14 T000036 - Attachment 11 - Decision Notice (Demolition Permit) (1)

Lodgement of building work documentation

 

 

1. Building description

Building Use Building Class

[punts lol) D8

Shop / tenancy no. Storey / level

 

 

 

 

 

 

2. Property description

The description must identify all land the
subject of the application.

The lot & plan details (eg, SPIRP) are
shown on title documents or a rates notice.

If the plan is not registered by title, provide
previous lot and plan details.

Street address (Include no., street, suburb/locality & postcode)

Sl borler sh, Tecoantn
{Ente OfP MM pp on DR

Lot & plan details jAdach list ¥ necessary)

S72McH 3845 ]

Shop / tenancy no. (if applicable) Storey / level (if applicable) Total area of land (m?/ha)

A.

In which local government area is the land situated?

LWaAoSA

 

 

 

3. Documents lodged

Please attach one copy of these documents,
submitted under section 5.3.5 of the
‘Sustainable Planning Act 2009 and sections
86 and 87 of the Building Act 1975. (Tick
applicable box/es)

The private certifier must ensure each
document is marked to identify it as a
document approved by the private certifier and
relating to the development approval,

Before giving the documents to the assessment
Manager the private certifier must ensure the
approved form for the application is completed.

The application
The approval documents for the application
The decision notice or negotiated decision notice for the application

A copy of the plans, drawings and specifications and other documents and information lodged by
the applicant, stamped approved or otherwise endorsed by the assessment manager

A list of required fire Safety installations and frequired special fire services applying to the building
work

Certificates relied on to decide the application

OO O ooog

Information relied on to decide the application in relation to local government easements,
encumbrances or estates or interests in land likely to be relevant to the application

 

4. Confirmation receipt

If the assessment manager is a local
government, the local government must
immediately give the private certifier a
document acknowledging the receipt of the
archiving fee.

The private certifier must not give the applicant
any approved documents until the private
certifier has received the acknowledgement
from the assessment manager.

If the certifier works for a company, a contact

 

Private certifier's name (in full)

+
=

Company name (if applicable) Contact person

Postal address

“Postcode

 

 

Building certifier reference number

 

 

 

 

Person must be shown. |
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5. Local Government Local Government use only

acknowledgement The Local Government acknowledges payment of the archiving fee

This section is optional and to be used by the
local government at their discretion.

 

For future enquiries concerning these documents Local government reference

please quote this reference:

Archiving fee Fee receipt number (if applicable)

s a _|

Date —— issued