Fillable ONE & TWO-FAMILY BASEMENT FINISH GUIDE Department of (City of Green Bay)

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ONE & TWO-FAMILY BASEMENT FINISH GUIDE Department of (City of Green Bay)

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City of Green Bay
Department of Community and Economic Development
100 North Jefferson Street, Room 608, Green Bay, Wisconsin 54301-5026
(p) 920.448.3300 (f) 920.448.3426 greenbaywi.gov
ONE & TWO-FAMILY BASEMENT FINISH GUIDE
The information in this packet is provided to help guide you through the permit
application process for finishing off your basement. This packet will also provide you
with information regarding minimum construction requirements and electrical
requirements.
Page 2-3: Permit Application Guide
Page 4: Basement Finish Layout Sheet
Page 5: Building Code Requirements
Page 6: Egress Window Requirements
Page 7: Electrical Requirements
Page 8-15: Permit Applications (must be printed single-sided)
PERMIT APPLICATION GUIDE
Basement Permit Guide:
This guide was developed to help direct you through the permit application process. Following
the steps below will help to expedite the issuance of your building permit.
1. Completely fill out the attached Building Permit Application:
o Provide a detailed description of all proposed work. Property owners may
obtain permits for construction projects if the house is owner-occupied. All
contractors shall include their Dwelling Contractor Certification and Dwelling
Contractor Qualifier Certification numbers from the State of Wisconsin Safety
and Buildings Division.
2.
Provide Set of Building Plans and Layout of Basement:
The Plans must be of professional quality and legible.
o Acceptable plans can be submitted from building supply stores.
o Fill out Basement Finish Sheet.
o Fill out layout of basement with dimensions and room identification.
Include the following information:
o The height of the ceiling.
o Door and window locations with dimensions.
Material and size of headers.
Egress window detail (size, height from floor, window well).
o Dimensions of rooms labeled in feet/inches.
o Label the room use (bedroom, kitchen, living room, etc.).
o Structural features such as size, species and grade of lumber and other structural
materials used for walls, beams, headers, studs and columns.
o Include plumbing fixture locations (bathroom/kitchen/bar) if applicable.
o Include electrical fixture locations (see Basics for Remodel Wiring Sheet).
o Fill out Electrical, Plumbing and HVAC Permits if applicable and submit.
There are two different types. If you, as the owner, are doing the project, then
fill out the “Homeowners” permit. If you are hiring a contractor, have them fill
out their “Contractors” permits and submit those for review.
3.
Permit Fees:
Submit the applicable permit fees. Basement permits are based on the square footage of
the finished area (.095 per square foot) and a $25 Building Plan fee (under 1,000 square
feet) and $50 Building Plan fee (over 1,000 square feet).
o Make checks payable to City of Green Bay, or
o Pay online through GovPayNet
http://www.greenbaywi.gov/DocumentCenter/View/943/Online-Payment-
Instructions-PDF- A project number must be assigned by Inspection office staff
before making a payment online. A service fee will be charged for online
payment.
22
4. Apply for the Permit:
Please plan ahead and pick one of the following methods to apply for your permit.
Make sure all of the required information listed above is included and submit it to the
Department of Community and Economic Development using one of the methods
listed below:
o
In Person with an Inspector at City Hall:
This is the best method to discuss the specifics of your project with an
inspector. Typically if all the required information is submitted and found
acceptable, the permit can be issued at that time.
Inspectors are available for consultation and permit issuance 8:00 a.m. -
4:00 p.m., Monday through Friday.
o By Email:
Email all the required information (Site Plan and Permit Application) to
SitePlanGB@greenbaywi.gov.
o
By Mail
:
City of Green Bay
Department of Community and Economic Development
100 N Jefferson Street, Room 608
Green Bay, WI 54301
Submittal Checklist:
Building Plans/Layout of basement AND
a. Fill out Basement Finish Sheet
Building Permit Application
a. Electrical Permit (if applicable = Homeowners vs Contractors)
b. HVAC Permit (if applicable = Homeowners vs Contractors)
c. Plumbing Permit (if applicable = Homeowners vs Contractors)
33
BASE
MENT FINISH LAYOUT SHEET
Basement finish
• Total square footage of project
• Ceiling height
• Ceiling finishing (sheet rock info/ceiling tiles)
• Stud type info/on center spacing
• Bottom plate (treated/size)
• Insulation in wall
• Sheet rock on wall
• Door and header sizes
• Carbon monoxide and smoke detector information
• Any bedrooms? If so, egress information
o Every bedroom shall be wired to meet the requirements of the National Electric Code
and is required to have a heat source.
