DCPZP-2009-00591 - Laserfiche WebLink

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Ap•lication Number:APP-37523 DANE COUNTY ZONING PERMIT ZONING PERMIT NO. ZP20090591 ' OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE GERALD BERG (608)695-2580 SAME AS OWNER BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) 6222 KILPATRICK LN (City,State,Zip) (City,State,Zip) MADISON,WI 53718 E-MAIL ADDRESS E-MAIL ADDRESS PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 0711-101-1001-8 COTTAGE GROVE 10 NE NE •J;t•1 I4 A A-MA I]OA 4:111111 HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE (Assignment of new address is subject to field verification.) 2169 SOUTHERN CT LOT BLOCK C.S.M.NO.or PLAT NAME 1 PLAT: SOUTH SLOPE ADDITION TO AMERICAN HERITAGE ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: Xi New ❑Addition/Alteration CENSUS CODE R-2 1.313 Description:20'X 12'X 12'DET STOR SHED 328-OTHER NON-RES CATEGORY Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. ❑Other: _ CI Public Li Private ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION E ❑Yes ❑No SHORELAND FLOOD ZONE �{ WETLAND EC/SW NO. ❑Yes A No ❑Yes X No ❑Yes X1 No HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET 240 12 240 Sq.Ft. Sq.Ft. PROJECT COST NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 1,911.00 PERMIT FEE 1 Sq.Ft. Sq.Ft. $ 68.00 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 SIGN . Owner/Agent DATE: Ordinances.Any unauthorized change from the information / or plans submitted will invalidate the permit /' , , ' 074 4 ii OFFICE USE ONLY SURVEY REQUIRED? DATE ISSUED INITIALS 1st IN'?CTION QATE'/ I4L_LS LS ❑Yes ❑No 16 Sep 2009 RLB / 1//`�'/Q 7 DATE REVIEWED INITIALS 2nd INSP 1 DATED[I t� INI LS n Initials: c/� >j 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED. ANY MODIFICATION TO THE PROJECT Conditions: REQUIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND VOID IF ANY MODIFI ATE O S ARE MADE WITHOUT THE EXPRESS RI EN APPROV OF DANE COUNTY ZONIN .INITIALS /Et P b >tit:v �I-R eS -4� ee- - -/aw e , 2. SURVEY ADVISOI Y NOTE: A LOCATION SURVEY MAY BE REQUIRED TO VERIFY THAT THE BUILDING IS CONSTRUCTED ACCORDING TO THE PLAN SUBMITTED WITH THIS APPLICATION. 545-112(12/05) GCS-single fJ 0 S6 r 1--5f44, 111 20/0? .