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Site Plan Review Procedures 1
January 2025
Site Plan Review
City of Oshkosh, Wisconsin
THE CITY WILL ONLY BE ACCEPTING ELECTRONIC VERSIONS OF PLANS FOR
SITE PLAN REVIEW (SEE PAGE 5 OF THIS DOCUMENT FOR DETAILS).
Introduction
Site plan review is required for every commercial, industrial, institutional, and multi-family (three
or more units) project in the City prior to issuance of a building permit or development activity.
The site plan review requirement applies to first-time development of property as well as for
additions and expansions. Site plan approval does not constitute approval of a building permit or
any other required approvals by the Department of Public Works or other reviewing departments.
For example, building plan review, HVAC and plumbing plan reviews are separate submittals
that your project will need to address with Inspection Services.
Site plan review is an administrative process that is typically held within 5-7 working days after
the completed plans and application are received. A pre-submittal meeting is required prior to
filing a site plan for acceptance. Please call the Development Review Coordinator at (920) 236-
5059 to schedule an appointment for a Pre-Submittal Review meeting. It is recommended to
schedule this meeting with the Development Review Coordinator several days before the submittal
deadline for the upcoming site plan review committee meeting. For projects that involve
stormwater management, a pre-submittal meeting is recommended with City Engineering prior to
meeting with the Development Review Coordinator. The Development Review Coordinator will
serve as the central point of contact between the various City Departments involved in the review
process and the developer.
The site plan illustrates the proposed structure and its use, the surrounding property including
property lines, street rights-of-way, parking lot, driveway, drainage, utilities, setbacks, parking
area, and other physical features of the property pertinent to its footprint and use. Elevation
drawings are required as determined by the Development Review Coordinator. It is not necessary
to provide construction drawings.
The Site Plan Review Committee meets weekly and plans submitted by the noon deadline (see
schedule) will be reviewed within 5-7 working days after the completed plans are received. The
Site Plan Review Committee includes City staff representatives of Community Development,
Engineering, Transit, Police, Fire Departments, and other departments as needed depending on
project. While it is not required, the applicant/owner may attend the Committee meeting to answer
questions and discuss the project.
Please consult the Site Plan Application Checklist (attached) for a complete list of plan
requirements.
Site Plan Review Procedures 2
December 2025
Site Plan Review Process/Procedure
1. The applicant is required to meet with the Development Review Coordinator prior to submitting
an application to review the application requirements. Plans should be 60-90% complete prior to
meeting with the Coordinator. Appointment is required.
2. After pre-submittal meeting applicant may submit plans. Site plan applications submitted by the
noon deadline will be reviewed within 5-7 working days. See schedule for meeting dates and
submission deadlines.
3. The applicant shall submit the completed form and required submittals to the Development Review
Coordinator. Applications may be denied or put on hold if all required plans and completed
checklists are not submitted.
4. The review fee shall be provided at the time of submittal and shall be determined by locating the
project in the following table:
CONTRACT CONSULTANT SERVICE FEE
(i.e., stormwater, site engineering design, traffic engineering design, etc.)
Cost of City’s contract development services consultant fee PLUS two percent (2%) administrative fee
If the building/addition size/impervious area and the disturbed area of the site determine two different fees,
the greater of the two fees shall determine the cost.
Site Plan amendment and re-submittal fee: 50% of the applicable fee as determined in the table above.
Plan amendments that involve new buildings or changes in the levels in the table above will be deemed a
new submittal.
The application fee entitles the applicant to two (2) permitted reviews, one initial review and one re-
submittal. All further re-submittals after the two permitted reviews will be conducted only upon payment
of the re-submittal fee.
5. Upon submittal of all required information, project will be scheduled before the Site Plan Review
Committee, which will occur within 5-7 working days after the noon submittal deadline.
6. Site Plan Review Committee will meet to review project, approve, approve conditionally, hold, or
deny the submission. The applicant/owner may attend the meeting to discuss project details and
answer questions.
7. Applicant and/or owner will be informed in writing of the recommendation of the Site Plan Review
Committee. The Development Review Coordinator will also contact the applicant to provide the
status of the review within 1-2 working days after the meeting.
