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G:\Data\DBases\Forms\Permit\Word\ZoningPermitApplication20130121.doc Revised 01/16/13) ZONING PERMIT CITY OF MIDDLETON  7426 HUBBARD AVE.  MIDDLETON, WI 53562 PHONE (608) 821-8370  FAX (608) 827-1080  www.cityofmiddleton.us No structure shall be erected or altered without first obtaining a Zoning Permit pursuant to Section 10.127(1) of the City of Middleton Zoning Ordinance as well as the appropriate Building Permit(s). Zoning Permit Fees (pursuant to City of Middleton Code of Ordinances, Section 10.128(1)(g)): PROJECT CLASS PRINCIPAL STRUCTURE ADDITIONS (e.g. garage, deck) ACCESSORY STRUCTURES (e.g. shed, fence) One Family and Duplex $250 $50 $25 Multifamily $500 $250 $100 Small Commercial / Industrial (up to 20,000 SF) $500 $250 $100 Large Commercial / Industrial (over 20,000 SF) $1,000 $250 $100 NOTE: Only one fee is charged per application. If an application includes more than one structure type on the same lot, only the highest fee applies. SECTION 1 – APPLICATION (TO BE COMPLETED BY APPLICANT) INSTRUCTIONS: This application must be accompanied by a Site Plan that illustrates building dimensions and setbacks measured to foundation walls, with dimensions of roof eaves and other overhangs clearly indicated. Fence-only applications may contain less detail. Prior to plan submittal, applicant should identify lot boundaries and determine whether any public or private easements affect the property. Prior to construction, contact Digger’s Hotline at (800) 242-8511. Some properties in the city require the approval of a Neighborhood Architectural Review Committee or Homeowner’s Association that is separate from the City permitting process. ADDRESS OF PROPERTY WORK CONSISTS OF OWNER PROJECT REPRESENTATIVE (Contractor, Coordinator, Other) NAME CONTACT NAME BUSINESS NAME or CO-OWNER’S NAME (if applicable) BUSINESS NAME (if applicable) MAILING ADDRESS MAILING ADDRESS CITY, STATE, ZIP CITY, STATE, ZIP DAYTIME PHONE # DAYTIME PHONE # EMAIL EMAIL PROJECT CLASS (Check One) SINGLE FAMILY DUPLEX MULTIFAMILY SMALL COMMERCIAL / INDUSTRIAL (up to 20,000 SF) LARGE COMMERCIAL / INDUSTRIAL (over 20,000 SF) PROJECT SCOPE (Check all that apply) NEW STRUCTURE ADDITION ALTERATION STRUCTURE TYPE (Check all that apply) PRINCIPAL STRUCTURE GARAGE DECK SHED FENCE POOL OTHER SITE DATA (not required for fence-only applications) LOT AREA (sq.ft.) IMPERVIOUS SURFACE AREAS EXISTING PLANNED CHANGES STRUCTURES (include roof eaves & other overhangs) SF SF DRIVEWAYS, PARKING AREAS, WALKWAYS SF SF OTHER FLAT SURFACES (patios, uncovered decks) SF SF I, the undersigned, do hereby certify that the above information is correct and agree that in the performance of this work I will be bound by and submit to all statutes of the State of Wisconsin, conform to all applicable codes and ordinances of the City of Middleton, and abide by all other applicable rules and regulations. Furthermore, I understand that the City of Middleton is not responsible for enforcing neighborhood covenants, and any granted zoning variances apply only for the specific structure(s) reviewed by the Zoning Board of Appeals. SIGNATURE OF APPLICANT (must be owner or project representative listed above) DATE PERMIT Permit Fee: Fee Paid: □ Approved By: Approval Date: / / ---PAGE BREAK--- G:\Data\DBases\Forms\Permit\Word\ZoningPermitApplication20130121.doc Revised 01/16/13) SECTION 2 – STAFF REVIEW (PERTINENT SECTIONS TO BE COMPLETED BY PLANNING / ZONING OFFICIALS) ADDRESS REVIEWED BY: ZONING DISTRICT PDD NAME (if applicable) REVIEW DATE: PROPOSED USE / ACTIVITY IS PERMITTED IN ZONING DISTRICT YES NO REQUIRES CONDITIONAL USE PERMIT 100-YEAR FLOODPLAIN YES NO UNCLEAR LOT AREA (SF) CORNER LOT YES NO FEE CATEGORY PRINCIPAL ADDITION ACCESSORY ZONING REQUIREMENTS: MEASUREMENTS APPLY TO: EAVES WALLS unless indicated otherwise SETBACKS OF PRIMARY STRUCTURES ALLOWED BY CODE (in feet unless indicated otherwise) PLAN COMPLIES COMMENTS FRONT MIN. MAX. YES NO REAR MIN. MAX. YES NO LEFT YES NO RIGHT YES NO GARAGE DOOR WALL (if applicable) YES NO ARCHITECTURAL FEATURES MAY ENCROACH A CERTAIN DISTANCE YES NO YES NO MAX. BUILDING HEIGHT FEET STORIES YES NO ACCESSORY STRUCTURES (LIST, IF ANY) SETBACKS HEIGHT YES NO YES NO DRIVEWAY REGULATIONS WIDTH SETBACK YES NO MAX. LOT COVERAGE PERCENT AREA YES NO EAVES WALLS MAX. IMPERVIOUS SURFACE AREA PERCENT AREA YES NO EAVES WALLS FENCE REGULATIONS  Decorative side must face outward; fence side with posts must face inward.  No sharp edges or any materials that may pose a hazard or easily fall into disrepair.  Fence within 5 feet of rear and side lot lines limited to height of 6 feet, including posts.  Fence in front yard must be decorative, no taller than 3 ft., and ≥ 50% airspace.  Foxridge neighborhood requires approval of adjacent neighbors.  Lakeshore lots have additional fence regulations. YES NO CONDITIONS OF APPROVAL 1. During construction, all lot corner monuments must be visible or indicated by stakes. 2. Compliance with conditions of approval stipulated by: Plan Commission minutes of Zoning Board of Appeals minutes of