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Development Application IDAS Forms 1 & 6 & plans · OPW12/0254

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   ..111- Integrated Development Assessment System form
                                                                                                                11111111111111
                                                                                                                          80495123
                                                                                                                                                                @
Application details-IDA
(Sustainable PlanningAct 2009 version 1.0 effective 18 December 2009)      Development Counter
You MUST complete All questions unless the form indicates 0 herwise.             Incomplet?f<M!:&~(9"~s without all       n
                                                                                                                              "\
information and documentation will result in your application           ot being a properly made application.

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For all development applications, you must:                                                                                   ~c.<(;\
      complete this form (Application details-IDAS form 1)                                                                                  ’t~~’t
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      complete any other forms relevant to your application                                                                   ..
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      provl’de any man d atory support"mg m formation
                                                  "d
                                                                                         .          .


                                                           ’f’Ied on th e forms as b emg require d to accompany
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Attach extra pages if there is insufficient space on this form.
                                                                                                                                        -
                                                                                                                                                \---.---



All terms used on this form have the meaning given in the Sustainable PlanningAct 2009or the Sustainable Planning

Regulation 2009.


This form can also be completed online using Smart eDA at www.smarteda.qld.gov.au



Applicant details (note:the applicant is the person responsible for making the application and need not be the owner of
the land. The applicant is responsible for ensuring the information provided on alllDAS application forms is correct. Any

development permit or preliminary approval that may be issued as a consequence of this application will be issued to the
applicant.)


Name/s (individual or company name in full)                   I NCJ:l5E} IeeE MAN
For companies, contact name                                   1’/P7NLlA
Postal address




Contact phone number



Mobile number (non-mandatory)



Fax number (non-mandatory)



e-mail address (non-mandatory)




                                                     -




 Department of Infrastructure and Planning                              Qplan                             l~’\.: Queensland
                                                                                                          l_\" Government
                  -   -   -~   -




                                                                 PN- 12)198t’                   _
                                                                                                        OPWI~ 0951
                                                                                                l_      Q5l~... ...1.0........... Ff
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Full text of the other 15 pages

Page 2

        DDD

1. What is the nature of       development proposed? (tick all applicable box/es)


D material change of           use of   premises

D/JUilding work
Ii2r operational work
D reconfiguring lot    a




2. What type of     approval is being sought?


        development permit              D     preliminary approval    D        both-provide details below




3. Is the application for a mobile and temporary environmentally relevant activity (ERA)?



bt’No
D Yes-complete table A and then go to question 5

Table A-name of each local government area in which the mobile and temporary ERA is proposed to operate




4. location of the premises (complete table B and/or table C as applicable. Identify each lot in a separate row)



Table B-street address/lot for the premises or street address/lot on plan for the land adjoining or adjacent to the
premises


       ~"et         add"ss/lot 0"the ploo

            treet address/lot on plan for the land adjoining or adjacent to the premises (appropriate for development in

           water e.g. jetty, pontoon)


Street address                                                       lot on plan description      local government area
                                                                                                  (e.g.logan, Cairns)
Unit    Street      Street name and official suburb/      Post-      lot no.     Plan type
no.     no.         locality   name                       code                   and plan no.


                                                                                 sP               5.S.~                        .




                                                         ~6tB                     \51-Cf1C1
           lJ        ~~         ~I ’’’-’’’




                2                                                                            Application details-IDAS form 1
                                                                                                Version 1.0 18December 2009

Page 3

    DDD
Table C-premises coordinates (appropriate for development in remote areas, over part of a lot or in water e.g. channel
dredging in Moreton Bay)

Coordinates                                                             Zone        Datum            Local government
(note:place each set of coordinates in a separate row)                  reference                    area   (if applicable)

Easting           Northing         Latitude          Longitude


                                                                                    D GDA94
                                                                                    D WGS84
                                                                                    D other


5. Total area of the premises on which the development is proposed (indicate hectares or m2)




6. Current use/s of the premises (e.g.vacant land, house, apartment building, cane farm, etc.)



    .




        rlOU6E
7. Provide a brief description of the proposal (e.g.six unit apartment building, 30 lot residential subdivision etc.)




