District Council of

Loxton Waikerie

Mandatory Notification Form - Class 1 - 9 Building

Online form to be used to notify council of stages of work on a class 1 to 9 building

* Mandatory Field

Introduction
Application Details
Development Application Number (e.g. 551/0000/2015*
Site Location

Address where building work is being undertaken

Person Responsible for Works*

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 Buidling Work Supervisor section below only

Licenced Builder Details

Please provide details of the licenced builder who has been contracted to undertake works

Licenced Builder Name
Licenced Builder Contact Number

Please provide the telephone details of the licenced builder

Licenced Builder Licence Number

Please provide the registered licence number of the builder

Has the builders indemnity insurance certificate been provided to council?

If answer is No, you cannot commence construction until the certificate has been provided to council

Please proceed to the Mandatory Notifications Section

Owner Builder and Registered Building Work Supervisor

Please provide details of the owner builder and registered building work supervisor to oversee works

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

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

Registered Building Work Supervisor Contact Number

Please provide the contact number for the registered building work supervisor engaged to oversee works

Registered Building Works Supervisor Licence Number

Please provide the registered building licence of the engaged building work supervisor

Please proceed to the Mandatory Notification Section

Mandatory Notifications - Please tick the relevant notification

Notifications must be provided to council 1 business day prior to commencement or completion of each stage of works

Date of Works*
(dd/mm/yyyy)

Date of Works Commenced / Completed

Commencement of building work on site
Commencement of pouring footings
Completion of roof & wall frames

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

Completion of supervisors checklist
Completion fo building work
Mandatory Notification Attachments

Attachments for Mandatory Notifications

Any other comments to council
Please add any comments to Council
Please proivde yoru email address below to receive a copy of your notification submission and receipt number for future reference
Email Submitted Data

Send a copy of the submitted form to this email address

If you see this, leave this form field blank.
 
 
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