Laserfiche WebLink
DANE COUNTY ZONING PERMIT ZONING PERMIT NO. Page 1 of 2 <br /> DCPZP-2021-00389 <br /> OWNER INFORMATION AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> FINK REV TR, GEORGE B (608)636-3361 PREMIER BUILDING SOLUTIONS (608)630-1007 <br /> BILLING ADDRESS(Number,Street) ADDRESS(Number,Street) <br /> 9674 LEE VALLEY RD 2581 STATE HIGHWAY 92 <br /> (City.State,Zip) (City.State.Zip) <br /> BLANCHARDVILLE, WI 53516 MOUNT HOREB, WI 53572 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> GEOFMAC@YAHOO.COM TINAR@PREMIERBUILDINGSOLUTIONS.BIZ <br /> PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0506-252-9060-4 TOWN OF PERRY 25 NW SW <br /> • {.JJ4:4ft.:1IU1:{*-'i-. HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is 9674 LEE VALLEY RD <br /> subject to field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> METES AND BOUNDS <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: New Structure/Addition CENSUS CODE <br /> FP-35 Farmland 20 Description:REPLACEMENT SFR 101 -SFR (detached) <br /> Preservation District <br /> Category 2l Residential ❑ Commercial ❑ Agricultural SEWER SANITARY PERMIT NO. <br /> ❑ <br /> Private 13-2021-00180 <br /> Other: <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> C-Town Road <br /> 0 YES ❑ NO <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> ® YES ❑ NO 21 YES ❑ NO YES ❑ NO <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 6394 <br /> 20 Sq.Ft.2317 Sq.Ft.4077 <br /> PROJECT COST <br /> NO.OF STORIES 2nd FLOOR, 3rd FLOOR $720,255.00 <br /> 1 Sq.Ft. Sq.Ft. PERMIT FEE <br /> $689.40 <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 SIGNATUR •w•er/Agent DATE: <br /> Ordinances,Any unauthorized change from the information or �r <br /> plans submitted will invalidate the permit. / <br /> '7— Z <br /> OFFICE USE ONLY (form version 04.00.01) " <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS <br /> 07/07/2021 PMK2 <br /> ❑ YES ® NO DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS <br /> Initials: j- �= <br />