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2. IDAS Forms

Attached to the e-mail MCU16/0084 & OPW16/0157 Development Application IDAS Forms, Planning report & Plans email 1 of 3.

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IDAS form 1—Application details
(Sustainable Planning Act 2009 version 4.2 effective 3 August 2015)

This form must be used for ALL development applications.

You MUST complete ALL questions that are stated to be a mandatory requirement unless otherwise identified on this
form.

For all development applications, you must:
     complete this form (IDAS form 1—Application details)
     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 Planning Act 2009 (SPA) or the Sustainable
Planning Regulation 2009.

This form and any other IDAS form relevant to your application must be used for development applications relating to
strategic port land and Brisbane core port land under the Transport Infrastructure Act 1994 and airport land under the
Airport Assets (Restructuring and Disposal) Act 2008. Whenever a planning scheme is mentioned, take it to mean land
use plan for the strategic port land, Brisbane core port land or airport land.

PLEASE NOTE: This form is not required to accompany requests for compliance assessment.

Mandatory requirements

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 all IDAS 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)                   Denmac Nominees Pty Ltd

For companies, contact name                                   C/- Urbis Pty Ltd – Cameron Stanley / Penny Milton

Postal address                                                Level 7, 123 Albert Street




                                                              Suburb       Brisbane City
                                                              State        Queensland               Postcode       4000
                                                              Country      Australia

Contact phone number                                          (07) 3007 3800

Mobile number (non-mandatory requirement)                     -

Fax number (non-mandatory requirement)                        -
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Email address (non-mandatory requirement)            [email protected] / [email protected]



Applicant’s reference number (non-mandatory          BA4090
requirement)

1.    What is the nature of the development proposed and what type of approval is being sought?

Table A—Aspect 1 of the application (If there are additional aspects to the application please list in Table B—Aspect 2.)
a)   What is the nature of the development? (Please only tick one box.)
         Material change of use          Reconfiguring a lot            Building work               Operational work

b)   What is the approval type? (Please only tick one box.)
         Preliminary approval            Preliminary approval           Development permit
          under s241 of SPA               under s241 and s242
                                          of SPA
c)   Provide a brief description of the proposal, including use definition and number of buildings or structures where
     applicable (e.g. six unit apartment building defined as a multi-unit dwelling, 30 lot residential subdivision etc.)
     Service Station with an ancillary shop and food outlet defined as a Retail Business – Type 5 Vehicle Uses
     (Service Station), Retail Business – Type 2 Shop & Salon (Ancillary Shop), Entertainment & Business – Type 1
     Food & Beverages (Restaurant/Café/Fast Food) and associated Operational Works for advertising device

d)   What is the level of assessment? (Please only tick one box.)
         Impact assessment               Code assessment


Table B—Aspect 2 of the application (If there are additional aspects to the application please list in Table C—
Additional aspects of the application.)
a)   What is the nature of development? (Please only tick one box.)
         Material change of use          Reconfiguring a lot            Building work               Operational work

b)   What is the approval type? (Please only tick one box.)
         Preliminary approval            Preliminary approval           Development
          under s241 of SPA               under s241 and s242            permit
                                          of SPA
c)   Provide a brief description of the proposal, including use definition and number of buildings or structures where
     applicable (e.g. six unit apartment building defined as a multi-unit dwelling, 30 lot residential subdivision etc.)
     Operational Works associated with Material Change of Use for an advertising device (pylon sign)



d)   What is the level of assessment?
         Impact assessment               Code assessment


Table C—Additional aspects of the application (If there are additional aspects to the application please list in a
separate table on an extra page and attach to this form.)
         Refer attached schedule         Not required



                                                                                              IDAS form 1—Application details
                                                                                                  Version 4.2—3 August 2015

