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GUIDE TO COMPLETING THE STATUTORY DECLARATION AS TO OWNER-BUILDER FORM A Statutory Declaration as to Owner-Builder form is used to show that the owner-builder criteria are met, for owner-builders who want to use the Owner-Builder Exemption (allowing them to carry out Restricted Building Work on their own home). How to Apply An application form is available from the Council s offices or website. To help you complete your application, these guidance notes are available on the Council s website. Once you have completed your application you may: post your application form and supporting documents to the Council; deliver your application form and supporting documents to the Council in person; or email your application form and supporting documents to the Council s Building Consent team. Notes to completing the form This form can be completed by hand or electronically. If completing the writeable pdf: fill out the form, including signatures and save the application to your computer. Email the application form to the Council, or print off and post or deliver it to the Council. If completing by hand: please use black ink throughout and write clearly in BLOCK CAPITALS only. to correct a mistake on the form put a line through it and write the correction clearly to the right. If there is no space on the right, write the correction as close as possible. The following guidance notes provide information covering every section of the form. In addition, the form itself includes prompts to help you fill out each section. Please make sure that all plans are provided in landscape format and are either A1, A2, A3 or A4 in size. They must be shown in black on white paper; and must be to the correct scale. An incomplete application or lack of supporting information will mean that your application cannot be accepted for processing. Help and advice: if you have any questions or just need advice, please call the Council for assistance. 28-10-2016 v1.2 GOSHIFT - GUIDE TO STATUTORY DECLARATION OF OWNER BUILDER Page 1 of 8

Contents of the application form The Statutory Declaration as to Owner-Builder form contains six sections. These are briefly described below: 1 Where is the building? This section request the address of the building being worked on. 2 Who owns the building? This section requests information about the owner of the building. 3 What design work that is restricted building work has been carried out? This section requires you to declare whether you have undertaken all or part of the restricted building work that is included in your application for a building consent. 4 What building work that is restricted building work is intended to be carried out under owner-builder exemption? This section requires you to declare whether you have intend to undertake all or part of the restricted building work that is included in your application for a building consent. 5 What is your status? This section requires you to state the nature of your interest in the building being worked on; and declare whether you have your status in relation to the restricted building work noted in your application. 6 Statutory declaration You are required to have this application formally witnessed and signed by a Justice of the Peace or someone else authorised by law do so. 28-10-2016 v1.2 GOSHIFT - GUIDE TO STATUTORY DECLARATION OF OWNER BUILDER Page 2 of 8

Advice on filling out the form Additional detail on completing each section of the form is shown in the following pages. 1 Where is the building? This should include the legal street number, street name and suburb. 2 Who owns the building? This is the person, people, company or organisation shown as the owner on the proof of ownership document OR another person, people, company or organisation who is entitled to charge rent for the property. Please include your preferred form of title (eg Mr, Mrs, Ms) if an individual, or the contact person s name for a company, trust or similar. 28-10-2016 v1.2 GOSHIFT - GUIDE TO STATUTORY DECLARATION OF OWNER BUILDER Page 3 of 8

3 What design work that is restricted building work has been carried out? Please fill this section of the form out if your application is attached to an Application for Building Consent that contains Restricted Building Work which has been carried out by the owner-builder. Please enter your name, address and occupation. Please select one either that you carried out ALL of the Restricted Building Work included in your Application for a Building Consent; OR that you carried out part of the work included in your Application for a Building Consent. If you only carried out part of the Restricted Building Work included in your Application for a Building Consent, you need to outline which work you undertook, and include reference to the relevant plans and specifications included in your Application for a Building Consent. 28-10-2016 v1.2 GOSHIFT - GUIDE TO STATUTORY DECLARATION OF OWNER BUILDER Page 4 of 8

4 What building work that is restricted building work is intended to be carried out under owner-builder exemption? Please fill this section of the form out if your application is attached to an Application for Building Consent that contains Restricted Building Work which has been carried out by the owner-builder or there has been a change of owner-builder since the building consent application was submitted. Please enter your name, address and occupation. Please select one either that you intend to carry out ALL of the Restricted Building Work included in your Application for a Building Consent; OR that you intend to carry out part of the work included in your Application for a Building Consent. 28-10-2016 v1.2 GOSHIFT - GUIDE TO STATUTORY DECLARATION OF OWNER BUILDER Page 5 of 8

If you only intend to carry out part of the Restricted Building Work included in your Application for a Building Consent, you need to outline which work you intend to undertake, and include reference to the relevant plans and specifications included in your Application for a Building Consent. 28-10-2016 v1.2 GOSHIFT - GUIDE TO STATUTORY DECLARATION OF OWNER BUILDER Page 6 of 8

5 What is your status? Please enter your name, address and occupation. Please select all options that apply to your building project. These defined terms relate to section (a) and (b) 28-10-2016 v1.2 GOSHIFT - GUIDE TO STATUTORY DECLARATION OF OWNER BUILDER Page 7 of 8

6 Statutory declaration Please enter your name, address and occupation. Please enter the town / city you were in when the form was witnessed; and the date on which it was witnessed and signed. This form needs to be witnessed and signed by a Justice of the Peace or someone else authorised by law to do so tick the relevant box. 28-10-2016 v1.2 GOSHIFT - GUIDE TO STATUTORY DECLARATION OF OWNER BUILDER Page 8 of 8