REVIEW FEE SCHEDULE
(Effective 1/1/2016)
Multi-Family Residential, Commercial & Industrial
Bldg/Addn/Impervious Area Disturbed Area Base Fee Inspection Fee Total
Level 1 <10,000 sq. ft. Less than 1 acre $425 $100 $525
Level 2 10,000 to 50,000 sq. ft. 1.01 to 10 acres $625 $125 $750
Level 3 50,001 to 100,000 sq. ft. 10.01 to 25 acres $775 $150 $925
Level 4 Greater than 100,001 sq. ft. > than 25.01 acres $1000 $175 $1175
Site Plan Review Procedures 3
December 2025
Site Plan Review Application
City of Oshkosh, Wisconsin
Mailing Information
Name of Project Applicant’s name, email, address, phone #
Owner’s name, email, address, phone (if different than
applicant)
Relationship of applicant to owner
Site/Project Description
Street address and parcel number (s) of site.
Description of proposed development, including proposed
land uses and time schedules for completion.
Description of accessory uses(s)
Zoning District:
Building or addition square footage: Parcel Size:
Total Current Employees Employees Added by Expansion
Impervious Surface Coverage Area and Percentage Before
Development
Impervious Surface Coverage Area and Percentage After
Development
Development Plans
(unless waived by the Development Review Coordinator)
The following development plans are attached:
Site Plan Layout & Streets Utilities, Grading & Drainage Erosion Control Plan
Landscape & Lighting Plan Architectural Elevations Floor Plan Sets
Agreement
1. By signing this application, I agree to pay all costs (e.g., contracted consultant services) involved in the review of this
project.
2. I understand the City reserves the right to deny final approval, regardless of preliminary approval or the degree of
construction completed before application for final approval.
Applicant Name & Signature:_________________________________________
Date:_______________________
Return to: tmuehrer@oshkoshwi.gov OR planning@oshkoshwi.gov
Site Plan Review Procedures 4
December 2025
Site Plan Review Committee
City of Oshkosh
Department Contact Person Areas of Review
Planning Services Division
Todd Muehrer
Development Review Coordinator
tmuehrer@oshkoshwi.gov
920-236-5059
Zoning & performance standards
Inspection Services Division
Building, Plumbing, & HVAC
Jerry Fabisch
Chief Building Official
jfabisch@oshkoshwi.gov
920-236-5119
Building code/Plumbing code &
permitting
Public Works/Engineering
Justin Gierach
Engineering Division Manager
jgierach@oshkoshwi.gov
920-236-5065
Sanitary sewer, water, storm sewer,
drainage requirements; any work in the
right-of-way
Public Works/Storm Water
Alyssa Deckert
Civil Engineering Supervisor
adeckert@oshkoshwi.gov
920-236-5065
Grading and drainage plans, stormwater
review
Fire Department
Jack Clark
Battalion Chief
jclark@oshkoshwi.gov
920-236-5242
Fire safety and protection
Police Department
Officer Kate Mann
CPTED Crime Prevention
kmann@oshkoshwi.gov
920-236-5742
Public safety
Transportation Department
Jim Collins
Transportation Director
jcollins@oshkoshwi.gov
920-232-5342
Access control, driveways, street lights,
parking lot design, transit
Parks Department
Chad Dallman
Parks Services & Events Manager
CDallman@oshkoshwi.gov
920-236-5080
Parks & trails
Forestry Division
Travis Derks
Landscape Operations Manager/City Forester
tderks@oshkoshwi.gov
920-232-5314
Street trees
Winnebago County
Health Department
Anne Boyce
Environmental Health Supervisor
ABoyce@co.winnebago.wi.us
920-232-3011
Licensing and Inspection of food
establishments; animal establishments;
lodging facilities; recreational water
facilities; mobile home parks;
campgrounds; and tattoo parlors
Wisconsin Public Service
Jeff Henkelmann
Senior Service Manager-Customer Service Operations
JPHenkelmann@wisconsinpublicservice.com
920-433-1277
Private utility issues
City Attorney
David Praska
Interim City Attorney
DPraska@oshkoshwi.gov
920-236-5115
Developer & encroachment agreements
Site Plan Review Procedures 5
December 2025
Site Plan Checklist
These checklists have been prepared to assist the applicant in providing information to the City in
order to complete a Site Plan review. It is the City’s goal that by providing the following detailed
information that review time, and conditions, will be kept to a minimum and will prevent delays
caused by submission of incomplete plans. Please follow the checklist carefully and provide the
required information. If you have questions regarding the checklists, or information to be
provided, please contact the Development Review Coordinator.
