Building Permit Application

Please ensure the Building Application Form is completed correctly and
completely, unless otherwise noted to the best of your knowledge.
Completed application forms can be dropped off in person at The Village Office
located at 4-1021 Route 776, Grand Manan, by fax (506) 662-7050, or by
Before signing the building permit application, please ensure you have read and
understood the implications and requirements necessary.
After a building permit application has been approved by The Development
Officer, payment can be made by cash or cheque only at The Village Office.
If you have any questions in regards to building permit applications, please feel
free to call us at (506) 662 7059
(Return Completed Form to Development Officer*)
Name of Applicant: ______________________________________________________________________
Address of Applicant: ____________________________________________________________________
Owner of Lands: ________________________________________________________________________
Project Location:________________________________________________________________________
NBGIC Property Identification No.: _________________________________________________________
Nature of Intended Work (Circle One):
New Construction
Non Maintenance Alteration
Placement of Structure
Relocation of Structure
Intended Use of Building or Structure: ______________________________________________________
Name of Contractor or Self (If Applicable): ___________________________________________________
Estimated cost of the Proposed Building Project:
$ __________________________
I, the above named Applicant hereby make Application for a Building Permit authorizing the within described
Annexed hereto and forming part of this application is a description of the work to be undertaken including
specifications and a scale drawing.
Annexed hereto and forming part of this application is a SKETCH SHOWING the following:
i) Dimensions and area of the land referred to,
ii) The position, height and horizontal dimensions of all building or structures on, or those proposed
to be located on, the land referred to,
iii) The setback of the proposed building or structure from the street center line and all abutting
properties (with the names of the owners if known), and
iv) The location of the intended highway access or right-of-way to the lands.
Attached hereto is the Department of Health approval for the sewage disposal field construction (where such
is applicable for the nature of the structure and stated intended use of the structure).
I am aware of the requirements of the Grand Manan Building By-Law and the applicant’s responsibilities
under the By-Law, and I understand that the above referenced structure may be used only for the purposes
as stated in the building permit (if one is issued).
Date ______________________________ Applicant's Signature _________________________________
Note: Building Permit Fee is $0.50 per square metre except that there is no fee for a building permit to demolish a
structure or to relocate an existing structure elsewhere on the same property.
Note: All Demolition Debris Material must be disposed in a site approved by the Provincial Department of the Environment.
There is a fee for using the C&D site. ¾ ton trucks or greater are charged $25.00 per load.
*No Building Permit is required for the following maintenance work: roofing, siding, repair doorstep or new doorstep,
changing windows, painting, well curbs, repair patio or new patio, inside alteration and non commercial green house.
For Office Use Only:
NB 911 Number: ______________________