<form-template> <fields> <field class="paragraph" type="paragraph" label="This is not a Building Application Form" subtype="p"></field> <field class="paragraph" type="paragraph" label="No work or construction shall commence without the valid permits issued pursuant to applicable regulations." subtype="p"></field> <field class="paragraph" type="paragraph" label="All the following information is necessary to facilitate a thorough and timely evaluation and decision on your application. Information and materials submitted must be clear, legible, and precise. Incomplete or incorrection application could result in processing delays or a refusal decision. If you have any questions regarding the development application requirements, please contact the Town Office prior to submitting your application" subtype="p"></field> <field class="header" type="header" label="Fee Information:" subtype="h1"></field> <field class="paragraph" type="paragraph" label="This fee information is provided for convenience only and is subject to change. Please consult the Town’s Fee Schedule for up-to-date fees." subtype="p"></field> <field class="header" type="header" label="Type of Development- Permit Fee" subtype="h1"></field> <field class="checkbox" type="checkbox" name="checkbox-1624284925655" label="Minor Development and Home Occupations- $30.00" toggle="true"></field> <field class="checkbox" type="checkbox" name="checkbox-1624284970681" label="Garage- $75.00" toggle="true"></field> <field class="checkbox" type="checkbox" name="checkbox-1624285149266" label="Single Family Building- $100.00" toggle="true"></field> <field class="checkbox" type="checkbox" name="checkbox-1624285166871" label="Two Family Development- $150.00/unit" toggle="true"></field> <field class="checkbox" type="checkbox" name="checkbox-1624285188123" label="Multi-Family Development-$150.00/unit" toggle="true"></field> <field class="checkbox" type="checkbox" name="checkbox-1624285292930" label="Mobile Home Placement- $75.00" toggle="true"></field> <field class="checkbox" type="checkbox" name="checkbox-1624285315694" label="Commercial/Industrial/Institutional- $100.00" toggle="true"></field> <field class="checkbox" type="checkbox" name="checkbox-1624285374988" label="Signs- $30.00" toggle="true"></field> <field class="header" type="header" label="Applicant/Owner Information" subtype="h1"></field> <field class="header" type="header" label="Applicant Information:" subtype="h1"></field> <field class="form-control text-input" type="text" name="text-1624285518556" label="Name:" subtype="text" required="true"></field> <field class="form-control text-input" type="text" name="text-1624285535341" label="Address:" subtype="text" required="true"></field> <field class="form-control text-input" type="text" name="text-1624285544747" label="Postal Code:" subtype="text" required="true"></field> <field class="form-control text-input" type="text" name="text-1624285623845" label="Phone:" subtype="text" required="true"></field> <field class="header" type="header" label="Land Owner Information (if different from applicant):" subtype="h1"></field> <field class="form-control text-input" type="text" name="text-1624285888420" label="Name:" subtype="text"></field> <field class="form-control text-input" type="text" name="text-1624285897447" label="Address:" subtype="text"></field> <field class="form-control text-input" type="text" name="text-1624285906666" label="Postal Code:" subtype="text"></field> <field class="form-control text-input" type="text" name="text-1624285940144" label="Phone:" subtype="text"></field> <field class="header" type="header" label="Development Information" subtype="h1"></field> <field class="header" type="header" label="Location of Development:" subtype="h1"></field> <field class="form-control text-input" type="text" name="text-1624286030001" label="Civic Address or General Location of the Property:" subtype="text" required="true"></field> <field class="form-control text-input" type="text" name="text-1624286113000" label="Legal Land Description: Plan No.:__ Block:__ Lot:__" subtype="text"></field> <field class="header" type="header" label="Type of Development" subtype="h1"></field> <field class="header" type="header" label="This Development is For:" subtype="h1"></field> <field class="checkbox" type="checkbox" name="checkbox-1624286310225" label="New Building(s)/Installation" toggle="true"></field> <field class="checkbox" type="checkbox" name="checkbox-1624286329542" label="Residential" toggle="true"></field> <field class="checkbox" type="checkbox" name="checkbox-1624286376448" label="Mixed Use Building" toggle="true"></field> <field class="checkbox" type="checkbox" name="checkbox-1624286414274" label="Accessory Structure" toggle="true"></field> <field class="checkbox" type="checkbox" name="checkbox-1624286431402" label="Addition to Existing Building" toggle="true"></field> <field class="checkbox" type="checkbox" name="checkbox-1624286448757" label="Alteration to Existing Building" toggle="true"></field> <field class="checkbox" type="checkbox" name="checkbox-1624286467234" label="Exterior Alteration Only" toggle="true"></field> <field class="checkbox" type="checkbox" name="checkbox-1624286491710" label="Interior Alteration Only" toggle="true"></field> <field class="checkbox" type="checkbox" name="checkbox-1624286518094" label="Interior and Exterior Alteration" toggle="true"></field> <field class="checkbox" type="checkbox" name="checkbox-1624286562604" label="Change of Use" toggle="true"></field> <field class="checkbox" type="checkbox" name="checkbox-1624286572345" label="Sign" toggle="true"></field> <field class="checkbox" type="checkbox" name="checkbox-1624286581922" label="Temporary Use" toggle="true"></field> <field class="checkbox" type="checkbox" name="checkbox-1624286593877" label="Other" toggle="true"></field> <field class="form-control text-input" type="text" name="text-1624286619884" label="Specific Description of Development (e.g., construct a new detached house, open a retail store):" subtype="text" required="true"></field> <field class="header" type="header" label="New Building/Addition" subtype="h1"></field> <field class="form-control text-input" type="text" name="text-1624286688019" label="Existing Total Floor Area:" subtype="text"></field> <field class="form-control text-input" type="text" name="text-1624286689632" label="Proposed Total Floor