Building Information Inspection and Assessment Form

Application and Property Details

• Application No. & Property Address

• Side of Street/Road

  North

  South

  East

  West

• Nearest Cross Street

• Description of Building or Part

• BCA Classification

• Contact Person's Details

• Date of inspection

  Date

• Inspection Officer

Compliance Certificates

• Identification survey

  Provided

  Required

• Plans of the building to adequately depicts its current form

  Provided

  Required

• AHD Floor Level Certificate<br>

  Provided

  Required

• AHD Fill Level Certificate

  Provided

  Required

• Termite Management Certificate

  Provided

  Required

• Certificate for foundation material

  Provided

  Required

• Structural adequacy certification by a practicing engineer

  Provided

  Required

• Certification of slip resistant stair finish to AS 4586

  Provided

  Required

• Waterproofing Certificate

  Provided

  Required

• Glazing of windows and doors

  Provided

  Required

• Glazed assemblies that are not in external walls

  Provided

  Required

• Glazing of balustrades and / or pool fencing

  Provided

  Required

• Smoke alarm installation certificate

  Provided

  Required

• Certification of Fire Rated elements and any penetrations

  Provided

  Required

• Certification of construction to sound transmission levels

  Provided

  Required

• Certification of all the installation of all BASIX commitments

  Provided

  Required

• Roof truss Certificate

  Provided

  Required

• Insulation Certificate

  Provided

  Required

• Pool water recirculation system to AS 1926.3

  Provided

  Required

• Fire Safety Certificate or certification of Fire Safety Measures

  Provided

  Required

Assessment

• Is the building is sufficiently clear of any boundaries with Public land, or has a survey has been provided, to determine it does not encroach Public land.

  Yes

  No

• Is the building is sufficiently clear of any easements or Council assets, or has a survey has been provided to determine it is clear?

  Yes

  No

  N/A

• Does the building appear to comply with objectives of the BCA? If not, what works would be necessary?

  Yes

  No

• Are there are no likely adverse effects on the environment?

  Yes

  No

• Are there are no likely adverse effects on adjoining properties or other properties in the locality?

  Yes

  No

• It is unlikely that issuing the BIC will set a precedent that would encourage other such works without obtaining approval?

  Yes

  No

• Are there are no outstanding compliance actions or orders or complaints made by the public that have not been resolved or addressed?

  Yes

  No

• Is the building or part is consistent with an issued development consent?

  Yes

  No

• Is the building or part is such that it is likely an application for its construction would have been approved had it been applied for?

  Yes

  No

• Is the building or part is suitable for occupation in accordance with its classification and will it not be a hazard to the health & safety of the occupants?

  Yes

  No

• It is unlikely that Council will need to issue an order for the building or part to be altered or demolished?

  Yes

  No

• The following matters have been taken into consideration.<br>• the Ballina Local Environmental Plan 2012<br>• the Ballina Shire Development Control Plan 2012<br>• the likely impacts on both the natural and built environments<br>• the suitability of the site for the building or structure<br>• any submissions, and<br>• the public interest.

  Yes

• Is it appropriate to issue a Penalty Infringement Notice for unauthorised works?

  Yes

  No

• Additional Notes

  Yes

• Inspection Result

  Select OK to issue BIC Request additional information Defer determination and request minor works to be done Refuse application and advise what works would be needed to obtain a certificate.

  • OK to issue BIC
  • Request additional information
  • Defer determination and request minor works to be done
  • Refuse application and advise what works would be needed to obtain a certificate.

• Is re-inspection required?

  Yes

  No

• Matters to be addressed

  Yes

• undefined

• Inspection Officer’s Signature:

  Sign