municipality of shuniah
TRANSCRIPT
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Municipality of Shuniah 420 Leslie Avenue
Thunder Bay, ON, P7A 1X8 Ph. 807-683-4545 Cell. 807-626-4998 Fax. 807-683-6982
Residential Building Permit Application Checklist
Customer Name: Telephone No Project Address or Legal Description
Completed Building Permit Application Form, including Schedule 1* where applicable * Schedule 1 is completed by the various project designers and must accompany the permit application.
Proof of Ownership (provide either a Property Deed, or an Offer to Purchase (Deed to follow)
Authorization from Owner (if applicant other than owner).
Three (3) sets of working drawings, including:
Site Plan Floor Plan(s)
Site Drainage Plan Roof Plan
Foundation Plan - a P.Eng is required if using Building Section(s) a slab or other non-standard construction Elevations
Heating Duct Layout ( Two Storey Dwellings Only) Hydronic Heating Information
(In-floor/Under-floor/Geothermal) • Heat Loss Calculations • Boiler Information • Loop/Piping Layouts • Air Handler / Coil • Baseboard Radiation locations • Heat Exchanger • Type of Hot Water Tank
Roof Truss Layout and Certificate
Floor Truss Layout and Certificate
Engineered Beam Details (i.e. Parallam, Micro-lam)
Engineered Guard Rail Design Required
Fireplace/Woodstove/Chimney Details (provide manufacturer's installation instructions)
Mechanical Ventilation Design (HRV and dedicated systems will require a certified designer)
Completed Plumbing Detail Sheet, including Two (2) sets of isometric Plumbing Drawings
Permit Fee $ _
1. Proof of adequate water supply and Potablity provided? - applicable if you are on a well system
2. Septic Field Approval from Ministry of Health or TBDHU provided?
3. Ministry of Transportation Approval provided - applicable if within 395m of highway intersections - applicable within 46 metres from King’s highway - other MTO approvals may apply
4. Lakehead Regional Conservation Authority Approval - is your property in a flood plane or cut and fill area? - does property have ‘Hazard land’ zoning?
5. Driveway Application provided?
Applicants Signature:
IN ORDER TO COMPLETE A REVIEW, THIS FORM AND THE FOLLOWING INFORMATION MUST BE SUBMITTED. PLEASE BE ADVISED THAT UPON ACCEPTANCE, AND DURING THE PERMIT REVIEW PROCESS, THE
APPLICANT MAY BE REQUIRED TO PRODUCE ADDITIONAL INFORMATION TO INSURE COMPLIANCE WITH APPLICABLE PROVINCIAL AND MUNICIPAL REGULATIONS.
A Building Permit is issued based on the information you provide, and the accuracy of the information provided affects the processing time involved in (and the possibility of) issuing of a Building Permit. By completing this form and signing below, you understand it is your responsibility to provide this information in a timely fashion in order to efficiently and effectively
process your application.
Municipality of Shuniah – Building Department
Guidelines to Complete Building Permit Applications The following guidelines will assist applicants in completing the: Application
for a Permit to Construct or Demolish – Form B2404
*** PLEASE READ CAREFULLY ***
A, B, and C: All three sections must be filled out thoroughly and completely.
D. *Owner (if different than applicant)
Please note that if the owner is allowing another individual to apply and take out a permit on their behalf, there must
be a Letter of Authorization given to the applicant by the owner stating this arrangement.
E. Builder (optional) B2402
F. Tarion Warranty Corporation (Ontario New Home Warranty Program)
This is only for new homes whether under warranty or not. For every other type of project indicate "NO"
G. Required Schedules (found on last page of application)
All applications that require drawings will require a Schedule I: Designer Information, to be tilled out. Building
plans can be designed by the home owner (who is competent with the Ontario Building Code) or a registered
designer, therefore that individual must take responsibility for the design and drawings beings submitted.
Schedule 1 -If you are the homeowner and take responsibility for the design - under Section D,
Declaration of Designer, check the third box and note you are the "Homeowner" ,
H. Completeness and compliance with applicable law.
All five (5) questions shall be marked "yes" - if all statements are true. This section indicates that the applicant
has supplied all the necessary information and fees and will meet all applicable Laws.
I. Declaration of Applicant
Name, date and signature required.
*Proof of ownership will be required at time of applying for a building permit. Present a copy of your dead or copy of recent tax bill. Newly acquired property may require a copy of deed. Ensure your name is in fact registered as an owner.
For Residential Applications:
Only complete applications (including all accompanying forms, documents and drawings) will be processed. Drawings
must be on a minimum of 11”x17” paper, to scale, legible, and clearly indicating the proposed work. If any
component is missing, inadequate, or incomplete, the application cannot be processed.
The above information is for guidance only and does not form part of the Building Permit Application.
If you have any questions or concerns please call Gregg Gigliotti, Chief Building Official at
(807) 626-4998 or email [email protected]
Application for a Permit to Construct or Demolish – Effective January 1, 2011
Application for a Permit to Construct or DemolishThis form is authorized under subsection 8(1.1) of the Building Code Act.
For use by Principal Authority
Application number: Permit number (if different):
Date received: Roll number:
Application submitted to: _____________________________________________________________________ (Name of municipality, upper-tier municipality, board of health or conservation authority)
A. Project information
Building number, street name Unit number Lot/con.
Municipality Postal code Plan number/other description
Project value est. $ Area of work (m2)
B. Purpose of application
New construction Addition to an existing building
Alteration/repair Demolition Conditional Permit
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, 2011
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, I992, to be paid when the application is made.
