BUILDING CERTIFICATE APPLICATION FORM Made under the Environmental Planning and Assessment Act 1979 (s149d)

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Eustace Rose
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1 Property Key: Office Only Building Certificate No: Date Received: (May 2015) LEGAL REQUIREMENTS REGARDING INFORMATION PROVIDED TO COUNCIL Council is obliged under s.6 of the Government Information (Public Access) Act 2009 to publish details of all development applications (including names of applicants and owners) and any associated documents on the website, except for floor plans of any residential parts of a building. Please note that the information provided by you on this form will be used by Council or its agents to process this application and it can be made available, as required by law, to other government agencies. Under the Privacy and Personal Information Protection Act 1998, some personal information provided on this form, such as phone numbers, will not be published on Council s website. Information regarding access to or publication of information by Council, can be referred to Council s Privacy Contact Officer. Address details of development Shop/Unit No: House No: Office Street: Suburb: Postcode: Lot No: Deposited / Strata Plan No: Section: Details of building Is this Building Certificate for the sale of a property? Yes No Classification of Building: (Please tick relevant box) Dwelling 1a Outbuilding 10a Other 2 9 Building Certificate Application is for: Whole of building Description of part: (if applicable) Part of building Floor area of building or part (Class 2-9): Has a survey been submitted? Yes No Have all structures received Council Approval? Yes No If no, was the applicant responsible for the work? Yes No Has the Unauthorised structure been completed within the past 24 months? Yes No (Additional fees and plans may be required) Cost of Works for Unauthorised Works : $ Floor area of Unauthorised Works: Page 1

except for floor plans of any residential parts of a building.

2 Digital requirements and naming convention Applications without a correctly formatted CD digital data disc or USB drive will not be accepted. These will be checked by Council before accepting the application All documents (including written documents) and plans for all applications must be submitted on CD or USB and not password protected. Each plan and each document must be single sided and must be submitted as a separate PDF file and named separately eg Application form, survey report. For unauthorised works elevation plans, floor plans, site plans etc. Signatures are not to be placed on supporting documents or plans ie Waste Management Plan, Statement of Environment Effects, floor plans, site plans etc Individual files for each application must not exceed 20 MB. Large files must be split into smaller size files. Standard documents are required under 400dpi resolution whether they are single pages or multipage documents and must not exceed 500MB in size. File names for the electronic file are to be titled using the naming convention outlined below and where possible in alphabetical order, naming each document and plan individually, including the application form: ie Document Type + Property Address and saved in PDF format. Office Example: Application form 33 Moore Street Liverpool.pdf Survey Plan 33 Moore Street Liverpool.pdf For Unauthorised works include: Elevation Plans 33 Moore Street Liverpool.pdf Floor Plan 33 Moore Street Liverpool.pdf Section Plans 33 Moore Street Liverpool.pdf Site Plan 33 Moore Street Liverpool.pdf Stormwater drainage plan/details 33 Moore Street Liverpool.pdf Structural Engineering Details 33 Moore Street Liverpool.pdf Specifications 33 Moore Street Liverpool.pdf Amended Plans / Supply of Additional Information BC Number Additional Information 33 Moore Street Liverpool.pdf Does the CD or USB contain files which are named correctly and the content exactly matches all hardcopies and documents submitted with this application? Yes No Once lodged, you can track the progress of your Application online via Council s e-planning tool, simply visit Page 2

Each plan and each document must be single sided and must be submitted as a separate PDF file and named separately eg Application form, survey report.

3 Applicant/s details and declaration NOTE: Pages 3-5 are not available for viewing on Council s website Family Name(s)/Surname(s) (or company & ACN): Full Given Names or Company Contact Person: House/Unit No: Suburb: Street: Postcode: Home Phone: Business Phone: Mobile: Fax: Applicant(s) Declaration I, apply for a Building Certificate under section 149B (2) of the Environmental Planning and Assessment Act, 1979 in relation to the whole/part* of the building identified above (cross out whichever is not applicable). An application for a Building Certificate may be made by: (a) the owner of the land on which the building is erected, or (b) any other person, with the consent of the owner of the land, or (c) the purchaser under a contract for the sale of property that comprises or includes the building or part, or the purchaser s solicitor or agent, or (d) a public authority that has notified the owner of its intention to apply for the certificate. I/we declare that all required documentation has been provided and is to an acceptable standard and all the information in the application and the checklist submitted are, to the best of my/our knowledge, true and correct. Yes No Signature(s): Date: Print Name(s) Release of determined application Would you like your assessed application to be: (Please tick relevant box) Posted Held for collection at Council Signature when collected: (Only the applicant or person authorised by the applicant can collect the consent - Authorisation may be required) Date: Office Page 3

Planning and Assessment Act, 1979 in relation to the whole/part* of the building identified above (cross out whichever is not applicable).

