Laserfiche WebLink
SUPPLEMENT to Web-App # <br /> ZONING PERMIT APPLICATION www.countyofdane.com <br /> PROPERTY OWNER INFORMATION CUSTOMER TO PROVIDE <br /> OWNER NAME <br /> Laurence McGuire and Betsy KrebsMcGuire ❑Zoning§ s; CUP; <br /> OWNER ADDRESS (Number,Street,City,State,Zip) De Ction; CSM <br /> 3454 Old Stone Road,Stoughton,WI 53589 <br /> Variance(# ) <br /> HOME PHONE CELL PHONE E-MAIL ADDRESS <br /> (608)225-3361 (608)225-3361 betsykrebsmcguire @gmail.com <br /> ❑Site Plan ta.nrn to scale <br /> AGENT INFORMATION CONTRACTOR INFORMATION and includes dimensions <br /> AGENT NAME CONTRACTOR NAME <br /> Sam Braun/Braun Built Inc. No$({e plan including location well? <br /> AGENT ADDRESS CONTRACTOR ADDRESS of well/septic <br /> 1342 Starr School Road '` t <br /> (City,State,Zip) (City,State,Zip) ❑Setbacks CjoiJ\ •J 5 <br /> Stoughton,WI 53589 <br /> PHONE PHONE ❑Site Pifl,a'.. • al from <br /> (608) 873-8652 applidabte •wnship. <br /> E-MAILADDRESS E-MAIL ADDRESS <br /> info @braunbuiltinc.com ❑Floor Awls to scale <br /> PROPERTY/LOCATION INFORMATION (http://accessdane.co.dane-wi.usn C.?r e. <br /> PARENT PARCEL NUMBER: CURRENT ZONING: ACREAGE: vation of property 'J 7 <br /> 12 P RCER 0510-231-9930-0 RH-2DCPREZ-0000-09434 7,67 CH ✓ 4 frontage drawn to scale. ewe . <br /> TOWNSHIP: SECTION: �"� ,/ <br /> 1/4: <br /> '/4'/a: Drivew It <br /> Rutland �y p <br /> ADDRESS: (state,�Qyl own) <br /> 3454 Old Stone Road, Stoughton, WI 53589 <br /> CSM: 11,820 LOT 3 SUBDIVISION BLOCK/LOT ❑public, er <br /> (public, v <br /> PROPOSED PROJECT INFORMATION STAFF REVIEW <br /> PROJECT DESCRIPTION: <br /> Replacing the old porch using the original foundation. Porch is currently enclosed and we are putting on an open porch. ❑ ZoninOistrict <br /> . <br /> This project is a new building or structure. <br /> ❑ Perrrli‘d Use? <br /> OThis project is an addition/alteration to an existing building or structure. <br /> SANITARY SERVICE: PERMIT NUMBER: LI Rural Address <br /> EWER [EPTIC (new/exij t ) <br /> H IN FEET: NUMBER OF STORIES: (Not including basement) v <br /> 8 -ft atilt ` <br /> I (2t. 2.0 ❑ Wetlapd'FlgpdplaiN <br /> Shor d chment) <br /> AREA TO NEAREST SQUARE FOOT: �� <br /> (Outside dimensions in ding unfinished area,attached garages and above grade decks or porches) ❑ ErOS10nCCNitt1�permit 0�` tt� <br /> BASEMENT 1ST FLOOR: �, <br /> 7 (4Q + TOTAL SQUARE FOOTAGE: ,l, (s i s;dsturbance, ) xr b <br /> V`/ filling/access) <br /> 2ND FLOOR: 3RD FLOOR: t( P Yvo e/� <br /> ESTIMATED CONSTRUCTION COST: y �G� ❑ Review Location Survey �C <br /> -► -� ♦ ♦ ♦ -► and available terns. w <br /> (Please round to nearest dollar) $ 68.00 <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? ❑Yes ✓❑No ❑Don't know <br /> 2. Is there a wetland or floodplain on or near the property? Des No ❑Don't know <br /> 3. Have you talked with the township about your project and are they in agreement? ❑Yes ✓ Vo <br /> Rutland requested Dane <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? Eves ✓No County Permit first <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 ENo rpon't know <br /> 7. Is this to correct a violation? [Yes ✓❑No Note:copy of <br /> survey included. <br /> APPLICATION MUST BE SIGNED <br /> (Continue on Back) ■ -4. —► <br /> 545-112(4/08) <br />