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RESIDENTIAL ACCESSORY BUILDING (RAB) PERMIT APPLICATION <br /> Town of Springdale, Dane County, Wisconsin <br /> (This does not replace other regulator permits which may be required.Questions''See contact numbers below.) <br /> OWNER INFORMATION <br /> Owner's Name: 'U -'.y 11&E,,�� _Phone No. L�.cect. <br /> Site Address: 3 t >< 1a;A i g <br /> PROJECT LOCATION <br /> Project Description: 7 Y �� j"C/4 ) `A L'- <br /> Total Square Footage of new RAB: O Height of new RAB: / 7 / <br /> Total Square Footage of existing RAB on property: <br /> List the existing RAB on property(detached garage,outbuilding,etc.): <br /> Use of RAB: <br /> Location of RAB i within the Town-approved building envelope: Yesiat. No D <br /> Construction Type: Site Built Manufactured 0 <br /> Foundation:ConcreteSZI Masonry 0 Treated Wood 0 Other <br /> HVAC: Yes 0 No FL Electrical: YesNo 0 Water: Yes 0 No A <br /> PROJECT ACCESS <br /> Existing Driveway will provide access to the RAB: Yes it No 0 <br /> New Driveway Permit has been granted to access the RAB: Yes 0 No jt. <br /> SUPPORTING DOCUMENTS <br /> A complete application for a RAB pennit must include the following documents. and must be submitted to the Town <br /> Building Inspector before a RAB permit will be reviewed or any related public meetings are held. <br /> ja Site plan showing the location and size of the proposed RAB and all other structures on the lot, including the well <br /> and septic system. Aerial photos of lots are available from the Town Clerk. <br /> 0 Completed Driveway Inspection Report and permit(if a new driveway is needed). <br /> After approval of the RAB by the Building Inspector and the Town, the following documents. if required, must be <br /> submitted to the Town Building Inspector before the Building Permit will be issued. <br /> 0 County Erosion Control Plan for the building site(if required). Questions?Contact 608-244-3730. <br /> 0 County Zoning Permit for building(if required). Contact 608-266-4266. <br /> 0 Wisconsin Administrative Building Permit Application(if required). Contact 608-444-0372. <br /> 0 Dane County Environmental Health(if required).Contact 608-242-6515. <br /> D Wisconsin Department of Natural Resources(if required). Contact 608-266-2621. <br /> I agree to comply with all the applicable codes, statutes and ordinances and with the conditions of this permit; <br /> understand that the issuance of the permit creates no legal liability, express or implied. on the state or municipality. <br /> No development agreements, covenant restrictions and/or other legal documents exist which would prohibit the <br /> construction of the RAB. I certify that all the above information is accurate. It is understood that the RAB shall not be <br /> used for habitation and/or business purposes. The RAB shall not be occupied as a residence: no guest houses or <br /> apartments are allowed in the RAB. I expressly grant the building inspector, or the inspector's authorized agent, <br /> permission to enter the premises for which this permit is sought at all reasonable hours and for any proper purpose to <br /> I inspect the work which is being done. <br /> Applicant's Signature '" " % , Date Signed ,:r > <br /> ) <br /> APPROVAL CONDI •NS: i p" 64 - ._ 77,7� , ;-7ut �. t >;� <br /> --/.5 -. alb-. <br />