DCPZP-2009-00143 - Laserfiche WebLink

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l Application Number:WEB-33401 DANE COUNTY ZONING PERMIT ZONING PERMIT NO. ZP20090143 OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE MICHAEL QUAM (608)698-8328 SAME AS OWNER (608)698-8328 BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) 2900 MCCONNELL (City,State,Zip) (City,State,Zip) STOUGHTON,WI 53589 E-MAIL ADDRESS E-MAIL ADDRESS MJQUAM @PEOPLEPC.COM MJQUAM @PEOPLEPC.COM PARCEL NO. TOWNSHIP SECTION 1/4 Y/4 1/4 0611-082-8700-4 PLEASANT SPRINGS 08 NW NW -I/:fel J 4;It 1113)1'l N 441111 HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE (Assignment of new address is subject to field verification.) 2900 MCCONNELL RD LOT BLOCK C.S.M.NO.pi PLAT NAME METES AND BOUNDS: METES AND BOUNDS ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: ❑New gl Addition/Alteration CENSUS CODE A-1 EX 13.444 Description:FAMILY ROOM,BEDROOM ADDITION 434 - RES ADD CATEGORY XI Residential ❑Commercial Li Agricultural SEWER SANITARY PERMIT NO. El Other: FAMILY ROOM,BEDROOM ADDITION ❑Public ,gl Private 20228 ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION C ❑Yes ❑No SHORELAND FLOOD ZONE WETLAND EC/SW NO. ❑Yes X No ❑Yes X No ❑Yes $,1 No HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET 972 12 0 972 Sq.Ft. Sq.Ft. PROJECT COST NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 40,000.00 0 O PERMIT FEE 1 Sq.Ft. Sq.Ft. $ 123.00 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 4IGNA : Ow er/Agent iTE: Ordinances.Any unauthorized change from the information /% ' / / 7 41 r &I'or plans submitted will invalidate the permit. r l "A A----- OFFICE USE ONLY SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION D'TE INITIAL ❑Yes >l No 17 Apr 2009 HJH3 7 ' / *141106744-' DATE REVIEWED INITIALS 2nd INS 1Th MATE( INITIAL- 07 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PR E ED. ANY MODIFICATION TO THE Conditions: PROJECT REQUIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND VOID IFAN ••IFI TIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING. IMIT i 2. SUR//.A ISORY 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