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City of Onalaska Inspection Department 415 Main Street Onalaska, WI 54650 Phone: 608-781-9541 Fax: 608-781-9506
Residential Construction Permit Packet
Onalaska Inspection Department 415 Main St., Onalaska, WI 54650
(608) 781-9541 Fax: 781-9506 www.cityofonalaska.com
APPLICATION FOR BUILDING PERMIT
In order for us to process this application, the following information must be provided:
OWNERS NAME_________________________________________________TELEPHONE # ___________________ OWNERS ADDRESS______________________________City ____________________State/Zip Code____________
E-MAIL ADDRESS ________________________________________________________ ADDRESS OF CONSTRUCTION____________________________________________________________________
LOT NO. _____________BLOCK NO._____________ADDITION__________________________________________
ZONING___________LOT SIZE___________SQUARE FEET ESTIMATED COST ______________________
(with out land cost) TYPE OF CONSTRUCTION BEING BUILT_________________________________________SIZE ______________
Total Square Feet ZONING REVIEW ($50.00) THIS IS APPLICABLE ON ANY NEW MAIN STRUCTURE OR CHANGE TO THE MAIN STRUCTURE :
REQUIRED PLOT PLAN IS SUBMITTED SETBACKS ARE FROM PROPERTY LINES ARE THERE ANY EASEMENTS, CONDITIONAL USES, OR VARIANCES ON YOUR DEED/TITLE WORK?
YES NO (IF YES, COPY MUST BE SUBMITTED TO THIS DEPARTMENT)
**IF USING MINIMUM SETBACKS** LOT STAKES MUST BE LOCATED OR THE CITY RECOMMENDS A SURVEYOR
VERIFY EXACT LOCATION OF CONSTRUCTION BEFORE WORK IS COMMENCED
FRONT___________FT REAR__________FT LEFT___________FT RIGHT _________FT
IF APPLICABLE: TYPE OF HEAT:____________ELECTRIC SERVICE SIZE:______________ AIR CONDITIONED: YES NO FOUNDATION: MASONRY CONCRETE OTHER
CONSTRUCTION TYPE : SITE BUILT MANUFACTURED DRAIN TILE: GRADE PIT NO. OF STORY(S): 1 STORY 2 STORY OTHER_______
CONTRACTORS: GENERAL______________________________________Phone #_________________E-mail ____________________ State Qualifier #____________ Address ________________________________________City/State ________________State Contractor #___________
FOUNDATION INSTALLER:________________________________________________________________________ HEATING:________________________________________________________________________________________ ELECTRICAL:____________________________________________________________________________________ PLUMBING:______________________________________________________________________________________
The applicant agrees to comply with the Wisconsin Administrative Codes and other Municipal Ordinances and with the conditions
of this permit understand that the issuance of the permit creates no legal liability express or implied, on the Department of Inspection or this Municipality; and certifies that all the above information is accurate to the best of his/her knowledge.
PRINT APPLICANT NAME:_________________________________________________________________________________ SIGNATURE OF APPLICANT___________________________________________________________DATE_______________ OWNER/AGENT
City of Onalaska Inspection Department (608) 781-9541 415 Main Street, Onalaska, WI 54650
RESIDENTIAL BUILDING PERMIT FEES (1/1/2019) Residential Buildings, Additions, $.25 per square foot Alterations and Accessory Structures of finished and unfinished areas. (Including porches, decks,
egress windows and misc. interior and exterior modifications.) ($50.00 minimum fee)
State Application Processing $250.00 (New Construction 1 & 2 Family) Administrative Fee Residential Swimming Pools- $100.00 flat fee (over 15 feet in diameter) Residential Razing/Demolition over $50.00 flat fee Accessory Building 200 square feet $100.00 flat fee Building Structure Residential Moving $100.00 flat fee Residential Certificate of Completion $25.00 flat fee Erosion Control-Less Than 1 Acre $75.00 flat fee of Disturbance. Erosion Control-More Than 1 Acre $150.00 flat fee of Disturbance. Residential Zoning Permit (Plan Review) APPLY TO ANY NEW OR CHANGE TO MAIN STRUCTURE $50.00 flat fee Residential Roofing (Over 200sf) $50.00 flat fee Reinspection Fee $50.00 *OTHER PERMITS* Driveway Permit $20.00 flat fee per opening Sidewalk Permit $15.00 per stretch Street Privilege/Dumpster Permit $25.00 flat fee
Permit #____________
Fee Fee
Residential < 1 acre $75 Residential < 1 acre $75
Residential >1 acre $150 Residential >1 acre $150
Commercial < 1 acre $100 Commercial < 1 acre $100
Commercial > 1 acre $200 Commercial > 1 acre $200
Subdivision/Condo Plat $200 Subdivision/Condo Plat $200< 10 Acres < 10 AcresSubdivision/Condo Plat $400 Subdivision/Condo Plat $400> 10 Acres > 10 Acres
Name: Name: Name:
Address: Address: Address:
Phone: ( ) - Phone: ( ) - Phone: ( ) -
Site Address
Date:
Erosion Control - (Payment Code: 181)
Disturbance
Parcel#
Plat or Project Name
CSM or Block/Lot
City Staff Signature
Total Acreage: Total Disturbed Acres
Print Name of Applicant Signature of Applicant Phone Number if different from list above
( )_______ - ___________
for up to an additional 180 days. The Land Use Development Director may require additional BMPs as a condition of the extension if they are necessary.
