Application for Occupation Certificate - Gosford City Council

BUILDING DETAILS
The building classification must be the same as that specified in the development consent or complying development
certificate.
Whole/Part of building
Use
New
BCA Class
Existing
ATTACHMENTS – Indicate the following documents accompanied with the application
Development Consent or CDC Construction Certificate Fire Safety Certificate
Compliance Certificate BASIX Certificate Smoke detector certificate
Wet area installation certificate Land survey Engineering report
Termite control certificate Work as executed stormwater Final acoustic certificate
Mechanical ventilation Certificate Rainwater/Stormwater Cert. Window glazing certificate
Trade waste permit Acid sulphate report Other
APPLICANT DECLARATION
I the undersigned declare that the details provided to Gosford City Council is to the best of my knowledge, true and
correct. And that works have development consent and have been completed in accordance with the consent and
applicable conditions.
Applicant Name
Applicant Signature
Date Signed
RIGHT OF APPEAL
Under Section 109K of the Environmental Planning & Assessment Act where the certifying authority is a Council an
applicant may appeal to the Land and Environment Court against the refusal to issue an occupation certificate
within 12 months from the date of the decision.
LODGEMENT DETAILS – You can lodge the completed application by
VISITING Gosford City Council Monday to Friday 8.30am – 5.00pm
49 Mann Street
GOSFORD NSW 2250
EMAIL goscity@gosford.nsw.gov.au (The completed application form must be sent as an attachment)
POST PO Box 21, GOSFORD NSW 2250
PRIVACY AND PERSONAL INFORMATION
Information on this form is being collected by Council for administrative and assessment purposes. It may be used
by Council staff and other government agencies for the purpose of assessing your application. This application
form and any supporting documents lodged with Council may be made available for public access. It is the
applicant’s responsibility to ensure any documents do not contain any personal or financial information.
Occupation Certificate IR 8740859 – 8 October 2013 Page 2