Laserfiche WebLink
ZONING PERMIT APPLICATION www.countyofdane.com SUPPLEMENT to Web-App# <br /> PROPERTY OWNER INFORMATION CUSTOMER TO PROVIDE <br /> OWNER NAME <br /> Whitney & Helen Hite <br /> ❑Zoning Stat ; CUP; <br /> OWNER ADDRESS (Number,Street,City,State,Zip) Deed R riction; CSM <br /> 123 North High Point Road Middleton,WI 53562 Variance(# ) <br /> HOME PHONE CELL PHONE E-MAIL ADDRESS <br /> (608)250-0169 wlh @athletics.wisc.edu ❑Site Plan drawn to scale , <br /> AGENT INFORMATION CONTRACTOR INFORMATION and includes dimension b <br /> AGENT NAME CONTRACTOR NAME <br /> JM Frederick Custom Homes&Properties,LLC ❑Site P an. cluding location <br /> AGENT ADDRESS CONTRACTOR ADDRESS of wel ptic <br /> 1283 County Road D <br /> (City,State,Zip) (City,State,Zip) ❑Setbacks q ' <br /> Oregon,WI 53575 ` <br /> PHONE PHONE ❑Site Pla• ap,Ji. - from <br /> (608) 843-2789 applica,!- . n hip. <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> freddy.jmfcustomhomes @gmail.com ❑Floor plans allee' <br /> PROPERTY/LOCATION INFORMATION (http://accessdane.co.dane.wi.usn ❑Elevation of prAtrtY <br /> PARENT PARCEL NUMBER: CURRENT ZONING: ACREAGE: .`/ <br /> ❑PARCEL 056/0808-312-2079-0 1.53 frontage dra• to scale. <br /> NUMBER <br /> TOWNSHIP: SECTION: <br /> Springfield 31 %: TBN 1/41/4: R8E ❑ Driveway p mits <br /> ADDRESS: (state, o ty,town) <br /> 7902 Autumn Pond Trail <br /> CSM: LOT SUBDIVISION BLOCK/LOT ❑Sanitary permits <br /> 19 Autumn Pond (public,pri ..te) <br /> PROPOSED PROJECT INFORMATION STAFF REVIEW • <br /> PROJECT DESCRIPTION: <br /> New Home LI Zonin strict <br /> IN This project is a new building or structure. <br /> LI Permitse? <br /> This project is an addition/alteration to an existing building or structure. <br /> SANITARY SERVICE: PERMIT NUMBER: ❑ Rural Address <br /> EWER 1EPTIC 13,201,600,325xisting) <br /> HEIGHT IN FEET: NUMBER OF STORIES: (Not including basement) <br /> 35.0 2.0 ❑ Wetland/ lo f'!, -' <br /> AREA TO NEAREST SQUARE FOOT: Shorela 1 - ment) <br /> (Outside dimensions including unfinished area,attached garages and above grade decks or porches) <br /> BASEMENT: 1sT FLOOR: ❑ ErosionControl permit <br /> 2,252,0 3,888.0 +, TOTAL SQUARE FOOTAGE: , (slopes,distu nce, <br /> p filling/ac <br /> 2ND FLOOR: 1,664.0 3RD FLOOR: 7,804.0 <br /> ❑ Review Loca' n S ey <br /> ESTIMATED CONSTRUCTION COST: ♦ -► ♦ and avail a ns. <br /> ♦ <br /> (Please round to nearest dollar) $ 540,000.00 <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? LIYes IgNo ❑Don't know <br /> 2. Is there a wetland or floodplain on or near the property? ❑Yes ao ❑Don't know <br /> 3. Have you talked with the township about your project and are they in agreement? ✓❑Yes ❑No <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? Dies 4No <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) Ekes si No ['Don't know <br /> 7. Is this to correct a violation? ❑Yes ig No <br /> APPLICATION MUST BE SIGNED <br /> 545-112(4/08) <br /> (Continue on Back) —► -4 --* <br />