DCPZP-2009-00363 - Laserfiche WebLink

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Application Number:APP-35358 DANE COUNTY ZONING PERMIT Page 1 of 2 ZONING PERMIT NO. ZP20090363 OWNER INFORMATION AGENT/CONTRACTOR INFORMATION OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE JAMES MICKOWSKI (608)251-5820 SAME AS OWNER BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) 2295 WILLIAMS POINT DR (City,State,Zip) (City,State,Zip) STOUGHTON,WI 53589 E-MAIL ADDRESS E-MAIL ADDRESS JIM @PSJENGINEERING.COM PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 0611-191-4888-5 PLEASANT SPRINGS 19 NE SW 171:(.1:I 1 athWA'l'l;14- HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE (Assignment of new address is subject 2295 WILLIAMS POINT DR to field verification.) LOT BLOCK C.S.M.NO.or PLAT NAME 38 PLAT: WILLIAM'S POINT- ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: ❑New I Addition/Alteration CENSUS CODE R-3 0.28 ACRES Description:ADDNS/ALTNS TO SFR-SEE VAR 3569 434 - RES ADD CATEGORY Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. ❑Other: Public ❑Private ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION E -- - 3569 ❑Yes ❑No SHORELAND FLOOD ZONE WETLAND EC/SW NO Yes El No ❑Yes No ❑Yes No SE2009- HEIGHT(In Feet) BASEMENT tat FLOOR TOTAL SQUARE FEET 18'+- 0 1115 1115 Sq.Ft. Sq.Ft. PROJECT COST NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 30,000.00 1 0 0 PERMIT FEE Sq.Ft. Sq.Ft. $ 134.00 1. I,the undersigned,hereby make application for a zoning permit only for the location and the work described herein and certify to the accuracy of that information. I further certify I am the owner of the property,or a duly authorized representative,and may sign this permit application on behalf of the owner(s) of said property, and I have read and understand all of the conditions of this permit and will construct the project in compliance with those conditions. I understand that failure to comply with any provision of the permit renders it null and void and may result in an enforcement action. 2. I,the undersigned,hereby certify that: • I have made a diligent inquiry into the applicability of any official map to the applicants'land; • No such official map is applicable,or,if such map is applicable,the approval of the appropriate city or village has been obtained; • I have not relied upon any statements of County employees in giving these assurances; • I understand the possible adverse consequences of erecting any structure within an officially mapped area without the proper approval of the city or village involved.Any zoning permit issued for a property located within an official mapped area for which the applicant has not obtained the proper permit from the appropriate village or city shall be null and void. 3. I, the undersigned, hereby consent to the entry on the permitted premises by zoning inspectors of the Dane County Department of Planning & Development to determine compliance with the county's zoning ordinances. This consent is valid for the period commencing with issuance of this zoning permit and terminating with issuance of a certificate • compliance or until earlier revoked in writing by the owner of the property. Owner&Agent hereby agree to comply with all Dane Coun i •. ATE: Ordinances.Any unauthorized change from the information ;t 41 02 O, III or plans submitted will invalidate the permit & • OFF'CE USE ONLY SURVEY REQUIRED? DATE ISSUED ,erigr 1st INSPECTION DATE INITIALS Yes ❑No 01 Jul 2009 LS DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS ifiRIaT Conditions: 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED. ANY MODIFICATION TO .Sell!_ T REQUIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL A I VI MODIFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONIN . •ITIA 1$ �v 2. EROSION CONTROL: OWNER/ ENT MUST • TA T THE I •NE COUNTY DEPARTMENT OF LAND&WATER RESOURCES k6 .47 T• VE ' I TER IN,ED IF AN ERO ION CO TROL PERMIT IS REQUIRED-SCGNATUR , r,� 4 A WS DATE) 1.0Z.d 7 545-112(12!05) GCS-multi