COMMERCIAL AND COMPLEX RESIDENTIAL APPLICATION FOR A BUILDING CONSENT and/or project information memorandum Building Act 2004, section 33 or section 45 Send or deliver your application to: Carterton District Council Holloway Street Carterton; PO Box 9 Carterton 5743 or email: [email protected] For enquiries, phone 06 379 4030 Council use only: Application # Property ID Please provide two copies of all attachments, unless otherwise specified in checklist PART 1 – APPLICATION (SELECT TYPE APPROPRIATELY) If you have an existing application number relating to this building please note the number beside the application type project information memorandum building consent staged consent amendment national multi-use approval (If yes provide copies of MultiProof certificate, plans and specifications) Consent/project information memorandum to be mailed collected hard copy electronic copy - please state desired format Restricted building work Does application involve restricted building work? yes no If yes provide Certificate(s) of design work and Advice of licensed building practitioner(s) form (s) Financial assistance package (FAP) Is this a re-clad application? Is application subject to a claim under the FAP scheme? yes yes no no If yes, FAP claim number Cultural or heritage significance Does the building or site have any cultural or heritage significance, or is it a marae? yes no Is the site subject to natural or created hazards such as erosion, subsidence, flooding, slips, cut and fill or contamination? yes no If yes provide details Earthquake related work (CANTERBURY ONLY) Is this application earthquake related? yes no If yes, is it coordinated by an insurance company via a project management organisation (PMO), e.g. Construction company yes no If yes, name of PMO The building (PROJECT LOCATION) Building name (if applicable) Building street address Location of building within the site (include nearest street access) Form 2 version 6 – August 2016 Page 1 of 17 Legal description of land where the building is located. If a subdivision of the land is proposed provide the lot numbers and consent number Lot(s) Subdivision lot No: DP(s) Subdivision consent No: Number of levels (include below ground, ground and above ground) Level/unit number (if applicable) Area (in square metres) Existing floor area: Proposed new floor area: Resulting total floor area: Current, lawfully established use of all parts of the building (include number of occupants per level and per use if more than one level) Year first constructed (insert year, an approximate date is acceptable such as 1920’s or 1960-1970) The owner (MUST BE COMPLETED FOR ALL APPLICATIONS AND ALL DETAILS MUST BE THE OWNER’S) Owner’s name. If the owner is a company or other organisation provide the company or organisation name and a contact person’s name Owner’s mailing address Street address/registered office Owner’s contact details Landline Mobile After hours Fax Email Website Proof of ownership – attach one of the following as evidence Copy of the land title (Computer register, Certificate of Title, CT or property title) – no more than three months old. Lease Agreement for sale and purchase. AGENT (only required if application is being made on behalf of the owner) Name of agent. If application is for a company, trust or other organisation provide a contact person’s name Agent’s mailing address Street address/registered office Agent’s contact details Landline: Mobile: After hours: Fax: Email: Website: Relationship to owner (state the details of the owner’s authorisation if making this application on the owner’s behalf) Form 2 version 6 August 2016 Page 2 of 17 First point of contact (mark boxes as appropriate and provide details of any other points of contact) Further information Agent Owner Other Correspondence Agent Owner Other Invoicing Agent Owner Other Contacts (PROVIDE ALL DETAILS WHERE RELEVANT) Designer or Architect Business/name Address Registration/qualification Mobile Landline Email After hours phone Fax Structural engineer Business/name Address Registration/qualification Mobile Landline Email After hours phone Fax Fire safety designer Business/name Address Registration/qualification Mobile Landline Email After hours phone Fax Head Contractor / Site Manager Business/name Address Registration/qualification Mobile Landline Email After hours phone Fax Builder Business/name Address Registration/qualification Mobile Landline Email After hours phone Fax Plumber Business/name Address Certifying Plumber/qualification Mobile Landline Email After hours phone Fax Drainlayer Business/name Address Certifying Drainlayer/qualification Mobile Landline Email After hours phone Fax Form 2 version 6 August 2016 Page 3 of 17 Other (Attach additional page if required) Role Business/name Address Email Registration/qualification