DCPZP-2008-00820 - Laserfiche WebLink

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•/- Ap•lication Number:APP-27868 • DANE COUNTY ZONING PERMIT ZONING PERMIT NO. '-1,, "r �C68'O o L,J OWNER INFORMATION AGENT/CONTRACTOR INFORMATION OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE DANIEL JAMES (608)655-3721 DAN'S HOME IMPROVEMENT 6083454254 BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) 942 STATE HIGHWAY 19 PO BOX 375 (City,State,Zip) (City,State,Zip) MARSHALL,WI 53559 MARSHALL,WI 53559 E-MAI L ADDRESS E-MAIL ADDRESS PARCEL NO. I TOWNSHIP SECTION 1/4 1/4 1/4 0812-092-9501-0 MEDINA 09 NW SE -J:NJ 4Ar'/_1'l'l:t*— HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE (Assignment of new address is subject to field verification.) 942 STATE HIGHWAY 19 LOT BLOCK C.S.M.NO.or PLAT NAME METES AND BOUNDS: METES AND BOUNDS ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: ❑New 14 Addition/Alteration CENSUS CODE A-1EX 36.6 Description:DECK ADDITION -ONLY FOR ACCESS TO HOME 434 - RES ADD CATEGORY XI Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. ❑Other: ❑Public )I Private ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION A ❑Yes 0 N SHORELAND yy�� yyyy FLOOD ZONE WETLAND EC/SW NO. X❑Yes No ❑Yes ,r7!No V1 Yes ❑No HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET 450 450 Sq.Ft. Sq.Ft. PROJECT COST NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 7,500.00 PERMIT FEE Sq.Ft. Sq.Ft. $ 84.00 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 SIGNATUF�E Owner/ •ent DATE Ordinances.Any unauthorized change from the information , ., � 1. "�6 `:`" ., 11,r or plans submitted will invalidate the permit 4',; ____ � .. 1 t ,f.v,1: .- 9 �;.4 — � -iii• a., HI OFFICE USE ONLY - SUEjV REQUIRED?-- " DATE ISSUED INITIALS 1st INSPECT/ON D E INITI LS Yes ❑No 24 Oct 2008 DJE1 // I)(° ''+ _gipi,c„ ,- DATE REVIEWED INITIALS 2nd INSPECTION DATE INITIALS Irntials '` fr^r 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED. ANY MODIFICATION TO THE Conditions: PROJECT SQUIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND VOID IF Y MODIF)CATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING. INITIALS 0 P4/ 2. SUR Y 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/ o 545-112(12/05) GCS-single Al _ cf r _ _ /1 /i ) 11) .,R 11I ).1t1