Specified System Form for building consent applications (SBCG SSBC)
Building Act 2004 sections 45 & 51
Page 1 of 1 SBCG SSBC – Version September 2020
This form must be completed and accompany the Specified System List (SBCG 27). Please consult an Independently Qualified Person registered for the specified system to
assist with completing this form. Guidance and forms can be found here: www.dunedin.govt.nz/compliance-schedule
If this form and the Specified System List are not completed the application will be rejected.
Specified System (SS) one form per SS:
System Description (attach supplementary list/information if required):
Referencing of Performance Standards:
Standards
When referencing standards please specify the year of the
standard – example AS/NZS 3666.1:2011.
Building Code, Acceptable & Alternative Solutions
When referencing building code clauses or acceptable
solutions please include the year and clause relevant to the
specified system – example C/AS4:2013 - 3.12
If referencing an alternative solution, a reason must be
provided.
Performance Standards - List below:
References - List below: (Note where each performance
standard is referenced within the building consent application,
such as a producer statement, specification page or fire report
page, version & date).
Inspection, Maintenance and Reporting Procedures:
Inspection, maintenance & reporting procedures may be
referenced by a written description or reference to a
Standard or other document (as above).
