DCPZP-2009-00574 - Laserfiche WebLink

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Ap.lication Number:APP-37273 - DANE COUNTY ZONING PERMIT ZONING PERMIT NO. ZP20090574 OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE STATZ BROS INC (608)825-2017 HENSEN BUILDERS INC 6088494736 BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) 6075 SKALA RD 110 BAKER ST. STE. B (City,State,Zip) (City,State,Zip) SUN PRAIRIE,WI 53590 WAUNAKEE,WI 53597 E-MAIL ADDRESS E-MAIL ADDRESS HENSONBUILDERS @TDS.NET PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 0911-352-9220-0 BRISTOL 35 NW SW •2 1.1»:1 ihWA'l 0:4*i-1111 HOUSE NO ST.DIRECTION STREET NAME ST.TYPE (Assignment of new address is subject to field verification.) 2102 MEADOW LN LOT BLOCK C.S.M.NO. PLAT NAME 1 CERTIFIED SURVEY MAP: CSM 04645 ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: ❑New RI Addition/Alteration CENSUS CODE A-1 Description:RESIDENTIAL ADD'N.W/BASEMENT 434 - RES ADD CATEGORY Xi Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. ❑Other: ❑Public A Private ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION C ❑Yes ❑No SHORELAND FLOOD ZONE WETLAND EC/SW NO. Dyes A No ❑Yes XI No ❑Yes X No HEIGHT(In Feet) BASEMENT ]st FLOOR TOTAL SQUARE FEET 468 556 1024 Sq.Ft. Sq.Ft. PROJECT COST NO OF STORIES 2nd FLOOR 3rd FLOOR 114,000.00 PERMIT FEE 1 Sq.Ft. Sq.Ft. $ 127.00 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 D•TE: Ordinances.Any unauthorized change from the information / or plans submitted will invalidate the permit ' / Adfso; II /-j p_p OFFICE USE ONLY SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSP4,C ION DATE INITI S /J ❑Yes No 10 Sep 2009 DJE1 7 3�t�0 '+ �C/.�v DATE REVIEWED INITIALS 2nd INSPECTIQN ATE 1 INITIALS Initials: 12_122,/t) 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED. ANY MODIFICATION TO HE PROJECT Conditions: REQUIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONI G. THIS PERMIT SHALL BE NULL AN OJJ j l�' MODIFICATIONS RE MADE WITHOUT THE EXPRESS WRITTTENAPPRO A OF DANE COUNTY ZONING.INITIAL (may'' ft( 02.63)6) ? 0 sit es-f — Sc4-i/,�,""`f'/ 'Ago 1 ,r � �0,,,ei 1/3o ii 545-112(12/05) GCS-single