City of Coquitlam Temporary Use Permit Application Office Use Only File Number: Fees: $ Receipt #: Planning and Development Department 3000 Guildford Way, Coquitlam BC V3B 7N2 Tel: 04-927-3430 Fax: 04-927-3405 Email: planninganddevelopment@coquitlam.ca www.coquitlam.ca/development Received by: Associated files: Fees are not refundable except as outlined in the Fees and Charges Bylaw and do not guarantee approval of application in any way. Instructions: If more information is required than a field allows for, please attach additional pages. Applicant Date: Business Name: Contact Name: Address: City: Postal Code: Phone: Fax: Email: Owner(s) of Property Owner Address and Postal Code Phone Email Property Description Property Address: Property Identification Number(s): Legal Description: Lot Dimensions: Lot size: m 2 Lot frontage: m Lot depth: m Existing land use(s): Existing zone(s): Existing Official Community Plan Designation: Existing buildings/structures will be: Retained Demolished Relocated No Existing Buildings Are there any easements or restrictive covenants affecting the property? If yes, provide copies with the current title search (30 days) for all properties. Yes No File #: 04-1500-20/500/2 Doc #: 1521488.v2 Revised March 201 Page 1 of
Proposal Proposed Use: Describe the proposed temporary use and the need for a temporary use permit. (Add description on supplemental sheets as necessary): Does the proposed use require a new building(s) or any exterior changes to existing buildings(s)? If so, please describe: Does the proposed use involve manufacturing, producing or processing any goods or materials? If so, please describe: Does the proposed use include any storing or warehousing of products or goods on site? If so, please describe: Does the proposed use involve the retail sale of any products on site? If so, please describe: Will any customers or visitors be coming to the site? If so please describe what type (i.e., public, other business operators) and approximate frequency: Approximately how many employees are associated with the proposed use? Compatibility with existing land uses: Provide a rationale on how the proposed use is or is not compatible with existing land uses surrounding the site: File #: 04-1500-20/500/2 Doc #: 1521488.v2 Revised March 201 Page 2 of
Off-Street Parking: Provide the number of parking spaces to be provided for this proposed use: Transportation: Describe the number of trips per day and type (e.g., delivery truck, customer car) that will be generated by the proposed use: Landscaping: Describe plant materials to be planted (e.g., native pants, non-invasive, non- bear attractant). Watercourse Areas: Describe any drainage courses or erosion areas on or near the site. Flood: Describe any areas subject to flooding. Estimated cost of construction: $ Applicant Acknowledgement The personal information collected on this form is collected in accordance with the Freedom of Information and Protection of Privacy Act. The City has authority to collect your information for the purposes of administering the Planning and Land Use Management process in accordance with Part 14 of the Local Government Act. Applicants are advised that all Planning and Land Use Management processes are public and any materials submitted become part of the public record. All information submitted may be used for reports to Council, available to the public upon request and distributed on the City s website. Should you have any questions or concerns about the collection and/or release of your personal information please call the Supervisor of Development Services at 04.927.3430. By signing this application form, the applicant/owner attests that the information provided on this and supplemental application forms for land use permits from the City of Coquitlam is true and correct to the best of their knowledge. Any material falsehood or any omission of a material fact made by the applicant/owner with respect to this application may result in an issued permit becoming null and void. I, the applicant/owner, certify that this application is being made with the full knowledge and consent of all owners of the property in question. Applicant Or Authorized Representative Name (Print) Signature Date Authorization of Applicant I hereby designate to act as my agent in matters related to this application. Owners Name (Printed): Owners Signature: Note: A letter of applicant authorization with the signatures of all owners will also be accepted. File #: 04-1500-20/500/2 Doc #: 1521488.v2 Revised March 201 Page 3 of
City of Coquitlam Temporary Use Permit Checklist This checklist must be followed and submitted with your application form. If the application is incomplete it will affect the processing time of the pending application. Please complete the application by initialling under Attached to verify completion of each submittal requirement. City staff will review the checklist and application package. Only complete applications will be accepted and assigned to a file manager for review. Project Address: Forms, Fees and Technical Reports Document Application Form Application Fee Current Title Search Required Details 1 A Temporary Use Permit (TUP) application form must be completed and signed at time of submission. Where the owner is a company, the signature required is from a representative with signing authority. An application fee, based upon the current effective Fee Schedule. 