Application for code compliance certificate

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Application for code compliance certificate Section 92, Building Act 2004, Form 6 - Building (Forms) Regulations 2004 About this form A Code Compliance Certificate is the Building Consent Authority (Council) final sign off for your building work. It is the owner s responsibility to apply for a Code Compliance Certificate as soon as possible following the completion of all the consented building/drainage work. To obtain a Code Compliance Certificate you will need to have completed and passed all required inspections, complete and submit this application form as well as all documentation as noted in the Construction Documentation and Advice Notes. Please check that the forms that you are using are current at the time of application as forms are subject to change without notice. GENERAL INFORMATION: The Code Compliance Certificate will be based on the approved building consent documents. Any variations to the original approved plans are required to be documented and approved prior to the work being carried out. A Code Compliance Certificate may not be issued until all the information required on this form relevant to the job is provided to the Council. This includes all names, certificates, registration numbers, producer statements, or any other required documents. A Code Compliance Certificate will be issued within 20 working days of application if all information is provided and is correct and all building work complies with the building consent. This period may be suspended if further information is required. Building consent fees: The latest Building Consents Fee Schedule is available on our website or from one of our Service desks. General information can be found on our website at www.ccc.govt.nz/goahead Guidance sheets and information booklets produced by the Council and the Ministry of Business, Innovation and Employment Building and Housing Group are available at all Service desks. For general enquiries please phone (03) 941 8999 or email info@ccc.govt.nz Christchurch City Council reserves the right, from time to time, to contact customers in regard to the services provided. BOOKING AN INSPECTION: Final inspections can be booked by: - Phone: (03) 941-8222 - Online: www.ccc.govt.nz/bookinspection SUBMITTING AN APPLICATION: Online Services applications: You can submit your application online at http://onlineservices.ccc.govt.nz You will need to register to use Online Services. You can register at http://onlineservices.ccc.govt.nz An application can also be lodged via the following methods: Email to: codecomplianceauditor@ccc.govt.nz with the building consent number in the email subject line. Post (additional costs apply) your application to: Consenting & Compliance Group, PO Box 73013, Christchurch 8154 Hand delivered (additional costs apply) to Civic Offices, 53 Hereford Street, Christchurch Central or dropped off at any Council service desk listed on our website at www.ccc.govt.nz/contact-us/service-desks. All applications will be checked for completeness prior to acceptance. Please ensure that you have compiled your documents carefully to avoid delays in accepting your application. If your application is incomplete it will not be accepted and the statutory processing timeframe will not start until the missing information has been provided and resubmitted. Page 1 of 7

Items marked * are mandatory for all applications. 1. The building consent Building consent number:* Issued by: Christchurch City Council 2. The owner (this section is not required if details have not changed from the building consent) Name of owner: (Include preferred form of address, e.g. Mr, Mrs, Ms, Miss, Dr if an individual) Contact person: (Must have a New Zealand address) Mailing address: Street address/registered office: (if different than above) Phone numbers: Landline: Mobile: Daytime: After hours: Email address: Website: The following evidence of ownership is attached to this application: (copy of certificate of title, lease agreement for sale and purchase, or other document showing full name of legal owner(s) of the building) A recent copy of certificate of title(s), and where applicable the following: Lease Agreement for sale and purchase Licence or property management agreement 3. Agent Name of agent: (only required if application is being made on behalf of the owner) New Zealand Companies Registered Number (if applicable - Refer to www.business.govt.nz/companies): Contact person: (Must have a New Zealand address) Mailing address: Street address/registered office: (if different than above) Phone numbers: Landline: Mobile: Daytime: After hours: Email address: Website: Relationship to owner: (State details of the authorisation from the owner to make the application on the owner s behalf) First point of contact for communications with the building consent authority: (mark boxes as appropriate) Agent Owner Other: (if other specify whom and provide contact details as per above) Page 2 of 7

4. Application All building work to be carried out under the building consent specified on this form was completed on:* The licensed building practitioner(s) who carried out or supervised the restricted building work is/are as follows: (or registration number if treated as being out or (or registration number if treated as being out or (or registration number if treated as being out or (or registration number if treated as being out or (or registration number if treated as being out or (or registration number if treated as being out or (or registration number if treated as being out or Page 3 of 7

The personnel who carried out building work other than restricted building work are as follows: Builder: Plumber: Drainlayer: Electrician: Page 4 of 7

Gasfitter: Exterior Cladder: Surveyor: Engineer: Page 5 of 7

Heating Appliance Installer: Note: Continue on another page if necessary. 5. Specified Systems The following specified systems are contained on the compliance schedule for the building and, in the opinion of the personnel who installed them, are capable of performing to the performance standards set out in the building consent: There are no specified systems in the building SS1 Automatic systems for fire suppression SS2 Emergency warning systems SS3/1 Automatic door SS3/2 Access controlled doors SS3/3 Interfaced fire or smoke doors or windows SS4 Emergency lighting systems SS5 Escape route pressurisation systems SS6 Riser mains SS7 Automatic back-flow preventers SS8/1 Passenger carrying lifts SS8/2 Service lifts SS8/3 Escalator and moving walks SS9 Mechanical ventilation or air conditioning systems SS10 Building maintenance units SS11 Laboratory fume cupboards SS12/1 Audio loops SS12/2 FM radio and infrared beam transmission systems SS13/1 Mechanical smoke control SS13/2 Natural smoke control SS13/3 Smoke curtains SS14/1 Emergency power systems SS14/2 Signs for SS1-13 SS15/1 Spoken information to facilitate evacuation SS15/2 Final exits SS15/3 Fire separations SS15/4 Signs for facilitating evacuation SS15/5 Smoke separations SS16 Cable cars Page 6 of 7

6. Signature I request that you issue a code compliance certificate for this work under section 95 of the Building Act 2004. The code compliance certificate should be sent to: Owner Agent (Will be posted if requested or if no email address provided in Sections 2 or 3) By signing this application you are accepting responsibility to pay all actual and reasonable costs incurred by the Christchurch City Council. Where an invoiced amount has not been paid by the stated due date, the Council may commence debt recovery action. The Council reserves the right to charge interest, payable from the date the debt became due, and recover costs incurred in pursuing recovery of the debt. Signature of: Owner Agent (on behalf of and with authority of the owner) Signed: Name of person signing: Date: 7. Attachments The following documents are attached to this application: Other documents from the personnel who carried out the work Memoranda from licensed building practitioner(s) stating what restricted building work they carried out or supervised (Record of Building Work) Certificates that relate to the energy work Evidence that specified systems are capable of performing to the performance standards set out in the building consent Page 7 of 7