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- RESIDENTIAL ACCESSORY BUILDING(RAB)PERMIT APPLICATION <br /> Town of Springdale,Dane County,Wisconsin <br /> (This does not replace other regulatory permits which may be required.Questions?See contact numbers below.) <br /> OWNER INFORMATION <br /> Owner's Name: hPn g--, 4 Ora 4. C,-,t.0 a r' _ Phone No. O1,-t/37-8276 <br /> Site Address: 9;7 t 5 Ajo ; --/-7-4. I»o on . i-/vrr, cis- s- 3-12 <br /> PROJECT LOCATION <br /> Project Description: <br /> X32 I!e c e ssBn/ Bui Id i n9 �t" .S*rn use. <br /> Total Square Footage of new RAB: 74$ 5F Height of new RAB: _/'7 1.—/®.5 n pe.,o <br /> Total Square Footage of existing RAB on property: Q J a <br /> List the existing RAB on property(detached garage,outbuilding,etc.): <br /> One sew e_hed . c.atr 4 a,r"e_g a... elne_ s/ t li .5 jtAc/ <br /> Use of RAB: S#ohue_ of 54r rad/' b:,/rllier QC_ <br /> Location of RAB is withm the Town-approved building envelope: YesiSt No 0 <br /> Construction Type: Site Built ilic Manufactured 0 (V j 'TSir_ ihr- cAp mporients <br /> Foundation: Concrete 0 Masonry 0 Treated Wood D Other X C ., r_ ke ors <br /> HVAC: Yes 0 No g Electrical: YesX No 0 Water: Yes 0 No"( <br /> PROJECT ACCESS <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 No 0 NA <br /> SUPPORTING DOCUMENTS <br /> A complete application for a RAB permit must include the following documents, and must be submitted to the Town <br /> ficuilding Inspector before a RAB permit will be reviewed or any related public meetings are held. <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 /> 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 /> 0 Wisconsin Department of Natural Resources(if required).Contact 608-266-2621. <br /> 1 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 bein done. <br /> Applicant's Signature ./10c,_c_ Date Signed An -/0-17 <br /> APPROVAL CONDITIONS: <br /> L <br />