Laserfiche WebLink
A Application Number:APP-28207 <br /> ,i` ZONING PERMIT NO. <br /> DANE COUNTY ZONING PERMIT Page 1 oft ZP20080848 <br /> OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION <br /> OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE <br /> WAYNE DEFOREST (608)832-6254 MIKE'S QUALITY ROOFING (608)445-4142 <br /> BILLING ADDRESS {Number,Street) ADDRESS (Number,Street) <br /> 8790 COUNTY HIGHWAY G W9498 CTY HWY H <br /> (City,State,Zip) (City,State,Zip) <br /> MT HOREB, WI 53572 BLANCHARDVILLE, WI 53516 <br /> E-MAIL ADDRESS E-MAIL ADDRESS <br /> WAYNE @WECCUSA.ORG MIKE.ROOFING @HOTMAIL.COM <br /> PARCEL NO. I TOWNSHIP SECTION 1/4 1/4 1/4 <br /> 0507-092-9470-0 PRIMROSE 09 NW SW <br /> •a:fel A 4:I CR.1'111 N 4:1111111 HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE <br /> (Assignment of new address is subject 8790 COUNTY HIGHWAY G <br /> to field verification.) <br /> LOT BLOCK C.S.M.NO.or PLAT NAME <br /> 1 CERTIFIED SURVEY MAP: CSM 11415 <br /> ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: ❑New Addition/Alteration CENSUS CODE <br /> RH-2 4.559 Description:SUNROOM & DECK ADDN 434 - RES ADD <br /> CATEGORY Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. <br /> ❑Other:SUNROOM & DECK ADDN ❑Public Private <br /> ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION <br /> B 7/?0 ❑Yes 0 N <br /> SHORELAND FLOOD ZONE WETLAND EC/SW NO. <br /> ❑Yes No ❑Yes No ❑Yes No <br /> HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET <br /> 15 <br /> 432 432 <br /> Sq.Ft. Sq.Ft. PROJECT COST <br /> NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 1 0,000.00 <br /> PERMIT FEE <br /> 1 Sq.Ft. Sq.Ft. $ 82.00 <br /> 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 <br /> 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 <br /> 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 <br /> 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. <br /> 2. I,the undersigned,hereby certify that: <br /> • I have made a diligent inquiry into the applicability of any official map to the applicants'land; <br /> • No such official map is applicable,or,if such map is applicable,the approval of the appropriate city or village has been obtained; <br /> • I have not relied upon any statements of County employees in giving these assurances; <br /> • I understand the possible adverse consequences of erecting any structure within an officially mapped area without the proper approval of the city or <br /> village involved.Any zoning permit issued for a property located within an official mapped area for which the applicant has not obtained the proper <br /> permit from the appropriate village or city shall be null and void. <br /> 3. I, the undersigned, hereby consent to the entry on the permitted premises by zoning inspectors of the Dane County Department of Planning & <br /> Development to determine compliance with the county's zoning ordinances.This consent is valid for the period commencing with issuance of this <br /> zoning permit and terminating with issuance of a certificate of compliance or until earlier revoked in writing by the owner of the property. <br /> Owner&Agent hereby agree to comply with all Dane County SIGNATURE: Owner/Agent DATE: <br /> Ordinances.Any unauthorized change from the information <br /> or plans submitted will invalidate the permit te obelo-tfat y <br /> OFFICE USE ONLY <br /> SURVEY REQUIRED? DATE ISSUED INITIALS 1st IN PECTIO DATE INITIALS <br /> ❑Yes 1No 31 Oct 2008 SCW1 I - 5- 0/ PM K <br /> /� DATE REVIEWED 1 3 ^o INDIA � 2nd pECT.IO�fI^AT INITIALS <br /> Initials. �/ 11 IJ•GJ P <br /> COndI Ions. 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED. ANY MODIFICATION TO THE PROJECT <br /> REQUIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND VO D IF ANY <br /> MODIFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING.INITIALS <br /> 2. EROSION CONTROL: OWNER/AGENT MUST CONTACT THE DANE COUNTY DEPARTMENT OF <br /> LAND&WATER RESOURCES(608-224-3647)TO HAV IT UT-ERMINED IF AN EROSION CONTROL <br /> PERMIT IS REQUIRED. SIGNATURE 9., 42- .N1.s7 DATE ' <br /> 545-112(12/05) GCS-multi <br />