SUBJECT ADDRESS: No. ....... St/Rd ..................................................... Suburb .................................. P/Code ..................

Allotment Area ……………………. m² Please Note - if the allotment is under 500m² a planning permit is required.

If a Building Permit application has been lodged with a Building Surveyor that relates to the matter applied for in this

application, please provide details of the Relevant Building Surveyor ..........................................................................................

Have you read the Application Guidelines for the regulations you are applying for? Yes No

APPLICANT: I, Owner , Agent of Owner (Please tick one)

Name: ..............………..……………....................………………....................................................Telephone: .........................................

Postal Address: ..........................................................................…......……......…………..........…… Postcode .…........................……

Email Address: .................................................................................................................................................................................

Hereby give a copy of building permit application/building design to Council and apply for a Report and Consent in accordance with Schedule 2 of the Building Act 1993 for the following prescribed matter under Schedule 5 of the Building

Regulations 2018:

Tick Reg Reporting Matter Fee as of

June 201873(2) Setback from a street alignment not complying with reg 73 (maximum)

$278.90 each

74(4) Setback from a street alignment not complying with reg 74 (minimum)

75(4) Building height not complying with reg 75

76(4) Site coverage not complying with reg 76

77(3) Permeable surfaces not complying with at least 20% of allotment area reg 77

78(6) Carparking spaces not complying with reg 78

79(6) Side or rear boundary setbacks not complying with reg 79

80(6) Walls or carports on boundaries not complying with reg 80

81(6) Building setbacks not complying with reg 81 (daylight to existing habitable room windows)

82(5) Building setbacks not complying with reg 82 (solar access to north facing habitable room windows)

83(3) Building design not complying with reg 83 (overshadowing of recreational private open space)

84(9) Window or raised open space not complying with reg 84 (overlooking)

85(3) Building design not complying with reg 85 (daylight to habitable room windows)

86(3) Private open space for a building not complying with reg 86

87(2) Siting of appurtenant Class 10a building not complying with reg 87

89(3) Front fence height not complying with reg 89

$223.00 each

90(2) Fence setback from side or rear boundary not complying with reg 90

91(5) Length or height of side or rear boundary fence not complying with reg 91

92(2) A fence within 9m of an intersection of street alignments and exceeding 1m above footpath

94(6) Fence setback not complying with reg 94 (daylight to existing habitable room window)

95(3) Fence setback not complying with reg 95 (solar access to north facing habitable room windows)

96(3) Fence design not complying with reg 96 (overshadowing of recreational private open space)

97(2) Mast, pole, aerial, antenna, chimney, flue, or service pipe not complying with reg 97

109(1)&(2) Projections beyond street alignment

$278.90 each134(2) Buildings above or below certain public facilities

Signed ……………………..................................................................…… Dated ........................................ (Cont'd to next page)

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Building Act 1993

Building Regulations 2018 Schedule 5

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REPORT AND CONSENT PRE APPLICATION CHECK LIST All applications must be accompanied by the below information: Have you -

Completed the application form - Ensure the form is fully completed, including being signed and dated by the applicant.

Paid the relevant fees - Credit Card and other payment options are on the following page.

Provided a Copy of Title and approved plan of subdivision - Also provide details of any covenants, Section 173 Agreements, or other restrictions that are applicable to the property.

Provided the necessary sets of Architectural drawings - Drawings should be of a scale not less than 1:100 including floor plans and elevations, where applicable. Where necessary, the applicant may be asked to provide a schedule of finishes. In some circumstances, it may be necessary to provide details to clarify certain issues (eg: contours, overshadowing, eaves detail, footing details, etc).

Provided a Site Plan and Site Analysis - Showing all boundaries and setbacks, easements, existing building(s), proposed works and a North point. Plans must show the details of the adjoining property building locations, including setbacks from front and side boundaries and, where relevant, the locations of habitable room windows, private open space and recreational private open space. Overshadowing diagrams may be required, depending on the type of work proposed and the proximity to the side and/or rear boundary.

Given Reason/Justification for the application - An application for ’Report and Consent’ shall be accompanied by a written summary explaining how the application satisfies the ‘Ministers Guidelines’ and the ‘Monash Neighbourhood Character Study’ where applicable. NOTE: The application may be refused if it does not comply with the ‘Ministers Guidelines'. These guidelines can be viewed at –

www.monash.vic.gov.au/Report-and-Consent-Application-Guide

www.monash.vic.gov.au/Neighbourhood-Character-Study

Council’s Building Department can be contacted on 9518 3555.

In some cases a Town Planning permit may also be required for the proposal. It is the responsibility of the applicant/owner to find out whether a Town Planning permit is required when making the dispensation application.

REFERRAL OF BUILDING PERMIT APPLICATION/BUILDING DESIGN TO

COUNCIL FOR REPORT AND CONSENT

SUBJECT PROPERTY ADDRESS:

...........................................................................................................................................................

Information Privacy

The Privacy and Data Protection Act 2014 protects the personal information of individuals. The City of Monash takes this responsibility seriously and endeavours to manage and protect personal information in its possession at all times. The Council will only use and disclose information for the purpose/s for which it is collected.

The Council has adopted policies and procedures to protect personal information. These are available at Council’s web site www.monash.vic.gov.au Queries regarding Council’s handling of information privacy can be directed to the Information Privacy Officer, telephone 9518 3555.

BLD 0310 – Last update 02/06/2018

PAYMENT OPTIONS:

In Person at: 293 Springvale Road Glen Waverley

or Mail – Cheque/Money Order: PO Box 1 GLEN WAVERLEY VIC 3150

or Email – Credit Card: mailto:mail@monash.vic.gov.au

I authorise the City of Monash to charge my Credit Card for Report and Consent to:

MASTERCARD VISA AMERICAN EXPRESS EXPIRY: /

NUMBER:

NAME ON CARD: Signature:

Phone Total Amount: $

OFFICE USE APPLICATION: AP ALLOCATION REF: BDISP AMOUNT: $