Print and send SHORT FORM for all projects other than a new dwelling.

Send application & fee to:  Tom Smith Inspections - 2740 Otto Ct. - Green Bay WI 54313

Project will be built in what town, village or city? ______________________________________________________          Date _____________ 

Street address for  project: 

                                                                                                                                                                     Land Use - Zoning permit  is required for all projects in Oconto County. 

          ______________________________________________________                 City of Peshtigo  and Villages do their own Zoning 

                                                                                                                                                                  Outagamie County

         ______________________________________________________                   Will require a permit for Town of Kaukauna if by a protected waterway.

                                 

Owner:  (Print clearly)__________________________________________              Zoning permit number: __________________________


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.

____ Above ground pool.     ______  In ground pool.

____Re-roof         ______% being done

____Re-siding      ______% being done

____ Remodel  _______sq. ft..

____ Outdoor boiler

____ Permit to raze a structure.

Please provide a site plan  when a new building or addition  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 minimum setback distances available on my website. Click here for LINK.

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.   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. NOTE:    One acre is 43,560 square feet.Go to following for more information : S.NR 151.32 (2).