Appendix D - 52 Hastings Street, Noosa Heads - Change Application 17.1.19 · 51994.1435.01

NOTE:
                        Inspection Certificate / Aspect Certificate / QBSA
                                  Licensee Aspect Certificate
                                                      This form is to be used for the purposes of section 10(c) and 239 of the Building Act 1975 and/or
                                                                                                                                                          16
                                                      sections 32, 35B, 43, 44 and 47 of the Building Regulation 2006.
1. Indicate the type of certificate
                                                                Inspection Certificate for
The stages of assessable building work are
listed in section 24 of the Building Regulation
2006 or as conditioned by the building                          Stage of building work (for single detached class 1a or class 10 building or structure)
certifier.                                                      (indicate the stage) Final
An aspect of building work is part of a stage
(e.g. waterproofing).                                           Aspect of building work
                                                                (indicate the aspect) _______________________________________________

                                                                QBSA Licensee Aspect Certificate
                                                      Scope of the work
                                                      Scope of the work covered by the licence class under the Queensland Building Services Authority
                                                      Regulation 2003 for the aspect being certified, eg scope of work for a waterproofing licence is “installing
                                                      waterproofing materials or systems for preventing moisture penetration”. An aspect being certified may
                                                      include “wet area sealing to showers”.
                                                       Note: Termite Management System not to be breached or the warranty will become void.
                                                       Shade Sails Only




2. Property description                               Street address (Include no., street, suburb / locality & postcode)
The description must identify all land the
subject of the application.
                                                       52 Hastings Street
The lot & plan details (eg. SP / RP) are               NOOSA HEADS                                                         State: QLD          Postcode: 4567
shown on title documents or a rates notice.
If the plan is not registered by title, provide       Lot & plan details (Attach list if necessary)
previous lot and plan details.                         L6 BUP4745
                                                      In which local government area is the land situated?
                                                       Noosa/Terwanton

3. Building description                               Building/structure description                                                Class of building / structure
                                                       Shade Sails                                                                 Class 10




4. Description of component/s                         Components certified
certified
Clearly describe the extent of work covered            Final
by this certificate, e.g. all structural aspects of
the steel roof beams.




                                                                         LOCAL GOVERNMENT USE ONLY
 Date                                                                                 Reference                                                           Approved Form 16
 Received:                                                                            Number/s:                                                             Version 3, 11/09