FORM 10 · Web viewFORM 15 Building Act 1993 BUILDING INTERIM REGULATIONS 2018 Regulation 186(1)...
Transcript of FORM 10 · Web viewFORM 15 Building Act 1993 BUILDING INTERIM REGULATIONS 2018 Regulation 186(1)...
FORM 15Building Act 1993
BUILDING INTERIM REGULATIONS 2018Regulation 186(1)
APPLICATION FOR OCCUPANCY PERMIT
ToRelevant Building Surveyor - Alan Cocks – Wyndham Building Permits
45 Princes Highway Werribee VIC 3030 BS-U1063
Building Permit Details:
Permit No
FromThis application is made by the owner/agent of the owner of the property.
Applicant ................................................................................................Ph...........................
ACN/ABN ...............................................................................................................................
Email ...................................................................................................................................
Contact person (if applicant not a natural person) ...............................................................
In accordance with section 42 of the Building Act 1993, I hereby apply for an occupancy permit for the building at:-
Property Details
Property Address:
Legal Description:
Municipal District:
Nature of Application
☐New Building ☐Amendment to existing occupancy permit☐ Alteration to an existing building ☐Place of public entertainment ☐Change of use of an existing building ☐Other
Building practitioners and architects who were engaged in the building work 1
Name ____________________________ Category/Class ________________ Reg No. _________
Name ____________________________ Category/Class ________________ Reg No. _________
Use applied for
Part of Building ______________ Proposed Use _______________ BCA Class of Building_____
Part of Building ______________ Proposed Use _______________ BCA Class of Building _____
……………………………………………….. …………………………Signature of owner or agent Date
………………………………………………..Print Name
Compliance Certificates Required
☐Plumbing (All) ☐ Electrical ☐ Glazing ☐ Window U Value & SHGC
☐ Insulation & Energy Efficiency Design ☐ Solar Hot Water (letter) ☐ Termites
☐ Septic Tank