Request For A Building Occupancy Permit - City Of Winnipeg (Page 2 of 2) in pdf

Request For A Building Occupancy Permit - City Of Winnipeg Page 2

equest for a

BUILDING OCCUPANCY PERMIT

Date:........................................................... Building Permit No.

Property Address:..........................................................................................................................

Floor:........................Unit No.:...................

Floor area for which occupancy is sought: ………………

NOTE: Inspectors require 3 working days’ notice to schedule inspections. Requests made in

less than 3 days prior to the desired date of occupancy will result in doubling of the

applicable occupancy fee, if the request can be accommodated.

Date building to be inspected (work completion date):..................................................................

Contact for Inspection access: Name: ……………………………………. Phone: ………………………………………

Desired date of occupancy:............................................................................................................

Name of Business to be shown on Occupancy Permit:............................................................... ....

Contact Person:.............................................................................................................................

NOTE: The submission of

Phone

incomplete forms will result

in process delays.

E-mail

I do not have an email address; I will pick up my occupancy permit in person at:

City of Winnipeg Development and Inspections Division 4th floor, 65 Garry Street Winnipeg, Manitoba

E-mail completed form to:

occupancy@winnipeg.ca

“Personal information is collected under the authority of The City of Winnipeg Charter Act, and is used for the administration and enforcement of

The City of Winnipeg Building By-law No. 4555/87. This information will be disclosed publicly in accordance with the disclosure provisions of the

Province of Manitoba - Freedom of Information and Protection of Privacy Act. If you have any questions about the collection, use, or disclosure of

your information, contact the Corporate FIPPA Coordinator by: mail to the City Clerk’s Department, Administration Building, 510 Main Street,

Winnipeg MB, R3B 1B9; by telephone to 311; or by email to “FIPPA@winnipeg.ca.”

Request For A Building Occupancy Permit - City Of Winnipeg Page 2