DCPZP-2008-00561 - Laserfiche WebLink

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Application Number:APP-23744 ZONING PERMIT NO. DANE COUNTY ZONING PERMIT Page 1 oft ZP20080561 OWNER INFORMATION AGENT/CONTRACTOR INFORMATION • ER NAME PHONE AGENT/CONTRACTOR NAME PHONE tit LOWE WOOLEY (608)647-1484 MARK MAZUR (608)770-1285 BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) 6726 WEST ALBION 4709 MCKENNA RD (City,State,Zip) (City,State,Zip) NILES, IL 60714 ' +� MONONA,WI 53716 E-MAIL ADDRESS � E-MAIL ADDRESS PARCEL NO. TOWNSHIP SECTION '/4 1/4 1/4 0512-364-0907-0 ALBION 36 SE NE J {�l»:t r-/11 pl•l:7 H SE NO. ST.DIRECTION STREET NAME ST.TYPE (Assignment of new address is subject 72 POTAWATOMI DR • to field verification.) LOT BLOCK C. _PLAT NAME 27 3 SLAT: INDIAN HEIGHTS RESUBDIVISION OF BLOCKS 3&6 EXCEPT LOT 13, BLOCK ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: 6 New ❑Addition/Alteration CENSUS CODE R-3 .143 Description:SFR 101 - SFR CATEGORY Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. ❑Other:SFR Public ❑Private ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIA CE NO. DEED RESTRICTION D 3529 ❑Yes ❑No • SHORELAND FLOOD ZONE WETLAND EC/SW •. Yes ❑No ❑Yes No ❑Yes_ No SS2011 0194 HEIGHT(In Feet) BASEMENT 1 FL R TOTAL SQUARE FEET 14 1245 1714 2959 Sq.Ft. Sq. PROJECT COST NO.OF STORIES 2nd FLOOR rd FLOOR $ 140,000.00 1 PERMIT FEE Sq.Ft. Sq.Ft. $ 272.00 1. I,the undersigned,hereby make application for a zoning permit only for the cation and the work descri•-d herein and certify to the accuracy of that information. I further certify I am the owner of the property,or a duly authoriz representative,and may sign this permit application on behalf of the owner(s) of said property, and I have rea• •- stand all of the condi ns of this permit and will construct the project in compliance with those conditions. I understand that fail o comply with a provision of the pe it renders it null and void and may result in an enforcement action. 2. I,the undersign-• ereby certify th. : • I have ma•- a diligent inquiry in • the applicability of any officia ap to the applicants'land; • No suc •fficial map is applica•e,or,if such map is applicable,t'ie approval of the appropriate city or village has been obtained; • I have of relied upon any scat: ents of County employees in •'ling these assurances; • I und: stand the possible adver e consequences of erecting a structure within an officially mapped area without the proper approval of the city or villag' involved.Any zoning per 'it issued for a property to ed within an official mapped area for which the applicant has not obtained the proper pe t from the appropriate villag- or city shall be null -'• void. 3. I, the u dersigned, hereby consent to t - - on the permitted premises by zoning inspectors of the Dane County Department of Planning & Develop ent to determine compliance with the county's zoning ordinances.This consent is valid for the period commencing with issuance of this zoning p= mit and terminating with issuance of a certificate of compliance or until earlier revoked in writing by the owner of the property. Owner&Agent • ••ree to comply with all Dane County SIGNATURE: Owner/Agent DATE: Ordinances.Any unauthorized change from the information or plans submitted will invalidate the permit OFFICE USE ONLY SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS A Yes ❑No 06 Aug 2008 HJH3 L\ I d to DATE REVIEWED INITIALS 2nd INS TI N DATE INITI S Initials: Lc1 Conditions: 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENT D. Y MODIFICATION TO THE 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 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 DANE COUNTY ZONING WHEN THE FOUNDATION/BASEMENT WALLS ARE COMPLETED,OR IF THE PROJECT DOES NOT INCLUDE FOUNDATION/BASEMENT WALLS,AT THE TIME THE LOCATION OF THE STRUCTURE IS ESTABLISHED,AND BEFORE ANY OTHER WORK IS DONE. 545-112(12/05) GCS-multi