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DANE COUNTY ZONING PERMIT DCPZP 2017 00514 Page 1 oft OWNER INFORMATION AGENT/CONTRACTOR INFORMATION OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE SPRINGFIELD RIDGE DEVELOPMENT GROUP ACKER BUILDERS INC. (608) 850-6650 110 BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) N3332 KOEPP RD 331 E MAIN ST (City,State,Zip) (City,State,Zip) MERRIMAC, WI 53561 WAUNAKEE, WI 53597 E-MAIL ADDRESS E-MAIL ADDRESS STAFF @ACKERBUILDERS.COM PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 0808-043-4244-0 TOWN OF SPRINGFIELD 4 SW SW PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE (Assignment of new address is 6224 AMETHYST DR subject to field verification.) LOT BLOCK C.S.M.NO.or PLAT NAME 14 SPRINGFIELD RIDGE ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: New Structure/Addition CENSUS CODE R-1A Residence 1.5 Description:SFR 101 -SFR (detached) District Category ® Residential ❑ Commercial ❑ Agricultural SEWER SANITARY PERMIT NO. ❑ Other: Public 13-2017-00265 ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION E-All Other 9474 ❑ YES ® NO SHORELAND FLOOD ZONE WETLAND EC/SW NO. ❑ YES ® NO ❑ YES ® NO ❑ YES ® NO HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET 6317 22 Sq.Ft.2275 Sq.Ft.4042 PROJECT COST NO.OF STORIES 2nd FLOOR 3rd FLOOR $596,000.00 1 Sq.Ft. Sq.Ft. PERMIT FEE $523.78 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 the applicable zoning ordinances. I understand that failure to comply with any provision or condition of this 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. Wetlands 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 z ing ordinances. Owner&Agent hereby agree to comply with all Dane County SIG.ATU-E: Owner/A•ent Ordinances.Any unauthorized change from the information or / 1 ' (3�f�� plans submitted will invalidate the permit. / b 7 OFFICE USE ONLY (form version 03.01.01) SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS 08/14/2017 H J H 3 ® Y ❑ NO DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS Wit