For Council Use. Building Category R1 R2 R3. Approving Officer. Note: PIM (Appln vetted and lodged) Water Services Add Inspect *

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Building consent applic ation document check -sheet Consent To get application form go to: Consent Number: PO Box 903 Tel: 0800 732 732 15 Forth Street Fax: 0800 732 329 Invercargill 9840 Email: sdc@southlanddc.govt.nz New Zealand Internet: www.southlanddc.govt.nz Form C-Fm 2H - 2015/16-1 Issued to the Southland District Council in support of Section 45 of the Building Act 2004 http://www.sbcg.co.nz/application-forms/ All the application forms to accompany this guide can be found at the above link. For Council Use Initial Application Review Building Category R1 R2 R3 BC Admin to highlight departments in workflows Approval Date Approving Officer C1 C2 C3 Restricted BW No Yes Owner/Builder Declaration No Yes PS1 MWH Referral No Yes National Multi Use App No Yes Staged or Amended ST AMD Reviewer s Signature Time 15/30 60/180/240 Building Control Admin PIM (Appln vetted and lodged) Additional processing time andor inspections entered to Consent Resource Management right * Add Process * Water Services Add Inspect * Community Engineers Property Address Council Property Corridor Access Environmental Health Dangerous Goods On-site Effluent Review Design Review Fire Review Building Control (MWH) (MWH) Signatory (if applicable) Building Control Admin Refer Dc2 from Procedure-Process Manual for signing authorisations Design Review Construction Prompts: Total Fee Photocopying DBH Levy BRANZ Levy Design Review Fire Review Fire Service Building Fees Form C-Fm 2H 1 300/40/1/0

Applicant to Complete Please take the time and use this form to verify you have all the information required for lodgement. Incomplete application will be sent back and may incur a vetting fee Owner: Property Address: Application Check For Form 2 The Building; (Box 1) Street address of property, Legal description of allotment being built on. New buildings must have floor area shown (This information can be found on the rates assessment, Certificate of Title, or a Sales and Purchase Agreement) Application; Tick the box identifying what application is for (Box 2) Name and signature must be provided Tick who is signing form The Project; Description should briefly but accurately describe the (Box 3) buildings and building use covered by the consent Detail if new building use is applicable Value of building work covered by the building consent Owner Name of owner should match the current owner (Box 4) The owner s mailing address Phone numbers of owner Email address of owner (preferred method of contact) Agent (Box 5) Name of Agent working on behalf of owner Agent s mailing address Agent s phone details Agent s email address (preferred method of contact) (This is only relevant when agent is working on behalf of the owner) First Point of contact Restricted Building work (Box 6) PIM (Box 7) (Project Information Memorandum) Building Consent (Box 8) Compliance Schedule (Box 9) Attachments (Box 10) Contacts (Box 11) Has the first point of contact been identified Has the bill payer been identified Does the project affect the structure or cladding of a residential unit Have the LPB s been identified Has a design memorandum been provided If a PIM is requested in box 2 application then identify matters involved in the proposed project The Building Code clauses that are affected by the proposed building work and the means of compliance with the Building Code needs to be clearly identified Does the proposed building have specified systems If there is specified systems compliance schedule information is required The information being provided needs to be clearly identified Where applicable provide all the contact information of peoples undertaking the work Plan, Specifications and Detail Requirements Yes Applicant/Agent s check Vetting Officer s check Information clear and legible All plans must be to scale and in ink (not pencil) Plans and specification to be construction documentation Plans and specification to contain constant information Form C-Fm 2H 2 300/40/1/0

