*Reporting authorities The following bodies are reporting authorities for the purposes of the application for this permit in relation to the matters set out below: Relevant Reporting Matter reported on or consented regulation authority to no. *Conditions to which this permit is subject Occupation is subject to the following conditions— (1) Essential safety measures The following essential safety measures must be inspected, tested and maintained in accordance with the maintenance requirements set out in the following table— Provision of the Essential Building The safety The level of frequency measures 2018 The and type required to applicable that each frequency of testing be provided to essential and type of and in the installation safety building or and measure required required place of operation must for each for each public of essential achieve to essential essential safety fulfil its safety safety measure purpose measure measure *(2) Other conditions *Combined allotment determination A determination has been made under regulation 64(1) of the Building Regulations 2018 in relation to the building to which this permit applies. *Subdivision of existing building The building to which this occupancy permit relates was created by the subdivision of an existing building. An exemption granted in accordance with regulation 231 exempts the building from compliance with certain provisions of the Building Regulations 2018. This exemption was granted by *a municipal building surveyor/*the private building surveyor on [insert and a copy of this date], exemption is available by request from the relevant council in accordance with regulation 51. Suitability for occupation At the date this occupancy permit is issued, the *building/*place of public entertainment to which this permit applies is suitable for occupation. Relevant building surveyor Name: [insert full name] Address:
*Reporting authorities The following bodies are reporting authorities for the purposes of the application for this permit in relation to the matters set out below: Reporting authority Matter reported on or consented to Relevant regulation no. *Conditions to which this permit is subject Occupation is subject to the following conditions— (1) Essential safety measures The following essential safety measures must be inspected, tested and maintained in accordance with the maintenance requirements set out in the following table— Essential safety measures required to be provided in the building or place of public Provision of the Building 2018 applicable to installation and operation of essential safety measure The level of that each essential safety measure must achieve to fulfil its purpose The frequency and type of required for each essential safety measure The frequency and type of testing and required for each essential safety measure *(2) Other conditions *Combined allotment determination A determination has been made under regulation 64(1) of the Building Regulations 2018 in relation to the building to which this permit applies. *Subdivision of existing building The building to which this occupancy permit relates was created by the subdivision of an existing building. An exemption granted in accordance with regulation 231 exempts the building from compliance with certain provisions of the Building Regulations 2018. This exemption was granted by *a municipal building surveyor/*the private building surveyor on [insert date], and a copy of this exemption is available by request from the relevant council in accordance with regulation 51. Suitability for occupation At the date this occupancy permit is issued, the *building/*place of public entertainment to which this permit applies is suitable for occupation. Relevant building surveyor Name: [insert full name] Address:
Form-16-Occupancy-Permit.docx