COMPLYING DEVELOPMENT CERTIFICATE APPLICATION Environmental Planning and Assessment Act 1979 Sections 85/85A

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1 File No..../...D CDC App No..../... COMPLYING DEVELOPMENT CERTIFICATE APPLICATION Environmental Planning and Assessment Act 1979 Sections 85/85A Use this form to apply for consent to undertake complying development permitted by a State Environmental Planning Policy or a Local Environmental Plan. A form is not required to be filled out if you are undertaking works that are deemed exempt under one of these codes. Your name, address and contact details Your architect or consultant In case we need to discuss design or other issues Location and title description of the property Owner s consent If more than one owner, every owner must sign. If owner is a company or corporation, a director, secretary or authorised delegate must sign Description of the proposed development Tell us exactly what you propose to do (eg. Construct a new two storey dwelling) Building Code of Australia Classification: Proposed Use: $ Value of Work: Other Family name (or company) Given names (or contact person) Postal address Telephone (.. ) Fax(.. ) Mobile Phone Name Telephone (.. ) Fax(.. ) Mobile Phone Street No Street Suburb Lot(s) Deposited or Strata Plan(s) Site Area Name Name Signature Signature If you are signing on the owner s behalf as their legal representative, state the legal authority under and attach documentary evidence (eg, Power of Attorney, Executor, Trustee), or if signing on behalf of a company, please indicate the name of the Company and your position. Note: If the property is in a strata plan, the Owners Corporation consent is required under seal proof of your estimate must be provided $ 1

2 Builder or Builder s Name: Builder s Address: Builder s Licence No.: Owner/Builder Permit No.: Owner Builder (if known for proposed residential building work) Phone No.: Which policy do you wish your application to be assessed and determined under? eg: SEPP 2007,SEPP 2008, SEPP 2009 or LEP 2012 Attachments: I have obtained prior approval, by way of a Tree Preservation Order from City Works, for the removal, as required, of any trees from the site. Tress greater than 6m high and/or more than 3m from the proposed works require a TPO for removal. I have consent under the Roads Act 1993 for any road opening permits (eg: for driveway crossings) and/or to stand or operate vehicles/machinery on a road or footpath. I have read notes and checklist accompanying this application and provided all necessary details. I have completed the details and materials schedules. I have attached payment of fees, bonds, levy and contributions (where applicable). I have attached a BASIX Certificate (see note 5) I have attached the information required by Part 2 in Schedule 1 of the Environmental Planning and Assessment Regulation 2000 (see Notes for completing Complying Development Certificate Application). Signature of Applicant: Date: Details Schedule What is the area of the subject land What is the gross floor area of the building Is there already a building on the land? [ ] Yes [ ] No (eg: 15m x 50m = 750sqm) If there is an existing building on the land, is it to be demolished? [ ] Yes [ ] No If there is an existing building on the land, what are its current uses: Description (eg. ground & 1 st floors or whole building) Current use (eg. dwelling, residential flats, office, shop, factory etc) 2

3 How many dwellings already exist on the site? How many dwellings are to be demolished? How many dwellings are proposed? How many storeys is the proposed building? Materials Schedule Please place a tick in the box which best describes the materials the new work will be constructed of: Walls Code Roof Code brick veneer 12 aluminium 70 full brick 11 concrete 20 single brick 11 concrete tile 10 concrete block 11 fibrous cement 30 concrete/masonry 20 fibreglass 80 concrete 20 masonry/terracotta shingle tiles 10 steel 60 slate 20 fibrous cement 30 steel 60 hardiplank 30 terracotta tile 10 timber/weatherboard 40 other 80 cladding-aluminium 70 unknown 90 curtain glass 50 other 80 unknown 90 Floor Code Frame concrete 20 timber 40 timber 10 steel 60 other 80 other 80 unknown 90 unknown Office Use Only Property No:... Ward:... C.S.O/admin. support comments: received date:... Do all details, plans fees, deposits, O/B permit, home warranty (not public liability) insurance details, contributions etc accompany this application? Yes [ ] No [ ] CSO... Date... Computer entry:... Date:... If No, please provide details 3