• Any Plumbing/Electrical/HVAC?
o If answered yes, please have trade permits filled out for submittal.
• *Basements must have a hard wired CO/SD
o Within 21 feet of bedroom
• *Basement bedrooms must have hard wired SD
• *Bathroom must be vented
• *Provide Building Plans/layout of basement
*Helpful information can be found on the DSPS website Chapter 321(SPS 321.03 Exits; SPS
321.035 Interior circulations; SPS 321.04 Stairway and Elevated areas; SPS 321.05 Natural Light
and Ventilation; SPS 321.06 Ceiling Height; SPS 321.09 and 321.095 Smoke and CO Protection.
44
BASEMENT BUILDING CODE REQUIREMENTS
• Bedroom in basement:
o Shall be provided with two forms of egress. SPS 321.03 (5)(b).
o Shall have hard wired smoke detector inside bedroom.
• Shall have hard wired smoke detector within 21’ of bedroom. SPS 321.09
o Shall have 8% natural light in bedroom. SPS 321.05
• Smoke Detector / Carbon Monoxide Detector in common area – Must be hard wired and
within 21 feet of bedroom. SPS 321.09
• Basement must comply with current National Electrical Code.
• Basement bathrooms must be vented to exterior of house.
• Helpful information can be found on the DSPS website Chapter 321(SPS 321.03 Exits; SPS
321.035 Interior circulations; SPS 321.04 Stairway and Elevated areas; SPS 321.05 Natural
Light and Ventilation; SPS 321.06 Ceiling Height; SPS 321.09 and 321.095 Smoke and CO
protection.
SPS 321.05 Natural light and natural ventilation.
1. Natural light. All habitable rooms shall be provided with natural light by means of glazed openings.
The area of the glazed openings shall be at least 8% of the net floor area, except under the following
circumstances.
(a) Exception. Habitable rooms, other than bedrooms, located in basements or ground floors do
not require natural light.
(b) Exception. Natural light may be obtained from adjoining areas through glazed openings, louvers
or other approved methods. Door openings into adjoining areas may not be used to satisfy this
requirement.
2. Ventilation.
(a) Natural ventilation. Natural ventilation shall be provided to all habitable rooms by means of
openable doors, skylights or windows. The net area of the openable doors, skylights or
windows shall be at least 3.5% of the net floor area of the room. Balanced mechanical
ventilation may be provided in lieu of openable exterior doors, skylights or windows provided
the system is capable of providing at least one air change per hour of fresh outside air while the
room is occupied. Infiltration may not be considered as make-up air for balancing purposes.
55
BEDROOM BASEMENT WINDOW REQUIREMENTS
FOR AN EGRESS WINDOW
1. The window must be within the basement bedroom.
2. Not required in most cases if 2 basement stairways are present.
3. A 20 inch by 24 inch or 24 inch by 20 inch box must fit through the window opening without using
tools.
4. Minimal natural light and natural ventilation is always required in a basement bedroom.
SPS 321.03 (6) Windows used for exiting.
1. Windows which are installed for exit purposes shall comply with the requirements of this
subsection.
(a) The window shall be openable from the inside without the use of tools or the removal of a sash.
If equipped with a storm or screen, it shall be openable from the inside.
(b) 1. The nominal size of the net clear window opening shall be at least 20 inches by 24 inches
irrespective of height or width. Nominal dimensions shall be determined by rounding up
fractions of inches if they are 1/2 inch or greater or rounding down fractions of inches if
they are less than 1/2 inch.
2. No portion of the window, including stops, stools, meeting rails and operator arms, shall
infringe on the required opening.
(c) The area and dimension requirements of par. (b) may be infringed on by a storm window.
(d) 1. For any window used for exiting, the lowest point of clear opening shall be no more than 60
inches above the floor.
2. If the lowest point of clear opening is more than 46 inches above the floor, a permanent
platform or fixture shall be installed such that a flat surface at least 20 inches wide and 9
inches deep is located no more than 46 inches directly below the clear opening.
