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Department of Community and Economic Development (City of Green Bay)

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City of Green Bay
Department of Community and Economic Development
COMMERCIAL BUILDING PERMIT INFORMATION
This is a packet of Building, Electrical, Plumbing, HVAC, and Erosion Control permit forms you must
complete to obtain the permits necessary for new construction, additions, and alterations
of commercial/residential buildings. The forms must be filled out and signed by the subcontractors
and returned to you. After all plan reviews are completed and the department is allowed to issue
the permits, you shall submit an all-inclusive packet containing all of the completed forms.
The Project Permits Application (the top form) must be completed for all projects. Fill out the
form as well as you can and leave blank any areas you do not understand. Staff can help complete the
form when you submit the packet.
The Licensed Electrical Contractor’s permit form must be completed and signed by the
electrical contractor and included in the application packet.
The Licensed Plumbing Contractor’s permit form must be filled out by the plumbing contractor
and included in the application packet. Two copies are provided because when there is
both interior and exterior plumbing work on the project, a separate permit form is
required for each contractor.
The Licensed Heating Contractor’s permit form must be filled out by the HVAC contractor and
included in the application packet.
An Erosion Control permit form is also included and, if required by the Erosion Control Permitting
Process flowchart, must be submitted with an Erosion Control plan.
You will only need to complete electrical, plumbing, HVAC, and erosion control permits if that type
of work is associated with your project. If you are not doing electrical, plumbing, HVAC, or erosion
control work you will not need those permits.
You may also need to submit building, electrical, plumbing, HVAC, and erosion control plans
when you bring the permit packet in. If you are doing any exterior work a site plan may be
required. Please explain the scope of your project when you pick up the permit application packet
and we will be able to explain what information is required.
The total permit packet at the time of submittal must contain the Project Permits Application,
any plans required, and an electrical, plumbing, HVAC, and erosion control permit if that work is
being done. All forms must be filled out and signed prior to issuance of permits.
If you have any questions concerning these permits, please contact the Department of
Community and Economic Development at (920) 448-3300 and ask for a Building,
Electrical, Plumbing, or HVAC Inspector.
I:\DeptData\Planning\Inspection Division\Forms\Fillable\Packet-CommercialBuildingPermitInformation.pdf
100 North Jefferson Street, Room 608, Green Bay, Wisconsin 54301-5026
(p) 920.448.3300 (f) 920.448.3426 greenbaywi.gov
(Rev 12/16)
PROJECT PERMITS
APPLICATION
All fields must be completed before permit will be processed.
Project Address
Parcel #
Project #
Property Owner
Contractor
Name Name
Company
(if applies)
Company
Address
Address
City, State, Zip
City, State, Zip
Phone #
Email
Phone #
Email
Current Land Use, Flood Plain & Zoning (check which applies)
Land Use: 2-Family Multi-Family # of units ____ Commercial (describe) _______________
Vacant Lot
1-Family
Zoning: R-1 R- 2 R-3 RR OR NC
D C-1 C-2 C-3 L1 G1 BP PI CON TND
Flood Plain: Yes
Base Flood Elevation (BFE)_____
No
Addition Alteration Repair Move Raze (demolish)
Change-of-use
Project Scope:
New
Area: Finished Unfinished Total Bldg:
Description of Project :
Estimated Cost of Construction $
Erosion Control # _________
City SBD $___________
Plan Approvals
PLBG Plan
SWR Plan
Foot & Found Only #_______ City
Building Plan
HVAC Plan
Site Plan
# _________ City SBD $___________
# _________ City SBD $___________
# _________ $___________
Contractors (UDC Numbers Required): DCC # DCQ #
BLDG -
Bldg Fee
$
ELEC –
Elec Fee
$
HVAC –
Hvac Fee
$
PLBG –________# of Fixtures
Plbg Fee
$
SWRS –
Water Fee $_____
Storm Fee $_____
Assessment $_____
Sanitary Fee $_____
Assessment $_____
Swrs Fee
$
CERTIFICATE OF OCCUPANCY
C.O.
