Clutha District Council home.

Clutha District Council

Home

Clutha Country website.

YOUR COUNCIL COUNCIL SERVICES NEWS/NOTICES FORMS/PUBLICATIONS CLUTHA COMMUNITY

Contact Us   |   Search the Site   |   Site Map A-Z   |   Disclaimer

HOME

 

COUNCIL SERVICES A-Z

Animal Control

Building Services

Cemeteries

Civil Defence

Clutha Country brand

Community Development

Community Directory

Community Housing

District Plan Online

Food Safety

Funding Schemes

Libraries

Liquor Licensing

Noise Control

Parks and Reserves

Rates

Resource Consents

Roads

Rubbish & Recycling

Rural Fire

Swimming Pools

Water

 

APPLICATION FORMS

 
We are attempting to provide as many as possible of the forms used to make applications to Council. Most forms on this page are in PDF format, which you can print off and post back to Council. In some cases, where no signature or payment is required, you can fill out an online application form. Where fees are chargeable please remember that the application is incomplete until such time as payment has been made to the Council.

If you experience difficulty downloading and opening any of these forms it may be because your Adobe Acrobat Reader is an older version. Please click on the logo to download the latest reader.

 
Please select from one of the following options:
 
Amusement Devices
Animal Control
Building Consents
Cemeteries
Clutha Country Brand Use
Community Directory
Employment
Food Hygiene
Funding Schemes and Grants
Ground Hire
Land Information Memorandum
Libraries
 
LIMS
Liquor Licensing
Mahinerangi Environmental Enhancement Fund
Premises Registration
Project Information Memorandum
Rainwater Systems
Resource Consents
Roading
Rural Fire
Sewerage
Water
 

 
Amusement Devices
 
Application for a permit to operate an amusement device
 
Back to top

 

Animal Control
 
Dog Registration Form 2012/13
Responsible Owner Application Form
 
Back to top

 

Building Consents
 

Application forms

Checklists/Information

 
Application for Certificate of Acceptance

Application for a Certificate for Public Use

Application for Amendment/Variation to Building Consent

Application for Amendment to Compliance Schedule

Application for Building Consent/PIM (2013)

Application for Building Consent Exemption

Application for Building Consent to Erect a Marquee

Application for Building Consent on Land that is Subject, or likely to be Subject to a Natural Hazard (Section 72)

Application for Code Compliance Certificate - scope of completion

Application for Alternative Solution

 

Application for Property Condition Report

 

Waiver/Modification Application and Record

 

Notification of Change of Use of a Building

Notification of Building Work - Owner Decided Exemptions

Notification of Licensed Building Practitioner

 

Producer Statement Construction

Producer Statement Construction (Plumbing)

Producer Statement (Septic Tanks)

 

Statutory Declaration as to Owner-Builder Status

 

Means of Compliance Sheet

Compliance Schedule Details

 
Checklist - Commercial & Industrial Buildings
Checklist - Conservatories
Checklist - Construction of a Timber Deck
Checklist - Demolition Removal Consents
Checklist - Drainage
Checklist - Farm Buildings
Checklist - Garages, Carports and Sheds
Checklist - Heating Appliances
Checklist - New Dwellings
Checklist - Relocated Buildings
Checklist - Marquees
 
Building Consent Fees & Charges (from 1 July 2012)
 
Southern Building Control Group Consents Advice Sheet

Overview of the Building Consent Process
 
Guide to Building Code Clauses
Guide to Building Consent Applications
Guide to Certificate of Acceptance
Guide to Smoke Alarms
LPG in the Home
Regional Council Air Plan implications
 
Septic Tank Design Guide
 
DBH Restricted Building Work Information
 
For information on approved wood burners, please visit the Ministry for the Environment website by clicking here.
 
Subdivisions - A guide for applicants brochure
 
Brochure - Relocating a Dwelling
 
A beginner's guide to resource and building consent processes (Ministry for the Environment and Department of Building and Housing)
 
 

Back to top


 
Cemeteries
 

Application for allocation of plot or to reopen grave (PDF, 19kb, opens new window)

Council Fees and Charges 2012/13 (Council Cemetery fees on p.5. PDF, 492kb, opens new window)

Back to top


 
Clutha Country Brand Usage
 
Clutha Country brand use online application form
Clutha Country brand use application form (PDF)

Back to top


Community Directory

Online Community Directory alteration/new listing form

Community Directory alteration/new listing form (pdf)

 


Back to top

Employment

Job Application Form (PDF)
Job Application Form (MS Word)
 

Back to top

Food Hygiene
 

Application forms

Newsletters

 
Market Registration Application
Registered Premises
Application form for food sales by Voluntary Organisations [Apply on line]
Application form for food sales by Voluntary Organisations [pdf version]
 

 

Template documents

Pamphlets

 
Approved Suppliers sheet [pdf version]
Approved Suppliers sheet [word version]
Checking Food is Cooked sheet [pdf version]
Checking Food is Cooked sheet [word version]
Cleaning Schedules [pdf version]
Cleaning Schedules [Word version]
Cooling hot prepared food [pdf version]
Cooling hot prepared food [word version]
Diary sheet [pdf version]
Diary sheet [word version]
FCP Manager Training Record sheet [pdf version]
FCP Manager Training Record sheet [pdf version]
Four-week Review sheet [pdf version]
Four-week Review sheet [word version]
Pest control chart (pdf version)

Pest control chart (Word version)

Planned Maintenance [pdf version]
Planned Maintenance [Word Version]
Sickness Monitoring form [pdf version]
Sickness Monitoring form [word version]
Sickness Policy [pdf version]
Sickness Policy [
word version]

