Project address: ____________________________________________  Town of  ___________________ County ______________

Owner: ____________________________________________________________________  Phone: __________________________  

Mailing address _________________________________________________________email  ________________________________

Important note:  Your county may require a “Zoning Permit” in addition to getting this town building permit. Check with zoning administrator. Oconto: 920-834-6827 - Outagamie 920-832-5255 - Shawano 715-526-4628.  Failure to get a zoning permit when required by your county will void any permits that are issued by the Town. 

COUNTY ZONING PERMIT NUMBER when required:      ____________________________

NOTE: Using contractors that do not have a license may increase your liability if a worker is injured on your property.  Check with your insurance agent about your liability protection. (Write in OWNER for general contractor if doing your own work.)

 General contractor  _________________________________________________________Lic # _______________

Phone:  _____________________ email  ____________________________________

 Electrical contractor _________________________________________________________Lic # ________________

Phone:  ____________________  email  _____________________________________

 Plumbing contractor __________________________________________________________Lic # _______________

Phone:  ____________________  email  ______________________________________

 HVAC contractor _____________________________________________________________Lic # ______________

Phone:  _____________________ email  _____________________________________

Check type of permit requested for your project:

______ Building an attached garage to existing home.       Width _____ft.   Length  ____ft.     _____ Heated   

______ Building a new detached accessory building.            Width _____ft.   Length ____ft.      ______ Heated

______ Building an addition to an existing accessory building.         Width _____ft.   Length ____ft.      ______ Heated

_____   Remodel  an existing dwelling - Indicate size of remodeled area.   Width _____ft.   Length  ____ft.

_____   Addition to living space for existing dwelling  - Indicate size of remodeled area.   Width _____ft.    Length  ____ft.

_____   Deck -  (Includes new or replacement decks.) Specify size - Width _____ft.    Length ____ft. 

_____   Building a barn for domestic animals  - Specify size  Width _____ft. Length ____ft. 

_____   Pools -  Above ground   or   _____   In ground.    Installer:  ________________________________   

______Other:-please specify:   ______________________________________________________

When earth is disturbed for a project - EROSION CONTROL IS REQUIRED.      Use (SPS 21. 125 of UDC code as a guide.)
 Erosion control measures shall be placed along down-slope areas and along side-slope areas as required to prevent or reduce erosion during construction that will result in a loss of soil to waters of the state, public sewer inlets or off-site. Be especially cautious to keep soils from spilling into any street that has curb and storm sewer. If this applies to your project please attach a diagram and explain how erosion control will be accomplished. If project required a county erosion permit provide that permit number and copy of erosion plan.

APPLICANT SIGNATURE: ___________________________________________ Date _____________

SEND APPLICATION and FEE payment to:  Tom Smith Inspections LLC  -  2740 Otto Court  - Green Bay WI 54313