DCPZP-2009-00524 - Laserfiche WebLink

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Ap•lication Number:APP-36809 DANE COUNTY ZONING PERMIT ZONING PERMIT NO. ZP20090524 OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE ANTHONY SCHLIMGEN (608)235-8629 ALAN MOTL (608)334-4257 BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) 6343 SCHLIMGEN DR 982 CANAL RD (City,State,Zip) (City,State,Zip) MARSHALL,WI 53559 MARSHALL, WI 53559 E-MAIL ADDRESS E-MAIL ADDRESS MIKESCHLIMGEN @YAHOO.COM A.V.MOTL @AOL.COM PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 0812-061-8645-0 MEDINA 06 NE NW MI J:T•]»:111 1,10;I*TAM HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE (Assignment of new address is subject 6329 to field verification.) SCHLIMGEN D R LOT BLOCK C.S.M.NO.or PLAT NAME 1 CERTIFIED SURVEY MAP: CSM 12710 ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: 21 New ❑Addition/Alteration CENSUS CODE A-2(2) 2.05 Description:SINGLE FAMILY W/DECK 101 - SFR CATEGORY XI Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. ❑Other: ❑Public )I Private 520379 ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION C 10020 ❑Yes ❑No SHORELAND FLOOD ZONE WETLAND EC/SW NO. ❑Yes X No D)Yes Yes X]I No ❑Yes X No EC2009-0194 HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET 1725 3261 4986 Sq.Ft. Sq.Ft. PROJECT COST NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 276,000.00 PERMIT FEE 1 Sq.Ft. Sq.Ft. $ 424.00 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 SIGNATU : Owner/Agent D•TE: Ordinances.Any unauthorized change from the information A 727 G . �� 9C or plans submitted will invalidate the permit OFFICE USE ONLY SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECT ON DA INITIALS ❑Yes XI No 24 Aug 2009 DJE1 7 2-WO,f RA-13 DATE REVIEWED INITIALS 2nd INSP 7z5 /(Q DATE/ INITIALS Initials: .e/-46 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 V•l. F:•Y MODIFICATIO S ARE MADE WITHOUT TH PRESS WRI EN APPROVAL OF D EE C�NTY ZONING.INITIALS 1. , ry\t /01(70 W°r�L 6 r7) b y GI�...4 s�-v c..-1.r c,,J- � 9,Z y/7 9 /V/ s -rte 545-112(12/05) GCS-single