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Abdication Number:APP-25007 DANE COUNTY ZONING PERMIT • ZONING PERMIT NO. ZP20080662 OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE GARY STATZ (608)225-0065 DAVE RASMUSSEN (608)833-2877 BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) 1105 WOODBRIDGE TRL P 0 BOX 45410 (City,State,Zip) (City,State,Zip) WAUNAKEE, WI 53597 MADISON, WI 53744 E-MAIL ADDRESS E-MAIL ADDRESS DAVE @CORNETTHOMES.COM PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 0808-314-6187-0 SPRINGFIELD 31 SE SE MJ:Z•la4zi1-/clrlrlCl*MIN HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE (Assignment of new address is subject 4847 to field verification.) TRIPLE CROWN CT LOT BLOCK C.S.M.NO.or PLAT NAME 24 PLAT: BRIDLE RIDGE ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: W New ❑Addition/Alteration CENSUS CODE R-1A 1.6 Description:SFR 101 - SFR CATEGORY XI Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. ❑Other:SFR ❑Public Private 518133 ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION E ❑Yes ❑No SHORELAND FLOOD ZONE WETLAND EC/SW NO. ❑Yes )4 No ❑Yes Xi No ❑Yes )4 No HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET 10466 33 Sq.Ft. 3473 Sq.Ft. 5162 PROJECT COST NO.OF STORIES 2nd FLOOR 7<d FLOOR $ 600,000.00 1831 PERMIT FEE 2 Sq.Ft. Sq.Ft. $ 835.00 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 enforc`, ment action. 2. I,the undersigned,hereby certify that: ' > 41 • I have made a diligent inquiry into the applicability of any official map to the applicants'land; /j/� t • No such official map is applicable,or,if such map is applicable,the approval of the appropriate city or village has been obtained; f z • I have not relied upon any statements of County employees in giving these assurances; 6,s,,,x • I understand the possible adverse consequences of erecting any structure within an officially mapped area without the proper approval of he 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 C' my SIGNATU- Owner/Agent DATE: Ordinances.Any unauthorized change from the info .tion or plans submitted will invalidate the permit — �--—� 44)%0\08 OFFICE ORE ONLY SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS X Yes ❑No 10 Sep 2008 CHS1 ^� DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS Initials: `2-�' 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED. ANY MODIFICATION TO THE Conditions: PROJECT REQUIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND VOID IF ANY MODIFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING. INITIALS "lika'l ' 2. SURVEY REQUIREMENT: A LOCATION SURVEY IS REQUIRED TO VERIFY COMPLIANCE WITH ZONING ORDINANCE SETBACKS. THE SURVEY SHALL BE PREPARED BY A REGISTERED LAND SURVEYOR,AND MUST BE RECEIVED BY BYDANE COUNTY ZOING WHEN THE FOUNDATION/ ► b tO 545112(12/05) GCS-sin9 � P i 0%c � ,- il N/� J i,, aik Vvrik s-L4w q Net f� !6d 01q q O 1I s/ , L' 2- 16-0g u,iok-�V coA c i t �-