DEVELOPMENTPERMIT APPLICATION

Transcription

1 I I NORTHERNSUNRISE Bag 1300 Peace River AB TSS 1Y9 Phone: Fax: «0D23 For Office Use Only: DEVELOPMENTPERMIT APPLICATION Date Received: CVIa f, Existing Land Use Dislrid: Appllmtlnn No.: DateAccepxed:. I - ' ' A ' I A O COMPLETEIFDIFFERENTFROMAPPLICANT NAME OF APPLICANT MICHELLEBEAUJOT " 300, AVENUE sw NAME OF REGISTEREDLANDOWNER St. IsidoreCo-op Ltd DD Box 1128 CALGARYALBERTA POSTALCODE TELEPHONE(Res) (Bus.) POSTALCODE TELEPHONE(Res) (Bus.) TZGUXS TOH3E ADDRESS: ADDRESS: MBEAUJOT@ D ALOGDES GN.CA manager@stisidoreco-op.ab.ca PREFERREDMETHODor COMMUNICATION( or telephone): ! Legal description of proposed development site: 1) QTRJLS SEC TWP RG OR RegisteredPlant2 Block Lot WSM.857. r Size of the proposed develupment site: Length (ft/ml Width (ft/m) OR Acres Hectares The land is adjacent to:e Provincial Highway 2 El Public Road (other than highway] D Private Road The land ls adjacent to creek/ravine/waterbody: D Yes E No If answer is yes, please provide the following: I have read and understood the recommendations included in the 2013 Thurber Report: Initial Here Depth of the Creek/waterbudy (m/ft); setbacks from the proposed facility: (mlftl Describe the existing useof the land: CARDLOCK I 0- o--9 Describe the proposed use of the land: Check (V) any proposed usesls): U Dwelling unit(s) (spedfy) D Home accupatian(s) (specify) ElAncillary structure(s)/use(s) (specify) Commercial/industrial (specify) CARDLOCK El other (specify)

2 A NORTHERNSUNRISE ll\lforlvlatl0n CONTINUED *3 "9 B T35 M Peace River A Phone: Fax: Building Size: Length (ft/ml Width (ft/m) Height (grade to peak) (ft/rn) Sq2 (ft/rn) other (ft/rn) N/A indicate the proposed setback from the property line: Front Yard (ft/m) Rear Yard (ft/m) Side Yard (1) (ft/m) 7.62m EXISTING 7-32m to centre olhishway EXST 6.10m EXlSTlNG Side Yard (2) (ft/ml DescribeWater Supply: N/A Describe Sewage Disposal: N/A setbacks From: Top of Bank (ft/ml House/Shop/other Facilities (ft/m) Water Body (ft/m) N/A - N/A N/A Development cost & projected tirnelines: Commencement Date May 1, 2017 Completion Date June 23, 2017 Construction Costs $1,200,000 Attached is: (a) Site Plan: E Yes Cl No D N/A (b) Floor Plan: El Yes D No N/A I/Wehereby make application under the provisions of the Land Use Bylaw for a Development Permit in accordance with the plans and supporting information submitted herewith and form part of this application. I/Weunderstand that this application will not be accepted without the following: a) Application fee b) Site plan sketch that includes all relevant detail to the proposed development (i.e.: proposed and existing structures, property lines, creeks/ravines, parking and vehicle access, building plans, etc.) c) The application checklist completed and all supporting documentation supplied as required by the development. l/we declare that the above information is, to the best of my/our knowledge, factual and correct MlCHELLEBEAUJOT DATE SIGNATUREOF APPUCANT J DALEGACH 2: é DATE SIGNATURE OF REGISTEREDLANDOWNER NOTE:Signature of Registered Land Owner is required if different than the applicant

3 ' NORTHERNSUNRISE < Fax: Bag 1300 Peace RiverAB T85 W9 Phone: RIGHTOF ENTRYBYAN AUTHORIZEDPERSON OF THENORTHERN SUNRISE COUNTYFOR THE PURPOSESOF A SITEINSPECTIONOF THE LAND AFFECTEDBYAN APPLICATIONFOR A DEVELOPMENTPERMIT. The Municipal Government Act, Section 542(1)(a) states: A designated officer of the County may enter such Iancl or structure at any reasonable time, and carry out the inspection, enforcement or action authorized or required by the enactment or bylaw. INACCORDANCE WITHSECTION 542 OF THE MUNICIPALGOI/ERNMENTACT, PLEASECOMPLETE THE FOLLOWINGRIGHT OF ENTRYFORM AND SUBMITWITHYOURAPPLICATIONFORA DEVELOPMENTPERMIT. I do I or do not give consent for an authorized person of Northern Sunrise County to enter upon the Iand that is subject to an application for development permit, for the purposes of making a site inspection in order to evaluate the proposed deveiopment permit appiication. LOT 2 BLOCK 4 PLAN LEGALDESCRIPTIONOF LAND PRINTNAME IN BLOCKCAPITALS D ALE Cl,-ACI-1 SIGNED Z DATE o/ 7

