DCPZP-2009-00073 - Laserfiche WebLink

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Application Number:APP-32763 ZONING PERMIT NO. DANE COUNTY ZONING PERMIT Page 1 of 2 ZP20090073 OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE KRELL COMPANY LLC (608)212- 666 SAME AS OWNER BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) 209 S MAIN ST (City,State,Zip) (City,State,Zip) VERONA,WI 53593 E-MAIL ADDRESS E-MAIL ADDRESS BILLK @KRELLINSURANCE.COM k i. PARCEL NO. I TOWNSHIP SECTION 1/4 1/4 1/4 0608-073-8450-0 ■ VERONA 07 SW NE ' - ' ' - • ' • • . . HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE (Assignment of new address is subject 2793 WHITE CROSSING RD to field verification.) LOT BLOCK C.S.M.NO.tZ PLAT NAME 3 CERTIFIED SURVEY MAP: CSM 12121 ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: 6 New ❑Addition/Alteration CENSUS CODE RH-1 2.136 Description:SINGLE FAI4ILY RESIDENCE 101 - SFR • CATEGORY Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. L7 Other: ❑Public Private 518213 ROAD CLASSIFICATION REZONE NO. C.0 IP.NO. VARIANCE NO. DEED RESTRICTION C 9335 ❑Yes ❑No SHORELAND FLOOD ZONE WE±LAND EC/SW NO. Yes ❑No Yes ❑No I Yes ❑No EC2009-0039 HEIGHT(In Feet) BASEMENT 1,st FLOOR TOTAL SQUARE FEET 2902 4481 7383 Sq.Ft. Sq.Ft. PROJECT COST NO.OF STORIES 2nd FLOOR 3E1 FLOOR $ 300,000.00 I PERMIT FEE Sq.Ft. Sq.Ft. $ 604.00 1. I,the undersigned,hereby make application for a zoning pemjit 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 la 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 applicaIble,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 pernhitted 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 infomiatr"pn or plans submitted will invalidate the permit OFFICE USE ONLY SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS ❑Yes ❑No 19 Mar 2009 DJE1 DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS Initials: Conditions: 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED. ANY MODIFICATION TO THE PROJECT REQUIRES THE EXPRESS WRITTEN APPROVAL 3Y DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND VOID IF ANY 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-multi