Doc # 766175 Page 3 of 4 BA Form 2H
E. THE PROJECT (applicant to tick checklist)
Installation of a SOLID FUEL heater YES NO
Second hand model (1):
Free standing: Wetback:
Clean air certificate number (2):
Is this heater replacing an existing heater:
Installer: Address of installer:
If installation includes a wetback state the craftsman plumber details:
Specifications Include 1 full set of manufacturer installation instructions.
Floor & Site Plans Provide 1 copy each of (a) floor plan showing location of heater and, (b) site plan showing distances
Smoke Detectors Show locations of smoke detectors.
Flue & Flashing Provide 1 copy showing full details of flue and roof flashings.
Second Hand Appliance Producer statement from manufacturer for durability.
The building work will comply with the Building Code as follows: Tick relevant boxes
(which of the following clauses will be involved in
the proposed work?)
Means of compliance
(refer to the relevant compliance document(s) or detail of
alternative solution in the plans and specifications)
(state nature of waiver or
modification of building code
required, if not applicable put NA)
C1 Outbreak of Fire C/AS1 AS/NZS2918
B1 Structure NZS1900 11.2 NZS3604
B2 Durability B2/AS1 NZS3101
E2 External Moisture E2/AS1 Specific design & testing
F3 Hazardous Substances and
F7 Warning Systems F7/AS1 Other
G9 Electricity G9/AS1 Other
G12 Water Supplies G12/AS1 AS/NZS3500.1