Building and Development Permit Application Form

Building and Development Permit Application Form
NOTE: ALL DEVELOPMENTS MUST CONFORM TO THE TOWN'S BY-LAW NO. PD-009 CONSOLIDATED ZONING BY-LAW AND ALL OTHER APPLICABLE BY-LAWS, AND BUILDING CODE ADMINISTRATION ACT. ALL CONSTRUCTION SHALL CONFORM TO THE NATIONAL BUILDING CODE OF CANADA 2020.

Development Permit and Building Permit Guide
1. IDENTIFICATION
Applicant (if different from property owner)
Name

First NameLast Name
Email
example@example.com
Home Phone
Please enter a valid phone number.
Work Phone
Please enter a valid phone number.
Cell
Please enter a valid phone number.
Address

Street Address

MunicipalityProvince

Postal CodeCountry
Property Owner
Name*

First NameLast Name
Email*
example@example.com
Home Phone *
Please enter a valid phone number.
Work Phone
Please enter a valid phone number.
Cell
Please enter a valid phone number.
Address*

Street Address

MunicipalityProvince

Postal CodeCountry
Contractor
Company Name
Contact Name

First NameLast Name
Email
example@example.com
Home Phone
Please enter a valid phone number.
Work Phone
Please enter a valid phone number.
Cell
Please enter a valid phone number.
Address

Street Address

MunicipalityProvince

Postal CodeCountry
Electrical
Company Name
Electrician Name

First NameLast Name
Email
example@example.com
Home Phone
Please enter a valid phone number.
Work Phone
Please enter a valid phone number.
Cell
Please enter a valid phone number.
Address

Street Address

MunicipalityProvince

Postal CodeCountry
2. PROJECT LOCATION
Provide 2 copies of completed site plan (drawings to scale, scale to be included)*

Cancelof
Civic Number*
Street*
Property Identification Number (PID)
Lot Number
Subdivision Name
Corner Lot*

YesNo
Lot Dimension

Lot Area:*

	Lot Area
Frontage:
Depth:

Location on Lot*

	Setbacks from property lines
Front:
Left:
Right
Rear

3. PURPOSE OF APPLICATION
Provide 2 copies of accompanying plans and specifications*

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Purpose of Application*

New ConstructionAddition to an Existing BuildingAlteration/ RepairDemolitionSignage
Proposed Use of Building*
Current Use of Building*
Current Zoning for this Building
Description of Proposed Work*
Size of Building
Number of Storeys
Foundation Type

ICFFormed Concrete
NOTE: A pre-pour inspection must be done for all ICF foundations
Type of Construction

Accessory buildingCommercialDeckFenceFoundationInstitutionalResidentialSignageSwimming Pool
*Finished Floor Elevation of the top of foundation for New Residential Units to be at least 750 mm (30 inches) above the final centre line grade of the street*
Heating Type
Well

ExistingNew
Sewerage

ExistingNew
Septic

ExistingNew
Sewer Connection Permit ($500 refundable deposit)
Sewer Category
For User Rate
Plumber
Company Name
Phone Number
Please enter a valid phone number.
Cell Number
Please enter a valid phone number.
Email
example@example.com
Well Driller
Company Name
Phone Number
Please enter a valid phone number.
Cell Number
Please enter a valid phone number.
Email
example@example.com
Proposed Start Date

MonthDayYear
Date
Expected Completion Date

MonthDayYear
Date
Estimated Construction Cost*
Does Driveway Culvert Exist?

YesNo
If no, approval will be required from Public Works Commissioner.

Note driveway slope on right-of-way.
Has a Variance been Requested?

YesNo
If Yes, was it Granted?

YesNo
Upload Copy of Decision

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Planning Advisory Committee Terms & Conditions
4. TERMS & CONDITIONS
By signing, the owner/applicant hereby agrees to construct, alter, remodel, repair, place as described above and in accordance with attached plans and specifications.
- I acknowledge my understanding that the foregoing is an application only, and until a building permit has been issued by the Building Inspector and received by me, no part of the intended work shall be undertaken.
- I am aware of the requirements, and I undertake to carry out the intended work in compliance of the Building By-law, the Zoning By-law, and any other applicable by-laws of the Town of Grand Bay-Westfield.
- I am also aware that this permit expires one year from the date of the issuance of the Building Permit if no work is started, all exterior surfaces intended to be clad will not remain unclad for more than 6 months.
- Once constructed, I agree to use the structure for the sole purposes indicated in the preceding application.
- I understand that if my proposed work in any way does not meet the requirements of the aforementioned by-laws, I must request in writing a variance of the particular by-law from the Planning Advisory Committee. Until such variance has been granted by that body in writing, I will not commence any work.
NOTE: BY COMPLETING AND SIGNING THIS FORM, THE APPLICANT GRANTS PERMISSION TO TOWN INSPECTORS TO ENTER LAND, BUILDING OR PREMISES AT ANY REASONABLE TIME FOR THE PURPOSE OF CONDUCTING INSPECTIONS ASSOCIATED WITH REVIEW OF THE APPLICATION AND COMPLIANCE WITH ASSOCIATED PERMITS

I have read and agreed to the aforementioned terms and conditions. I have read and I am aware of the requirements of the Building Code Administrations Act and my responsibilities thereunder, and I agree to use the above for the purposes stated
only. I understand that information provided on this application may be provided to Statistics Canada, Canada Mortgage and Housing Corporation and the Province of New Brunswick Assessment Office. Any building permit application to the Town of Grand Bay-Westfield may be subject to disclosure under the provisions of the Right to Information and Protection of Privacy Act of the Province of New Brunswick.
Signature of Applicant (if different from property owner)

Clear
Date

MonthDayYear
Date
Signature of Property Owner *

Clear
Date*

MonthDayYear
Date
For additional information: Please contact Denessa Pollock, Building Inspector/Development Officer, by phone at (506) 738-6400 or by email at dpollock@towngbw.ca
FOR OFFICE USE ONLY

CAO OR DELAGATE APPROVAL
Permit fee
Date issued

MonthDayYear
Date
Building permit number
Should be Empty:

Building and Development Permit Application Form

1. IDENTIFICATION

2. PROJECT LOCATION

3. PURPOSE OF APPLICATION

4. TERMS & CONDITIONS

FOR OFFICE USE ONLY