4 Notes for completing Complying Development Certificate Application Note 1: Note 2: Note 3: Note 4: Note 5: In the case of Crown Land within the meaning of the Crown Lands Act 1989 the owner s consent must be signed by an officer of the Department of Lands (Crown Lands Division) being authorised for these purposes by the Governor-in-Council, from time to time. A description of the land to be developed can be given in the form of a map which contains details of the lot number, DP/MPS, vol/fol etc. A plan of the land must indicate: a) location, boundary dimensions, site area and north point of the land. b) existing vegetation and trees on the land. c) location and uses of existing buildings on the land. d) existing levels of the land in relation to buildings and roads. e) location and uses of buildings on sites adjoining the land. Plans or drawings describing the proposed development must indicate (where relevant): a) the location of proposed new buildings or works (including extensions or additions to existing buildings or works) in relation to the land s boundaries and adjoining development. b) floor plans of proposed buildings showing layout, partitioning, room sizes and intended uses of each part of the building. c) elevations and sections showing proposed external finishes and heights. d) proposed finished levels of the land in relation to buildings and roads. e) building perspectives where necessary to illustrate the proposed building. f) proposed parking arrangements, entry and exit points for vehicles, and provision for movement of vehicles within the site (including dimensions where appropriate). g) proposed landscaping and treatment of the land (indicating plant types and their height and maturity). h) proposed methods of draining the land, this may require prior approval before lodging this application BASIX Certificate BASIX, the Building Sustainability Index, is an interactive, web-based planning tool to assess the potential performance of residential development against water consumption and greenhouse gas emission targets prescribed by the NSW Government. A BASIX Certificate is generated by the website Applicants wishing to build any residential development with an estimated value of $ or more are required to provide a BASIX Certificate with their application for assessment by Council. The BASIX Certificate, generated once a BASIX assessment has been satisfactorily completed, confirms that the proposed development will meet the Government s water consumption and greenhouse gas emission targets if it is carried out in accordance with commitments made by the applicant during the BASIX assessment. Council will be unable to consider applications that are lodged without a BASIX Certificate. Note 6: The following information must also accompany a complying development certificate application for building or subdivision work and change of building use: Building Work In the case of an application for a complying development certificate for building work: a) copies of compliance certificates relied upon. b) four (4) copies of detailed plans and specifications. The plan for the building must be drawn to a suitable scale and consist of a general plan and a block plan. The general plan of the building is to: show a plan of each floor section. show a plan of each elevation of the building. show the levels of the lowest floor and of any yard or unbuilt on area belonging to that floor and the levels of the adjacent ground. indicate the height, design, construction and provision for fire safety and fire resistance (if any). Where the proposed building work involves any alteration or addition to, or rebuilding of, an existing building the general plan is to be coloured or otherwise marked to the satisfaction of the certifying authority to adequately distinguish the proposed alteration, addition or rebuilding. Where the proposed building work involves a modification to previously approved plans and specifications the general plans must be coloured or otherwise marked to the satisfaction of the certifying authority to adequately distinguish the modification. The specification is: to describe the construction and materials of which the building is to be built and the method of drainage, sewerage and water supply. state whether the materials proposed to be used are new or second hand and give particulars of any second hand materials used. c) Where the application involves an alternative solution to meet the performance requirements of the BCA, the application must also be accompanied by: details of the performance requirements that the alternative solution is intended to meet, and details of the assessment methods used to establish compliance with those performance requirements. d) If relevant, evidence of any accredited component, process or design sought to be relied upon. 4

5 NB: if an EPI provides that complying development must comply with the deemed to satisfy provisions of the BCA a CDC cannot authorise compliance with alternative solutions to the performance requirements corresponding to those deemed-to-satisfy provisions e) except in the case of a class 1a or class 10 building: a list of any fire safety measures that are proposed to be implemented in the building or on the land on which the building is situated, and if the application relates to a proposal to carry out any alteration or rebuilding of, or addition to, an existing building, a separate list of such of those measures as are currently implemented in the building or on the land on which the building is situated. The list must describe the extent, capability and basis of design of each of the measures concerned. details as to how the building complies with the Commonwealth Disability (Access to Premises Building) 2010 or Premises Standard regarding disabled access into and around the site and building.(class 2-9 buildings). Subdivision Work In the case of an application for a complying development certificate for subdivision work: a) details of the existing and proposed subdivision pattern (including the number of lots and location of roads). b) details of consultation with public authorities responsible for provision or amplification of utility services required by the proposed subdivision. c) existing and finished ground levels. d) copies of compliance certificates relied upon. e) four (4) copies of detailed engineering plans. The detailed plans may include but are not limited to the following: earthworks roadworks road pavement road furnishings stormwater drainage water supply works sewerage works landscaping works erosion control works f) Where the proposed subdivision work involves a modification to previously approved plans the plans must be coloured or otherwise marked to the satisfaction of the certifying authority to adequately distinguish the modification. Change of Building Use In the case of an application for a complying development certificate for a change of building use (except for an application that, if granted, would authorise the building concerned being used as a class 1a or class 10 building): a list of any fire safety measures that are proposed to be implemented in the building or on the land on which the building is situated in connection with the proposed change of building use. a separate list of such of those measures as are currently implemented in the building or on the land on which the building is situated. The list must describe the extent, capability and basis of design of each of those measures concerned. Note 7:: Other information must indicate (where relevant): a) in the case of shops, offices, commercial or industrial development: details of hours of operation. plant and machinery to be installed. type, size and quantity of goods to be made, stored or transported, loading and unloading facilities. b) in the case of demolition: details of age and condition of buildings or works to be demolished. c) in the case of advertisements: details of the size, type, colour, materials and position of the sign board or structure on which the proposed advertisement is to be displayed. d) in the case of development relating to an existing use: details of the existing use. e) in the case of a development involving the erection of a building, work or demolition: details of the methods of securing the site during the course of construction. Home Building Act Requirements Note 8: In the case of an application for a complying development certificate for residential building work (within the meaning of the Home Building Act 1989) attach the following: 5

