Shellharbour City Council Inspection Request / Result

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

SHELLHARBOUR CITY COUNCIL INSPECTION REQUEST

• Date and Time Inspection required

  Date

• Application Number

• Phone nominated contact re inspection result

  Yes

  No

  N/A

• Form 7 submitted

  Yes

  No

  N/A

• HBI / OBP submitted

  Yes

  No

  N/A

• Builders Statement / Occupation Certificate Application submitted

  Yes

  No

  N/A

• Hazards / Animals on site (e.g. Dogs)

  Yes

  No

  N/A

PROPERTY INFORMATION

• House Number

• Lot Number

• Street

• Suburb

  Select LAKE ILLAWARRA MOUNT WARRIGAL FLINDERS ALBION PARK ALBION PARK RAIL DUNMORE SHELLHARBOUR BLACKBUTT SHELL COVE

  • LAKE ILLAWARRA
  • MOUNT WARRIGAL
  • FLINDERS
  • ALBION PARK
  • ALBION PARK RAIL
  • DUNMORE
  • SHELLHARBOUR
  • BLACKBUTT
  • SHELL COVE

• Notice by

• Nominated Contact No.

• Received by

• Date Inspection received

  Date

TYPE OF INSPECTION

• Inspection type

  Select Site Footings/Piers Slab Floor Joists Framework Wet area Stormwater Drainage FINAL DA Audit Pool fence Driveway Complaint Fire Safety Building Certificate Sediment Other

  • Site
  • Footings/Piers
  • Slab
  • Floor Joists
  • Framework
  • Wet area
  • Stormwater Drainage
  • FINAL
  • DA Audit
  • Pool fence
  • Driveway
  • Complaint
  • Fire Safety
  • Building Certificate
  • Sediment
  • Other

INSPECTION RESULT

• INSPECTION RESULT

  INSPECTION SATISFACTORY

  INSPECTION DEFECTIVE

• Comments / Issues

• Photos of Issues / Comments

  Media

• Inspectors Name and Accreditation Number

  Greg Porter BPB0996

  Kevin Shepstone BPB0997

  Jera Kubitzky BPB1442

  Jacob Helson BPB 1946

• Signature

  Sign

• PO Box 155, Shellharbour City Centre 2529 -Phone 02 4221 6111 -Fax 02 4221 6016 -Email records@shellharbour.nsw.gov.au. -Web www.shellharbour.nsw.gov.au -DX 26402 Shellharbour City Centre