$
Addl. Fee
$
Double Fee
DOUBLE FEE PERMIT [s.15.07(b)] If application for a building permit has not been obtained prior to commencement of
the job, applicable permit fee shall be doubled.
$
Application Signature The applicant certifies that information submitted herein is accurate; agrees to comply with the Wisconsin
Administrative Code, Municipal Ordinance, and with the conditions of this permit; and understands that permit issuance creates no legal
liability, expressed or implied, on the Department or Municipality.
Signature of Applicant Date
Class Code Census Receipt No. Total Fee
Reviewed By
Credential #
White - Office
Yellow - Applicant
To schedule an inspection, submit an online Inspection Request or call (920) 448-3300 at least one business day
in advance. Final inspections are required for all projects.
Department of Community
and Economic Development
100 N. Jefferson Street, Rm 608
Green Bay, WI 54301-5026
(920) 448-3300 - phone
(920) 448-3426 - fax
inspmail@greenbaywi.gov
www.greenbaywi.gov
(assigned by City)
$
$
$
Erosion Ctrl
EROSION CONTROL
ADDITIONAL PERMITS (Sprinklers #_____, Curb Cut, Flood Plain, Temp. Occupancy, Etc.)
(Please List)
(Rev 1/20)
(check all that apply)
Height
#_______
City
#_______ City
SBD $__________
SBD $__________
SBD $__________
For Office Use Only
Two-Family
NATURE OF WORK (check all that apply):
Swimming Pool
Alteration
Remodeling
Repairs
Sign
Addition
Detached Garage
Hot tub/spa
Other ____________
JOB DESCRIPTION:
(REQUIRED)
_______________________________________________
Signature (Master Electrician Responsible For Work)
(REQUIRED)
___________________
Date
INSPECTOR STATEMENT: I hereby certify the work completed as of date signed complies with applicable codes.
____________________
Date
_________________________________________________
Inspector Signature
This section for City use only
Project #:
Permit Code:
Permit Fee:
Parcel #:
Receipt #:
Date:
Department of Community
and Economic Development
100 N. Jefferson Street, Rm 608
Green Bay, WI 54301-5026
(920) 448-3300 - phone
(920) 448-3426 - fax
inspmail@greenbaywi.gov
LICENSED CONTRACTOR
ELECTRICAL PERMIT
APPLICATION
Check box for Online Payment
The information below must be provided for notification of project number and permit fee. This information is
required to make payment on-line.
Educational
Other
Multi-Family
Number of Units
Manufacturing
Phone _________________
Fax ________________
________
To schedule an inspection, submit an online Inspection Request or call (920) 448-3300 at least one
business day in advance. Final inspections are required for all projects.
CONTRACTOR STATEMENT: I hereby certify that the above wiring upon completion will be in compliance with
the applicable federal, state, and local electrical codes and utility service rules.
“ENERGIZING THE DESCRIBED WIRING WILL IN NO WAY CREATE A HAZARD”
State of WI Electrical Contractor Certification # _____________ and WI Master Certification # _______________
Email ____________________________
(Rev 6/20)
www.greenbaywi.gov
All fields must be completed before permit will be processed.
Project Address: __________________________________________________
Owner's Name: __________________________________________________
Owner's Email: Phone #:
Electrical Contractor: ______________________________________________
Contractor's Address: ______________________________________________
Contractor’s Email: ________________________________________________
Contractor’s Phone #: ___________________ Cell #: _____________________
Value of work: ___________________________________________________
Single-Family
Commercial
OCCUPANCY (check appropriate box):
www.greenbay.wi.gov
LICENSED CONTRACTOR
PLUMBING PERMIT
APPLICATION
(INTERNAL)
Department of Community
and Economic Development
100 N. Jefferson Street, Rm 608
Green Bay, WI 54301-5026
(920) 448-3300 - phone
(920) 448-3426 - fax
inspmail@greenbaywi.gov
All fields must be completed before permit will be processed.
