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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: • ',1',,, .Su.: i,,:.n-.+, (tt�1't,,,sciltxe1 r Phone No. LI '. 7 - �'0SC' <br /> Site Address: - . -4-;:, ci,t,_ . �:�, i i . , I;.;1 S3_ - <br /> PROJECT LOCATION <br /> ' <br /> Project Description: -t iydd,f ft,r �'I14�4i Y <br /> Total Square Footage of new RAB: f 2 ' ! Height of new RAB: r2 I' i'd <br /> Total Square Footage of existing RAB on property: a C.t <br /> List-the existing RAB on property (detached garage,outbuilding,etc.): <br /> 1 .;)L ifh. 1.- L,t <br /> :7 <br /> Use of RAB: t, ; ',b v: , , <br /> - <br /> Location of RAB is within the Town-app oved building envelope: Yes ❑ No 0 ii, • -1i _ <br /> onstruction Type: Site Built Manufactured ❑ <br /> 1 Foundation: Concrete ❑ Masonry 0 [reared Wood ❑ Other i alf. --. per, - <br /> HVAC: Yes ❑ No.. Electrical: Yes.A4 No 0 Water: Yes 0 NAT <br /> PROJECT ACCESS <br /> Existing Driveway will provide access to the RAB: Yes,'No ❑ <br /> . ( New Driveway Permit has been granted to access the RAB: Yes 0 NoX <br /> SUPPORTING DOCUMENTS , <br /> A complete application for a RAB permit must include the following documents, and must he submitted to the Town <br /> ilding Inspector before a RAB permit will be reviewed or any• related public meetings are held. <br /> u . <br /> 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 /> ( <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 he issued. <br /> O County Erosion Control Plan for the building site(if required). Questions?Contact 608-244-3730. <br /> O County Zoning Permit for building(if required). Contact 608-266-4266. <br /> O Wisconsin Administrative Building Permit Application(if required). Contact 608-444-0372- . <br /> • <br /> 0 Dane County Environmental Health (if required). Contact 608-242-6515. <br /> ❑ Wisconsin Depai tment 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 andor 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 1kork which is being done. <br /> Applicant's Signature Date Signed /( 1 i <br /> APPROVAL CONDITIONS: ' a ` , . 4"t- • . �� <br /> a.,, .a i L_t .v I._I <br /> L iiiMiliffil <br />