ffl Township of Tiny Building Department 130 Balm Beach Road West, Tiny, Ontario, LOL 2J0 Telephone 705-526-4204 or 705-526-5965 Fax 705-526-2372 Requirements for submitting a building permit to construct an addition or renovation The following must be submitted with the application: 1. Sewage System Approval CC Tatham & Associates is the approval authority for the Township for new dwellings, cottages, and additions. The office is located at the lower level of the Township of Tiny Municipal Office and is open from 8:30 a.m. to 12:00 p.m. Note: In the winter months this office operates on Thursdays only. Please contact their office 705-527-0119 for applicable forms or with any questions. 2. Site Plan Two copies of a sketch to scale showing the property dimensions with all existing and proposed structures including all details in accordance with the Township Building By Law 15-095. The location of the septic system must also be shown. 3. Lot Grading Drainage Plan- if applicable The Lot Grading Drainage Plan is to be completed by a qualified person. 2 copies The Lot Grading Drainage Procedure is available online atwww.tiny.ca. A Lot Grading Deposit of $1000.00 is required. Contact the Building Department if you have any questions. 4. Lot Grading Drainage Review Checklist-if applicable The qualified person completing the lot grading drainage plan is required to provide a copy of the checklist to be submitted with application. 5. Building Plans Two sets of building plans prepared by a qualified person. Energy Efficiency Matrix must be on the building plans. For information on the detail required on the plans, refer to the Township Building By-Law 15-095. 6. Municipal Application This form contains information required from the applicant to assist the Building Department in issuing the building permit If a wood burning appliance is being installed please complete the section on form. 7. Application for a Permit to Construct or Demolish All sections of application must be completed. All property owners must sign application. New property owners must submit a copy of the registered transfer deed of land. (..eneral Requii emerits for Obtaining a Building Permit addiiion.doe-revision.doc — Revision Jan 25, 2017 8. Agent Authorization In the event an authorized person is submitting a building permit application on the property owner’s behalf an agent authorization form is required. All property owners must sign this form. 9. Demolition Permit Form If any existing buildings are to be removed (demolished) a demolition form is required. All property owners must sign this form, A 357 form must be submitted to the Treasury Department. Please contact the Treasury Department 705-526-4204 for applicable form. 10. Designer Form The qualified person drawing the building plans is required to provide a copy of this form to be submitted with application. 11. Energy Efficiency Design Summary The qualified person drawing the building plans is required to provide a copy of this form to be submitted with application. The Energy Efficiency matrix must be provided on the building plans. 12. Heating Documents A Heat Loss Calculation, Ventilation Design Summary, Duct Design Layout and a Schedule Designer 1 Form to be prepared by a qualified person to be submitted with the application. 13. Entrance (driveway) Permit Application Pursuant to Entrance By-law If constructing a new entrance (fee $50.00) or using an existing entrance an approval is required. Please contact the Public Works Department 705-526-4204 with any questions. - 14. Building Permit Fees The fees are calculated by the Building Department upon receiving an application as per Fee Schedule By-law 15-046. 15. Other Approvals As required to determine that the proposed construction conforms to all applicable laws. General Requiieinents fr Obtaining a Building Permit- addition.doc-revisivn.doc -— Revision Jan 25, 2017 Tmy TOWNSHIP OFCANTON DE The Corporation of the Township of Tiny Municipal Application for Building Permit Roll Number Please check if a wood burning appliance is being installed: D Woodstove 0 Fireplace 0 Fireplace Insert 0 Masonry Chimney 0 Steel Chimney Source Protection Plan Is the subject property within a Well Head Protection Area (WHPA)? DYES DNO If yes, you must complete and submit the Source Protection Plan Pre-Application Screening Form 3. To search a property location to see if it is within a WHPA (vulnerable area) visit www.ou rwatershed .ca. 4. Please note that this application maybe delayed and/or refused if the proposed development offends the Source Protection Plan for the Southern Georgian Bay Lake Simcoe Source Protection Region. If the application requires detailed review by the Severn Sound Environmental Association (SSEA), the Risk Management Office, a fee of $240.00 is required to cover such costs. 1. 