application for occupancy permit - city of hume · p16form5 - appoccupancy permit - 06-2006 (2).doc...

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P16Form5 - AppOccupancy Permit - 06-2006 (2).doc FORM 5 Building Act 1993 Building Regulations 2006 APPLICATION FOR OCCUPANCY PERMIT Attention: The applicant is required to fill out every part of this form To: Peter Jolly - Municipal Building Surveyor Reg No. BS 1457 Hume City Council P O Box 119 Dallas 3047 Phone: 9205 2325 Fax: 93098710 PART A - APPLICANT DETAILS I AM MAKING THIS APPLICATION FOR AN OCCUPANCY PERMIT AS: THE OWNER THE AGENT Name Postal Address Postcode In accordance with section 42 of the Building Act 1993, I hereby apply for an occupancy permit for the building at: PART B – PROPERTY DETAILS Number Lot/s Street/ Road City/Suburb/Town Postcode LP/PS Volume Folio Crown Allotment Section Parish County Municipal District Allotment Area (for new dwelling only) m2 PART C – BUILDING PRACTITIONERS AND ARCHITECTS WHO WERE ENGAGED IN THE BUILDING WORK Name Category/Class Registration No. Name Category/Class Registration No. Name Category/Class Registration No. PART D – USE APPLIED FOR Part of Building Intended use BCA Class Part of Building Intended use BCA Class Council is collecting the information on this form for the purpose of providing the service or permit. The information will be used for administration of this service or permit, but will not be disclosed to any other party except as required by law. If you fail to provide this information, the service or permit may not be processed. You may access this information by contacting Council on 9205 2200. Signature Of Owner Or Agent:……………………………………………. Date:…………………….. Note 1: Include building practitioners who were involved in the building work and who were not known or not listed at time of completion of application for the building permit

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Page 1: APPLICATION FOR OCCUPANCY PERMIT - City of Hume · P16Form5 - AppOccupancy Permit - 06-2006 (2).doc FORM 5 Building Act 1993 Building Regulations 2006 APPLICATION FOR OCCUPANCY PERMIT

P16Form5 - AppOccupancy Permit - 06-2006 (2).doc

FORM 5 Building Act 1993

Building Regulations 2006

APPLICATION FOR OCCUPANCY PERMIT Attention: The applicant is required to fill out every part of this form To: Peter Jolly - Municipal Building Surveyor Reg No. BS 1457

Hume City Council P O Box 119 Dallas 3047 Phone: 9205 2325 Fax: 93098710

PART A - APPLICANT DETAILS I AM MAKING THIS APPLICATION FOR AN OCCUPANCY PERMIT AS: THE OWNER THE AGENT Name

Postal Address

Postcode

In accordance with section 42 of the Building Act 1993, I hereby apply for an occupancy permit for the building at: PART B – PROPERTY DETAILS Number Lot/s Street/ Road City/Suburb/Town Postcode LP/PS Volume Folio Crown Allotment Section Parish County Municipal District Allotment Area (for new dwelling only) m2

PART C – BUILDING PRACTITIONERS AND ARCHITECTS WHO WERE ENGAGED IN THE BUILDING WORK

Name

Category/Class

Registration No.

Name

Category/Class

Registration No.

Name

Category/Class

Registration No.

PART D – USE APPLIED FOR Part of Building Intended use BCA Class Part of Building Intended use BCA Class Council is collecting the information on this form for the purpose of providing the service or permit. The information will be used for administration of this service or permit, but will not be disclosed to any other party except as required by law. If you fail to provide this information, the service or permit may not be processed. You may access this information by contacting Council on 9205 2200. Signature Of Owner Or Agent:……………………………………………. Date:…………………….. Note 1: Include building practitioners who were involved in the building work and who were not known or not listed at time of completion of

application for the building permit