                                               dYe



8. Is owner’s consent required for this application? (refer to notes at the end of this form for more information)




D       No


~comPlete             either table D,table E or table F as applicable




Table D


Name of ownerls of the land


I/We,the above-mentioned ownerls of the land, consent to the making of this application.

Signature of ownerls of the land



Date




              3                                                                        Application details-IDAS form 1
                                                                                         Version 1.0 18December 2009

Page 4

   DDD
Table E


Name of owner/s of the land
                                           I
oThe owner’s written consent is attached         or will be   provided separately to the assessment manager




Table F


Name of owner/s of the land


      By making this application, I, the applicant, declare that the owner has given written consent to the making of the
application.



9. Does the application involve a state resource? (e.g.the application involves state land, or taking quarry materials.
Refer to the notes at the end of this form for more information)



~o                                   o Yes-complete table G

Table G-state owned resources (provide details for each state resource in a separate table)

Nature of state-owned resource




Nature of evidence required (tick the

applicable box and attach a copy of the
evidence to this form)
                                                  0 Evidence of        an allocation   of, or an entitlement to, the resource




                                                  0 Evidence the chief executive of the department administering the
                                                          resource is satisfied the   development is consistent with an allocation
                                                          of, or an entitlement to, the resource


                                                  0 Evidence the chief executive of the department administering the
                                                          resource is satisfied the   development application may proceed in the
                                                          absence of an allocation of, or an entitlement to, the resource



10.   Identify if any of the following apply to the premises (tick applicable box/es)


D       adjacent to a water body, watercourse or aquifer (e.g.creek, river, lake, canal)-complete table H

D       on   strategic port land under the Transport Infrastructure Act 1994-complete table I

D       in a tidal water area-complete table J




Table H         Name of water body, watercourse or aquifer




                 4                                                                             Application details-/OAS form 1
                                                                                                 Version 1.0 18December 2009

Page 5

   DDD
Table I     Lot on plan description for strategic port land                   Port authority for the lot




Table J     Name of local government for the tidal area (if applicable)       Port authority for the tidal area (if applicable)




11. Are there any   existing easements on the premises? (e.g.for vehicular access, electricity, overland flow, water, etc.)


o No       ..(2(’   Yes-ensure the type, location and dimension of each easement is included in the plans submitted




12. Does the   proposal include new building work or operational work on the premises? (including any services)


~o D                Yes-ensure the nature, location and dimension of proposed works are included in plans submitted




13. Is the payment of a portable long service leave levy applicable to this application? (refer to notes at the end of this
form for more information)



~O-gO question to          15        DYes

14. Has the portable long service leave levy been paid? (refer to notes at the end of this form for more information)




D     Yes-complete table K and submit with this application the yellow local government/private certifier’s copy of the
      receipted QLeave form


Table K     Amount paid                   Date paid               QLeave Project Number (6digit number starting with A, B,
                                                                  E, Lor P)




15. Has the local government agreed to apply a superseded planning scheme to this application under section 96 of
the Sustainable PlanningAct 2009?



~NO
D Yes-please provide details below

Name of local government                           Date of written notice given    Reference number of written notice given

                                                   by local government             by local government (if applicable)




               5                                                                         Application details-IDAS form 1
                                                                                           Version 1.0 18 December 2009

Page 6

    DDD
 16. List below all of the forms and supporting information that accompany this application (include alllDAS forms,

 checklists, mandatory supporting information etc. that will be submitted as part of this application. Note: this question
 does not apply for applications made on-line using Smart eDA)



Description of attachment or title of attachment                                                  Method of lodgement to
                                                                                                  assessment manager



    1()t5 FOQM (n




 17. Applicant’s declaration



 ~making        this application, I declare that all information in this application is true and correct (note:it is unlawful to

 provide false or misleading information).