2. HOW MANY PROPOSED BEDROOMS PLACE SIZE OF PROPOSED CONSTRUCTION FOR EACH OF THE APPLICABLE AREAS TYPE OF CONS TRUCTION SDD* FINISHED BASEMENT SDD* UNFINISHED BASEMENT SDD* FIRST FLOOR SDD* SECOND FLOOR ADDITION DECKS COVERED PORCHES ATTACHED GARAGE DETACHED GARAGE/SHED CARPORT POLE-TYPE BUILDING RENOVATION ACCESSORY BUILDING DEMOLITION 0TH E R * SDD denotes Single Detached Dwelling Commercial, Institutional & Industrial S:Bui1ding/Fonns/Municipi1 Application February 8, 2017 SIZE (FT) - 2 FT ESTIMATED COST Application for a Permit to Construct or Demolish This form is authorized under subsection 8(1.1) of the Building Code Act, 1992 For use by Principal Authority Application number: Permit number (if different): Date received: Roll number: Application submitted to: (Name of municipality, upper-tier municipality, board of health or conservation authority) A. Project Information Building number, street name Unit number Municipality Postal code Project value est. $ Lot/con. Plan number/other description Area of work (m) —___________________________ B. Purpose of appilcation LI New construction Proposed use of building LI exii AIteration/repair Current use of building LI Demolition Description of proposed work C. Applicant Applicant is: Last name LiOwner or First name flAuthorized agent of owner Corporation or partnership Street address Unit number Municipality Postal code Telephone number Fax Province Lot/con. E-mail Cell number D. Owner (if different from applicant) Last name name Corporation or partnership rFirst Street address Unit number Municipality Postal code Telephone number Fax Province Lot/con. E-mail Cell number Page 1 E. Builder (optional) Last name First name Corporation or partnership (if applicable) Street address Unit number Municipality Postal code Telephone number Fax F. Province Lot/con. E-mail Cell number Tarion Warranty Corporation (Ontario New Home Warranty Program) i. ii. is proposed construction for a new home as defined in the Ontario New Home Warranties Plan Act? If no, goto section G. Is registration required under the Ontario New Home Warranties Plan Act? Yes No [] Yes [] No iii. If yes to (ii) provide registration number(s): G. Required Schedules i) Attach Schedule 1 for each individual who reviews and takes responsibility for design activities. ii) Attach Schedule 2 where application is to construct on-site, install or repair a sewage system. H Completeness and compliance with applicable law i) This application meets all the requirements of clauses 1.3.1.3 (5) (a) to (d) of Division C of the Building Code (the application is made in the correct form and by the owner or authorized agent, all applicable fields have been completed on the application and required schedules, and all required schedules are submitted). Payment has been made of all fees that are required, under the applicable by-law, resolution or regulation made under clause 7(1 )(c) of the Building Code Act, 1992, to be paid when the application is made. ii) This application is accompanied by the plans and specifications prescribed by the applicable by-law, resolution or regulation made under clause 7(1) (b) of the Building Code Act, 1992. iii) This application is accompanied by the information and documents prescribed by the applicable by law, resolution or regulation made under clause 7(1 )(b) of the Building Code Act, 1992 which enable the chief building official to determine whether the proposed building, construction or demolition will contravene any applicable law. iv) The proposed building, construction or demolition will not contravene any applicable law, I. Declaration of applicant I declare that: (print name) 1. 2. The information contained in this application, attached schedules, attached plans and specifications, and other attached documentation is true to the best of my knowledge. If the owner is a corporation or partnership, I have the authority to bind the corporation or partnership. Date Signature of applicant Personal information contained in this form and schedules is collected under the authority of subsection 8(1 1) of the Building Code Act, 1992, and will be used in the administration and enforcement of the Building Code Act, 1992. Questions about the collection of personal information may be addressed to: a) the Chief Building Official of the municipality or upper-tier municipality to which this application is being made, or, b) the inspector having the powers and duties of a chief building official in relation to sewage systems or plumbing for an upper-tier municipality, board of health or conservation authority to whom this application is made, or, c) Director, Building and Development Branch, Ministry of Municipal Affairs and Housing 777 Bay St., 2nd Floor. Toronto, M5G 2E5 (416) 585-6666. Apton for a Prt c stac or irv 1, 204 1 Tmy TOWNSHIP OFICAN’TN DE Agent Authorization l,We being the Legal Owner(s)of Municipal Address Lot_________ Plan___________ Concession in the Township of Tiny authorize: to act as my (our) agent and to apply for building permits on this property. Signature of legal Owner(s) Date: Signature of legal Owner(s) _____ Tiny TOWNSHIP OFiCANTON DE Demolition Permit Form I, applied for a demolition permit for (owner’s) at (structure) in the Township of Tiny. (Township address) I acknowledge that the waste materials as a result of the demolition are required to be disposed of properly. The materials will be disposed of at the following licensed refuse facility: The building permit applicant/owner shall retain all records of disposal. Date Owner