6 a) in the case of work by a licensee under that Act: (i) (ii) a statement detailing the licensee s name and contractor licence number, and documentary evidence that the licensees has complied with the applicable requirements of that Act *, or b) in the case of work done by any other person: * (i) (ii) a statement detailing the person s name and owner-builder permit number, or a declaration signed by the owner of the land, to the effect that the reasonable market cost of the labour and materials involved in the work is less than the amount prescribed for the purposes of the definition of owner-builder work in section 29 of that Act. A certificate purporting to be issued by an approved insurer under Part 6 of the Home Building Act 1989 to the effect that a person is the holder of an insurance contract issued for the purposes of that Part, is sufficient evidence that the person has complied with the requirements of that Part. Note 9: Under S 85A (10A) of the Environmental Planning and Assessment Act 1979 a complying development certificate cannot be issued until any long service levy payable under section 34 of the Building and Construction Industry Long Service Payments Act 1986 (or where such a levy is payable by instalments, the first instalment of the levy) has been paid. The local Council may be authorised to accept payment. 6

7 Contract agreement for the performance of certification work Agreement between City of Canterbury... (the Council) and... (the Client) Part A. Introduction 1. The Council is a certifying authority and employs an accredited certifier (the Certifier) who is authorised to carry 2. which is the subject of this Agreement on behalf of the Council. 3. The Client seeks to engage the Council to perform certification work on the terms set out in this Agreement, required by Section 73A of the Building Professionals Act Part B. Interpretation Words and terms used in this Agreement are defined in the Dictionary. Part C. Parties to the agreement 1. The Council Name of Council: City of Canterbury 137 Beamish St, Campsie NSW 2194 PO Box 77, Campsie NSW 2194 Telephone: Mobile: council@canterbury.nsw,gov.au 2. The Client Name of Client: Address: Postal address: Telephone: Mobile: Part D. Certifier s details These are the details of the employee that Council proposes, at the date of the Agreement, to have carry out the certification work. If the Council later decides to have another employee carry out the certification work, the Council will notify the Client of the name and accreditation number of that other employee. Name of Certifier: Philip Brown Accreditation number: BPB1163 7

8 Part E. Certifier s insurance details - N/A (use StateWide Public Liability and Professional Indemnity Insurance) Only complete if the Certifier holds insurance required by the BP Act. In most cases employees of Council do not hold insurance separate from Council Name of insurer: Address: Policy no./identifier address: Period of insurance cover: From: To: Part F: The development Description of development: (eg: single storey dwelling) Address of development: Formal particulars of the title of the development site (eg: Lot and DP Numbers): Development consent details (tick appropriate box/s and complete as applicable) Development consent granted by consent authority Name of consent authority City of Canterbury Development Consent No.: Development consent given by the issue of a complying development certificate (CDC) Name of certifying authority City of Canterbury CDC No.: Part 4A certificates issued Type of Part 4A certificate issued (eg; CC, OC): Name of certifying authority: Date of development consent: Date of CDC: City of Canterbury Certificate No.: Date of certificate: Details of approved documents Details of plans, specifications and other documents approved by development consent/cdc: Details of plans, specifications and other documents the subject of any Part 4A certificate: 8