Page 3

2.     Location of the premises (Complete Table D and/or Table E as applicable. Identify each lot in a separate row.)

Table D—Street address and lot on plan for the premises or street address and lot on plan for the land adjoining or
adjacent to the premises (Note: this table is to be used for applications involving taking or interfering with water.)
(Attach a separate schedule if there is insufficient space in this table.)
              Street address and lot on plan (All lots must be listed.)
              Street address and lot on plan for the land adjoining or adjacent to the premises (Appropriate for
              development in water but adjoining or adjacent to land, e.g. jetty, pontoon. All lots must be listed.)
Street address                                                            Lot on plan                   Local government area
                                                                          description                   (e.g. Logan, Cairns)

Lot       Unit      Street      Street name and official      Post-       Lot no.     Plan type
          no.       no.         suburb/ locality name         code                    and plan no.

i)                  140         Eumundi-Noosa Road            4566        2           RP173876          Noosa Shire Council
ii)                 142         Eumundi-Noosa Road            4566        2           RP173876          Noosa Shire Council
iii)
Planning scheme details (If the premises involves multiple zones, clearly identify the relevant zone/s for each lot in a
separate row in the below table. Non-mandatory)
Lot       Applicable zone / precinct               Applicable local plan / precinct           Applicable overlay/s
i)        Industry Zone                            Noosaville Locality                        Natural Hazards Overlay – Acid
                                                                                              Sulfate Soils Overlay
ii)
iii)

Table E—Premises coordinates (Appropriate for development in remote areas, over part of a lot or in water not
adjoining or adjacent to land e.g. channel dredging in Moreton Bay.) (Attach a separate schedule if there is insufficient
space in this table.)
Coordinates                                                                   Zone        Datum              Local government
(Note: place each set of coordinates in a separate row)                       reference                      area (if applicable)
Easting           Northing             Latitude        Longitude
                                                                                                GDA94
                                                                                                WGS84
                                                                                                other

3. Total area of the premises on which the development is proposed (indicate square metres)

          2
2,428m

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

Occupied by an ‘Auto-Pro’ store, ‘Snack bar’ food outlet and a ‘Motorcycle Garage/Tyrepower’store.




                                                                                                        IDAS form 1—Application details
                                                                                                            Version 4.2—3 August 2015

Page 4

5.     Are there any current approvals (e.g. a preliminary approval) associated with this application? (Non-
       mandatory requirement)

       No              Yes—provide details below

List of approval reference/s                          Date approved (dd/mm/yy)                  Date approval lapses (dd/mm/yy)



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

       No
       Yes—complete either Table F, Table G or Table H as applicable

Table F
Name of owner/s of the land
I/We, the above-mentioned owner/s of the land, consent to the making of this application.
Signature of owner/s of the land


Date

Table G
Name of owner/s of the land                Graeme Albert Martin and Bruce Douglas Martin

     The owner’s written consent is attached or will be provided separately to the assessment manager.

Table H
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.

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

       Adjacent to a water body, watercourse or aquifer (e.g. creek, river, lake, canal)—complete Table I
       On strategic port land under the Transport Infrastructure Act 1994—complete Table J

       In a tidal water area—complete Table K
       On Brisbane core port land under the Transport Infrastructure Act 1994 (No table requires completion.)
       On airport land under the Airport Assets (Restructuring and Disposal) Act 2008 (no table requires completion)
       Listed on either the Contaminated Land Register (CLR) or the Environmental Management Register (EMR) under
       the Environmental Protection Act 1994 (no table requires completion)

Table I
Name of water body, watercourse or aquifer




                                                                                                       IDAS form 1—Application details
                                                                                                           Version 4.2—3 August 2015

Page 5

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



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



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

      No          Yes—ensure the type, location and dimension of each easement is included in the plans submitted

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

      No          Yes—ensure the nature, location and dimension of proposed works are included in plans submitted

10.   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.)

