Additional Mandatory Form Required

Cautionary Statement to Owners Obtaining Building Permits

Wisconsin Statute 101.651(lr) 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 Wisconsin Statue 101.654(2)(a), the following consequences might occur:

1.  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

2.   The owner may not be able to collect fom the contractor damages for any loss sustained by the owner because of a violation by the contractor of the one- and two- family dwelling code or any ordinance enacted under sub.(1)(a) because of any bodily injury to or death of others or damage to the property of others that arises 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 negigence by the contractor that occurs in connectioin with the work performed under the building permit.

Additional Responsibilities for Owners of Projects Disturbing One or More Acres of Soil

I understand that this project is subject to Ch NR 151 regarding additional erosion control and stormwater management and will comply with these standards.

 

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     Owner or Owner's Signature(s)                                           Date