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ZONING PERMINO. <br /> DANE COUNTY ZONING PERMIT DCPZP-2021-00332 Page 1of2 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> TODD RYAN CHRISTENSEN (630)408-6184 TONY MAGESTRO (608) 225-7311 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 5510 RUSTIC WAY PO BOX 213 <br /> (City,State.Zip) (City,State,Zip) <br /> MCFARLAND, WI 53558 COTTAGE GROVE, WI 53527 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> TRCHRISTENSE@GMAIL.COM TONY@FLATFEEBUILD.COM <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 10'4 <br /> 0711-101-2178-0 TOWN OF COTTAGE GROVE 10 NE NW <br /> PROPERTY ADDRESS HOUSE NO ST DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is 2195 WOODED RIDGE TRL <br /> subject to field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 8 KENNEDY HILLS <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: New Structure/Addition CENSUS CODE <br /> SFR-08 Single 0.689 Description:SFR W/SCREENED PORCH 101 - SFR (detached) <br /> Family Residential <br /> Category ® Residential ❑ Commercial ❑ Agricultural SEWER SANITARY PERMIT NO. <br /> ❑ Other Private 13-2021-00163 <br /> ROAD CLASSIFICATION REZONE NO. C.0 P NO VARIANCE NO. DEED RESTRICTION <br /> E-All Other ❑ YES 0 NO <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> YES rd NO ❑ YES oa NO ❑ YES 0 NO <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 5384 <br /> 15 Sq.Ft 2189 sq Ft 3195 <br /> PROJECT COST <br /> NO OF STORIES 2nd FLOOR 3rd FLOOR $540,000.00 <br /> 1 Sq Ft Sq Ft PERMIT FEE <br /> $588.40 <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 SIGN•/ URE: Owner/Agent DATE: <br /> Ordinances.Any unauthorized change from the information or A^ (0-i I -z I <br /> plans submitted will invalidate the permit. tI� /1! ( ' . <br /> OFFICE USE ONLY (form version 04.00.01) <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> 06/11/2021 SLJ3 <br /> ® YES ❑ NO DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> Initials: d! - (0-5 -A\ S L 3 <br />