3. The topmost surface of the platform or fixture shall be no more than 24 inches above the
floor.
4. The topmost surface of the platform or fixture shall support a live load of at last 200
pounds.
5. A stair used for the sole purpose of reaching the top of the platform or fixture is exempt
from the requirements of s. SPS321.04.
(e) 1. An egress window with any point of clear opening below adjacent grade shall be provided
with an areaway in accordance with this section.
2. The width of the areaway shall be at least equal to the width of the window.
3. The areaway shall be a minimum of 36 inches measured perpendicular from the outer
surface of the below-grade wall.
4. If the bottom of the areaway is more than 46 inches below adjacent grade or the top of the
areaway enclosure, the areaway shall be provided with a ladder or at least one additional
step to aid egress. Steps used to comply with this section are exempt from the
requirements of s. SPS321.04.
66
BASICS FOR REMODEL WIRING
Lighting:
At least 1 wall-switch controlled lighting outlet is required in the following locations:
Every habitable room, bathroom, kitchen, etc.
Hallways and stairways (interior stairways require a switch at each floor level where the
difference between floor levels is 6 steps or more).
Attached garages and detached garages with electric power.
Attic, under floor spaces, utility rooms, and basements shall have a least 1 lighting outlet
containing a switch or controlled by a wall switch at the usual point of entry, if these
spaces are used for storage or contain equipment requiring servicing.
On the exterior side of exterior entrances and exits with grade access.
Receptacles:
Receptacles in habitable rooms to be located within 6 feet of a door and every 12 feet
thereafter (there shall be no point along a wall more than 6 feet from a receptacle) and
any wall greater than 2 feet in width.
All receptacles lower than 5 1/2 feet from the floor must be tamper resistant type (TR).
A minimum of 1 receptacle for hallways longer than 10 feet.
A receptacle is required on any wall space greater than 2 feet.
At least 1 receptacle outlet shall serve an island or peninsula.
Bathroom receptacles are required to be on a 20-amp branch circuit and GFCI
protected with no other outlets.
At least 1 bathroom receptacle is to be located within 36 inches of the outside edge of
each basin.
Laundry areas shall have a least 1 120–volt receptacle outlet supplied by a 20-amp
branch circuit.
Kitchen countertop receptacles shall be placed so that at no point along the wall space
there is no longer than 2 feet measured horizontally from an outlet (typical 4 feet
spacing) and any counter space greater than 12 inches. These receptacles shall be on at
least two 20-amp branch circuits and be GFCI protected.
Outdoor receptacle outlets shall be installed at the front and back of the dwelling and
not more than 6 1/2 feet above grade (GFCI protection required).
GFCI protection is required in bathrooms, kitchens, basements, outside and within 6
feet of any sink. At least 1 GFCI protected receptacle is required in all unfinished
portions of a basement.
General Installation Requirements:
Romex (type NM cable) shall be supported within 8 inches of a plastic box and 12
inches of a metal box and every 4 1/2 feet thereafter (holes in studs are considered
support).
All new lighting outlet and receptacle circuits must be arc fault (AFCI) protected in
finished areas.
Metallic boxes are to be grounded.
A rough-in inspection must be scheduled before insulation or drywall is installed.
77
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 6/20)
(check all that apply)
Height
#_______
City
#_______ City
SBD $__________
SBD $__________
SBD $__________
For Office Use Only
8
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
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):
9
click to sign
signature
click to edit
click to sign
signature
click to edit
Name: ________________________________________
Address: ________________________________________
Phone #: ________________________________________
Email: ________________________________________
Check one:
What type of wiring method(s) do you intend to use (i.e. Romex, EMT, PVC, direct buried cable)?
In the left column, state the size wire you intend to use and, in the corresponding column on the right, state the
size over current device you intend to use to protect that wire:
Wire Size & Type
Over Current Device Size
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
HOMEOWNER’S
APPLICATION FOR
ELECTRICAL PERMIT
This section for City use only
Project #:
Permit Code:
Permit Fee:
Parcel #:
Receipt #:
Date:
Addition to existing building
Detached garage
Swimming pool
Other ________________________________________
Provide a sketch of the work you intend to do that shows the location of all electrical outlets (i.e.
switches, receptacles, lights, etc.)