Application Form and Site Plan Set
Application forms are available from the Department of Community Development and need to be
completed prior to submitting a request for Site Plan Review. Only the property owner, person
having power of attorney, or a representative of the owner such as an architect, engineer, or other
agent designated by the property owner may file for Site Plan Review. All applications must
contain an original signature by the property owner or agent. All sections of the application must
be completed. Incomplete submissions will not be reviewed by the Committee. If there are
questions as to the applicability of required information, please contact the Development Review
Coordinator.
When the application, Site Plan set, documentation and other required information have been
prepared, please schedule an appointment with the Development Review Coordinator for plan
acceptance. Plans will not be accepted for processing until staff has completed an initial review
for completeness. An incomplete application or a Site Plan set lacking complete information will
not be accepted or reviewed.
A complete application includes:
✓ Completed Site Plan Application and fee – check made payable to “City of Oshkosh”
✓ Calculations for sanitary sewer and water (as applicable)
✓ Calculations for storm sewer design (as applicable)
✓ Storm Water/Erosion Control Request for Information Form
✓ Site Plan Sets including:
o Section 1 – Title Sheet, Site Plan Layout & Streets
o Section 2 – Utilities, Grading and Drainage Plan
o Section 3 – Erosion Control Plan
o Section 4 – Landscape & Lighting Plan
o Section 5 – Architectural Elevations and Construction Details
o Floor Plan Sets
o Any other plans or information as required by the Development Review Coordinator
Submit the completed applications, calculations and Site Plan Sets electronically to:
tmuehrer@oshkoshwi.gov OR planning@oshkoshwi.gov
Checks to cover the submittal fee can be addressed or delivered to:
Planning Services Division
215 Church Avenue, Room 204
Oshkosh, WI 54901
Site Plan Review Procedures 6
December 2025
Site Plan Review Checklists
Date:______________ Project Name:_________________________________________
Applicant:______________________________ Phone #_______________________
Contact email:_________________________________
Note: This document is used to assure a complete submittal has been prepared. This is not
inclusive of all requirements needed to obtain site plan approval. Substantial changes to the
Site Plan could affect other requirements. Site Plan approval does not negate the
requirement for a building permit and if a building permit is required, it can be obtained at
the Inspections Services Division.
Please review the following checklists and mark each box with one of the following as
identified below. Failure to provide the required information will result in delay of the
project review by the Site Plan Review Committee.
Shown on plans Not shown on plans
NA Not applicable ? Cannot determine if needed
Site Plan Sets consist of the following information:
Recommended sheet size is 24” x 36”. Recommended scale is 1” = 20’. The signature of the
surveyor, engineer, or architect responsible for plan preparation is required on all title sheets.
Revision date(s) shall be included.
Site Plan Review Procedures 7
December 2025
The Planning Services Director may waive any of the plans or components thereof when such are
not applicable for the review of a particular development proposal.
Section 1. Title, Site Plan Layout & Streets Sheet
a) Name of project, address, legal description of property, tax key number of each lot,
description of proposed use and both existing and proposed zoning designations.
b) Location map
c) Name, address and phone number of the record property owner and site plan preparer
(include fax number and/or email if available)
d) Signature of the surveyor, engineer, or architect responsible for site plan preparation along
with the revision date(s)
e) North arrow, date of preparation and scale
f) Name(s) of adjacent or surrounding streets
g) Recorded property lines and their dimensions
h) Total land area in the development including the percentage of lot coverage for all
impervious surface areas
i) Location and architectural features of all existing and proposed structures including:
_____ Occupancy classification of each structure as identified in the State Building Code
_____ Dimensions
_____ Number of stories
j) Types of products that will be manufactured, sold and/or stored on site
k) All types of hazardous materials to be stored on site. If none, a statement that “No Hazardous
materials will be stored on site”.
l) Identification of food and/or beverage sales, a public swimming pool or whirlpool, or
overnight lodging on the site.
m) Buildings that will be removed.
n) Calculations of parking and loading requirements that identify:
_____All existing uses on the property
_____Gross floor area and net floor area for existing buildings
_____Number of Employees per shift (manufacturing uses only)
_____Expanded and proposed buildings
_____Calculation of required handicapped accessible parking spaces
o) Barriers, curbing, or wheel stop locations
p) Existing and proposed driveways and parking lots including:
_____Pavement markings to show traffic flow
_____Parking stall sizes and layout
_____Handicap stalls and ramps
_____Loading zones
_____Driveway widths with flares on driveway aprons to public streets
_____Proposed and existing stop signs at all private driveway exits to public roadways
q) Statement that “Curb cut will be closed per City of Oshkosh standards” noted on the site plan
if existing curb cuts are to be abandoned.
r) Drive-thru uses, showing vehicle stacking spaces and pedestrian access to entry doors
s) Recycling storage locations.
