Cautionary Statement and Instructions
Permit Application Instructions
Submit one form per project.
List all contractors and sub-contractors on the form.
Include all necessary license numbers (business and individual).
To avoid any unnecessary delays, ensure the form is filled out completely and accurately.
All fees associated with the project will be charged and collected at one time.
Additional documentation such as plans and specifications may be required for your project.
Wetlands Notice to Permit Applicants
You are responsible for complying with state and federal laws concerning the construction near or on wetlands, lakes, and streams. Wetlands that are not associated with open water can be difficult to identify. Failure to comply may result in removal or modification of construction that violates the law or other penalties or costs. For more information, visit the Department of Natural Resources wetlands identification web page or contact a Department of Natural Resources service center. If one acre or more of soil will be disturbed, this project is subject to ch. NR 151 regarding additional erosion control and stormwater management.
If this project is in a dwelling or child-occupied facility, built before 1978, and disturbs 6 sq. ft. or more of paint per room, 20 sq. ft. or more of exterior paint, or involves windows, then the requirements of ch. DHS 163 requiring Lead-Safe Renovation Training and Certification apply. Call (608)261-6876 or go to this link for details of how to be in compliance.
Cautionary Statement to Owners Obtaining Building Permits (Uniform Dwelling Code)
101.65 (lr) of the Wisconsin Statutes requires municipalities that enforce the Uniform Dwelling Code to provide an owner who applies for a building permit with a statement advising the owner that If the owner hires a contractor to perform work under the building permit and the contractor is not bonded or insured as required under
s.101.654(2)(a), the following consequences might occur:
a)The owner may be held liable for any bodily injury to or death of others or for any damage to the property of others that arises out of the work performed under the building permit or that is caused by any negligence by the contractor that occurs in connection with the work performed under the building permit.
b)The owner may not be able to collect from the contractor damages for any loss sustained by the owner because of a violation by the contractor of the one and 2 family dwelling code or an ordinance enacted under sub. (1)(a), because of any bodily injury to or death of others or damage to the property of others that arose out of the work performed under the building permit or because of any bodily injury to or death of others or damage to the property of others that is caused by any negligence by the contractor that occurs in connection with the work performed under the building permit.
I vouch that I am or will be an owner-occupant of this dwelling for which I am applying for an erosion control or construction permit without a Dwelling Contractor Certification and have read the cautionary statement regarding contractor responsibility above.
Statement of Owner or Owner’s Authorized Agent
I represent and warrant that I am the owner or the owner’s authorized agent and I understand that I am subject to all applicable codes, laws, statutes, and ordinances, including those described on this form; am subject to any conditions of this permit; understand that the issuance of this permit creates no legal liability, express or implied, on the state or municipality; and certify that all the information within this application is accurate.
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 being done. Furthermore, I represent and warrant that I will provide a copy of this Uniform Application for Permit to all parties identified on this application and that an amended permit application will be filed with the Building Inspector if any of the parties identified on this application do not perform work on this project or another party performs work in place of the identified party.
I agree to the terms and conditions of this form and further, agree that completion and submission of this form electronically constitutes my signature for purposes of applying for a Permit and that such signature shall be legally binding as though executed in person.
By Clicking the link below you have read and agree to the Cautionary Statement.