Application for a Permit to Construct or Demolish This form is authorized under subsection 8(1.1) of the Building Code Act.

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1 Application for a Permit to Construct or Demolish This form is authorized under subsection 8(1.1) of the Building Code Act. App~~ca~ion number: COI` USA' b~' ~~111C1~'?~~ AC~~~1~3~#~y Per~mi~ number cif d ffe~ent~:: date received: Roll number: Application submitted to: (Name of municipality, upper-tier municipality, board of health or conservation authority) A,. Project inforrna~ion Building number, street name Unit number Lot/con. Municipality Postal code Plan number/other description Project value est. $ Area of work (m ) ~. Purpc~s+~ of application New construction Addition to an Alteration/repair 0 Demolition Conditional existing building Permit Proposed use of building Current use of building Description of proposed work C, Applicant ~pplicanfi is: C3 Owner or C~ Aufihor~ed agent` of owner ` Last name ~ First name Corporation or partnership Street address Unit number Lot/con. Municipality Postal code Province Telephone number Fax ~ ) Q. ~wr~er cif dr~ferer~~ from applicant Last name First name Corporation or partnership Cell number ~ ) Street address Unit number Lot/con. Municipality Postal code Province Telephone number ~ ) Fax ( ) Cell number ( ) Application for a Permit to Construct or Demolish Effective January 1, 2011

~, B~~~~r {a ptiona~} 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 ~.

2 ~, B~~~~r {a ptiona~} Last name First name Corporation or partnership (if applicable) Street address Unit number Lot/con. Municipality Postal code Province Telephone number Fax Cell number ~. ~'ar~c~n IAiarr~nty Ct~r~orat~~an (tan~ario Nevv ~drne 1N~rranty 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 AcY? Yes No iii. If yes to (ii) provide registration number(s): ~. 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. F~. ~Compteteness anci cc~mp~i~~nce with appleable law i) This application meets all the requirements of clauses (5)(a) to (d) of Division C of the Yes No 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 application is made. Yes 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, Yes No iii) This application is accompanied by the information and documents prescribed by the applicable by- Yes No law, resolution or regulation made under clause 7(1)(b) of the Building Code Act, 7992 which 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 D No ~, Dec~arati~n o~ applicant ~ 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, 7992, and will be used in the administration and enforcement of the Building Code Act, 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) Application for a Permit to Construct or Demolish Effective January 1, 2011

3 Schedule 1: Designer Information l 1~P nna form fnr Aarh inrlivirli ial vuhn ravic~~~ic and t~lrce roer~nneil- ilit~i fnr ~e~+inr~ n~~i~ii~i~e+ ~iii~4~ r~wr~.~..~4 ~.. il......~...~t A Prc~j~ct 1~f~rmat~orr Building number, street name Unit no. Lot/con. Municipality Postal code Plan number/ other description 8. Individual ~nrho reviews and takes responsibility for des~~n activities Name Firm Street address Unit no. Lot/con. Municipality Postal code Province Telephone number Fax number, Cell number C Design activities undertaken by individual iden~t~#red in Section B~ [Building Gode Table x of Division C] House D HVAC House Building Structural Small Buildings Building Services Plumbing House Large Buildings Detection, Lighting and Power Plumbing All Buildings Com lex Buildin s Fire Protection On-site Sewa e S stems Description of designer's work D. Declaration of Designer ~ 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 of Division C, 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 and am qualified in the appropriate category as an "other designer" under subsection of Division C, of the Building Code. Individual BCIN: Basis for exemption from registration: D The design work is exempt from the registration and qualification requirements of the Building Code. Basis for exemption from registration and qualification: certify that: 1. The information contained in this schedule is true to the best of my knowledge. 2. I have submitted this application with the knowledge and consent of the firm. NOTE: Date Signature of Designer 1. For the purposes of this form, "individual" means the "person" referred to in Clause (1) d).of Division C, Article of Division C, and all other persons who are exempt from qualification under Subsections and of Division C. 2. Schedule 1 is not required to be completed by a holder of a license, temporary license, or a certificate of authorization, issued by the Ontario Association of Architects. Schedule 1 is also not required to be completed by a holder of a license to practise, a limited license to practise, or a certificate of authorization, issued by the Association of Professional Engineers of Ontario. Application for a Permit to Construct or Demolish Effective January 1, 2011

