Fillable Permit Application Please Print Clearly (Government of Nunavut)

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Permit Application Please Print Clearly (Government of Nunavut)

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The Permit Application Please Print Clearly (Government of Nunavut) form is 2 pages long and contains:

  • 2 signatures
  • 59 check-boxes
  • 62 other fields

Country of origin: CANADA
File type: PDF

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Permit Application Please Print Clearly
Applicant
Name: __________________________________________________
Address: ________________________________________________
Phone: ____________________ E-mail: _______________________
Applicant
Name: __________________________________________________
Address: ________________________________________________
Phone: ____________________ E-mail: _______________________
Project Location
Community: _________________________________________
Civic: ____________________ Street: ____________________
Property ID ______________
Property Owner(s)
Name: __________________________________________________
Address: ________________________________________________
Phone: ____________________ E-mail: _______________________
Contractor
Name: ______________________________________________
Address: ____________________________________________
Phone: __________________ E-mail: _____________________
Coordinating Professional
Name: __________________________________________________
Address: ________________________________________________
Phone: ____________________ E-mail: _______________________
Occupancy use
Current: ____________________________________________
Proposed: ___________________________________________
Type of Proposal: New Addition Renovation
Rebuild Relocate
Repair
Change of use
Plumbing Demolition Other
Post Disaster
Institutional
Other: ______
__________
Estimated Value:
Single Family Dwelling
Seasonal Dwelling
Mobile/ Manufactured Home
Residential Multi Unit
Industrial Community Center
Deck
Garage / Shed Detached
Commercial
Church
Assembly
_________
_____________
Office Use Only
Date Received: ________By____
Building Plan
Site Plan
Sewage System
Engineer
Architect
Authorized Agent
Applicant Signature
Development Permit
Fees
Development Permit_________
Building Permit: _____________
Issuing Official: ______________
Other Fees: _________________
Receipt Number: ____________
Notes:
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
Services: Water, Sewage Disposal
Municipal_____ Truck_____ Other_____
Detailed
Description
of Project: (Attach separate sheet if required)
______________________________________________________
______________________________________________________
______________________________________________________
______________________________________________________
______________________________________________________
______________________________________________________
Plans: ___ Approvals: ___ Certifications: ___3A/B: ___ Survey: ___
(Complete if the application is being made by someone other than the property owner(s)
Authorization of agent: I/we the property owner(s). Authorize ________to act
as my/our agent with regard to this application, to sign related forms or
information, and to receive correspondence including any related personal
information.
Owners signature: _____________________________ Date: _______________
I declare the information and statements contained in this application
are true and the plans and specifications submitted are for the project
described. It is clearly understood by the undersigned that this is only
an application and does not authorize the applicant to proceed with
any work until a permit is issued.
Signature of Applicant: ____________________ Date: ________
Print Name: ___________________________________________
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Additional Requirements for Permit Applications
SITE PLAN
A north arrow
The property identification number
Shape and dimensions of all boundaries for the parcel of land
General location of all watercourses or water bodies
The name of streets, roads, lanes etc. at property location
The approximate location of water and sewer
The location and use of all existing buildings on the lot
All proposed building(s) with distances to front and nearest side lines
The location of driveways and distance to nearest side line
All applications to construct a new building, build an addition or
the placement or moving of a building on a property must be
accompanied by a site plan with accurate measurements, drawn
to scale which clearly shows all of the details listed below.
A Surveyors Location Certificate may be required.
Please see
attached
example
BUILDING PLANS
Building Plans: Drawn to scale must include the following information:
Floor plan showing room use, dimensions, doors and windows
Truss drawings stamped by a Professional Engineer licensed in Nunavut
Heating, ventilation and mechanical appliances
Size, spacing and span of floor, wall, lintel, roof and other framing members
Stairs and landing, including tread width, rise, run, headroom, guards and handrails
Building elevations showing grade, siding, roofing, windows, doors and chimney
Slope of roof and details of roofing, flashing and eave protection
Typical cross section, taken through the structure from the footing to the roof, showing:
Footing and foundation, drain, slab details and when installing slabs provide thermosiphon details
Floor assembly construction
Wall assembly construction
Roof assembly construction
OTHER PERMITS/REQUIREMENTS
It is the applicant’s responsibility to obtain all necessary permits from other agencies that may be required;
some these permits should be applied for in advance of a building permit application.
An example of
other permits are but not limited to:
• Development permit, Electrical permit, Boiler permit, Gas permit, Elevating device permit
• Application for power connection, Environment approval
• Professional design
TRADE CERTIFICATIONS
Many systems require professional installation and/or are compulsory trades such as electrical, plumbing,
WETT certification for solid fuel burning appliances, heating, ventilation, air conditioning and heat pumps
etc. The Building Official may require documentation of trade certifications before approving inspections or
issuing an occupancy permit.
Note: All concrete slabs must be Professionally Designed
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Permit Application Please Print Clearly (Government of Nunavut)

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Completed 1 November 2020

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