Laserfiche WebLink
DANE COUNTY ZONING PERMIT DCPZP-2016-00796 Page 1 of 2 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> SHAWN K CANNON (608) 515-4309 HART DENOBLE BUILDERS (608) 831-4422 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 2483 COUNTY HIGHWAY E 7923 AIRPORT RD <br /> (City,State,Zip) (City,State,Zip) <br /> MT HOREB, WI 53572 MIDDLETON, WI 53562 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> scannon825 @mhtc.net bnorth @denoblebuilders.com <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/41/4 <br /> 0606-153-9550-9 TOWN OF BLUE MOUNDS 15 SW SE <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is 2483 COUNTY HIGHWAY E <br /> subject to field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 1 CSM 04889 <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: New Structure/Addition CENSUS CODE <br /> RH-2 Rural Homes 6.23 Description:tear down and rebuilt house 101 - SFR (detached) <br /> District <br /> Category ® Residential ❑ Commercial ❑ Agricultural SEWER SANITARY PERMIT NO. <br /> Other: Private 13-2016-00390 <br /> 111 ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> B-County Highway 3571 YES ® NO <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> ❑ YES Q} NO ❑ YES ® NO ❑ YES ® NO <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 4910 <br /> 31.5 Sq.Ft.1506 Sq.Ft.2578 <br /> PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $600,000.00 <br /> 2 Sq.Ft.826 Sq.Ft. PERMIT FEE <br /> $418.25 <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 SIGNATUR a caner/Agent DATE: <br /> Ordinances.Any unauthorized change from the information or <br /> plans submitted will invalidate the permit. ,� I Z/Z I /I Co <br /> OFFICE USE ONLY (form version 03.01.00) <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> 12/21/2016 SSA1 <br /> (❑ YES ® NO DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS� <br /> Initials: C)H 1 c.1C ^,9 /G P iLi <br />