BELOW GRADE ENTRANCE Requires design and review by a Professional Engineer

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BELOW GRADE ENTRANCE Requires design and review by a Professional Engineer INCLUDED: LIST OF REQUIREMENTS SAMPLE DRAWINGS

Planning & Development Services Tel. 905-683-4550 Fax. 905-686-0360 TOWN OF AJAX 65 Harwood Ave South Ajax ON L1S 2H9 www.ajax.ca Permit to Construct Below Grade Entrances Residential Buildings Fees: Building Permit Fee pursuant to the current Town of Ajax Building By-law Estimated construction value (to be checked against the TACBOC valuation). Application Forms: Completed Application for a Permit to Construct or Demolish Schedule 1: Designer Information Acknowledgement by Applicant of Incomplete Application Letter of Authorization Completed Statement of Design (where necessary) Drawing Submission: Two copies of the Site Plan/Legal survey showing the proposed location of the structure with dimensions of the structure and to all property lines. Two copies of fully dimensioned Architectural Drawings that bear the Designer Qualification Information including: a cover page or title block, North arrow, scale, legend of symbols, the project identity (name, address, unit #, etc), fully dimensioned floor plan indicating the size and type of all material, all structural components, fully dimensioned cross section through basement walkout. Additional Approvals and Information: Durham Region Health Department approval if the subject building is connected to or adjacent to a Septic System. Clearance from Toronto & Region Conservation Authority (if applicable) This is a general list of requirements and is not intended to be comprehensive. FORM: PLD-078 REVISED: 14/06/12

Application for a Permit to Construct or Demolish This form is authorized under subsection 8(1.1) of the Building Code Act, 1992 Application number: For use by Principal Authority Permit number (if different): Date received: Roll number: Application submitted to: Town of Ajax A. Project information Building number, street name Unit number Lot/con. Municipality Postal code Plan number/other description Project value est. $ Area of work (m 2 ) B. Purpose of application New construction Addition to existing Alteration/repair Demolition Conditional permit building Proposed use of building Current use of building Description of proposed work C. Applicant Applicant is: Owner or Authorized agent of owner Last name First name Corporation or partnership Street address Unit number Lot/con. Municipality Postal code Province E-mail Telephone number Fax Cell number D. Owner (if different from applicant) Last name First name Corporation or partnership Street address Unit number Lot/con. Municipality Postal code Province E-mail Telephone number Fax Cell number Application for a Permit to Construct or Demolish Effective January 1, 2014

E. Builder (optional) Last name First name Corporation or partnership (if applicable) Street address Unit number Lot/con. Municipality Postal code Province E-mail Telephone number Fax Cell number F. Tarion Warranty Corporation (Ontario New Home Warranty Program) i. Is proposed construction for a new home as defined in the Ontario New Home Warranties Plan Act? If no, go to section G. Yes No ii. Is registration required under the Ontario New Home Warranties Plan Act? Yes No iii. If yes to (ii)provide registration number(s): G. Required Schedules i) Attach Schedule 1 for each individual who reviews and takes responsibility for design activities. ii) Attach Schedule 2 where application is to construct on-site, install or repair a sewage system. H. Completeness and compliance with applicable law i) This application meets all the requirements of clauses 1.3.1.3 (5)(a) to (d) of Division C of the Building Code (the application is made in the correct form and by the owner or authorized agent, all applicable fields have been completed on the application and required schedules, and all required schedules are submitted). Payment has been made of all fees that are required, under the applicable by-law, resolution or regulation made under clause 7(1)(c) of the Building Code Act, 1992, to be paid when the Yes Yes No No application is made. ii) This application is accompanied by the plans and specifications prescribed by the applicable by-law, resolution or regulation made under clause 7(1)(b) of the Building Code Act,1992. Yes No iii) This application is accompanied by the information and documents prescribed by the applicable by- law, resolution or regulation made under clause 7(1)(b) of the Building Code Act, 1992 which Yes No enable the chief building official to determine whether the proposed building, construction or demolition will contravene any applicable law. iv) The proposed building, construction or demolition will not contravene any applicable law. Yes No I. Declaration of applicant I (print name) declare that: 1. The information contained in this application, attached schedules, attached plans and specifications, and other attached documentation is true to the best of my knowledge. 2. If the owner is a corporation or partnership, I have the authority to bind the corporation or partnership. Date Signature of applicant Personal information contained in this form and schedules is collected under the authority of subsection 8(1.1) of the Building Code Act, 1992, and will be used in the administration and enforcement of the Building Code Act, 1992. Questions about the collection of personal information may be addressed to: a) the Chief Building Official of the municipality or upper-tier municipality to which this application is being made, or, b) the inspector having the powers and duties of a chief building official in relation to sewage systems or plumbing for an upper-tier municipality, board of health or conservation authority to whom this application is made, or, c) Director, Building and Development Branch, Ministry of Municipal Affairs and Housing 777 Bay St., 2 nd Floor. Toronto, M5G 2E5 (416)585-6666. Application for a Permit to Construct or Demolish Effective January 1, 2014