4 Schedule 2: Sewage System Installer Information A. Pra~~ct In~arma~ion Building number, street name Unit number Lot/con. Municipality Postal code Plan number/ other description B. Sewage system installer Is the installer of the sewage system engaged in the business of constructing on-site, installing, repairing, servicing, cleaning ~or emptying sewage systems, in accordance with Building Code Article , Division C? Yes (Continue to Section C) No (Continue to Section E) Installer unknown at time of application (Continue to Section E) C. Registered installer information..(where answer to B is "Yes"j Name BCIN Street address Unit number Lot/con. Municipality Postal code Province Telephone number Fax Cell number D= Qualified supervisor i~nfqrmation where answer tc~ sect~an B is "Yes' Name of qualified supervisors) Building Code Identification Number (BCIN) E. declaration of Appl~car~t; ~ declare that: (print name) I am the applicant for the permit to construct the sewage system. If the installer is unknown at time of application, I shall submit a new Schedule 2 prior to construction when the installer is known; OR I am the holder of the permit to construct the sewage system, and am submitting a new Schedule 2, now that the installer is known. 1 certify that: 1. The information contained in this schedule 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 Application for a Permit to Construct or Demolish Effective January 1, 2011

Municipal Form 6 Building Permit Fee Calculation Form BP # This form must be completed in order to calculate permit fees associated to the proposed renovations or new construction.

5 Municipal Form 6 Building Permit Fee Calculation Form BP # This form must be completed in order to calculate permit fees associated to the proposed renovations or new construction. Building Type: Construction Type: Heating System: No. of Bedrooms: (i.e. Single Family Dwelling, Accessory Building, Agricultural Building) (i.e. New Construction, Renovation/Alteration) Primary: Secondary: Building Size: Basement: Main Floor: Second Floor: Detached /Attached Garage: New Construction Renovation Sq. Ft No. of Solid Fuel Burning Woodstoves / Fireplaces: Deck / Porch / Veranda Size: Sq. Ft. Sq. Ft. Water Meter & Trench Inspection Engineered Lot Grading Fixture Units: (incl. roughed-in plumbing) Fixture units related to the proposed renovation or new construction Description # of Units per Bathroom Group - 2 pc 5.5 Bathroom Group - 3 pc 6 Bathroom Group - 4 pc 7.5 Bidet 1 Kitchen sink 1.5 Washing Machine 1.5 Laundry Tub 1.5 Dishwasher 1.5 Other Existing New # of Fixtures Total Fixture Units Fixture Count I certify the above information is correct and corresponds with the permit drawings and documents, and acknowledge I shall notify the Chief Building Official of all revisions. Signature (Owner or Agent) Print Name Date Revised July 2017

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

6 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 Subsection of SB-12. This form is applicable where the ratio of gross area of windows/sidelights/skylights/glazing in doors and sliding glass doors to the gross area of peripheral walls is not more than 22%..._.y,...~.,.....,., r,._.:..,...: ~. y..,...,,..,..;..i, «;, < r,...,. ;..., {y.- }~}4~ i'.,. }~~~ MVi' ~; ~~,,~`.,. ;.,:,. ~ :; ~ ` y if ;.,.,-. '~,, A. Project Information J ` /~ Building number, street name Unit number Lot/Con Muniapality Postal code Reg. Plan number/ other description B. Prescriptive Compliance [indicate the building code compliance package being employed in this house design] SB- 72 PreSCI'1ptlVe (input design package): Package: Table: D. Building Specifications [provide values and ratings of the energy efficiency components proposed], _,r - _ ~ m, ~r~er~y ~ff~c~~~~y ~brs~itu~ans- ICF ( (5) & (6) / (5) & (6)) Combined space heating and domestic water heating systems ( (7) / (7)) Airtightness substitutions) o Table B Required: Airtightness test required Refer to Design Guide Attached) Table Required:_, Re ui red: #i~. ~ ~ri~u~ ~~ ~. ~u.~~ Thermallnsulation Nominal Effective Ceiling with Attic Space Ceiling without Attic Space Exposed Floor Walls Above Grade Basement Walls Slab (all >600mm below grade) S18b (edge on{y s600mm be{ow grade) S{8b (all s600mm below grade, or heated) Permitted Substitution: Permitted Substitution: Permitted Substitution: 8~~l~~n~g ~+~tri ~ent : " #~c~e~~y F~at~r ~s Windows &Doors Provide U-Value~'~ or ER rating Windows/Sliding Glass Doors Skylights/Glazed Roofs Mechanicals Heating Equip.(AFUE) HRV Efficiency (sre ~o at o c~ DHW Heater ~EF~ DWHR (CSA B55.1 (min. 42 ~ e~ciency)) #Showers_ Combined Heating System (1) U value to be provided in either W/(m2.K} or Btu/(h ft2 F) but not both. E_ Desianer(sl (name(sl ~ BCIN(sl. if annlicable_ of oersnn(sl orovidina information herein to substantiate that desinn meets the h~~ilr~~n~ ry,r~al 1~ _.des ner. U~c~a~ati~n v~ d~~ r tc~ haye r~e~r~eww~d and ~ ke res :~ ~~.si '1 ~ ~.fi~e'~3es' n rk. Name BCIN Signature Fomn authorized by OHBA, OBOA, LMCBO. Revised December 1, 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.

