DCPZP-2009-00379 - Laserfiche WebLink

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, Apolication Number: WEB-35464 DANE COUNTY ZONING PERMIT ZONING PERMIT NO. ZP20090379 OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE JOHN SCHELLER (608) 334-7325 JACE JONTZ (608)712-4392 BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) 1247 MIFFLIN ST#1 3185 DEER POINT (City,State,Zip) (City,State,Zip) MADISON,WI 53703 E-MAIL ADDRESS E-MAIL ADDRESS JCSCHELLER @MICHAELBEST.COM JACE @SHAWBUILDERS.COM PARCEL NO. TOWNSHIP SECTION 1/4 Y/4 1/4 0510-114-9110-0 RUTLAND 11 SE SW •J:tel:J 3 a 1 ' 'l 4 N#;f11111 HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE (Assignment of new address is subject 1102 LAKE KEGONSA RD to field verification.) LOT BLOCK C.S.M.NO.or PLAT NAME 3 CERTIFIED SURVEY MAP: CSM 11846 ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: XI New ❑Addition/Alteration CENSUS CODE RH-3 10.39 Description:SINGLE FAMILY RESIDENCE 101 - SFR CATEGORY X Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. ❑Other: ❑Public )I Private 520338 ROAD CLASSIFICATION REZONE NO C.U.P.NO. VARIANCE NO DEED RESTRICTION 9485 ❑Yes ❑No SHORELAND FLOOD ZONE WETLAND EC/SW NO. �t X Yes ❑No ❑Yes No X Yes ❑No SE2009-0106 HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET 5924 30 Sq.Ft. 1600 2773 Sq.Ft. PROJECT COST NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 550,000.00 1551 0 PERMIT FEE 2 Sq.Ft. Sq.Ft. $ 494.00 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 ATURE. ner/Agent DATE: Ordinances.Any unauthorized change from the information or plans submitted will invalidate the permit , ‘2,i L . 7 to d'Y OFFICE USE ONLY SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS ❑Yes Xi No 06 Jul 2009 DJE1 A"6(1- Al t 0A°`9 -6E DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS Initials: I I!2.310") -D€ 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED. ANY MODIFICATION TO THE Conditions: PROJECT EQUIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND VOID IF Y M�FICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING. INITIALS ' 2. PRO OSED 5TH BEDROOM IS NOT ALLOWED AS PER SANITARY PERMIT 520338. ONLY 4 BEDROOMS AT THIS TIME. PLEASE CALL MADISON PUBLIC HEALTH AT 266-4266 FOR APPROVALS. 545-112(12/05) GCS-single ,Tt7 (1-t,.441,-.) OK 1 0. il, (62)(' .