DCPZP-2009-00158 - Laserfiche WebLink

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CAI Ap•libation Number:APP-33622 DANE COUNTY ZONING PERMIT di-to ,r ZONING PERMIT NO. ZP20090158 OWNER INFORMATION i AGENT/CONTRACTOR INFORMATION OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE MICHAEL BREAULT (608)845-1770 JIM LAMPE (608)445-3055 BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) 7769 OX TRAIL WAY 1402 NEPONSET DRIVE (City,State,Zip) (City,State,Zip) VERONA,WI 53543 MONONA, WI 53716 E-MAIL ADDRESS E-MAIL ADDRESS MIKEBRO42 @HOTMAIL.COM JIML @UWALUMNI.COM PARCEL NO. TOWNSHIP SECTION ' 1/4 1/4 1/4 0708-304-3155-1 MIDDLETON 30 SE Nw IN la:t•],4:i 14/111111 l 11111 HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE (Assignment of new address is subject to field verification.) 7769 OX TRAIL WAY LOT BLOCK C.S.M.NO.pi PLAT NAME 15 PLAT: CHERRYWOOD- ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: ❑New 141 Addition/Alteration I I CENSUS CODE R-1 .473 Description:l5'X28'HOME ADDITION f (4j 4 &t 434 - RES ADD CATEGORY ;33 Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. ❑Other 15'X28'HOME ADDITION ❑Public gI Private 518267 ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION E 1971 Li Yes ❑No SHORELAND FLOOD ZONE 1� WETLAND EC/SW NO. ❑Yes XI No CI Yes X8.I 1 No ❑Yes A No HEIGHT(In Feet) BASEMENT iat FLOOR TOTAL SQUARE FEET 15 420 420 840 Sq.Ft. Sq.Ft. PROJECT COST NO.OF STORIES 2nd FLOOR kV FLOOR 33,000.00 PERMIT FEE 1 Sq.Ft. Sq.Ft. $ 113.00 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 heieby agme to comply with all Dane County SIGNA -l : Owne gen DATE: Ordinances.Any unauthorized change from the information or plans submitted will invalidate the permit 1 1'//2-y/01 OFFICE USE ONLY SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPE Ta'-t TION OAT INITIALS es )4 No 24 Apr 2009 pmk2 c1 6 Cf �� DATE yIEWED INITIALS 2nd IIVSP CTION D INITIALS — Initials: 1 9/(D/�i ' b/lit l /� 7` 4 ID 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS RESENTED. ANY MODIFICATION TO t 1E Conditions: PROJECT -E;1 UIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND VOID IF A ODIFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING. INITIALS 4 2. SURVI"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-single