Laserfiche WebLink
ZONING PERMIT APPLICATION www.countyofdane.com SUPPLEMENT to Web-App# <br /> PROPERTY OWNER INFORMATION CUSTOMER TO PROVIDE <br /> OWNER NAME <br /> Madison Area Technical College <br /> ['Zoning Status; CUP; <br /> OWNER ADDRESS (Number,Street,City,State,Zip) Deed Restriction; CSM <br /> 1701 Wright Street Madison,WI 53704 <br /> Variance(# <br /> HOME PHONE CELL PHONE E-MAILADDRESS <br /> ❑Site Plan drawn to scale <br /> AGENT INFORMATION CONTRACTOR INFORMATION and includes dimensions <br /> AGENT NAME CONTRACTOR NAME <br /> Mike Luther-Findorff JH Findorff&Son,Inc ❑Site Plan including location <br /> AGENT ADDRESS CONTRACTOR ADDRESS of well/septic <br /> 300 S Bedford St <br /> (City,State,Zip) (City,State,Zip) ❑ Setbacks <br /> Madison,WI 53703 <br /> PHONE PHONE ['Site Plan approval from <br /> (608) 257-5321 applicable township. <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> tsullivan @findorff.com ❑ Floor plans to scale <br /> PROPERTY/LOCATION INFORMATION (http://accessdane.co.dane.wi.us/) ❑ Elevation of property <br /> PARENT PARCEL NUMBER: CURRENT ZONING: ACREAGE: <br /> ❑PARCEL 0810-294-0086-9 frontage drawn to scale. <br /> NUMBER <br /> TOWNSHIP: SECTION: <br /> City of Madison 1/a1/a: ❑ Driveway permits <br /> ADDRESS: (state, county,town) <br /> 1701 Wright Street, Madison, WI 53704 <br /> CSM: LOT SUBDIVISION BLOCK/LOT Sanitary permits <br /> (public, private) <br /> PROPOSED PROJECT INFORMATION STAFF REVIEW <br /> PROJECT DESCRIPTION: <br /> New Kenworth dealership-this permit is for a crane to be used onsite for the installation of precast&steel. The height below is for the Crane. ❑ Zoning District <br /> . <br /> This project is a new building or structure. ❑ Permitted Use? <br /> 0 This project is an addition/alteration to an existing building or structure. <br /> SANITARY SERVICE: PERMIT NUMBER: ❑ Rural Address <br /> EWER [)EPTIC (new/existing) <br /> HEIGHT IN FEET: NUMBER OF STORIES: (Not including basement) <br /> 120.0 ❑ Wetland/F000dplain/ <br /> AREA TO NEAREST SQUARE FOOT: Shoreland (attachment) <br /> (Outside dimensions including unfinished area, attached garages and above grade decks or porches) <br /> BASEMENT: 1ST FLOOR: ❑ ErosionControl permit <br /> 4 TOTAL SQUARE FOOTAGE: ,, (slopes, disturbance, <br /> 2ND FLOOR: 3RD FLOOR: filling/access) <br /> ❑ Review Location Survey <br /> ESTIMATED CONSTRUCTION COST: and available options. <br /> (Please round to nearest dollar) -4. "� <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? Des ❑No ❑Don't know <br /> 2. Is there a wetland or floodplain on or near the property? DYes ❑No DDon'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? [Yes ❑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 ❑No ['Don't know <br /> 7. Is this to correct a violation? ❑Yes ❑No <br /> APPLICATION MUST BE SIGNED <br /> (Continue on Back) -► -+ -+ <br /> 545-112(4/08) <br />