Form 1 and 7 · REC14/0015

Page 2

 

Suburb S77 KKDA £78 7
State | |Postcode VICTOR/A. 3 783

‘Country

 

 

 

 

 

 

 

 

Contact phone number O4 13 AAS 620

 

 

 

 

Mobile number (non-mandatory AS ABOVE
requirement)

 

 

 

 

Fax number (non-mandatory requirement)

 

 

 

 

 

 

 

 

 

 

 

 

Email address (non-mandatory rré Qa bug 13 Dgmail ~Can
requirement)
@
‘Applicant's reference number (non-
mandatory 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 | Reconfiguring a | Building work Operational

of use lot J work

b) What is the approval type? (Please only tick one box.)

 

 

Preliminary Preliminary Development
approval approval under permit
under $241 8241 and s242
of SPA of SPA Y/Y

 

 

 

 

 

ic) 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.)

A LOT KESIOLW PAK SUBLIVIS UAL,

 

 

 

id) What is the level of assessment? (Please only tick one box.)

 

Impact Code assessment

assessment /

 

 

 

 

 

 

 

 

Page 3

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.)

 

la) 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 Preliminary Development
approval approval under permit
under s241 s241 and s242
of SPA of SPA

 

 

 

 

 

ic) 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.)

 

 

 

id) What is the level of assessment?

 

Impact Code assessment

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

 

 

iz: 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

description

Local government
area
(e.g. Logan, Cairns)

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

) 73 Eymunor weesh Rony @3CPner) KP7UIS/. ‘oe
OOSAVIKE, 45
i) 7% Evmentos Noes ROA , 2ECOARNREZHS/ Semone

¥ MdOSAVILLE. ASC,
ill) 77 E¢r plot NOOSA £Ond 74% APOUST SUNSH IM

WIALE-
Planning se he dette the reciees involves multiple zones, clearly
identify the relevant zone/s for each lot in a separate row in the below table.
Non-mandatory)

 

 

ThbES ARC
NOT APHICHBK

Page 4

Lot Applicable zone / Applicable local plan / precinct Applicable overlay/s
precinct

i)
ii)
ili)

 

 

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

(Note: place each set of coordinates ina _ |reference government

separate row) 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)

 

 

] At 4e me

 

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

 

 

| HOUSE PMD VACANT AAND

 

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

 

 

 

()Yes—provide details below

 

List of approval Date approved Date approval lapses
reference/s (dd/mm/yy) (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 THE APPLICANT LS THE OWNER |

Yes—complete either Table F, Table G or Table H as applicable

 

Table F

TABLE E
NOT APPLICABLE |

RITA .
/§ THEE
BAI EX)STINE
Hovske Od WE
Ok THe 4075 ~
LOT 7H ?

Dnt +

Page 5

 

Name of owner/s of the land

 

We, the above-mentioned owner/s of the land, consent to.the making of this
application. COURT WARE ( Av spunksi) Bry SF ~

 

Signature of owner/s of the land

 

 

Date

 

 

Table G

 

 

Name of owner/s of the land

 

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, |, 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 |

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 |

 

Name of water body, watercourse or aquifer}

 

 

 

 

 

Table J

 

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

 

 

 

 

 

 

Table K

 

 

Page 6

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

 

 

 

 

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

 

 

 

(N)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)

 

 

 

nofes)-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.)

 

 

 

Q)-20 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 NOT RPPRICHALE

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
(dd/mmiyy)|Number 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 NOT APPA CHALE

Yes—please provide details below

 

Name of local Date of written notice |Reference number of written
government given by local notice given by local
government government (if applicable)

(dd/mm/yy)

 

 

 

 

 

 

Page 7

 

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. Note: this question does not apply for applications
made online using MyDAS)

 

 

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

IDAS FoRM 1

JONS FORM. 7

SCHEOULE 3 ASSESSABLE DEVLPT
| CHECKLIST 3 — AECON/TEULINE ALON

| PLAAMING- LEP OAT-
Development, wow ba TAA, fe Of

ast Qid 4002
38)

 

 

 

 

 

 

 

 

 

14, Applicant’s declaration

 

 

au

 

By making this application, | 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

Page 8

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
* |f 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

* The Building and Construction Industry (Portable Long
Service Leave) Act 1997 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 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 1997 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

Page 9

completed on the QLeave website at
www.gleave.ald.gov.au. For further information contact
QLeave on 1800 803 481 or visit

www.dleave.aid.gov.