Sickness Template background [pdf version]
Sickness Template background [word version]
Staff FCP Training Record sheet [pdf version]
Staff FCP Training Record sheet [word version]
Staff Sickness Record Sheet [pdf version]
Staff Sickness Record Sheet [word version]
Staff Training Record Sheet [pdf version]
Staff Training Record Sheet [word version]
Temperature Monitoring form (pdf version)
Temperature Monitoring
form (word file)
Thermometer Calibration chart [pdf version]
Thermometer Calibration chart [word version]
Time Temperature Settings [pdf version]
Time Temperature Settings [word version]
Training Monitoring form [pdf version]
Training Monitoring form [
word version]
Transporting Food sheet [pdf version]
Transporting Food sheet [word version]
Unplanned Maintenance sheet [pdf version]
Unplanned Maintenance sheet [word version]
 

 

Advice for Home Caterers
Barbeques and Sausage Sizzles
Buffets & high risk foods
Farmers Market Guidelines
Fresh meat sales at Markets
Guide to Hangi
Home Catering
Homestay Advice
Sale of home baked Cakes
Sale of Cheese Rolls
Sale of home made Jams
Sale of Sweets & other Confectionery

Starting a Food Business
 

Back to top

Funding Schemes and Grants
 
Creative Communities Funding Scheme Application Form 2012-13 (PDF, 138kb, new window)
Application for Council Reimbursement (PDF, 19kb, opens new window)
Sport NZ Rural Travel Fund 2012/13 Application Form (PDF, 35kb, opens new window)
 

Back to top

Ground Hire Forms

Balclutha ground hire application (PDF, 36kb, opens new window)
Kaitangata ground hire application (PDF, 34kb, opens new window)
Milton ground hire application (PDF, 32kb, opens new window)
 

Back to top

Land Information Memorandum [LIM]
 
Application for LIM
 
Application for Property Condition Report
 

Back to top

Libraries
 
Adult Member Application Form
Youth Member Application Form
 

Back to top

Liquor Licensing
 
On / Off / Club Licence Applications

Specials and Temporary Authority Applications

 
Application for Club Licence
Application for Off Licence
Application for On Licence
Application for Renewal of On/Off/Club Licence
Application for Variation of Conditions
 
 
Application for Special Licence
Application for Temporary Authority

Managers Applications

Miscellaneous Applications

 
Application for Manager's Certificate
Application for Renewal of Manager's Certificate
Licence Controller Qualification application form
Police Authorisation Form
Undertaking for General Managers Certificate
 
General Manager's Certificate General Information
 
Notice of Change of Management Form
 
 
Application for Re-definition or Re-designation
Application for Gambling Venue
 

Back to top

Mahinerangi Environmental Enhancement Fund
 

Fund Application Guidelines (PDF, 79kb, opens new window)

Fund Application Form (MS Word, 85kb, opens new window)

 


Back to top

 

 
Premises Registration
 
Registered Premises (Health Regulations)
Registered Premises (Local Government Act)
 

Back to top

Project Information Memorandum [PIM]
 

Application for Building Consent/PIM (2013)

 

Back to top

Resource Consents
 

Application Forms

Guides

 
Application for Resource Consent (Form 9)
Submission on an Application for Resource Consent
Written Approval of Affected Parties
Application for Section 139 Compliance Certificate
 

 

Guide to Assessment of Environmental Effects

Assessment of Environmental Effects - General

Assessment of Environmental Effects - Relocated Dwellings

Assessment of Environmental Effects - Signs

Assessment of Environmental Effects - Quarries

 

A beginner's guide to resource and building consent processes (Ministry for the Environment and Department of Building and Housing)
 
Brochure - Advertising Signs in the Clutha District
Brochure - Consultation with Iwi
Brochure - Relocating a Dwelling
 
 

Back to top

Roading

Application and policy for applying oil on roads (by Council or applicant)
Non-Spray Register Application Form 2012-14
 

Back to top

Rural Fire

Open fire season in effect from 6am, Wednesday 1 May 2013 until further notice. For more information, please click here
 
Online Rural Fire Permit Application Form
 

Back to top

Sewerage

Sewer connection application form

 

Back to top

Water

Water connection application form

 

Back to top

 

Quick Navigation


YOUR COUNCIL

Mayor & Councillors

Council Staff

Community Boards

Meeting Dates

Meeting Agendas

Job Vacancies

Elections Information

Rates

Youth Council


COUNCIL SERVICES

Funding Schemes

Community Development

Roading Services

Water Services

Rubbish and Recycling

Community Services/Facilities

Planning & Environment

Emergency Services

Online Services

Tuapeka Ferry


NEWS & NOTICES

Media Releases

Council Newsletter

Public Notices

Consultations

Current Projects

Road/bridge closures

Events Diary


FORMS/PUBLICATIONS

District Plan

Long Term Plan

Annual Plan

Annual Report

Application Forms

Bylaws

Key Policies

Information Brochures

Other key documents


YOUR COMMUNITY

About Clutha

Community Directory

Community Development

Clutha Photo Galleries

TrustPower Awards

Events Diary

Home

Search the Site

Contact Us

Site Map A-Z

Disclaimer

www.newzealand.govt.nz

Clutha District Council, 1 Rosebank Tce, PO Box 25, Balclutha 9240

P: 0800 801 350 | F: 03 418 3185 | E: help.desk@cluthadc.govt.nz

Some of this website may be subject to copyright © Clutha District Council 2012