      No—go to question 12                Yes

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

      No
      Yes—complete Table L and submit with this application the yellow local government/private certifier’s copy of the
      receipted QLeave form

Table L
Amount paid                                                       Date paid        QLeave project number (6 digit number
                                                                  (dd/mm/yy)       starting with A, B, E, L or P)



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

      No
      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)
                                                  (dd/mm/yy)




                                                                                                  IDAS form 1—Application details
                                                                                                      Version 4.2—3 August 2015

Page 6

 13.    List below all of the forms and supporting information that accompany this application (Include all IDAS
        forms, checklists, mandatory supporting information etc. that will be submitted as part of this application)

 Description of attachment or title of attachment                                              Method of lodgement to
                                                                                               assessment manager
 IDAS Form 1 – Application Details with Owners consent                                         Online
 IDAS Form 5 – Material Change of Use Assessable Against a Planning S                          Online
 IDAS Form 6 – Building and Operational Work Assessable Against a Planning                     Online
 Scheme
 Town planning report                                                                          Online
 Volume 1 - Architectural Plans                                                                Online
 Volume 2 - Landscape concept plan                                                             Online
 Volume 3 – Civil Engineering Services Report                                                  Online
 Volume 4 - Traffic Impact Assessment                                                          Online
 Volume 5 – Stormwater Management Plan                                                         Online

 14.    Applicant’s declaration

    By 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

 Section 261 of the Sustainable Planning Act 2009 prescribes when an application is a properly-made application.
  Note, the assessment manager has discretion to accept an application as properly made despite any non-
  compliance with the requirement to provide mandatory supporting information under section 260(1)(c) of the
  Sustainable Planning Act 2009

Applicant details
 Where the applicant is not a natural person, ensure the applicant entity is a real legal entity.

Question 1
 Schedule 3 of the Sustainable Planning Regulation 2009 identifies assessable development and the type of
   assessment. Where schedule 3 identifies assessable development as “various aspects of development” the
   applicant must identify each aspect of the development on Tables A, B and C respectively and as required.

Question 6
 Section 263 of the Sustainable Planning Act 2009 sets out when the consent of the owner of the land is required for
  an application. Section 260(1)(e) of the Sustainable Planning Act 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. If a development application relates to a state resource, the application is not required to be supported
  by evidence of an allocation or entitlement to a state resource. However, where the state is the owner of the
  subject land, the written consent of the state, as landowner, may be required. Allocation or entitlement to the state
  resource is a separate process and will need to be obtained before development commences.

Question 7
 If the premises is listed on either the Contaminated Land Register (CLR) or the Environmental
   Management Register (EMR) under the Environmental Protection Act 1994 it may be necessary to
   seek compliance assessment. Schedule 18 of the Sustainable Planning Regulation 2009 identifies
   where compliance assessment is required.

Question 11


                                                                                                    IDAS form 1—Application details
                                                                                                        Version 4.2—3 August 2015

Page 7

 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.




                                                                                        IDAS form 1—Application details
                                                                                            Version 4.2—3 August 2015

Page 8

Question 12
 The portable long service leave levy need not be paid when the application is made, but the Building 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 visit www.qleave.qld.gov.au.


Privacy—The information collected in this form will be used by the Department of Infrastructure, Local Government
and Planning (DILGP), assessment manager, referral agency and/or building certifier in accordance with the
processing and assessment of your application. Your personal details should not be disclosed for a purpose outside of
the IDAS process or the provisions about public access to planning and development information in the Sustainable
Planning Act 2009, except where required by legislation (including the Right to Information Act 2009) or as required by
Parliament. This information may be stored in relevant databases. 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                                                   Council. I have been engaged as the private certifier for the
                                                      building work referred to in this application

                                                                     BSA Certification license         Building
 Date of engagement        Name
                                                                     number                            classification/s




QLEAVE NOTIFICATION AND PAYMENT (For completion by assessment manager or private certifier if
applicable.)
                                                                                     Date receipted
                                                                                                          Name of officer
                                  QLeave project    Amount paid                      form sighted by
 Description of the work                                                Date paid                         who sighted the
                                  number            ($)                              assessment
                                                                                                          form
                                                                                     manager




The Sustainable Planning Act 2009 is administered by the Department of Infrastructure, Local Government and
Planning. This form and all other required application materials should be sent to your assessment manager and any
referral agency.




