <br />