Site Plan Review Procedures 8
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t) Location of existing and proposed sidewalks with grade elevations and handicap access at
driveways.
u) Location of snow storage areas
v) Dimensions of all required setbacks for buildings and off-street parking
w) Location and extent of all existing and proposed outdoor storage.
x) Location and detail of:
_____Trash Enclosures
_____Sidewalks and pedestrian ways
_____Landscape islands or other similar improvements
y) Location of all mechanical equipment and type of screening provided.
z) Location of existing and proposed signage including area.
aa) All fences and /or retaining walls
bb) Types and locations of fire protection/detection systems that will be used
cc) Location of on-site fire hydrants, Fire Department hose connections and the respective flow
calculations to meet the IFC for installed fire protection systems
dd) Streams, wetlands, channels, ditches and other watercourses on the site and adjacent
properties.
ee) Open space that will remain undisturbed and undeveloped.
ff) Multi-family residential projects shall include the following information
_____Total acres of the subject property
_____Total number of dwelling units and density per acre
_____Percentage of proposed site coverage for buildings and hard surfaced areas
Section 2. Utilities, Grading & Drainage Plan
a) Drainage, Grading, and Erosion Control Plans signed by a licensed Wisconsin Engineer.
b) Storm runoff calculations signed by a Licensed Wisconsin Engineer.
c) Provide a legend identifying all line types, symbols, and abbreviations used on the plans.
d) Show all property and right-of-way lines.
e) All elevations shall be USGS NAVD 88
f) Show all existing and proposed public and private easements for utility, drainage, or other
purposes.
g) Show all existing and proposed improvements/features for the site and adjacent to the
property. (street, curb & gutter, right-of-way widths, sidewalks, existing and proposed
utilities, etc.). Copper water laterals are required in the ROW.
h) Show all proposed storm sewer, sanitary sewer, and water service system information on the
plans (i.e. rim elevations, invert elevations, pipe sizes, materials, and slopes, etc.) No HDPE
pipe in the ROW.
i) Provide site data table including total area, disturbed area, and impervious area before and
after development.
j) Show the lowest floor elevations of all existing and proposed buildings.
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k) Show all applicable details. Examples include but are not limited to:
_____Proposed storm sewer manholes, catch basins, culvert/outlet pipe flared end sections
_____Drainage swales
_____Rip Rap
_____Proposed pavement sections (asphalt & concrete)
_____Retaining Walls
l) Existing and proposed contours at one-ft. (1’) intervals.
m) Show flow direction areas clearly using arrows indicating direction of drainage.
n) Indicate the % slope for all drainage swales.
• In locations where rear or side lot drainage occurs, minimum 2% slope
• If 2% is not achievable for rear or side drainage, identify spot elevations every 50’ with minimum
slope of 0.75%
o) Identify all permits required and applied for:
_____WI-DOT
_____WI-DNR NOI (or WI Dept. of Commerce NOI with Erosion Control spreadsheet )
_____WI-DNR Chapter 30
_____Winnebago County
_____City of Oshkosh Right-of-Way Permit
_____Township_________________________
_____Other____________________________
p) Note on the plans that requires the contractor to contact the City of Oshkosh Water
Distribution Utility at 232-5330 at least 7 days prior to any work involving the public water
main (including lateral connections)
q) Note on the plans that states all erosion control measures should be implemented and
constructed in accordance with Wisconsin DNR Technical Standards
r) Note on the plans that states all worked performed within the right-of-way or any easements
conforms to City of Oshkosh specifications
s) Note on the plans that states to use 3M ScotchMark Model 1404-XR wastewater and 1408-
XR marker balls or equal to provide location of the sanitary and storm laterals. One ball shall
be provided at the connection to the main, one ball 2’ off the ROW into the ROW, and one
ball at all horizontal and vertical bends. Maximum depth of bury of the marker ball is 5 feet.
