Original source · versioned page text
6_Conditional Certificate of Occupancy
Form 11 Certificate/Interim Certificate of Occupancy
A Form 11 must be completed to fulfil the requirements prescribed in sections 102(2) and 103 of the Building Act 1975 for a
Certificate of Occupancy.
A Form 11 must be completed to fulfil the requirements prescribed in section 104 of the Building Act 1975 for an Interim
Certificate of Occupancy.
1. Type of Certificate
Indicate the type of Certificate of Certificate of Occupancy Interim Certificate of Occupancy
Occupancy being issued.
Interim Certificate:Issued pending Date Interim Certificate of Classification will expire (if applicable)
the carrying out of the inspection, when
due to a builder's location, it is not
practicable for a building certifier to
DD / MM / YYYY
inspect a building to decide if it has been
substantially completed.
2. Owner details
Name (natural person or company)
If the applicant is a company, a contact
person must be shown.
Stockwell Design & Construction Pty Ltd
3. Property description
Street address (include No., street, suburb / locality and postcode)
The description must identify all land the
subject of the application. 26 Eenie Creek Road
The lot & plan details (SP / RP)
Noosaville State QLD Postcode 4566
are shown on title documents or a
rates notice.
Lot & plan details (attach list if necessary)
If the plan is not registered by title,
provide previous lot and plan details. 22 SP322201
Local government area the landed is situated in
Noosa Council
4. Classification Part of building/description Class of building/part
The building or part thereof described is
classified as follows in accordance with New Medihub building 5, 7a
part A3 of the Building Code of Australia
having regard to the use for which it was
designed, built or adapted. If a part of
the building is classified differently to
another part - state the part to which each
classification relates.
5. Max No. of people permitted Maximum population Part of building
If applicable, state the maximum number
of people permitted in the building and
the portion it applies to.
Building Act 1975 • Section 102(2) and 103 • Form 11 • Version 4 • October 2020 Page 1 of 2
See the original
The page text is free to read. Viewing or downloading an original file needs an account.
Log in to see the originalFull text of the other 1 page
Page 2
6. Restrictions on the use or occupation Restrictions
of the building
If the building work uses a performance The following restrictions apply to the use of occupation of the building:
solution and or a deem-to-satisfy solution
within the meaning of Building Code of Compliance with relevant Development Permits and Statutory
Australia or the Queensland Development
Code, restricting the use of occupation of Approvals.
the building, state the restriction.
For example, a limitation on the use of This is a staged C of O to confirm that the building can continue to be
finishes with the fire hazard properties
as defined under the Building Code
occupied. A redesign of the pump room is to be carried out with works
of Australia. to be completed by 14th Feb 2025.
A final C of O will not be issued until after the compliance issues raised
by QFES have been satisfactorily resolved.
7. Performance Solutions Performance solution requirements
If the building work uses an performance
solution, state the applicable materials, The following systems and procedures form part of the performance solution:
systems, methods of building,
procedures, specifications and other The building is subject to the following performance solutions:
relevant requirements.
This will provide building owners and 1. Fire Engineering Report by Property Technologies No. 13646 Rev C dated
occupiers with a concise and practical 6/10/2024.
explanation of alternative solutions that
may have some operational implications a. Openings in external wall less than 3m from the boundary.
on the use of the building.
b. Extended travel distance to exits and points of choice.
This will also help ensure the ongoing
use of the building and any future c. Extended distance between exits.
modifications do not compromise
compliance with the performance d. SOU, which does not occupy the whole storey, opens into the fire
requirements of the applicable
building code. isolated stair.
e. Fire hydrant booster located within 10 m of building without DtS
protection.
2. Section J Report by Property Technologies dated 13 Dec 2022
8. Building Certifier
Name of building certifier (in full) Licence number
If the certifier is a company, a contact
person must be shown.
Peter Hofstetter A81116
Signature Date Building Approval Reference Number
21-Nov-2024 QLD2 23234/2
Building Act 1975 • Section 102(2) and 103 • Form 11 • Version 4 • October 2020 Page 2 of 2