Date Owner S: Bui Iding/Fonus/Derno fonn Fehruary 8, 201 7 Schedule 1: Designer Information Use one form for each individual who reviews and takes responsibility for design activities with respect to the project. A. Project Information Building number, street name Unit no. Municipality B. Postal code Individual who reviews and Plan number! other description takes responsibility for design Name activities Firm Street address Unit no. Municipality Postal code Telephone number C. Province ( Lot/con. E-mail Fax number ) ( Lot/con. Cell number ) ( Design activities undertaken by individual identified in Section B. Building Code Table 3.5.2.1. of Division C] House Small Buildings Large Buildings Complex Buildings Description of designer’s work D. HVAC House Building Services Detection, Lighting and Power Fire Protection Building Structural Plumbing House Plumbing All Buildings On-site Sewage Systems — — — Declaration of Designer — I declare that (choose one as appropriate): (print name) I review and take responsibility for the design work on behalf of a firm registered under subsection 3.2.4.of Division C, of the Building Code. I am qualified, and the firm is registered, in the appropriate classes/categories. Individual BCIN: Firm BCIN: I review and take responsibility for the design and am qualified in the appropriate category as an other designer under subsection 3.2.5.of Division C, of the Building Code. Individual BCIN: Basis for exemption from registration: The design work is exempt from the registration and qualification requirements of the Building Code. Basis for exemption from registration and qualification: I certify that: 1. The information contained in this schedule is true to the best of my knowledge. 2. I have submitted this application with the knowledge and consent of the firm. Date Signature of Designer NOTE: 1 For the purposes of this form, ‘individual” means the person” referred to in Clause 3.2.47(1) (c).of Division C, Article 3.2.5.1. of Division C, and all other persons who are exempt from qualification under Subsections 3.2.4. and 3.2.5. of Division C. 2. Schedule 1 is not required to be completed by a holder of a license, temporary license, or a certificate of practice, issued by the Ontario Association of Architects. Schedule 1 is also not required to be completed by a holder of a license to practise, a limited license to practise, or a certificate of authorization, issued by the Association of Professional Engineers of Ontario. Appiicaliorl for a Permit to Construct or Demorisni — Effective January 1, 2014 El nt Sections A & B & C APPUCABLE FOR ENTRANCES Roll NO PURSUANT TO”ENTRANCE BY-LAW #96/89” SCHEDULE “A” A. APPLICATION IS HEREBY MADE TO: (Check one or more of the following to indicate proposed work.) Q Construct an entrance El Change original use to: El residential El Asphalt El Pave an entrance Q commercial El Concrete El Construct temporary entrance El Other El Add permanent works onto El Construct additional entrance existing entrance El Change location, design or remove El Use existing entrance **Stake location of proposed entrance at road side B. ** THIS PERMIT TO BE ISSUED TO: Name Telephone: ( ) MAILING ADDRESS Postal Code Property Description: Lot Plan: Concession No. Entrance onto (roadway) C. ACKNOWLEDGEMENT: Owner has read indemnity clause on reverse of this page. Date 20 mth D. Signature yr day (owner) ENTRANCE PERMIT: Initial lnsp. Date 20 mth day Inspector yr Qulvert Requirement: Length Diameter: TypeS GaugeS Special Instruction to Owner El No Culvert required Npte: Poured concrete end protection for culverts not acceptable. 20 Date Approved and Permit Issued mth Township of Tiny day yr Per Road Supt./Foreman Follow-Up Insp. Date: Notice Sent: Yes No Final Insp. Date: Notice Sent: Yes No By-law Infraction: Note: Culvert installation requirements attached hereto in Drawing TS1O and TS11. Appllcnt; This approval is issued under the authority vested in the Township of Tiny Road Superintendent by By-law 96-89 and regulations pursuant thereto. Page 2 of 2 PURSUANT TO “ENTRANCE BY-LAW #96186’ SCHEDULE “A” It is understood that all works will be constructed, altered, maintained of operated at the expense of the undersigned and that work must begin before a permit has been issued by the Township. The issuance of a permit by the Township does not relieve the holder of the responsibility of complying with relevant municipal bylaws. In consideration of any permit issued in respect to this application, we, the applicants for ourselves, our heirs, executors, administrators, successors and assigns hereby agree to observe, keep and perform and be subject to the regulations and conditions of the said permit and to indemnify and save harmless the Township of Tiny, represented by the Township Roads Superintendent from all loss, cost, charges, damages, expenses, claims and demands whatsoever to which we may be put or which the Township of Tiny may suffer or sustain or for which the Township of Tiny may be liable by reason of anything done or omitted to be done in the construction, maintenance, alteration or operation of the works authorized.
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