                                                                                             IDAS form 1—Application details
                                                                                                 Version 4.2—3 August 2015

Page 9

    Table C—Aspect 2 of the application (If there are additional aspects to the application please list in Table C—
    Additional aspects of the application.)
    a)    What is the nature of development? (Please only tick one box.)
              Material change of use             Reconfiguring a lot         Building work               Operational work

    b)    What is the approval type? (Please only tick one box.)
              Preliminary approval               Preliminary approval        Development
               under s241 of SPA                  under s241 and s242         permit
                                                  of SPA
    c)    Provide a brief description of the proposal, including use definition and number of buildings or structures where
          applicable (e.g. six unit apartment building defined as a multi-unit dwelling, 30 lot residential subdivision etc.)
         Preliminary approval for Building Works



    d)    What is the level of assessment?
              Impact assessment                  Code assessment




Department of State Development, Infrastructure and Planning
PO Box 15009 City East Qld 4002
tel 13 QGOV (13 74 68)
[email protected]

www.dsdip.qld.gov.au

                                                                                                   IDAS form 1—Application details
                                                                                                       Version 4.2—3 August 2015

Page 10

 

 

I, Graeme Albert Martin Bnsert name in full]

I, Bruce Douglas Martin insert name in full]

as owners of premises identified as follows

440-142 Eumundi Noosa Road, Noosaville QLD 4566; formally described as Lot 2 on RP173876

 

finsert street address, lot on plan description, or coordinates of the premises the subject of the application|

consent to the making of a development application under the Sustainable Planning Act 2009 by

Denmac Nominees, C/- Urbis Pty Ltd
{insert name of applicant}

on the premises described above for the purposes of:

Material Change of Use for a Retail Business — Service Station and Shop, and Entertainment & Business

~ Restaurant/Café/Fast Food.

 

[insert details of the propased development, e.g. material change of use for three storey apariment building}

[signature of owner}

GELS
signed on ne 0 bs a, day of & Fury. 20.6

[signature of owner]

Ly A |
signed on thé AA. day of Fa LY 20/6

 

 

ee RUE, om aClansen

   

PP2_0034_43 (B} Version#1 10.12.09

Page 11

IDAS form 5—Material change of use assessable
against a planning scheme
(Sustainable Planning Act 2009 version 3.1 effective 3 August 2015)

This form must be used for development applications for a material change of use assessable against a planning
scheme.

You MUST complete ALL questions that are stated to be a mandatory requirement unless otherwise identified on this
form.

For all development applications, you must:
     complete IDAS form 1—Application details
     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 Planning Act 2009 (SPA) or the Sustainable
Planning Regulation 2009.

This form must also be used for material change of use on strategic port land and Brisbane core port land under the
Transport Infrastructure Act 1994 and airport land under the Airport Assets (Restructuring and Disposal) Act 2008 that
requires assessment against the land use plan for that land. Whenever a planning scheme is mentioned, take it to
mean land use plan for the strategic port land, Brisbane core port land or airport land.

Mandatory requirements

1.     Describe the proposed use. (Note: this is to provide additional detail to the information provided in question 1
       of IDAS form 1—Application details. Attach a separate schedule if there is insufficient space in this table.)

