Community of Miltonvale Park

 

Tel. (902) 368-3090                                                                                           Address:  Community of Miltonvale Park

Fax (902) 368-1152                                                                                                           PO Box 38, Winsloe  PE

E-mail:  develop@miltonvalepark.com                                                                      C1E  1Z2

Website: www.miltonvalepark.com                                                                                    Canada

               

 APPLICATION FOR DEVELOPMENT APPROVAL

 

INSTRUCTIONS: Check Area(s) applied for:

(   ) Construct New Building  (   ) Addition  (   ) Mobile Home  (   ) Mini-home  (  ) Change the Use of Building (   ) Change the Location of Building / Structure on Property    (     ) Move a  Building / Structure to Property__________________________________________________________________

 

1.  Property Information: Property Owners Name: .......................................................................      Property Tax No. ...................  Subdivision Lot No. (if applicable) ............................................

     Civic Address Number (    ) yes     (   ) no     If yes, please provide no. ......................................

     If property has frontage on private or public road, please provide name  ...........................

     Size of property being developed :  Road Frontage Width  ...................  Depth ....................          Existing land use of the property ........................................................... Area ………………….

2.  Applicant Information: Applicant’s Name: ..............................................................................

     Mailing Address: ................................................................................... Postal Code:.................

     (h) phone . ..................... (w) phone . ..............   Fax .............. E-mail ........................................

3.  Highway Access Information: Will the development require the creation of a new                      highway access driveway or the relocation of an existing access driveway?  (    )Yes  (   ) No

4. Development/Building Permit Information:

If existing, what is the present use of the building.. ………………………………….n/a (     ) 

The proposed use of the new (    ) or existing (    ) structure is:

Residential: (   ) single family   (   ) duplex   (   ) multiple   (   ) mini home   (   ) mobile home

(   ) summer cottage   (   ) rental cottage   (   ) agriculture   (   ) commercial   (   ) industrial

(   ) institutional   (   ) non-commercial garage   (   ) non-commercial storage building

(   ) storage building   (   ) travel trailer   (   ) other, please describe ……………………………….

If an addition, what is the purpose ………………………………………………………… n/a (   )

5. Size of Building, Structure or Addition: No.of Stories/ height .. …. No. of Bedrooms …...

Main Building: (if applicable)                                   Addition: (if applicable)

1st Floor ……ft. x ……ft.= …… sq.ft                       1st Floor ……ft. x ……ft.= …… sq.ft

2nd Floor ……ft. x ……ft.= …… sq.ft                      2nd Floor ……ft. x ……ft.= …… sq.ft

Accessory Building: (if applicable)                           Structure: (if applicable)

……ft. x ……ft.  = …… sq.ft                                   ……ft. x ……ft.  = …… sq.ft

Total square footage of construction for main building and/or addition ……… sq. ft.

Total square footage of all structures/buildings proposed for the site …………...sq. ft.

Type of foundation…. ………… exterior wall finish …………….. Roof material ……… .

5. Location of building, structure or addition: 

 (a) Distance to the center line of the nearest road, street or right-of-way? ……………ft.                (b) Distance to the nearest property boundary? ……………………ft.

 (c) Distance to the nearest watercourse, wetland or salt water body on property? ……………….

 (d) If an addition, or moving a building or structure on site, will the proposed addition or 

      building cover an existing well ?   Yes (   )   No (    )

 (e) If an addition or moving building or structure on site, will any portion of the addition or                building be less than 20 feet from the sewage disposal system ?              Yes (   )    No (   )             If Yes, describe the details ..........................................................................................................

6.  Mobile Home Application Only:

     Factory built: Yes (     )   No (     )  Model name:................................. Age of home: ..............

     Size of home: Length ...............ft     Width ..................ft            No. of bedrooms .....................

7.  Type of Servicing:

     (a) Do you plan to construct or upgrade a sewage disposal system? (   ) Yes     (   ) No

      If No, please explain .................................................................................................................        (b) Do you plan to construct an on-site  well?   (    ) Yes        (   ) No

      If No, please explain ........................................ .........................................................................

      (c) Will there be underground fuel storage? (Other than oil tank in basement) (   )Yes  (    )No   8.  Estimated Cost of the Project:   ..........................................

      (a) When do you plan to start ......................... and finish construction ?    ................................

  9. Complete the attached Development Application Sketch.

I HEREBY CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND ABILITY, THE INFORMATION THAT I HAVE PROVIDED ON THIS FORM IS TRUE AND COMPLETE.

                                                

_____________________________________________                                   _____________________________

                               Signature                                                                                                         Date

The application along with the application fee should be forwarded to the above address. For further information and/or assistance, please drop into the community office (Winsloe Lion’s Hall) on Monday mornings (April-Mid-November) or phone the community office at 368-3090. 

Municipality Use Only :

Development  Permit  No. .............              Date Application Received ................................    Fees  Paid .................

Development Application  Sketch       Name________________________

 

Note: This sketch is required as part of the Development Application.  The information below must be checked, where applicable, as shown to scale in the sketch space provided.

 

(   ) show property boundaries and dimensions             (   ) show roads

(   ) all structures including exterior dimensions             (   ) setbacks from side and rear property lines

(   ) distance of structures from centre of roads             (   ) distance from watercourse, top of bank

(   ) distance of center of driveway to property line      (   ) natural slope of land

(   )  show location of well and septic system and distance from structures, property lines and separation  distance between well and septic system                                                                                                                                                                                                                                                                                                                  

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


Non-identifying information contained on this form will be posted on the PEI Property Planning Website and in the community, as per provincial regulations.