Parser-Wide

Conditions of permit application submission:

This application must be received by Infrastructure Services at least seven (7) days prior to proposed construction. Permit fees must be paid, and approved permit picked up twenty-four (24) hours prior to starting work. (All fees shall be paid prior to permit release)
The following shall accompany the Application form:
a. Plan showing the details of the connection(s) to and the location of existing watermain and/or sewer(s) of the proposed works (location with dimensions, size(s), material(s), etc.)
b. Liability insurance in the amount of at least two million ($2,000,000.00) dollars naming the Town of Fort Erie as additional insured (Certificate of Insurance to be provided)
c. Workplace Safety and Insurance Board Certificate of Clearance certifying that the contractor is in good standing with the Board
Contractor must be experienced and hold a valid Ministry of the Environment and Climate Change certificate (if applicable)
Fees are payable upon approval of permit and will include the following as required:
a. Application fee per service connection
b. New live tap service fee per water service
c. Road reinstatement fees (if applicable)
Click here for General Installation Specifications

SECTION 1 - APPLICANT INFORMATION

Private Contractor

Company Name

Site Representative

Name ( first and last )

E-mail

Phone

Insurance Policy Number

Insurance Expiry

WSIB Certificate Number

WSIB Expiry

SECTION 2 - SITE INFORMATION

Street Name

Is this a new build / vacant lot?

Yes

SECTION 3 - DETAILS OF PROPOSED WORKS

Services being proposed as part of this application package

Sanitary Sewer Service

Storm Sewer Service

Water Service

Live Water Tap

Regional Infrastructure– To verify if the infrastructure is owned/operated by the Niagara Region, please visit the following weblink for more information:Niagara Navigator
There are separate requirements for applications involving Regional infrastructure, including separate fees. Applications can only be made through the Town; however, it is the responsibility of the Applicant to verify that the proposed works are acceptable to the Niagara Region prior to submission.

I acknowledge that there may be permits required outside of what is issued by the Town of Fort Erie

I agree

SECTION 4 - ATTACHMENTS

Send the following documents with your application:

Servicing Schematic. See note 5 of the General Requirements and Specifications.
Traffic Control Plan. See note 6 of the General Requirements and Specifications.
Certificate of Insurance. See note 9 of the General Requirements and Specifications.
Workplace Safety and Insurance Board (WSIB) Certificate of Clearance. See note 10 of the General Requirements and Specifications.
Where Applicable: A valid Certificate of Approval (Cs of A) issued by the Ministry of the Environment, Conservation and Parks.

If you do not enclose all the required documents, your entire application will be returned to you.

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Permits are issued based on the information supplied by the Applicant. This application form, as well as any supporting documents, will form part of your permit. Knowingly providing false or misleading information may render any permit issued as invalid. You are required to have a copy of this permit on site at all times while working in the public right-ofway. I/We hereby apply for prior approval as described in the pages of this application. I/We have been provided, have read and agree to adhere to the General Requirements and Specifications document contained in this package.

By submitting this application I/we agree to follow all directives noted on the permit and/or those subsequently issued on authority of the Town, including all attached reinstatement standard drawings. I/we agree to guarantee the above noted service installation(s), including restoration, for a period of one (1) year.

I/We, our heirs, executors, administrators and assignees will indemnify and save harmless the Corporation of the Town of Fort Erie, the “Town”, and any Public Utility / Telecommunication Company, agency, board or commission having utilities within the Right of Way, which may in any manner be affected through the right of occupation hereby granted, from any and all claims, demands, suits, actions and judgements made, brought or recovered against the Town and from all loss, costs, damages, charges or expenses that may be incurred, sustained by reason of the granting of this Service Installation Permit, including any loss resulting from any violation under the Occupational Health and Safety Act, R.S.O. 1990, c. O.1, together with defence costs, fines and penalties. The Applicant shall be considered the “constructor” for the purposes of the Occupational Health and Safety Act. The indemnity provisions of this Agreement shall survive the termination of the Agreement.

I/We agree to pay all fees in advance and, where the Town costs exceed any deposits, I/we hereby agree to pay the balance within 10 calendar days from the date of invoice.

Where applicable: I/We have the authority to bind the company/corporation.

Service Installation Application - Service Installation by Private Contractor

SECTION 1 - APPLICANT INFORMATION

Private Contractor

SECTION 2 - SITE INFORMATION

SECTION 3 - DETAILS OF PROPOSED WORKS

SECTION 4 - ATTACHMENTS