Laserfiche WebLink
DANE COUNTY ZONING PERMIT Pagel oft <br /> DCPZP 2016-00274 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME <br /> BRENT E VALENTINE (608) 294-5681 PHONE <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 2037 DUNN PL <br /> (City,State,Zip) (City,State,Zip) <br /> MADISON, WI 53713 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> BRENT@HEARTWOODTREECOMPANY.COM <br /> PARCEL NO. TOWNSHIP SECTION 1/4 <br /> 1/4 1/4 <br /> 0709-341-0602-8 TOWN OF MADISON 34 NE NE <br /> PROPERTY ADDRESS HOUSE NO ST DIRECTION STREET NAME <br /> 2037 ST.TYPE <br /> (Assignment of new address is DUNN PL <br /> subject to field verification.) <br /> LOT BLOCK I C.S.M.NO.or PLAT NAME <br /> 18 9 LAKE FOREST <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: Alteration to existing buildin <br /> R-3A Residence 32 g 9 CENSUS CODE <br /> Description:HOME ADDITION 434 - Residential Addition <br /> District <br /> Category m Residential ❑ Commercial ❑ Agricultural SEWER SANITARY PERMIT NO. <br /> 11 Other: Public <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. <br /> D-Unadopted Subdiv Streets 1285 DEED RESTRICTION <br /> YES ❑ NO <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO <br /> 0 YES 0 NO ❑ YES ® NO ❑ YES ® NO <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 23 Sq.Ft. Sq.Ft. 104 264 <br /> PROJECT COST <br /> NO OF STORIES 2nd FLOOR 3rd FLOOR $48,000.00 <br /> 2 Sq Ft. 160 Sq.Ft PERMIT FEE <br /> $69.80 <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 SIGNATURE: Owner/Agent DATE: <br /> Ordinances.Any unauthorized change from the information or <br /> plans submitted will invalidate the permit. `�_-----,— r /47 2-C1� <br /> OFFICE USE ONLY (form version 03.01.00) <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> 05/19/2016 PMK2 <br /> V YES ® NO DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> Initials: Y <br />