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									SOUTH GIPPSLAND SHIRE COUNCIL
Correspondence Private Bag 4

Leongatha Vic. 3953 DX 94026 REFERRAL OF BUILDING PERMIT APPLICATION/BUILDING DESIGN TO COUNCIL FOR CONSENT SINGLE CLASS 1 BUILDINGS AND ASSOCIATED CLASS 10 BUILDINGS Building Regulations 2006
To: Municipal Building Surveyor South Gippsland Shire Council

Re: (Subject Address) Number ................................ Street/Road ................................................................ Design Description ............................................................................................................................................. I, Relevant Building Surveyor , Owner , Agent of Owner .(Print Name) ............................................... Postal Address ................................................................................................................................................... Telephone ........................................................................................................................................................... I hereby give a copy of a building permit application or building design to Council/apply for consent in accordance with Schedule 2 of the Building Act 1993 for the following matters under Table 2.2 of the Building Regulations: Tick Reg 408(2) 409(3) 410(2) 411(3) 412(2) 413(6) 414(4) 415(6) 416(6) 417(4) 418(3) 419(7) 420(3) 421(3) 422(2) 423(2) 424(3) 425(5) 426(1) 427(6) 428(4) 429(3) Reporting Matter Setback from a street boundary not complying with reg. 4.8 Setback from a street boundary not complying with reg. 4.9 Building height not complying with reg. 4.10 Site coverage not complying with reg. 4.11 Impermeable surfaces covering more than 80% of an allotment area Car parking spaces not complying with reg. 4.13 Side or rear boundary setbacks not complying with reg. 4.14 Walls or carports not complying with reg. 4.15 Building setbacks not complying with reg. 4.16 (daylight to existing habitable room window) Building setbacks not complying with reg. 4.17 (solar access) Building design not complying with reg. 4.18 (overshadowing of secluded private open space) Window or raised open space not complying with reg. 4.19 (overlooking) Building design not complying with reg. 4.20 (daylight to new habitable room window) Private open space not complying with reg. 4.21 Siting of appurtenant Class 10 buildings Front fence height not complying with reg. 4.24 Fence setback on side or rear boundary not complying with reg. 4.25 Length or height of side or rear boundary fence not complying with reg. 4.26 A fence within 9m. of an intersection Fence setback not complying with reg. 4.28 (daylight to existing habitable room window) not complying with reg. 4.29 (solar access) Fence setback Fence design not complying with reg. 4.30 (overshadowing of secluded private open space) Total $200.00 per application $200.00 fee for all applications
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Fee

Signed: ................................................................................................................................ Dated: ..................................................................................................................................
S:\Forms and Fees (all depts)\Forms June 2006


								
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