APPLICATION FOR COUNCIL REPORT & CONSENT
NON SITING MATTERS /
BUILDING REGULATIONS 2006
To: / Municipal Building Surveyor / Office Use Only
Return To / BUILDING SERVICES / Class / Type / Year / Number
Email / / BG / CCS / 201
Or / any City of Greater Geelong Customer Service Centre / Prop No.
APPLICANT DETAILS
Relevant Building Surveyor / Owner / Agent of Owner
Name
Address / Suburb
Postcode / Phone / Mobile
Fax / Email
I hereby give a copy of a building permit application or building design to the Council for report and consent in accordance with Schedule 2 of the Building Act 1993 for the following matter under Schedule 4 (Part 2) of the Building Regulations 2006.
PROPERTY DETAILS
Number / Lot / Street
Suburb / Postcode
MATTER TO BE REPORTED ON / Fee
513(1)(2) - Projections beyond street alignment / $250.65
515(2) - Building above or below certain public facilities / $250.65
802(3) - Construction of buildings on land liable to flooding / $250.65
806(1) - Building on designated land / $250.65
ADDITIONAL INFORMATION to be supplied with the application
Prescribed Fee (to be paid when making application).
Current, clear copy of the Certificate of Title (maximum 90 days old) including Plan of Subdivision.
Clear and complete design or building permit application documents and plans (2 copies please)
Where requesting a level lower than the specified floor level:
·  a drainage system designed and certified by a Registered Engineer with all necessary site and floor levels to AHD that would provide adequate immunity to the building from the effect of flooding, complying with AS/NZS 3500, may need to be provided; and the Owner may be required to enter into a Section 173 Agreement with Council.
Applicants Signature Date

1

Note: Pursuant to Section 248 of the Building Act 1993, a person must not act on behalf of an owner of a building or land for the purpose of making any application, appeal or referral under this Act or the regulations unless the person is authorised in writing by the owner to do so. Penalty: 120 penalty units.

CREDIT CARD AUTHORITY PAYMENT DETAILS
Please Complete for Credit Card Payment. VISA or MASTERCARD only. A payment processing fee of 0.4% applies.
Visa / MasterCard / Don’t require a receipt! / EXPIRY DATE / / / AMOUNT / $
CREDIT CARD NUMBER
CARDHOLDERS NAME / CARDHOLDERS SIGNATURE / DATE
The collection and handling of personal information is carried out in accordance with Council’s Privacy Policy.

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BG-A015 - Application For Council Report & Consent [non siting matters] Revised: 1 JULY 2015