Statutory declaration as to owner-builder status

Transcription

1 Fm 2B Statuty declaration as to owner-builder status Section 45, section 87A, and section 90D, Building Act 2004 The building Street address of building: The owner Name of owner: Address: Phone number: address: Identification of design wk that is restricted building wk that has been carried out by owner-builder Note: Complete the following section if this fm is attached to an application f a building consent that is accompanied by plans specifications containing design wk that is restricted building wk that has been carried out by the owner-builder (section 45(5)(b) of the Building Act 2004). The design wk that is restricted building wk that I, carried out as an owner-builder is: *all of the design wk that is restricted building wk described in the attached application f a building consent; *the design wk that is restricted building wk as set out below: *Strike out wds which do not apply. Version of 5 Updated May 2017

2 Design wk that is restricted building wk [Tick] Primary structure Foundations and subflo framing Description [If appropriate, provide details of the restricted building wk] Reference to plans and specifications [If appropriate, specify references] Walls Roof Columns and beams Bracing Other External moisture management s Damp proofing Roof cladding roof cladding Ventilation (f example, subflo cavity) Wall cladding wall cladding Waterproofing Other Version of 5 Updated May 2017

3 Fire safety s Emergency warning s, evacuation and fire service operation s, suppression control s, other Note: 1. The design of fire safety s is only restricted building wk when it involves small-tomedium apartment buildings as defined by the Building (Definition of Restricted Building Wk) Order Continue on another page if necessary. Identification of building wk that is restricted building wk intended to be carried out under an owner-builder exemption Note: The following section is to be completed if: (a) this fm is accompanying an application f a building consent and the owner intends to carry out building wk that is restricted building wk (section 45(5)(a) of the Building Act 2004); (b) the application f a building consent was not accompanied by a statuty declaration in this fm and the owner intends to carry out building wk that is restricted building wk (section 87A(2) of the Building Act 2004); (c) under a building consent, there has been a change in the owner-builder carrying out the restricted building wk and the new owner-builder has not already submitted to the building consent authity a statuty declaration in this fm to that effect (section 87A(3)(a) of the Building Act 2004) The building wk that is restricted building wk that I, intend to carry out as an owner-builder is: *all of the building wk that is restricted building wk described in the attached application f a building consent; *the building wk that is restricted building wk as set out below: *Strike out wds which do not apply. Version of 5 Updated May 2017

4 Building element [Tick] Primary structure Foundations and subflo framing Description of restricted building wk [If necessary, describe the restricted building wk] Walls Roof Columns and beams Bracing Other External moisture management s Damp proofing Roof cladding roof cladding Ventilation (f example, subflo cavity) Wall cladding wall cladding Waterproofing Other Note: continue on another page if necessary. Version of 5 Updated May 2017

5 Status as owner-builder I, am an owner-builder f the purposes of the Building Act 2004 as I: (a) have a relevant interest in the land the building on which the restricted building wk is carried out; and (b) reside intend to reside in the household unit in relation to which the restricted building wk is carried out; and (c) *have carried out the design wk that is restricted building wk myself with the assistance of my unpaid friends and family members; and (d) *will carry out the restricted building wk myself with the assistance of my unpaid friends and family members; and (e) have not, under the owner-builder exemption, carried out restricted building wk in relation to a different household unit within the previous 3 years. *Delete if the paragraph does not apply. Defined terms Relevant interest, in relation to the land the building on which restricted building wk is carried out, means a legal equitable interest in the land building and includes: (a) a right of occupancy of the land building part of the building; (b) a right, power, privilege over, in connection with, the land building. Reside includes temparily reside. Statuty declaration I, solemnly and sincerely declare that the statements contained in the this fm are true. And I make this solemn declaration conscientiously believing the same to be true and by virtue of the Oaths and Declarations Act Declared at Befe me [place, date] Signature: [Justice of the Peace, barrister and solicit of the High Court, other person authised by law to take statuty declarations*] *Select one. Version of 5 Updated May 2017