Laserfiche WebLink
SUPPLEMENT to Web-App# <br /> ZONING PERMIT APPLICATION www.countyofdane.com <br /> PROPERTY OWNER INFORMATION CU OMER TO PROVIDE <br /> OWNER NAME <br /> Bill Hinnendael <br /> Zoning Status;CUP; <br /> OWNER ADDRESS (Number,Street,City,State,Zip) D ed Restriction; CSM <br /> 4517 Shooting Star Ave, Middleton WI 53562 ariance(# ) <br /> HOME PHONE CELL PHONE E-MAIL ADDRESS / <br /> (608)575-0198 ite Plan drawn to scale <br /> AGENT INFORMATION CONTRACTOR INFORMATION and i cludes dimensions <br /> AGENT NAME CONTRACTOR NAME <br /> Jason Franzen Hart DeNoble Builders, Inc ❑ ' Plan including location <br /> AGENT ADDRESS CONTRACTOR ADDRESS of ell/,septic <br /> 7923 Airport Road 7923 Airport Road <br /> (City,State,Zip) (City,State,Zip) etbacks <br /> Middleton, WI 53562 Middleton, WI 53562 <br /> PHONE PHONE SI PI approval from <br /> E-MAIL ADDRESS (608) 831-4422 E-MAIL ADDRESS (608) 831-4422 ble township. <br /> jfranzen @denoblebuilders.com ❑ `loor plans to scale <br /> PROPERTY/LOCATION INFORMATION (http://accessdane.co.dane.wi.us/) Elevation of property <br /> PARENT PARCEL NUMBER: CURRENTZONING: ACREAGE: <br /> ❑NUPARCEL MBER 038/0708-054-6156-0 Al 0.92 frontage drawn to ale. <br /> TOWNSHIP: SECTION' SE �SE ❑ <br /> Middleton 1/4: 1/41/4: Drivewa rmits <br /> ADDRESS: (state ounty,town) <br /> 4517 Shooting Star Ave <br /> ❑ .nita •ermits <br /> CSM: LOT SUB�I Si B BLOCK/LOT U OCK/LOT %n <br /> Ic°G° \ •�' ,private) <br /> PROPOSED PROJECT INFORMATION P ' I ' <br /> PROJE�TESCRIPTION: lk)� )/ CC <br /> . <br /> This project is a new building or structure. , .,,k. ry <br /> Es This project is an addition/alteration to an existing building or structure. x n- <br /> SANITARY SERVICE: PERMIT NUMBER: al 3", �? % a .. <br /> EWER [EPTIC ' iii f a ,.�' i @y$ <br /> HEIGHT IN FEET NUMBER OF STORIES: (Not including basement t ° �` <br /> AREA TO NEAREST SQUARE FOOT: l m-m-,'::',.y `,' _; <br /> � l Pte' <br /> (Outside dimensions including unfinished area attached garages and above grade decks or porches) , ; <br /> BASEMENT 1ST FLOORC. ' . ' <br /> `S'= " s 1;. ,; t+ TOTAL SQUARE FOOTAGE: j <br /> 2ND FLOOR: 3RD FLOOR: r'., �,a ; <br /> Li'-,t-.7%:.,,, e,':;:i.,24,,,,,..1,,, 1.. ze (D <br /> ESTIMATED CONSTRUCTION COST: °# ,, . ,:;e;' <br /> (Please round to nearest dollar) ♦ '♦ ♦ "� 7O/�v r`. F ',- <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? Dies 131No ❑Don't know <br /> 2. Is there a wetland or floodplain on or near the property? ❑Yes ONo ❑Don't know <br /> 3. Have you talked with the township about your project and are they in agreement? Yes Es No <br /> 4. Has there been a zoning permit issued for this property in the ['Yes <br /> past 5 years? ❑Yes 12 No <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 IgNo ❑Don't know <br /> 7. Is this to correct a violation? ❑Yes Es No <br /> ') APPLICATION MUST BE SIGNED <br /> 545-112(4/08) G 7', '-i (Continue on Back) -4 -+ -+ <br />