Project Address:
Owner's Name:
Phone #: Owner's Email:
Plumbing/Utility Contractor:
Contractor’s Address:
Contractor's Email:
Contractor's Phone #:
Value of Work:
I hereby make application for a permit for the following described sewer/plumbing work at the above location.
General Interior Plumbing
Total Number of Fixtures
Total Number of Appliances
Total Number of Appurtenances
Total Count
Description of Work:
To schedule an inspection, submit an online Inspection Request or call (920) 448-3300 at least one business
day in advance. Final inspections are required for all projects.
Contractor's Signature:
Master Plumber Credential #
Check box for Online Payment
The information below must be provided for notification of project number and permit fee. This information is required to make
payment online.
Phone
Fax
Email
Excerpt from City of Green Bay Plumbing Code:
Section 16.06 Permit must be procured before starting work: If any work regulated by the Plumbing Ordinance for which a permit is required
is commenced without a permit first having been obtained thereof, double the permit fee herein prescribed shall be paid when a permit finally
is obtained. Payment of any fee mentioned in this Section, however, shall in no way relieve any person of the penalties that may be imposed for
violation of the Plumbing Ordinance.
(Rev 6/2020)
This section for City use only
Project #:
Permit Code:
Permit Fee:
Parcel #:
Receipt #:
Date:
www.greenbay.wi.gov
STORM, SANITARY AND
WATER CONNECTION
PERMIT APPLICATION
(EXTERNAL)
Department of Community
and Economic Development
100 N. Jefferson Street, Rm 608
Green Bay, WI 54301-5026
(920) 448-3300 - phone
(920) 448-3426 - fax
inspmail@greenbaywi.gov
All fields must be completed before permit will be processed.
Project Address:
Owner's Name:
Owner's Email: Phone #:
Plumbing/Utility Contractor:
Contractor’s Address:
Contractor's Email:
Contractor's Phone #: Value of Work:
Bonded/Insured with City of Green Bay:
Yes
No
(For right-of-way impact)
I hereby make application for a permit for the following described sewer/plumbing work at the above location.
External Plumbing/Sewer
Water Service Connection
Sewer Cap
Sanitary Sewer Connection
Sanitary/Storm/Water Repair
Storm Sewer Connection
Description of Work:
To schedule an inspection, submit an online Inspection Request or call (920) 448-3300 at least one business
day in advance. Final inspections are required for all projects.
Contractor's Signature:
Credential #
Check box for Online Payment
The information below must be provided for notification of project number and permit fee. This information is required to make
payment online.
Phone
Fax
Email
Excerpt from City of Green Bay Plumbing Code:
Section 16.06 Permit must be procured before starting work: If any work regulated by the Plumbing Ordinance for which a permit is required
is commenced without a permit first having been obtained thereof, double the permit fee herein prescribed shall be paid when a permit finally
is obtained. Payment of any fee mentioned in this Section, however, shall in no way relieve any person of the penalties that may be imposed for
violation of the Plumbing Ordinance.
(Rev 6/2020)
This section for City use only
Sewer Request Filed:
Sewer Verified:
Project #:
Permit Code:
Permit Fee:
Assessment Fee:
Parcel #:
Receipt #:
Date:
click to sign
signature
click to edit
www.greenbaywi.gov
FURNACE: Gas ___________ Electric __________ Oil __________ Forced Air __________
AIR CONDITIONER: Forced Air __________ Central Air __________
BOILER: Steam _______ Hot Water ________ Res ________ Industrial ________ Commercial _______
SPACE HEATER: Type __________ Unit __________
Class __________
Contractor’s Signature: ___________________________________ Credential # _____________________
Check box for Online Payment
The information below must be provided for notification of project number and permit fee. This information is
required to make payment on-line.
