REGIONAL, LOCAL MUNICIPALITY AND SCHOOL BOARDS
NON-RESIDENTIAL DEVELOPMENT CHARGES (DC) INFORMATION FORM
TO BE COMPLETED BY APPLICANT
Date of Application (MM/DD/YY) Local Municipality Town of Oakville
Applicant (First/Last Name) Site Address
Applicant Telephone # Building Permit Application #
Owner Name Site Plan/Zoning Certificate
Owner Telephone # Legal Description
Contact E-Mail
Size of Lot (m2): Size of Existing Building (m2):
Above Grade Below Grade Total
Information on Development:
Name of Building Occupants (current or proposed):
Description of Proposed Use:
Regional Infrastructure Connection: Water Wastewater
Type and size of Use (including below grade):
New Development/Expansion (m2) New Development Expansion Total (m2) Shell/Speculative Building
Retail
Office - specify use
Industrial -Manufacturing
Industrial- Warehouse/Distribution
Industrial - spec. building
Commercial
Other - specify
Total:
Demolitions
Redevelopment (m2) [incl. first tenant 'Fit-out']
From To Permit #
Retail Date of Permit Issued (MM/DD/YY)
Office - specify use Date of Demolition (MM/DD/YY)
Industrial -Manufacturing Non-residential demolition TFA (m2)
Industrial- Warehouse/Distribution Non-residential demolition GFA (m2)
Industrial - spec. building Previous Use
Commercial Residential demolition Type
Other - specify Number of Units
Residential Unit Type
Number of Units
Categories of Exemption: Agricultural Board of Education Region, Area Municipality, Local Board
Temporary Venues Public Hospital Place of Worship/Area of Worship
Seasonal Structures Conservation Authority Parking Garages
Request for Agreement:
Types of Agreement Temporary Building (see definition) Deferral
Information/guideline package to be sent to:
(Print Name) (E-mail)
Applicant/Applicant's Architect/Engineer:
(Print Name) (Signature) (Date)
FOR LOCAL MUNICIPALITY OFFICE USE ONLY - DEVELOPMENT INFORMATION CONFIRMATION
Size of Existing Building (m2):
SP/ZBA Application Date ______________
Below Grade Total (TFA)
SP/ZBA Approval Date ________________
New Development/Expansion (m2) New Developm
ent Expansion Total m2
Type:
Re-Development (m2) Demolitions Demolition Confirmed Yes / No
From To Permit #
Type: Date of Permit Issued (MM/DD/YY)
Demolition Confirmed
Residential Unit Type Non-residential demolition TFA (m2)
Number of Units Non-residential demolition GFA (m2)
Previous Use Residential demolition Type
Staff Comments: Number
(Initial)
FOR THE REGION/LOCAL MUNICIPALITY/BOARD OF EDUCATION USE ONLY - DC CALCULATION
Region Local/EDC
Re
tail
Non-retail
):
$ $ $
Staff Comments:
Proposed Floor
Area
Less: Category Exemption
Expansion Exemption
Net Chargeable Floor Area
Below Grade Floor Area (for EDC)
Net Chargeable Floor Area (for EDC)
DC Payable:
Total DC $ $ $
Less: Demolition Credit
Conversion Credit
Other
Net DC Payable: $$$
Total To Be Collected (Retail + Non-retail) $
Executed Regional Agreement
(Prepared By) (Approved By)
(Date)
Conver
sion / Interior Alteration
I, _________________________________ (print fi
rst/last name) have reviewed the Regional, Local Municipality and School Boards Non-residential
Development Charges information form and confirm that the information I have provided above is true and accurate. I further acknowledge that it is my
responsibility to provide accurate information and accept responsibility for any errors and omissions, including any future requirement by the applicable
municipality that I solely remedy any errors and omissions where necessary as determined by such municipality.
Final Oct. 2020
Conversion/Interior Alteration
(Reviewed By - Print Name)
(Date)
Above Grade (GFA)
NOTE: Additional DCs may apply
at first tenant 'fit-out' of each unit
based on use
If you have any inquiries, please contact Development Officer, Region of H
alton 825-6000 ext. 7290; Town of Oakville 905-338-4196; or School Boards 905-
335-3665 ext 3240. Please see attached for definitions. This form is to be returned to the Local Municipality when complete.
DC Rate/m2 (Effective until
Chargeable Floor Area (m2):
click to sign
signature
click to edit
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