Landline Mobile After hours phone Fax Application I request that you issue: a project information memorandum OR a project information memorandum and building consent OR a building consent for the building work described in this application. (Tick applicable option) Signature of owner / agent on behalf of and with the authority of the owner Name (Tick applicable option) Date Privacy information The information you have provided on this form is required so that your building consent application can be processed under the Building Act 2004. The Council collates statistics relating to issued building consents and has a statutory obligation to forward these regularly to Statistics New Zealand. The Council stores the information on a public register, which must be supplied (as previously determined by the Ombudsman) to whoever requests the information. Under the Privacy Act 1993 you have the right to see and correct personal information the Council holds about you. PART 2 – PROJECT General information Description of the building work (provide sufficient description to enable full understanding of the scope of the work). Will the building work result in a change of use of any part of the building? (If yes, provide details of the new use) Yes No Intended life of the building stated in years, only if intended to be less than 50 years old List building consents previously issued for the project (if any). List who issued the consent, the date of issue and the consent number. Estimated value of the building work on which the building levy will be calculated (including goods and services tax) [state estimated value as defined in section 7 of the Building Act 2004]. $ Form 2 version 6 August 2016 Page 4 of 17 PART 3 – SITE ISSUES AND PROJECT INFORMATION Applicant to complete Site issues Reference on drawings, specifications and/or comments Are the finished floor, finished ground, street and associated datum levels shown on plans? Are the distances to boundaries shown on plans? Does the proposed work cover two or more allotments? Verified What is the wind zone? What is the exposure zone? Are there public drains on the site? Is the site subject to natural or created hazards such as erosion, subsidence, flooding, slips, cut and fill or contamination? If yes, provide details. Are the ground conditions specified? Project information Select box if the matter is part of the project Comments Subdivision Alterations to land contours New or altered connection to public utilities New or altered locations and/or external dimensions of building(s) New or altered access for vehicles Building work over or adjacent to any road or public place Disposal of stormwater and wastewater Building work over any existing drains or sewers or in close proximity to wells or water mains Other matters known to the applicant that may require authorisation from the appropriate territorial authority [specify] Form 2 version 6 August 2016 Council use only Page 5 of 17 PART 4 – COMPLIANCE Do not fill in this section if this application is only for a project information memorandum All documentation, including plans, specifications, calculations and producer statements, used to show building consent compliance must be formally listed as attachments in the accompanying checklist. The building work will comply with the building code as follows Please ensure that any details of the listed compliance elements are shown on drawings and/or specifications. B1: Structure Elements Means of compliance B1: Foundations Not applicable/applicable B1: Slab Not applicable/applicable B1: Timber sub-floor and floor Not applicable/applicable B1: Walls Not applicable/applicable B1: Roof Not applicable/applicable B1: Barrier fixings Not applicable/applicable Reference on drawings, specifications and/or comments For Council use only Checked B2: Durability Elements Means of compliance B2: Durability Not applicable/applicable Reference on drawings, specifications and/or comments For Council use only Checked C1-C6: Protection from fire Elements Means of compliance C1-C6: Protection from fire Not applicable/applicable Reference on drawings, specifications and/or comments C1: Objectives of clauses C1 to C6 (Protection from fire) C2: Prevention of fire occurring Form 2 version 6 August 2016 Page 6 of 17 For Council use only Checked C1-C6: Protection from fire Means of compliance Reference on drawings, specifications and/or comments For Council use only Elements Means of compliance Reference on drawings, specifications and/or comments For Council use only D1: Access routes Not applicable/applicable D2: Mechanical installations for access Not applicable/applicable Elements C3: Fire affecting areas beyond the fire source C4: Movement to place of safety C5: Access and safety for fire fighting operations C6: Structural