Building Services Page 1 of 2
519-837-5615, (revised February 2018)
Ontario Building Code
Part 11 renovation of existing
Project address
Project Address:
Applicant information
Last name: First name:
Phone number: E-mail:
Project description
Ontario Building Code references
Item 11.1 existing building classification
Describe existing use 11.2.1.:
Existing occupancy:
Proposed occupancy:
Hazard Index (proposed) T - to N:
Hazard Index (existing) T - to N:
Construction Index (existing) T -
Existing number of stories:
Existing building area:
not applicable (no change of major occupancy)
Item 11.2 alteration to existing building
Select one of the options listed below: basic renovation extensive renovation
Page 2 of 2 change of use renovation
11.3 Reduction in performance level structural: no yes (explain): by increase in occupant load: no ye by change in major occupancy: no yes (explain):
s (explain): plumbing: no yes (explain): sewage system: no yes (explain):
other: no yes (explain):
11.4 Compensating construction structural: no yes (explain):
yes (explain): by increase in occupant load: no yes (explain): by change in major occupancy: no yes (explain): plumbing:
no sewage system: no yes (explain):
11.5.1 Compliance alternatives proposed
no yes (give numbers):
llection of Personal Information
ersonal 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.
If you have questions about the collection, use or disclosure of this personal
information please call 519-822-1260 extension 2349 or email
Alternate formats of this document are available as per the Accessibility for Ontarians
with Disabilities Act by contacting Building Services at 519-837-5615 or email