DCPZP-2008-00204 - Laserfiche WebLink

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Ap.Iication Number:APP-20178 DANE COUNTY ZONING PERMIT ZONING PERMIT NO. ZP20080204 OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE MATTHEW HOLLMAN (920)285-0852 SAME AS OWNER BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) 1829 BRISTOL RD (City,State,Zip) (City,State,Zip) COLUMBUS, WI 53925 E-MAIL ADDRESS E-MAIL ADDRESS PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 0911-012-8580-0 BRISTOL 01 NW NW MO,a•1 J 4:i IWA 11 II:1441El HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE (Assignment of new address is subject 1829 BRISTOL RD to field verification.) LOT BLOCK C.S.M.NO.91 PLAT NAME 1 CERTIFIED SURVEY MAP: CSM 10854 ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: ❑New id Addition/Alteration CENSUS CODE RH-1 2.433 Description:30'X 16'X 2'OPEN DECK TO SFR 434 - RES ADD CATEGORY XI Residential ❑Commercial LI Agricultural 'SEWER SANITARY PERMIT NO. ❑Other:30'X 16'X 2'OPEN DECK TO SFR LI Public 4 Private ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION B ❑Yes ❑No SHORELAND FLOOD ZONE t� WETLAND EC/SW NO. El Yes X No ❑Yes X]I No ❑Yes )gJ No HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET 2 480 480 Sq.Ft. Sq.Ft. PROJECT COST NO.OF STORIES 2nd FLOOR FLOOR $ 2,000.00 PERMIT FEE 1 Sq.Ft. Sq.Ft. $ 86.00 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 SIGN URE: Owner/Agent • DATE: Ordinances.Any unauthorized change from the information , or plans submitted will invalidate the permit 410,— OFFICE USE ONLY SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSP CTION ATE INITIALS ❑Yes xi No 01 May 2008 RLB 7 ZS/O$' DATE REVIEWED INITIALS 2nd IN CTIO ATE INI r) Initials: 7Z)/V O 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 A DIFICATIONS ARE MADE WITHOUT THE EXPRESS W TTEN APPROVAL OF DANE COUNTY ZONING. �/ INITIALS 2. SURVE ADVISORY NOTE: A LOCATION SURVEY AY BE REQUIRED TO VERIFY THAT THE BUILDING IS CONSTRUCTEDACCORDING TO THE PLAN SUBMITTED WITH THIS APPLICATION. 545-112(12/05) GCS-single