DCPZP-2009-00472 - Laserfiche WebLink

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mp IIVduuui u uiuiuei./1r r-aucuo DANE COUNTY ZONING PERMIT ZONING PERMIT NO. • ZP20090472 OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE - RANDY HILGART (608)839-3927 IN STYLE SCREEN ROOM & DECK Iii (608)592-0056 BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) 4403 BUCKLEY RIDGE CIR 630 SUNRISE DR (City,State,Zip) (City,State,Zip) COTTAGE GROVE, WI 53527 LODI, WI 53555 E-MAIL ADDRESS E-MAIL ADDRESS PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 0711-101-4045-0 COTTAGE GROVE 10 NE SW IN aa•I»[ir/aNIDI:1#: 0111HOUSENO. ST.DIRECTION STREET NAME ST.TYPE (Assignment of new address is subject 4403 BUCKLEY RIDGE CIR to field verification.) LOT BLOCK C.S.M.NO.2r PLAT NAME 5 PLAT: BUCKLEY RIDGE ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: LI New ,l Addition/Alteration CENSUS CODE R-1A 1.9 Description:SCREEN ROOM/DECK/STAIRS 434 - RES ADD CATEGORY XI Residential LI Commercial ❑Agricultural SEWER SANITARY PERMIT NO. LI Other:SCREEN ROOM/DECK/STAIRS LI Public $)Private NA ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION E ❑Yes ❑No SHORELAND �t CI FLOOD ZONE WETLAND 1� EC/SW NO. CI Yes Yes No Yes X No Yes No NA HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET 16 458 458 Sq.Ft. Sq.Ft. PROJECT COST NO.OF STORIES 2nii FLOOR 3r 1 FLOOR $ 21,300.00 PERMIT FEE 1 Sq.Ft. Sq.Ft. $ 84.00 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 .assent is valid for the period commencing with issuance of this zoning permit and terminating with issuance of a certificate of compliance •r unti earlier revoked in writing by the owner of the property. Owner&Agent hereby agree to comply with all Dane County SIG NA RE: •• ,ner/A• n DATE: Ordinances.Any unauthorized change from the information or plans submitted will invalidate the permit A r/ 4 - - C OFFICE USE ONLY SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSP CT N D TE INITIALS ❑Yd No 04 Aug 2009 HJH3 y/8''O 7 �� Yes ' DATE REVIEWED INITIALS 2nd INSPECTION DATE c� INIT Initials: `� /17/ / /v 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED. ANY MODIFICATION TO TH 4 • ECT Conditions: REQUIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL -'•V!�J'a F 'NY MODIFICATIONS ARE MADE WI HOUT THE EXP SSW ITTEN APPROVAL O DANE COUNTY ZONING.INITIAL Al /e, 21( ) s rc, Ls( Y4b>. PO— z/� ocr 2. SURVEY ADVISOR To, 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