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Luedtke approved RAB permit.jpg 9/20/16, 10:46 AM <br /> ftc -i-4"t) e4r)(4", COM <br /> RESIDENTIAL ACCESSORY BUILDING(RAB)PERMIT APPLICATION <br /> Town of Springdale,Dane County,Wisconsin <br /> (This does not replace other regulatory permits which may he required.Questions?See contact numbers below.) <br /> OWNER INFORMATION <br /> Owner's Name: Lt.' h", � _ --.---- ! Phone No,(.46 g5.t 36125 <br /> Site Address: ag 6 LE <-rr_ Q7 -------- <br /> _ PROJECT LOCATION <br /> 1-Project Description: C °-� A-bI>rno''J - <br /> Total Square Footage of new RAB: 1 �--.. J� I Height of new RAB: t S <br /> Total Square Footage of existing RAB on property: <br /> List the existing RAB on property(detached garage,outbuilding,etc.): <br /> av-l'iiv i{-t j"- - — S'roa-r <br /> Use of RAB: -� <br /> Location of RAB is within the Town-approved building envelope: Yes 0 No D - tV/4. <br /> Construction Type:S'te Built Manufactured Cl <br /> Foundation:Concrete Masonry 0 Treated Wood 0 Other <br /> HVAC:Yes 0 No Electrical: Yes No 0 Water: Yes 0 Nok <br /> PROJECCCESS <br /> Existing Driveway will provide access to the RAB:Yes No 0 <br /> New Driveway Permit has been granted to access the RAB:Yes 0 Nt <br /> SUPPORTING DOCUMENTS <br /> A complete application for a RAB permit 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 /> 0 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. 1 <br /> 0 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 /> inspect the work which is being do e. <br /> �� g/� /J <br /> ►� f - Date Signed Applicant's Signature �/� � g <br /> rrqtr• <br /> APPROVAL CONDITr:± S: <br /> ae?"'.14-."7/2-'11' -1/.0e/ <br /> u <br /> about:blank Page 1 of 1 <br />