Laserfiche WebLink
(-- 1). efiA fkz <br /> ZONING PERMIT APPLICATION www.countyofdane.com SUPPLEMENT to Web-App# <br /> PROPERTY OWNER INFORMATION CUSTOMPROVI 'E <br /> OWNER NAME JEKY Golf LLC cuTO <br /> n Zoning St s;CUP; <br /> OWNER ADDRESS (Number,Street,City,State,Zip) Deed triction;CSM ' <br /> 88 Hawks Landing Cir Verona,WI 53593 Variance(# ) <br /> HOME PHONE CELL PHONE E-MAIL ADDRESS <br /> (608)845-1550 jell@haenrealestate.com n Site Pla dr n to scale <br /> AGENT INFORMATION CONTRACTOR INFORMATION and inclu dimensions <br /> AGENT NAME CONTRACTOR NAME <br /> Jeff Haen Supreme Structures(Eric Heise) <br /> Site Plan including location <br /> AGENT ADDRESS CONTRACTOR ADDRESS of well/septic p(,t,�i)I t d <br /> 88 Hawks Landing Cir Verona,WI 53593 2906 Marketplace Drive / " <br /> (City,State,Zip) (City,State,Zip) ❑Setb,s <br /> Verona,WI 53593 Madison,WI 53719 <br /> PHONE PHONE n Site jVla� proval from 1 <br /> (608) 845-1550 (608) 224-0778 appfc'aM t wnship. <br /> E-MAIL ADDRESS E-MAIL ADDRESS , <br /> jeff@haenrealestate.com eric.heise@supremestructures.com n Floor pl1�n$'to scale <br /> PROPERTY/LOCATION INFORMATION (http://accessdane.co.dane.wi.us/) n Elevati inn o operty <br /> PARENT PARCEL NUMBER: CURRENT ZONING: ACREAGE: <br /> nPARCEL 0708-292-2502-0 CC 6.50 frontage awn to scale. <br /> NUMBER _ <br /> TOWNSHIP: SECTION: n DCIV rmits <br /> Town of Middleton 29 1�4: NW 1�4: NW �� <br /> A\.......DDRESS' (StBB,�ObWn) <br /> -4-. <br /> uki <br /> CSM: 75LOT lv1 SUBDIVISION� BLOCK/LOTS ❑btary permits <br /> 2 Pioneer Pointe ,private) <br /> PROPOSED PROJECT INFORMATION STAFF REVIEW <br /> PROgS.I,DDSCRIPTION: <br /> I`lubhouseparking for Pioneer Pointe Golf Course ❑ Zoning District <br /> . nThis project is a new building or structure. ❑ Permitted Use? <br /> rThis project is an addition/alteration to an existing building or structure. <br /> SANITARY SERVICE: PERMIT NUMBER: ❑ Ru I Address <br /> EWER SEPTIC ( ew existing) <br /> HEIGHT IN FEET: / NUMBER OF STORIES: (Not including basement) <br /> 35.5 V 2.0 ❑ Wetland/Floodplain/ <br /> Shoreland (attachment) <br /> AREA TO NEAREST SQUARE FOOT: —) <br /> (Outside dimensions including unfinished area,attached garages and above grade decks or porches) j <br /> BASEMENT: / 1ST FLOOR: ❑— <br /> Erosion Control permit i <br /> 1 ,920.0 ✓ 9,350.0 v 4, TOTAL SQUARE FOOTAGE: 4, (slopes,disturbance, <br /> -f oZ-150 /...509$ filling/access) <br /> 2ND FLOOR: 3RD FLOOR: <br /> 9,350.0ze 0.0frciiiio <br /> 99 <br /> 11 Review Location Survey <br />• ESTIMATED CONSTRUCTION COST: ♦ ♦ ♦ ♦ —, ♦ 2 000 000 and available options. <br /> (Please round to nearest dollar) <br /> 1. The property is within 300 feet of a stream or 1000 feet from a pond or lake? Yes l✓HNo fDon't know <br /> 2. Is there a wetland or floodplain on or near the property? Yes ✓No Don't know <br /> I 3. Have you talked with the township about your project and are they in agreement? ,/Yes I INo <br /> 4. Has there been a zoning permit issued for this property in the past 5 years? nYes ❑✓No <br /> 5. Is this project associated with a rezone/CUP/variance (petition/appeal# ) (leave blank if none) <br /> 6. Is a location survey required? (see reverse) ^Yes nNo (Don't know <br /> 7. Is this to correct a violation? Yes nNo <br /> APPLICATION MUST BE SIGNED <br /> \- fop V .. / t 7 n Q (Continue on Back) <br /> REV(01/19) levo <br />