Copies of documentation provided three copies of information for fire design review if Alternate solution, for compliance with C1-6, D1, F6 or F8 of the Building Code, or Involves a modification or waver, for compliance with C1-6, D1, F6 or F8 of the Building Code, or Alteration, Change in use or subdivision that affects fire safety systems except minor effects. Two copies of information for all other works Information to be collated into separate and complete copies Site requirements N/A Internal alterations Rural property Yes Is this the only dwelling on the property No, show compliance with the Rule RURAL.1 of the District Plan Flood Zones/Coastal Hazards identified Include comment from Environment Southland s Hazards team Has all the subdivision requirements been shown Floor height, building height, stormwater and effluent services Land use change/new Building Yes Confirmation from Environment Southland that the site is not on their SLUS register (Selected Land Use Site) required (HAIL report) Site Plan and Site requirements N/A Internal alterations The property identification shown on the plan Location of building to roads and land marks Distances from at least two boundaries including allotment boundaries (refer to title plan) Distances from other buildings North point on site plan Extent of any earthworks e.g. cut and/or fill, major excavations for basements Urban property Outdoor Living Space shown (refer to the District plan Rule URB 5) Access to the property New Access required with measurements shown from boundary on site plan Existing access provided location shown on site plan Construction Plans Foundation Plan Floor Plan of enter building Elevations Bracing Plan Reinforcing information and shrinkage control Pile layout provided and footing sizes, venting Designation of rooms/building layout Existing/demolition/new clearly identified Sanitary fixture location identified Heating appliance s type and location Must be able to establish escape lengths Window and door openings shown Different cladding locations shown Floor height and building height from cleared ground level and natural ground level shown Recession planes shown if building with in its own height from the boundary Bracing elements clearly shown for all wings and buildings Diaphragms/dragon ties shown Form C-Fm 2H 3 300/40/1/0

Drainage Plan Cladding and Flashing Details Cross-sections Stormwater/foul water clearly identified Pipe size and gradients clearly identified Wall Cladding details for all claddings shown Flue penetration/roof Flashings Cross-sections showing relevant construction information Specifications and Supplementary Information Job Specific Specification (Generic specification may not be accepted) Type of heating to be used for the building Manufacturer s product installation information Electric heating Solid fuel/diesel/oil Gas Underfloor heating system E2/VM1 cladding systems Alternative solutions Water-proofing membranes Flue and heating unit details Truss Details with a Signed Producer Statement (If not trussed roof then roof framing plan to be provided) Bracing Schedule (Is there the correct number of bracing schedules for the number of buildings/wings) Risk Matrix H1 Assessment Stormwater soakhole Subdivision design soak hole disposal. E1/VM1 calculations provided SED design calculations provided Size & location show on plan Site Soil Assessment and Specific Design Effluent Suitable qualified person to provide Site Soil Assessment for on-site effluent disposal systems Engineer s PS1 or PS2 (Where applicable) Site Specific Simple garage or pole shed Generic Relocation Report or Code Compliance Certificate (Buildings being relocated into or within the District or if less than five years old a CCC for the construction) Commercial - Accommodation / Crowd / Working N/A Only for dwellings and simple outbuildings Is the building listed in Schedule 2 of the Building Act Do members of the public have access to this site Will a CPU be required (Certificate of Public Use) Specified systems and maintenance Fire report information Accessibility information Section 112 of the Act assessment for alterations and/or Gap Analysis Section 115 of the Act assessment for alterations and/or Gap Analysis Area Officer s Counter Check Yes Has the applicant/agent completed all sections on the left hand column in the application guide Signed Form C-Fm 2H 4 300/40/1/0

