DCPZP-2009-00317 - Laserfiche WebLink

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l Ap.lication Number:APP-34914 /5,\A ZONING PERMIT NO. DANE COUNTY ZONING PERMIT etG/syz c ZP20090317 OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE PAUL CARDIS (608)239-0354 TOP TIER HOMES (608)219-5528 BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) 5877 WHIPPOORWILL RD 4736 W. RUTLAND RD., (City,State,Zip) (City,State,Zip) CROSS PLAINS,WI 53528 BROOKLYN,WI 53521 E-MAIL ADDRESS E-MAIL ADDRESS TOPTIERHOMES @YAHOO.COM PARCEL NO. I TOWNSHIP SECTION 1/4 1/4 1/4 0807-124-9910-0 BERRY 12 SE SE •J K4 4 A C/11011 N 4411/HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE (Assignment of new address is subject to field verification.) 5877 WHIPPOORWILL RD LOT \ BLO.0 C.S.M.NO.or PLAT NAME 2 r CERTIFIED SURVEY MAP: CSM 12543 / ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: ❑New Addition/Alteration CENSUS CODE A-2(2) \--- - 2.p Description:COVERED PORCH 434 - RES ADD CATEGORY,c_, --me - ential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. ❑other COVEfD PORCH ❑Public Private NA ROAD CLASSIMAFION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION C 9928 ❑Yes ❑No SHORELAND ��tt FLOOD ZONE WETLAND EC/SW NO. ❑ pt Yes No ❑Yes A No ❑Yes )4 No NA HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET 28 795 795 Sq.Ft. Sq.Ft. PROJECT COST NO.OF STORIES 2nd FLOOR Ir__*d FLOOR $ 12,000.00 PERMIT FEE 1 Sq.Ft. Sq.Ft. $ 110.00 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 8,Agent hereby agree to comply with all Dane County SIGNATURE: • , , :-n DATE: Ordinances.Any unauthorized change from the information 0/0' ,7 or plans submitted will invalidate the permit OFFICE USE ONLY SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTI DATE 1 I Ti ❑Yes No 16 Jun 2009 HJH3 (}/�i' DATE REVIEWED INITIALS 2nd INSPECT N DA INITIALS Initials: S 6 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRES TED. ANY MODIFICATION TO THE Conditions.' PROJECT REQU;ES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND VOID IF ANY %%' ICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING. INITIALS 2. LOCATION TO BE DETERMINED USING EXISTING CSM, NO LOCATION SURVEY REQUIRED AT THIS TIME. HJH 545-112(12/05) GCS-single