Statutory Forms
- Inspecon List – By Council
- Building Consent Form (Form 5) – By Council
- Code Compliance Applicaon (Form 6) – By
Council
- Installaon & PS3 Forms By Council
- Applicaon Form
HEATING UNIT CONSENT
SECTION 1
Waimakariri District Council
1 of 9 Application For A Building Consent For A Solid/Liquid Fuel Heater
APPLICATION FOR A BUILDING CONSENT
FOR A SOLID/LIQUID FUEL HEATER
NOT FOR COMMERCIAL PROJECTS
Under The Building Act 2004, Section 45 & Schedule 1, Part 1,
Section 2, BAA13
BC No.
THE OWNER
9. Owner’s name:
(Company or organisation name if applicable)
10.
Contact person:
11. Mailing address:
12. Street address / Registered office:
13. Mobile: Landline:
Email:
THE AGENT
PLEASE NOTE - Authorisation is required from the owner to act as agent - see page 7.
14.
Agent’s name:
(Company or Organisation name if applicable)
15.
Contact person:
16. Mailing address:
1 7. Street address / Registered office:
18. Mobile: Landline:
Email:
PROJECT LOCATION
1. Street address:
(Where appliance to be installed)
2.
Lot: DP:
Valuation number:
3. Lot area
Square meters
Hectares
THE BUILDING
4. Building Name (if applicable):
5. Number of levels: 6. Unit/Level No.:
7. Current lawfully established use:
(eg: Use on any previous consent for the existing building)
8.
Year building rst constructed:
(Only applicable to existing buildings, approximate date is acceptable, eg 1920’s)
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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2 of 9 Application For A Building Consent For A Solid/Liquid Fuel Heater
PROJECT DESCRIPTION
22. DESCRIPTION OF WORK BEING UNDERTAKEN
APPLICATION
19. I request that the following (please select one) be issued for the Building Work described in this Application:
Building Consent
Exemption from the need for B/C (Refer Schedule 1, Part 1, Section 2, BAA13)
Amendment to Building Consent
20. I wish to receive my approved documentation in the following format:
PLEASE NOTE - If Hard Copy please conrm if you wish to pick it up from the council or have it posted.
Electronically via Sharele Transfer Portal
(1)
Hard copy:
(post) OR (pick-up)
(1) You must be set up and registered for this option.
2 1.
All consent related invoices/refunds to be billed and sent to:
Owner Agent
Or other
(If other please complete below)
Company name:
(If applicable)
Contact person:
Mailing address:
Mobile:
Landline:
Email:
PLEASE NOTE:
Any refunds are to the receipted name unless written authorisation has been received from the receipted person or company.
One set of “On-site” hard copy consented documents must be available at all times for inspections.
If the applicant chooses to print their own “On-site” copy of documents it must be a full set, to scale and legible.
If there are non-consented documents on-site this will result in a failed inspection.
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23. ROOF DETAILS
Pitch°
Material
Flashing Type (please tick below):
Concrete Tiles with Lead Flashing/Tile Soaker
Metal Tiles with Tile Soaker ashing
Proled Metal Sheets with EPDM Flexible Boot and Soaker Flashing
Other (specify in detail)
24. APPLIANCE DETAILS
Make:
Model:
Flue Manufacturer:
Clean Air Certicate Number:
Type:
25. WETBACK
Not applicable
If no previous wetback, provide full details of HWC, valving and venting below and attach specications
If existing wetback, show location of HWC and provide details of venting below (e.g. open vented low pressure):
Secondhand Unit:
Yes
No Engineer’s Report enclosed (if secondhand)
Yes
No
Inbuilt specic information
Is the re being replaced into an existing re place or ready made alcove? (tick one)
Existing re place
Purpose made alcove
If purpose made alcove we need to know construction materials used, alcove size, and construction details for any
proposed heat screens. Please provide full details below and attach further sheets if required
New
Solid Fuel
Wetback
Freestanding
or or or or
Replacement Liquid Fuel
Dryback Inbuilt
Replaced Burner Make
Replaced Burner Model
26. INSTALLER’S DETAILS
Installer’s Name:
(If not applicant)
Phone number:
Email:
Plumber’s name:
(If wetback)
Phone number:
Email:
Registration Number:
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4 of 9 Application For A Building Consent For A Solid/Liquid Fuel Heater
FOR FREE-STANDING UNITS
Please use the space below to illustrate the location of the heater. If completing this form electronically,
attach a picture to the email along with this PDF form, that ts the criteria stated below.
