Laserfiche WebLink
• Ap.Iication Number:APP-33356 <br /> DANE COUNTY ZONING PERMIT ZONING PERMIT NO. <br /> ZP20090122 <br /> OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> GAIL SERIG (608)617-0527 DJ REVOVATION (608)843-3038 <br /> BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) <br /> 2714 TOWER RD 2075 BONNIE LANE <br /> (City,State,Zip) (City,State,Zip) <br /> MCFARLAND, WI 53558 STOUGHTON, WI 53589 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> PARCEL NO. I TOWNSHIP SECTION y. 1/4 1/4 <br /> 0610-093-1122-7 DUNN 09 SW <br /> :d.1 J 4 a rA/A DI ii I* HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject <br /> to field verification.) 2714 TOWER RD <br /> LOT BLOCK C.S.M.NO.es PLAT NAME <br /> 12 5 PLAT: GREENRIDGE PARK <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: Xi New ❑Addition/Alteration CENSUS CODE <br /> R-3 Description:REPLACE DWELLING DESTROYED BY FIRE 101 — SFR <br /> CATEGORY XI Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. <br /> CI Other:REPLACE DWELLING DESTROYED BY FIRE Public ❑Private <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> D <br /> Dyes ❑No <br /> SHORELAND FLOOD ZONE WETLAND �t EC/SW NO. <br /> p�Yes ❑No ❑Yes X No ❑Yes )4 No <br /> HEIGHT(In Feet) BASEMENT ' t FLOOR TOTAL SQUARE FEET <br /> 19 -0- 2492 2492 <br /> Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 150,000.00 <br /> PERMIT FEE <br /> 1 <br /> Sq.Ft. Sq.Ft. $ 237.00 <br /> 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 <br /> 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 <br /> 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 <br /> 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. <br /> 2. I,the undersigned,hereby certify that: <br /> • I have made a diligent inquiry into the applicability of any official map to the applicants'land; <br /> • No such official map is applicable,or,if such map is applicable,the approval of the appropriate city or village has been obtained; <br /> • I have not relied upon any statements of County employees in giving these assurances; <br /> • I understand the possible adverse consequences of erecting any structure within an officially mapped area without the proper approval of the city or <br /> village involved.Any zoning permit issued for a property located within an official mapped area for which the applicant has not obtained the proper <br /> permit from the appropriate village or city shall be null and void. <br /> 3. I, the undersigned, hereby consent to the entry on the permitted premises by zoning inspectors of the Dane County Department of Planning & <br /> Development to determine compliance with the county's zoning ordinances.This consent is valid for the period commencing with issuance of this <br /> zoning permit and terminating with issuance of a certificate of compliance or until earlier revoked in writing by the owner of the property. <br /> Owner&Agent hereby agree to comply with all Dane County SIGN, 'URE: Own•r/Ag DATE: <br /> Ordinances.Any unauthorized change from the information / <br /> AI <br /> or plans submitted will invalidate the permit 0�i �,G /. /-1 <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPE TION DATE ccjj INITIAL <br /> A Yes ❑No 10 Apr 2009 RWL1 ' LJcr <br /> DATE REVIEWED INITIALS 2nd INSP CTIO DATE Inks` V _ <br /> Initials Cl 111 109 <br /> 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PR ENTED. ANY MODIFICATION TO THE <br /> Conditions: PROJECT REQUIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND <br /> VOID IF ANY MODIFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING. <br /> INITIALS <br /> 2. SURVEY REQUIREMENT: A LOCATION SURVEY IS REQUIRED TO VERIFY COMPLIANCE WITH <br /> ZONING ORDINANCE SETBACKS. THE SURVEY SHALL BE PREPARED BY A REGISTERED LAND <br /> SURVEYOR,AND MUST BE RECEIVED BY DANE COUNTY ZONING WHEN THE FOUNDATION/ o <br /> 545-112(12/05) GCS-single <br />