Laserfiche WebLink
DANE COUNTY ZONING PERMIT DCPZP 2017 00648 Page1of2 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> JAYNE M LINDAUER (608) 845-9149 CLASSIC CUSTOM HOMES OF C ) c` ..0/SG <br /> \A/AI INMATE ICI(` <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 854 CHESHIRE CASTLE WAY 401 N CENTURY AVE <br /> (City,State,Zip) (City,State,Zip) <br /> VERONA, WI 53593 WAUNAKEE, WI 53597 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> amanda @cchofwaunakee.com <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0508-332-8890-0 TOWN OF MONTROSE <br /> 33 NW NW <br /> PROPERTY ADDRESS HOUSE NO ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is 280 COUNTY HIGHWAY PB <br /> subject to field verification.) <br /> LOT BLOCK C.S.M.NO or PLAT NAME <br /> 2 CSM 12174 <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: New Structure/Addition CENSUS CODE <br /> RH-3 Rural Homes 10.16 Description:RESIDENTIAL ACCESSORY BUILDING 438 - Garage <br /> District <br /> Category ® Residential ❑ Commercial ❑ Agricultural SEWER SANITARY PERMIT NO. <br /> Private <br /> ❑ Other: <br /> ROAD CLASSIFICATION REZONE NO C.U.P.NO VARIANCE NO DEED RESTRICTION <br /> B-County Highway 9673 <br /> ❑ YES ® NO <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> ® YES El NO ❑ YES ® NO ❑ YES ® NO SE2017 0329 <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 1564 <br /> 25 Sq.Ft. Sq.Ft. 1564 <br /> PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $64,908.00 <br /> 1 Sq.Ft. Sq.Ft. PERMIT FEE <br /> $167.30 <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 SIGNATU- • : 0 .ner/A• •nt DATE: <br /> Ordinances.Any unauthorized change from the information or _ <br /> plans submitted will invalidate the permit. // _ 94e /f <br /> OFFICE USE ONLY (form version 03.01.01) <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> 09/26/2017 HJ H 3 <br /> ® ❑ NO DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> Initials: <br /> K <br />