COPIES OF BUILDING PLANS – RESIDENTIAL by Jeronohnson

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									Demolition Application Checklist and Declaration Form
To obtain a Demolition Licence, the City of Melville requires you to fully complete and submit the following
information before a Demolition Licence can be issued and before demolition work can proceed.

Please note: Your application will not be processed unless all items listed below have been completed
and all supporting documentation submitted with your application.

CHECKLIST

Please insert      in each box.

                    Application Form fully completed and signed by owner or contractor

                    Application Fees, BCITF and Kerb Security Deposits/Administration Fees Paid (as stated in application form)

                    Written and dated confirmation that rat baiting undertaken at least 7 days prior to demolition (include bait type used)

                    Completion Certificate of cut and seal of sewer / water services (include picture of location)

                    Copy fax to Synergy requesting disconnection of power

                    Copy fax to Alinta Gas requesting disconnection of gas

                    Colour photographs of the building/s to be demolished (include house, kerb, pool (if applicable) and any street trees)

                    Where the proposal is not to demolish all the buildings on site, provide site plan identifying all the buildings
                    to be demolished and those to remain


DECLARATION
(Please print details below)

I, _______________________________________ (Name) being the authorised agent / builder / owner / demolition contractor

of ____________________________________________________________________________________ (business address)

represent the contractor who will be undertaking the demolition of:

Lot No __________                        House No ________________                Street ____________________________________________


Suburb ___________________________________________ Postcode ____________________ for (Name of Owner)

_______________________________________________________________________________________________________

I understand that demolition work cannot take place until I have provided the City of Melville with the items listed above
and a Demolition Licence has been issued by post only. I further understand that a maximum penalty of $5,000 may be
charged with a maximum daily penalty of $250 while the offence continues.

PLEASE NOTE:

A Demolition Licence will only be issued by post so that all parties are notified at the same time. Any request to obtain a
Demolition Licence by fax, email or to be collected in person will be refused by the City of Melville.



APPLICANT SIGNATURE:                     _______________________________                    DATE: __________________________________

For more details, please refer to the Demolition Information Sheet by visiting www.melvillecity.com.au

Note: The Building Regulations 1989 make no provision for the refund of Demolition Licence Fees.
        ____________________________________________________________________________________________________________
                        10 Almondbury Road Booragoon WA 6154 Postal Address: Locked Bag 1 Booragoon, WA 6954
                   Tel: 1300 635 845 Fax: 08 9364 0285 Email: melinfo@melville.wa.gov.au Web: www.melvillecity.com.au
Demolition Licence Application Form
DEMOLITION SITE ADDRESS

Lot No __________                   House No ________________             Street ____________________________________________

Suburb ___________________________________________ Postcode ______________

APPLICANT, OWNER & DEMOLITION CONTRACTORS DETAILS
Applicant’s Name ________________________________________________________ Phone No ____________________

Postal Address ___________________________________________________________ Postcode ______________

E-mail Address ___________________________________________________________ Fax No                       ____________________

Owner’s Name ___________________________________________________________Phone No ____________________

Postal Address ___________________________________________________________ Postcode ______________

Demolition Contractor’s Name _____________________________________________ Phone No ____________________

Postal Address ___________________________________________________________ Postcode ______________

E-mail Address ___________________________________________________________ Fax No                      ____________________

What is your preferred method of communication?            Post                Email              Telephone

DETAILS OF BUILDING TO BE DEMOLISHED
Value of Demolition Works or Contract Value (Inc GST) $ _________________________ Number of Storeys ______________

TYPE OF BUILDING
   Dwelling                                Grouped Dwellings                Warehouse                         Shop
   Outbuilding                             Multiple Dwellings               Office                            Factory
   Swimming Pool/Spa                       Other _______________________________________________________________
   Advise how access to the building can be obtained: _____________________________________________________________

BUILDING MATERIAL

Walls             Brick                Concrete                    Timber                        Steel Sheeting
Roof              Tiles                Steel Sheeting              Fiberglass Sheeting           Asbestos
                  Other _______________________________________________________________________________

Is the property heritage listed?              Yes                         No
(please check the Municipal Heritage Inventory located on our web site www.melvillecity.com.au


APPLICANT SIGNATURE________________________________________                                 DATE__________________

FEES MUST ACCOMPANY APPLICATION:

To ascertain the correct fees for this application, simply click on Fees & Charges
    Demolition Licence Fee (per storey)                    Kerb and Footpath Security Deposit
    BCITF (a % of the cost of the works)                   Kerb Security Administration Fee (where the cost of demolition exceeds $20,000)

Note: The Building Regulations 1989 make no provision for the refund of Demolition Licence Fees.

        ____________________________________________________________________________________________________________
                        10 Almondbury Road Booragoon WA 6154 Postal Address: Locked Bag 1 Booragoon, WA 6954
                   Tel: 1300 635 845 Fax: 08 9364 0285 Email: melinfo@melville.wa.gov.au Web: www.melvillecity.com.au

								
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