Development Permit Application 3755 43 Avenue Camrose, AB T4V 3S8 Main Line: (780)672.4446 Planning Dept: (780)678.3070 Fax: (780) 672.1008 Email: planning@county.camrose.ab.ca Website: www.county.camrose.ab.ca CHECKLIST & INFORMATION REQUIRED Signatures & Right of Entry Agreement (ALL owners MUST sign) Application fee - Contact Planning Department with questions A Site Sketch or Plot Plan or Aerial Copy of Building Plans and Elevation Plans, or Photos if prebuilt Alberta Transportation Approval (if development is within 800m (½ mile) of a provincial highway) Application & Fee for Rural Addressing Sign (if building a new residence outside of a hamlet) Abandoned Well Information - Determine if there are abandoned wells on your property by searching http://mapviewer.aer.ca/html5/index.html?viewer=aerabnwells or Search: Alberta Abandoned Well Map and follow the Alberta Energy Regulator (AER) links to the interactive map PROVINCIAL REQUIREMENTS If the development is within 800m (½ mile) of a Provincial Highway, you must obtain a Roadside Development Permit before a Development Permit can be issued. Contact transdevelopmentvermilion@gov.ab.ca or (780) 853-8182. Copies of the permit application are also available on the County website. Obtaining a development permit does not relieve Applicant/Landowner of their duty to obtain & comply with any other applicable federal, provincial or municipal requirements (Alberta Environment, Alberta Health Services, NRCB, AER, etc.) and the conditions of any caveat, covenant, easement or other instrument affecting the building or land. BUILDING PERMITS The Applicant/Landowner is responsible for carrying out construction, or having construction carried out, in accordance with the requirements of the Safety Codes Act. Camrose County contracts Safety Codes Services from the City of Camrose Building Department, which issues safety code permits, reviews plans and does inspections for Camrose County properties. Phone: (780)672.4428 Fax: (780) 672.6316 Email: permits@camrose.ca Website: www.camrose.ca. RURAL ADDRESSING If you are building a new residence, and the site does not have rural addressing, or you are increasing the number of residences, you will be required to obtain an addressing sign at the time of application. For information on the sign requirements contact the GIS Coordinator at 780-672-4446. Copies of the application form are available on the County website. FEE SCHEDULE Development Permit Fee Discretionary Permit Fee Cost of Development $0.00 - $9999.00 $50.00 $100.00 $10,000.00 - $500,000.00 $100.00 $150.00 Greater than $500,000.00 $150.00 $200.00 Natural Resource Applications - $2000.00 1 st Recreational Vehicle Free 2 nd or more Recreational Vehicle $50.00 $100.00 Home Occupation (no construction) $100.00 $150.00 If development/construction has started PRIOR to applying for a permit then above fees double April 2018
Development Permit Application For office use only Permitted Discretionary - Staff Discretionary - MPC Land Use District Electoral District Epad Permit # Development Permit # Roll # Contact Details NAME OF APPLICANT(S): Address: City: Postal Code: Contact #: Email: LANDOWNER(S) (if applicant not the landowner): Address: City: Postal Code: Contact #: Email: By checking this box I accept correspondence by email only. Site Information & Development Details Zone: RURAL ADDRESS (911-blue sign): LEGAL: NE NW SE SW ¼ Section Township Range W4 Registered Plan # Block Lot Titled Area: acres NUMBER OF DWELLINGS (existing): EXISTING BUILDINGS ON PARCEL: Is this parcel within 800 meters (1/2 mile) of a Provincial Highway? Yes No Permit Received Is the land adjacent to or containing a water body? Yes No Is the proposed development being built within 30 m (98 ft.) of any slope, hill or bank? Yes No Proposed Development New Construction Dwelling (stick built on site) Manufactured Home Modular Home Ready to Move Home (RTM) Prebuilt dwelling Other Shipping Container/Seacan Addition, Shed, Deck, Retaining Wall RV Shop or Garage Variance for Existing Use Setbacks Indicate distance the proposed development is from each property line Front Property Line: N S E W Rear Property Line: N S E W Side Property Line: N S E W Side Property Line: N S E W I will require a relaxation of the setback from property line Yes No If yes, which property line? What relaxation are you requesting? :
Construction Details - Complete applicable section(s) Has Construction already started on this project? Yes No If No, what is the estimated Start : Estimated Completion : List total estimated Cost of this Development: DWELLING/HOUSE: For Stick built/on site construction Homes (building plans required): Square Footage of Dwelling: Dwelling Height: Garage (attached or detached): Decks (if any list dimensions): Dwelling Foundation Type (basement, pilings, blocks, slab, etc.) For Manufactured / Modular / Ready to Move Homes (floor plans required): Dimensions: Model: Year Built: Serial Number: Name/Make of Unit: Dwelling Foundation Type (basement, pilings, blocks, slab, etc.) A Special Haul Permit, from County Public Works, is required prior to moving any large load/structure on a County Road. Contact (780)672.4449 for permit. For Prebuilt/Moved on Homes (photo required): Name of Mover: Year built: Present Location of Dwelling: Square Footage of Dwelling Dwelling Foundation type (basement, pilings blocks, slab, etc.) A Special Haul Permit, from County Public Works, is required prior to moving any large load/structure on a County Road. Contact (780)672.4449 for permit. ACCESSORY BUILDING(S): Dimensions of Accessory Building(s): Building Height (from grade to peak): Stick built/on site construction Move On Temporary/Fabric Building Type of accessory building (shed, garage, shop, ground-mounted solar system, etc.): Foundation Type (pilings, blocks, slab, etc.): Proposed Use for Accessory Building (agricultural, residential, business, etc.) BUSINESS USE: No Yes, if yes: type of business (commercial, homebased): Note: You will need to submit a business application form with this application.
Right of Entry & Required Signatures Applicant/Landowner Registered owner(s) and/or person acting on the registered owner s behalf: I, hereby certify that: (Print full name/s) I am the registered owner I am authorized to act on behalf of the registered owner And the information given on this form is full and complete and is, to the best of my knowledge, a true statement of the facts relating to this application for development approval. Applicant/Landowner Signature is also authorization for staff of Camrose County and applicable referral agencies to have the right of entry onto this property for the purposes of inspection. Applicant(s) Signature Applicant (s) Signature Landowner(s) Signature Landowner(s) Signature Camrose County 3755 43 Avenue Camrose, AB, T4V 3S8 Phone: (780) 678.3070 Fax: (780) 672.1008 Email: planning@county.camrose.ab.ca Website: www.county.camrose.ab.ca Office Use Only (Payment Method): Credit Card Debit Cheque Cash Permit Fee: $ : Receipt # COLLECTION AND USE OF PERSONAL INFORMATION The personal information provided will be used to process the Development Permit application and is collected under the authority of Section 642 of the Municipal Government Act. Personal information you provide may be recorded in the minutes of the Municipal Planning Commission, or otherwise made public pursuant to the provisions of the Freedom of Information and Protection of Privacy (FOIPP) Act, including Section 39 through 42 therein. If you have any questions about the collection and use of this information, please contact the FOIPP Coordinator at Camrose County (780) 672-4446
Development Application SITE PLAN Lot Block Plan Hamlet _ Quarter Section Township Range W of 4 NOTE: Contact the County to see if an Aerial Photo may be accepted as the base for a site sketch.