Notes for completing this form


Question 8:
   Section 263 of the Sustainable PlanningAct 2009 sets out when the consent of the owner of th            land is required for an

   application. Section 260(1)(e) of the Sustainable PlanningAct 2009 provides that if the owner’s consent is required
    under section 263, then an application must contain, or be accompanied by, the written consent of the owner, or
    include a declaration by the applicant that the owner has given written consent to the making of the application.
.   Owner’s consent is not required for a mobile and temporary ERA.


Question 9:
   Section 264 of the Sustainable Planning Act 2009 provides that if a development involves a state resource, a

   regulation may require the application to be supported by certain evidence prescribed under the regulation. Schedule
   14 of the Sustainable Planning Regulation 2009 prescribes the state resources for which evidence is required to be
   given, and the evidence required, to support the application.


Question 13:
  The Building and Construction Industry (Portable Long Service Leave) Act 1991 prescribes when the portable long
   service leave levy is payable.
. The portable long service leave levy amount and other prescribed percentages and rates for calculating the levy are

    prescribed in the Building and Construction Industry (Portable Long Service Leave) Regulation 2002.

Question 14:
. The portable long service leave levy need not be paid when the application is made, but the BLlilding and Construction

   Industry (Portable Long Service Leave)Act 1991 requires the levy to be paid before a development permit is issued.
.
   Building and Construction Industry Notification and Payment Forms are available from any Queensland post office or
  agency, on request from QLeave, or can be completed on the QLeave website at www.qleave.qld.gov.au. For further
   information contact QLeave on 1800 803 481 or www.qleave.qld.gov.au.




               6                                                                             Application details-IDAS form 1
                                                                                                Version 1.0 18December 2009

Page 7

      DDD
Privacy-the information collected in this form will be used by the Department of Infrastructure and Planning (DIP)in
accordance with the processing and assessment of your application. Your personal details will not be disclosed for a purpose
outside of the IDAS process, except where required by legislation (including the Right to Information Act 2009)or as required

by Parliament. This information may be stored in a departmental database. The information collected will be retained as
required by the Public Records Act 2002.



OFFICE USE ONLY

 Date received                                             Reference numbers



NOTIFICATION OF ENGAGEMENT OF A PRIVATE CERTIFIER

 To
      I                                 I   CO""dl.I hove be" "gaged",the pdvate certm"fo,the b"Hd’"g wo,k cere"ed
                                            to in this application




                                                                                                           Building
Date of engagement        Name                                          BSA Certification license number
                                                                                                           classificationjs




QlEAVE NOTIFICATION AND PAYMENT (for completion by assessment manager or private certifier if applicable)
                                                                                         Date receipted

                                  QLeave Project          Amount paid                   form sighted by    Name of officer who
Description of the work                                                     Date paid
                                  Number                  ($)                           assessment         sighted the form
                                                                                         manager




 The Sustainable PlanningAct 2009 (SPA)is administered by the Department of Infrastructure and Planning. This form and
 all other required application materials should be sent to your assessment manager and any referral agencies.




                 7                                                                       Application details-IDAS form 1
                                                                                           Version 1.0 18December 2009

Page 8

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     111111            Integrated Development Assessment System form                                         ::~
                                                                                                                   _
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                                                                                                                             1’’’   _~_




Building or operational work assessable against
a     planning scheme-IDAS form 6
(SustainablePlanningAct 2009 version 1.0 effective 18 December 2009)


This form must be completed for development applications for building works or operational work assessable against a

planning scheme.

You MUST complete All questions unless the form indicates otherwise. Incomplete forms or forms without all necessary
information and documentation will result in your application not being a properly made application.