stability D1-D2: Access Checked E1-E3: Moisture Elements Means of compliance E1: Site drainage (surface water) Not applicable/applicable E1: Roof water dispersal (surface water) Not applicable/applicable E2: Floor (external moisture) Not applicable/applicable E2: Decks and balconies (external moisture) Not applicable/applicable E2: Walls (external moisture) Not applicable/applicable E2: Roof (external moisture) Not applicable/applicable E3: Internal moisture Not applicable/applicable Form 2 version 6 August 2016 Reference on drawings, specifications and/or comments Page 7 of 17 For Council use only Checked F1-F8: Safety of users Elements Means of compliance F1: Hazardous agents onsite Not applicable/applicable F2: Hazardous building materials Not applicable/applicable F3: Hazardous substances and processes Not applicable/applicable F4: Safety from falling Not applicable/applicable F5: Site safety Not applicable/applicable F6: Lighting for emergencies Not applicable/applicable F7: Warning systems Not applicable/applicable F8: Signs Not applicable/applicable Reference on drawings, specifications and/or comments For Council use only Checked G1-G15: Services and facilities Means of compliance Elements G1-G3: Bathroom, laundry and kitchen G1: Personal hygiene Reference on drawings, specifications and/or comments Not applicable/applicable G1: For accessibility G2: Laundering G3: Kitchen G4: Ventilation Not applicable/applicable G5: Internal environment Not applicable/applicable G6: Airborne and impact sound Not applicable/applicable G7-G8: Natural and artificial light Not applicable/applicable Form 2 version 6 August 2016 Page 8 of 17 For Council use only Checked G1-G15: Services and facilities Means of compliance Elements Reference on drawings, specifications and/or comments For Council use only Reference on drawings, specifications and/or comments For Council use only G7: Natural light G8: Artificial light G9: Electricity Not applicable/applicable Electricity G10-G11: Piped services and gas used as an energy Not applicable/applicable source G10: Piped services G11: Gas as an energy source G12-G13: Water supply and foul water G12: Water supply G13: Foul water G14: Industrial liquid waste Not applicable/applicable G15: Solid waste Not applicable/applicable Not applicable/applicable H1: Energy efficiency Elements Means of compliance H1: Energy efficiency Not applicable/applicable Checked Waivers and/or modifications Provide details of any waivers and/or modifications required for any sections of the New Zealand Building Code. Specify parts of the code; supporting documentation must be attached. If not applicable, state n/a. PART 5 – COMPLIANCE SCHEDULE (INSPECTION, MAINTENANCE AND REPORTING PROCEDURES) Do not fill in this section if this application is only for a project information memorandum Are there specified systems in the building? Yes No (If there are no specified systems, move on to part 6). If existing building, please state the Building Warrant of Fitness No. Are any specified systems affected by this application? Yes No (If yes, continue completing this section of the form, if no move on to part 6). hazard category Form 2 version 6 Total occupancy numbers August 2016 Page 9 of 17 For Council use only Checked Uses of all or parts of buildings (select all relevant) SD SA SR Removed The following systems are existing, being altered, added to, or removed in the course of the building work SC Added CM Altered CO New CL Existing CS SH WL Inspection performance standards 1) Automatic systems for fire suppression (eg, sprinkler systems) 2) Automatic or manual emergency warning systems for fire or other dangers 3) Electromagnetic or automatic doors or windows 3.1 Automatic doors 3.2 Access control doors 3.3 Interfaced fire or smoke doors or windows 4) Emergency lighting systems 5) Escape route pressurisation systems 6) Riser mains for use by fire services 7) Automatic backflow preventers connected to a potable water supply 8) Lifts, escalators, travelators or other systems for moving people or goods within buildings 8.1 Passenger-carrying lifts 8.2 Service lifts 8.3 Escalators and moving walkways 9) Mechanical ventilation or air conditioning systems 10) Building maintenance units (for providing access to the exterior and interior walls of a building) 11) Laboratory fume cupboards 12) Audio loops or other assistive listening system 12.1 Audio loops 12.2 FM radio frequency systems and infrared beam transmission systems 13) Smoke control systems 13.1 Mechanical smoke control 13.2 Natural smoke control 13.3 Smoke curtains Form 2 version 6 August 2016 Page 10 of 17 WM WH Maintenance performance standards WF IA ID Reporting frequency 14) Emergency power systems for, or signs relating to, a specified system in 1 to13 above. 