Notes:
1. Draw a full oor plan that accurately shows the location of the heater within the building.
2. Show the location of adjacent walls, windows and doors.
3. If wetback, show the location of the existing cylinder size and type
Ceiling Height at Flue:
2.4m 2.7m Other
Ceiling:
Flat Sloping
Wall heatshield being used for reduction of measurements:
A&F:
B&G E&H
Wall to heatshield air gap size:
12mm 25mm (Add calculations box provided)
Heatshield thickness:
Material:
If different from above please draw below and provide heatshield calculations
(attach further sheets if necessary):
Fire installed as per manufacturer’s clearances. (If not, please complete table below, A-H):
A
E
I L
B
F
J
M
C
G
K
N
D
H
C
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FLOOR PLAN
(include further pages if necessary; please attach with paperclip not staples):
FLOOR PLAN EXAMPLE
DINING
LIVING ROOM
MASTER BEDROOM
BEDROOM 1
BEDROOM 2
KITCHENBATHROOM
ENSUITE
CD
Solid Fuel
Heater
x = Smoke alarms
x
x
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BUILDING CODE COMPLIANCE
The building work will comply with the Building Code as follows:
Clause
Tick relevant clause numbers of
Building Code
Means of compliance
[refer to the relevant compliance document(s)
or detail of alternative solution in the plans and
specifications; if not applicable, put n/a]
Waiver / modication required
[state nature of waiver or modification of
building code required; if not applicable,
put n/a]
B1 Structure
NZS3604
NZS4229
NZS1170
Other:
B2 Durability
B2/AS1
NZS3604
NZS3101
Other:
NZS3602
C1-C6 Protection from Fire
C/AS1
Other:
C/VM1
E2 External Moisture
E2/AS1
Other:
Specic design and testing
F3 Hazardours Substances
F3/VM1
Other:
F7 Warning Systems
F7/AS1
Other:
G4 Ventilation
G4/AS1
Other:
G9 Electricity
G9/AS1
Other:
G12 Water Supplies
G12/AS1
AS/NZS3500.4
AS/NZS3500.1
Other:
RESTRICTED BUILDING WORK (provide all details where relevant)
Will the building work include any Restricted Building Work (e.g. Alterations to the primary structure or external
moisture management system. Note - forming a new penetration through roof cladding larger than 300 mm or
alterations to rafters, joist and trusses are considered Restricted Building Work)?
Yes
No
If Yes, provide details of all licensed building practitioners who will be involved in carrying out or supervising the
restricted building work. If these details are unknown at the time of the application, they must be supplied before
the building work begins.
LICENCE CLASS
LICENSED BUILDING
PRACTITIONER NUMBER
(or registration number if treated as
being licensed under section 291 of
the Building Act 2004)
NAME
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OWNER / AGENT AUTHORISATION
PLEASE NOTE - By entering your name in the box below you are giving your authority for the application to proceed.
Name:
Date:
I am the
Owner
Agent
Note: If acting on behalf, by entering your name above you hereby declare that you are authorised to act as Agent for
the Owner.
NB: Ensure Agent Authorisation section is completed - see below.
AGENT AUTHORISATION
(TO BE AUTHORISED BY OWNER)
PLEASE NOTE - By entering your name in the box below you are giving your authority for this application to proceed.
I authorise
to act as Agent on my behalf for this
Building Consent application under Section 45 of the Building Act 2004.
With respect to this Building Consent application, I authorise
to act
as Agent on my behalf for the application for Code Compliance Certicate under Section 92 of the Building Act 2004.
Name (Owner): Date:
TERMS OF TRADE
I/We understand that:
Building Consents shall be paid for when the consent is collected or if the consent is not collected within three months after the date
of consent being granted, the work done to date portion i.e. admin and processing costs of the account will be due and payable. The
balance of the invoice will be payable when the consent is collected.
All other accounts shall be paid by the 20th day of the month following the month in which the invoice is issued.
I/We agree to pay according to these terms for any goods or services you supply to us. Failure to meet these Terms of Trade may
result in any credit arrangement being withdrawn with any balance becoming payable within seven days. Should failure to meet the
terms of trade result in debt recovery and/or legal proceedings, any costs whatsoever incurred in the collection of the debt including
debt collector’s fees and commissions and legal costs, charges and expenses on a solicitor and own client basis will be added to
the account and will be payable by me/us.
OFFICE USE ONLY
Further information required? Yes No
Date of acceptance: Officer:
OFFICE USE ONLY
Amount paid: $
Date:
Officer:
Date payment processed:
Receipt
Officer:
Fee paid on application Deposit invoice sent
Waimakariri District Council
8 of 9 Application For A Building Consent For A Solid/Liquid Fuel Heater
DETAILS TO ACCOMPANY THIS APPLICATION
One copy of the installation instructions prepared by the heater manufacturer
One copy of oor plan of the building showing the proposed siting of the heater and location of the smoke detectors
One copy of detailed installation instructions for ue system
One copy of ashing details.
APPLICANT’S WOOD BURNER CHECK LIST
Domestic Smoke Detectors (Derived from NZBC F7/AS1)
Smoke alarms shall be installed in every household unit of purpose groups SH and SR where an automatic smoke
detection and alarm system is not required by NZBC F7/AS1 Table 4.1.
