DCPZP-2009-00359 - Laserfiche WebLink

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Ap•lication Number:APP-35263 DANE COUNTY ZONING PERMIT ZONING PERMIT NO. ZP20090359 OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE SCOTT BUSH (608)523-1270 E.W. OLSON HOMES, LLC (608)924-1900 BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) 90 N. HAY HOLLOW RD 301 CORBIN DR (City,State,Zip) (City,State,Zip) MT. HOREB,WI 53572 BARNEVELD,WI 53507 E-MAIL ADDRESS E-MAIL ADDRESS EWOH @EWOLSONHOMES.COM PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 0506-333-9570-9 PERRY 33 SW SE Ma:Isll4 it 11W1 r1 r1 A 4411111 HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE (Assignment of new address is subject to field verification.) 90 N HAY HOLLOW RD LOT BLOCK C.S.M.NO.or PLAT NAME 1 CERTIFIED SURVEY MAP: CSM 09104 ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: ❑New id Addition/Alteration CENSUS CODE RH-3 12.11 Description:FOUNDATION REPLACEMENT,ADDITIONS, REMODEL 434 - RES ADD CATEGORY XI Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. ❑Other:FOUNDATION REPLACEMENT,ADDITIONS, REMODEL LI Public *X,I Private NA ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION C ' 7a s7 ❑Yes ❑No SHORELAND FLOOD ZONE WETLAND EC/SW NO. ;)Yes ❑No ❑Yes X No ❑Yes A No 20090131 HEIGHT(In Feet) BASEMENT ids FLOOR TOTAL SQUARE FEET 24 1310 696 2294 Sq.Ft. Sq.Ft. PROJECT COST NO.OF STORIES 2nd FLOOR and FLOOR $ 130,000.00 2 288 PERMIT FEE Sq.Ft. Sq.Ft. $ 222.00 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. x Owner 8,Agent hereby agree to comply with all Dane County StGNATU E: Owne Agent LITE: • Ordinances.Any unauthorized change from the information or plans submitted will invalidate the permit c I G OFFICE USE ONLY SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTIONDATE LS ❑Yes j No 01 Jul 2009 HJH3 - / INI a rM • `°------' DATE — f — 0^ INITIAeS�K 2nd INSPECTION DATE 7 INITIALS 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESEN?)TED. ANY MODIFICATION TPO THE Conditions: PROJECT REQUIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND iZitt ANY DI Cq IONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING. 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-single