STANDARD OF WORK CERTIFICATE – BUILDING WORK

Section 103

Section 151
To: - Building Surveyor
Address: Address
  Contact Details

Form

71a

Builder details:

  
Builder:   Project reference No. Bison Job #
Business:   Licence No:
Address:   Phone No:
    Fax No:
Category: Builder - Medium Rise   Email Address:

Owner details:

  
Note: Copy Must be forwarded to Owner  
Owner:
Business:   Phone No:
Address:   Fax No:
    Email Address:

Details of Building work:

  

Type of work: Permit work: Notifiable work: (X one applicable.)  
Certificate of Likely Compliance Number: Permit or Certificate of Likely Compliance Number:
Address: Lot No:
  PID:
The work: Proposed new ( Approximately m2 ) -

Use of building: Building Class(es):

Builder Standard of Work Statement:

  

I confirm I am the Licensed Builder responsible for the construction and supervision of the above referenced project. Having supervised and/or carried out the building work, I confirm that:

Notes.

  • (a) all building work is complete; and
  • (b) all directions given under the Building Act 2016 and Building Regulations 2016 have been complied with; and
  • (c) the building work as constructed is in compliance with the National Construction Code, the approved plans, specifications and conditions of the Certificate of Likely Compliance (or a Building Permit) granted for the work
Builder:

- [Form 71a] - Document Printed on: at