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Application to Operate a Second Level Lodging House

Attention: The business information set out on this form is public information and will be released to any person who makes a request for it.

Personal information is protected under the following legislation: In accordance with the Municipal Freedom of Information and Protection of Privacy Act, R.S.O. 1990, c.M.56, Section 28(2), this is to advise you that the personal information collected on this form will ONLY be used for the proper administration to process a business licence application.

Application Type

New Application

Licence Renewal

Name of Business:

Location of Lodging House:

Owner Name:

Owner Email:

Owner Phone:

Owner Address:

City:

Postal Code:

Operator Name:

Operator Email:

Operator Phone:

Operator Address:

City:

Postal Code:

Operator Date of Birth:

Operator level of education completed:

Number of residents to be housed:

Operator experience in similar employment:

Licensed, approved, supervised or regulated under any other federal, provincial or municipal statute or regulation?

Yes

If yes, please specify:

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Application must be made directly to Hydro One at 1-877-372-7233 for an electrical inspection. A Certificate of Inspection must be submitted to the Corporate Support Services Department prior to the issuance of this licence.

I/WE CONSENT TO PERMIT ENTRY, TO THE ISSUANCE OF A LICENCE AND FROM TIME TO TIME DURING THE EFFECTIVE LIFE OF SUCH LICENCE, TO ANY DULY APPOINTED MUNICIPAL, PROVINCIAL OR FEDERAL INSPECTOR REQUIRED TO ENFORCE THE PROVISIONS OF THE PROPERTY STANDARDS BY-LAW, THE BUILDING CODE, THE FIRE MARSHALS ACT AND THE FIRE CODE, THE HEALTH PROTECTION AND PROMOTION ACT AND OTHER APPLICABLE STATUTES OR REGULATIONS, OR THE PROVISIONS OF THIS BY-LAW.
I/WE AGREE, IF THIS APPLICATION IS APPROVED AND A LICENCE GRANTED, TO OPERATE A SECOND LEVEL LODGING HOUSE IN ACCORDANCE WITH THE BY-LAWS AND REGULATIONS OF THE CITY OF ST. CATHARINES. I/WE HEREBY CERTIFY THAT THE INFORMATION CONTAINED IN THIS APPLICATION IS TRUE AND CORRECT.

Signature of Operator:

Clear

Date of signature: