HomeMy WebLinkAbout0038613-Building (foundation)Wisconsin Department of Industry, PERMISSION TO START CONSTRUCTION Safety and Buildings Division
Labor and Human Relations
Additional fees are required. Contact one of the locations listed below for more information.
HAYWARD OFFICE
LA CROSSE OFFICE
MADISON OFFICE
SHAWANO OFFICE
Route 8
2226 Rose Street
201 E. Washington Ave.
1053A E- Green Bay Street
P.O. Box 8072
La Crosse, W 1 54603
PO. Box 7969
P.O. Box 434
Hayward, WI 54843
Tele: (608) 785 -9334
Madison, WI 53707
Shawano, WI 54166
Tele: (715) 634 -4870
FAX: (608) 785 -9330
Tele: (608) 266 -8735
Tele: (715) 524 -3626
FAX: (715) 634 -5150
FAX: (608) 267 -9566
FAX: (715) 524 -3633
Project Location:
Street:
City:
County:
Occupancy:
NOTE: This permission is applicable only to projects
having below grade foundation work.
E -File:
Plan Number:
Date Plans Rec'd:
WAUKESHA OFFICE
401 Pilot Court
Waukesha, Wl 53188
Tele: (414) 548 -8600
FAX: (414) 548 -8614
We, the undersigned, request to begin footing and foundation work prior to approval of the plans in accordance with
ILHR 50.14.
Plans have been submitted to the Department of Industry, Labor and Human Relations, Safety and Buildings Division, and
all information requested by Code ILHR 50.12 or ILHR 50.13 has been included with the submittal.
We have reviewed the specific code requirements for the building or structure and its use, as set forth in ILHR 50 -64, and,
where applicable, have shown compliance on the drawings.
We agree to make any changes required after the plans have been reviewed and to remove or replace non -code
complying parts of the foundation and /or footings.
We agree to proceed with the footings and foundation only and will not continue with the remainder of the building or
structure until approval has been received.
We understand that, prior to the start of construction, a Building Permit must be obtained from the local authorities
having jurisdiction in accordance with their laws and ordinances -
We understand that if this project is in an unsewered area, a sanitary permit must be obtained prior to the issuance of
a local building permit (ss 101.12 (3) (h)).
r
Owner's Signature:
(Origi al Signature in Inky
Date Signed:
Owner's Name:
Street:
City: State: ''i Zip:
Designer's Signature:
(Original Signature in Ink)
Date Signed:
f .
Designer's Name: 4, ;
Street:
City: State: Zip:
Department Action: J_] Approved ❑ Not Approved
Review Comments:
Reviewed By: Today's Date
SBD -198 (R- 08192)
BLDG. INSPECTOR'S COPY