DCPZP-2008-00443 - Laserfiche WebLink

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1 - ` , o-Zoos t ,,AA,.,,..., _ �l Li to; cx� yow ��. �u�ErL ,PP-22766 DANE COUNT O� PERM Fog -1-'", ..,-,_,'?S `:ESA° T NO op w.4 o ��- 1 SE. . Ir c.AS 3 OWNER INFORMATION • • • 'CTOR INFORMATION OWNER NAME 'PHONE AGENT/CONTRACTOR NAME PHONE MARK WEAVER (608)643-8003 SCHLUTER CONSTRUCTION IN (608)546- 6 1 BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) 6641 HERBRAND RD PO BOX 45 510 MAIN ST (City,State,Zip) (City,State,Zip) d SAUK CITY,WI 53583 PLAIN,WI 53577 E-MAIL ADDRESS E-MAIL ADDRESS ` MARYWEAVER @WEAVERAUTOPARTS.COM JEFF @SCHLUTERCONST.COM PARCEL NO. TOWNSHIP SECTION 1/4 I/4 1/4 0907-294-9790-1 ROXBURY 29 SE PROPERTY ADDRESS HOUSE NO. ST.DIRECTION STREET NAME ' ST.TYPE (Assignment of new address is subject ,li to field verification.) 6641 H E RB RAN D RD LOT BLOCK C.S.M.NO.or PLAT NAME 2 CERTIFIED SURVEY MAP: CSM 01 ' ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: M New ❑Addition/Alteration ` CENSUS CODE RH-2 5.02 Description:RES ACC BUILDING 40X60 �J 329 - *.I - ER CATEGORY Isi Residential ❑Commercial ❑Agricultural SEWER SANITARY PER oh O. ❑Other:RES ACC BUILDING 40X60 LI Pu idkEl Private ROAD CLASSIFICATION REZONE NO. C.U.P.No. VARIAN DEED RI ION C ❑No SHORELAND FLOOD ZONE ��,y1y WET 'lib EC/ `— ❑Yes ,eat No ❑Yes Jam,No ❑Yes �Il o �\v\ HEIGHT(In Feet) BASEMENT 1st •OR T UARE FEET 19.5 2400 2400 Sq.Ft. Sq.Ft. P E COS NO.OF STORIES 2nd FLOOR 1 3rd FLOO• $ 150,000.00 PERMIT FEE 1 Sq. Sq. i 230.00 1. I,the undersigned,hereby make application for- oning per lg y for the loca':• •• the work• ribe• ein and certify to the accuracy of that information. I further certify I am the owner of the p ••erty,or a duly authori =• ep - entative,and . Si.n this permit application on behalf of the owner(s) of said property, and I have read and und- tand all of the conditions • this permit ar: -Instruct the project in compliance with those conditions. I understand that failure tirsomply with .• provision of the permit renders it n �y. • . and may result in an enforcement action. 2. I,the undersigned,hereby certify that: • I have made a diligent inquiry into the applicability of an• :I I .I map to the applicants'Ian ; , • No such official map is applicable,or,if such map is applicab e,the approval of the approp at city r v1 -ge 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 mappe rea 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: Ordinances.Any unauthorized change from the information or plans submitted will invalidate the permit OFFICE USE ONLY SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE INITIALS ❑Yes A No 02 Jul 2008 HJH3 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 ANY MODIFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING. INITIALS 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. 1��545-11 (12/05)�;� GCS-single P fr ( & \ ( b (Dcp NCI