9 Inspections (complete as appropriate) Applicant - Complete the left hand side column ie: what inspections do you want us to carry out? Council - complete the right hand ide column Any inspections of the development site or the development required under the EP&A Act or the EP&A Regulation will be carried out as follows: Inspections by*: Inspections by the Certifier: All None Specific inspections (list): Accreditation no*: All None Specific inspections (list): * These are the details of the person that Council proposes, at the date of the agreement, to perform the inspections. In the event that these proposed arrangements change, Council will inform the Client who will be carrying out the inspections as soon as possible after the arrangements are made. Part G. Certification work to be performed (Tick one or more boxes as appropriate) 1. Determination of Applications for Development Certificates Determination of application for a CDC Determination of application for a construction certificate Determination of application for an occupation certificate 2. Undertaking the functions of Principal Certifying Authority (PCA) Undertaking the functions of PCA for the development Part H. Fees and charges 1. Development certificates (a) Set fees and charges i. The fees and charges for the determination of an application for a development certificate are set out in our Fees and Charges Schedule ii. The set fees and charges for the determination of a development certificate must be paid to the Council before, or at the time, an application for the development certificate is lodged with the Council. (b) Contingency fees and charges i. In the case of fees and charges that may be payable for work arising from unforseen contingencies, the basis on which those fees and charges are to be calculated by Council. ii. In respect of any unforseen contingency work provided for under this Agreement, the Council is to send an invoice to the Client. 9

10 2. PCA functions (a) Set fees and charges i. The fees and charges for the Council to carry out the functions as the PCA for the development are set out in the Fees and Charges Schedule. ii. The set fees and charges for the carrying out of the functions as the PCA for the development are to be paid in full before the Council commences to carry out any of those functions. (b) Contingency fees and charges i. In the case of fees and charges that may be payable for work arising from unforseen contingencies, the basis on which those fees and charges are to be calculated by Council. ii. In respect of any unforseen contingency work provided for under this Agreement, the Council is to send an invoice to the Client. Part I. Statutory obligations (tick appropriate box) An information brochure which is to include information about statutory obligations must accompany this Agreement, if one is published by the Building Professionals Board on its website. The Board is the statutory body that accredits the Certifier and administers the Building Professionals Act A copy of the Board s Information Brochure is attached The Board has not published a brochure as at the date of the Agreement Part J. Date of agreement This Agreement is made on the.day of. 20 Being the date on which this application is accepted by Council. Part K. Signature... Signed/executed by or on behalf of the Applicant 10

11 Dictionary Accredited certifier means the holder of a certificate of accreditation as an accredited certifier under the BP Act Applicable environmental planning instrument means the State Environmental Planning Policy or the Local Environmental Plan nominated by the Client as the instrument against which an application for a complying development certificate is to be assessed. BASIX means the Building Sustainability Index BCA means the Building Code of Australia. BP Act means the Building Professionals Act 2005 Certification work means: a) the determining of an application for a development certificate b) the issue of a development certificate c) carrying out the functions of a PCA d) carrying out of inspections for the purposes of section109e(3)(d) of the EP&A Act e) carrying out inspections under section 22 Swimming Pools Act 1992 and issuing certificates of compliance under that Act Contractor licence means a licence issued under the Home Building Act 1989 Development certificate means: a) a certificate under Part 4A of the EP&A Act, being: a construction certificate a compliance certificate a sub-division certificate an occupation certificate b) a complying development certificate c) a strata certificate issued under the Strata Schemes (Freehold Development) Act 1973 or the Strata Schemes (Leasehold Development) Act 1986 EP&A Act means the Environmental Planning and Assessment Act 1979 EP&A Regulation means the Environmental Planning and Regulation 2000 Owner-builder permit has the meaning given to it by the Home Building Act 1989 PCA means a principal certifying authority appointed under section 109E of the EP&A Act Residential building work has the meaning given to it by the Home Building Act