Yes
Yes
No
No
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 enable the chief building official to determine whether the proposed building, construction or demolition will contravene any applicable law.
Yes No
iv) The proposed building, construction or demolition will not contravene any applicable law. Yes No
I. Declaration of applicant
I __________________________________________________________________________________________declare that: (print name)
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., 2nd Floor. Toronto, M5G 2E5 (416) 585-6666.
BP2401
Municipality of ShuniahBuilding Permit Fee Worksheet
Applicant Permit No:
Property Location
Application submitted to: Municipality of Shuniah, 420 Leslie Avenue, Thunder Bay, ON P7A 1X8
Area/Units Cost Fee$
Residential Dwellings Main Floor Area ft2 x 0.98$ /ft2 =Second Floor Area ft2 x 0.49$ /ft2 =Attached Garage ft2 x 0.35$ /ft2 =
Accessory Buildings Main Floor Area ft2 x 0.35$ /ft2 =Alterations and Additions Floor Area ft2 x 0.50$ /ft2 =
Commercial, Industrial & Institutional Floor Area ft2 x 0.84$ /ft2 =
Minimum Permit Fee is $100.00 Subtotal: $Number
Building Components of Units
Permit for Temporary Building x 75$ ea =Occupancy Permit - new dwellings only x 100$ ea =Certificate of Occupancy - Cottage Conversion x 150$ ea =Other inspections x 100$ ea =Plumbing Permit x 100$ ea =HVAC Permit x 75$ ea =Moving/Demolition Permit x 75$ ea =Change of Use Permit x 75$ ea =Patio/Deck Permit x 75$ ea =Swimming Pool Permit x 75$ ea =Fireplace & Wood Burning Appliances x 75$ ea =
Subtotal of component permits: $Structures Towers: Communication and Wind x 1,000$ =
Retaining Wall x 250$ =
Total Building Permit Fee: $
Construction Value
Residential (main floor) ft2 x 140$ /ft2 =Residential (second floor) ft2 x 65$ /ft2 =Attached Garages ft2 x 20$ /ft2 =Construction other than dwellings ft2 x 25$ /ft2 =Demolition ft2 x 2$ /ft2 =Alterations and Additions ft2 x 65$ /ft2 =Commercial, industrial, & farm ft2 x 95$ /ft2 =Institutional ft2 x 150$ /ft2 =
Total Estimated Construction Value: $
Please Note:
Areas to be calculated are based on outside dimensions.
Method of Payment: cash, cheque, debit
Residential dwellings require a deposit of $500.00
B2416
Date:
Owner(s) Name(s):
Address:
Phone Number:
Attention: Chief Building Official
Subject: Letter of Authorization
Re: Lot: Plan: Municipality of Shuniah
Dear Sir:
Please be advised that has the authority
to apply for a Building Permit on the above-mentioned lot.
Do not hesitate to contact me personally if there are any further questions.
Yours truly,
Owner(s) Name(s)
Application for a Permit to Construct or Demolish Schedule 2 06/07/05
Schedule 1: Designer InformationUse one form for each individual who reviews and takes responsibility for design activities with respect to the project.
A. Project Information
Building number, street name Unit no. Lot/con.
Municipality Postal code Plan number/ other description
B. Individual who reviews and takes responsibility for design activities
Name Firm
Street address Unit no. Lot/con.
Municipality Postal code Province E-mail
Telephone number ( )
Fax number ( )
Cell number ( )
C. Design activities undertaken by individual identified in Section B. [Building Code Table 2.20.2.1]
House
Small Buildings
Large Buildings
Complex Buildings
HVAC – House
Building Services
Detection, Lighting and Power
Fire Protection
Building Structural
Plumbing – House
Plumbing – All Buildings
On-site Sewage Systems
Description of designer’s work
D. Declaration of Designer
I ___________________________________________________________________ declare that (choose one as appropriate):
(print name)
I review and take responsibility for the design work on behalf of a firm registered under subsection 2.17.4. of the Building Code. I am qualified, and the firm is registered, in the appropriate classes/categories.
Individual BCIN: _________________________________ Firm BCIN: _________________________________
I review and take responsibility for the design work and am qualified in the appropriate category as an “other designer” under subsection 2.17.5. of the Building Code.
Individual BCIN: _________________________________ Basis for exemption from registration: ___________________________________
The design work is exempt from the registration and qualification requirements of the Building Code.
Basis for exemption from registration and qualification:__________________________________________
I certify that:
1. The information contained in this schedule is true to the best of my knowledge.
2. I have authority to bind the corporation or partnership (if applicable).
___________________________ _________________________________________________________________ Date Signature of Designer
∗For the purposes of this form, “individual” means the “person” referred to in Clause 2.17.4.7.(1)(d), Article 2.17.5.1. and all other persons who are exempt from qualification under Subsections 2.17.4. and 2.17.5.
NOTE:
1. Firm and Individual BCIN numbers are not required for building permit applications submitted prior to January 1, 2006
2. Schedule 1 does not need to be completed by architects, or holders of a Certificate of Practice or a Temporary License under the Architects Act.
