Project will be built in what municipality? _________________________________________ Date _____________
Street address for project:________________________________________
Parcel Number: ____________________________________ Estimated project cost _____________________ (Do not include cost of land.)
Owner: (Print clearly)___________________________________________ County zoning permit # when required_____________________
Owner Address:________________________________________________ WHERE DO YOU WANT ME TO SEND PERMIT CARD ?
_______________________________________________ _________________________________________________
Phone: or email: ______________________________________________ _________________________________________________
________________ _________________________________
(Provide names of contractors that will be doing work on this project.)
General Contractor: ________________________________________ _______________________________Phone ____________________
Electrical Contractor________________________________________________________________________Phone ____________________
Plumbing Contractor _______________________________________ _______________________________Phone ____________________
HVAC Contractor ________________________________________ _______________________________Phone ____________________
( Check all that apply for your project and this permit request. )
Standards of the Wisconsin UDC Building Codes and National Electrical or Fuel codes will be used to inspect quality of construction
____Building detached accessory building - Width ___ Length ___ Height ___
____ Building bath rooms or sleeping loft.
____Addition to an existing building - Width ___Length ___
____Barn for livestock or fowl - Width ___Length ___
____ Egress windows from below grade.
____ Finish garage or basement into living space. _____ sq ft
____ Electric service upgrade by __WPS ___OEC ___WE ___Kaukauna Utility
____ Deck ( See note below) - Width ___ Length ___
____Fence - How many feet? ________
____ Roadside stand not removed daily. Width _____ Length _____
____ Above ground pool. ______ In ground pool.
____ New commercial antennas
____Re-roof ______% being done
____Re-siding ______% being done
____ Remodel _______sq. ft..
____ Outdoor boiler
____ Permit to raze a structure.
____ Other __________________________________________________
__________________________________________________
Please provide a site plan showing where new buildings will be placed on lot. Does not need to be to scale but indicate set backs and other distance measurements between structures on drawing. Information on setback distances available on my website. Click here to view.
Deck building information available at this link https://dsps.wi.gov/Documents/Programs/UDC/DeckColumnFootingSizeWorksheet.pdf
Prevent erosion on your construction site:
Sediment control practices shall be employed as necessary and maintained to prevent or reduce the potential deposition of soil or sediment into the waters of the state or adjacent properties. YOU MUST keep soil from being tracked onto streets by vehicles and control soil erosion from soil stockpiles. Sediment from dewatering at the project area must be kept from a street storm water inlet. Erosion control practices must be maintained until the disturbed areas are stabilized by the re-establishment of 70% of new vegetation. If more than one acre of land is disturbed the owner must get a formal approved plan from the Wis DNR. Go to following for more information : S.NR 151.32 (2).