Building Permit Application Form (Town of Penhold) — issued via IJD Inspections Ltd.

Penhold, Alberta · summary & facts

This is the exact embedded text of the captured official document. Snapshot 829828321dfb · verified 2026-09-27 · original document · archived snapshot · unofficial consolidation, the official version is held by the municipal clerk.

Submit Signed Application Form NOTE: This form MUST be signed by either the Homeowner (homeowner permits) or the Contractor (contractor permits). Ensure ALL required documents accompany this application form: INFORMATION AND CHECKLIST REQUIREMENTS (ijd.ca) TYPE OF OCCUPANCY TYPE OF WORK BUILDING AREA (being constructed, altered, or renovated if applicable)  Single Family  Multi-Family Commercial Institutional Industrial Relocatable Industrial Other New  Attached Garage  Detached Garage Addition  Shed Shop Renovation  Secondary Suite  Seasonal Cabin  Basement Development Deck Demolition  Swimming pool / hot tub  Roof mounted solar panels  Change of Occupancy / Use  Solid Fuel/Pellet Stove/Fireplace  Temporary Structure - removal date Manufactured/ RTM Home - Foundation type Indicate:  new or  relocation Ground Floor Area 2nd Floor Area (loft / mezzanine) Basement Floor Area Developed  Yes  No Garage Deck Other  feet²  meters² Total Area = CSA/QAI# AMA# No. of Storeys PERMIT FEE SUMMARY Permit Fee: $ New Adjusted Fee $ Travel Fee: $ Adjusted SCC Levy $ SCC Levy: $ SCC levy 4% of the permit fee with minimum of $4.50 and a maximum of $560.00 Subtotal $ Total Permit Cost $ Total Credit/Refund $ Receipt# Receipt # Cash E-Transfer (to: permits@ijd.ca) Cheque Debit Credit Card IJD Inspections Ltd. E4, 5560 45 Street, Red Deer, AB T4N 1L1 P. 877.617.8776 F. 866.801.7639 permits@ijd.ca www.ijd.ca PERMIT #_____________________________ Office Use BUILDING PERMIT APPLICATION FORM Permit Applicant:  Owner Contractor/Engineer Application Date (mm/dd/yyyy): New Home Warranty No. (if applicable): Development Permit No. (if applicable): Builder License ID No. (if applicable): Estimated Project Completion Date (mm/dd/yyyy): Tax Roll No. Value Of Material & Labour $ Owner Name: Mailing Address: City: Province: Postal Code: Phone: Cell: Email: Fax: Contractor Name: Mailing Address: City: Province: Postal Code: Phone: Cell: Email: Fax: Municipality of Project: Subdivision/Hamlet: Street/Rural Address: Apt/Unit: Lot: Block: Plan: Legal Subdivision: Part of: Section: Township: Range: West of: M Description of Work: Work has not started  Work is in progress  Work recently completed Unknown when work was completed (permit needed for home sale) Permit Applicant Declaration: The permit applicant/owner acknowledges that as per Section 12(2) of the Alberta Safety Codes Act, IJD Inspections Ltd. is not liable for any decision related to the system of inspections, examinations, evaluations and investigations including but not limited to a decision relating to their frequency and the manner in which they are carried out. F.O.I.P. Notification: Personal information is collected under the authority of Section 33(c) of the Alberta Freedom of Information and Protection of Privacy Act and will be protected under Part 2 of that Act and section 63 of the Safety Codes Act. It will be used for processing permit applications, issuing permits, safety codes compliance monitoring and verification. X OR X Applicant's Name (print) Applicant's Signature Homeowner's Signature (homeowner permit only) Homeowner Declaration: By signing this I hereby certify that I own/will own and occupy this dwelling. Save- Print Form to Sign