DCPZP-2008-00193 - Laserfiche WebLink

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1 Application Number:APP-20048 ZONING PERMIT NO. DANE COUNTY ZONING PERMIT Page 1 oft ZP20080193 OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE DEAN HELGESON (608)424-1383 SAME AS OWNER BILLING ADDRESS (Number,Street) ADDRESS (Number,Street) 7757 COUNTY HIGHWAY A (City,State,Zip) (City,State,Zip) BELLEVILLE, WI 53508 E-MAILADDRESS E-MAILADDRESS PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 0508-184-8550-2 MONTROSE 18 SE NW -J:(•1J4ar'/c\DIrI I*HIM HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE (Assignment of new address is subject 7757 COUNTY HIGHWAY A to field verification.) LOT BLOCK C.S.M.NO.of PLAT NAME 1 CERTIFIED SURVEY MAP: CSM 04171 ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: ❑New L` Addition/Alteration CENSUS CODE RH-1 2 Description:30)(26 DETACHED GARAGE 438 - GARAGE CATEGORY Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. ❑Other: ❑Public Private ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION B ❑Yes ❑No SHORELAND FLOOD ZONE WETLAND EC/SW NO�� 0�� Yes ❑No ❑Yes No ❑Yes No • HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET 16 780 780 Sq.Ft. Sq.Ft. PROJECT COST NO.OF STORIES 2L1d FLOOR kci FLOOR $ 7,500.00 1 PERMIT FEE Sq.Ft. Sq.Ft. $ 109.00 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: Owner/Agent DATE: Ordinances.Any unauthorized change from the information 0 ' / or plans submitted will invalidate the permit ,, __� : _ i-o OFFICE USE ONLI SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE__ INITIALS x Yes 1:1 No - 28 Apr 2008 SCW1 ?-a C 0 (S u t'l-ey P M DATE RE IEWED1 Q INITIALS 2nd INSP TION DATE IN IA�LS 1 Initials:C,� 1 a I O8 K 9 - ` 0V f l�\ Conditions: 1.THIS APPROVAL BY DANE COUNTY ZONING IS ONLY FOR THE PLAN AS PRESENTED. ANY MODIFICATION TO THE PROJE REQUIRES THE EXPRESS WRITTEN APPROVAL BY DANE COUNTY ZONING. THIS PERMIT SHALL BE NULL AND VOItu`� MODIFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING.INITIALS :;.-7,r, 2.SURVEY 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/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 OTHER WORK IS DONE. 545-112(12/05) GCS-multi