12 Attachment: Application for a Complying Development Certificate (CDC) Description of services The Certifier will, on behalf of the Council, perform all work necessary to comply with relevant statutory requirements and to facilitate timely determination of the application, including: 1. Provide a blank copy of CDC application form to the Client. 2. If necessary, obtain a certificate under section 149 of the EP& A Act. 3. Conduct an inspection of, or arrange for another accredited certifier to inspect, the development site, and prepare a record of the inspection. 4. If clause 130(2A) or 130(2E) of the EP&A Regulation applies to the application (i.e. where there is an alternative solution relating to fire safety requirements) obtain a compliance certificate or written report from a fire safety engineer or another accredited certifier that satisfies the requirements of clause of the 130 EP&A Regulation. 5. Assess whether the proposed development satisfies the development standards set out in the relevant environmental planning instrument, development control plan and the EP&A Regulation. 6. Determine the application and prepare a notice of the determination. 7. If the application is granted: a. prepare a complying development certificate b. endorse all relevant plans, specifications and other documents c. prepare any associated fire safety schedule or fire link conversion schedule d. ascertain if any long service payment levy is required to be made, and if so, that the amount (or instalment) has been paid. e. ascertain if any contributions plan requires the CDC to be subject to a condition requiring a monetary payment. f. issue CDC to the Client together with associated endorsed plans specifications and other approved documents. g. forward copies of documents prepared to statutory authorities, including the NSW Rural Fire Service, as required by the EP&A Regulation. Fees and charges (Tick one of the following) Fixed fee agreement Council will undertake for a fixed fee all work involved in assessing, determining and finalising the application as set out in the Description of Services, including the costs of any service provided by a third party and any fees for obtaining or lodging documents, except for contingency items (if any) specified below. Fixed fee: As established on our Fees and Charges Schedule Contingency items#* Any additional works as advised by the Certifying Authority such as (but not restricted to) additional inspections or assessing amended plans/information prior to certification Variable costs agreement Council will undertake all work involved in assessing, determining and finalising the application as set in the Description of Services upon the following basis: Council s fee for services: $ Third party fees for services (including for another accredited certifier s services)* $ Fees for certificates and lodgement of documents* $ Contingency items#* # If applicable, insert description of the contingency item eg, additional inspection if access not available. If no provision is to be made for contingency items, write N/A *Insert amount or basis of calculation e.g. At cost or $...per hour 12

13 Attachment: Undertake the functions of Principal Certifying Authority (PCA) Description of services The Certifier will, on behalf of the Council, perform all work that is necessary to comply with relevant statutory requirements, including: 1. Not later than two days before any building work or subdivision work commences, the Certifier will: a. notify the consent authority of the Certifier s appointment as PCA b. notify the Client of all inspections that are required to be carried out of the building work or subdivision work. 2. Ascertain, before any building work or subdivision work commences, that a construction certificate or complying development certificate has been issued for the work. 3. Ascertain, before any residential building work commences, that either: a. the principal contractor is the holder of a licence under the Home Building Act 1989 and is covered by appropriate insurance, or b. where the work is to be carried out by an owner-builder, that an owner-builder permit has been issued under the Home Building Act The Certifier will either carry out all critical stage inspections of the building work or subdivision work prescribed by the EP& A Regulation or required by the Certifier, or ensure that the inspections are carried out by another certifying authority. However, the Certifier will personally carry out the last critical stage inspection that is prescribed for a building. 5. The Certifier will make a record as required by the EP&A Regulation of all inspections that he or she carries out and will ensure that any other certifying authority that has carried out an inspection also prepares a report and supplies it to the Certifier. 6. The Certifier will determine whether any inspection (other than the last critical stage inspection) has been not carried out due to circumstances that were unavoidable, and whether the work that would have been inspected was satisfactory. The Certifier will make a record of any such missed inspection as required by the EP&A Regulation and provide a copy to the Client. The Certifier will also notify the principal contractor or owner builder of the missed inspection as required by the EP&A Regulation. 7. Determine applications for occupation certificates or subdivision certificate (subject to separate terms under this Agreement) Compliance functions 8. The Certifier will take such steps as he or she considers appropriate to address any of the following matters relating to the development: a. non-compliance with the development consent b. the carrying out of work without development consent c. an unauthorised use of a building d. a breach of a law relating to the carrying out of work or the use of the land e. a threat to the safety of a person or a person s property f. any other matter the Certifier considers to be in the public interest to address. 9. Without limiting the actions that the Certifier may take, the Certifier may: a. attend the site or nearby properties to inspect any issue of concern relating to the development b. confer with any person in relation to any issues of concern c. cause correspondence to be issued to any person d. refer any matter of concern to such persons or authorities as the Certifier considers appropriate, including the consent authority, NSW Fair Trading or an environmental protection agency e. issue notices under section 121H of the EP&A Act 13