7 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-72 Prescriptive design tables (this form is for this option (Option 1)), 2. Use the SB-72 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-72 Prescriptive requires that the building conforms to a package of thermal insulation, window and mechanical system efficiency requirements set out in Subsection 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 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, side{fights, 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 S8-12 Prescriptive option may not be used. The total area is the sum of all the structural rough openings. Some exceptions apply. Refer to 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 Prescrptive 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 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 B or C. Neither the air leakage test nor compliance with airtightness targets given in Table A are required, unless credit for airtightness is claimed. Table 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 A) Airtightness Targets Building Type ACH ~a 50 Pa NLA ~ 10 Pa ~ 50 Pa Detached dwelling cm2/m in2/100ft Us/m cfm50/ft2 Attached dwelling cm2/m in2/100ft Us/m 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 ~a 50 Pa (or NLA or NLR equivalent) in the case of detached houses, or 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 30, 2016.

8 Drain Water Heat Recovery Units (DWHR) conforming to CSA B 55.1 and B 55.2 DWHR units are required under the new OBC requirements SB-12 effective January 1 st, The intent of the OBC requirement is to install DWHR on shower drains where space permits. The manufacturers of DWHR require that the unit be installed in a VERTICAL orientation. It also requires 63 inches of continuous drain pipe based on the recommended 60 inch unit. Certain homes with septic systems will not have this required 63 inches of vertical continuous drain pipe in basements. Homes built in the Township of Oro-Medonte are predominantly built with septic systems. The following policy will apply for the installation of DWHR based on where space permits: DWHR required: 1) 2 storey homes with showers on 2 nd floor. 2) All homes with walkout basements with showers on main or 2 nd floors. DWHR not required: 1) Bungalows without walkout basements with showers on main floor. Any homes that do not fall within the above noted examples will be considered on a case by case basis by the Chief Building Official or Designate. Township policy for DWHR installation may be amended at any time due to OBC amendments.

9 Rev. February 27, 2017 TECHNICAL BULLETIN: Engineered Lot Grading Requirements The following is a summary when a Competent Designer is required to complete a lot grading / site plan for Development Engineering to review and approve as part of a building permit submission. Engineered Lot Grading a site plan showing drainage information; completed by a Competent Designer Professional Engineer (P.Eng.), a Certified Engineering Technologist (C.E.T.) or an Ontario Land Surveyor (OLS) and approved by the Township. When Engineered Lot Grading IS required: (For Single Detached, Semi-Detached & Townhouse Dwellings) 1. All lots within M-plans (e.g. Plan 51M-957, Plan M-118), regardless of lot area or setbacks; 2. All lots (including lots in a Registered Plan) where the lot is 0.2 ha / 0.5 acre or less; 3. All waterfront lots; 4. All lots within Settlement Areas; 5. All lots, where a Site Plan Agreement is required. 6. All lots where a proposed dwelling, accessory building or addition is 5.0 m / 16.4 ft. or less from a lot line; 7. All lots where a proposed addition / accessory building exceeds 20 m 2 / ft 2 ; 8. All lots where the building permit will also require a revision to the septic permit / septic system; 9. Any lot where the Chief Building Official / Manager, Development Engineering determines Engineered Lot Grading is required as part of a Planning Application or due to grading / topography / slope stability issues; Page 1 of 2

10 When Engineered Lot Grading IS NOT required: 1. On all other lots where the lot has an area greater than 0.2 ha / 0.5 acre and 2. Where the proposed dwelling, addition or accessory building is greater than 5.0 m / 16.4 ft. from a lot line; and 3. Where the addition or accessory building is less than 20 m 2 / ft 2 ; or 4. On all lots where only decks or porches are being applied for; or 5. Agricultural buildings. Fees and Refund: As per the amended fees by-law the applicable fee is $1, Once Final Lot Grading is completed, the Township shall undertake a Site Inspection for Final Grading Approval; any remaining portion of the fee will be refunded to the Applicant. Process: Where applicable, Development Services staff will advise land owners or their agent of the following: 1. An Engineered Lot Grading Plan is required; 2. A Competent Designer is required to complete the plan; 3. Engineered Lot Grading Plans are to be prepared in accordance with the Township of Oro-Medonte Development Engineering Policies, Process, and Design Standards (Bylaw ) and the Township s internal checklist (attached); 4. The fee of $1, is payable upon submission of the Building Permit Application; and 5. 2 copies of the Engineered Lot Grading plan submitted to the Township. Upon Township approval of and issuance of the Zoning Certificate, a Building Permit application may be submitted, and shall include the Engineered Lot Grading Plan. Page 2 of 2

Application for a Permit to Construct or Demolish This form is authorized under subsection 8(1.1) of the Building Code Act,1992

Application for a Permit to Construct or Demolish This form is authorized under subsection 8(1.1) of the Building Code Act,1992 For use by Principal Authority Application number: Permit number (if different):