Note: Erosion Control Permits issued under this section shall be valid for a period of 1 year for commercial sites and 2 years for residential sites or the length of the buildingpermit or other construction authorizations, whichever is longer, from the date of issuance. The Land Use Development Director may extend the period one or more times
Waived
(g) Permittee shall inspect the practices within 24 hours after each rain of 0.5 inches or more which results in runoff during active construction periods, and at least once each week, make needed repairs and document the findings of the inspections in a site erosion control log with the date of inspection, the name of the person conducting the inspection, and a description of the present phase of the construction at the site.
Contractor or Applicant
Impervious Acres:
(a) All stormwater management measures shall be installed in accordance with the approved stormwater management plan and this permit.
Designer or EngineerOwner
CITY OF ONALASKA
Disturbance
(b) The City Engineer or designee shall be notified at least 3 business days before commencing any work in conjunction with the stormwater management plan, and within 3 business days upon completion of the stormwater management practices.
(c) Practice installations shall be certified "as built" by a licensed professional engineer. Completed stormwater management practices must pass a final inspection by the City Engineer or its designee to determine if they are in accordance with the approved stormwater management plan and ordinance.
STORMWATER MANAGEMENT
(e) Permittee shall maintain all road drainage systems, stormwater drainage systems, BMPs and other facilities identified in the erosion and sediment control plan.
EROSION CONTROL
(b) Permittee shall notify the Land Use Development Director or designee of practice installation within 5 days of installation.
(c) Permittee shall obtain permission in writing from the Land Use Development Director or designee prior to any modification pursuant to 15-2-7(3) of the erosion and sediment control plan.
(h) Permittee shall allow the Land Use Development Director or designee to enter the site for the purpose of inspecting compliance with the erosion and sediment control plan or for performing any work necessary to bring the site into compliance with the control plan. Permittee shall keep a copy of the erosion and sediment control plan at the construction site.
(g) If so directed by the City Engineer or designee, all damage to adjoining facilities and drainage ways caused by runoff, where shall be repaired at the permitee’s expense.
(h) Access is permitted to the City Engineer or its designee for the purpose of inspecting the property for compliance with the approved stormwater management plan and this permit.
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(f) The City of Onalaska is authorized to perform any work or operations necessary to bring stormwater management measures into conformance with the approved stormwater management plan, and consent to a special assessment or charge against the property as authorized under subch. VII of ch. 66, Wis. Stats., or to charging such costs against the financial guarantee posted under Ordinance 6-5-10.
(a) Permittee shall notify the Land Use Development Director or designee 48 hours prior to commencing any land disturbing construction activity.
(d) Permittee shall install all practices as identified in the approved erosion and sediment control plan.
(f) Permittee shall repair any siltation or erosion damage to adjoining surfaces and drainage ways resulting from land disturbing construction activities and document repairs in a site erosion control log. Remove accumulated sediment from downstream culverts, storm sewers, and other drainage facilities.
(d) The City Engineer or designee shall be notified of any significant proposed modifications to an approved stormwater management plan.
(e) All stormwater management practices shall be maintained in accordance with the stormwater management plan until the practices either become the responsibility of the City of Onalaska, or are transferred to subsequent private owners as specified in the approved maintenance agreement.
EROSION CONTROL & STORMWATER MANAGEMENT PLAN
PERMIT Staff Use Only
Waived
Storm Water - (Payment Code: 9000)
cjbiii - 08052011 S:\Everyone\MS4-StormWater\PermitAppForm01-09
< 1 Acre Disturbance
Project Address:________________________ Date:______________City Staff
Plan RequirementsErosion Control Only
Plan Requirements Erosion Control Only
A. Submittal Requirements I NA ** If NA is checked, an explanation must be entered.
A1. Permit Application Form
B. Site DrawingB1. North Arrow
B2. Delineation of Proposed Land Disturbance Area
B3. Existing/Proposed Site Information
B3a. Buildings, roads, access drives
B3b. Property lines
B3c. Drainage Ways
B3d. Water bodies
B3e. Trees
B3f. Local Stormwater Utilities: i.e. culverts, inlets, etc.
