DCPZP-2009-00468 - Laserfiche WebLink

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I ) Ill:duoul IVUIIIUCI.Nrr-..ucuc DANE COUNTY ZONING PERMIT ZONING PERMIT NO. ZP20090468 OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION OWNED NAME PHONE AGENT/CONTRACTOR NAME PHONE L&G INVESTMENTS LLC (608)798-4689 SAME AS OWNER (608)798-4689 BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) 5031 CHURCH RD (City,State,Zip) (City,State,Zip) MIDDLETON, WI 53562 E-MAILADDRESS E-MAIL ADDRESS PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 0708-082-8440-0 MIDDLETON 08 NW NE 2 a•]»a 11"/L1 4 11:1*1-4111 HOUSE NO, ST DIRECTION STREET NAME ST TYPE (Assignment of verifi ation )issubject XXXX SUMMIT RIDGE RD to LOT BLOCK C.S.M.NO.er PLAT NAME 1 CERTIFIED SURVEY MAP: CSM 12728 ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT 14 New ❑Addition/Alteration CENSUS CODE A-1 1.5 Description:SFR W/DECK 101 - SFR CATEGORY XI Residential LI Commercial ❑Agricultural SEWER SANITARY PERMIT NO. ❑Other:SFR W/DECK ❑Public XI Private 520308 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 X1 No LI Yes A No NA HEIGHT(In Feet) BASEMENT 1St FLOOR TOTAL SQUARE FEET 16.5 1977 5244 7221 Sq.Ft. Sq.Ft. PROJECT COST NO.OF STORIES 2nd.FLOOR fir FLOOR $ 325,000.00 PERMIT FEE 1 Sq.Ft. Sq.Ft. $ 592.00 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 SIGNATURE: Owner/Agent DATE: Ordinances.Any unauthorized change from the information or plans submitted will invalidate the permit 4011/1/ \21C-A-A--,,--\ OFFICE USE ONLY SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS ❑Yes ;.I No 03 Aug 2009 HJH3 DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS Initials: 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 VO WNY 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