Form 16 - Inspection Certificate - 171 Ewarts Road, Cooran

Form 16                Inspection certificate


This form is to be used for the purposes of section 10 of the Building Act 1975 and section 53 of the Building Regulation 2021
(BR 2021). The relevant building certifier is stating a stage of work is compliant with the building development approval.
Explanatory information relevant to completion of this form is in the Appendix at the end of this form.


1. Stage of the building work

INSPECTION TYPE: Final Inspection
INSPECTION DATE: 25/10/2023
INSPECTION COMMENTS: N/A.


2. Property description

Street address

171 Ewarts Road Cooran Qld 4569

Lot and plan details (attach list if necessary)

113 MCH 464

Local government area the land is situated in

Noosa Shire Council



3. Building/structure description

Building/structure description


Covered Area/Carport (Retrospective Approval).

Class of building/structure

Detached Covered Area/Carport                                                            Class 10a.


4. Description of component/s certified

Inspection of all assessable work approved and on completed under the relevant Building Approval. Note: This is not a Form 17 or 21 and
does not finalize the Development Approval for Building Work


5. Basis of certification

Inspection of the work for compliance with the Building Act 1975, the Conditions of the Decision Notice appurtenant to the Building
Development Approval and, where relevant, the Guidelines for inspection of Class 1a and 10 buildings and structures and/or the
Guidelines for inspection of class 2 to 9 buildings published the Department of Housing and Public Works effective 1 October 2020.



6. Reference documentation

Those plans and/or specifications relevant to the Stage, stamped approved and bearing the Pacific BCQ’s Ref. Number shown below.




Building Regulation 2021 • Section 53 • Form 16 • Version 2 • March 2023                                                         Page 1 of 4