1
Application for minor variation to approved
building consent
This application is to advise Selwyn District Council that the following minor variation is proposed to be
undertaken on the building situated at the address listed below.
(Please refer notes for applicants below).
Owner/agent name
Agent’s company
name (as relevant)
Site address
Building consent
number
Postal address
Postcode
Legal description
Applicant’s role in
project
Contact phone
number
The following documents have been attached to support this application:
Copy of plans (minimum A3 size)
Copy of certificate of design work from the designer, if involving restricted building work
Copy of this onsite application for minor variation to approved plans form
Record of variation (please identify location within building and provide a detailed description of the variation)
Owner’s signature
Date
Agent’s signature
Agent has authority to
act for owner
Yes
No
Notes for applicants
Please refer to the government’s website for guidance information about what constitutes a minor variation –
www.building.govt.nz/building-index.
It is the owner’s (or authorised agent’s) responsibility to notify Council of any changes to the approved plans under section 40
of the Building Act 2004. This variation must be approved by a Building Control Officer (BCO) before work can proceed. If the
variation involves restricted building work, the design must provide an amended certificate of design for the changes to the
design work.
Overleaf
2
Was
Reason for change
(altered, removed, replaced, deleted)
Now
Reduced scope of work (if ticked, please describe items that will not be constructed)
Council use only
The variation form has been completed in full and all supporting documentation provided
Yes
No
The variation affects restricted building work
(if yes, updated certificate of design work must be provided)
Yes
No
The variation is minor and does not materially affect compliance
Yes
No
Work may proceed
Yes
No
Variation
Approved
Declined
BCO’s signature
Date
BCO’s name
Note
If the scope of work has changes, please check the computer to see whether an update is required to the description of work.
Please ensure you submit your application and supporting documentation onto the relevant building consent number
via the AlphaOne customer portal. Use the ‘Upload Documentation’ to upload it against ‘minor variations’.
Chrome Web Store
It looks like you haven't installed the Fill Chrome Extension Add to Chrome