DCPZP-2009-00243 - Laserfiche WebLink

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• • Ap•Iication Number:APP-34394 DANE COUNTY ZONING PERMIT ZONING PERMIT NO. ZP20090243 OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE JERRY KRUEGER (203)933-1045 JOHN MORSCHAUSER (608)764-5025 BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) 75 ISADORE ST 1354 BURVE ROAD (City,State,Zip) • (City,State,Zip) WEST HAVEN, CT 06516 DEERFIELD,WI 53531 E-MAIL ADDRESS E-MAIL ADDRESS PARCEL NO. I TOWNSHIP SECTION 1/4 1/4 1/4 0912-274-9880-5 YORK 27 SE SE 1/1:1:fel;.1 4 CA 1-/_1 rl rl:l 4:111111 HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE (Assignment of new address is subject )0(X STATE HIGHWAY 73 to field verification.) LOT BLOCK C.S.M.NO.pi PLAT NAME 1 CERTIFIED SURVEY MAP: CSM 03057 ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: 21 New ❑Addition/Alteration CENSUS CODE A-1EX 1.01 Description:SFR WITH DECK AND PORCH 101 - SFR CATEGORY XI Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. ❑Other:SFR WITH DECK AND PORCH ❑Public XI Private 518288 ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION A ❑Yes Li No SHORELAND �•on�I FLOOD ZONE WETLAND ��I EC/SW NO. ,i ❑Yes No ❑Yes AEI��1{ yp,l No ❑Yes No HEIGHT(In Feet) BASEMENT tit FLOOR TOTAL SQUARE FEET 5301 21 3380 • Sq.Ft. 1921 Sq.Ft. PROJECT COST NO.OF STORIES 2nd FLOOR lid FLOOR $ 230,000.00 PERMIT FEE 1 Sq.Ft. Sq.Ft. $ 448.00 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 SIGN•rURE: Ownerr/A ent /. DATE: Ordinances.Any unauthorized change from the information OJ% / h or plans submitted will invalidate the permit 0. 'J`� S' 7' 0 OFFICE USE ONLY SURVEY REQUIRED? DATE ISSUED INITIALS 1st IN E ION DA INIT S p Y In No 27 May 2009 pmk2 i - DATE REVIEWED INITIALS 2nd NS(7/7 DATE INITIALS Initials: ( _ , 'r THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED. ANY MODIFICATION TO THE Co' ditions' -ROJECT R'QUIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND VOID IF A i ODIFICAT4i :252i?READ(3 C}Id'r#H EXPfiC.S TTENSPRO/C DANE Q 2 Z.O2-/ _,, INITIALS EY ' i ALC/OCIC NSURVEEY IS REQrUUIIRED TO VVERIF/Y CO IANC(EE WITH 2. SUS* EY REQUIR ZON G ORDINANCE SETBACKS. THE SURVEY SHALL BE PREPARED BY A REGISTERED LAND SURVEYOR,AND MUST BE RECEIVED BY DANE COUNTY ZONING WHEN THE FOUNDATION/ to 545-112(12/05) GCS-single