For all development applications, you must:

.
       complete Application details-IDAS form 1
.
       complete any other forms relevant to your application
       provide any mandatory supporting information identified on the forms as being required to accompany your
       application.
Attach extra pages if there is insufficient space on this form.


All terms used on this form have the meaning given in the Sustainable PlanningAct 2009 or the Sustainable Planning

Regulation 2009.

Th is form can also be used for development on strategic port land under the Transport Infrastructure Act 1994.



This form can also be completed online using Smart eDA at www.smarteda.qld.gov.au



1. What is the nature of the work that        requires assessment against a planning scheme? (tick applicable box/es)


D       building work-complete table A                   operational work-complete table B


Table A

     What is the nature of the building work made assessable in the planning scheme (e.g.building, repairing, altering,

     underpinning, moving or demolishing a building)?




     What type of approval is being sought? (if you have indicated multiple works in the above question, please use an
     attachment to this form to detail each approval request)


     D     development permit                  D preliminary approval
     Are there any current approvals associated with this application? (e.g. material change of use)

     List of approval reference/s                                         Date approved        Date    approval lapses
                                                                                                        I.
                                                                                                         l

                                                                                                         I"




 Department of Infrastructure and Planning                             Qplan                       t~\... Queensland
                                                                                                   l_\" Government

Page 9

  DDD
Table B

    What is the nature of the operational work made assessable in the planning scheme? (tick applicable boxjes)


             D       road works                 D     stormwater
                                                                      D       water infrastructure




             D       drainage works             D     earthworks
                                                                      D       sewerage infrastructure



             D       landscaping                D     signage         ~clearing vegetation           under the planning scheme



             D       other-provide details


     What type of approval is being sought? (if you have indicated multiple works in the above question, please use an
     attachment to this form to detail each approval request)

     ~evelopment          permit         D    preliminary approval           D    both-specify below




                        work necessary to facilitate the creation of new lots? (e.g.subdivision)
     ~h?erational
     ~No               D     Yes-specify the number of lots being created                I
     Are there any current approvals associated with this application? (e.g.material change of use)


     ~                 D Yes-provide details below
     list of approval referencejs                                             Date approved         Date approval lapses




2. What is the dollar value of the   proposed building work? (inc G5T, materials and labour)


3. Confirm that the following mandatory supporting information accompanies this application



                                                                                        Confirmation of      Method of

                                                                                        lodgement            lodgement

All applications for operational works
                                                                                             /
site plans drawn to scale which show the following:
                                                                                    I        confirmed

.  the location and site area of the land to which the application relates
   (relevantland)
.  the north point
.  the boundaries of the relevant land
.  the allotment layout showing existing lots, any proposed lots (including the
   dimensions of those lots), existing or proposed road reserves, building

   envelopes and existing or proposed open space (note:numbering is required
   for all lots)




             2                             Building or operational work assessable against a planning scheme-IDASform 6
                                                                                             Version 1.0 18December 2009

Page 10

  ODD
.
   any existing or proposed easements on the relevant land and their function
.
   any access limitation strips
.  all existing and proposed roads and access points on the relevant land

a statement about how the     proposed development addresses the local                  oconfirmed
government’s planning schemes and any other planning documents relevant to
the application

Applications for operational works involving earthworks (filling and excavating)           tXJ
drawings showing:                                                                      S’confirmed
.
   existing and proposed contours
.areas     to be cut and filled

.  the location and level of any permanent survey marks or reference stations
   used as datum for the works

   the location of any proposed retaining walls on the relevant land and their

   height
.  the defined flood level (if applicable)

   the defined fill level (if applicable)

Applications for operational works involving roadworks

drawings showing:                                                                       oconfirmed
.
   existing and proposed contours
.  the centreline or construction line showing chainages, bearings, offsets if the
   construction line is not the centreline of the road and all intersection points

