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NOTICE TO COUNCIL OF
INTENTION TO COMMENCE WORK – CONSTRUCTION CERTIFICATE /
COMPLYING DEVELOPMENT CERTIFICATE
Privacy Statement: The information on this form is being collected by Council for purposes associated with your application. Access to this information is limited to relevant Council officers and it may be disclosed to any other government agency outside of Council, as required bylegislation. Supply of this information is required to enable accurate information to be provided. Your application may not be accepted orprocessed due to lack of information. The information will be stored securely in Council's systems. Visit www.esc.nsw.gov.au/privacy.
NOTICE TO EUROBODALLA SHIRE COUNCIL PO Box 99, MORUYA NSW 2537
SECTION A - DEVELOPMENT DETAILS
Address
Description of the building work or subdivision work
Date of commencement The building/subdivision work described above is intended to commence on (*Not less than two business days from the date of the notice)
SECTION B - DEVELOPMENT CONSENT / CDC
DA number DA
CDC number CDC
SECTION C - CONSTRUCTION CERTIFICATE
Name of certifying authority
CC number CC
SECTION D - DETAILS OF PRINCIPAL CONTRACTOR / OWNER BUILDER
The work will be carried out by a principal contractor The work will be carried out by an owner-builder (select one)
Name of principal contractor or owner-builder
Address of principal contractor or owner-builder
Principal contractor’s builders licence no. (if applicable) or owner-builder’s permit no.
Phone Email
*The applicant is required to keep the PCA (Council) informed of any changes to the details of the principal contractor (builder) and any relevant insurances required by the builder.
SECTION E - DETAILS OF PERSON GIVING NOTICE
Name (the person having the benefit of the development consent)
Address
Phone Email
Signature
Signature
Date
Cnr Campbell and Vulcan St PO Box 99 MORUYA NSW 2537
Telephone: 02 4474 1000 Facsimile: 02 4474 1234
E: [email protected] www.esc.nsw.gov.au
SECTION F - APPLICATION DECLARATION
I, Confirm that all conditions of the above development consent/CDC that are required to be satisfied prior to the work commencing have been satisfied.
For work associated with commercial and industrial buildings where 'relevant fire safety systems' are proposed to be installed, altered or modified, plans and specifications of such systems have been provided with this form or have been previously endorsed by Council or a private Accredited Certifier (see note 1).
Signed (by the person having the benefit
of the development consent) Date Note 1
If you have not had plans and specifications of relevant fire safety systems* endorsed as part of your Complying
D evelopment Certificate or Construction Certificate approval before installing, extending or modifying a relevant fire safety
system, plans and specifications for the work must be certified as being compliant through the lodgement of a Compliance
Certificate** or endorsed by a competent fire safety practitioner*** and submitted to Council acting as the Principal
Certifying Authority (PCA) for endorsement.
* relevant fire safety system means any of the following:
(a) a hydraulic fire safety system (fire sprinkler suppression system, hydrant, hose reel)
(b) a fire detection and alarm system
(c) a mechanical ducted smoke control system. ** Compliance Certificate is a certificate under s109C of the Environmental Planning and Assessment Act 1979 which is issued by a person who is appropriately accredited under the Building Professionals Act. *** competent fire safety practitioner is a professional and/or technical person that has specialist fire safety skills. The NSW Government is presently working on establishing a co-regulatory framework for recognising industry schemes for accrediting individuals as competent fire safety practitioners. In the interim, certifying authorities (including Council) must ensure that the person who performs one of the new functions is competent, and to confirm this in writing. This will require practitioners to complete an application form (contact Council’s Certification Unit to obtain the form) and lodge with the PCA form for endorsement.
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