Mandatory Notification Form - Class 10 Buildings

This form is to be used to provide mandatory notifications to council for Class 10 buildings that are attached to the roof framing of a building of another class (for example a verandah attached to the roof framing of a dwelling).

* Mandatory Field

Introduction
Application Details
Application Number*

Application number can be found on your Decision Notiifcation Form (e.g 100/2012/546)

Site Address*

Please enter address of site where works are being undertaken

Contact Email Address

Please enter your email address so we may contact you if required

Person Responsible for Works*

Please select the person who is responsible or overseeing works on site

If a licenced builder has been contracted for works and not an owner builder please proceed to the Licenced Builder Details section below only
If you are an owner builder please fill in the Owner Builder and Registered Building Work Supervisor Details section below only
Licenced Builder Details
Please provide details of the licenced builder who has been contracted to undertake works
Licenced Builders Name
Licenced Builders Contact Number

Please provide phone details of licenced builder

Licenced Builders Licence Number

Pleaes provide the registered licence number of the Builder

Please proceed to the Mandatory Notifications Section
Owner Builder and Registered Building Work Supervisor Details
Please provide details of the owner builder
Owner Builders Name

Please provide full name of owner builder

Owner Builder Contact Number

Please provide contact number of owner builder

Registered Building Work Supervisor Name

Please provide the name of the registered building work supervisor overseeing works

Registered Building Work Supervisor Contact Number

Please provide contact number for the registered building work supervisor overseeing works

Registered Building Work Supervisor Licence Number

Please provide the registered licence number of the building work supervisor engaged to oversee works

Please proceed to the Mandatory Notifications Section
Mandatory Notifications - Please tick the relevant notification
The following notifications must be provided to council 1 business day prior to commencement or completion of each stage of works
Date of Works*

date works will commence/complete

Commencement of building work on site
Commencement of pouring of footings
Completion of roof brackets
Completion of the roof framing

**Supervisors checklist must be provided to Council within 1 business day of this notification**

Completion of Supervisors Checklist
Completion of building works
Mandatory Notification Attachments
Attachments for Mandatory Notifications

Please add any attachment here e.g. PDF of checklist, builders insurance certificate, etc.

Any other comments to council
Please add any comments to Council
Comments to council

Please add any further comments you wish to advise council

Please provide your email address below to receive a copy of your notification submission and receipt number for future reference
If you see this, leave this form field blank.

Send a copy of the submitted form to this email address.