Energy Efficiency Design Summary: Performance Method (Building Code Part 9, Residential)
This form is used by a designer to demonstrate that the energy efficiency design of a house complies with the building code using the performance method described in Supplementary Standard SB-12, Subsection 3.1.2. This form must accurately reflect the information contained on the drawings and specifications being submitted. Refer to SB-12 for details about building code compliance requirements. Further information about energy efficiency requirements for new buildings is available from the Provincial building code website or the Authority Having Jurisdiction
For use by Principal Authority
Application No: Model/Certification Number
A. Project Information
Building number, street name Unit number Lot/Con
Municipality Postal code Reg. Plan number / other description
B. Compliance Option [indicate the Ontario Building Code compliance option being employed in this house design]
SB-12 Performance* [SB-12 - 3.1.2.] * Attach energy performance results using an approved software (see Guide)
ENERGY STAR®* [SB-12 - 3.1.3.] * Attach Builder Option Package [BOP] form
R-2000® *[SB-12 - 3.1.3.] * Attach R-2000 HOT2000 Report
C. Project Building Design Conditions Climatic Zone (SB-1): Heating Equipment Efficiency Space Heating Fuel Source □ Zone 1 (< 5000 degree days) □ ≥ 92% AFUE
□ ≥ 84% < 92% AFUE □ Gas □ Propane □ Solid Fuel □ Oil □ Electric □ Earth Energy □ Zone 2 (≥ 5000 degree days)
Ratio of Windows, Skylights & Glass (W, S & G) to Wall Area Other Building Characteristics
Area of walls = ______m2 or______ft2
W, S & G % =
□ Log/Post&Beam □ ICF Above Grade □ ICF Basement □ Slab-on-ground □ Walkout Basement □ Air Conditioning □ Combo Unit □ Air Source Heat Pump (ASHP) □ Ground Source Heat Pump (GSHP)
Area of W, S & G = _____m2 or_____ft2
SB-12 Performance Reference Building Design Package indicating the prescriptive package to be compared for compliance
SB-12 Referenced Building Package (input design package): Package:_______________ Table:__________________
D. Building Specifications [provide values and ratings of the energy efficiency components proposed, or attach ENERGY STAR BOP form]
Building Component Minimum RSI / R values or Maximum U-Value
(1) Building Component Efficiency Ratings
Thermal Insulation Nominal Effective Windows & Doors Provide U-Value(1) or ER rating
Ceiling with Attic Space Windows/Sliding Glass Doors
Ceiling without Attic Space Skylights/Glazed Roofs
Exposed Floor Mechanicals Walls Above Grade Heating Equip.(AFUE)
Basement Walls HRV Efficiency (SRE% at 0o C)
Slab (all >600mm below grade) DHW Heater (EF)
Slab (edge only ≤600mm below grade) DWHR (CSA B55.1 (min. 42% efficiency)) # Showers___
Slab (all ≤600mm below grade, or heated) Combined Heating System
(1) U value to be provided in either W/(m2●K) or Btu/(h●ft2●F) but not both.
E. Performance Design Verification [Subsection 3.1.2. Performance Compliance]
The annual energy consumption using Subsection 3.1.1. SB-12 Reference Building Package is GJ (1 GJ =1000MJ)
The annual energy consumption of this house as designed is ______________GJ
The software used to simulate the annual energy use of the building is:_______________________________________
The building is being designed using an air tightness baseline of:
OBC reference ACH, NLA or NLR default values (no depressurization test required)
Targeted ACH, NLA or NLR. Depressurization test to meet ACH50 or NLR or NLA
Reduction of overall thermal performance of the proposed building envelope is not more than 25% of the envelope of the compliance package it is compared against (3.1.2.1.(6)).
Standard Operating Conditions Applied (A-3.1.2.1 - 4.6.2)
Reduced Operating Conditions for Zero-rated homes Applied (A-3.1.2.1 - 4.6.2.5)
On Site Renewable(s): Solar:________________________
Other Types: ___________________
F. ENERGY STAR or R-2000 Performance Design Verification [Subsection 3.1.3. Other Acceptable Compliance Methods]
The NRCan “ENERGY STAR for New Homes Standard Version 12.6 ” technical requirements, applied to this building design result in the building performance meeting or exceeding the prescriptive performance requirements of the Supplementary Standard SB12 (A-3.1.3.1).
The NRCan,“2012 R-2000 Standard ” technical requirements, applied to this building design result in the building performance meeting or exceeding the prescriptive performance requirements of the Supplementary Standard SB12 (A-3.1.3.1).
Performance Energy Modeling Professional Energy Evaluator/Advisor/Rater/CEM Name and company: Accreditation or Evaluator/Advisor/Rater License # ENERGY STAR or R-2000 Energy Evaluator/Advisor/Rater/ Name and company: Evaluator/Advisor/Rater License #
G. Designer(s) [name(s) & BCIN(s), if applicable, of person(s) providing information herein to substantiate that design meets the building code]
Qualified Designer Declaration of designer to have reviewed and take responsibility for the design work.
Name
BCIN Signature
Form authorized by OHBA, OBOA, LMCBO. Revised November 10, 2016
Guide to the Performance Energy Efficiency Design Summary Form
COMPLETING THE FORM B. Compliance Options Indicate the compliance option being used.
SB-12 Performance refers to the method of compliance in Subsection 3.1.2. of SB-12. Using this approach the designer must use recognized energy simulation software (such as HOT2000 V10.51 or newer), and submit documents which show that the annual energy use of the proposed building is equal to or less than a prescriptive (referenced) building package.
ENERGY STAR houses must be designed to ENERGY STAR requirements and verified on completion by a licensed energy evaluator and/or service organization. The ENERGY STAR BOP form must be submitted with the permit documents.