B3g. Other structures within 50 feet of prop. Disturbance
B3h. Direction/Grade of slopes before/after disturbance
C. NarrativeC1. Description of site and nature of construction activity
C2. Construction start and end dates
C3. Description and location of all temporary control practices
Continued
(SITES < 1 ACRE)
Please check the appropriate box: I = Included; NA = Non-Applicable
EROSION CONTROL PLAN APPLICATION CHECK LIST
CITY OF ONALASKAEROSION CONTROL & STORMWATER MANAGEMENT PLAN
APPLICATION CHECK LIST
Stormwater Only Required for Both
1
< 1 Acre Disturbance
Stormwater Summary Tables
Stormwater Maintenance Agreement Stormwater Financial Guarantee
Staff Comments
Site Drawing
Applicant understands and will provide all required items
Conditions as listed for Erosion Control and/or Stormwater Management
The compliancy with Erosion Control and/or Stormwater Management Checklist
2
> 1 Acre Disturbance
Project Address:________________________ Date:______________City Staff
Plan RequirementsErosion Control Only
A. Submittal Requirements I NAA1. Permit Application Form
A2. Maintenance Agreement
A3. Financial Guarantee
A4. Certification/Stamp by WI Professional Engineer
B. Predevelopment Site Conditions/MappingB1. Location Map
B2. Soils Survey Map
B3. Existing Land Use Mapping
B4. Predeveloped Site Conditions
B4a. Existing Contours
B4b. Property Lines
B4c. Existing flow paths & directions
B4d. Outlet & other stormwater locations
B4e. Drainage basin divides and subdivides
B4f. Existing drainage structures on and/or adjacent to site
B4g. Nearby watercourses
B4h. Lakes, streams, wetlands, channels, ditches, etc
B4i. Limits of local 100-year floodplain
B4j. 30% or greater slope areas
B4k. Well/Wellhead Protection Areas
C. Drawings/DetailsC1. Practice Location/Layout/Cross Sections
C2. Outlet/Inlet Structure Details
C3. Ditch/Storm Sewer Plan/Profile
C4. Construction Details and/or Others
D. Calculations, including computer modeling input/output filesD1. Hydrograph Parameter Calculations
D2. Computer Modeling Input/Output (Pre and Post)
D3. Detention Pond Routing
D4. Conveyance System Design
D5. Other
E1. Boundaries of the construction site.
E2. Drainage Patterns/slopes after grading activities
E3. Areas of land disturbance
E4. Locations of structural and nonstructural controls
E5. Drainage basin delineations and outfall locations
E6. Pervious Surfaces
E7. Impervious Surfaces
E8. One Foot Topographic Contours
E9. Proposed Drainage System (including applicable off-site)
E10. Proposed Easement Locations
E11. Proposed Flow Paths, Overland Flow Routes
E12. Proposed Outlets/Drainage Divides
Continued
Please check the appropriate box: I = Included; NA = Non-Applicable
** If NA is checked, an explanation must be entered.
E. Proposed Site Grading, Erosion Control Plan, & Post development
CITY OF ONALASKAEROSION CONTROL & STORMWATER MANAGEMENT PLAN
APPLICATION CHECK LIST(EROSION CONTROL SITES > 1 ACRE & ALL STORMWATER MANAGEMENT PLANS)
Stormwater Only Required for Both
> 1 Acre Disturbance
F. NarrativeF1. Name of receiving waters
F2. Site Description/Nature of construction activity
F3. Sequence of Construction
F4. Estimate of site area and disturbance area
F5. Pre- and post developed runoff coefficients
F6. Description of proposed controls, including
F6a. Interim and permanent stabilization practices
F6b. Practices to divert flow from exposed soils
F6c. Practices to store flows or trap sediment
F6d. Any other practices proposed to meet ordinance
Please check the appropriate box: I = Included; NA = Non-Applicable
F. Narrative (Cont.) I NAF7. Methodologies and Assumptions
F8. Results/Conclusions
F8a. Pre, and Post developed parameter summary
F8b. Pre, and Post developed peak discharge Summary
F9. Provisions to preserve natural topography/cover features
F10. Limitations from wellhead protection plans and ordinances.
F11. Results of investigations of soils and groundwater
F12. Practice Installation Schedule
F13. Maintenance Plan
F14. Cost Estimates
F15. Other Information
Stormwater Summary Tables
Staff Comments
Applicant understands and will provide all required items
Conditions as listed for Erosion Control and/or Stormwater Management
The compliancy with Erosion Control and/or Stormwater Management Checklist
Continue to reverse side
** If NA is checked, an explanation must be entered.
Stormwater Maintenance Agreement Stormwater Financial Guarantee
CITY OF ONALASKA
DRIVEWAY/SIDEWALK PERMIT APPLICATION
This permit is valid only when properly receipted by the City Treasurer.
