This is an automated transcription (OCR) of the captured
official document — minor recognition errors are possible; the source
document governs.
Snapshot e41be9adaad7 · verified 2026-09-27 ·
original document ·
archived snapshot ·
unofficial consolidation, the official version is held by the municipal clerk.
TOWN
DELISLE
Saskatchewan
TOWN
Saskatchewan
## APPLICATION FOR BUILDING PERMIT
- [ ] \_construct
I hereby make application for a permit to
- [ ] . alter
- [ ] \_ reconstruct
the information below and to the plans and documents attached to this a plication.
a building according to
Civic address or location of work
Legal description - Lot
Owner.
Designer
Contractor \_
Nature of work
Intended use of building
Size of building
Number of storeys
Number of stairways
, Number of exits
Block
Address -
Address
Address
Plan \_
Telephone
Telephone
Telephone
Length
Width
Fire escapes
Width of stairways.
Width of exits.
Height
Foundation Soil Classification and Type :
Footings \_
Foundations
Exterior Walls
Roof
Studs
Foor Joists
Girders
Rafters
Chimneys
Heating
Material
Material
Material
Material
Material
Material
Material
Material
Number
Material
Lighting
Size
Size
Size
Size
Spacing
Spacing.
Spacing
Spacing
Size
Thickness
Plumbing
Estimated value of construction Building area (area of largest storey) \_ square feet Fee for building permit $
I hereby agree to comply with the Bullding Bylaw of the local authority and acknowiedge that it Is my responsibility to ensure compliance with the Building Bylaw of the local authority and with any other applicable bylaws, acts and regulations regardless of any plan review or inspections that may or may not be carried out by the local authority or its authorized representative.
Date
..Signature of Owner or Owner's Agent
-
## TOWN OF DELISLE, SASKATCHEWAN
BUILDING PERMIT #
Permission is hereby granted to to a building to be used as on civic address or location Lot Block Plan in accordance - with the application dated This permit expires six months from the date of issue if work is not commenced within that period or if work is suspended for a period of six months, unless otherwise authorized by the local authority or its authorized representative.
This permit is issued subject to the following conditions:
Any deviation, omission or revision to the approved application requires approval of the local authority or its authorized representative.
Estimated value of construction §
Permit Fee $
Date
:
Signature of Authorized Representative
## APPLICATION FOR A DEVELOPMENT PERNIT
Under the Town of Delisle Zoning Bylaw.
## PLEASE PRINT
- 1.. a) Applicant's:
Name:
Address:
- b) Registered Owner's: Mame: Address:
- Agent, Solicitor, surveyor or Planner (If applicable) Name: Address:
2. Legal and Site Description of land:
Lot:
Parcel:\_
Block:
Registered Plan No.:
Certificate of Title:.
If written description, please state:
-.
3. Number of Spaces: Size of Parking Space:.. or request is for payment in lieu of off-street parking Number of Spaces:\_ Size of Loading Space:\_
4. Accessory Use:
5. Existing
Lot Width:\_ - Front Yard:\_ Side Yard: Rear Yard:. Percentage of Lot occupied:\_ Floor Area:\_
Lot Length: Lot Area:.
- off Street Parking and Loading:
Type of Accessory Use:\_
Percentage of Lot occupled:\_
Height of accessory bullding:
set back from side site line:
Set back from rear site line:.
- and proposed use of land for development:\_
6. Commencement: Completion:\_
- Estimated dates of commencement and completion of development:
7. Proposed Development Involves (check where applicable):
Subdivision:\_
Altered Bullding:
Addition to Bullding:
8. Additional Comments
- Zoning Amendment:
New Building:.
Other (specify) :
- in support of Application:
9. Site Plan. Please provide a sketch in the space below showing:
- Legal Description.
- 2. appilcable, provisions for off-street loading and vehlole
10. Declaration by Applicant:
of the
In the Province of Saskatchewan, solemnly declare that all the above statements contained within the application are true, and I make this solemn declaration conscientiously belleving 1t to be true, and knowing that It is of the same force and effects as lf made under oath, and by virtue of "The Canada Evidence Act".
I hereby give my consent to allow all authorized persons the enter the above land and/or building with respect to this application only.
Date:..\_
Address:.
, Signature:
## DEVELOPMENT PERMIT - NOTICE OF DECISION
Application No.
Applicant:.
Legal Description:
Application:
- a) Approved
- b) Approved subject to the following conditions:
- 0)
- Refused for the following reasons:
Please be advised that you may be entitled to appeal by the Development Officer to the Zoning Appeals Board, Section 83 of The Planning and Development Act. a refusal issued
Date
Development Officer
## FOR MUNICIPAL OFFICE USE ONLY:
1. Present Zoning:
2. Proposed Use (s): Principal:
- [ ] UR - Urban Reserve District
- [ ] R1 - Residential District
- [ ] Residential District
- [ ] R3 - Residential District
- [ ] C1 - Commercial District
- [ ] C2 - Commercial District
- [ ] M- Industrial District
## Accessory:
- A. Application Status:
- Proposed yards:
Front..
Side
- [ ] ( ) Meets Bylaw Requirements
- [ ] ( ) Does Not Meet Bylaw Requirements
Real\_
Side.
Proposed Use:
Site Requirements:
Date
Development Officer