.  information for each curve including tangent point chainages and offsets,
   curve radii, arc length, tangent length, superelevation (if applicable) and
   curve   widening (if applicable)
.  kerb lines including kerb radii (where not parallel to centreline) and tangent

   point changes (where not parallel to centreline)
.  edge of pavement where kerb is not constructed
.
   position and extent of channelisation
.  location and details of all traffic signs, guideposts, guardrail and other street
   furniture
.
   pavement markings including details on raised pavement markers
.  catch pit, manhole and pipeline locations
.
   drainage details (if applicable)
.cross     road drainage culverts (if applicable)
.  concrete footpaths and cycle paths

.  location and details for access points, ramps and invert crossings
.  changes in surfacing material




               3                             Building or operational work assessable against a planning scheme-IDASform 6
                                                                                            Version 1.0 18December 2009

Page 11

  ODD
Applications for operational works involving stormwater drainage

drawings showing:                                                                      D confirmed
.  existing and proposed contours
.
   drainage locations, diameters and class of pipe, open drains and easements
.  manhole location, chainage and offset or co-ordinates and inlet and outlet
   invert levels
.  inlet pit locations, chainage and offset or co-ordinates and invert and kerb
   levels

Applications for operational works involving water reticulation

drawings showing:                                                                      D confirmed
.  kerb lines or edge of pavement where kerb is not constructed
.  location and levels of other utility services where affected by water
   reticulation works
.
   pipe diameter, type of pipe and pipe alignment
.  water main alignments

.  water supply pump station details (if applicable)

.  minor reservoir details (if applicable)
.  conduits
.  location of valves and fire hydrants
.  location of house connections (if applicable)
.  location of bench marks and reference pegs

Applications for operational works involving sewerage reticulation
drawings showing:
                                                                                       D confirmed
.  location of all existing and proposed services
.  location of all existing and proposed sewer lines and manhole locations
.  location of all house connection branches
.  kerb lines or edge of pavement where kerb is not constructed
.  chainages
.
   design sewer invert levels
.  design top of manhole levels
.
   type of manhole and manhole cover
.
   pipe diameter, type of pipe and pipe alignment
.  location of house connections (if applicable)
.sewer      pump station details (if applicable)

Applications for operational works involving street lighting
drawings showing:
                                                                                       D confirmed
.  location of all light poles and service conduits
.  location of all other cross road conduits

.
   type of wattage and lighting
.
   any traffic calming devices
.  additional plans for roundabouts and major roads (if applicable)
.  details of any variations to normal alignment
.  details of lighting levels




               4                             Building or operational work assessable against a planning scheme-IOASform 6
                                                                                            Version 1.0 18December 2009

Page 12

    DDD
 Applications for operational works involving public utility services
 drawings showing:
                                                                                        oconfirmed
 .
    any existing light poles and power poles
 .
    any existing underground services
 .  details of proposed services
 .  alternation to existing services

 Applications for operational works involving landscaping works                           /
 drawings showing:
                                                                                       ~onfirmed
 .  the location of proposed plant species
 .a     plant schedule indicating common and botanical names, pot sizes and
    numbers of plants
 .  planting bed preparation details including topsoil depth, subgrade
    preparation, mulch type and depth, type of turf, pebble, paving and garden
    edge
 .  the location and type of any existing trees to be retained

 .  construction details of planter boxes, retaining walls and fences

 .  the proposed maintenance period
 .
    irrigation system details

Notes for completing this form:
.   This form can also be used for development applications for building works or operational works assessable against
    the land use plan for Cairns airport land or Mackay airport land. Whenever a planning scheme is mentioned, take it to
    mean the land use   plan for the airport land.

Privacy-please refer to your assessment manager for further details on the use of information recorded in this
form.




OFFICE USE ONLY



 Date received                                             Reference numbers




The Sustainable PlanningAct 2009 is administered by the Department of Infrastructur  and Planning. This form and all other

required application materials should be sent to your assessment manager and any referral agencies.