CITY OF ONALASKA 415 MAIN STREET, ONALASKA, WI 54650
Property Address:_______________________________________________________________
Property Owner:________________________________________________________________
Contractor/Agent: ______________________________________________________________
Type of Construction: New ___ Replacement ___
Check any that apply:
($15.00) Sidewalk ___ ($20.00) Driveway Apron ___ Curb & gutter removal required? Yes___ No___
Total length of NEW or REPLACED sidewalk (includes sidewalk through drives) ___________
Permit Fee: ____________
REQUIREMENTS: 1. Placement of 75 or more square feet of sidewalk and/or drive within City R.O.W. requires permit.
2. All work and materials shall comply with most current City of Onalaska Specifications.
3. Call 781-9537 for INSPECTION of forms prior to concrete placement. Coordinate ahead of time to ensure timely inspection prior to arrival of concrete.
4. NEW CONSTRUCTION: Corner lots are responsible for installation of ADA compliant curb ramp detectable warning fields. This may also require removal & replacement of curb & gutter.
5. Any curb removal requires the entire curb & gutter section to be removed and replaced. Contractor may not sawcut curb head off and match flowline.
6. Water shut off Curb Box, within driveway apron or sidewalk, shall be raised to grade and 4 ½” diameter Schedule 80 PVC sleeve installed.
The undersigned hereby agrees to abide by the requirements of all pertaining sections of the Municipal Code of the City of Onalaska and the laws of the state of Wisconsin.
Signature of Applicant (or Agent) Date
For Office Use
Application Conditionally Approved ______________By___________________________________
Date of Inspection __________________________By ___________________________________
GENERAL POLICY FOR FINAL INSPECTIONS
City of Onalaska Inspection Department March 17, 2005
In order to provide for more predictable occupancy permit issuance, the City of Onalaska is revising it’s current policy. Starting April 1, 2005 contractors wishing to schedule a final occupancy inspection will fill out a simple application and checklist detailing items necessary for occupancy. Upon receipt of an application for final inspection, the City Inspection Department will schedule a final inspection not less than three working days after a final inspection application has been received and date stamped by the City Inspection Department. Final inspection applications shall be signed by the applicable contractor and/or contractors. There may be more than one application given the amount of contractors involved. The application includes a useful checklist for occupancy that will assist contractors in identifying all necessary work to be completed. This policy and application will be included in all building permit application packets.
City of Onalaska
Inspection Department 415 Main Street
Onalaska, Wisconsin 54650 Phone: (608) 781-9541-Fax: (608) 781-9506
OCCUPANCY/COMPLETION PERMIT APPLICATION
Note: The Applicant will be assessed a reinspection fee of $50.00 per inspection category if the project is not complete and requires a second visit. Application received and time stamped prior to 10:00 AM will be processed three working days from the date of application. Those received after 10:00 AM on the application day will require three full working days following the application date. The City reserves the right to inspect sooner than 3 working days if conditions warrant.
Owner/Applicant Name______________________________________________________Telephone #___________________ Owners/Applicant Address________________________________________________________________________________ Contractor Name ________________________________________________________________________________________ Location of Construction__________________________________________________________________________________ Building Type: Residential g Commercial g COMMERCIAL REQUIREMENTS FOR PERMIT: Commercial Site Plan Conditions Complete Exterior Building Complete Address Numbers Installed and Visible Outside Grading Complete All Prior Inspections Corrections Made Erosion Control In Place Electrical Complete All Egress Elements Complete Plumbing Complete Safety Issues Complete (Smoke Alarms, Etc.) Heating System Balanced & Reported Building Interior Totally Completed In Occupied Areas HVAC Complete Landscaping Completed Architect’s Compliance Statement Sent RESIDENTIAL REQUIREMENTS FOR PERMIT: Address Numbers Installed and Visible Outside Grading Complete All Prior Inspections Corrections Made Erosion Control In Place Electrical Complete Exterior Building Complete Plumbing Complete Safety Issues Complete (Smoke Alarms, Etc.) HVAC Complete Landscaping Completed Building Interior Completed If Not, What Is Left: Vapor Barrier Paint Form Submitted (if applicable) _______________________________________________________________________________________________________ By Signature Below, I hereby request a final occupancy inspection for the above stated property. General Contractor Subcontractors Signature Please Print Name___________________________ Electrical____________________________ Signature__________________________________ Plumbing____________________________ Date______________________________________ Heating_____________________________ Telephone_________________________________ Other_______________________________ REQUESTED INSPECTION DATE: _________________________________________