General explanation of the                   Planning scheme            No. of dwelling units   Days and          No. of
proposed use                                 definition (include each   (if applicable) or      hours of          employees
                                             definition in a new row)   gross floor area (if    operation         (if applicable)
                                             (non-mandatory)            applicable)             (if applicable)
Service Station with an ancillary            Retail Business – Type 5   200m
                                                                                  2             24 hours, 7       Unknown
shop                                         Vehicle Uses (Service                              days a week
                                             Station)
                                             Retail Business – Type 2
                                             Shop & Salon (Shop)

Food Outlet                                  Entertainment & Business   90m
                                                                              2                 24 hours, 7       Unknown
                                             – Type 1 Food &                                    days a week
                                             Beverages
                                             (Restaurant/Café/Fast
                                             Food)




2.     Are there any current approvals associated with the proposed material change of use?
       (e.g. a preliminary approval.)

Page 12

      No             Yes—provide details below

List of approval reference/s                 Date approved (dd/mm/yy)   Date approval lapses (dd/mm/yy)

Page 13

3.     Does the proposed use involve the following? (Tick all applicable boxes.)

The reuse of existing buildings on the premises                   No                Yes
New building work on the premises                                 No                Yes
The reuse of existing operational work on the premises            No                Yes
New operational work on the premises                              No                Yes

Mandatory supporting information

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

Mandatory supporting information                                                   Confirmation of      Method of
                                                                                   lodgement            lodgement
All applications
A site plan drawn to an appropriate scale (1:100, 1:200 or 1:500 are                  Confirmed         Online
recommended scales) which shows the following:
    the location and site area of the land to which the application relates
     (relevant land)
    the north point
    the boundaries of the relevant land
    any road frontages of the relevant land, including the name of the road
    the location and use of any existing or proposed buildings or structures
     on the relevant land (note: where extensive demolition or new buildings
     are proposed, two separate plans [an existing site plan and proposed site
     plan] may be appropriate)
    any existing or proposed easements on the relevant land and their
     function
    the location and use of buildings on land adjoining the relevant land
    all vehicle access points and any existing or proposed car parking areas
     on the relevant land. Car parking spaces for persons with disabilities and
     any service vehicle access and parking should be clearly marked
    for any new building on the relevant land, the location of refuse storage
    the location of any proposed retaining walls on the relevant land and their
     height
    the location of any proposed landscaping on the relevant land
    the location of any stormwater detention on the relevant land.

A statement about how the proposed development addresses the local                    Confirmed         Online
government’s planning scheme and any other planning instruments or
documents relevant to the application.
A statement about the intensity and scale of the proposed use (e.g. number            Confirmed         Online
of visitors, number of seats, capacity of storage area etc.).
Information that states:                                                              Confirmed         Online
    the existing or proposed floor area, site cover, maximum number of               Not applicable
     storeys and maximum height above natural ground level for existing or
     new buildings (e.g. information regarding existing buildings but not being
     reused)
    the existing or proposed number of on-site car parking bays, type of
     vehicle cross-over (for non-residential uses) and vehicular servicing
     arrangement (for non-residential uses).



                                                                               IDAS form 5—Material change of use assessable
                                                                                                   against a planning scheme
                                                                                                 Version 3.1—3 August 2015

Page 14

 A statement addressing the relevant part(s) of the State Development                   Confirmed         Online
 Assessment Provisions (SDAP).                                                          Not applicable
When the application involves the reuse of existing buildings

Plans showing the size, location, existing floor area, existing site cover,             Confirmed
existing maximum number of storeys and existing maximum height above                    Not applicable
natural ground level of the buildings to be reused.

