Application For Construction Certificate

B. Description of work Type Building Work Subdivision Work

Please describe briefly everything that you want approved by the council, including signs, hours of operation, use, subdivision, demolition etc.

Estimated cost of work: $110,000 -  NOT INCLUDING KITCHEN, BATHROOM, LAUNDRY, NEW FLOOR COVERS AND PAINTWORK.  ONLY TO INCLUDE CHANGES TO WINDOWS, NEW BALCONY AND NEW DOUBLE GARAGE. 

NAME (printed), & qualification SIGNATURE of qualified person certifying value of work

C. Estimated cost of work $ DITTO ABOVE

Must be signed

The estimated cost of development or contract price is subject to a check by Council before final acceptance.

Council reserves the right to seek justification of the estimated cost from the applicant or by an appropriately qualified person.

D. Development Consent Dev. Consent No.

Date of Determination

DA (Year) / (Number)

E. Building Code of Australia

BCA Classification

This information is nominated on your development consent.

F. Builder Details

If known. To be completed in the case of residential building work.

Name

Licence No.

OR

Owner/builder Permit

PART 4 Construction Certificate Checklist & Declaration

All the details sought in the accompanying checklist must be provided.

THE COMPLETED CHECKLIST MUST BE SUBMITTED WITH THIS APPLICATION.

FAILURE TO PROVIDE THE REQUIRED DOCUMENTATION OF AN ACCEPTABLE STANDARD WILL RESULT IN YOUR APPLICATION BEING RETURNED.

Declaration

I apply for approval to carry out the development or works described in this application. I declare that all the information in the application and checklist is, to the best of my knowledge, complete, true and correct.  I also understand that if the information is incomplete the application may be delayed or rejected or more information may be requested.  I acknowledge that if the information provided is misleading any approval granted ‘may be void’.  Further I also certify that the plans and specifications submitted in support of this application are fully compliant with the relevant development consent.

I acknowledge that applications with significant variations to the Development Consent may be refused without discussion.

PART 3 Site Details

A. Location of Property

We need this to correctly identify the land.

Unit No. House No. Street

Suburb

Real Property

Description (e.g. Lot/DP, etc)

Applicant Signature Date____/____/____

Construction Certificate Checklist