               5                             Building or operational work assessable against a planning scheme-IOASform 6
                                                                                            Version 1.0 18December 2009

Page 13

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                                                                                                                                                                                                                                                                                               ~2~~O~
        PN li’1 fB..pandels/ ;~::.T~, watTt~:pel rsystem.:..,........’;;.<’.........\watts
                                                                                                                                                                                                                                                                                          r
                 ..




           .ane:. ran
                                                    panel.....:I...i. ;’~.(.r.~-Watts)) Sel(
                                         ";:J1..:,.:~,..!;.,..Ii....".’ ’ota
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                                                                                                                                                                                                                                                                /                                                                                        .




                                      Q(~                                                                                                                                              House Type;                            Single Story.                                          High s~i:lbo’~blc S~,?ry cl
         n" rt",r- M"’d""I.r\J..
        r.......                                          .S’.....
                     0 e _.........~..:...:::~.............
                                                                             ’("J20~f::
                                                                   "N3me...:......;:........::...~.
                                                                                                                                         .




                                                             .ystem                                                                                                                    MI Monitering:                                 Ethernet Q                                                                      0/\’,/..... r~T.
           ’..
                        .



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                                                                                                                                                                                                                                                                                                                                                                 .’

        Syste~ ~III :p’r~duce ..;..~.._.....’...;..kwh per .d~y.on average With                                                                                                        Utifity"Provider .;~......."...;....~...f.h....’...........;;....~;.~.."..~;...u....~..,"’........,.......;t....\.:r........                                                                         .




        optimal instahation & weather con(jitions..                                                                                                                                         :
                                                                                                                                                                                             EXtr.is..."’.....;..:.;....,.........;:,;...""..,,,:,;;......,.:;:...,,..,.:.....1."..:....::.:........;:,..:::.:.......
        Free Monit(!ring for                                                                years (MI only)
                                                                                                                                                                                                                         ""P
                                                                                                                                                                                                                         "" (GST I ncI us I)
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                                        DIAtiRAM OF’W                                               RK TO’ BE obNE                                       .                                                                    .




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                                                                                                                                                                                       The..clntol’lle1’ ;\(knowledlle~.a-r.KI un-clerstandi that the ,STC’" wiU’,be. P!I’tcl.
                                                                                                                                                                                       to  Queensland kenl!wable Enerey If !C!IC!~tccl’.b~.low,:\nd. f"’i~ }u)’Iount :1\1111
                                                                                                                                                                                       be: deducted from the contract price.
                                                                                                                                                                                            .

                                                                                                                                                                                                   .’                    "",.’ ..’ ’:.
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                                                                                                                                                                         I

                                                                                                                                             .:..L.1...                                                     BA~IIICE PAYABLE TO                                   R.TMPESPERSON ON!NST~lLAnoN

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                                                                                                                                                                                                                                                                                                                                    r’                                            I.
                                   .SP.ECIAL.NOTES.OR INSTRUCTIONS.                                                                                                                                                                                                                                                                                           ".      .,
                                                                                                                                                                                                                                                                                                                                                                                 .:’



       ........::~..~.:~~!:~.~r:....,.....:I.:.~~..:.’:~~;:,.......(~i!....~l.~:....~......,............_............;..;.......:                                                         Name on Card ..........................~.:.:.::.:.:.:,..............:....."............:.:’::.:.,
                                                                                                                                                                                                                                                   "".                              .’:’
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       .;.............................".....,................:..............................:...........:.......;...,.......:.......;.....;                                              DiDep.UJ’ Chq- Q. C/Car .Q                                  ’.                                            ’.
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                                             ..........::...~.......:
       ._."~::’’’~’’’’’’’’’’’’’’’’’’                                    ,.........;~:.;1.’:771;:.~’’’’’’......
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       E.ttlll)~~ed. commenceml!~t of wor~ ........~..:............A..,....’..........,......................
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                                                                                                                                                                                                                                                                                     ’"
       GHECK ITEMS; INCUJOE IN sin PLAN                                                                                                                                                                         tt....
                                                                                                                                                                                                                     .
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                                                                                                                                                                                         Owner(s) SIgnature. ....’ #-.:~....................;
                                                                                                                                                                                                                      ’~.              .

