DCPZP-2008-00169 - Laserfiche WebLink

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Ap•Iication Number:APP-19840 DANE COUNTY ZONING PERMIT ZONING PERMIT NO. ZP20080169 OWNER INFORMATION I AGENT/CONTRACTOR INFORMATION OWNER NAME PHONE AGENT/CONTRACTOR NAME PHONE STEVEN KELLESVIG (608)437-7336 SAME AS OWNER BILLING ADDRESS (Number,Street) /) ) ADDRESS (Number,Street) 608 MEADOW VIEW RD 'a"' R 0 i1 (City,State,Zip) ( (City,State,Zip) MT HOREB, WI 53572 al" E-MAIL ADDRESS 7 t � E-MAIL ADDRESS PARCEL NO. TOWNSHIP SECTION 1/4 1/4 1/4 0607-064-9543-4 SPRINGDALE 06 SE SE •LI:Tel 14A "/101'1:74;:2/HOUSE NO. ST.DIRECTION STREET NAME ST.TYPE (Assignment of new address is subject to 9278 KELLESVIG ST field verification.) LOT BLOCK C.S.M.NO.or PLAT NAME 3 CERTIFIED SURVEY MAP: CSM 08358 ZONING DISTRICT PARCEL ACREAGE PROPOSED PROJECT: gl New ❑Addition/Alteration ' CENSUS CODE A-1 2.3 Description:SFR 101 - SFR CATEGORY X1 Residential ❑Commercial ❑Agricultural SEWER SANITARY PERMIT NO. ❑other.SFR ❑Public )J Private. 517911 ROAD CLASSIFICATION REZONE NO. C.U.P.NO. VARIANCE NO. DEED RESTRICTION C ❑Yes 0 N SHORELAND FLOOD ZONE 1 yy��WETLAND EC/SW NO. ❑Yes ,ioj No ❑Yes X3I No ❑Yes ,ej No HEIGHT(In Feet) BASEMENT 1st FLOOR TOTAL SQUARE FEET 32 3454 4578 9760 Sq.Ft. Sq.Ft. PROJECT COST NO.OF STORIES 2nd FLOOR ar_d FLOOR $ 325,000.00 1728 PERMIT FEE 2 Sq.Ft. Sq.Ft. $ 782.00 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 SIGNAT�Owner/Agent DATE: Ordinances.Any unauthorized change from the information / c or plans submitted will invalidate the permit / -2,9.- 1Lr/ OFFICE USE ONLY SURVEY REQUIRED? DATE ISSUED INITIALS 1st INSPECTION DATE y,'- INITIALS , CI Yes No 22 Apr 2008 CHS1 7 a 3 1 L-/cV PM C DATE VIE�� ^O INITIALS f4K 2nd INSPECTION DATE 10 INITilS, Initials: ✓ i{e _'/� Pill( 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 AN' j pjFICATIONS ARE MADE WITHOUT THE EXPRESS WRITTEN APPROVAL OF DANE COUNTY ZONING. INITIALS S K 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. 545-112(12/05) GCS-single