11. Have you attached all required documents?
You are required to provide all the necessary documents to support your application. This includes (but is not limited to)
the following sections:
Section 4: Proof of Ownership
Section 6: Plans showing land and boundary features as required
PIM, development of contribution notice or certificate attached to PIM
Section 7: Statutory Declaration as to Owner Builder form OR Memorandum of Licensed Building
Practitioners – Certificate of Design Work (for each type of building work being undertaken)
Section 8: Plans, specifications and other supporting information in relation to the compliance method of
the build, e.g. where the work deviates from an Acceptable Solution method.
Please check your application and ensure all the supporting information is attached otherwise your application will be
When you are satisfied your application is complete, please complete section 13 and send to your local Building Consent
If you are unsure about what information to include in your application, a guidance document is available (click here)
The information you have provided on this form is required so that your building consent application can be processed
under the Building Act 2004. The Council collates statistics relating to issued building consents and has a statutory
obligation to forward these regularly to Statistics New Zealand. The Council stores the information on a public register,
which must be supplied (as previously determined by the Ombudsman) to whoever requests the information. Under the
Privacy Act 1993 you have the right to see and correct personal information the Council holds about you.
12. Your application fees
Your council will charge fees for your consent application. These will include statutory levies payable to BRANZ and the
Ministry of Business, Innovation & Employment.
A full fee schedule can be found on the Council’s website. Please consult this before submitting your application.
13. Have you signed the application?
I request that you issue a project information memorandum, project information memorandum and building consent, or
building consent for the building work described in this application.
the information contained in this application is, to the best of my knowledge, true and correct. I understand that
work must not commence until the building consent is issued and uplifted.
Name and signature of the owner / agent on behalf of and with the authority of the owner
Owner / Agent Name:
Owner / Agent Signature:
(Enter your name and tick the
acknowledgement box if you do
not have a digital signature)
al council (or their website) will be able to help you with information specific to the site your application covers.
05-12-2017 v1.10 GoShift Building Consent Application Page 7 of 10
I understand that this application may only be made with the owner's approval. Please tick to indicte your agreement.
click to sign
click to edit