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(Part of Ply 4 for Applicants) <br /> Cautionary Statement to Owners Obtaining Building Permits <br /> 101.65(lr)of the Wisconsin Statutes requires municipalities that enforce the Uniform Dwelling Code to <br /> provide an owner who applies for a building permit with a statement advising the owner that: <br /> If the owner hires a contractor to perform work under the building permit and the contractor is not bonded <br /> or insured as required under s. 101.654(2) (a), the following consequences might occur: <br /> (a) The owner may be held liable for any bodily injury to or death of others or for any damage to <br /> the property of others that arises out of the work performed under the building permit or that is caused by <br /> any negligence by the contractor that occurs in connection with the work performed under the building <br /> permit. <br /> (b) The owner may not be able to collect from the contractor damages for any loss sustained by <br /> the owner because of a violation by the contractor of the one-and two-family dwelling code or an <br /> ordinance enacted under sub. (1) (a),because of any bodily injury to or death of others or damage to the <br /> property of others that arises out of the work performed under the building permit or because of any <br /> bodily injury to or death of others or damage to the property of others that is caused by any negligence by <br /> the contractor that occurs in connection with the work performed under the building permit. <br /> Cautionary Statement to Contractors for Projects Involving Building Built Before 1978 <br /> If this project is in a dwelling or child-occupied facility, built before 1979, and disturbs 6 sq. ft. or more <br /> of paint per room,20 sq. ft. or more of exterior paint,or involves windows,then the requirements of ch. <br /> DHS 163 requiring Lead-Safe Renovation Training and Certification apply. Call (608)261-6876 or go to <br /> the Wisconsin Department of Health Services' lead homepage for details of how to be in compliance. <br /> Wetlands Notice to Permit Applicants <br /> You are responsible for complying with state and federal laws concerning the construction near or on <br /> wetlands, lakes, and streams. Wetlands that are not associated with open water can be difficult to <br /> identify. Failure to comply may result in removal or modification of construction that violates the law or <br /> other penalties or costs. For more information,visit the Department of Natural Resources wetlands <br /> identification web page or contact a Department of Natural Resources service center. <br /> Additional Responsibilities for Owners of Projects Disturbing One or More Acre of Soil <br /> I understand that this project is subject to ch.NR 151 regarding additional erosion control and stormwater <br /> management standards, and omp w'th those standards. <br /> Owner's Signature: Date: 20 Z> <br />