When the application involves new building work (including extensions)

Floor plans drawn to an appropriate scale (1:50, 1:100 or 1:200 are                     Confirmed        Online
recommended scales) which show the following:
   the north point
   the intended use of each area on the floor plan (for commercial, industrial
    or mixed use developments only)
   the room layout (for residential development only) with all rooms clearly
    labelled
   the existing and the proposed built form (for extensions only)
   the gross floor area of each proposed floor area.
Elevations drawn to an appropriate scale (1:100, 1:200 or 1:500 are                     Confirmed        Online
recommended scales) which show plans of all building elevations and
facades, clearly labelled to identify orientation (e.g. north elevation)

Plans showing the size, location, proposed site cover, proposed maximum                 Confirmed        Online
number of storeys, and proposed maximum height above natural ground level               Not applicable
of the proposed new building work.
 When the application involves reuse of other existing work
 Plans showing the nature, location, number of on-site car parking bays,                Confirmed
 existing area of landscaping, existing type of vehicular cross-over (non-              Not applicable
 residential uses), and existing type of vehicular servicing arrangement (non-
 residential uses) of the work to be reused.
 When the application involves new operational work
 Plans showing the nature, location, number of new on-site car parking bays,            Confirmed         Online
 proposed area of new landscaping, proposed type of new vehicle cross-over              Not applicable
 (non-residential uses), proposed maximum new vehicular servicing
 arrangement (non-residential uses) of the proposed new operational work.


Privacy—Please refer to your assessment manager, referral agency and/or building certifier for further details on the
use of information recorded in this form.


OFFICE USE ONLY

 Date received                                        Reference numbers

The Sustainable Planning Act 2009 is administered by the Department of Infrastructure, Local Government and
Planning. This form and all other required application materials should be sent to your assessment manager and any
referral agency.




                                                                                 IDAS form 5—Material change of use assessable
                                                                                                     against a planning scheme
                                                                                                   Version 3.1—3 August 2015

Page 15

IDAS form 6—Building or operational work assessable
against a planning scheme
(Sustainable Planning Act 2009 version 3.1 effective 3 August 2015)

This form must be used for development applications for building work or operational work assessable against a
planning scheme.

You MUST complete ALL questions that are stated to be a mandatory requirement unless otherwise identified on this
form.

For all development applications, you must:
      complete IDAS form 1—Application details
      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 Planning Act 2009 (SPA) or the Sustainable
Planning Regulation 2009.

This form must be used for building work or operational work relating on strategic port land and Brisbane core port land
under the Transport Infrastructure Act 1994 and airport land under the Airport Assets (Restructuring and Disposal) Act
2008 that requires assessment against the land use plan for that land. Whenever a planning scheme is mentioned,
take it to mean land use plan for the strategic port land, Brisbane core port land or airport land.

Mandatory requirements

1.      What is the nature of the work that requires assessment against a planning scheme? (Tick all applicable
        boxes.)

             Building work—complete Table A                           Operational work—complete Table B

Table A
a)     What is the nature of the building work (e.g. building, repairing, altering, underpinning, moving or demolishing a
       building)?
     Preliminary approval for building works



b)     Are there any current approvals associated with this application? (e.g. material change of use.)
             No                 Yes— provide details below

     List of approval reference/s                           Date approved (dd/mm/yy)      Date approval lapses (dd/mm/yy)

Page 16

Table B
a)    What is the nature of the operational work? (Tick all applicable boxes.)
            Road works                       Stormwater              Water infrastructure

            Drainage works                   Earthworks              Sewerage infrastructure

            Landscaping                      Signage                 Clearing vegetation under the planning scheme

            Other—provide details

b)    Is the operational work necessary to facilitate the creation of new lots? (E.g. subdivision.)
            No         Yes—specify the number of lots being created

c)    Are there any current approvals associated with this application? (E.g. material change of use.)
            No         Yes—provide details below

     List of approval reference/s                   Date approved (dd/mm/yy)          Date approval lapses (dd/mm/yy)




2.      What is the dollar value of the proposed building work?                                        $unknown
        (Inc GST, materials and labour.)

3.      What is the dollar value of the proposed operational work?                                     $unknown
        (Inc GST, materials and labour.)

Mandatory supporting information

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

Mandatory supporting information                                                    Confirmation of       Method of
                                                                                    lodgement             lodgement

All applications involving building work or operational work
A site plan drawn to an appropriate scale (1:100, 1:200 or 1:500 are                    Confirmed         Online
recommended scales) which shows the following:
 the location and site area of the land to which the application relates
     (relevant land)
 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)
 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.


