Section 97
BUILDING WORK
Section 130
Use this form for:
Notice of Work
Section 139
Application for a Certificate of Likely Compliance
Application for a Building Permit
Permit Authority /
2
To:
Building Surveyor
Form
Address
Suburb/postcode
(X ones applicable)
Application for:
Permit
CLC
Notice of Work
(X to grant approval for certificate to be issued following the final inspection)
Certificate of Completion
NOTE: Standard of Work Certificate and applicable fees must be submitted prior to Certificate of Completion
being issued, in accordance with section 153 or section 104 of the Building Act 2016
Building Surveyor details:
Category:
Building Surveyor:
Phone No:
Address:
Fax No:
Email:
Licence No:
Applicant / Owner details:
Note: Only an owner or agent of the owner may make an application
Owner:
Contact person:
Address:
Phone No:
Fax No:
Email address:
Owner builder:
Yes:
(X if applicable)
Owner Builder Permit:
Names:
Contact person:
Contact address:
Phone No:
Fax No:
Email address:
Agent:
Contact person:
Address:
Phone No:
Fax No:
Email address:
Note: Agents to be authorised in writing by the owner
Details of building work:
(X one
Type of work:
Permit work
Notifiable work
Planning approval granted
applicable
)
(if applicable)
Address:
Certificate of title No:
Lot No:
(new building / alteration / addition / repair
Description of
/ re-erection / other)
work:
Use of building:
(main use)
Building class(es):
Director of Building Control - date approved: 1 July 2017
Building Act 2016 - Approved Form No 2