Building Interim Regulations 2017 (Regulation 301)
Form 1
Application for a Building Permit
To: Municipal Building Surveyor/Relevant Building Surveyor is hereby appointed under Section 78 of Building Act 1993
Allotment No:
Address:
Suburb:
Name:
Address:
Telephone:
Suburb:
Name:
Address:
Telephone:
Suburb:
Name:
Address:
Telephone:
Suburb:
Postcode:
Postcode:
Postcode:
Postcode:
If registered domestic builder carrying domestic building work attach details of the required insurance
Name:
Reg’n No:
Name:
Reg’n No:
Name:
Reg’n No:
Name:
Reg’n No:
□ Construction of a new building
□ Change of use of an existing building
□ Alteration
□ Removal of a building
□ Re-erection of a building
□ Other:
□ Demolition of a building
Proposed use of building:
Allotment area (for new dwellings only)
City of Greater Dandenong, PO Box 200 Dandenong, VIC, 3175
M²
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I intend to carry out work as an owner builder:
□ Yes
□ No
Is there a contract for the building work?
□ Yes
If yes, state the contract price: $
□ No
If no, state the estimated cost of the building work: $
(including the cost of labour and materials) and attach details of method of estimation
If the application is to permit a stage of the work:
Extent of stage:
Value of stage: $
Signature of Owner/Agent of Owner (cross out inapplicable):
Note 1
Date:
Building Practitioner means:
(a) a building surveyor; or
(b) a building inspector; or
(c) a quantity surveyor; or
(d) an engineer engaged in the building industry; or
(e) a draftsperson who carries on a business of preparing plans for building work or preparing documentation relating to
permits and permit applications; or
(f) a builder, including a domestic builder; or
(g) a person who erects or supervises the erection of prescribed temporary structures; or
(h) a person responsible for a building project or any stage of a building project and who belongs to a class of people
prescribed to be building practitioners.
But does not include:
(i) an architect; or
(j) a person (other than a domestic builder) who does not carry on the business of building.
Note 2
Include building practitioners with continuing involvement in the building work.
Note 3
Include only building practitioners with no further involvement in the building work.
Note 4
Note 5
The use of the building may also be subject to additional requirements under other legislation such as the Liquor Control
Reform Act 1998 and the Dangerous Goods Act 1985.
If an owner-builder, there are restrictions on the sale of the building under section 137B of the Building Act 1993. Section
137B prohibits an owner-builder from selling a building on which domestic building work has been carried out within 6.5
years from the completion of the relevant building work unless they have satisfied certain requirements including obtaining
compulsory insurance. The Building Commission maintains a current list of domestic insurance providers.
City of Greater Dandenong, PO Box 200 Dandenong, VIC, 3175
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I,
Hereby appoint John Prendergast as the relevant building surveyor, to carry out the functions of section 76 of the Building Act 1993, for
proposed building work as set out on the application form. I have not appointed another relevant building surveyor for these works. I
make this appointment in my capacity as the owner/agent for this site.
I am authorised by the owner of the building or land in writing to make this application on their behalf, pursuant to Section 248 of the
Building Act 1993 (for agent of the owner only). This authorisation includes any application, including permit application, appeal or
referral under this act.
Signature of Applicant:
Date:
I,
(owner of building/land)
Hereby authorise the applicant to act as my agent for the purpose of making any application (including building permit and occupancy
permit applications), appeal or referral under the Building Act 1993 in respect of the proposed building work. I have not appointed
another relevant building surveyor for these works.
Signature of Owner:
Date:
Permit No.:
Building Fee: $
Date Issued:
Building Levy: $
Application No.:
Lodgement Fee: $
Application Date:
TOTAL PAID: $
Town Planning Permit required: □ Yes
□ No
City of Greater Dandenong, PO Box 200 Dandenong, VIC, 3175
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Payment & Submission options
1.
Mail: Post completed form with cheque to:
City of Greater Dandenong,
PO BOX 200, Dandenong VIC 3175
2.
In Person: Visit a City of Greater Dandenong
customer service centre and hand in the completed
form.
3.
Online: Credit Card Payment via MasterCard or Visa
(Invoice will be emailed once application has been
registered by the Building Department)
 Go to: Building Services (on Council’s website
www.greaterdandenong.com)


Email:
[email protected]
Fax: 8571 5196
Click - Pay online
Enter your invoice number and follow the prompts
to make your payment.
We respect your privacy. We will not sell or give away your personal information, unless required by law. Occasionally, we may use
your details for our own research purposes or to let you know about other Council information. If you want to see your personal data,
modify your details, or if you receive information from us you do not want in the future please contact Council on 8571 1000.
City of Greater Dandenong, PO Box 200 Dandenong, VIC, 3175
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