Storm Water Runoff Calculations and Hydrologic Plans
t) Narrative Description including:
_____Detailed narrative describing the site and summarizing the analysis performed
_____Site location
_____Detailed description of existing and proposed conditions
_____Detailed description of water quality analysis and design for the site
_____Detailed description of NR 151 infiltration standards for the proposed development
_____Methods used for analysis
_____Summary of calculations and results
_____Hydrologic map(s)
Site Plan Review Procedures 10
December 2025
u) Hydrologic maps of the site showing pre-developed and post-developed conditions:
_____Topography of the site and adjacent properties
_____Watershed and sub-watershed delineations, including delineation of offsite areas
tributary to the proposed site
_____Existing and proposed contours shown at one-ft. (1’) intervals
_____Path chosen for Time of Concentration (Tc) (indicate separate segments for sheet,
Shallow concentrated, and channel flow.)
v) Hydrologic and Hydraulic calculations:
_____Rainfall depth data for the City of Oshkosh shall be obtained from the
Rainfall Frequency Atlas of the Midwest (Bulletin 71)
_____Drainage Basin areas
_____Soil types and hydrologic soils group
_____Cover description
_____Curve Number calculations (include weighted curve number calculations for areas
with multiple cover types) (Maximum CN value for existing conditions = 78)
_____Time of Concentration calculations
_____Peak flow calculations for the existing and proposed 2, 10 and 100 year storm
events of 24 hour duration.
_____Hydraulic calculations for proposed storm sewer design
w) Detention Basin Design:
_____The detention facility shall safely contain the runoff volume to attenuate the peak
discharge as follows: The peak runoff rate from a 10 year and 100 year storm after
development shall not exceed the pre-developed runoff peak from the 10 year and 24
hour storm event. The peak runoff rate of 2yr-24hr event after development shall not
exceed 2yr 24hr runoff prior to development.
_____Include the elevation-storage relationship and the elevation-outflow relationship for
each detention basin
_____Include calculations/computer model analysis of hydrograph routing through the
detention facility
_____Hydraulic design (including calculations) of outlet structure/pipe
_____Identify and label on the plans, the proposed 100 year ponding elevation for each
detention basin
_____Include provisions for safely passing runoff in excess of the 100 year post developed
condition. Identify and label the overflow elevations(s) and include a detail for pond
overflow.
_____Include a cross-section of proposed detention basin with maximum slopes not to
exceed 4:1.
x) Provide floatable debris control and anti-seep protection on the pond outlet structure.
Section 3. Erosion Control Plan
a) Intended sequence of major land disturbing activities with anticipated dates (e.g., clearing,
grubbing, excavating, grading, utility street installation, stabilization, etc.)
b) Estimate, including calculations, or pre and post runoff coefficients of site.
Site Plan Review Procedures 11
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c) Description of existing surface and subsurface soils (USDA-NRCS Soil Survey)
d) Depth to groundwater (USDA-NRCS Soil Survey).
e) Limits of land disturbance shown on USGS 7.5 minute series USGS topographic map (only
for sites 10 or more acres in size).
f) Name of immediate receiving water from 7.5 minute series USGS topographic map.
g) Description of practices used to divert flow away from exposed soils or limit runoff volume
from site including schedule of implementation.
h) Description of all practices used to control erosion or trap sediment, including anticipated
implementation schedule (tracking pads, inlet protection, ditch checks) (check proper
separation distance considering slope, soil type, and flow velocity), channel stabilization,
clean water diversions, overland flow BMPs, sediment traps/basins, stockpile management,
permanent stabilization, waste management, etc.)
i) Descriptions of temporary and permanent soil stabilization practices. Include anticipated
schedule for implementation (e.g., phasing of construction, temporary stabilization (seed,
mulch, etc.), stockpile management, final stabilization, erosion matting, etc.).
j) All supporting calculations for structural BMPs to demonstrate that BMP designs meet
standards. Include calculated dewatering times for sediment basins, etc.
k) Calculations showing appropriate sediment reduction.
l) Site dewatering provisions (correct dewatering BMPs).
m) Provisions for cleaning up off-site sediment deposits and list how often.
n) Provisions to minimize airborne dust leaving site.
o) Provisions for disposal of construction and waste materials.
p) City Truck Route Map shown on the plans. See the City of Oshkosh web page
(Departments-Public Works-Engineering). The subject document is titled “Designated
Truck Routes” under the Quick Links section of this page.
