Planning, Property and Development Department
Service de l’urbanisme, des biens et de l’aménagement
Unit 31 - 30 Fort Street • 30, rue Fort, unité 31 • Winnipeg • Manitoba • R3C 4X7
This is
NOT a Permit
Construct Addition - Single/Two Family Dwelling*
UPDATED: June 1, 2017
LOCATION
OF WORK:
Street No.
Permit Application Form
*Also used for Non-Commercial Row House Buildings
Street Name
Unit No.
CONTACT INFORMATION: (Please indicate the Applicant)
HOMEOWNER
INFORMATION
Applicant
CONTRACTOR
INFORMATION
Homeowner’s Name (print)
Address (if different from above)
Email Address
Daytime Phone No.
Company Name (print)
Contact Person
Mailing Address
Daytime Phone No.
Email Address
Fax No.
Applicant
GENERAL INFORMATION:
TYPE OF 9.36 - ENERGY EFFICIENCY COMPLIANCE METHOD:
Prescriptive
Trade-off
Energy Modelling
EXISTING
HOUSE AREA:
TYPE OF
HOUSE PLANS:
Additional Finished
Space Main Floor:
Additional Unfinished
Space Main Floor:
Yes Number of
Storeys:
No
Additional Unfinished Space
Porch / Covered Deck:
Additional Finished
Space Second Floor:
Additional Unfinished
Space Second Floor:
Additional Unfinished Space
Attached Garage:
Additional Finished
Space Lower Level:
Additional Unfinished
Space Lower Level:
Construction
Start Date:
Total Area of Additional
Finished Space:
Total Area of Additional
Unfinished Space :
Value of
Construction:
Standard
Engineered
Foundation Only
Required:
Existing / Proposed
/
DESCRIPTION OF WORK:
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STANDARD DOCUMENTATION REQUIREMENTS:
Plans/Documents Required
1 copy of Owner Statement (not required if owner is the applicant)
2 copies of Site Plan @ 11" x 17" max. size
2 sets of Construction Drawings (foundation, cross section, elevations, architectural)
submitted
Site Plan
Street names and lot dimensions (identified on your Surveyors Building Location Certificate)
Dimensions from building to property line (building to building if applicable)
Projections (eaves, wingwalls, steps, landings, decks)
Location of accessory structures (garden sheds, detached garages, etc.)
Location of downspouts
Construction access other than lane (materials carried by hand or list equipment being used)
Construction Drawings
Building elevation (indicated on drawings)
Floor plan with framing, dimensions and room designation (screened, 3 season or 4 season)
Foundation plan (fully dimensioned)
Cross section plan with construction details
Personal information is collected under the authority of The City of Winnipeg Charter Act, and is used for the administration and enforcement of The City of Winnipeg
Building By-law No. 4555/87. This information will be disclosed publicly in accordance with the disclosure provisions of the Province of Manitoba - Freedom of
Information and Protection of Privacy Act. If you have questions about the collection, use, or disclosure of your information, contact the Corporate FIPPA Coordinator:
by mail to the City Clerk’s Department, Administration Building, 510 Main Street, Winnipeg, MB, R3B 1B9; by telephone to 311; or by email to [email protected].
Please submit this completed form including all detailed plans to the Zoning & Permits Branch, Unit 31-30 Fort Street or
Fax to 204-986-6347. For Fax submissions, in addition to plans, all questions and boxes must be completed.