Service Installation Application - Service Installation by Private Contractor

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


SECTION 2 - SITE INFORMATION

Street Name

SECTION 3 - DETAILS OF PROPOSED WORKS

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.



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.