                                                                                                                                                                                                                                                                                                       ,.’".;..............,...........................

       Position of North
       Position of PanElls 13 (nu.mber ea
                                                  CiI)atr’ow.               label "N")’                                              .




                                                                                                                                                                                         Datc:.7.’..~:.:L~/!!~/7~~..::....:::.::.:::..:.;::...:...:.~,:.:.:;.:~::.:....:...:..:....:..::..’~
                                                                                          pa,,~I, show orlCfltation of panels on roo~
       Position of Invl!rter                              l:J’idraw’                sition of InvcrtClr label "I")                                                   .
                                                                                                                                                                                                                                                                                     .
                                                                                                                                                                                                                                                                                          I.   ~
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                                                                                                                                                                                                                                                                                                            ’.,~.’..,                              ..
                                                                                                                                                                                                                                                                                                                                                                       .    .
                                                                                                                                                                                                                                                                                                                                                                                 :’.:.
       Position of Powerboa.rd
                                                                     ~1raw                position of powl!rboard. label "P’1                                                            Owner(s)- Slgt!I<ltl:lre: ;...:..........,.........,...:.....,:....;;.....;...,i::.:....;.:.,.......,,:,....,.;...:
                                                                                    e                                                                                                                                                                                                    .......:...::..,..,........:.......................,,:,,~ ~
                                                                                                                                                                                                                                                                                                                                                                                      .




                                                                          /                           r,.~                                                                               Date...
       .

       .




                                    ’.
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                                                                                                                                                                                          t/W.e. ~ knowIEl~g!! that .lrN~.have.te:td.~II.l)f .tbe.terr1)~..&.<:on~itions.$rA~ed

           ~:::i::~~;i~’ :::~t::::::~:.:::i~:~::: :-: : : :
                                                                                                                                                                                                                                                                                                                                                                                       .




                                                                                                                                                                                               ovcrlc~T. Irw.e h.ve received forms I & 2 of the Fair _Tra.ding Act
                                                                                                                                                                                                   (If a;,pll.: bll!)’ Cir’ other N!te’r.lm: ’~t
                                                                                                                                                                                                   .



                                                                                                                                                                                                                                                i)i Noi:ic~f&- F6tnls. .’
                                                                                                                                                                                                                                                                                                                                                                                      .




                                                                                                                                                                                                This COntr.act.’will not cover !my re"’tdi~l.work:.5.a,r sult.of,E!)(lsting
                                                                                                                                                                                                                                                   building deflcienci~.
                                                                                                                                                                                                                                                                                                       "

               THIS CONTRACT IS SUBJECT TO A COOLING "OFF’                                                                                                                                                                                                            Rl D                                        F ’1 :OAYS
                                            Contract to be executed by or on behalf of the Supplier prior to the
                                                                                                                                                                                                                                  Purchaser(s) signing the contract,


[OCR of page images]
63/68/2612 13:27 5445-6194

QUEENSLAND
RENEWABLE |
r ENERGY

 

stoma,

  
  

We.

Grid Connect” ar
SIZE

No.. of Panel
Panel: Brand-
fiverter Model -:

System will produce . :wckewh’ per day on average with
optimal installation & weather conditions. :

Free Monitering for years (MI only)
"DIAGRAM OF ' WORK TO BE DONE °

‘Stand alone with Battery Bick a

 

Estimated commencement of work

GHECK ITEMS: INCLUDE:IN' SITE PLAN

Position of North ai Label "N"):

Position of Panels (number each panel, show orientation of panels on roof)
Position of inverter GY (draw-position of inverter label “I")

Position of Powerboard (draw position of powerboard, label “P”)

 

 

 

- ABN [8 135 489-879 ~ ACN. 135-489 879
PO Box 5542 Maroochydore 8c Qid 4558
T: 1300 042: 900 ~ F: 1300 664 695
0 BS admin@qre:nietaui :

PHOTOVOLTAIC S¥: TEM: (PY)

INSTALLATION ”
Roof TYRE: .