Erosion Control Map shall include the following:
a) Scaled at 100 feet per inch or less and contour interval at two feet or less.
b) Existing topography, vegetation, drainage systems, and surface waters on and adjacent to the
site (show enough of adjacent properties to show runoff patterns onto, through, and from the
site).
c) Locations and delineation of on-site and potentially impacted wetlands.
d) Existing and planned buildings, roads, and all utilities.
e) 100 year floodplain, flood fringe, floodways, and flood storage.
f) Location of soil types (USDA – NRCS Soil Survey)
g) Boundary of the project site.
h) Boundary of the disturbed area (phasing boundaries shown if applicable).
i) Existing and planned locations where storm water is discharged from site (surface and
subsurface).
j) Stone tracking pads at all egress driveways.
k) Perimeter control measures (silt fencing, earthen berms, etc.)
l) Storm drain inlet protection (on-site and off-site if needed).
m) Ditch checks
n) Stockpile locations and control measures.
o) Clean water diversions.
p) Sediment traps or sediment basins.
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q) Velocity dissipation at outfalls.
r) Stabilization of steep slopes (erosion mat needed?)
s) Stabilization of drainage ways (erosion mat needed?).
t) Detail sheet of all BMP’s as applicable (inlet protection, tracking pad perimeter control,
sediment basins or traps with all design parameters shown, ditch checks, etc.)
u) Temporary and permanent soil stabilization practices (seed, mulch, etc.)
v) Roof water downspout protection.
w) Planned final site conditions, including landscaping.
x) Note on the plans stating all trucks shall take the shortest route to the nearest truck
route. The City Engineering Department may approve an alternate route upon request.
Section 4. Landscape and Lighting Plan (show property lines)
a) Table with developed area calculations and parking lot perimeter to determine the amount of
trees and shrubs required.
b) Location, size at planting, quantity, species and variety of proposed trees, shrubs, ground
cover and other landscape features. All plants should be drawn at the spread they will
achieve at maturity.
c) Location, size, and type of all existing plant material on the site and all trees and shrubs to be
saved and/or removed.
d) Refuse disposal area and screen detail.
e) Schedule for installation of landscaping.
f) Identification of finished height and width of landscape elements. A landscape schedule that
includes key abbreviation, graphic symbol of vegetation, botanical name of plants, common
name of plants, quantity of plants, size of plant at planting and size of plant at maturity
should be included.
g) Location of exterior lighting fixtures, either mounted on the building or freestanding light
along with dispersion pattern, intensity of light and cut-off shielding that reflects light
downward and in which the light source is not visible from adjacent properties.
Section 5. Architectural & Construction Plans
a) Dimensioned elevations of all exterior walls
b) Identification of the size of basement/below grade space or clearly mark “not below grade
space” on the site plan.
c) A list of the type of roof, wall and all trim materials, colors and textures.
d) Changes or additions to existing buildings or materials clearly identified.
Floor Plans
a) Provide standard floor plans of all floors including the basement.
Site Plan Review Procedures 13
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Additional Information (when applicable)
a) Approval from other jurisdictions or agencies.
b) Written easement agreements (i.e. utility, ingress/egress, drainage, etc.)
c) Stormwater Pre-Submittal Meeting completed.
d) Lot combination requested.
The Planning Director may waive any one of the above plans, or portions of plans when such are not
applicable for the review of a particular type of development.
Comments:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Site Plan Review Procedures 14
December 2025
City of Oshkosh
Storm Water / Erosion Control Request for Information Form
Owner
Company: ___________________________________________________________________________________
Contact: _____________________________________________________________________________________
Address 1: ___________________________________________________________________________________
Address 2: ___________________________________________________________________________________
City, State, Zip: ______________________________________________________________________________
Phone: _________________________________________Mobile: _____________________________________
Fax: ________________________________________Email: __________________________________________
Contractor
Company: ___________________________________________________________________________________
Contact: _____________________________________________________________________________________
Address 1: ___________________________________________________________________________________
Address 2: ___________________________________________________________________________________
City, State, Zip: ______________________________________________________________________________
Phone: _________________________________________Mobile: _____________________________________
Fax: ________________________________________Email: __________________________________________
Engineer
Company: ___________________________________________________________________________________
Contact: _____________________________________________________________________________________
Address 1: ___________________________________________________________________________________
Address 2: ___________________________________________________________________________________
City, State, Zip: ______________________________________________________________________________
Phone: _________________________________________Mobile: _____________________________________
Fax: ________________________________________Email: __________________________________________
Current Phase of Construction
Active (estimated completion date) _____________ Pending/Inactive (estimated start date) _____________
Finished (date completed) _____________________________________________________________________
Other _______________________________________________________________________________________