Briefly describe the electrical work you intend to do:
Application Approved By:
to inspection date needed. Final inspections are required for all projects.
Date: ____________________________
Electrical Inspector
All fields must be completed before permit will be processed.
www.greenbaywi.gov
AFFIDAVIT: I hereby certify that I am the owner of the above described premises located in Green Bay, Brown
County, and that I occupy such premises solely as a residence, in accordance with the Homestead Act of the laws of the
State of Wisconsin. I further declare that if the permit is granted, the electrical work will be performed by myself in
accordance with State and City regulations. Failure to do so will subject me to penalties described in the State and City
Ordinances.
Owner's Signature: _________________________________
(REQUIRED)
NOTE: Duplexes, condos, and other similar dwelling units, which are physically attached to other dwelling
units, are not single-family dwellings. The City electrical code allows homeowners to do wiring in existing
single-family dwellings only.
Before insulating or covering any walls containing any wiring, call the Community and Economic Development
Department for a rough-in inspection. At that time, all grounding splices should be made up permanently.
When the job is completed, call for a final inspection prior to occupancy.
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.
(Rev 6/20)
Date: _________________________________
Value of Work: $__________________
10
www.greenbay.wi.gov
LICENSED CONTRACTOR
PLUMBING PERMIT
(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:
11
www.greenbay.wi.gov
STORM, SANITARY
AND WATER
CONNECTION PERMIT
(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:
12
www.greenbaywi.gov
___________________________________________________________
Owner’s Signature
____________________
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.
The City of Green Bay hereby permits the above-described plumbing work to be performed at
the address stated above, subject to all laws and regulations of the City of Green Bay and the State of
Wisconsin.
By: ___________________________________________________
Plumbing Inspector
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
HOMEOWNER’S
APPLICATION FOR
PLUMBING PERMIT
This section for City use only
Project #:
Permit Code:
Permit Fee:
Parcel #:
Receipt #:
Date:
(Rev 6/20)
All fields must be completed before permit will be processed.
Name:
Address:
Phone #:
Email:
Value of Work: $
Description of work:
Number of fixtures roughed in for and/or installed: __________ ($7.00/fixture, $50.00 minimum permit fee)
Application is hereby made to do the above-described plumbing work at the premises named above.
Issuance of the permit is based on §145.06(4)(a) of the State Code allowing a property owner to
perform plumbing work in a one-family building owned and occupied (per SPS 382.10(2) of the State Code)
by him or her as his or her home.
AFFIDAVIT: I hereby certify that I am the owner of the above-described premises located in
Green Bay, Brown County, and that I occupy such premises solely as a residence, in
accordance with the Homestead Act of the laws of the State of Wisconsin. I further declare that if the
permit is granted the plumbing work will be performed by myself in accordance with State and
City regulations. Failure to do so will subject me to penalties described in the State and City
Ordinances.
13
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
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:
14
www.greenbaywi.gov
___________________________________________________________
Owner’s Signature
_____________________
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.
The City of Green Bay hereby permits the above-described heating work to be performed at the
address stated above, subject to all laws and regulations of the City of Green Bay and the State of
Wisconsin.
By: __________________________________________________
Heating Inspector
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
HOMEOWNER’S
APPLICATION FOR
HEATING PERMIT
This section for City use only
Project #:
Permit Code:
Permit Fee:
Parcel #:
Receipt #:
Date:
(Rev 6/20)
All fields must be completed before permit will be processed.
Name:
Address:
Phone #:
Email:
Value of Work: $
Description of work:
Application is hereby made to do the above-described heating work at the premises named above. Issuance
of the permit is based on SPS 305.70 of the State Code allowing a property owner to perform heating
work in a building owned and occupied by him as his home.
AFFIDAVIT: I hereby certify that I am the owner of the above-named premises located in Green Bay,
Brown County, and that I occupy such premises solely as a residence in accordance with the
Homestead Act of the laws of the State of Wisconsin. I further declare that if the permit is granted
the heating work will be performed by myself in accordance with State and City regulations.
Failure to do so will subject me to penalties described in the State and City Ordinances.
15
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ONE & TWO-FAMILY BASEMENT FINISH GUIDE Department of (City of Green Bay)

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Completed 3 August 2020

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