HomeMy WebLinkAboutBuilding Permit ApplicationCounty of Newell
PO Box 130
Brooks, Alberta, T1R 1B2
PH: (403) 362-3266
administration@newellmail.ca
www.countyofnewell.ab.ca
The Inspections Group Inc
2825 18 Avenue N
Lethbridge, Alberta, T1H 6T5
PH: (587) 787-4143 TF: 1 (888) 852-3558
Fax: (587) 787-4142
south@inspectionsgroup.com
www.inspectionsgroup.com
Please submit all permit applications to development@newellmail.ca for review and processing.
BUILDING PERMIT APPLICATION FORM
Estimated Project Completion Date:
New Home Warranty Number (if applicable): Project Value (labour and material): $
Applicant Type: Owner Contractor Work: has not started is in progress is complete
OWNER / APPLICANT: Mailing Address:
City: Prov: Postal Code: Phone: Fax:
Cell: Email:
CONTRACTOR: Mailing Address:
City: Prov: Postal Code: Phone: Fax:
Cell: Email:
PROJECT LOCATION:
Municipality: Subdivision / Hamlet Name:
Street Address:
Legal Land Description: LSD: Part of: Section: Township: Range: West of:
Lot: Block: Plan: Tax Roll Number:
Directions:
BUILDING TYPE:
Single Family Residential
Multi-Family Residential
(number of dwellings units)
Commercial
Industrial
Institutional
Other (specify)
TYPE OF WORK:
New Construction
Relocation
Addition
Renovation
Demolition
Change of Occupancy
Other (specify)
Basement Development
Secondary Suite
Wood-Burning Appliance
Deck
Accessory Building
Swimming Pool, Hot Tub
Roof-Mounted Solar
BUILDING AREA: m² ft²
Main Floor
Second Floor
Third Floor
Basement Developed Yes No
If YES, Basement
Garage
Deck
Porch, Veranda
Other (specify)
DESCRIPTION OF WORK:
Permit Applicant’s Name (print) Permit Applicant’s Signature Homeowner’s Signature (homeowner permit only)
I hereby declare that I am the owner of the premises where the work will be conducted and/or currently reside or intend
to reside on the property. I assume responsibility for ensuring compliance with the applicable Act and Regulations.
OFFICE USE ONLY
PAYMENT TYPE:
Cheque Mastercard Visa Debit e-Transfer Invoice
Permit Fee: $
+ SCC Levy*: $
= Total Cost: $ Receipt #:
* $4.50 or 4% of the permit fee maximum $560.00
APPLICATION DETAILS:
Application Date:
Permit Number:
The personal information provided as part of this application is collected under the authority of the Safety Codes Act, the Municipal Government Act, and in accordance with the Protection of Privacy Act (POPA) and the
Access to Information Act (ATIA). This information is required and will be used for issuing permits, verifying and monitoring compliance with safety codes, and for property assessment purposes. Information related to
your permit application and any permit(s) issued may be disclosed as allowed or required by law. If you have any questions about the collection or use of your personal information, please contact the Privacy Officer for
the County of Newell at administration@newellmail.ca or (403) 362-3266.