NicholsonWright
Building Surveyors & Inspectors
ACN 072393 741

Application Form  Page 1 Of 2

Building Act 1993 Building Regulations 2006
Regulation 301 (Schedule 2) Form 1

To (Building Surveyor)

Mr. Jim Tsaganas

Property Details

Number

Street
Road

City /
Suburb

Postcode

Municipal
District

LP/
PS

Allotment
Area (m2)

New Building
Floor Area (m2)

Parish Of

Vol

Folio

Crown Allotment

Applicant (Owner / Agent of Owner)

Name

Telephone

Postal
Address

Facsimile

Contact
Person

Mobile

Address For Serving
And Giving Documents

Email

Owner (Only if agent of owner is listed above)

Name

Telephone

Postal
Address

Facsimile

Contact
Person

Mobile

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

Construction of a New Building

Alterations to an Existing Building

Removal of a Building

Change of use of an Existing Building

Extension to an Existing Building

Re-erection of a Building

Demolition of a Building

Other:

Proposed Use Of Building

Residential

Commercial

Owner Builder

YES

NO

Builder (If Owner Builder Specify)

Name

Telephone

Postal
Address

Facsimile

Contact
Person

Mobile

Project Supervisor

Email

Address   26 Station St Moorabbin VIC 3189

Registration Number

BS 1329

NicholsonWright

NicholsonWright
Building Surveyors & Inspectors
ACN 072393 741

Telephone 03 9555 9511
Facsimile   03 9555 9422
www.buildingpermits.com.au

26 Station Street
Moorabbin Victoria 3189
Australia

NicholsonWright
Building Surveyors & Inspectors
ACN 072393 741

26 Station Street
Moorabbin Victoria 3189
Australia

Telephone 03 9555 9511
Facsimile   03 9555 9422
www.buildingpermits.com.au

Application Form Page 2 Of 2

NicholsonWright

Building Act 1993 Building Regulations 2006
Regulation 301 (Schedule 2) Form 1

Building Practitioner Engaged in Building Work

Name

Category / Class

Registration Number

Building Practitioner(s) Engaged to Prepare Documents

Name

Category / Class

Registration Number

Name

Category / Class

Registration Number

Name

Category / Class

Registration Number

Name

Category / Class

Registration Number

Cost of Building Work

Is there a Contract for
the Building Work?

If Yes state the
Contract Price

If No state the Estimated
Cost of Building Work

Stage of Building Work

Extent of Stage

Value of Work
for This Stage

Note 1 -

Building Practitioner means -
a) a building surveyor; or
b) a building inspector; or
c) a quantity surveyor; or
d) an engineer engaged in the building industry; or
e) a draftsperson who carries out on a business of preparing plans for building work or
preparing documentation relating to permits and permit applications; or
f) a builder; or
g) a person who erects or supervisors the erection of prescribed temporary structures; or
h) a person responsible for a building project or any stage of a building project and who belongs to
a class of people prescribed to be building practitioners
but does not include:
i) an architect; or
j) a person (other than a domestic builder) who does not carry on the business of building.

Note 2 -

Include building practitioners with continuing involvement in the building work

Note 3 -

Include only building practitioners with no further involvement in the building work

Note 4 -

The use of the building may also be subject to additional requirements under other legislation such as the
Liquor Control Reform Act 1998 and the Dangerous Goods Act 1985.

Note 5 -

If an owner builder there are restrictions on the sale of the building under section 137B of the
Building Act 1993. Section 137B prohibits an owner builder from selling a building within
6 ½ years from the completion of the relevant works unless they have satisfied certain
requirements including obtaining compulsory insurance. The Building Commission
maintains a current list of domestic insurance providers.