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BOROONDARA BUILDINGSURVEYINGSERVICES8 Inglesby Road Camberwell 3124Private Bag 1, Camberwell 3124Ph: 9278 4999Fax: 9278 4456Email: boroondara@boroondara.vic.gov.auBuilding Act 1993BUILDING REGULATIONS 2006Regulations 301FORM 1 -APPLICATION FOR A BUILDING PERMITTo MUNICIPALBUILDING SURVEYOR/RELEVANT BUILDING SURVEYOR -Asanka KodikaraFrom Owner/Agent of Owner(delete as applicable)Postal addressPost CodeContact personTelephoneEmail FaxOwnership Details (only if agent of owner listed above)Owner Postal addressPost CodeContact personTelephoneAddress for serving of documents is the same as above Yes / No Indicate if the applicant is a lessee or licensee of Crown land to which this application applies Yes / NoLand ownerby the Crown of a public authority Yes / NoProperty detailsNumberStreet/RoadCity/Suburb/TownLot/sLP/PSVolumeFolioCrown allotmentSectionParishCountyMunicipal districtAllotment area(for new dwellings only) m2Owner Builder5(if applicable)I intend to carry out the work as an owner builder. [ Yes / No ]Builder (if not owner builder)NameTelephoneAddressPost CodeNature of building work (* Tick if applicable or give other description)Construction of a new building[ ]Alterations to an existing building[ ]Demolition of a building [ ]Removal of a building[ ]Extension to an existing building[ ] Change of use [ ]Updated 01 July 2015
Re-erection of a building [ ]Other[ ]Proposed use of building4Building practitioners1and/or architect(a)to be engaged in the building work2NameCategoryRegistration No.NameCategoryRegistration No.(If a registered domestic builder carrying out domestic building work, attach details of the required insurance)(b)who were engaged to prepare documents submitted with this application3NameCategoryRegistration No.NameCategoryRegistration No.NameCategoryRegistration No.NameCategoryRegistration No.NameCategoryRegistration No.Cost of building work Is there a contract for the building work [ Yes / No ]If yes, state the contract price$If no state the estimated cost of the building work (including the cost of labour and materials) and attach details of the method of estimation $Stage of building work(if applicable)If applicationis to permit a stage of the building work: Extent of stageValue of building work for this stage $By signing this document, Iconfirm that I am appointing Asanka Kodikara as the Relevant Building Surveyor pursuant to Part 6 of the Building Act 1993. Additionally,I accept all mattersdetailed over relating to the Building Permitapplication andthe AppointmentConditionsand hereby advise that no other Building Surveyor has been appointed as the Relevant Building Surveyor.SignatureSignature of owner or agentDate:Note 1Building practitioner means: (a) a building surveyor; or (b) a building inspector; or (c) a quantity surveyor; or (d) an engineer engaged in the building industry; or (e) a draftsperson who carries on a business of preparing plans for building work or preparing documentation relating to permits and permit applications; or a builder, or (a) a person who erects or supervises the erection of prescribed temporary structures; or (b) a person responsible for a building project or any stage of a building project and who belongs to a class of people prescribed to be building practitioners. But does not include (i) an architect except in Part 9 and sections 24(3) and 176(6) of the Act; or (ii) a person (other than a domestic builder) who does not carry on the business of building.Note 2Include building practitioners with continuing involvement in the building work.Note 3Include only building practitioners with no further involvement in the building work.Note 4The use of the building may also be subject to additional requirements under other legislation such as the Liquor Control Reform Act 1998 and theDangerous Goods Act 1985.Note 5If an owner builder,there arerestrictions on the sale of the buildingapply under Section 137B of the Building Act 1993. Section 137B also prohibits an owner builder of domestic building work from selling the building within 6 ½ years from the date of completion of the relevant works unless they have satisfied certain requirements including obtaining compulsory insurance. The Building Commission maintains a current list of domestic insurance providers.

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