DCPZP-2009-00576 - Laserfiche WebLink

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• Ap•lication Number:APP-37276 DANE COUNTY ZONING PERMIT ZONING PERMIT NO. ZP20090576 OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE ANN ANDERSON (608)873-6048 MATSON CUSTOM HOMES (608)873-8700 BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) 2601 COUNTY HIGHWAY BN P. O. BOX 333 (City,State,Zip) (City,State,Zip) STOUGHTON,WI 53589 STOUGHTON,WI 53589 E-MAIL ADDRESS E-MAIL ADDRESS TMATSON @MATSONGMAC.COM PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 0611-141-8525-0 PLEASANT SPRINGS 14 NE NW PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE (Assignment of new address is subject 1956 KOS H KONON G RD to field verification.) LOT BLOCK C.S.M.NO.or PLAT NAME 2 CERTIFIED SURVEY MAP: CSM 12691 ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: XI New ❑Addition/Alteration CENSUS CODE A-2(8) 15.368 Description:SFR WITH PORCH 101 - SFR CATEGORY XI Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. CI other:SFR WITH PORCH ❑Public )1 Private 520394 ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION C 9980 ❑Yes ❑No SHORELAND FLOOD ZONE WETLAND �yt EC/SW NO. ❑ ma�yy{{Yes No ❑Yes .r71 No ❑Yes ,ea►No HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET 4779 17 Sq.Ft. 1836 2943 Sq.Ft. PROJECT COST NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 225,000.00 PERMIT FEE 1 Sq.Ft. Sq.Ft. $ 408.00 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 •eriod commencing with issuance of this zoning permit and terminating with issuance of a certificate of compliance or unti - revoked 'r n , by the owner of the property. Owner&Agent hereby agree to comply with all Dane County SIGNA • • DATE: Ordinances.Any unauthorized change from the information .% Qt l -1• or plans submitted will invalidate the permit I�� 111 OFFICE USE ONLY SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS ❑Yes A No 10 Sep 2009 pmk2 /D//� �Q 5 DATE REVIEWED INITIALS 2ndIN1SPCTTIO ATE INITI Initials: 1 r•�- 1 I 1 J I I 0 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• ■ MODIFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING.INITIALS MI 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(12105) GCS-single