Extension of time to complete seismic
work (heritage) application form
Refer to Section 133AO, Building Act 2004

Notes for the applicant	
Use this form to apply for additional time to resolve your building’s earthquake-prone building status.
Please note that this form can only be used where your building is:
•	listed as a Category 1 historic place on the New Zealand Heritage List/Rārangi Kōrero; or
•	listed on the National Historic Landmarks/Ngā Manawhenua o Aotearoa me ōna Kōrero Tūturu list.
If you have any questions, visit wellington.govt.nz/earthquake-prone-buildings, email buildingresilience@wcc.govt.nz, or phone us on 04 499 4444.
Email the completed application to buildingresilience@wcc.govt.nz. Alternatively  you can post the completed application or hand it in to us at:
Building Resilience
Wellington City Council
PO Box 2199, 101 Wakefield Street, Wellington	

Building	
EPB investigation service request number	
Building address	
aka Address	
Building name/letter	
 
Applicant details	
Full name		
Postal address
(if different from building address)	
Phone	Mobile	
Email	

Signature	
Signed
	Date	

Please refer to the next page for information on documentation that should be provided alongside this application form.	

Information which must be submitted with this application	
Under Section 133AO of the Building Act 2004 you must provide the following information. If this is not provided we will not be able to accept the application and it will be declined and returned to you.	
The Owner has outlined reasonably practicable steps to manage or reduce the risks associated with the building or part of the building that is earthquake-prone, examples include reducing or removing number of persons occupying building, warning signage or barriers to protect public etc.
•	Please attach documentation outlining these steps, and evidence of them being carried out	

Information which may be taken in account in determining whether to grant an extension	
Council has a wide discretion in assessing whether to grant an extension of time. To assist applicants, we’ve set out the type of factors we may consider relevant when making this determination.
To assist Council in determining whether to grant an extension, please provide any/all evidence as noted below.	
Whether the Owner has a detailed seismic assessment (DSA) and strengthening concept for the building, completed after 1 July 2017
•	Please attach relevant evidence of a DSA and strengthening concept for the building	
Whether the Owner has been issued a building consent to strengthen/demolish the building
•	Please reference the building consent service request number:	
Whether the Owner has a detailed program plan of works, with key milestones that the owner agrees to adhere to
•	Please attach relevant evidence of a program plan of works	
To what extent additional time is required due to the building’s heritage status.
•	Please provide comment regarding your program of works and what aspects of it have required, or will require, additional time due to the building’s heritage status. Please provide an estimate of how much additional time is required to factor in these aspects.	
Whether strengthening/demolition works relevant to resolving the building’s earthquake-prone status have begun on site
•	Please attach photos confirming that works have begun on site	
Additional factors Council will take into account in determining an extension include the building’s importance level (IL), size, occupancy, use, location, and length the current earthquake-prone notice has been in place.