R-2000 houses must be designed to the R-2000 Standard and verified on completion by a licensed energy evaluator and/or service organization. The HOT2000 report must be submitted with the permit documents.
C. Project Design Conditions Climatic Zone: The number of degree days for Ontario cities is contained in Supplementary Standard SB-1 Windows, Skylights and Glass Doors: If the ratio of the total gross area of windows, sidelights, skylights, glazing in doors and sliding glass doors to the total gross area of walls is more than 17%, higher efficiency glazing is required. The total area is the sum of all the structural rough openings. Some exceptions apply. Refer to 3.1.1.1. of SB-12 for further details. Fuel Source and Heating Equipment Efficiency: The fuel source and efficiency of the proposed heating equipment must be specified in order to determine which SB-12 Prescriptive compliance package table applies. Other Building Conditions: These construction conditions affect SB-12 Prescriptive compliance requirements.
D. Building Specifications Thermal Insulation: Indicate the RSI or R-value being proposed where they apply to the house design. Refer to SB-12 for further details.
E. Performance Design Summary A summary of the performance design applicable only to the SB-12 Performance option.
F. ENERGY STAR or R-2000 Performance Method
Design to ENERGY STAR or R-2000 Standards.
G. House Designer The building code requires designers providing information about whether a building complies with the building code to have a BCIN. Exemptions apply to architects, engineers and owners designing their own house.
BUILDING CODE REQUIREMENTS FOR AIRTIGHTNESS IN NEW HOUSES All houses must comply with increased air barrier requirements in the building code. Notice of air barrier completion must be provided and an inspection conducted prior to it being covered. The air leakage rates in Table 3.1.2.1. are not requirements. The Table is not intended to require or suggest that the building meet those airtightness targets. They are provided only as default or reference values for the purpose of annual energy simulations, should the builder/owner decide to perform such simulations. They are given in three different metrics; ACH, NLA, NLR. Any one of them can be used. They can be used as a default values for both a reference and proposed building or, where an air leakage test is conducted and credit for airtightness is claimed, the airtightness values in Table 3.1.2.1. can be used for the reference building and the actual leakage rates obtained from the air leakage test can be used as inputs for the proposed building. OBC Reference Default Air Leakage Rates (Table 3.1.2.1.) Detached dwelling 3.0 ACH50 NLA 2.12 cm2/m2 NLR 1.32 L/s/m2 Attached dwelling 3.5 ACH50 NLA 2.27 cm2/m2 NLR 1.44 L/s/m2
The building code requires that a blower door test be conducted to verify the air tightness of the house during construction if the SB-12 Performance option is used and an air tightness of less than 3.0 ACH @ 50 Pa (or NLA or NLR equivalent) in the case of detached houses, or 3.5 ACH @ 50 Pa (or NLA or NLR equivalent) in the case of attached houses is necessary to meet the required energy efficiency standard.
ENERGY EFFICIENCY LABELING FOR NEW HOUSES ENERGY STAR and R-2000 may issue labels for new homes constructed under their energy efficiency programs. The building code does not currently regulate or require new home labeling. Form authorized by OHBA, OBOA, LMCBO. Revised November 7, 2016
Energy Efficiency Design Summary:Prescriptive Method (Building Code Part 9, Residential)
This form is used by a designer to demonstrate that the energy efficiency design of a house complies with the building code using the prescriptive method described in Supplementary Standard SB-12, Subsection 3.1.1. This form is applicable to a ratio of gross area of windows, sidelights, skylights and glazing in doors and sliding glass doors to the gross area of peripheral walls of not more than 22%.
For use by Principal Authority
Application No: Model/Certification Number
A. Project Information
Building number, street name Unit number Lot/Con
Municipality Postal code Reg. Plan number / other description
B. Prescriptive Compliance [indicate the Ontario Building Code compliance package being employed in this house design]
SB-12 Prescriptive (input design package): Package: _____________ Table:_____________ C. Project Design Conditions
Climatic Zone (SB-1): Heating Equipment Efficiency Space Heating Fuel Source □ Zone 1 (< 5000 degree days) □ ≥ 92% AFUE
□ ≥ 84% < 92% AFUE □ Gas □ Propane □ Solid Fuel □ Oil □ Electric □ Earth Energy □ Zone 2 (≥ 5000 degree days)
Ratio of Windows, Skylights & Glass (W, S & G) to Wall Area Other Building Characteristics
Area of walls = ______m2 or______ft2
W, S & G % =
Utilize window averaging: □Yes □No
□ Log/Post&Beam □ ICF Above Grade □ ICF Basement □ Slab-on-ground □ Walkout Basement □ Air Conditioning □ Combo Unit □ Air Source Heat Pump (ASHP) □ Ground Source Heat Pump (GSHP)
Area of W, S & G = _____m2 or_____ft2
D. Building Specifications [provide values and ratings of the energy efficiency components proposed]
Energy Efficiency Substitutions
□ ICF (3.1.1.2.(5) & (6) / 3.1.1.3.(5) & (6)) □ Combined space heating and domestic water heating systems (3.1.1.2.(7) / 3.1.1.3.(7))
□ Airtightness substitution(s) Airtightness test required (Refer to Design Guide Attached)
□ Table 3.1.1.4.B Required: Permitted Substitution:
□ Table 3.1.1.4.C Required: Permitted Substitution:
Required: Permitted Substitution: Building Component Minimum RSI / R values
or Maximum U-Value(1)
Building Component Efficiency Ratings
Thermal Insulation Nominal Effective Windows & Doors Provide U-Value(1) or ER rating
Ceiling with Attic Space Windows/Sliding Glass Doors
Ceiling without Attic Space Skylights/Glazed Roofs
Exposed Floor Mechanicals Walls Above Grade Heating Equip.(AFUE)
Basement Walls HRV Efficiency (SRE% at 0o C)
Slab (all >600mm below grade) DHW Heater (EF)
Slab (edge only ≤600mm below grade) DWHR (CSA B55.1 (min. 42% efficiency)) # Showers___
Slab (all ≤600mm below grade, or heated) Combined Heating System
(1) U value to be provided in either W/(m2●K) or Btu/(h●ft2●F) but not both.
