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Application Number:APP-26676 • DANE COUNTY ZONING PERMIT Page 1 of 2 ZONING PERMIT NO. ZP20080785 • OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE DONALD SUNDSTROM (608)764-5400 SUNDSTROM REMODELING LLC (608)209-2357 BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) 1075 NESHEIM RD 1829 RUTLEDGE ST., (City,State,Zip) (City,State,Zip) DEERFIELD,WI 53531 MADISON, WI 53704 E-MAIL ADDRESS E-MAIL ADDRESS AARON @SUNDSTROMREMODELING.COM PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 0712-054-9955-5 DEERFIELD 05 SE SE 1M J:fe714 a IIWA DI 4:1 4*11111 HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE (Assignment of new address is subject 1075 NESHEIM RD to field verification.) LOT BLOCK C.S.M.NO.or PLAT NAME 1 CERTIFIED SURVEY MAP: CSM 01623 ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: ❑New I Addition/Alteration CENSUS CODE A 1 EX 9 Description:PORCH ADDN(MAINTANENCE OF ROOF/WINDOWS/SIDING) 434 - RES ADD CATEGORY Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. ❑Other:PORCH ADDN 208 SQ FT ❑Public )6 Private ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION C ❑Yes ❑No SHORELAND FLOOD ZONE WETLAND EC/SW NO. ❑Yes No ❑Yes No ❑Yes No HEIGHT(In Feet) BASEMENT 1 sA FLOOR TOTAL SQUARE FEET 17 208 208 Sq.Ft. Sq.Ft. PROJECT COST NO.OF STORIES 2nd FLOOR 3rd FLOOR $ 70,000.00 PERMIT FEE 2 Sq.Ft. Sq.Ft. $ 66.00 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: Ow Agent , DATE: ce Ordinances.Any unauthorized change from the information N ._ r° lO^ or plans submitted will invalidate the permit e^. OFFICE USE ONLY SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INIT S Yes ❑No 10 Oct 2008 SCW1 GN`/Z 3 K C DATE REVIEWED INITIALS 2nd INSPECTION TION VAT D INITIALS / /2145 Initials: Conditions: 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED. ANY ODIFICATION TO THE PROJECT REQUIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND D MODIFICP.�TIQNS�A3 E CA WITH UT THE EX RESS WRITTEN APP VA OF DANE COUNTY ZONING.INITIALS 2.1 RVEY REQUIRE NT: A LOCATION SUrcvEY 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/BASEMENT WALLS ARE COMPLETED,OR IF THE PROJECT DOES NOT INCLUDE FOUNDATION/BASEMENT WALLS,AT THE TIME THE LOCATION(OF THE STRUCTURE IS ESTABLISHED,AND BEFORE ANY O/TH R WO K I DON d I '' S k I I\ o p—t r k L'Id c e4, I i 13�Q k `(? 1)64 $ \ // 545-112(12!05) GCS-multi Q .,--5 lb. 2 S� 1'3 J tS) tb t9 I Iv 10 _ ,,,,1.-)r� �� ,