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: City of Toronto
(Name of municipality, upper-tier municipality, board of health or conservation authority)
A. Project information
Building number, street name Unit number Lot/con.
Municipality Postal code Plan number/other description
Project value est. $ Area of work (m
2
)
B. Purpose of application
New construction Addition to an Alteration/repair Demolition Conditional
existing building Permit
Proposed use of building Current use of building
i) Description of proposed work:
C. Applicant Applicant is: Owner or Authorized agent of owner
Last name First name Corporation or partnership
Street address Unit number Lot/con.
Municipality Postal code Province E-mail
Telephone number
Fax
Cell number
Last name First name Corporation or partnership
Street address Unit number Lot/con.
Municipality Postal code Province E-mail
Telephone number
Fax
Cell number
(yyyy-mm-dd):
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ii) Detailed description of proposed
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work must also be stated:
*'Owner' - includes the registered owner of the land, or a lessee, or mortgagee in possession.
D. Owner* (if different from applicant)
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Select proposed work
E. Builder (optional)
Last name
First name
Corporation or partnership (if applicable)
Unit number
Lot/con.
Municipality
Postal code
Province
E-mail
Telephone number
Fax
Cell number
F. Tarion Warranty Corporation (Ontario New Home Warranty Program)
i. Is proposed construction for a new home as defined in the Ontario New Home Warranties
Plan Act? If no, go to section G.
Yes
No
ii. Is registration required under the Ontario New Home Warranties Plan Act?
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.
Yes
Yes
No
No
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.
Yes
No
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.
Yes
No
iv) The proposed building, construction or demolition will not contravene any applicable law.
Yes
No
I. Declaration of applicant
I declare that:
(print name)
1. The information contained in this application, attached schedules, attached plans and specifications, and other attached
documentation is true to the best of my knowledge.
2. If the owner is a corporation or partnership, I have the authority to bind the corporation or partnership.
Signature of applicant
Personal information contained in this form and schedules is collected under the authority of the Building Code Act, S.O Chapter 23, S.s. 8(1.1) and will be
used in the administration and enforcement of the Building Code Act, S.O. 1992, Chapter 23.
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 2E2 (416) 585-6666.
Date (yyyy-mm-dd)
14-0094 2015-06
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Application for a Permit to Construct or Demolish
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