E. Designer(s) [name(s) & BCIN(s), if applicable, of person(s) providing information herein to substantiate that design meets the building code]
Qualified Designer Declaration of designer to have reviewed and take responsibility for the design work.
Name
BCIN Signature
Form authorized by OHBA, OBOA, LMCBO. Revised November 10, 2016.
Guide to the Prescriptive Energy Efficiency Design Summary Form
This form must accurately reflect the information contained on the drawings and specifications being submitted. Refer to Supplementary Standard SB-12 for details about building code compliance requirements. Further information about energy efficiency requirements for new buildings is available from the provincial building code website or the municipal building department.
The building code permits a house designer to use one of four energy efficiency compliance options:
1. Comply with the SB-12 Prescriptive design tables (this form is for this option (Option 1)), 2. Use the SB-12 Performance compliance method, and model the design against the prescriptive standards, 3. Design to Energy Star, or
4. Design to R2000 standards.
COMPLETING THE FORM B. Compliance Options Indicate the compliance option being used.
SB-12 Prescriptive requires that the building conforms to a package of thermal insulation, window and mechanical system efficiency requirements set out in Subsection 3.1.1. of SB-12. Energy efficiency design modeling and testing of the building is not required under this option. Certain substitutions are permitted. In which case, the applicable airtightness targets in Table 3.1.1.4.A must be met.
C. Project Design Conditions Climatic Zone: The number of degree days for Ontario cities is contained in Supplementary Standard SB-1 Windows, Skylights and Glass Doors: If the ratio of the total gross area of windows, sidelights, skylights, glazing in doors and sliding glass doors to the total gross area of walls is more than 17%, higher efficiency glazing is required. If the ratio is more than 22%, the SB-12 Prescriptive option may not be used. The total area is the sum of all the structural rough openings. Some exceptions apply. Refer to 3.1.1.1. of SB-12 for further details. Fuel Source and Heating Equipment Efficiency: The fuel source and efficiency of the proposed heating equipment must be specified in order to determine which SB-12 Prescriptive compliance package table applies. Other Building Conditions: These construction conditions affect SB-12 Prescriptive compliance requirements.
D. Building Specifications Thermal Insulation: Indicate the RSI or R-value being proposed where they apply to the house design. Under the SB-12 Prescriptive option, alternative ICF wall insulation is permitted in certain conditions where other design elements meet higher standards. Refer to SB-12 for further details. Where effective insulation values are being used, the Authority Having Jurisdiction may require supporting documentation.
BUILDING CODE REQUIREMENTS FOR AIRTIGHTNESS IN NEW HOUSES All houses must comply with increased air barrier requirements in the building code. Notice of air barrier completion must be provided and an inspection conducted prior to it being covered. The air leakage rates in Table 3.1.1.4.A are not requirements. This provision is a voluntary provision for when credits for airtightness are claimed. Credit for air tightness allows the designer to substitute the requirements of compliance packages as set out in Table 3.1.1.4.B or 3.1.1.4.C. Neither the air leakage test nor compliance with airtightness targets given in Table 3.1.1.4.A are required, unless credit for airtightness is claimed. Table 3.1.1.4.A provides airtightness targets in three different metrics; ACH, NLA, NLR. Any one of them can be used. OBC Reference Default Air Leakage Rates (Table 3.1.1.4.A)
Building Type Airtightness Targets
ACH @ 50 Pa NLA @ 10 Pa NLR @ 50 Pa
Detached dwelling 2.5 1.26 cm2/m2 1.81 in2/100ft2 0.93 L/s/m2 0.18 cfm50/ft2
Attached dwelling 3.0 2.12 cm2/m2 3.06 in2/100ft2 1.32 L/s/m2 0.26 cfm50/ft2
The building code requires that a blower door test be conducted to verify the air tightness of the house during construction if the SB-12 Prescriptive option with airtightness credit being applied. Results of the airtightness test may need to be submitted to the Authority Having Jurisdiction. Airtightness of less than 2.5 ACH @ 50 Pa (or NLA or NLR equivalent) in the case of detached houses, or 3.0 ACH @ 50 Pa (or NLA or NLR equivalent) in the case of attached houses is necessary to meet the required energy efficiency standard.
E. House Designer The building code requires designers providing information about whether a building complies with the building code to have a BCIN. Exemptions apply to architects, engineers and owners designing their own house. Form authorized by OHBA, OBOA, LMCBO. Revised November 7, 2016.
