DCPZP-2009-00696 - Laserfiche WebLink

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"'. • Ap.Iication Number:APP-38866 DANE COUNTY ZONING PERMIT ZONING PERMIT NO. ZP20090696 OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE AMY CONNELL (608)201-0532 DEAN THOMAS HOMES (608)873-1935 BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) 1053 COUNTY HIGHWAY N 1233 W. MILWAUKEE ST (City,State,Zip) (City,State,Zip) STOUGHTON, WI 53589 STOUGHTON,WI E-MAIL ADDRESS E-MAIL ADDRESS PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 0511-162-8640-2 DUNKIRK 16 NW NW -J:Z•I»:1C/1111 Oil*i HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE (Assignment of new address is subject 1053 to field verification.) COUNTY HIGHWAY N LOT BLOCK C.S.M.NO.or PLAT NAME 1 CERTIFIED SURVEY MAP: CSM 07195 ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: ❑New gI Addition/Alteration CENSUS CODE R-2 4.849 Description:SCREEN PORCH ADDN 434 - RES ADD CATEGORY XI Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. ❑Other:SCREEN PORCH ADDN ❑Public g1 Private NA ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION B ❑Yes ❑No SHORELAND FLOOD ZONE �{ WETLAND EC/SW NO. X Yes ❑No ❑Yes X No ❑Yes X No NA HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET 256 16 256 Sq.Ft. Sq.Ft. PROJECT COST NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 15,000.00 PERMIT FEE 1 Sq.Ft. Sq.Ft. $ 69.00 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 c.• mencing with issuance of this zoning permit and terminating with issuance of a certificate of compliance or until earlier revoked in writ'. by the owner of the property. Owner&Agent hereby agree to comply with all Dane County Si • Owner/Agent DATE: Ordinances.Any unauthorized change from the information �, or plans submitted will invalidate the permit �-�`_ �1 3 f OFFICE USE ONLY SURVEY REQUIRED? DATE ISSUED INITIALS 1s 'SPECTION D' E INITIALS ❑Yes o 03 Nov 2009 HJH3 ) 09 5A DATE REVIEWED INITIAL 2nd IN 0 1•Nj bo INITJBI,S e Initial � 5 S'/1('V/� 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED. ANY MODIFICATION TO THE PROJ. Condit ions: REQUIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND Vi1 •.:i MODIFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING.INITIALS 2. EROSION CONTROL: OWNER/AGENT MUST CONTACT THE DANE COUNTY DEPARTMENT OF LAND&WATER RESOURCES (608-224-3647)TO HAVE IT DETERMINED IF AN EROSION CONTROL PERMIT IS REQUIRED. 545-112(12/05) GCS-single