Notice of commencment of works - Parramatta City Council

PART 1 - Property & Applicant DetailsNOTICE OF COMMENCEMENT OF WORKSAND APPOINTMENT OFPRINCIPAL CERTIFYING AUTHORITYunder the Environmental Planning and Assessment Act, 1979 Sections 81A(2) or (4), 86(1)&(2)Disclaimer: The information provided by you on this form will be used by Parramatta City Council or itsagents to process this application. Once collected by Council, the information can be accessed by you inaccordance with Council’s Access to Information Policy and Privacy Management Plan or in special circumstances,where Commonwealth legislation requires or where you give permission for third party access.1. Property detailsAddressLot/DP/SP etcunit:street:suburb:lot:house:postcode:DP/SP etc:2. Applicant detailsFull name/company andcontact personPostal addressContact detailsfamily name (or company):full given names:OR company contact person:suburb:home phone:office phonepostcode:mobile:fax:email:date:Note: Applicant is required to sign the last page of this application.PART 2 - Development Details3. Description of proposeddevelopmentPlease tick ()Building workSubdivision workyesyesnonoDescription ofdevelopmentExisting use of siteLocation id within existingbuildingOFFICE USE ONLYDate: Fee: $Receipt #: #:1

PART 2 - Development Details (continued)NOTICE OF COMMENCEMENT OF WORKSAND APPOINTMENT OFPRINCIPAL CERTIFYING AUTHORITYunder the Environmental Planning and Assessment Act, 1979 Sections 81A(2) or (4), 86(1)&(2)Disclaimer: The information provided by you on this form will be used by Parramatta City Council or itsagents to process this application. Once collected by Council, the information can be accessed by you inaccordance with Council’s Access to Information Policy and Privacy Management Plan or in special circumstances,where Commonwealth legislation requires or where you give permission for third party access.4. Consent referenceDevelopment applicationorComplying developmentDA number: DA/CD number: CD/determination date:determination date:5. Construction certificateCC reference number: CC/determination date:Council has issued theConstruction Certificate?yesnoPlease tick ()Certifier details (if no)certifier name:accreditation number:6. Principal Certifying AuthorityCouncil has beenappointed as thePrincipal CertifyingAuthority.Certifier detailsAccreditation numberCompanyAddressyesfull name:noPlease tick ()Contact detailsphone:mobile:email:fax:7. Compliance withdevelopment consentPlease tick ()All conditions of consent are satisfied priorto the commencement of works.yesno8. Home Building ActrequirementsPlease tick ()The Principal Certifying Authority has beenadvised of the requirements of Clause 78Cof the Regulation.yesno9. Commencement ofworkstime:date:2

NOTICE OF COMMENCEMENT OF WORKSAND APPOINTMENT OFPRINCIPAL CERTIFYING AUTHORITYunder the Environmental Planning and Assessment Act, 1979 Sections 81A(2) or (4), 86(1)&(2)Disclaimer: The information provided by you on this form will be used by Parramatta City Council or itsagents to process this application. Once collected by Council, the information can be accessed by you inaccordance with Council’s Access to Information Policy and Privacy Management Plan or in special circumstances,where Commonwealth legislation requires or where you give permission for third party access.PART 3 - Applicant Declaration10. Applicant declarationPlease tick ()I declare that all the information in the application and checklist is, to the best of myknowledge, true and correct.yesnoApplicant’s signaturedate:PART 4 - Council Officer Declaration11. Officer declarationPlease tick ()I declare that this application is, to the best of my knowledge, complete including allaccompanying documentation and digital requirements.yesnoOfficer’s signaturedate:You can log onto www.parracity.nsw.gov.au/development to track the progress of anapplication lodged after 30 June 2005. The information you supply on this form andany related documentation will be publicly available on this Council website.Parramatta City CouncilDX 8279 Parramatta30 Darcy Street, Parramatta 2150 Telephone: 9806 5524P O Box 32 Parramatta 2124 Fax:9806 59173