14.1 Emergency power systems 14.2 Signs for systems 15) Other fire safety systems or features 15.1 Systems for communicating spoken information intended to facilitate evacuation 15.2 Final exits 15.3 Fire separations 15.4 Signs for communicating information intended to facilitate evacuation 15.5 Smoke separations 16) Cable cars PART 6 – DESIGN REVIEW UNIT (DRU) NEW ZEALAND FIRE SERVICE Is the building of a type defined in the Fire Service Act 1975, section 21A; do any of the following apply? (DRU review of the plans are generally required for these buildings) • gatherings of 100 or more people for any purpose • providing employment facilities for 10 or more people • providing accommodation for more than five people (other than in three or less household units) • sorting or processing hazardous substances in quantities exceeding the prescribed minimum amounts • providing early childhood facilities (other than in a household unit) • providing nursing, medical or geriatric care (other than in a household unit) • providing specialist care for persons with disabilities (other than in a household unit) • providing accommodation for persons under lawful detention (other than persons subject to home detention). Yes Do any of the following fully apply to the building work proposed? (If so the DRU review may not be required even if the building is of a type defined in the Fire Service Act 1975, Section 21A) household units separated vertically from other fire cells, each with independent and direct egress to a safe place outside the building Yes outbuilding or ancillary building Yes new building fully complying with compliance document for clauses C1-4, D1, F6 and F8 Yes internal fit-out, alteration, change of use or subdivision of a building with only *‘minor effect’ on the fire safety systems. Yes * a working definition of a ‘minor effect’: is that it does not impact on the effectiveness of a sprinkler system or any other specified fire safety system that would require a change to the compliance schedule. DRU PROCESSING (COUNCIL USE ONLY) Additional copy of plans need to be sent to DRU? Form 2 version 6 August 2016 Yes No Page 11 of 17 Building Officer name No Carterton District Height and Setback Standards for Rural, Residential, Commercial and Industrial Zones Rural Zone 4.5.2 Standards for Permitted Activities Permitted activities shall comply with all of the following standards for the Rural Zone: a) Maximum Building Height (i) Dwellings: 10 metres. (ii) Other Buildings: 15 metres b) Maximum Height to Boundary (i) 3 metres height at the boundary with a 45˚ recession plane c) Minimum Building Setback (excluding dwellings) (i) 10 metres from the front road boundary of sealed roads. (ii) 25 metres from the front road boundary of unsealed roads. (iii) 5 metres from all other boundaries. (iv) 25 metres from any Significant Waterbody listed in Appendix 1.9 of the district plan (v) 5 metres from any other waterbody. (vi) In the South Wairarapa District, 20 metres of the banks of any river and stream whose bed which has an average width of 3 metres or more. (Note: For the purpose of this rule, ‘bed’ is the definition applied in Section 2 of the Resource Management Act for a ‘bed’ in relation to any river for the purposes of esplanade reserves). Exception: (i) For sites of less than 4,500m2, an accessory building may be located up to 1.5 metres from side and rear boundaries. (ii) Bridges are excluded from complying with setback standards in relation to a waterbody. (d) Minimum Dwelling Setback (i) 10 metres from the front road boundary of sealed roads. (ii) 25 metres from the front road boundary of unsealed roads. (iii) 25 metres from all other boundaries. (iv) 25 metres from any Significant Waterbody listed in Appendix 1.9. of the district plan (v) In the South Wairarapa District, 20 metres of the banks of any river and stream whose bed which has an average width of 3 metres or more. (Note: For the purpose of this rule, ‘bed’ is the definition applied in Section 2 of the Resource Management Act for a ‘bed’ in relation to any river for the purposes of esplanade reserves). (vi) 5 metres from any other waterbody. (vii) 35 metres from the edge of a plantation forest under separate ownership. 300 metres from an effluent distribution area, effluent holding pond or oxidation pond (excluding waste disposal areas associated with domestic septic tanks located on an adjacent site). 