Sections 45, 87A, and 90D, Building Act 2004
The building
Street address of building:
The owner
Name:
Address:
Telephone number:
Email address:
Identification of design work that is restricted building work that has been carried out by owner-builder
Note: Complete the following section if this form is attached to an application for a building consent that is accompanied by plans or specifications containing design work that is restricted building work that has been carried out by the owner-builder (section 45(5)(b) of the Building Act 2004).
The design work that is restricted building work that I, [name, place of abode, occupation], carried out as an owner-builder is—
*all of the design work that is restricted building work described in the attached application for a building consent; or
*the design work that is restricted building work as set out below:
| *Strike out words which do not apply. |
| | | Description of restricted building work | | Reference to plans and specifications |
|---|
| | | [If appropriate, provide details of restricted building work] | | [If appropriate, specify references] |
|---|
| Primary structure | | | | |
| Foundations and subfloor framing | | | | |
| Walls | | | | |
| Roof | | | | |
| Columns and beams | | | | |
| Bracing | | | | |
| Other | | | | |
| External moisture management systems | | | | |
| Damp proofing | | | | |
| Roof cladding or roof cladding system | | | | |
| Ventilation system (for example, sub-floor or cavity) | | | | |
| Wall cladding or wall cladding system | | | | |
| Waterproofing | | | | |
| Other | | | | |
| Fire safety systems | | | | |
| Emergency warning systems, evacuation and fire service operation systems, suppression or control systems, other | | | | |
Note: |
Identification of building work that is restricted building work intended to be carried out under owner-builder exemption
Note: The following section is to be completed if—
(c) under a building consent, there has been a change in the owner-builder carrying out the restricted building work and the new owner-builder has not already submitted to the building consent authority a statutory declaration in this form to that effect (section 87A(3)(a) of the Building Act 2004).
The building work that is restricted building work that I, [name, place of abode, occupation], intend to carry out as an owner-builder is—
*all of the building work that is restricted building work described in the attached application for a building consent
or
*the building work that is restricted building work as set out below:
| *Strike out words which do not apply. |
| | | Description of restricted building work |
|---|
| | | [If necessary, describe the restricted building work] |
|---|
| Primary structure | | |
| Foundations and sub-floor framing | | |
| Walls | | |
| Roof | | |
| Columns and beams | | |
| Bracing | | |
| Other | | |
| External moisture management systems | | |
| Damp proofing | | |
| Roof cladding or roof cladding system | | |
| Ventilation system (for example, sub-floor or cavity) | | |
| Wall cladding or wall cladding system | | |
| Waterproofing | | |
| Other | | |
| Note: continue on another page if necessary. |
Status as owner-builder
I, [name, place of abode, occupation], am an owner-builder for the purposes of the Building Act 2004 as I—
| *Delete if the paragraph does not apply. |
Defined terms
relevant interest, in relation to the land or the building on which restricted building work is to be carried out, means a legal or equitable interest in the land or building and includes—
(b) a right, power, or privilege over, or in connection with, the land or building
reside includes temporarily reside.
Statutory declaration
I, [name, place of abode, occupation], solemnly and sincerely declare that the statements contained in this form are true, and I make this solemn declaration conscientiously believing the same to be true and by virtue of the Oaths and Declarations Act 1957.
Declared at [place, date]
Before me
(Justice of the Peace, barrister and solicitor of the High Court, or other person authorised by law to take statutory declarations*)
Signature:
Sections 87A and 90D, Building Act 2004
The building consent
Building consent number:
Issued by: [name of building consent authority that granted building consent]
The owner
Name:
Address:
Telephone number:
Email address:
*Agent
Name of agent: [only required if notification is being given on behalf of the owner]
†Contact person:
Mailing address:
Street address/registered office:
Telephone number:
Mobile number:
Daytime number:
After hours number:
Fax number:
Email address:
Internet site:
Relationship to owner: [Specify details of authorisation from the owner to give the notification on the owner's behalf]
First point of contact for communications with the building consent authority: [full name, mailing address, telephone number(s), fax number(s) and email address(es)‡]
| *Delete this section if the notification is not being given on behalf of the owner. |
| †Delete if the agent is an individual. |
| ‡Contact details must be in New Zealand. |
Notice
I, [name, place of abode, occupation], give notice under section 87A of the Building Act 2004 that—
*I intend to carry out restricted building work under the owner-builder exemption, but did not include a statutory declaration to that effect with my application for a building consent.
or
*There has been a change in the owner-builder carrying out the restricted building work. I intend to carry out restricted building work under the owner-builder exemption, and attach a statutory declaration to that effect.
or
*I have ceased to carry out some or all of the restricted building work under the owner-builder exemption.
| *Select the statement that applies. |
Date change is effective from:
If the notice affects some but not all of the restricted building work identified in the application for the building consent, please include details on a separate page.
Attachments
Statutory declaration as to owner-builder status (Form 2B).