08 8584 8000
Navigation

Mandatory Notification Form - Class 10 Buildings

This form is to be used to proivde 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*

eg 551/0000/2015

Site Address*

Please enter address of site where works are being undertaken

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
Licenced Builders Name
Licence Builders Contact Number

Please provide telephone details of licenced builder

Licenced Builders Licence Number

Please provide the registered licence number of the Builder

Please proceed to the Mandaory Notification 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

Pleae proivde 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 Supervsior Licence Number

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

Please proceed to the Mandatory Notifications Section

Mandatory Notifications - Please tick the relevant notication
The following 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 works will commence / complete

Commencement / Completion

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

Mandatory Notification Attachments
Attachments for Mandatory Notifications

Attachments for Mandatory Notifications

Please add any attachment here eg. PDF or checklist, builders insurance certificate, etc

Any other comments to Council

Please add any comments to Council

Please provide your 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.
Administration
Principal Office - Loxton
29 East Terrace
Branch Office - Waikerie
Strangman Road
Visitor Information Centres
Loxton
On the Roundabout - Bookpurnong Terrace
Waikerie District Visitor Information Centre
Strangman Road, Waikerie
Libraries
Loxton:
East Terrace
Waikerie
Strangman Road
Connect with us
Facebook
Top