DCPZP-2008-00878 - Laserfiche WebLink

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Ap.Iication Number:APP-28567 DANE COUNTY ZONING PERMIT ZONING PERMIT NO. ZP20080878 OWNER INFORMATION AGENT/CONTRACTOR INFORMATION OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE MARSHALL BROTHERS (608)455-1357 SAME AS OWNER (608)225-4251 BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) 296 UNION RD . (City,State,Zip) (City,State,Zip) BROOKLYN,WI 53521 E-MAIL ADDRESS E-MAIL ADDRESS PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 0509-351-8001-0 OREGON 35 NE NE I:1414 a 14/11)l II N#,1' HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE (Assignment of new address is subject 296 UNION RD to field verification.) LOT BLOCK C.S.M.NO.or PLAT NAME METES AND BOUNDS: METES AND BOUNDS ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: ❑New XI Addition/Alteration CENSUS CODE A-1EX 41.2 Description:24'X24'BEDROOM REMODEL 434 - RES ADD CATEGORY XI Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. ❑Other:24'X24' BEDROOM REMODEL ❑Public Private ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION C ❑Yes ❑No SHORELAND FLOOD ZONE WETLAND EC/SW NO. ❑Yes )4 No ❑Yes ,71 No ❑Yes ,i3 No HEIGHT(In Feet) BASEMENT lit FLOOR TOTAL SQUARE FEET 1152 15 576 Sq.Ft. 576 Sq.Ft. PROJECT COST NO.OF STORIES 2nd FLOOR 3rd FLOOR �P 35,000.00 PERMIT FEE 1 Sq.Ft. Sq.Ft. $ 136.00 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 SIGNATURE: Owner/Agent DATE: Oniinances.Any unauthorized change from the information ��+�° h�Ans N�< or plans submitted will invalidate the permit — �h /3/0 OFFICE USE ONLY SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS ❑Yes No 13 Nov 2008 pmk2 _03(i 01 turf M DATE REVIEWED INITIALS 2nd I SPE TION DATE INITIALS Initialr �1 23/ 3/�0`j 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 ANY MODIFICA ONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING. INIT14571'71 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