Outagamie County, WI Permit Application (Fee Estimate) - CityView Portal

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Current Step: Application Type
Incomplete Step: Permit Type
Incomplete Step: Work Items
Incomplete Step: Description of Work
Incomplete Step: Fee Summary

Permit Application (Fee Estimate) - Description and Type

TMPPR20240002278

Required information is indicated with an asterisk (*).

If you want to be able to request an inspection online, you must sign in before completing this permit application.

Choose the application type:*

Please categorize the nature of the work being done:*

Limit 4000 characters

Please describe the work being done:*

Application Details

Project Name:*

Building Use:*

Easting:*

Northing:*

Shoreland Zoning Details

Building Use:*

Use of Structure:*

Building Length (Feet):*

Building Width (Feet):*

Approx. Distance to Ordinary High Water Mark (Feet):*

Regional Flood Elevation:*

Building Size (SqFt):*

Setback from Fronting Highway:*

Lot Size:*

Please provide the existing Permit Application Number to which this work will relate; providng an incorrect application number will result in rejection of your application.

Related Permit Number:*

Please describe the location of the work taking place, in reference to nearby intersections, lane direction, adjacent address, etc.

Description of Site Location:*

Please indicate the County Highway which is primarily involved in this work (if any).

Primary Involved County Highway:*

Other Involved Highways:*

On Access Controlled Highway?

On Access Controlled Highway?:*

Pre-Treatment Device Details

date pre-treatement deferred:*

Date POWTS Pretreatment Expiration:*

date pre-treatment final notice:*

date pre-treatement first notice:*

pre-treatment requires extra maintenance?:*

Pre-Treatment Device?:*

New Driveway Location (Measuring from the center of the primary driveway to the nearest cross road):

Nearest Cross Road:*

Distance to existing cross road (ft)?:*

Which direction is the cross road from the driveway?:*

Please provide the dates planned for this work to occupy the right-of-way

Desired Work Start Date:*

Work Complete:*

Please Provide the Earliest Date you would be moving.

Start Date:*

AND/OR Driveway Location (Measuring from the center of the desired driveway)

Distance to existing lot line (ft)?:*

Which direction is the lot line from the driveway?:*

Utility/Facility Details

Utility Name:*

Facility Type:*

Highway - Shared Driveway

Is this or will this be a shared driveway?:*

Enter your company's utility project number, if available.

Enter your company's utility project number, if available.:*

Work Consists of (Check all that apply)

New Building Work:*

Addition Work:*

Repair Work:*

Filling/Grading Work:*

Sanitary System Work:*

Other Work (Specify):*

Sanitary Application Details - General

Building Use:*

Plan Approver:*

State Sanitary License #:*

State Transaction Number:*

MP/MPRS Number:*

Public/Commercial Use (If Applicable):*

State Use (If Applicable):*

Home on Property?:*

Number of Bedrooms (If applicable):*

Maintained by Tribe?:*

Spatial Attribute Fields - NOTE: only those spatial fields pertaining to the selected application type will be populated.

Airport Zoning Overlay District:*

Shoreland Zoning District:*

Zoning District:*

Property in Flood Plain?:*

Sanitary Application Details - Tank Information

Tank Manufacturer:*

Tank Type:*

New Tank Capacity (Gals):*

Existing Tank Capacity (Gals):*

Total Tank Capacity (Gals):*

# of Partitions - Tank:*

Prefab Concrete Tank:*

Plastic Tank:*

Site Constructed Tank:*

Steel Tank:*

Sanitary Application Details - Dosing Chamber Information

Dosing Chamber Manufacturer:*

New Dosing Chamber Capacity (Gals):*

Existing Dosing Chamber Capacity (Gals):*

Total Dosing Chamber Capacity (Gals):*

Prefab Concrete Dosing Chamber:*

Plastic Dosing Chamber:*

Site Constructed Dosing Chamber:*

Steel Dosing Chamber:*

Statistics Canada

Tarion

Is Proposed Construction for a New Home as per ONHWP?:*

Tarion Declaration Signed:*

Date Reported to Tarion:*

Registration Req'd Under ONHWP?:*

If yes, Provide Reg #:*

Owner Builder

Is the property owner doing work?:*

I hereby certify that all the above statements and attachments submitted herewith are true and correct to the best of my knowledge and belief.

Do you agree?:*

Zoning Uses - Current and Proposed

Current Land Use:*

Proposed Land Use:*

Permit Critical Dates

Desired Work Start Date:*

Work Complete:*

Large Project Type of Request (Check all that apply)

Project Name:*

Description of Proposal:*

Building Use:*

Proposed Stormwater and Erosion Control Facilities:*

Start Date:*

Commercial Work:*

General Work:*

Industrial Work:*

Single Lot Work:*

Subdivision Work:*

Small Project Type of Request

Project Name:*

Description of Proposal:*

Building Use:*

Filling/Grading Work:*

Single Family Residence Work:*

Other Work (Specify):*

Zoning Uses - Lot Size

Lot Size (Deed Acres):*

Other Work (Please describe)

Describe Other Work:*

Sanitary Application Details - Processing

Dispersal Area Proposed (SqFt):*

Dispersal Area Required (SqFt):*

Approx. Distance to Ordinary High Water Mark (Feet):*

Setback from Fronting Highway:*

Design Flow (GPD):*

Soil Application (GPD/SqFt):*

System Elevation:*

Regional Flood Elevation:*

Highway - Street Connection

Type of Use?:*

On Access Controlled Highway?:*

Highway - Special Event

Describe the Event:*

Describe Event Location:*

Event Duration - Start to End:*

Detour Route Required?:*

Highway - Moving

Vehicle/Load Width >15ft?:*

Highway - Moving - Mutiple Trips

Number of Months:*

Please provide the following information about the primary contact with the contractor you will be engaging for this work.

POWTS Pumping

Date POWTS Compliant:*

Date POWTS Deferred:*

Date POWTS Extended:*

Date POWTS Final Notice:*

Date POWTS First Notice:*

Date POWTS Installed:*

Date POWTS Last Pumped:*

Date POWTS Occupied:*

Date POWTS Pretreatment Expiration:*

POWTS

New Attribute Field:*

Invoice?

New Attribute Field:*

Highway Spatial

Highway Inspection Zone:*

Legacy

Laserfiche Reference Number Legacy:*

Building Capacity:*

LCD Spatial Attributes

Wetlands Indicators?:*

DNRHUC12 Watersheds:*

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