Town of Holland Permit Applications

Town Of Holland Permit Applications

Project Information
Date*

MonthDayYear
Date
Address of Project *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parcel No.
Zoning District(s)
Owners Name*

First NameLast Name
Owners Email*
example@example.com
Owner Phone Number*
Please enter a valid phone number.
Applicant Name*

First NameLast Name
Applicant Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Project Cost*
Applicant Email*
example@example.com
Applicant Phone Number*
Please enter a valid phone number.
Description of Project*
Type Of Permit*

Residential (1 and 2 family dwelling)CommercialAgricultural

Commercial Permit Type

Select All Permits applying for
Type of Permit applying for*

Commercial/Agricultural Electrical Per SPS 316.012Commercial PlumbingCommercial BuildingCommercial HVAC

Commercial Electrical Permit Application

(a) Except for an electrical wiring project described in s. 101.875 (2), Stats., and as provided in par. (b), no electrical wiring project may commence unless the owner of the premises where the installation is to occur or their agent holds a permit from the designated inspection agency if the project involves the installation of new or an addition to any electrical service, feeder, or branch circuit serving any of the following: 1. A farm. 2. A public building, structure, or premises. 3. A place of employment. 4. A campground. 5. A manufactured home community. 6. A public marina, pier, dock, or wharf. 7. A recreational vehicle park
Electrical Contractor Name *
DSPS Contractor Number*
Master Electrician Name*

First NameLast Name
DSPS Master Electrician Credential Number*
Please upload any Plans or Product Specifications

Cancelof
Commercial Electrical Permit Application

The Town of Holland adopts the State of Wisconsin Commercial Electrical System Permit and Inspection Fee Schedule per SPS 302.35.
Select Quantity of Installation Component
prevnext( X )
ServiceIncluding one service disconnect - 15 to 400 amperes
$80.00 Quantity



Service Including one service disconnect - 401 to 800 amperes
$120.00 Quantity



Service Including one service disconnect - over 800 amperes
$160.00 Quantity



Additional service disconnect
$13.50 Quantity



Feeder
$40.00 Quantity



Branch circuit 20 amps and under
$20.00 Quantity



Branch circuit 221 to 60 amperes
$30.00 Quantity



Branch circuit over 60 amperes
$50.00 Quantity



Temporary service and wiring lump sum
$240.00 Quantity



Fire Pump
$160.00 Quantity



Transformer, reactor, or similar component
$40.00 Quantity



Fire alarm, communication and data, and power over ethernet device
$2.75 Quantity



emergency standby system, including generator, one transfer switch, and inverter
$160.00 Quantity



Additional emergency standby transfer switch
$160.00 Quantity



Solar Photovoltaic system0-10kW
$160.00 Quantity



Solar Photovoltaic system 211-20kW
$200.00 Quantity



Solar Photovoltaic system 3over 20 KW
$400.00 Quantity



Swimming pool, including associated wiring
$160.00 Quantity



Elevator, escalator, or dumbwaiter, including associated wiring
$80.00 Quantity



Minimum Permit FeeSelect this category only if the calulated value of the installation component does NOT exceed the minimum Permit fee value of $250
$250.00 Quantity



Total

$0.00

Commercial Plumbing Application
Plumbing Contractor Name *
Master Plumbers Name*

First NameLast Name
DSPS Master Plumber Credential Number*
State Approved plans required? (IF yes upload letter and Approved plans)*

YESNO
Please upload any Plans or Product Specifications

Cancelof
State approval Letter

Cancelof
Type of Project

NewAlterationAddition
Square footage

Commercial Building/ HVAC Permit Application

Use this application for Agricultural permits as well
Type of Project

NewAdditionAlteration
Square footage*
State approval required*

YesNo
Building/HVAC Plans*

Cancelof
Site Plan

Cancelof
State approval letter

Cancelof

Residential Plumbing
Plumbing Contractor*
Master Plumbers Name

First NameLast Name
Master Plumber Credential Number*
Plumbers Phone Number*
Please enter a valid phone number.
Sewer*

MunicipalSanitary Permit#
Water*

MunicipalOn-Site Well

Number of Fixtures*

	Number
Kitchen Sinks
DIsh Washer
Clothes Washer
Laundry Trays
Water Closets
Lavatories
Bathtubs
Showers
Bar/sink
Floor Drains
Water heaters
Water softner
Sump pump
Ejector Pump
Urinals
Other

Total Number of Fixtures*
Description of Plumbing work performed.*

Residential HVAC
HVAC Contractor *
HVAC Credential Number
HVAC Phone Number*
Please enter a valid phone number.
HVAC EQUIPMENT*

FurnanceRadiant BaseboardHeat PumpBoilerCentral ACFireplaceNew Ductwork/modificationsUnit HeaterOther

Cautionary Statement
Cautionary Statement to Owners Obtaining Building Permits 101.65(Ir) 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 two- 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 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 negligence by the contractor that occurs in connection with the work performed under the building permit. Cautionary Statement to Contractors for Projects Involving Building Built Before 1978 If this project is in a dwelling or child-occupied facility, built before 1978. and disturbs 6 sq. ft. or more of paint per room, 20 sq. ft. or more of exterior paint, or involves windows, then the requirements of ch. DHS 163 requiring Lead-Safe Renovation Training and Certification apply. Call (608)261-6876 or go to theWisconsin Department of Health Services' lead homepage for details of how to be in compliance. Wetlands Notice to Permit Applicants You are responsible for complying with state and federal laws concerning the construction near or on wetlands, lakes, and streams. Wetlands that are not associated with open water can be difficult to identify. Failure to comply may result in removal or modification of construction that violates the law or other penalties or costs. For more information, visit the Department of Natural Resources wetlands identification web page or contact a Department of Natural Resources service center. Additional Responsibilities for Owners of Projects Disturbing One or More Acre of Soil I understand that this project is subject to ch. NR 151 regarding additional erosion control and stormwater management standards, and will comply with those standards.
Owner's Signature*

Clear
Date*

MonthDayYear
Date

Should be Empty:

	Unit 1	Unit 2
Unfinished Basement
Living Area
Garage/ accessory structure
Deck/Porch
Total

Town Of Holland Permit Applications

Commercial Permit Type

Commercial Electrical Permit Application

Commercial Electrical Permit Application

Commercial Plumbing Application

Commercial Building/ HVAC Permit Application

Residential Building Permit Application

Residential Building

Residential Electrical

Residential Plumbing

Residential HVAC

Cautionary Statement