Building Permit Application Package
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Village of Keremeos 702 – 4th Street, Box 160, Keremeos, BC V0X 1N0 Tel: (250) 499-2711 Fax: (250) 499-5477 E-mail: [email protected] APPLICATIONS WILL NOT BE PROCESSED FOR PERMIT ISSUANCE WITHOUT THE FOLLOWING: 1. A non-refundable application/plan processing fee of $150.00. The building permit fee will be assessed separately from the application fee. 2. Completed application form, accompanied by the owner’s acknowledgement of responsibility and undertakings. 3. Current (no older than 30 days) copy of “State of Title Certificate” (or a Title Search) and copies of any easements, rights of way or covenants registered on the title. 4. Copies of any approvals required under any enactment including Record of Sewerage sealed by a Registered Onsite Wastewater Practitioner (http://owrp.asttbc.org) and highway access permits (if necessary). 5. TWO SETS OF BUILDING PLANS in a suitable scale which will include: a. Floor plan, basement plan, foundation plan b. Elevation plans, front and back, both side views APPLICATIONS WITH COMPLETE c. Section plan DOCUMENTATION ARE PROCESSED ON A FIRST d. Site plan showing dimensions and location of all buildings, septic field and water on property (see sample) COME, FIRST SERVE BASIS. ALL DOCUMENTATION MUST BE RECEIVED BEFORE 6. Authorization of Agent signed by the applicant if the applicant is not A PLAN CHECK IS DONE. the registered owner of the property. 7. Documentation from the Homeowner Protection Office is required for dwellings pursuant to the Homeowner Protection Act and a building permit cannot be issued until a completed HPO Registration Form is received. 8. If a manufactured home is being installed, it must conform to the appropriate standards. A mobile home is constructed to the Z-240 Home Series of Standards. Modular homes are constructed to the BC Building Code and have a A-277 label to show that they were built in a certified factory. [PLEASE NOTE: Mobile homes (CSA Z-240) are only permitted within a mobile home park (R5 Zone)] Applications for Complex Buildings In addition to the above requirements, applications for complex buildings must include a letter of assurance in the form of Schedule A (signed by owner and Coordinating Registered Professional), Building Code analysis, and Letters of Assurance in the form of Schedules B-1 and B-2 for each registered professional required on the project. ***************************************************************************************************************************************** Although we do not require the following documents to issue a permit, to ensure that the applicant is not in violation of any Commission Order, Provincial Legislation or Statute, the Village of Keremeos advised that the applicant should check with: a) Ministry of Transportation and Highways Access – 102 Industrial Place, Penticton, BC V2A 7C8 (250) 490-8200. b) Municipal offices and applicable irrigation districts with respect to water supply. c) BC Safety Authority, Suite #2 – 1101 Main Street, Penticton BC V2A 5E6 (250) 487-4485 Boiler Safety Officer (250) 487-4485 Electrical Safety Officer (250) 487-4483 OFFICE HOURS: 8:30 - 12:00 Gas Safety Officer (250) 487-4488 H:\TEMPLATES and FORMS\BUILDING PERMIT FORMS\Application Processing Factsheet.docx Village of Keremeos Office use only 702 4th Street, PO Box 160 Roll No: Keremeos, B.C. V0X 1N0 Fee: Received: Telephone: (250) 499-2711 Fax: (250) 499-5477 Receipt No: Email: [email protected] Website: www.keremeos.ca Sewer Service Connection Application PROPERTY INFORMATION: Owners Name: Phone: Street Address: Mailing Address: Legal Description: Lot: Block: District Lot: Plan: Roll No.: PID No.: I/we ________________________________________ , the registered owners of the above property, do hereby apply for a Sanitary Sewer Service Connection from the street main to our property. Building Type (residential, commercial, industrial, institutional) ________________________________ SERVICES REQUESTED: Size Connection Fee Extra Charges Total SEWER ____ $___________ $___________ $___________ Total Connection Fee $___________ DECLARATION: I/we agree to deposit with this application the total required fees and abide by all the conditions of the Sewer Rates and Regulations Bylaw. I also acknowledge that an inspection of the connection must be completed by Public Works Staff prior to the lines being back filled. _____________________________________ __________________________ Registered Owner's Signature Date _____________________________________ __________________________ Registered Owner's Signature Date Village of Keremeos – Sewer Service Connection Application Form H:\TEMPLATES and FORMS\PUBLIC WORKS\SEWER FORMS\VoK_Sewer_Connection_App_2018.pdf SEWER SERVICE