Form 1 – Application for a building permit

Building Act 1993

BUILDING REGULATIONS 2018

Regulation 24

Please complete all fields as an incomplete form may delay obtaining a Building Permit Number from the VBA

Project

To (Private Building Surveyor)	Codus Pty Ltd	Telephone	9650 7999

Level 5, 136 Exhibition Street

MELBOURNE VIC 3000	Email	info@codus.au

From

Owner or Agent of Owner
ACN/ARBN (If Applicable)
Postal Address of Applicant	Post Code
Email
Address for serving or giving of documents (if different from above)
Postal Address of Applicant	Post Code
Contact Person	Telephone	Mobile

☐	Tick here if the applicant is a lessee or licensee of Crown Land to which this application applies.

Lessee Responsible for Building Work

☐	Tick here to indicate if a Lessee of the building, of which parts are leased by different persons, is responsible for the alterations to a part of the building leased by that lessee.

Ownership Details (must complete if applicant is Agent of Owner)

Name of Owner(s)
ACN / ABN (If Applicable)
Postal Address	Post Code
Contact Person	Telephone
Email

Property Details

Address
Suburb	Post code
Lot/s	LP/PS	Volume	Folio
Crown Allot	Section	Parish	County
Municipal District
Land owned by the Crown or a Public Authority:	☐ Yes ☐No

*must provide either lot number or street number

Ownership	☐ Private	☐ Local Govt.	☐ State Govt.

Tick all applicable	☐ Commonwealth Govt. (crown land)	☐ Commonwealth Govt. (non-crown land)

Builder
ACN / ABN (If Applicable)
Building Practitioner Registration No.
Name	Telephone
Postal Address	Post Code
Email

[If the builder is carrying out domestic building work under a major domestic building contract, attach an extract of the major domestic building contract showing the names of the parties to the contract in relation to the proposed building work and a copy of the certificate of insurance (if applicable).]

Natural Person for Service of Directions, Notices and Orders (if builder is a body corporate) THIS PERSON MUST BE A DIRECTOR LISTED ON THE VBA WEBSITE
Name	Telephone
Postal Address	Postcode

Building Practitioners and/or Architect to be Engaged to Prepare documents for this Permit.

[List any building practitioner or architect engaged to prepare documents forming part of the application for this permit]

Category/Class	Registered Practitioner	Registration No.
Architect/Draftsperson
Engineer (Civil/Structural)
Engineer (Mechanical)
Engineer (Electrical)
Engineer (Fire Safety)
Quantity Surveyor
Builder
Demolisher
Other

Nature of Building Work (Tick if applicable or give “other” description)

☐ Construction of a new building	☐ Re-erection of a building	☐ Construction of a pool or spa barrier
☐ Alterations to an existing building	☐ Extension to an existing building	☐ Change of use of an existing building
☐ Demolition of a building	☐ Construction of swimming pool or spa	☐ Removal of a building
☐ Other (give description) .............................................

Proposed Use of Building Tick all applicable
☐ Class 1a (a) detached house ☐ Class 1a (b) attached house/s ☐ Class 1b (a) boarding/guest house, hostel ☐ Class 1b (b) short-term holiday accomm. ☐ Class 2 apartment building ☐ Class 3 (1) boarding/guest house, backpacker accommodation ☐ Class 3 (2) hotel / motel ☐ Class 3 (3) residential part of a school ☐ Class 3 (4) accomm. for the aged, children, or people with disability. ☐ Class 3 (5) residential part of a health-care building for members of staff. ☐ Class 3 (6) residential part of a detention centre. ☐ Class 3 (7) residential care building	☐ Class 4 dwelling in a class 5, 6, 7, 8 or 9 building (caretakers unit) ☐ Class 5 office building used for professional or commercial purposes ☐ Class 6 (1) eating room, café, restaurant, milk or soft-drink bar ☐ Class 6 (2) dining room, bar that is not an assembly building, shop ☐ Class 6 (3) hairdresser’s or barber’s shop, public laundry, or undertaker ☐ Class 6 (4) market or sale room, showroom, or service station ☐ Class 7a carpark ☐ Class 7b storage or display of good for sale by wholesale	☐ Class 8 laboratory, production, assembling, altering, repairing, packing, finishing, or cleaning of goods or produce for sale ☐ Class 9a healthcare building including any parts of the building set aside as laboratories ☐ Class 9b an assembly building including a trade workshop or laboratory in a primary or secondary school ☐ Class 9c residential care building ☐ Class 10a garage, carport, shed ☐ Class 10b fence, retaining wall, pool, spa ☐ Class 10c private bushfire shelter

Social Housing

Does any of the building work include the construction of social housing as referred to in Regulation 281B?	☐ Yes	☐ No

[Indicate Yes if the building work, which is the subject of this application, includes the construction of social housing or if other building work, which is the subject of a related staged building permit, includes the construction of social housing.]

Owner Builder	I intend to carry out the work as owner-builder (please tick)	☐ Yes ☐ No
Owner Builder Certificate of Consent No. (if applicable)
Issued by Building Practitioners Board to carry out domestic building work, valued greater than $12,000

Total Cost of Building Work	Is there a contract for the building work?	☐ Yes ☐ No
If yes, state the total contract price	$ ______________________ including GST
If no, state the estimated total cost of the building work	$ ______________________ including GST
Cost is to include the cost of labour and materials and attach details of the method of estimation.
Does the building work relate to more than one class of building, including a class of building referred to in Section 205G(2A) of the Building Act 1993 and a class 1, 9 or 10 building?	☐ Yes ☐ No
If yes, provide the cost of the building work that relates to the class or classes referred to in Section 205G(2A) of the Building Act 1993 and the cost of the building work that relates to a class 1, 9 or 10 building:
Cost of building work relating to a class 2 – 8 building	$ ______________________ including GST
Cost of building work relating to a class 1, 9 or 10 building:	$ ______________________ including GST

Stage of Building Work	Is application to permit a stage of the works	☐ Yes ☐ No
If yes, state stage number and extent of stage	Stage No. ____________________________________ Stage Description _____________________________
Cost of building work relating to a class 2 – 8 building	$ ______________________ including GST
Cost of building work relating to a class 1, 9 or 10 building:	$ ______________________ including GST
Nominated Levy Payer
Name:	Telephone:
Postal Address:	Post Code:
Email:

Signature of Applicant
Print Name
Date