Laserfiche WebLink
• <br /> DANE COUNTY ZONING PERMIT DCPZP-2018-00081 Pagelof2 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> JEFF N SANDMIRE American Garage Builders ((608)235-1868 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 4741 WILLMORE WAY 576 Linnerud Drive <br /> (City,State,Zip) (City,State,Zip) <br /> COTTAGE GROVE, WI 53527 Sun Prairie, WI 53590 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0711-052-1567-5 TOWN OF COTTAGE GROVE <br /> 5 NW NE <br /> PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is 4741 WILLMORE WAY <br /> subject to field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 7 CEDAR KNOLLS PLAT <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: New Structure/Addition CENSUS CODE <br /> R-1 Residence Description: 438-Garage <br /> District as X L f()' Qom- ( - <br /> Category ® Residential ❑ Commercial ❑ Agricultural SEWER U SANITARY PERMIT NO. <br /> Private <br /> ❑ Other: <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. 'VARIANCE NO. DEED RESTRICTION <br /> C-Town Road <br /> YES ® NO <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> ❑ YES ® NO ❑ YES ® NO ❑ YES ® NO <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 880 <br /> 11 Sq.Ft. Sq.Ft.880 <br /> PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $24,000.00 <br /> 1 Sq.Ft. Sq.Ft. PERMIT FEE <br /> $116.00 <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 subject <br /> 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 difficult <br /> to identify. Failure to comply may result in removal or modification of construction that violates the law or <br /> other penalties or costs. For more information, visit the Department of Natural Resources web page at <br /> 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 SIGNA •• —17/p t DATE: <br /> Ordinances.Any unauthorized change from the information or <br /> plans submitted will invalidate the permit. 3 <br /> OFFICE USE ONLY (form version 04.00.00) <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> 03/14/2018 RW L 1 <br /> —y®-- YES ❑ NO DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> � <br /> Initials: / A)L 3/15/r (J G� S L� <br />