CONNECTION APPLICATION ADDITIONAL INFORMATION For New Sewer Service Connections from Sewer Main to Property: Inspection Chamber must be installed between Municipal Sewer Service Connection and Sewer Line on Private Property (as per this Standard Drawing). Please contact Village of Keremeos Public Works Department at (250) 499-2711 for additional information and to book a Sewer Service Connection Inspection. Page 1 of 6 SEWER SERVICE CONNECTION APPLICATION ADDITIONAL INFORMATION For New Sewer Service Connections from Sewer Main to Property: Service Connection must be installed to specifications shown on this Standard Drawing (including installation of Inspection Chamber). Please contact Village of Keremeos Public Works Department at (250) 499-2711 for additional information and to book a Sewer Service Connection Inspection. Page 2 of 6 SEWER SERVICE CONNECTION APPLICATION ADDITIONAL INFORMATION For New Sewer Service Connections from Sewer Main to Property: Compacted Bedding material must be placed according to specifications shown on this Standard Drawing. Please contact Village of Keremeos Public Works Department at (250) 499-2711 for additional information and to book a Sewer Service Connection Inspection. Page 3 of 6 SEWER SERVICE CONNECTION APPLICATION ADDITIONAL INFORMATION For New Sewer Service Connections from Sewer Main to Property: Trenches within Public Roadways must be backfilled and compacted according to specifications shown on this Standard Drawing. Please contact Village of Keremeos Public Works Department at (250) 499-2711 for additional information and to book a Sewer Service Connection Inspection. Page 4 of 6 SEWER SERVICE CONNECTION APPLICATION ADDITIONAL INFORMATION For New Sewer Service Connections from Sewer Main to Property: Sewer lines and Inspection Chamber must be placed according to specifications shown on this Standard Drawing. Please contact Village of Keremeos Public Works Department at (250) 499-2711 for additional information and to book a Sewer Service Connection Inspection. Page 5 of 6 SEWER SERVICE CONNECTION APPLICATION PROCESS STEP 1 - Applicant Completes Sewer Service Connection Application Form (all Registered Owners must sign the form). - Applicant submits completed Application Form along with Connection Fee - Village Staff processes Connection Fee and issues Applicant a Receipt - Village Staff retains completed Application Form within Records Management - Applicant approved to proceed with preliminary work to complete Sewer Service Connection. STEP 2 - Applicant calls Village of Keremeos Public Works Department to schedule a Sewer Connection Inspection (Village will not complete inspection until completed Application and Connection Fee are received). STEP 3 - Village of Keremeos Public Works Department completes Sewer Connection Inspection and completes Sewer Connection Inspection Report. - Village of Keremeos Public Works Department submits completed Inspection Report to Village Staff for retaining within Records Management. Please contact Village of Keremeos Public Works Department at (250) 499-2711 for additional information and to schedule a Sewer Service Connection Inspection. Page 6 of 6 Village of Keremeos 702 – 4th Street, Box 160, Keremeos, BC V0X 1N0 Tel: (250) 499-2711 Fax: (250) 499-5477 E-mail: [email protected] Website: www.keremeos.ca APPLICATION FOR BUILDING PERMIT FOR OFFICE USE ONLY ROLL NUMBER: _____________________ APP FEE: ____________ TITLE SEARCH: ________ ZONED AS: _____________________ TOTAL FEE PAYABLE: _______________________ FAX TO K.I.D. (250-499-5696): _____________________ DATE OF PAYMENT: _______________________ METHOD OF PAYMENT: _______________________ Owner Information (add additional page if more than two owners) Registered Owner Registered Owner (2nd) Mailing Address Mailing Address Province Postal Code: Province Postal Code Daytime phone Alternate phone Daytime phone Alternate phone Fax E-mail Fax E-mail Agent Information (if applicable – complete Form 3 attached) Name Address Town/Province Postal Code E-mail Daytime phone Alternate phone Fax: Land Under Application LOCATION (civic address of property) If property does not have civic address, please provide legal description. Lot Block District Lot Plan Parcel Identifier Note: The Personal Information on this form is collected under the authority of the Local Government Act and Community Charter for the purpose of processing this application, and is subject to the Freedom of Information and Protection of Privacy Act. Any questions regarding this collection should be directed to the Village of Keremeos Office, phone 250-499-2711. Building Permit Application (Revised April 2016) Page 1 Project Information DESCRIPTION OF PROJECT Class of Work: New Alteration Addition Conversion Repair Demolish Move Change of Occupancy Plumbing Other Type