DCPZP-2009-00314 - Laserfiche WebLink

Home Browse Search

Application Number:APP-34882 DANE COUNTY ZONING PERMIT Page 1 of 2 ZONING PERMIT NO. ZP20090314 OWNER INFORMATION I AGENT/CONTRACTOP 1111'3f 0.CATION OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE ALBION, TOWN OF (608)884-8974 SAME AS OWNER Sr. BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) 5 W ROLLIN ST 2 2Q�9 (City,State,Zip) (City,State,Zip) SA EDGERTON,WI 53534 011544 E-MAIL ADDRESS E-MAIL ADDRESS ly, ALBION @MILWPC.COM PARCEL NO. TOWNSHIP CTION 1/4 1/4 1/4 0512-223-2132-3 ALBION 22 SW Nw IN a:f•l JI 4 a 11W11111:4*1;-11111 HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE (Assignment of new address is subject 612 CAMPUS LN to field verification.) LOT BLOCK C.S.M.NO.or PLAT NAME 31 PLAT:ALBION,ASSESSOR'S PLAT OF VILLAGE ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: ❑New I Addition/Alteration CENSUS CODE RE-1 2.0 Description:30'X24'ADDITION TO PARK SHELTER 325-PUBLIC WORKS CATEGORY Residential ❑Commercial LI Agricultural SEWER SANITARY PERMIT NO. ❑Other: ❑Public Private ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION C ❑Yes ❑No SHORELAND FLOOD ZONE WETLAND EC/SW NO. ❑Yes No ❑Yes 'C No ❑Yes No HEIGHT(In Feet) BASEMENT ist FLOOR TOTAL SQUARE FEET 16'-6" 720 720 Sq.Ft. Sq.Ft. PROJECT COST NO.OF STORIES 2nd FLOOR $rd FLOOR $ 20,000.00 1 PERMIT FEE Sq.Ft. Sq.Ft. $ 0.00 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 of compliance or until earlier revoked in writing by the owner of the property. Owner&Agent hereby agree to comply with all Dane County SIGNATURE: Owner/Age t DATE: o Ordinances.su Any unauthorized to change permit from the information e ‘. _ . C� �L_ (,i1 / F U9 or plans submitted will invalidate die permit J��j C 69 OFFICE USE ONLY SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSP CTIO DATE INITIA ❑Yes ❑No 16 Jun 2009 SSA1 721 r09 S' DATE REVIEWED INITIALS 2nd IN ECTI N DA E INITIALS Initial I L 2 1 1 0 1 54S Conditions: 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED. P(/NY MODIFICATION TO THE PROJECT REQUIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND V I ANY MODIFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING.INITIALS 2. ACCESSORY BUILDING-NO COMMERCIAL: THIS BUILDING SHALL NOT BE USED FOR ANY BUSINESS OR COMMERCIAL PURPOSE. 545-112(12105) GCS-multi