Phone ___________________ Fax _____________________
Department of Community
and Economic Development
100 N. Jefferson Street, Rm 608
Green Bay, WI 54301-5026
(920) 448-3300 - phone
(920) 448-3426 - fax
inspmail@greenbaywi.gov
LICENSED CONTRACTOR
HEATING PERMIT
APPLICATION
This section for City use only
Project #:
Permit Code:
Permit Fee:
Parcel #:
Receipt #:
Date:
To schedule an inspection, submit an online Inspection Request or call (920) 448-3300 at least one
business day in advance. Final inspections are required for all projects.
Email ________________________
(Rev 6/20)
All fields must be completed before permit will be processed.
Project Address:
Owner's Name:
Phone #:Owner's Email:
Heating Contractor:
Contractor's Address:
Contractor’s Email:
Contractor's Phone #:
Unit Price: Value of Work:
I hereby make application for a permit for the following described heating work at the above location.
Check all that apply:
(Rev 01/17)
Department of Community
and Economic Development
100 N. Jefferson Street, Rm 608
Green Bay, WI 54301-5026
(920) 448-3300 - phone
(920) 448-3426 - fax
inspmail@greenbaywi.gov
Small Site General Instructions: Submit this application and erosion control plan demonstrating compliance with Ch. 34,
Green Bay Municipal Ordinance and/or Ch. SPS 321.125, Uniform Dwelling Code, for sites covering less than one acre and/or one-
or two-family residential construction prior to commencing land-disturbing construction or land-development activity to Room 610.
Large Site General Instructions: Submit application and erosion control plan demonstrating reasonable compliance with Ch. 34, Green
Bay Municipal Ordinance, for sites one acre or greater in size prior to commencing land-disturbing construction or land-development
activity to Room 610.
Excavation within Public Rights-Of-Way General Instructions: Submit this application and erosion control
plan demonstrating compliance with Ch. 34, Green Bay Municipal Ordinance for land disturbances covered within section 34.04(1)
(a) 1. 4,000 SF; 4. 100 LF of drainage conveyance impacts; 6. 300 LF of underground utility work; and/or 7. 100 CY or
greater of excavation volume prior to commencing land-disturbing construction or land-development activity to Room 300.
Address/Street of land-disturbing activity:
Parcel #:
Zoning District: Project #:
Site #
APPLICANT
Property Owner
General Contractor
EROSION CONTROL CONTRACTOR
Name Name
Company Company
Address Address
City, State, Zip City, State, Zip
Phone Phone
Email Email
Description of Activity:
Start
End ______________
Erosion Control Plan: (provide 3 copies) *Must demonstrate compliance with Ch. 34, Green Bay Municipal Ordinance and/or Ch. SPS 321.125
UDC, including but not limited to all of the following:
1. Application
2. Property legal description
3. Existing site map / plan
4. Final site map / plan
5. Site construction plan
6. Soil loss prediction tool / spreadsheet
7. Erosion & Sediment Control Plan Statement (Narrative description of who, what,
when, where, how things will be completed on the proposed site(s)).
Applicant Signature: ______________________________________________________________________ Date: ________________________
Following sections to be completed by the City of Green Bay
Plan Approval: Permit is void unless signed by the Erosion Control Specialist.
Erosion Control Plan reviewed and approved by Erosion Control Specialist:___________________________________ Date:____________________
Permit Issuance:
1. Duration – This erosion control permit shall remain valid for a period of 180 days or for the length of the building permit, whichever is longer. The
Erosion Control Specialist or designated representative may extend the period one or more times for up to an additional 180 days, and may require
additional erosion control measures as a condition of the extension if necessary to meet the requirements of this ordinance.
Permit Expiration Date: __________________________________
2. Surety Bond - As a condition of approval and issuance of the permit, the Public Works Director may require the applicant to deposit a surety bond or
irrevocable letter of credit to guarantee a good faith execution of the erosion control plan.
