AC2113 Application for extension of time

Application for extension of time
Requested under section 52 or section 93 of the Building Act 2004
THE BUILDING
Building consent number:
Date Issued:
Street address of building:
Legal description of land
where building is located:
THE OWNER
Name of owner: (Include
preferred form of address e.g. Mr,
Miss, Dr if an individual)
Mailing address:
Postcode:
Phone number: Home
Work:
Facsimile number:
Mobile:
Email address:
CONTACT PERSON (if different from above)
Name of contact:
Mailing address:
Postcode:
Phone number: Home
Work:
Facsimile number:
Mobile:
Email address:
BILLING
Please note in order for an application to be processed, it must be accompanied by the appropriate fee; refer to the Fee
Schedule which is available on our website to determine the amount payable.
http://www.aucklandcouncil.govt.nz/EN/ratesbuildingproperty/consents/Documents/FeesBuildingResourceLim.pdf
EXTENSIONS OF TIME AFFECTING CLAIMS:
All extensions of time affecting claims or reclad work must be approved by the Reclad Team
Does application involve re-clad work?
 Yes
 No
Is application subject to a claim under the FAP scheme?
 Yes
 No
PART A:
EXTENSION OF TIME TO COMMENCE WORK (section 52 of the Building Act 2004)
Please explain why an extension is required to commence work; note extensions are considered on a case-by-case basis for a
maximum period of 12 months. (Attach letter if insufficient space to record reasons)
When will work commence? (Date)
Auckland Council Building Control | Private Bag 92300, Auckland 1142 | www.aucklandcouncil.govt.nz | Ph 09 301 0101
Page 1 of 2
October 2014
AC2113 (v.4)
PART B:
EXTENSION OF TIME TO COMPLETE WORK (section 93 of the Building Act 2004)
Please explain why an extension of time is required to complete the work; note extensions are considered on a case-by-case
basis for a maximum period of 12 months. If applicable, please provide plans to describe outstanding / incomplete work.
(Attach letter if insufficient space to record reasons)
When do you intend to complete the building work? (Date)
What percentage of the work has been completed?
%
Is there a plan (critical path of completion) in place to ensure that building work is complete within 12
months? If yes, please provide a copy.
□
YES
□
YES
□ N/A
□ NO
Commercial application
□
Does the extension of time have an impact on any specified systems?
NO
If yes, please attach a scope of outstanding work including information about fire protection systems and any mitigating safety
features that maybe put in place or compromised due to work not being completed including early warning systems, sprinklers,
travel distances, egress routes, emergency lighting, etc
SIGNATORY
Owner's/ Agent's
 Owner
 Agent
Role:
signature
Print name:
Date:
COUNCIL USE ONLY (tick box as applicable)
If application relates to reclad or FAP scheme, extension of time must be approved by Reclad team
Extension of time to commence building work approved
□
YES
□
NO
□
NA
Extension of time to complete building work approved
□
YES
□
NO
□
NA
Have there been any changes to the Building Code or legislation, which affect this
application?
□
YES
□
NO
□
NA
Are there any durability issues affected by extending the time?
□
YES
□
NO
□
NA
Is a certificate for public use in place or is one required?
□
YES
□
NO
□
NA
Are there any other safety issues or concerns?
□
YES
□
NO
□
NA
Is a site visit required to verify details?
□
YES
□
NO
□
NA
Revised commencement / completion date
Reason for decision:
Approving officers name:
Date:
Date application extended to:
Clock adjusted:
Admin officers name:
□
YES
□
N/A
Date:
Date applicant advised:
Receipt No:
Auckland Council Building Control | Private Bag 92300, Auckland 1142 | www.aucklandcouncil.govt.nz | Ph 09 301 0101
Page 2 of 2
October 2014
AC2113 (v.4)