500 metres from any intensive farming activity under separate ownership. Exception: (i) 10m from all other boundaries if the Certificate of Title for the site was issued before 29 March 2008, or resource consent to subdivide was granted for the site before 29 March 2008. (e) Number of Dwellings (i) In the Rural (Primary Production) Zone, one dwelling per Certificate of Title under 4 hectares, two dwellings per Certificate of Title between 4 − 100 hectares, and three dwellings per Certificate of Title over 100 hectares in size. (ii) In the Rural (Special) Zone, one dwelling per Certificate of Title. (iii) In the Coastal Environment Management Area within the Rural (Primary Production) Zone, one dwelling per Certificate of Title. Form 2 version 6 August 2016 Page 12 of 17 Residential Zone 5.5.2 Standards for Permitted Activities Permitted activities shall comply with all of the following standards for the Residential Zone: (a) Maximum Building Height (i) 10 metres. (ii) 7 metres for coastal settlements (Castlepoint, Riversdale, Lake Ferry, Whangaimoana, Whatarangi, Ngawi, Mangatoetoe). (iii) Maximum Height to Boundary (iv) 3 metres height at the boundary with a 45-degree recession plane. (b) Minimum Building Setback (i) 5 metres from the front boundary. (ii) For front sites, 1.5 metres from all other boundaries, except that there shall be two setbacks of at least 3 metres from any side and/or rear boundary. (iii) For rear sites, 1.5 metres from all other boundaries, except that there shall be two setbacks of at least 3 metres from any side and/or rear boundary. (iv) 0 metres for common wall boundaries. Note: For the purpose of the above rule – Front site: means a site with a legal road frontage of not less than 10 metres; Rear site: means a site with a legal road frontage less than 10 metres. Exceptions: (i) An accessory building may be located within any part of the above building setbacks for side and rear boundaries, provided: (ii) The building does not cover more than 25% of the total yard requirements along any one boundary; and (iii) The building is not located between an existing building and the front boundary; and (iv) The building does not encroach the minimum front yard setback. (v) 5 metres from any waterbody. (vi) In the South Wairarapa District, 20 metres from the banks of any river and stream whose bed has an average width of 3 metres or more. (Note: For the purpose of this rule, ‘bed’ is the definition applied in Section 2 of the Resource Management Act for a ‘bed’ in relation to any river for the purposes of esplanade reserves). (vii) Eaves, porches, balconies and decks or other minor features may occupy any part of a required setback, other than the front yard setback, provided they do not encroach by more than 25% of the relevant setback distance and do not, except for eaves, exceed 2m in length. (c) Maximum Fence Height (i) 1.8 metres for fences, walls and screens, except at road intersections of Strategic Arterial roads identified on the Roading Hierarchy on the Planning Maps, no obstruction exceeding 1.0 metre in height is permitted within a 6.0 metres by 6.0 metres triangle measured from a boundary intersection point (Refer Figure 32.1 in Appendix 5 of the district plan). (d) Number of Dwellings The total number of dwellings per site shall be limited to that which enables each dwelling to meet the minimum lot area subdivision requirements for that site Form 2 version 6 August 2016 Page 13 of 17 Commercial Zone 6.52 Standards for Permitted Activities Permitted activities shall comply with all of the following standards for the Commercial Zone. (a) Maximum Building Height (i) 15 metres; (ii) 7 metres for coastal settlements (b) Maximum Height to Boundary (i) For sites adjoining the Residential Zone, the building shall meet the height recession requirement for the Residential Zone in relation to the relevant boundary. This shall not apply to road boundaries. (ii) Minimum Building Setback (iii) 3 metres from any boundary with the Residential Zone or Rural Zone; (iv) 5 metres from any waterbody (c) Maximum Fence Height (i) 1.8 metres for fences, walls and screens on any boundary with the Residential Zone or Rural Zone, except at road intersections of Strategic Arterial roads identified on the Roading Hierarchy on the Planning Maps, no obstruction exceeding 1.0 metre in height is permitted within a 6.0 metres by 6.0 metres triangle measured from a boundary intersection point (Refer to Figure 32.1 in Appendix 5 of the district plan). Industrial Zone 7.5.2 Standards for Permitted Activities Permitted activities shall comply with all of the following standards for the Industrial Zone, except for those within the Opaki Special Management Area that are subject to the standards (a) Maximum Building Height (i) 15 metres. (ii) Maximum Height to Boundary (iii) For sites adjoining the Residential Zone, the building shall meet the height recession requirement for the Residential Zone in relation to the relevant boundary. This shall not apply to road boundaries. (b) Minimum Building Setback (i) 5 metres from all boundaries adjoining another zone; (ii) 5 metres from any waterbody; (iii) In the South Wairarapa District, 20 metres from the banks of any river and