B. Applicant Applicant is: Owner or Authorized agent of owner
C. Airflow Measurement Results
System Capacity System Capacity Provided Purchaser Received:
Minimum Supply Required L/s Supply Air L/s(cfm) Operating Instructions
Unit number Unit number
Postal Code
Purpose Use of Building:
Postal Code Plan number/other descriptionMunicipality
First Name
Municipality
Corporation or partnershipLast name
Province
Street addres
Mechanical Ventilation Installation Review Form
For use by Principal Authority
Application submitted to: Municipality of Shuniah, 420 Leslie Avenue, Thunder Bay, ON, P7A 1X8
Permit No. (if different):Application No.:
Roll No.:Date Received:
A. Project InformationLot/con.Unit numberBuilding number, street name
Telephone number Fax Cell number
(as per design review)
Heat Recovery Ventilator Systems
cfm Exhaust Air L/s(cfm) Warranty Data
Operation & Maintence Manuals
Type of Measuiring Equipment Used Advice & Caution Re: Combustion Air
*Flow Stations (Collars) must be permanently installed in system. (HRVs must be balanced in continuous)
D. Start-up
Equipment Model No. Serial No.
Check the following if satisfactory
Electric Power Wiring Filter(s) Control(s) Functioning Dehumidistat Setting At %R.H.
Control(s) Wiring Air Distribution System Properly Mounted
E. Outdoor Intake/Exhaust Openings
Oustside Supply Air Intake/Exhaust Outlet Separation (72" minimum) m / ft
Height of Intake Above Ground (36" minimum) m / ft
NOTE: Intake and Exhaust Openings to be Equipped with Corrosion-Resistant Screens/Grilles
M. Relief/Makeup Air Required or Results of House Pressure Test (C.S.A. F326)
Note: This Department strongly recommends that each project is field tested to determine relief/make-up air requirements.
N. CSA F326 House Pressure Limits
1. For houses with non-direct vent combustion appliances. 2. For houses with only direct vent combustion appliances.
(as per design review)
Control Switch (Module) centrally located and
indentified
Note: - Include all ventilation fans in test.
- Also include the dryer and the next largest fan for intermitten (Reference Exhaust) pressure measurement.
P. Contractor/Designer Certification
Date Signature
Municipality Postal Code Province E-mail
Telephone number Fax Cell number
Last name First Name Registration/Cert.#/BCIN
Street addres Unit number Unit number
Good No limit on intermittent Good Not AllowedNot Allowed Not Allowed
I hereby Certify that the Ventilation and heating/cooling systems have been designed/installed in accordance with provisions of Part 6, Ontario
Building Code and Residential Mechanical Requirements of "CAN/CSA-F326-M91"
-5 Pa or limit defined by
maunufacturer of heating equipment
(not more than -10 Pa)
-10 Pa Continuous 10 Pa10 Pa
Application for a Plumbing Permit
For use by Principal Authority
Application number: Permit number (if different):
Date received: Roll number:
Application submitted to: Municipality of Shuniah, 420 Leslie Avenue, Thunder Bay, ON, P7A 1X8
A. Project information
Building number, street name Unit number Lot/con.
Municipality Postal code Plan number/other description
Proposed Use of Building:
B. 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 ( )
C. 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 ( )
D. Contractor
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 ( )
Fixtures Stacks and Vents
Item No. of Units Item No. Diameter Material
Water Closets Soil Stacks
Kitchen Sinks Vent Stacks
Wash Tubs Rain Water Leader
Basins Waste Pipes
Bathtubs Hose Drain
Urinals
Hot Water Tank
Others
Application for a Plumbing Permit
2" 3"
L.T.
F.D. 3"
C.O.
12’−0"
4"
4"
StackW.C. B.S.C.O.
Bathtub
1 1/2"Basin 1 1/4"
4"
3"
5’ Max.
5’ Max.
4" C.O.
5’ Max.
3"
W.C.
5’ Max.
5’−0" Max.
1 1/2"
1 1/4"
1 1/2"
3"
1 1/4"
W.C.
3"
1 1/4"Basin
1 1/2"
Flashing
3"
3"
E. Attachments
i. Attach documents establishing compliance with applicable law as set out in Article 1.1.3.3.
ii. Attach Schedule 1 for each individual who reviews and takes responsibility for design activities.
iii. Attach types and quantities of plans and specifications for the proposed construction or demolition that are prescribed by the by-law, resolution, or regulation of the municipality, upper-tier municipality, board of health or conservation authority to which this application is made.
F. Declaration of applicant
I __________________________________________________________________________________________certify that: (print name)
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. I have authority to bind the corporation or partnership (if applicable).
___________________________ _________________________________________________________________
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., 2nd Floor. Toronto, M5G 2E5 (416) 585-6666.
Diagram of Plumbing Installation
This Diagram is for
Information and Guideline Only, other Installations maybe Accepted.
A - Ground Work
Note:
W.C. – Water Closet F.D. – Floor Drain B.S. – Basin L.T. – Laundry Tub K.S. – Kitchen Sink C.O. – Clean Out
Indicate Location of Existing Plumbing
B – Isometric Drawing
Zoning/Grading Approval
Zoning and Grading Approval
For use by Principal Authority
Permit number: Roll number:
Appl icat ion submitted to: Municipality of Shuniah, 420 Leslie Avenue, Thunder Bay, ON, P7A 1X8
Project information
Building number, street name Unit number Lot/con.
Municipality Postal code Plan number/other description
Proposed Use of Building:
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 ( )
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 ( )
Plot Plan
Building Width: Length: Height:
Side Yard: Min.: Side Yard: Min.:
Front Yard: Min.: Rear Yard: Min.:
Office Use Only Zone: Approved By:
Declaration of Applicant
I __________________________________________________________________________________________certify that: (print name)
I understand that the issuance of an approval shall not be deemed a waiver of any of the provisions of any By-laws or requirements of the Building Code Act, as amended, or regulations made there under, notwithstanding anything included in or omitted from the materials filed in support of or in connection with the above approval.
