011 Building Application Form

Building Act 1993 Building Regulations 2006 Regulation 301

Glen Eira City Council

Form 011 Form 1 Building Regulations June 2006

Application for a building permit Mail completed form to:

Municipal Building Surveyor Glen Eira City Council PO Box 42 Caulfield South 3162

APPLICANT’S DETAILS

Name:

Owner

Postal address:

Suburb:

Agent of owner Postcode:

Address (for serving of documents): Is the applicant a lessee or licensee of Crown Land to which this application applies? Contact person:

Phone:

Yes

No

Fax:

OWNERSHIP DETAILS (if applicant is agent of owner)

Owner: Postal address:

Suburb:

Contact person:

Phone:

Postcode: Fax:

PROPERTY DETAILS (include Title details if applicable)

Address:

Suburb:

Postcode:

Lot/s:

LP/PS:

Volume:

Folio:

Crown allotment:

Section:

Parish:

County:

Municipal district:

m2

Allotment area (for new dwellings only):

Is the land owned by the Crown or public authority?

Yes

No

BUILDER (OR DEMOLISHER)

Name: Address:

Suburb:

Phone:

Postcode:

Mobile:

Fax:

1

BUILDING PRACTITIONERS AND/OR ARCHITECTS

1: Engaged in the building work2. Name:

Category/class:

Registration number:

Name:

Category/class:

Registration number:

(If a registered domestic builder carrying out domestic building work attach details of the required insurance.)

2: Engaged to prepared documents forming part of the application for this permit3. Name:

Category/class:

Registration number:

Name:

Category/class:

Registration number:

NATURE OF BUILDING WORK (tick appropriate box or provide details)

Construction of a new building Removal of a building Re-erection of a building Proposed use of building4:

Alterations to an existing building Extension to an existing building Other (please state below)

Demolition of a building Change use of existing building GO TO NEXT PAGE

Bentleigh Bentleigh East Carnegie Caulfield Elsternwick Gardenvale Glen Huntly McKinnon Murrumbeena Ormond St Kilda East

OWNER BUILDER5 (If applicable)

Do you intend to carry out the work as an owner builder?

Yes

No

COST OF BUILDING WORK

Is there a contract for the building work? If yes, state amount: $

Yes

No If no, state estimate: $

(Include cost of labour and materials and attach details of method used in estimation.) STAGE OF BUILDING WORK (If application is to permit a stage of the building work.)

Extent of stage:

Value of building work for this stage: $

DECLARATION

Signature of owner or agent:

Date:

I certify that I have not appointed another building surveyor and that I have read the privacy statement on this form.

OFFICE USE ONLY Building fee: Building levy: Hih levy: Other: Total:

$ $ $ $ $

Price includes: Inspections Additional inspections calculated at: $

per inspection.

Other inclusions in price:

Footnotes: Note 1:

Building practitioner includes a: (a) building surveyor; (b) building inspector; (c) quantity surveyor; (d) engineer engaged in the building industry; (e) draftsperson who carries on a business of preparing plans for building work or preparing documentation relating to permits and permit applications; (f) a builder including domestic builder; (g) person who erects or supervises the erection of prescribed temporary structures; or (h) person responsible for a building project or any stage of a building project and whom belonging to a class of people prescribed to be building practitioners. Building practioner does not include: (i) an architect (j) a person (other than a domestic builder) who does not carry on the business of building.

Note 2:

Includes building practitioners with continuing involvement in the building work

Note 3:

Includes only building practitioners with no further involvement in the building work.

Note 4:

The use of the building may also be subject to additional requirements under other legislation such as the Liquor Control Reform Act 1998 and the Dangerous Goods Act 1985.

Note 5

If an owner-builder there are restrictions on the sale of the bulding under section 137B of the Building Act 1993. Section 137B prohibits an owner-builder from selling a building on which domestic building work has been carried out within six and a half years from the completion of the relevant building work unless they have satisfied certain requirements including obtaining compulsory insurance. The Building Commission maintains a current list of domestic insurance providers.

Glen Eira City Council

Information privacy The personal information requested is required primarily for the provision of the services referred to on this form and will only be shared with those directly responsible for providing that service. If you do not provide the information, Council may not be able to deliver the service. The personal information provided will be used for government reporting as required by Regulation 308 Building Regulations 2006. If you would like to know more about privacy at Glen Eira City Council, including your right to seek access to any information collected on this form, please contact Council’s privacy officer on 9524 3333.