Application for Building Permit - Waratah-Wynyard Council

Builder:
Address:
Category:
Phone No:
Fax No:
Accreditation No:
Email address:
Documents and certificates provided:
The following specified documents and certificates are provided with this application -
Document or certificate description:
Prepared by:
(accreditation No. if applicable)
Copies of:
(as specified in Schedule 1 of the Director’s Specified List)
Certificate of Title, Schedule and Plan (1)
Site plan (3)
Architectural plans (3)
Outline plan and procedure of demolition (3)
Statement from building surveyor of estimated project cost or copy of
contract price
Details of proposed work for the protection of persons or property (3)
Certificate of Likely Compliance (3)
All documents referred to on the Certificate of Likely Compliance (3)
Owner Builder Statement - if applicable.
*Plans are to be A3 or A4 sized otherwise please provide
electronic version
Request for Environmental Health Officer Site and Soil Evaluation
– For on-site waste water disposal:
Do you wish to utilise Council’s Environmental Health Officer to carryout a Site and Soil Evaluation to
AS1547 for this application. I hereby give permission for the relevant Council Officer(s) to enter the
property to carry out the necessary inspection(s).
YES
NO
Please tick appropriate box
Owner / Agent:
(Delete one not applicable)
The building work will be carried out in accordance with the Building Act, the Building Regulations
2004 and the Building Code of Australia.
Owner / Agent:
(Delete one not applicable)
Signed Name: [print] Date