I acknowledge that in the event an approval is issued, any departure from the plans, specifications or building locations proposed in the above approval is prohibited and could result in the approval being revoked.
I acknowledge that I have satisfied myself as to the provisions of the Zoning By-law, the Building By-law, The Building Code Act and the Regulations there under and all other applicable By-laws and regulations as they apply to the lands and the proposed construction and that I have not relied upon the advice or opinion of The Corporation of the Township of Shuniah, its agents, solicitors or servants with respect thereto, nor upon the fact of the issuance of a building permit, and I hereby release the Corporation of the Township of Shuniah, its agents, solicitors and servants from any liability whatsoever which may arise in the event that it is determined that a contravention of any such law now or hereafter exists, in respect of such land and construction.
I hereby certify that I have the authority to bind hereto all owners of the said lands and premises and covenants and agree to indemnify The Corporation of the Township of Shuniah, its agents, solicitors, and servants from and against all claims from all owners of the said lands and premises arising out of granting or revocation of the Approval.
I further acknowledge that in the event the Approval is revoked for any cause or irregularity or nonconformity with any lawful requirements there shall be no right of claim whatsoever against the municipal corporation or any official thereof and any such claim is hereby expressly waived.
___________________________ _________________________________________________________________
Date Signature of Applicant
Municipality of Shuniah
Planning
and Building
Department
420 Leslie Ave.
Thunder Bay, ON P7A 1X8
Tel: 807-683-4545
Fax: 807-683-6982
Application No. ______________
(Office Use Only)
RESIDENTIAL BUILDING CHECKLIST INFILL AND NEW CONSTRUCTION
Name:_______________ Address:______________________
Application to Build/Demolish a_________________
Proof of ownership please attach copy
Deed
Tax bill
MunicipalConfirmation
Roll Number: ______________
Legal Description__________________________________
Zoning Checklist Building Division, Planning and Building Department
Please refer to the Municipality of Shuniah Zoning by-law 2038-00 online for further details:
http://www.shuniah.org/municipal-departments/building-planning/
Site Plan and Zoning Check List
Please indicate which of the following items are provided on your site plan and elevation
drawings by checking off the box to the left. Please be advised that the following information
does not represent an exhaustive list of the zoning by-law requirements, and is used for
preliminary purposes. This will be reviewed by the Planning and Building Department.
Site Plan – Include all structures (proposed and existing), buildings, encroachments, decks, patios, saunas etc. on your site plan. Include distances between proposed and existing structures, and distances to all property lines. See example diagram.
Setbacks
Front yard setback-front yard property line is the lake side in Shoreline Zones at the high water mark1
Setback to front yard encroachments (porch, risers, etc.)
Rear yard setback (from property line and from edge of travelled road)
Setback to rear yard encroachments (decks, balconies, below grade entrance, etc.)
Interior/Exterior side yard setback
Setback to interior/exterior side yard encroachments (stairs, risers, window wells, fireplace, etc.)
Setback to railway right of way
Distance between structures
Infill construction Y N - if yes please show location of each immediately abutting neighbours’ main dwelling, decks and other structures.
Municipality of Shuniah
Planning
and Building
Department
420 Leslie Ave.
Thunder Bay, ON P7A 1X8
Tel: 807-683-4545
Fax: 807-683-6982
Application No. ______________
(Office Use Only)
RESIDENTIAL BUILDING CHECKLIST INFILL AND NEW CONSTRUCTION
Site Statistics
Lot area
Lot frontage
Lot coverage (m2 and %)
Description or breakdown of
what is included in coverage
Garage area (m2)
Grading
Average grade calculation
Point used for average grade
shown on the site plan
Established grade calculation
Points used for established
grade shown on the site plan
Other A/C location and setback
Easements
Shoreline reserve (shoreline road
allowance) please indicate
ownership
Abutting road allowances
Water supply (well location)
Septic location
Driveway location
Elevations
Height to the highest ridge from average
grade
Height to the eaves from average grade
Height to the midpoint of the roof from
average grade
Height Accessory Structures (shed,
gazebos, detached garages)
Height to the highest ridge from established
grade
Height to the eaves from established grade
Dimension of eave overhang
Floor Plans
Full dimensions
Rooms labeled
Accessory structure
dimensions
Interior garage dimensions
Location of garage doors
Distance of garage doors to
road
Other Approvals
Conservation authority MTO
(Ministry of Transportation),
MOE (Ministry of
Environment), TBDHU
(Thunder Bay District Health
Unit –Septic-Grey Water Pit)
Camper’s Associations
(letter from building
committee)
(circle one) -To your knowledge, are any minor variances or zoning amendments required Y N
-Are you replacing an existing structure. Y N
-Is it in the exact same location, the same size and same shape (no additions or expansions of
any kind this includes a second story/deck etc) Y N
-If you are replacing a structure is it at least 1.5 m to all property lines Y N
1 High water mark: Is the mark made by the action of water under natural conditions on the shore or bank of a body of water, so common and usual and so long continued that it has created a difference between the character of the vegetation or soil on the other side of the mark.
