BUILDING PERMIT ASSESSMENT FORM (Duplicate)

BUILDING PERMIT ASSESSMENT FORM

Permit #: 2110
Address: 17 EATON AVE
Legal Description: LOT B SECTION 9, ESQ DIST, PLAN EPP 21550
OCP Designation: M-R MIXED RESIDENTIAL
Zone: CD-5A
Lot Size: 526 M²

1. State of Title Certificate submitted? Yes: X | No: ____
2. Suitable Site Plan submitted? Yes: ✓ | No: ____

Comments

3. Permitted Use

• Permitted Use: DETACHED RES
• Compliance: Yes: ✓ | No: ____

4. Lot Coverage

• Permitted: ________________
• Proposed: ________________
• Compliance: Yes: ____ | No: ____

5. Gross Floor Area

• Permitted: 0.45
• Proposed: 0.56
• Compliance: Yes: ____ | No: X

6. Building Height

• Permitted: ________________
• Proposed: ________________
• Compliance: Yes: ____ | No: ____

7. Setbacks

• Front: ________________ | Proposed: ________________
• Rear: ________________ | Proposed: ________________
• Side: ________________ | Proposed: ________________
• Side: ________________ | Proposed: ________________
• Side Flanking: ________________ | Proposed: ________________
• Compliance: Yes: ____ | No: ____

8. Parking

• Required: ________________
• Proposed: ________________

9. Rights-of-Way, Easements and Covenants

• Right-of-Way: Yes: ____ | No: ____
• Easement: Yes: ____ | No: ____
• Covenant: Yes: ____ | No: ____

10. Permits/Applications Required

• Development Permit: Yes: ✓ | No: ____ | Comments: FORM + CHAR DP AREA.
• Development Variance: Yes: ____ | No: ____
• Tree Cutting Permit: Yes: ____ | No: ____
• Access Permit: Yes: ____ | No: ____

11. DCCs Payable: __________________________________________________________________

12. Authorization of Building Permit Issuance

• Yes: ____ | No: X
• Comments: OVER THE PERMITTED FSR.

Date: JUNE 30 2016