Doc# 515637 Page 1 of 2 BA Form 103
Notification of exempt building work
Sec
tion 97, Building Act 2004
Version:
10
Date
: January 2020
BA Form 103
Send o
r deliver your application to: Web: www.timaru.govt.nz
Building Services, Timaru District Council, Telephone: (03) 687 7236
2 King George Place, PO Box 522, Timaru 7940 Email: building@timdc.govt.nz
A. THE BUILDING (project location)
Street or road address:
Legal description:
(state
legal description as at the date of
application and, if the land it proposed to
be subdivided, include details of relevant lot
numbers and consent no)
Valuation number: Zone:
Lot: DP:
Section:
Building name:
(if applicable)
Current, lawfully established use:
B. OWNER
Name of owner: (include title)
Contact person:
(if different from owner)
Mailing address:
Street address / registered office:
Contact details: Landline number:
Daytime number:
Facsimile number:
Email address:
Mobile number:
After hours number:
C. THE TRADES PEOPLE - The trades people employed are:
Builder: Name: Licenced Practitioner Number:
Plumber: Name: Licenced Practitioner Number:
Drainlayer: Name: Licenced Practitioner Number:
Owner: Name: Licenced Practitioner Number:
Other: Name: Licenced Practitioner Number:
