DCPZP-2009-00408 - Laserfiche WebLink

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Ap•Iication Number:APP-35623 DANE COUNTY ZONING PERMIT ZONING PERMIT NO. ZP20090408 OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE LAKE WAUBESA BIBLE CAMP INC (608)838-'3335 ROBERTS CONSTRUCTION (608)257-0500 BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) 2851 CRESCENT DR 701 E WASHINGTON AVE (City,State,Zip) (City,State,Zip) MCFARLAND, WI 53558 MADISON,WI 53703 E-MAIL ADDRESS 1 E-MAIL ADDRESS r , r-e-' i Y- S S` a ✓z°✓I Zoik, 4 RCAI @ROBERTSCONSTRUCTION.NET PA! CEL NO I TOWNSHIP SECTION 1/4 1/4 1/4 0610-091-2850-6 DUNN 09 NE Nw III x.1.7»a m1'/c\D1 II a 441.11 HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE (Assignment of new address is subject to field verification.) 2851 CRESCENT DR LOT BLOCK C.S.M.NO.or PLAT NAME C PLAT: DUNN ASSESSOR'S PLAT NO.2 ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: New id Addition/Alteration CENSUS CODE RE-1 0.86 Description:REPLACING FARE DAMAGE BUILDING 434 - RES ADD CATEGORY ;1 Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. ❑Other: gl Public ❑Private ROAD CLASSIFICATION REZONE NO. C.U,P.NO. VARIANCE NO. DEED RESTRICTION D 0 ❑Yes 0 N SHORELAND FLOOD ZONE �yI WETLAND EC/SW NO. X Yes ❑No ❑Yes X No ❑Yes X No HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET 1 1224 6.5 Sq.Ft. Sq.Ft. PROJECT COST NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 68,500.00 1224 PERMIT FEE 2 Sq.Ft. Sq.Ft. $ 142.00 1. I,the undersigned,hereby make application for a zoning pernfit 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 employee$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 Iodated 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 Co m;t u• - k ATURE: Owner/Agent' DATE: Ordinances.Any unauthorized change from the information ,- or plans submitted will invalidate the permit. 7. i j.O OFFICE USE ONLY . SURVEY REQUIRED? DATE ISSUED INITIALS in INSP CTION ATE INITIALS ❑Yes '14 Jul 2009 SSA1 G QI t DATE REVIEWED INITIALS 2nd I S CTI DA INITI.1 S Initials:_ Ti !E 0 j� 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTE . ANY MODIFICATION TO THE PROJECT Conditions: REQUIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND VOI NY MODIFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING.INITIALS 2. SURVEY ADVISORY 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