SDC Fees and Charges for 2017/2018 Where building work and inspections vary from the examples indicated below specific fees will be calculated. applications will have processing. Indicative building consent fees do not include DBH / BRANZ levies for building work =/> $20,000.00 in project value. Council s preference is for the invoicing of fees at the time of issuing. The exception being Certificate of Acceptance and Alternative Solution/Waiver applications or where there is history of poor payment, the fees are to be paid at the time of lodging. time and inspections in excess of those indicated will be invoiced as additional charges. Costs associated with review of a PS1 will be invoiced as an additional charge. Complex projects may require calculations and/or a PS2 in support of a PS1. A PS2 design review statement will be required for projects exceeding $1 million. Fees and charges outstanding at submission of Form 6 Application for Code Compliance Certificate will prevent issuing of the Code Compliance Certificate. time charge-out rate: BC Administration ($109.00/hr) - BC Officers ($171.00/hr). Inspection charge-out rates of $232.00 / 0.75/hr - $275.00 / 1.0/hr - $360.00 / 1.5/hrs allow a site arrival fee plus time on-site for inspection / compiling field notes and any necessary follow-up. Indicated fees and charges are 15% GST inclusive. Building Work Proposed Freestanding Solid-Liquid- Gas Fired Heating Unit Inbuilt Solid-Liquid-Gas Fired Heating Unit Plumbing - Drainage Swimming - Spa Pool Fencing Demolition Other minor works Farm Building, Dairy Shed, Deck, Conservatory, Garage Altered Dwelling Relocated Dwelling Indicative Building Consent Fees Time Standard Fee Includes Potential Add Fees Fee 0.25 hrs 0.25 hrs 0.50 hrs 0.50 hrs Pre-installation Site-services assessment Site-services assessment Precast concrete inspection $278.00 $512.00 $493.50 $727.50 $815.00 $1,049.00 Form C-Fm 2H 5 300/40/1/0

Building Work Proposed Addition to Dwelling New Dwelling (< 300 m 2 floor area) New Dwelling (> 300 m 2 floor area) Commercial Accommodation Commercial Crowd Commercial Working limits: Occup > 1000 WH and WF, FHC 4, > 3 Floors, Inspection limits: > 4 Floors Specific Design review charges Time Standard Fee Includes Potential Add Fees Standard Fee 3.00 hrs 4.00 hrs 3.00 hrs Actual time/ins charged Cladding option inspection Cladding option inspection Pre-cast concrete inspection CP-Eng charging rates Standard review charge $1,370.50 $2,891.00 $3,474.00 $2,772.00 $322.50 Further Information Jnr Eng per hour Sen Eng per hour Admin per hour Travel per km $108.10 $281.75 $368.00 $139.15 $0.92 Form C-Fm 2H 6 300/40/1/0

Other Fees and Charges Service Required Fee/Charges Comprises Standard Fee PIM Project Information Memorandum (PIM only application) $190.00 PIM Project Information Memorandum (issued with consent) $18.00 Site - Service Assessment $172.00 LIM Land Information Memorandum (includes single title search) $343.00 DBH levy $2.01 per $1,000.00 (for project values =/> $20,000.00) $2.01 / $1K BRANZ levy $1.00 per $1,000.00 (for project values =/> $20,000.00) $1.00 / $1K Relocatable Building Report Single inspection charge + 0.50/hr processing (within SDC area) $321.50 Tent/Marquee (> 100 m 2 ) Single inspection charge + 0.50/hr processing $321.50 Amusement Device Permit Single inspection charge (subsidised by SDC) $11.55 Amend issued Building Consent time + any additional inspections if necessary Actual cost Compliance Schedule/ Statement 1.00/hr processing $175.00 Compliance Schedule - Amended 0.50/hr processing $87.50 Certificate of Public Use Single inspection charge + 1.50/hrs processing $496.50 Certificate of Acceptance Two inspection charge + 1.50/hrs processing (paid on lodging) $730.50 Alternative Solution or Waiver Assessment of other than minor alternatives (paid on lodging) $875.00 Sale of Alcohol Reviews 0.33/hr processing $57.00 Building Statistics Report Per monthly report $40.00 Document Filing or Search 0.33/hr processing $37.50 Certificate of Title Search 0.33/hr processing Actual Cost Copying charge (A4) Per sheet $1.00 Copying charge (A3) Per sheet $1.50 Copying charge (A2/A1) Per sheet $5.00 Consent hardcopy scanning Per consent $70.00 Asbestos is present in most building products used between 1940 and 1990, if your alterations are to taking place in an area that may contain asbestos it may represent a serious workplace hazard and needs to be managed in accordance with the Worksafe guidelines found on their website http://www.worksafe.govt.nz/worksafe/information-guidance/all-guidance-items/asbestos-handy-hints/do-youneed-an-asbestos-management-plan Form C-Fm 2H 7 300/40/1/0