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I DANE COUNTY ZONING PERMIT ZONING PERMIT NO. Page 1 of 2 DCPZP-2016-00380 OWNER INFORMATION AGENT/CONTRACTOR INFORMATION OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE MCCABE REV TR,DENNIS&BARBARA A (608) 798-3120 Vive Home Transformations (608)437-6181 BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) 8777 AIRPORT RD 4070 Bingham Road (City,State,Zip) (City,State,Zip) MIDDLETON, WI 53562 Blue Mounds, WI 53562 E-MAIL ADDRESS E-MAIL ADDRESS krish @jgdevelopment.com PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 0708-063-8580-8 TOWN OF MIDDLETON 6 SW NW PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE (Assignment of new address is 8777 AIRPORT RD subject to field verification.) LOT BLOCK C.S.M.NO.or PLAT NAME 3 CSM 02782 ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT, Alteration to existing building CENSUS CODE A-1 Agriculture Description:kit addn to sfr w/dining expand 434 - Residential Addition District Category ® Residential ❑ Commercial ❑ Agricultural SEWER SANITARY PERMIT NO. ❑ Other: Private ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION C-Town Road DCPREZ-0000-00000 ❑ YES ❑ NO + SHORELAND FLOOD ZONE WETLAND EC/SW NO. ❑ YES ® NO ❑ YES ❑ NO ❑ YES ❑ NO HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET 120 14 Sq.Ft. Sq.Ft.120 PROJECT COST NO.OF STORIES 2nd FLOOR 3rd FLOOR $85,000.00 1 Sq.Ft. Sq.Ft. PERMIT FEE $59.00 I, the undersigned, am the owner of the property or an authorized agent acting on behalf of the owner of the property. I certify that the work to be performed, as part of this zoning permit, will be constructed as noted on the submitted plans and comply with Ithe applicable zoning ordinances. I understand that failure to comply with any provision or condition of thi permit renders this zoning permit null and void and subject to enforcement action. I acknowledge that I am responsible for complying with State and Federal laws concerning construction near or on wetlands, lakes, and streams. Wetlinds that are not associated with open water can be difficult to identify. Failure to comply may result in removal or modification of construction that violates the law or other penalties or costs. For more information,'visit the Department of Natural Resources web page at www.dnr.state.wi.us or contact the Department of Natural Resources Service Center. I hereby consent to the entry on the permitted premises by Dane County zoning inspectors for the purposes of determining compliance with the zoning ordinances. Owner&Agent hereby agree to comply with all Dane County SIGNATU- : Owner/A s ent DATE: Ordinances.Any unauthorized change from the information or plans submitted will invalidate the permit. ..009/11.1 --_ 6 2_7/67 OFFICE USE ONLY (form verr,ion 03.01.00) SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS 06/23/2016 RLB ❑ YES ® NO DATE REVI�F�� INITIALS 2nd INSPECTION DATE INITIALS Initials /!j_/J,�` f L —.',,,L�\/