DCPZP-2009-00719 - Laserfiche WebLink

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• • Application Number:APP-39039 DANE COUNTY ZONING PERMIT Page 1 of ZONING PERMIT NO. ZP20090719 OWNER INFORMATION AGENT/CONTRACTOR INFORMATION OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE JOHN HELLENBRAND (608)832-6621 SAME AS OWNER (608)698-2435 BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) 2105 STATE HIGHWAY 92 (City,State,Zip) (City,State,Zip) MT HOREB,WI 53572 E-MAIL ADDRESS E-MAIL ADDRESS HELLENBRANDWELDING @TDS.NET PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 0607-292-8861-5 SPRINGDALE 29 NW NW :Za1 41i Avl A011:1441E1 HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE (Assignment of new address is subject 2105 STATE HIGHWAY 92 to field verification.) LOT BLOCK C.S.M.NO.or PLAT NAME METES AND BOUNDS: METES AND BOUNDS ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: ❑New In Addition/Alteration CENSUS CODE A-1 1.006 11'X24'SHED ADDITION 328-OTHER NON-RES Description: CATEGORY Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. ❑Other: 11'X24'SHED ADDITION ❑Public Private ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION A ❑Yes ❑No SHORELAND FLOOD ZONE WETLAND EC/SW NO. Yes ❑No ❑Yes No ❑Yes No HEIGHT(In Feet) BASEMENT it FLOOR TOTAL SQUARE FEET g 264 264 Sq.Ft. Sq.Ft. PROJECT COST NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 4,500.00 1 PERMIT FEE Sq.Ft. Sq.Ft. $ 140.00 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. %w - /A en DATE: Owner 6 Agent hereby agree to comply with all Dane County SIGNATURE: g Ordinances.Any unauthorized change from the information or plans submitted will invalidate the permit / doe /`/-7 OFFICE USE ONLY SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE I INITIALS IALS ❑Yes I No 13 Nov 2009 pmk2 /a -a _ u "- DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS Initials: --77:014 .i'# lot^ 1 O Q Q r Conditions: 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED. ANY MODIFICATION TO THE PROJECT REQUIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND V�q O IF Y MODIFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING.INITIAL 2. ACCESSORY BUILDING-NO COMMERCIAL: THIS BUILDING SHALL NOT BE USED FOR ANY BUSINESS OR COMMERCIAL PURPOSE. 545-112(12/05) GCS-multi