4 Owner s consent and declaration Note: Pages 2-4 are not available for viewing on Council s website Family Name(s)/Surname(s) (or company & ACN): Full Given Names or Company Contact Person: House/Unit No: Suburb: Street: Postcode: Home Phone: Business Phone: Mobile: Fax: Owner s consent will be required to access the property Will it be necessary for the inspecting officer to make special arrangement for access into the property? Yes No If yes, please provide contact details for access to inspect the property: Name: Phone Number: Is there a dog on the property? Yes No Is there a swimming pool on the property? Yes No Do you consent to receiving further information requests via ? Yes No I/we own the subject land, consent to this application and consent to Council officers entering the premises during normal office hours for the purpose of conducting inspections relative to this application. I/we accept that all communication regarding this application will be through the nominated applicant. Yes No Signature(s): Date: Print Name(s) Owner(s) consent requirements Office If you are signing on behalf of the owner as the owner s legal representative, you must state the nature of your legal authority and attach documentary evidence eg Registration of Power of Attorney, executor, trustee etc Strata Title/Body Corporate If the property is a unit under strata title or a lot in a community title, then in addition to the owner s signature, the following must be provided if any works are proposed on common property: (a) Common seal of the Body Corporate must be stamped on this form over the signature of the owner and signed by the chairman or secretary of the Body Corporate Page 4

arrangement for access into the property? Yes No If yes, please provide contact details for access to inspect the property: Name: Phone Number: Is there a dog on the property?

5 Fees for Building Certificate Application Note: Pages 2-4 are not available for viewing on Council s website 9.3(1) For the purposes of section 149B(2) of the Act, the prescribed fee to accompany an application for a building certificate in relation to the whole or a part of a building is: (a) In the case of a Class 1a building (together with any Class 10a buildings on the site) or a Class 10a building $250 (for each dwelling contained in the building or in any other building on the allotment) (b) In the case of any other class of building as follows: Floor area of building or part Not exceeding 200 square metres Exceeding 200 square metres but Not exceeding 2000 square metres Exceeding 2000 square metres (c) In the case where the application relates to a part of a building and that part consists of an external wall only, or does not otherwise have a floor area Fee $250 $250 plus an additional 50 cents per square metre for each square metre over 200 $1,165 plus an additional 7.5 cents per square metre for each square metre over 2000 $250 (d) In the case of Unauthorised Works: Where the building to which the application relates has been completed within the past 24 months and the applicant for the certificate was responsible for the work, and the work was not authorised to be carried out under the EP& A Act Fee Standard fee + additional fee required for unauthorised works ie Maximum fee payable which is equivalent to the maximum fee if the application was for a combined development application / construction certificate application, or a complying development application (whichever is relevant), for the building or part of the building, the result of the unauthorised work (cl 260) Additional fee if more than one (1) inspection (2) If it is reasonably necessary to carry out more than one (1) inspection of the building, or part, before issuing a Building Certificate, the Council may require the payment of an additional fee (not exceeding $90) for the issue of the Certificate (3) In this clause, a reference to a Class 1a building includes a reference to a Class 2 building that comprises 2 dwellings only Fee for copy of Building Certificate (with owner s consent) 108 The prescribed fee for a certified copy of a document, map or plan referred to in section 149G(3) of the Act is $13. A SURVEY REPORT IS REQUIRED TO BE SUBMITTED WHEN APPLYING FOR A BUILDING CERTIFICATE OFFICE USE ONLY: Fee Type AP/MISC/BC Application $ Receipt No. Date Building Certificate Fee Building Certificate Unauthorised Fee Page 5

a Class 1a building (together with any Class 10a buildings on the site) or a Class 10a building $250 (for each dwelling contained in the building or in any other building on the allotment) (b) In the

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