stream whose bed has an average width of 3 metres or more. (Note: For the purpose of this rule, ‘bed’ is the definition applied in Section 2 of the Resource Management Act for a ‘bed’ in relation to any river for the purposes of esplanade reserves). (c) Maximum Fence Height (i) 1.8 metres for fences, walls and screens on any boundary with the Residential Zone or Rural Zone, except at road intersections of Strategic Arterial roads identified on the Roading Hierarchy on the Planning Maps, no obstruction exceeding 1.0 metre in height is permitted within a 6.0 metres by 6.0 metres triangle measured from a boundary intersection point (Refer Figure 32.1 in Appendix 5 of the district plan). Form 2 version 6 August 2016 Page 14 of 17 FEES CALCULATION 1. Enter Building Work Fee from figures in Column B of fee schedule in Box a. below. 2. Is your project for a new build? Yes Proceed to Q3 No Proceed to Q4 3. Does it include any of the items in boxes ii. to v. below? Yes Enter the appropriate fee from Column A No Go to Q4 4. Is your project for Alterations and/or Additions to a building? Yes Go to Q5 No 5. Does your project include items in boxes ii. to vii.? 6. Is the value of work $20,000 or more? Go to Q6 Yes Add the appropriate fee from Column A No Go to Q6 No Go to Q8 Yes Calculate the fees in boxes viii. & ix. and enter figures into boxes h. & i. Go to Q7 7. Add boxes a. to j. and enter in box k. This is the Building Consent fee. 8. Ascertain if Infrastructure Fees and/or Roading Bond apply and enter in appropriate boxes. 9. Add boxes k, l, & m and enter in box n. This is the total amount to pay. i. ii. iii. iv. v. vi. vii. viii. a. b. c. d. e. f. g. h. ix. x. Building Work Fee Solid Fuel Heater Wet area Shower (Vinyl or Tile) Onsite disposal system (Septic Tank) Swimming pool Plumbing/drainage Minor Plumbing/drainage alterations DBH Levy $2.01 per $1,000 value over $20,000 $V=___________ BRANZ levy $1.00 per $1,000 value over $20,000 Certificate of Title Fee $20.00 xi. Subtotal k. xii. Infrastructure Fee (if payable) $5,750.00 incl GST l. xiii. Roading Bond $1500.00 (Relocated buildings only) m. xiv. Total to pay n. Form 2 version 6 August 2016 Page 15 of 17 i. j. Classification PIM only fee 2016/17 Commercial / industrial Commercial demolition Single storey shop fitouts Multi-storey shop fitouts Single storey, multi-unit apartments/motels $45.50 $90.50 $90.50 $587.00 Multi-storey, multi-unit apartments/motels $813.00 Minor commercial work eg signs/shop fronts/minor fitouts (no plumbing or drainage) Commercial/industrial ≤$50,000.00 Commercial/industrial $50,000.01–$100,000.00 Commercial/industrial $100,000.01–$150,000.00 Commercial/industrial $150,000.01–$250,000.00 Commercial/industrial $250,000.01–$350,000.00 Commercial/industrial $350,000.01–$500,000.00 Commercial/industrial $500,000.01–$1,000,000.00 Commercial/industrial/agricultural >$1,000,000.00 $248.50 $478.50 $659.00 $839.50 $1,020.00 $1,200.50 $1,381.50 $1,381.50 $1,381.50 Other charges BRANZ levy for work $20,000 or more DBH levy for work $20,000 or more Unscheduled inspections Structural engineering or fire engineering assessment/peer review (the building consent fee does not include the cost of any structural or fire engineers assessments that may be required) Compliance schedule change Inspection hourly rate Re-inspection fee per inspection Certificate of acceptance—building consent fee for the applicable building plus actual costs, payable on issue of certificate Reassessment fee (amended plans) Building warrant of fitness audit inspection fee Certificate of title Property search fee (includes download, scanning documents, email, or writing to disc) Vehicle crossing bonds will be assessed for each application where required Street, crossing, footpath, and berm damage bond for buildings moved to/from site Form 2 version 6 August 2016 Page 16 of 17 When included with other work (excl. BRANZ and DHB levies) 2016/17 Total stand alone fee (excl. BRANZ and DHB levies) 2016/17 $585.00 $1,189.00 $1,478.00 $2,113 plus $425 per unit $2,467 plus $708 per unit $765.00 $2,228.00 $3,094.00 $3,961.00 $4,827.00 $5,694.00 $6,561.00 $7,138.00 $6,999 plus $423 per $100,000 $1.00 per $1,000 $2.01 per $1,000 $142.00 cost plus 10 percent $177.00 $177.00 per hour $142.00 building consent fee plus $173.00 per hour $177.00 $177.00 plus $177.00 per hour after first half hour $20.00 $10.00 per file $1,500.00 Carterton District Council Use Only Infrastructure Fee (if applicable) Certificate of Title (if not supplied) $5,750.00 $ 20.00 GL100508 GL730585 Building Consent Fee $………… GL730516 Building Research Levy $………… GL750515 Dept. of Building & Housing Levy $………… GL750516 Roading Bond $ 500.00 GL9018353 TOTAL $………… Form 2 version 6 August 2016 Page 17 of 17
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