                                                                            IDAS form 6—Building or operational work assessable
                                                                                                     against a planning scheme
                                                                                                    Version 3.1—3 August 2015

Page 17

A statement about how the proposed development addresses the local                      Confirmed         Online
government’s planning schemes and any other planning documents relevant
to the application.
A statement addressing the relevant part(s) of the State Development                    Confirmed         Online
Assessment Provisions (SDAP).                                                           Not applicable
Applications for building work (including extensions and demolition that is assessable development)
Floor plans drawn to an appropriate scale (1:50, 1:100 or 1:200 are                     Confirmed
recommended scales) which show the following:                                           Not applicable
   the north point
   the intended use of each area on the floor plan (for commercial, industrial
    or mixed use developments only)
   the room layout (for residential development only) with all rooms clearly
    labelled
   the existing and the proposed built form (for extensions only)
   the gross floor area of each proposed floor area.
Elevations drawn to an appropriate scale (1:100, 1:200 or 1:500 are                     Confirmed
recommended scales) which show plans of all building elevations and                     Not applicable
facades, clearly labelled to identify orientation (e.g. north elevation).
Plans showing the size, location, proposed site cover, proposed maximum                 Confirmed
number of storeys, and proposed maximum height above natural ground level               Not applicable
of the proposed new building work.
Plans showing the extent of any demolition that is assessable development.              Confirmed
                                                                                        Not applicable
Applications for operational work involving earthworks (filling and excavating)
Drawings showing:                                                                       Confirmed
 existing and proposed contours                                                        Not applicable
 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 fill level (if applicable).
Applications for operational work involving roadworks
Drawings showing:                                                                       Confirmed
 existing and proposed contours                                                        Not applicable
 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

                                                                            IDAS form 6—Building or operational work assessable
                                                                                                     against a planning scheme
                                                                                                    Version 3.1—3 August 2015

Page 18

   catchpit, 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.
Applications for operational work involving stormwater drainage
Drawings showing:                                                                     Confirmed
 existing and proposed contours                                                      Not applicable
 drainage locations, diameters and class of pipe, open drains and
    easements
 manhole location, chainage and offset or coordinates and inlet and outlet
  invert levels
 inlet pit locations, chainage and offset or coordinates and invert and kerb
  levels.
Applications for operational work involving water reticulation
Drawings showing:                                                                     Confirmed
 kerb lines or edge of pavement where kerb is not constructed                        Not applicable
 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 work involving sewerage reticulation
Drawings showing:                                                                     Confirmed
   location of all existing and proposed services                                    Not applicable
   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 work involving street lighting
Drawings showing:                                                                     Confirmed
   location of all light poles and service conduits                                  Not applicable
   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

                                                                          IDAS form 6—Building or operational work assessable
                                                                                                   against a planning scheme
                                                                                                  Version 3.1—3 August 2015

Page 19

  details of lighting levels.
 Applications for operational work involving public utility services
 Drawings showing:                                                                   Confirmed
    any existing light poles and power poles                                        Not applicable
    any existing underground services
    details of proposed services
    alteration to existing services.
 Applications for operational work involving landscaping works
 Drawings showing:                                                                   Confirmed
  the location of proposed plant species                                            Not applicable
  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.

Privacy—Please refer to your assessment manager, referral agency and/or building certifier for further details on the
use of information recorded in this form.


OFFICE USE ONLY

 Date received                                        Reference numbers

The Sustainable Planning Act 2009 is administered by the Department of Infrastructure, Local Government and
Planning. This form and all other required application materials should be sent to your assessment manager and any
referral agency.




                                                                         IDAS form 6—Building or operational work assessable
                                                                                                  against a planning scheme
                                                                                                 Version 3.1—3 August 2015

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