150501069267[v02]
Waimakariri District Council
V2 - 28/03/2018
1 of 1 Demolition Information Sheet
DEMOLITION INFORMATION SHEET
Schedule 1 Exemption (l), Building Act 2004
I/We (full name):
Being the Owner of (site address):
Lot:
DP/RS:
Valuation No:
We understand that a building consent is not required, pursuant to Building Act 2004 Schedule 1 Section 30, for this demolition
because our building is detached (stand alone) and less than 3 storeys high. However I would like the following information on the
demolition to go onto my property file.
EXTENT OF DEMOLITION TO BE UNDERTAKEN
Y N/A Y N/A
All of Main Dwelling/Building: Part of Outbuildings:
Part of Main Dwelling/Building: Other/Ancillary:
All Outbuildings:
Brief description of work:
Y N
Before and After Photos Included:
Services to be disconnected:
Y N Y N
Power Stormwater
Water Gas
Sewer
OFFICE USE ONLY
Date:
Officer:
215 High Street, Rangiora
Private Bag 1005, Rangiora 7440
Free Phone 0800 965 468
Email office@wmk.govt.nz
waimakariri.govt.nz
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