DCPZP-2008-00938 - Laserfiche WebLink

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Ap•Iication Number:APP-30589 DANE COUNTY ZONING PERMIT ZONING PERMIT NO. ZP20080938 OWNER INFORMATION AGENT/CONTRACTOR INFORMATION OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE DONALD TIERNEY (608)849-4736 HENSEN BUILDERS INC. (608)849-4736 BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) 3564 EGRE RD 110 BATER ST., STE. B (City,State,Zip) (City,State,Zip) DEFOREST,WI 53532 WAUNAKEE, WI 53597 E-MAIL ADDRESS E-MAIL ADDRESS HENSENBUILDERS @TDS.NET PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 0911-303-4067-0 BRISTOL 30 SW SW 1111:(10 J I;i 1"/d'l'l;4*-1-1111-1-1111 HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE (Assignment of new address is subject 6645 to field verification.) JERRY RYAN TRL LOT BLOCK C.S.M.NO. PLAT NAME 27 PLAT: BRISTOL GARDENS ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT 2I New ❑Addition/Alteration CENSUS CODE A-1 .76 Descnption:SFR W/DECK& PORCH 101 - SFR CATEGORY XI Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. CI Other:SFR W/DECK& PORCH ❑Public 14 Private 518220 ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION E ` ❑Yes ❑No SHORELAND FLOOD ZONE WETLAND �I EC/SW NO. CI Yes Yes pl No ❑Yes X No ❑Yes )4 No HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET 9840 18 5178 Sq.Ft. 4662 Sq.Ft. PROJECT COST NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 690,000.00 PERMIT FEE 1 Sq.Ft. Sq.Ft. �P 788.00 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 RE: Owner/Agent DATE: Ordinances.Any unauthorized change from the information _J�._o l or plans submitted will invalidate the permit Akita OFFICE USE ONLY SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS A Yes ❑No 29 Dec 2008 SCW1 (9/ 911/7 DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS Initials: 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED. ANY MODIFICATION TO THE Conditions: PROJECT REQUIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND VOID IF A QDIFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING. Ur/l INITIALS 2. SURVEY REQUIREMENT: A LOCATION SURVEY IS REQUIRED TO VERIFY COMPLIANCE WITH ZONING ORDINANCE SETBACKS. THE SURVEY SHALL BE PREPARED BY A REGISTERED LAND SURVEYOR,AND MUST BE RECEIVED BY DANE COUNTY ZONING WHEN THE FOUNDATION/ u 545-112(12/05) GCS-single