Surety Bond Amount $ __________________________________ Date Filed: _______________________________________
3. Conditions of Approval - This permit approval requires the applicant to:
a. Notify the Erosion Control Specialist / designated representative at least 48 hours before commencing any land-disturbing construction or land-
development.
b. Notify the Erosion Control Specialist / designated representative of completion of any erosion control measures within seven days after their
installation.
c. Obtain permission in writing from the Erosion Control Specialist / designated representative prior to modifying the erosion control plan.
d. Install all erosion control measures as identified in approved erosion control plan.
e. Maintain all road drainage systems, storm water drainage systems, control measures, and other facilities identified in erosion control plan.
f. Repair any siltation or erosion damage to adjoining surfaces and roadways resulting from land-developing construction or land-disturbing activities.
g. Inspect the construction erosion control measures after each rain of 0.5" or more and at least once each week and make needed repairs.
h. Allow the Erosion Control Specialist / designated representative to enter the site for the purpose of inspecting compliance with the erosion
control plan or for performing any work necessary to bring the site into compliance with the erosion control plan.
i. Keep a copy of the approved erosion control plan on the site.
j. Submit weekly inspection reports to the Erosion Control Specialist via e-mail at erosioncontrol@greenbaywi.gov
Failure to comply with any of these conditions may subject the permittee to corrective action, fines, and/or revocation of the permit at
permittees sole expense.
Permit Issued By: __________________________________________ Date:___________________________________
EROSION CONTROL
PERMIT APPLICATION
www.greenbaywi.gov
Raze Site Fill Site Excavation Site
Construction Site
Acres
Same as Applicant
click to sign
signature
click to edit
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signature
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signature
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(Rev 01/17)
Erosion Control Permitting Process
For Land Disturbing Projects Outside of the Public Rights-of-Way
Inspection Intake
Time and date stamp upon
receipt of complete application.
Is there any land disturbance? Yes
No
No
Disturbance meet
the following?
34.04(1)(a)1.
34.04(1)(a)2.
34.04(1)(a)3.
34.04(1)(a)4.
34.04(1)(a)5.
34.04(1)(a)6.
34.04(1)(a)7.
See Page 2.
Non-Permitted
Activity
Fill out 34.08 Performance
Standards Sign-Off Sheet
No Permit or E/C
Plan Required
Yes
PERMIT REQUIRED.
Inspection sends to Erosion Control Specialist for further
processing. Time and date stamped upon receipt by ECS.
<1 Acre disturbance? ≥1 Acre disturbance?
Large Site Erosion Control
Permit Application Required
Small Site Erosion Control
Permit Application Required
Review the Erosion Control Plan submitted to Inspection Department in accordance
with 34.11 under standards in 34.09, pursuant to 34.10(3). Review and comment to be
completed within 15 days of City’s initial receipt of complete application.
Comment/Resubmit
Erosion Control
Plan Approved
ECS signs off on
the application.
Approved Plan Sent to Inspection
Permit Issued by Inspection
(Rev 01/17)
APPLICABILITY AND JURISDICTION
34.04(1)(a)1. Those involving grading, removal of protective ground cover or vegetation, excavation,
land filling, or other land-disturbing construction activity affecting a surface area of 4,000 sq. ft. or more.
34.04(1)(a)2. Those requiring a subdivision plat or certified survey approval or the construction of
1- and 2-family residential dwellings or commercial, industrial, or institutional buildings on lots of
approved subdivision plats.
34.04(1)(a)3. Those requiring a certified survey approval or the construction of houses or
commercial, industrial, or institutional buildings on lots of approved certified surveys.
34.04(1)(a)4. Those involving street, highway, road, or bridge construction, enlargement, relocation,
or reconstruction.
34.04(1)(a)5. A construction site, which has 100 linear feet or greater of land disturbance to a
highway, street, driveway, swale, ditch, waters of the state, wetland, protective area, or other non-
agricultural drainage facility which conveys concentrated flow. Wetlands shall be delineated in
accordance with s. NR 103.08(1m).
34.04(1)(a)6. Those involving the laying, repairing, replacing, or enlarging of an underground pipe,
wire, cable, or facility for a distance of 300' or more.
34.04(1)(a)7. A construction site which has 100 cubic yards or greater of excavation volume, filling
volume, or some combination of excavation and filling volume.
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Completed 16 February 2021

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