AF EX Page 1 of 4 Last Updated: 11/09/2020
Revision: 5
AF EX- Application for Building Consent
Schedule 1, Part 1, Exemption 2
Granting of a building consent exemption under Section 41 of the Building Act.
This form is used to request a Territorial Authority discretionary exemption approval from the requirements of
a building consent under Schedule 1, Part 1, Exemption 2 of the Building Act.
Exemption 2 is the only exemption in Schedule 1 that requires a Territorial Authority to make a decision about
any proposed building work. For all other Schedule 1 exemptions, it is the property owner who makes the
decision as to whether their building work is exempt.
Exemption 2 -Guidance Criteria
The following guidance criteria have been developed by QLDC to assist with the evaluation of Schedule 1, Part 1
Exemption 2 requests. A project may fit more than one of the criteria and may therefore have a stronger case for
approval as a result. Please select the relevant criteria that you believe applies to your building work for which an
exemption is requested. Please note that all applications still need to be accompanied by plans and/or specifications
appropriate for the scope of works as if a consent application was being submitted and like a building consent
approval is required before building work commences.
Applies
Criteria
Building work with a value less than $20,444 (no BRANZ or MBIE levy requirement)
The following building work, which do not fully meet the m2 area limitations of Schedule 1 Part 1
exemptions, and/or the scope/complexity of work, indicates that a consent process is overly onerous.
Marquee & tents >100m
2
floor area, to be used for not more than 1 month
Closing in an existing veranda or patio >30m
2
New porch, veranda or awning >30m
2
Retrofitting/installing insulation in external walls
Wet area showers on a concrete slab at ground level.
Other …………………………………………………………………………………………………………………………………..…
Building work for ‘simple, low-risk structures’, typically non habitable buildings or parts of buildings
Farm Buildings 110sqm-220sqm
Proprietary garage 30sqm- 60sqm
Carport >40sqm
Other …………………………………………………………………………………………………………………………………..…
Building work for more complex projects where designed and supervised by chartered professional
engineers, either for temporary or permanent structures, where the TA considers the inspection
procedures adequately covered by the engineer.
Construction or removal of a retaining wall located in a residential zone
Decks, platforms, bridges, boardwalks & similar where fall height >1.5m
Statues
Music stages/Lighting Towers
Private wharf/jetty construction or repairs
Other …………………………………………………………………………………………………………………………………..…
AF EX Page 2 of 4 Last Updated: 11/09/2020
Revision: 3
AF EX- Application for Building Consent
Exemption
The Building
Street Address:
Legal Description of land
where building is located:
Year of Construction:
*Current, lawfully
established use:
*Classified Use: ref Building Regulations 1992 Clause A1-Classified Use
Owner Information
Name:
Postal Address:
Phone Number:
Email:
Evidence of ownership
attached
Certificate of Title
Agreement for Sale and Purchase
Agent Information (if submitting on behalf of Owner)
Name of
Agent/Company:
Phone Number:
Email:
Authorisation to lodge
application attached:
Yes No
Project Information:
Please provide sufficient description of building works to enable scope of building work to be fully understood)
Description of the
proposed building works
for which an exemption
is requested:
AF EX Page 3 of 4 Last Updated: 11/09/2020
Revision: 3
AF EX- Application for Building Consent
Exemption
Estimated value of work
(incl. GST):
*Intended life of project:
*Include number of days & dates for projects such as an event marquee
Required Fees
The exemption fee is $285.00(incl. GST), plus an hourly rate for processing. Please make payment of the initial fee
using the following bank account details:
BNZ Queenstown Account # 02 0948 0211515 00
Particulars: (Payee Name)
Reference: (EX number)
Would like an invoice to be generated?
The invoice should be sent to
Yes
Owner
No
Agent
Owner Disclaimer
The owner acknowledges that:
The Council takes no liability for checking the compliance of work that has been carried out with an
exemption under Schedule 1(2) of the Building Act 2004.
The Owner is responsible for ensuring that the building work complies with the building code and
any other applicable legislation such as the Resource Management Act, Bylaws, District Plan
requirements, etc.
Assessment of the information provided with this application has only been made in consideration
of the Building Act 2004. Additional authorizations may be required under other legislation
including the Resource Management Act, Health Act, Liquor Act etc. and remain the responsibility
of the owner.
Owner/Agent
Signature
Date
Applicant to
Complete
Documentation Checklist
Council Use Only
Yes
N/A
Accepted?
N/A
Copies of plans: site, foundations, floorplan,
elevations etc.
Copies of specifications
Producer Statements (PS1, PS2 etc.)
Photographs
Determinations/Opinions
Other:
click to sign
signature
click to edit
AF EX Page 4 of 4 Last Updated: 11/09/2020
Revision: 3
AF EX- Application for Building Consent
Exemption
QLDC Office Use Only:
Building Control
Officer Signature:
Date:
APPROVED
This building consent exemption is granted under Section 41 of the Building Act 2004 for work for which
a building consent is not required under Schedule 1 Part 1 Exemption 2
A building consent is not required because either:
The completed building work is likely to comply with the building code;
If the completed building work does not comply with the building code, it is unlikely to
endanger people or any building, whether on the same land or on other property
NOT APPROVED
This building consent exemption is refused under Section 41 of the Building Act 2004 and Schedule 1
Part 1 Exemption 2
The applicant must apply for a Building Consent (Form2).
The application is refused because the proposed works are already exempt under Schedule 1
Part 1, 2 or 3.
Comments:
click to sign
signature
click to edit