Application for code compliance certificate Section 92, Building Act 2004

Transcription

1 Application for code compliance certificate Section 92, Building Act 2004 Waitaki District Council Private Bag 50058, Oamaru Tel: Fax: Thames Street, Oamaru New Zealand The building consent Building consent number: Issued by: Waitaki District Council Street address of Building: Building work: The owner of owner: Mailing address: Phone number: Landline: Mobile: Daytime: After hours: Facsimile number: address: The following evidence of ownership is attached to this application showing full name of legal owner(s) of the building (please tick): copy of certificate of title lease agreement for sale and purchase other (specify) ownership has not altered since the building consent application was made showing evidence of ownership First point of contact for communications with the building consent authority. Agent of agent: Mailing address: Daytime: After hours: Facsimile number: address: Website: Relationship to owner (state details of the authorisation from the owner to make the application on the owner s behalf): Application All building work to be carried out under the above building consent was completed on Page 1 of 7

2 The licensed building practitioners(s) who carried out or supervised the restricted building work is/are as follows: as being licensed under section 291 of as being licensed under section 291 of as being licensed under section 291 of as being licensed under section 291 of as being licensed under section 291 of Page 2 of 7

3 The personnel who carried out building work other than restricted building work are as follows Builder: Plumber: Drainlayer Page 3 of 7

4 Gasfitter Surveyor Engineer Page 4 of 7

5 Heating appliance Installer Electrician Electrician Exterior Cladder P P O Box/Street O Box/Street : : Postal Code Phone Phone Day Day AH AH Mobile Fax Fax Class: Licensed Building Building Practitioner Practitioner number: number: (or (or registration number number if treated if treated as being as being licensed licensed under section under section 291 of 291 of Note: continue on another page if necessary. Page 5 of 7

6 The following specified systems are contained on the compliance schedule for the building, Please tick the appropriate standard used for the installation of the specified systems in the building and they, are capable of performing to the performance standards nominated. There are no specified systems in the building SS1 Automatic systems for fire suppression SS12/1 Audio loops SS2 Emergency warning systems SS12/2 FM Radio and infrared beam transmission systems SS3/1 Automatic door SS13/1 Mechanical smoke control SS3/2 Access controlled doors SS13/2 Natural smoke control SS4 Emergency lighting systems SS13/3 Smoke curtains SS5 Escape route pressurization systems SS14/1 Emergency power systems SS6 Riser Mains SS14/2 Signs for SS1-13 SS7 Automatic back-flow preventers SS15/1 Spoken information to facilitate evacuation SS8/1 Passenger carrying lifts SS15/2 Final exits SS8/2 Service Lifts SS15/3 Fire separations SS8/3 Escalator and moving walks SS15/4 Signs for facilitating evacuation SS9 Mechanical ventilation or air conditioning systems SS15/5 Smoke separations SS10 Building maintenance units SS16 Cable cars SS11 Laboratory fume cupboards I request that you issue a Code Compliance certificate for this work under section 95 of the Building Act The code compliance certificate should be sent to: and Address Signature of Owner/Agent on behalf of and with the authority of owner: of person signing (please print) Date: Attachments The following documents are attached to this application (please tick): Other documents from the personnel who carried out the work Memoranda from licensed building practitioner(s) stating what restricted building work they carried out or supervised (Record of Building Work). Certificates that relate to the energy work Evidence that specified systems are capable of performing to the performance standards set out in the building consent. Page 6 of 7

7 About this form A code Compliance certificate is the Building consent Authority (Council) final sign off for your building work. It is the owner s responsibility to apply for a Code Compliance Certificate as soon as possible following the completion of all building/drainage work after the final inspection has been completed. To obtain a Code Compliance Certificate you will need to arrange and have completed a final inspection, complete and submit application form as well as all required documentation as noted in the advice notes on the consent documentation. Please check that the forms that you are using are current at the time of application as forms are subject to change without notice. General Information The Code Compliance Certificate will be based on the approved building consent documents. Any variations to the original approved plans are required to be documented and approved prior to the work being carried out. A Code Compliance Certificate may not be issued until all the information required on this form relevant to the job is provided The Council. This includes all names, certificates, registration numbers, producer statements, or any other required documents. A Code Compliance Certificate will be issued within 20 working days of application if all information is provided and is correct and all building work complies with the building consent. This period may be suspended if further information is required. Building consent fees: the latest schedule of fees is available on our website or from our Customer Contact Team. General information can be found on our website at Guidance sheets and information produced by the Ministry of Business, Innovation and Employment Building and Housing Group are available on For general enquiries please phone (03) or building@waitaki.govt.nz Final inspections can be booked by Phone: (03) inspections@waitaki.govt.nz Booking an Inspection All applications will be checked for completeness prior to acceptance. Please ensure that you have compiled your documents carefully to avoid delays in accepting you application. If your application is incomplete it will not be accepted and the statutory processing timeframe will not start until the missing information has been provided and resubmitted. Page 7 of 7