  
 
 
     

 

 

LIFELINE KUNDA PARK PAGE 61/82

CONTRACT

mats

 

   

   
     
 
    
  

 

Jron a . ., Eliplocte | a Sparidek
. } "Other

é goa 0-21

 
 
  

Self Clean: C
House Type: Single Story 2”
MI Monitering: Ethernet

Utility-Provider 3:

 

High SetiDouble Story a
less. O/ AA

 

   

aoeieatondeeenedsin

of Extras...

RRP (GsT Inclusive) $

Less STC's .$
ors Owed §:

$

$

. $

| Less Progress Payment $

Balance.due on. Installation 7 ‘$ oui

The-customer acknowledges-and understands that the STC's will'-be. pi
to Queensland Renewable Energy If selected. below and. this amount will
be deducted from the a

STC’s:. -QRE Client Q.

 

-.... TERMS OF. PAYMENT: i
BALANCE PAYABLE TO-OUR, DESPERSON ON. INSTALLATION

 

 

 

 

 

Owner(s) Signature: suf
ff

ofp af

 

WWe acknowledge that I/We: have.read all: of the terms-& conditions sctpad -
overical, I/We have received forms | & 2 of the Fair Trading Act
if Wrapeeibie) Gt other réfevant statutory Noticés & Forms, °
ontract-will not cover any remedial work .as-a result of existing
building deficiencies.

This

 

 

 

 

THIS CONTRACT is SUBJECT TO A COOLING OFF PERIOD OF 10 DAYS

Contract to be executed by or on behalf of the Supplier prior to the Purchaser(s) signing the contract.

Page 16

       03/08/2012   13:27   5445-6194                     LIFELINE KUNDA PARK                                                   PAGE      02/02

...-



                                                    Customer.Receipt                                                                    ,.,

                                                    Offic ’\JS ;                                                       Date:
                                                                         034198:f050042:1027:Qt
         :70HA/        :;-0#/\/J7 oN                                                                                              25/07/2012
                                                    \~ountNo.                         TransElctlon Type                         ".mount

                                                        ’Sq: 57346725
                                                        t********072                        Deposit                               $1,000.00
                                                                        Agent Ref:            2056Z3




                                                      Cash Tendered:   0(100 20/50                                  0/20       0110       0/5
                                                      Coin: SO.OO    Other: $0.00




                                                    Tf3rl"llctions follo...,d by an ast (
                                                                                        ~k (O)includll 3 GST component
                                              /_-
                                        _->

                                                                                                                                                ----;
                                                                                                                                  ROT001 (2/12)259227
                                                    W,""p’o lIon~;n& Co<por.tlon ^BN 33 007 ~57 111,flFSL 2JJ71~.


[OCR of page images]
43/08/2012 13:27 5445-6194 LIFELINE KUNDA PARK PAGE 62/62

 

Lo Customer Receipt sr
‘ Office Use: Date:
Town Germs7 ov 034198: F05S0042:1027:0¢ 25/07/2012
ACvount No. Transection Type Amount
Seq: 57346725
eee 079 Deposit ‘Shen. o0

Agent Ref: 205623

Cash Tendered: 0/100 20/50 0/20
Coin: $0.00 Other: oe : em

vo Transactions followed by an asterisk (*) include a GST component
i

_

 

Weatpao Banking Corporation ABN 33 007 4S7 141. AFSL 233714. ROTOOI (2/12) 259227

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