4 E NORTHERNSUNRISE COUNTY Bag 1300 Peace River AB T88 1Y9 Phone: Fax: Additional information may be required depending on the type and location of development. Please complete the checklist below. APPLICABLE ATTACHMENT Y]N DETAILS Rural Addressing Additional form to complete if the development is the first N Application dwelling in any district other than Hamlet Residential. Shop Drawings Commercial developments as required by the development N authority Manufactured Home Floor Plans that must include: 1) Roof Pitch N - 2) Eaves *1 N Y N 3) Width to length ratio Pictures ofthe siding and proposed skirting Geotechnical Ifthe development application is within the Top of Bank setbacks Assessment identified by the Land Use Bylaw a geotechnical assessment must be prepared by a qualified professional geotechnical engineer licensed to practice in Alberta. Roadside Development Ifthe development is within 300 meters of a provincialhighway Permit from Alberta _ (i.e. Highways 2, 688, 986, 88, 750, 744, and 683) right of»way Transportation boundary, or within 800 meters of the center point of an intersection of the highway with another public road a roadside development permit is required from Alberta Transportation. Abandoned OilWell Ifthe building/addition is greater than 47 m (5059 ft ) a map C0n? 'm3tl l'\ from the Alberta Energy Regulator (AER)identifying the locations of, or confirming the absence of, any abandoned oil or gas wells on or within 25m (82 ft) of the site boundary is to be included. Go to status information. for abandoned well location and

5 NORTHERN SUNRISE E 13 _ Peace River AB T85 1Y9 Phone: Fax: Abandoned Oil Well Confirmation Process 1. Search the subject property using the Alberta Energy Regulator (AER)Abandoned Well ' Viewer at: Does the AERAbandoned Well Viewer identify any abandoned wells in the subject area? No X if no, print a map of the subject area from the Abandoned Well Viewer and submit with the development permit application. Yes if yes, complete the remainder of the Abandoned Oil Well Confirmation Process. 2. Using the AERAbandoned Well Viewer, identify the Licensee Name of the abandoned well. The Licensee must be contacted to confirm the exact well location of the well. 3. Locate the Licensee contact information on the AERwebsite at: Codespdf 4. Submit the Abandoned Oil Well Confirmation Form to the Licensee and request that they return the completed form prior to submitting the completed development permit _ application. 5. Submit the completed Abandoned Oil Well Confirmation Form as a part the development permit application. Note: The site plan of the proposed development must include the abandoned oil well and identify necessary setbacks. if the development will result in construction activity within the setback area, a statement confirming that the abandoned wells will be temporarily marked with on~site identification during construction must be included with the development permit application.

6 i ~. ' ' Jennifer Regal From: Sent: To: Subject: Michelle Beaujot March :34 AM Jennifer Regal RE:Development Permit Application for Cardlock Hi Jennifer, Thanks for the contacts. Can I submit to any ofthe contacts directly or is it through Sunrise County? DP scope: the new above grade structures of the cardlock expansion are essentially 5 new dispenser islands c/wyard lights and a vent rack. The rest is underground or slabs at grade. The complete scope of work is listed out on SA1.1 but let me know if you need more info. Legal description: thanks for picking that up. As seen on survey: lot 2 block 4 plan Michelle Michelle Beaujot DIALOG From: Jennifer Regal [mailto:jregal@northernsunrise.net] Sent: Wednesday, March 08,2017 9:25 AM To: Michelle Beaujot <MBeaujot@dialogdesign.ca> Subject: RE: Development Permit Application for Cardlock Good morning Michelle, Here are the three agencies as per our conversation yesterday. I Agency Name Phone Fax 1 Bldg Elec. Gas Plumb Permit l Permit 1 Permit Permit \ 3 Superior Safety Codes (780) (780) Yes Yes Yes Yes Inc. l(866) (866) The Inspections Group (780) (780) Yes Yes Yes Yes Inc. 1(866) l(866) Canadian Safety (780) 897- (780) Yes No No No Consulting Services (877) As I am preparing for the meeting I noticed that it is not clearly identified on the development permit application the new structures to be built. Can you either update the development permit or send It in a quick . The legal description for the location is also missing a number, please correct. Ifyou have any questions please feel free to contact me. Thanks Jennifer Regal I Planning and Development I Northern Sunrise County Bag13OO l Peace River l AB l Canada l T88 IYQ (')ltice:(780) l Direct Linc (780) Fax:(780l

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