Read Residential Building Permit text version

VILLAGE OF ASHWAUBENON RESIDENTIAL PERMIT APPLICATION

BUILDING ADDRESS___________________________________________________________________ PERMIT #_____________________ OWNER'S NAME:________________________________________________________ PHONE #_________________ DATE____________ PROJECT:___________________________________________________________________________________________________________

PARCEL #_____________________ STATE SEAL:____________________ ZONING_______ AIRPORT ZONE___________ SETBACKS: FRONT_____________ REAR_________________ LEFT SIDE_____________ RIGHT SIDE____________ DIMENSIONS OF BUILDING HEIGHT:_________________ WIDTH__________ LENGTH:__________ LEVELS_______ FIRST FLOOR_________________________ SECOND FLOOR_____________________ BASEMENT_________________ GARAGE SIZE___________________________ LOT SIZE___________________________

TO THE BUILDING INSPECTOR: The undersigned hereby applies for a permit to do the work herein described, according to the plans and specifications herewith filed, and hereby agrees that such work will be done in accordance with the said description, plans and specifications and in compliance with building ordinances and other ordinances of the Village of Ashwaubenon and the State Building codes of Wisconsin.

"ANY STATE OR COUNTY PERMITS MUST BE OBTAINED BY CONTRACTOR OR OWNER" 48 HOUR NOTIFICATION FOR ALL INSPECTIONS IS REQUIRED

CONTRACTOR:___________________________________________________PHONE:__________________DCC#___________________ DCQ# ________

ADDRESS:____________________________________________________________ COST:____________________FEE:_________________

ELECTRICAL CONT._________________________________________________PHONE:__________________STATE #________________ ADDRESS_____________________________________________________________COST:____________________FEE:_________________

HVAC CONT.______________________________________________________PHONE:____________________STATE #_______________ ADDRESS:___________________________________________________________COST:____________________FEE:_________________

PLUMBING CON:_________________________________________________PHONE:___________________STATE#_________________ ADDRESS:___________________________________________________________COST:____________________FEE:_________________

SEWER/WATER CONT.______________________________________________PHONE:_____________________STATE#______________ ADDRESS:____________________________________________________________COST:____________________FEE:_________________

FINAL ON HOME $30.00 CURB CUT $35.00 DRIVEWAY EXPANSION $10.00 NEWCONST.: GARBAGE CONT. $74.91 RECYCLING CONT . $71.00 LAND USE PERMIT $150.00 EROSION CONTROL $75.00 PARK FEE $ TOTAL COST_______________________FEES__________________CASH____CK.____ CK. #_____________ RECEIPT #

A fine of $150.00 will be issued for the General or Sub-Contractors in violation. These fines must be paid before the red tag is removed and construction can continue. EXTERIOR AND ALL MAJOR CONSTRUCTION MUST BE COMPLETED ONE YEAR FROM ISSUE DATE OF PERMIT Curb cuts must be done before the start of any construction. Entire site, including roads and gutter must be kept debris free during construction.

.

CONTRACTOR/ OWNERS SIGNATURE_____________________________________ DATE:_______________________

BUILDING INSPECTOR:_________________________________________________

DATE:__________________

Information

Residential Building Permit

1 pages

Find more like this

Report File (DMCA)

Our content is added by our users. We aim to remove reported files within 1 working day. Please use this link to notify us:

Report this file as copyright or inappropriate

1267776


You might also be interested in

BETA
Microsoft Word - NOC - 0108.doc
NARRATIVE REPORTS
Nursing Exam Application
Tickets-Yellow