2
FORM 5 Regulation 1002 Building Act 1993 BUILDING REGULATIONS 2006 APPLICATION FOR OCCUPANCY PERMIT TO Relevant Building Surveyor FROM Owner or agent Telephone In accordance with section 42 of the Building Act 1993, I hereby apply for an occupancy permit for the building at— PROPERTY DETAILS Number Street / Road City / Suburb / Town Postcode Lot/s LP/PS Volume Folio Crown allotment Section Parish County Municipality BUILDING PRACTIONERS 1 AND/OR ARCHITECT ENGAGE IN THE BUILDING WORK 1 Name Category/Class Registration No. USE APPLIED FOR Part of building Intended use BCA Class Signature of owner or agent Date The collection and handling of personal information is conducted in accordance with Council’s Privacy Policy which is displayed on Council’s website and available for inspection at, or collection from, Council’s customer service centre/s. Please refer to the Privacy Policy for further information about your rights and Council’s obligations. Mitchell Shire Council 113 High Street, Broadford 3658 DX 66003 Seymour Telephone: (03) 5734 6200 Facsimile: (03) 5734 6222 Email: [email protected] Website: www.mitchellshire.vic.gov.au F:\All_Shared\All_Users\Website_Files\Services\Building, Planning and Transport\Building and Renovating\Building Forms July 2015\MSC Occupancy Permit Application Form Updated 2015.doc

Building Act 1993 BUILDING REGULATIONS 2006 APPLICATION ... · Building Act 1993 . BUILDING REGULATIONS 2006 . APPLICATION FOR OCCUPANCY PERMIT . ... Number Street / Road City / Suburb

  • Upload
    doandat

  • View
    213

  • Download
    0

Embed Size (px)

Citation preview

Page 1: Building Act 1993 BUILDING REGULATIONS 2006 APPLICATION ... · Building Act 1993 . BUILDING REGULATIONS 2006 . APPLICATION FOR OCCUPANCY PERMIT . ... Number Street / Road City / Suburb

FORM 5

Regulation 1002 Building Act 1993

BUILDING REGULATIONS 2006 APPLICATION FOR OCCUPANCY PERMIT

TO Relevant Building Surveyor FROM Owner or agent Telephone In accordance with section 42 of the Building Act 1993, I hereby apply for an occupancy permit for the building at— PROPERTY DETAILS

Number Street / Road City / Suburb / Town Postcode

Lot/s LP/PS Volume Folio

Crown allotment Section Parish County

Municipality BUILDING PRACTIONERS1 AND/OR ARCHITECT ENGAGE IN THE BUILDING WORK1

Name Category/Class Registration No.

USE APPLIED FOR

Part of building Intended use BCA Class

Signature of owner or agent Date The collection and handling of personal information is conducted in accordance with Council’s Privacy Policy which is displayed on Council’s website and available for inspection at, or collection from, Council’s customer service centre/s. Please refer to the Privacy Policy for further information about your rights and Council’s obligations.

Mitchell Shire Council 113 High Street, Broadford 3658

DX 66003 Seymour Telephone: (03) 5734 6200 Facsimile: (03) 5734 6222

Email: [email protected] Website: www.mitchellshire.vic.gov.au F:\All_Shared\All_Users\Website_Files\Services\Building, Planning and Transport\Building and Renovating\Building Forms July 2015\MSC Occupancy Permit Application Form Updated 2015.doc

Page 2: Building Act 1993 BUILDING REGULATIONS 2006 APPLICATION ... · Building Act 1993 . BUILDING REGULATIONS 2006 . APPLICATION FOR OCCUPANCY PERMIT . ... Number Street / Road City / Suburb

OCCUPANCY PERMIT CHECK LIST CLASS 1a BUILDINGS

The following certificates are required when applying for an Occupancy Permit.

• Completed Occupancy Permit Application Form

• Electrical Safety Certificate, Prescribed & Non-Prescribed

• Plumbing Certificate including General plumbing (hot/cold water) Roofing, Drainage, Gas, Effluent lines for septic tank systems, solar hot water systems

• Termite

• Glazing

• Letter stating the dwelling has been constructed in compliance with the BAL report

• Letter stating the dwelling has been constructed in compliance with the 6 star energy rating report including the insulation

• Approval to Use Septic System

Note Termite certificate to be displayed in meter box

F:\All_Shared\All_Users\Website_Files\Services\Building, Planning and Transport\Building and Renovating\Building Forms July 2015\MSC Occupancy Permit Application Form Updated 2015.doc