14 COMPLYING DEVELOPMENT APPLICATION CHECKLIST PLEASE NOTE: You should be aware that if the required information is not provided, the Complying Development Application will not be accepted at the Customer Service Centre. Address Applicant to Complete Office use only CSC Officer: Complying Development Certificate App. No.: Yes No Yes No N/A 1 Has the application form been fully completed (including Australian Bureau of Statistics data)? 2 Has the written consent of all owners been provided (Owner s Corporation consent required if in a Strata Titled development)? 3 Have four (4) copies of fully detailed plans been provided, (including site plan, floor plan, elevations and sections? Do they clearly illustrate: Total site area, boundary dimensions and true north point? Existing buildings, existing floor plan, (streetscape elevation required for 2 or more storeys)? House numbers, location & uses of buildings on adjoining land? The floor plan of the proposed development? Internal walls/partitions and room names or uses? Figured dimensions of existing and proposed work? Window and door schedule? (showing all dimensions) Type of Construction proposed? (Eg Brick veneer, full brick). Parking, including ramp gradients, dimensions & details for basements? Calculations of all existing and proposed floor areas. Location of smoke detectors. Natural ground level (+ any proposed changes to the existing natural ground level)? All heights noted on the elevations for the proposed development from natural ground level to finished floor, ceiling and roof ridge levels. Have two (2) of these copies been fully coloured. (Note: coloured copies are only required for alterations/additions to existing buildings). 4 Have four (4) copies of structural engineering details or any other required specialist details been provided? 5 Have four (4) copies of the building specifications been provided? 6 Have four (4) copies of the BASIX Certificate been provided? 7 If you propose demolition have you provide four (4) copies of information required from Council s Demolition Application Checklist? 8 Have four (4) copies of a written statement demonstrating how the proposal complies with the development criteria been submitted? The Statement must address the relevant clauses in the relevant policy, as listed below: It demonstrates compliance with the relevant development standards. It does not cause interference with the amenity of the neighbourhood because of the emission of noise, vibration, smell, fumes, smoke, vapour, steam, soot, ash, dust, waste water, waste products, grit or oil or otherwise. It does not contravene any condition of a development consent applying to the land (eg, parking, landscaping). It does not obstruct drainage of the site on which it is being carried out. It does not restrict any vehicular/pedestrian access to or from the site or vehicle manoeuvrability. It does not require a tree covered by Council s Tree Preservation Order to be removed or damaged. All work is carried out wholly within the property boundaries (except where noted otherwise). 14

15 Multiple cases of complying development within each type of development is not allowed. Stormwater collected is directed to an appropriate disposal system. It is carried out at least 1 metre from any easement, overland flow path, Council or interallotment stormwater drainage line or public sewer main and complies with any building-over-sewer requirements of Sydney Water Corporation Limited applying to the land. A Section 73 Certificate of Compliance has been obtained for the development, if required, from Sydney Water Corporation. It is not integrated development as defined in section 91 of the Act. 9 Have all relevant fees been paid, including the Long Service Leave Levy, Building Inspection fee and damage deposit? These fees must be paid prior to us accepting this application. 10 Have full details of compliance with the Building Code of Australia been provided and/or indicated on the submitted plans? 11 Have you demonstrated compliance with the Commonwealth Disability (Access to Premises Buildings) 2010 or Premises Standard regarding disabled access into and around the site and building? (class 2-9 buildings) 12 Have full details of any proposed and existing fire safety measures been provided and/or indicated on the submitted plans? (see p21 of DA Guide for Class 2-9 buildings) 13 Have you supplied any other information which may be relevant to your proposal? (this may include operating hours, carparking arrangements, loading/unloading arrangements etc.) 14 Have you provide details of the cost of works? You must provide details of how you established the costs of works. This should be prepared by your builder or designer. This must include material and labour costs as well the cost of using the building eg: the cost of building a secondary dwelling must include the cost of installing a bathroom and kitchen. NOTE: If owner builder than cost estimate to be provided by designer. 15 Have you completed the Contract agreement for the performance of certification work which is incorporated into as pages 7-13 in this form? DECLARATION BY APPLICANT: I/we declare to the best of my/our knowledge and belief, that the details on this checklist are correct in every aspect and that the information required has been supplied. I/we understand that this application, and my details, will be publicly available via the Government Information (Public Access) Act 2009 also that my name, address and a phone number will be provided to neighbours during any notification period. I/we understand that if I/we do not clearly demonstrate compliance with the relevant policies and the information requested above, this application will be rejected, returned and/or refused. Signature of Applicant/s:. Office Use Only: Please List Information/Plans/Documentation etc., required before application can be lodged (including any Tree Preservation Order and/or road opening permit) : Checked by: (Customer Service Officer to complete) Name: Date Amended February