Required fields are marked with an asterisk (*).

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).

Introduction
eg 551/0000/2015
Please enter address of site where works are being undertaken
Please select the person who is responsible or overseeing works on site
Licenced Builder Details
Please provide telephone details of licenced builder
Please provide the registered licence number of the Builder
Owner Builder and Registered Building Work Supervisor Details
Please provide full name of owner builder
Please provide contact number of owner builder
Please provide the name of the registered building work supervisor overseeing worksPlease
Please provide contact number for the registered building work supervisor overseeing works
Please provide the registered licence number of the building work supervisor engaged to oversee works
Mandatory Notifications - Please tick the relevant notification
Date of Works * Date works will commence / complete
Commencement / Completion
Mandatory Notification Attachments
Please add any attachment here eg. PDF or checklist, builders insurance certificate, etc
Please add any comments to Council