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.
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.
If one acre or more of soil will be disturbed, this project is subject to ch. NR 151 regarding additional erosion control and storm water management.
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.
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