Mount Pleasant, WI · Racine County
Application for Review, Petition for Variance
This four-page Wisconsin DSPS petition requests a variance from a building-related code requirement; the building or system owner files it with supporting materials and the applicable review fee.
- licensed online notary
- ~15 min average
- Notarized PDF emailed
What you’ll need
- Government-issued photo ID
- Webcam-enabled device (laptop or phone)
- This form, ready to upload as a PDF
What this form is
Use this petition when exact compliance with a code requirement cannot be met or an alternative design is proposed, and explain how the alternative meets the code’s intent. The form requires a separate petition for each building and code issue, and it does not replace any required plan review. DSPS instructions call for a confirmed appointment and receipt of the petition and accompanying documents at least two working days before it.
Who needs it
A building or system owner seeking a code variance, or a credential applicant filing a petition under SPS 305, must complete the petition and provide the required supporting information.
Why it needs a notary
The owner’s verification includes a sworn statement and a subscribed-and-sworn-before-me jurat; the petitioner signs before the notary, whose signature and affixed seal are required.
How to get this notarized
- 1
Download the Petition
Download the four-page DSPS Application for Review, Petition for Variance.
- 2
Complete the Form
Provide facility and petitioner details, identify the code issue, explain the requested variance, and list supporting attachments.
- 3
Book an Online Notary
Arrange an online notarization for the owner verification, which must be signed before the notary.
- 4
Sign on Video
Meet with a commissioned online notary and sign the verification during the video session.
- 5
Submit to DSPS
Include the fee and required supporting materials, and follow DSPS appointment and delivery instructions.
Preview the form
The blank PDF straight from Mount Pleasant. Look it over, then upload your filled copy to start the notary session.
You’ll need ID and a webcam.
A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.
Frequently asked questions
- How do I complete the notarized verification?
- Complete the petition, then sign the owner verification before a notary. The form calls for the notary’s signature and affixed seal, along with the applicable fee and supporting materials.
- Do I need to be the building owner to sign?
- The form says the petitioner must be the building or system owner, or a credential applicant for an SPS 305 petition. Tenants, agents, designers, contractors, and attorneys may not sign unless a Power of Attorney is submitted.
- Can I sign this petition with an online notary?
- Wis. Stat. §140.145 authorizes remote online notarization by a commissioned online notary. The form requires an original notary signature and affixed seal; check with DSPS about its submission requirements.
- Where do I submit the petition?
- The form directs applicants to schedule with the appropriate DSPS Industry Services office and submit the petition and accompanying documents by the confirmed appointment deadline. For local questions, confirm with the city or village if unsure.