Ac1130a Solid Fuel Heating Full Processing Checklist
Use this checklist when processing a stand-alone application for a solid fuel-heating appliance
Address: / Consent No:Processed by: / Date:
Description of work:
Corrosion zone / Wind zone
Project complexity / Processors competency
Purpose group / Application: / Building consent / Amends
Installer’s name: / Author No:
PIM / PIC (list any non-standard issues raised in the PIM that affect this application to show they have been considered)
Means of Compliance / RBW Yes No
AS/NZS2918 / CoW / PS1 / PS2 / C/VM1
Heating appliance: / Decision / Reasons for decision / comments
Yes / RFI / N/A
Restricted building work
(exemption under clause 2)
Does wood burner comply with the National Environment Regulations?
MFE wood burner approval number
Nelson Canterbury
In-built appliance
3rd party report on condition of ex. chimney
Second hand appliance
3rd party report on condition of fire
compliance with NES
Floor plan showing location of appliance, smoke alarms and HWC (if wetback)
Adequate ventilation to space
opening windows / doors
Clearance from combustible surfaces (wall linings, curtains / blinds, etc)
Floor construction / seismic restraint
concrete timber
hearth to floor hearth to appliance
Heating appliance: / Decision / Reasons for decision / comments
Yes / RFI / N/A
Hearth construction details (timber floors)
ash
insulating
Wet back
G12 HWC (type) Valves / NB: requires inspection PS not applicable for wetbacks
Roof material
adequate clearance from combustible roofing
Flue height above roof
bracing if flue >1.2m above roof line
3.0m horizontal clearance between neighbouring buildings
Flue flashing and construction details
compatible with roof material
suitable for corrosion zone
Elevation or photo to determine location of flue, number of stories and need for FRR if flue penetrates mid-floor
Single escape routes (DEOP)
Multiple escape routes (TOP)
Requests for further information / Decision / Date requested / Date resolved / Signed
Yes / N/A
Information requested
Information requested
Final check / sign off / Decision / Final check / sign off / Decision
Yes / N/A / Yes / N/A
Agreements to provide PS3 / Inspection requirements identified
Document sets collated and stamped / Conditions completed
Superseded plans separated / Computer tasks completed
PIM issues resolved / File handed onto admin / invoicing
RMA issues (Form 4)
Final sign off (signature) / Yes / No
I am satisfied on reasonable grounds that compliance has been established with the Building Code and the building consent / amendment is approved and ready for granting
Building: / Date:
P & D: / Date:
Supervision (signature) / N/A
Supervisor: / Date:
If supervised, supervisionform must be completed and forwarded to
Page 1 of 2July 2015AC1130a (v.4)