Location of smoke alarms:
Smoke alarms shall be located on the escape routes on all levels within the household unit. On levels containing the
sleeping spaces, the smoke alarms shall be located either in:
every sleeping space or,
within 3.0 m of every sleeping space door. In second option, the smoke alarms must be audible to sleeping occupants
on the other side of the closed doors (60dBa within the sleeping space).
Smoke alarms shall be installed and located on or near the ceiling in accordance with NZS 4514 or AS 1670.6 and the
manufacturer’s instructions.
Documentation Checklist:
Make and model of wood burner, and installation instructions
Make and model of ue and installation instructions
Are you in the Clean Air Zone? Call ECan on 0800 324 636
Is it Clean Air approved for properties under 2ha in the Waimakariri District?
(http://ecan.govt.nz/services/online-services/Pages/authorised-solid-fuel-burners.aspx)
Floor plan showing where the heater is sited in the room in relation to windows and doors. The oor plan must be
to scale or dimensioned. (See Floor Plan example over page)
Smoke detectors (where they are located in the building)
All smoke detectors must be installed prior to nal inspection and must be tted with the “Hush” Button facility
NB: Must be within three metres from the bedroom door and in the escape route
For further information read our fact sheet “Domestic Smoke Alarm Systems for Dwellings”
Flashing detail
Details on the Fire Location (See Fire Site example on Page 6)
Distance from walls
Distance from windows and curtains (if any)
Distance from doors
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IMPORTANT INFORMATION
All the relevant information on this form is required to be provided under the Building Act 2004 and/or Resource Management Act 1991
for the Waimakariri District Council to assess your application. Under these Acts this information has to be made available to members
of the public if requested. The information contained in this application may be made available to other units of the Council. You have
the right to access the personal information held about you by the Council which can be readily retrieved. You can also request that the
Council correct any personal information it holds about you.
APPLICATION INFORMATION
(a) Building Consent (BC):
A Building Consent will be processed within a maximum allowable time of 20 working days provided all the information
required has been supplied. Processing time is stopped whenever further information is required and starts again when the
correct information is received.
Once the Building Consent has been granted and issued, you will receive notication. Please note, if any
additional fees are applicable at the time of granting the consent, an invoice will be sent with the notication and
any fees must be paid before the Building Consent can be issued. Work must not start until the Building Consent is issued,
and any Resource Consent requirements have been resolved.
A Building Consent lapses and is of no effect if the building work to which it relates does not commence within 12 months after the
date of issue of the Building Consent or any further period that the Building Consent Authority may allow.
(b) If the applicant does not own the land, they must provide written approval from the owner to submit this application.
BUILDING CONSENT FEES
The Building Consent Fee, payable at the time of application is Inbuilt $450 (GST inclusive) and $390 (GST inclusive) for Freestanding.
INSPECTIONS
During the process of construction, inspections will be necessary to conrm all work complies with your approved Building
Consent documentation. Please phone the Council Building Unit on 03 311 8906 at least 48 hours in advance of requiring an
inspection to ensure that this can be arranged.
The inspections required will be set out in the Building Consent documentation issued by the Council. Failure to have a prescribed
inspection carried out may put the issue of the Code Compliance Certicate at risk.
All inspections including re-inspections are subjected to a separate charge, even if carried out on the same day.
RESOURCE CONSENT
Your application will be assessed by the Planning Unit of the Council to determine whether your project complies with the relevant
District Plan requirements.
If your application does not comply with District Plan requirements you will need to either amend your proposal to comply or apply
for a Resource Consent. A Certicate will be attached to your Project Information Memorandum to notify that a Resource Consent
is required prior to building work commencing. It is recommended that you phone the Planning Unit on 0800 965 468 to discuss
the process.
ECAN
Please be aware that if your property falls within an ECan clean air zone or it is less than 2ha, there could be some limitations on
the type of heating appliance you may install. This is covered by the Resource Management Act. If you have any queries about
this, please contact ECan.
CODE COMPLIANCE CERTIFICATE
A Building Consent is not completed until it has been issued with a Code Compliance Certicate. The owner is required to
complete a separate application for a Code Compliance Certicate as soon as practicable after the building work is completed.
In any event no later than two (2) years after the granting of the Building Consent, Council is required to decide whether or not
a Code Compliance Certicate can be issued. If your project will not be completed within two years you will need to apply for a
time extension*.
*Fees apply
AGENCY
The Owner may authorise an agent to submit an application on their behalf.
The Agent will be the rst point of contact for all communications with the Council/Building Consent Authority regarding this
application under Section 45 and if authorised, the application for a Code Compliance Certicate under Section 92 of the
Building Act 2004. They will receive all correspondence and must be authorised by the Owner - see page 7. All amendments
require new authorisation.
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Specificaons & Plans
- Floorplan/s
- Heang
Unit Specicaons
- Wetback details
(if applicable)
- Flue Specicaons
- Flashings
SECTION 2
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