1 A copy of the current title search from the Land Title Office for each parcel affected in the application, including copies of any rights-of-way, restrictive covenants, easements that are registered on the title. The title search must have been completed within 30 days of submission. Drawings Required (NO pencil drawings) Document Electronic (.pdf) Drawings Project Statistics Cover Sheet Certified Survey Plan Notes Required Details Notes 1 A complete set of all drawings, including landscape plan, provided on a memory stick (USB port) for transferring at time of application submission. Total site area. Site coverage permitted and proposed. Gross floor area calculation permitted and proposed. Building height(s) permitted and proposed. Front, side and rear yard setbacks from property line permitted and proposed. Parking required and proposed. PID Legal Description Street address, street name(s) and location, location and width of any lane(s). Dimensions of site area. Location and dimensions of all existing buildings and structures on the site. Front, rear and side yard setbacks from buildings to lot lines. Lane dedications, registered easements, encroachments and rights-of-way. Location of existing street crossings. Existing grades at each corner of the lot or spot elevations of the property at one metre intervals. Crest and toe slope setback and/or location of the natural boundary of any watercourses for sites containing or adjacent to slopes or watercourses. The owner s name and address listed on title will be listed as the permittee on the authorized Development Permit. Attached Attached Accepted (Staff) Accepted (Staff) File #: 04-1500-20/500/2 Doc #: 1521488.v2 Revised March 201 Page 4 of
Site Plan Floor Plans Sections Dimensioned at a scale of not less than 1:100. North arrow Vicinity plan (location of site relative to other major streets in area) Street name(s) adjacent to and fronting the site Civic address of site Dimensions of site Location and dimensions of all buildings and structures. Required setbacks of buildings and accessory structures from property lines. Existing and finished grade levels. Size and location of all off-street parking. Access to parking from street and/or lane with dimensions. Location of the natural boundary of any existing watercourses or environmental features. Location of utility connections. Dimensioned at a ¼ scale or metric equivalent. All storeys and basement areas. Indicate all room uses and dimensions, including finished/unfinished areas. All door, window and skylight locations. Location of vents, bay or box windows, air conditioning units and additions. Clear indication of proposed work for additions to an existing building. Longitudinal and cross sections should include: details of vaulted areas and adjacent attic spaces, and envelope of height protrusions. Provide section of any roof deck over habitable areas. All dimensions and measurements must be in metric units Building Elevations Four elevations, front, rear and sides (indicating direction). Existing and finished grade elevations around the perimeter of the structure. Elevation on each floor level, and peak of pitched roof or parapet wall of flat roof. Dimensions of projections above grade. Finish details and materials of exterior, including colours. Notes indicating treatment of exposed concrete surfaces. Door and window details and sizes. Fencing and accessory building details. Typical elevations are not accepted. Landscape Plan Provide common and botanical names, and sizes and quantity of all proposed plant material. Proposed plant material, pavers, paved surfaces, other landscape elements, and existing trees must be shown. Existing site contours, landscaping and material to be removed. File #: 04-1500-20/500/2 Doc #: 1521488.v2 Revised March 201 Page 5 of
Urban Design/Graphic Materials Document Coloured elevation drawings Required Details Notes 1 Four elevations, front, rear, and sides with details of proposed materials, colours and colour numbers clearly labelled and materials legend provided. Attached Accepted (Staff) Photographs of Existing Building(s) Photographs of Neighbouring Building(s) 1 set Typical views of property along street. Views of rear and side of existing building. 1 set Photos, labelled with property addresses, showing neighbouring buildings from rear, and sides of property Optional: Electronic file with each photo file clearly labelled with address and details. Electronic files with each photo file clearly labelled with address and details may be submitted in-lieu of paper copies. Electronic files with each photo file clearly labelled with address and details may be submitted in-lieu of paper copies. Additional requirements that may be required after submission of your application: Context elevations and site plan, identifying building outlines and building heights on adjacent properties. Shadow analysis (for applications proposing structures more than two storeys in height). Traffic impact analysis, prepared by a certified transportation consultant. Environmental assessment, and/or streamside protection and enhancement area (SPEA) and riparian assessment area report(s) to address Riparian Areas Regulation (RAR) as regulated per the provincial government (B.C. Reg. 37/2004). Arborist Report, prepared by a Certified Arborist. Please note: 1. An Administrative Fee will be added to the application fee for any documents the City must source. I certify that the attached submission is complete and accurate, and includes all of the above items. Applicant Signature: Date: Planning and Development Department 3000 Guildford Way, Coquitlam BC V3B 7N2 Tel: 04-927-3430 Fax: 04-927-3405 File #: 04-1500-20/500/2 Doc #: 1521488.v2 Revised March 201 Page of