Municipality of Shuniah Building Department
420 Leslie Avenue, Thunder Bay, ON, P7A 1X8 Phone: 807-683-4545 Cell: 807-626-4998 Fax: 807-683-6982
Email: [email protected]
NEW OCCUPANCY REQUIREMENTS FOR HOUSES COME INTO EFFECT JANUARY 2012
Commencing on January 1st, 2012 residential houses
1 must meet more
stringent completion requirements before occupancy of the house can be
permitted. These new requirements found in Article 1.3.3.4. of Division C
of the Ontario Building Code will culminate in the issuance of an
Occupancy Permit.
Builders of such houses will need to be diligent to ensure they can meet their scheduled closing dates. Here’s
a summary of the current and future criteria for allowing the occupancy of a newly constructed house.
Building Components Required for Occupancy of a House1
Applications Received
Before Jan. 1, 2012
Applications Received
After Jan. 1, 2012
(a) Structure substantially completed and ready to be used for its intended purpose
X
(b) Building envelope substantially completed (cladding, roofing, windows, doors, assemblies requiring a fire resistance rating, closures, insulation, vapour barriers and air barriers)
X
(c) Insulation and vapour barrier protected from mechanical damage where required
X
(d) Site grading is substantially completed X (e) Required electrical supply is provided X (f) Required fire fighting access routes have been provided and are
accessible
X
(g) (i) Required exits, floor access and egress systems, handrails, guards, smoke alarms, carbon monoxide detectors, fire separations and fire stopping components and systems are completed and operational
X
X
(ii) Required exhaust fume barriers and self-closing devices on doors between attached or built-in garage and the dwelling unit are completed and operational
X
X
(h) The water system, building drain, building sewer, drainage system and venting system are completed, operational and tested
X
X
(i) Required plumbing fixtures are substantially completed and operational X Note 1: Houses are residential dwelling units in a detached, semi‐detached or townhouse form where no unit is above another unit, and each unit has its own exit facility.
A house cannot be occupied without an Occupancy Permit being issued, and no Occupancy Permit will be issued
unless all of the above requirements have been satisfied.
For more information please contact Building Department at 420 Leslie Avenue, Thunder Bay, ON, P7A 1X8
Phone: (807) 626-4998 or E-mail: [email protected].
Occupancy Permit
Information Sheet
B2408
B2410
Municipality of Shuniah 420 Leslie Avenue
Thunder Bay, ON, P7A 1X8 Ph. 807-683-4545 Fax. 807-683-6982
To the Building Permit Holder:
The Building or Structure covered by this permit must be constructed in accordance with the plans, specifications, documents and other information on the basis of which the Permit was issued or any changes thereto authorized by the Chief Building Official.
The Ontario Building Code requires that all inspections be carried out at Critical Phases of Construction. Please notify Shuniah Building Department at (807) 626-4998, or others as noted, when the following are ready for INSPECTION.
1. EXCAVATION AND FOOTINGS
2. PRE-BACKFILL
3. SEWERS AND DRAINS, WATER SERVICE AND UNDERGROUND PLUMBING
4. SEPTIC SYSTEM (Thunder Bay District Health Unit or MOE for Association Lands)
5. ELECTRICAL SERVICE (Ontario Hydro)
6. FRAMING
7. PLUMBING, HEATING/VENTILATION/AIR CONDITIONING
8. INSULATION AND AIR/VAPOUR BARRIER
9. PRE-OCCUPANCY
10. FINAL PLUMBING
11. FINAL INTERIOR AND EXTERIOR (Including site grading)
12. CERTIFICATE OF OCCUPANCY
Note: Masonry Fireplaces and Chimneys; Factory Built Fireplaces and Chimneys; Stoves; Ranges; Space Heaters; and Add-on Furnaces using Solid Fuels, REQUIRE INSPECTION at the Commencement of Construction.
Failure to call for an Inspection will be recorded and could result in the issuance of an Order to Comply. Missed Inspections could prove to be detrimental in a mortgage application or prospective sale.
An approved set of construction drawings, including truss details, must be available on site at time of inspection.
ENCROACHMENT OF OVERHEAD AND UNDERGROUND ELECTRICAL POWER LINES
You are not only responsible to call before you dig
to ensure you do not adversely affect buried utility cables, BUT YOU MUST ALSO LOCATE YOUR BUILDING OR STRUCTURE TO MAINTAIN
MINIMUM CLEARANCES FROM OVERHEAD POWER & UNDERGROUND POWER LINES.
THIS CAN AFFECT THE LOCATION OF YOUR BUILDING OR STRUCTURE (This notice is attached to all building permit applications. It contains information important to your project planning)
The permit applicant has a responsibility to ensure that the structure resulting from the permit application does not encroach on required clearances to overhead and underground power cables. Failure to identify and avoid these encroachments has, in the past, resulted in physical injury and/or unexpected costs to the applicant/owner. Expect that your building or part thereof will have to be moved or removed at your expense, where proper clearances have not been adhered to.
Legislation that controls minimum clearances for structures being built near overhead or underground power lines includes the following: Ontario Electrical Safety Code Section 75-312(3)
Contact: Electrical Safety Authority
Phone# 1-877-372-7233
Occupational Health & Safety Act O. Regulation 213/91
Contact: Ministry of Labour
Construction Inspection
Phone # 475-1691
Note: No buildings or structures may be built over top of any underground power line without express written consent from that authority. New driveways into building lots can significantly reduce clearances to power and communication cables that were not originally designated for vehicles passing underneath. You are hereby advised, by way of this notice, that you are responsible to consult with the above mentioned authorities having jurisdiction in this matter and that you must maintain these minimum requirement clearances, in addition to any setbacks and clearances which may otherwise be required by zoning and building code regulations.