WAIROA DISTRICT COUNCIL
REGULATORY DEPARTMENT
P +64 6 838 7309
F +64 6 838 8874
E consents@wairoadc.govt.nz
W www.wairoadc.govt.nz
p PO Box 54, Wairoa 4160, Hawke’s Bay
A Coronation Square, Queen Street, Wairoa
PAGE 1APPLICATIONnFOR EXTENSION OF TIME
APPLICATION FOR EXTENSION OF TIME
Section One | What Are You Applying For?
Extension of time to issue Code Compliance
Certicate
Extension of time to commence works
Section Two | Where is the Building? (Complete both elds)
Street address:
Legal description:
Section Three | When/Where was The Building Consent Issued? (Complete all elds)
Building consent number:
Date issued:
Issued by: (name of building consent authority)
Section Four | Who Owns The Building? (Complete all elds, using n/a if a eld is not applicable)
Owner name: (include title, eg Mr, Ms if an
individual/Contact person's name if a company,
trust or similar)
Owner mailing address:
Owner email address:
Owner contact number:
Section Five | Why is an Extension Required? (Complete all elds)
Reason:
New start date:
Expected completion:
Section Six | Signature (Complete all elds)
Owner name:
Signature: (of owner/agent on behalf and with
authority of the owner)
Date:
click to sign
signature
click to edit
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