Area:" subtype="text"></field> <field class="form-control text-input" type="text" name="text-1624286690100" label="Existing Total Site Area:" subtype="text"></field> <field class="form-control text-input" type="text" name="text-1624286690546" label="Proposed Total Site Area:" subtype="text"></field> <field class="header" type="header" label="Change of Use Within a Specific Building" subtype="h1"></field> <field class="form-control text-input" type="text" name="text-1624286885990" label="Detail Existing Use:" subtype="text"></field> <field class="form-control text-input" type="text" name="text-1624286901499" label="Detail Proposed New Use:" subtype="text"></field> <field class="form-control text-input" type="text" name="text-1624286916867" label="Total Floor Area of Existing Building:" subtype="text"></field> <field class="form-control text-input" type="text" name="text-1624286939830" label="Floor Area of Proposed New Use (if converting only part of existing building):" subtype="text"></field> <field class="form-control text-input" type="text" name="text-1624287106296" label="Estimated Development Cost:" subtype="text"></field> <field class="form-control text-input" type="text" name="text-1624287122952" label="Proposed Start Date:" subtype="text"></field> <field class="form-control text-input" type="text" name="text-1624287135173" label="Proposed Completion Date:" subtype="text"></field> <field class="header" type="header" label="Abandoned Well Confirmation and Declaration" subtype="h1"></field> <field class="paragraph" type="paragraph" label="Subject to the Alberta Energy Regulator Directive (AER) 079, the applicant is required to include a map from AER confirming the exact location, or absence, of any abandoned oil and gas well(s) on or within 25m (82ft) of the site boundary if the building/addition is greater than 47m² (505.9ft²). Additional requirements must be met if a well is located within or adjacent (i.e., 25m) to the site of the proposed development. Go to www.geodiscover.alberta.ca for abandoned well location and status information." subtype="p"></field> <field class="checkbox-group" type="checkbox-group" name="checkbox-group-1624288135933" label="Does the AER Abandoned Well Viewer Identify any abandoned well sonthe subject land or within 25m from the location of the development?"> <option selected="true" value="Yes">Yes</option> <option value="No">No</option> </field> <field class="paragraph" type="paragraph" label="If yes, please print out the map viewer and please complete the declaration below." subtype="p"></field> <field class="form-control text-input" type="text" name="text-1624288461557" label="I/We," subtype="text"></field> <field class="paragraph" type="paragraph" label="have reviewed information provided by the Alberta Energy Regulator as set out in AER Directive 079, Surface Development in Proximity to Abandoned Wells, and can advise that the licensee(s) responsible for all abandoned well(s) within the site of the proposed development has been contacted in order to have the Abandoned Well Locating and Testing Protocol completed in accordance with Directive 079. To prevent damage to the well, a temporary identification marker will be placed on abandoned wells prior to construction, according to the confirmed well location(s) on site. The site of proposed development contains the following abandoned well(s). " subtype="p"></field> <field class="form-control text-input" type="text" name="text-1624288520634" label="AER Well License #:" subtype="text"></field> <field class="form-control text-input" type="text" name="text-1624288533049" label="Licensee Name:" subtype="text"></field> <field class="form-control text-input" type="text" name="text-1624288543217" label="Surface Location:" subtype="text"></field> <field class="form-control text-input" type="text" name="text-1624288554311" label="Contact Personnel:" subtype="text"></field> <field class="form-control text-input" type="text" name="text-1624288565608" label="Phone #:" subtype="text"></field> <field class="header" type="header" label="Checklist" subtype="h1"></field> <field class="paragraph" type="paragraph" label="I confirm that I have included the following in my application (check if applicable)." subtype="p"></field> <field class="checkbox" type="checkbox" name="checkbox-1624288702958" label="Application Fee" toggle="true"></field> <field class="checkbox" type="checkbox" name="checkbox-1624288713561" label="Letter of authorization from registered land owner(s), if applicant is not the land owner" toggle="true"></field> <field class="checkbox" type="checkbox" name="checkbox-1624288742772" label="Site Plan " toggle="true"></field> <field class="checkbox" type="checkbox" name="checkbox-1624288769663" label="Building Elevations (new/addition to residential/commercial/industrial building)" toggle="true"></field> <field class="checkbox" type="checkbox" name="checkbox-1624288801732" label="Abandoned Well confirmation Viewer with a printout of the Map from Alberta Energy Regulator" toggle="true"></field> <field class="header" type="header" label="Consent and Declaration" subtype="h1"></field> <field class="paragraph" type="paragraph" label="As the applicant of this development permit, I consent to:" subtype="p"></field> <field class="checkbox" type="checkbox" name="checkbox-1624288911320" label="Allow a person(s) designated by the Town to enter and inspect the above noted with respect to this application only." toggle="true"></field> <field class="checkbox" type="checkbox" name="checkbox-1624288955101" label="Receive by email any documents or communication related to this application." toggle="true"></field> <field class="paragraph" type="paragraph" label="I declare by my signature below that the information contained in this application, including plans and details, is to my knowledge, true and complete" subtype="p"></field> <field class="form-control text-input" type="text" name="text-1624289026406" label="E-Signature" subtype="text" required="true"></field> <field class="header" type="header" label="Office Use Only" subtype="h1"></field> <field class="form-control text-input" type="text" name="text-1624289363056" label="File #:" subtype="text"></field> <field class="form-control text-input" type="text" name="text-1624289364964" label="Tax Roll #:" subtype="text"></field> </fields> </form-template> Submit Submitting...
