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_ i :_ �. _6 1 ' , P d, RESIDENTIAL ACCESSORY BUILDING (RAB) PERMIT APPLICATION y Town of Springdale,Dane County,Wisconsin n` (This does not replace other regulatory permits which may be required.Questions?See contact numbers below.) Z./' OWNER INFORMATION Owner's Name: /70 t''iz i 4(w 3Se/l— I Phone No. 60 g L137 770_S Site Address: 2-- 7.0S— T o -" h f, I- j 2 Y 44/.. 1-16,re 1-1-...T 5`3 - -7 a PROJECT LOCATION 1 Project Description: Pl,,-/, Av��'-,- ' f/o r, re . ,3a '�/ f.--✓"c 9 e ,. r ' I II Total Square Footage of new RAB: .' ;+°7 f4 j 0 I Height of new RAB: -=�__ /3 // Total Square Footage of existing RAB on property: A e List the existing RAB on property(detached garage,outbuilding,etc.): ..4,17 Use of RAB: 5 A,r^a.,e — 3 v w 7.7i rc e {t, r'-" Location of RAB is within the Town-approved building envelope: Yes( No ❑ Construction Type: Site Built0 Manufactured ❑ Foundation: Concrete Maso ❑ ` T eated Wood❑ Other HVAC: Yes ❑ No Electrical: Yes No ❑ Water: Yes ❑ No PROJECT ACCESS Existing Driveway will provide access to the RAB: Yes, 'I(No ❑ New Driveway Permit has been granted to access the RAB: Yes ❑ No❑ /1 "/P"7- SUPPORTING DOCUMENTS A complete application for a RAB permit must include the following documents,and must be submitted to the Town Bu' g Inspector before a RAB permit will be reviewed or any related public meetings are held. Site plan showing the location and size of the proposed RAB and all other structures on the lot, including the well and septic system.Aerial photos of lots are available from the Town Clerk. ❑Completed Driveway Inspection Report and permit(if a new driveway is needed). /j// i , After approval of the RAB by the Building Inspector and the Town, the following documents, if required, must be submitted to the Town Building Inspector before the Building Permit viill be issued_ ❑ County Erosion Control Plan for the building site(if required).Questions?Contact 608-244-3730. ❑County Zoning Permit for building(if required). Contact 608-266-4266. ❑ Wisconsin Administrative Building Permit Application(if required). Contact 608 144-0372. ❑Dane County Environmental Health(if required).Contact 608-242-6515. ❑ Wisconsin Department of Natural Resources(if required). Contact 608-266-2621. I agree to comply with all the applicable codes, statutes and ordinances and with the conditions of this permit; understand that the issuance of the permit creates no legal liability, express or implied, on the state or municipality. No development agreements, covenant restrictions and/or other legal documents exist which would prohibit the construction of the RAB. I certify that all the above information is accurate. It is understood that the RAB shall not be used for habitation and/or business purposes. The RAB shall not be occupied as a residence; no guest houses or apartments are allowed in the RAB. I expressly grant the building inspector, or the inspector's authorized agent, permission to enter the premises for which this permit is sought at all reasonable hours and for any proper purpose to inspect the work which is be' d. e. Applicant's Signatur Date Signed 3 i APPROVAL CONDITIONS: /ppr ifrO <S1vrd f e_ 11(-- fr 4. 1 _ ,I � AYJ 1R 1/n1 /