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Licensed Rental Premises Application

Township of Selwyn

Licensed Rental Premises Application

This is a dynamic form: as you complete the form, questions and required information will change. Do not print this form, you will receive a PDF copy by email when you click submit. 

Compliance with the Fire Code is the owner’s responsibility. All category 1 and 2 licenced premises under By-law 2021-065 require an annual fire safety inspection.

Before starting this application, please make sure you have the following information in a digital format, ready to upload:

All Applications:

  • A site plan showing the lot size, building size and location, parking area
  • Floor plans drawn to scale for the entire building

Applicant who is a Registered Partnership or a Sole Proprietorship:

  • A copy of a current Business Name Search
  • Names, addresses and telephone numbers of persons associated with the partnership

Applicant who is a Corporation:

  • A copy of the current Certificate of Status
  • A Corporate Profile report that includes:
    • location of the corporation’s head office
    • names, addresses and telephone numbers of all directors of the corporation
    • confirmation that the corporation is active

Occupancy load that exceeds 10:

  • A Fire Safety Plan

Personal information on this form is collected under the authority of the Municipal Act, Section 11, and the Township of Selwyn Boarding, Lodging & Rooming Houses By-law, and will be used to licence, regulate and govern businesses and ensure compliance with all laws and regulations. Questions about the collection of this information should be made to: Clerk Township of Selwyn Address: 1310 Centre Line, Selwyn, Ontario, K9J 6X5 Telephone: 705-292-9507 extension 221

Purpose of Application:

Owner Information

Ownership type:
Is the contact person someone other than the owner?

Summary of Rental and Occupant Detail

Applicable Rental Area - select all that apply

Plumbing Fixtures

Fire Department Requirements: Self-Attestation Form for Licensed Rental Premises

Compliance Requirements

The Ontario Fire Code regulates fire prevention and life safety requirements. The particular requirement for Fire Prevention, Fire Detection, and Life Safety depends upon how a property is occupied. A minimum level of fire protection will increase due to the existence of hazards and when properties have an increased number of occupants.

The minimum fire protection and life safety requirements for the Licensed Premises listed in By-Law Number 2021-065 are as follows;

Smoke Alarm(s)

Smoke Alarm(s) shall be installed:

  • When a bedroom in a Licensed Premises is served by a hallway, in the hallway,
  • When a bedroom in a Licensed Premises is not served by a hallway, between the sleeping area and the remainder of the Licensed Premises,
  • When a bedroom is not within a Licensed Premises, in the bedroom, and
  • On each storey without a bedroom in a Licensed Premises.

Note: Replacement of hard-wired smoke alarms with battery operated devices is not permitted.

When are CO Alarm(s) required?

Carbon Monoxide Alarm(s) shall be installed in every building that contains a residential occupancy and:

  • a fuel-burning appliance,
  • a fireplace, or
  • a storage garage (attached garage)

Where to install CO Alarm(s)

  • When a fuel-burning appliance or a fireplace is installed in a Licensed Premises, a CO alarm shall be installed adjacent to each bedroom.
  • When a Licensed Premises has a storage garage attached to it, a CO alarm shall be installed adjacent to each bedroom that has a common wall or common floor/ceiling assembly with the storage garage.
  • A CO alarm shall be mechanically fixed, attached, plugged in or placed at the manufacturer’s recommended height or, if the manufacturer has not recommended a height, on or near the ceiling.
  • A CO alarm that is installed adjacent to a bedroom shall be equipped with an alarm that is audible throughout the bedroom, even if any door(s) between the carbon monoxide alarm and any bedroom is/are closed.

Fire Safety Plan

All residential properties that have an occupant load that exceeds 10 must submit a Fire Safety Plan to the Selwyn Fire Department for approval prior to an inspection. Templates for the Fire Safety Plan are available from the Selwyn Fire Department by calling (705) 292-7282.

Lodging Houses

A Small or Large Lodging House requires an inspection from the Selwyn Fire Department. Please contact 705-292-7282 to arrange a licensing inspection of the property.

Residential Category 2 - Licensed Premises with 5 or More Bedrooms

Working Smoke and Carbon Monoxide Alarms are the minimum requirements for properties with five (5) or more rented bedrooms. The Ontario Fire Code may regulate rental dwellings with five (5) or more rental bedrooms differently from a single residential property and certain properties may require significant fire safety upgrades. Please complete the following questions.

Are Smoke Alarms installed as required? (refer to Compliance Requirements above)
Are Carbon Monoxide (CO) Alarms required? (refer to Compliance Requirements above)
Selwyn Fire Department recommends documenting the installation and maintenance of all alarms. Do you have records that demonstrate compliance with the Smoke and Carbon Monoxide Alarm requirements for this premises?

Number of bedrooms located in the basement (answered above):

Application Fees

Select preferred application fee payment option

Please note cheques are payble to the "Township of Selwyn" and can be dropped off at the Township office: 1310 Centre Line, Selwyn ON  K9J 6X5. Please include the property address and the type of application on the cheque.

eTransfer instructions:
1. Sign into your online banking and start a new eTransfer
2. Enter the email address (auto deposit is enabled so no password is required)
3. In the message field, include "Licenced Rental Premises - the address of the property"

Note: payments submitted without proper messages cannot be applied and the application will remain incomplete. eTransfer fees and limits are determined by the sender’s financial institution, not the Township.



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Allowed extensions pdf, doc, docx, xls, xlsx, jpg, jpeg, gif, png, tif

Owner Acknowledgement

I hereby acknowledge that I am the owner and authorized to sign this document as being accurate. I confirm that any misrepresentation of information I have provided may result in the Licensed Premises being in contravention of By-Law Number 2021-064 and that a prosecution under Provincial and Municipal Law may result.


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