Privacy—The information collected in this form will be used by
the Department of State Development, Infrastructure and
Planning (DSDIP), 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 [|Reterence numbers{|

NOTIFICATION OF ENGAGEMENT OF A PRIVATE
CERTIFIER

Tol Council. | have been engaged as the private certifier for
ithe building work referred to in this application

 

Date of Name BSA Certification license {Building
lengagement number classification/s

 

 

 

 

 

 

 

QLEAVE NOTIFICATION AND PAYMENT (For completion by
assessment manager or private certifier if applicable.)

 

Date
receipted jName of
Date form officer who
paid —_|sighted by sighted the
lassessment|form

manager

QLeave [Amount
project paid
number ($)

Description of the
lwork

 

 

 

 

 

 

 

 

 

Page 10

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

IDAS form 14

Page 11

IDAS form 7

(Sustainable Planning Act 2009 version 3.0 effective 1 July 2013)

This form must be used for development applications or requests for
compliance assessment for reconfiguring a lot.

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 DAS 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.

For requests for compliance assessment, you must:
* complete IDAS form 32—Compliance assessment

* Provide any mandatory supporting information identified on the
forms as being required to accompany your request

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 can also be completed online using MyDAS at
lwww.dsdip.gld.gov.au/MyDAS

 

 

 

 

Mandatory requirements

 

 

 

 

 

 

 

1. What is the total number of existing lots making up the 3
premises?

Ps What is the nature of the lot reconfiguration? (Tick all applicable
boxes.)

 

 

WA subdivision—complete questions 3-6 and 11
boundary realignment—complete questions 8, 9 and 11

Y creating an easement giving access to a lot from a constructed road
—complete questions 10 and 11

dividing land into parts by agreement—please provide details below and
complete questions 7 and 11

 

3. Within the subdivision, what is the number of additional lots
being created and their intended final use?

 

 

 

Intended final use of new (ResidentialJCommercial Industrial Other—

lots specify

Page 12

Number of additional lots f
created

 

4. What type of approval is being sought for the subdivision?

 

 

 

J Development permit
Preliminary approval

Compliance permit

 

5. Are there any current approvals associated with this subdivision
application or request?
(E.g. material change of use.)

 

 

 

(Re)¥es—provide details below C PREVIOUS HPPROVALS LAPSED

 

MY holy -)
List of approval Date approved Date approval lapses
reference/s (dd/mm/yy) (dd/mm/yy)
6. Does the proposal involve multiple stages?

 

 

 

(Ro) -compete Table A Yes—complete Table B

Table A

a) What is the total length of any new road to be constructed? ML
(metres)

b) What is the total area of land to be contributed for community MWK
purposes? (square metres)

c) Does the proposal involve the construction of a canal or artificial

waterway?

d) Does the proposal involve operational work for the building of a

tetaining wall?
Yes

Table B—complete a new Table B for every stage if the application involves
more than one stage

a) What is the proposed estate name? (if known and if applicable)
b) What stage in the development does this table refer to?

c) If a development permit is being sought for this stage, will the
development permit result in additional residential lots?

No Yes—specify the total number

Page 13

d) What is the total area of land for this stage? (square metres)

e) What is the total length of any new road to be constructed at this
stage? (metres)

f) What is the total area of land to be contributed for community
purposes at this stage? (square metres)

g) Does the proposal involve the construction of a canal or artificial
waterway?

No Yes

h) Does the proposal involve operational work for the building of a
retaining wall?

No Yes

 

7. Lease/agreement details—how many parts are being created NOT PPPUCHB AE
and what is their intended final use?

 

 

 

Intended final use of new Residential Commercial Industrial Other—
parts specify

Number of additional parts
created

 

8. What are the current and proposed dimensions following the =
boundary realignment for each lot forming the premises? MoT AYLLICHB LE

 

 

Current lot Proposed lot

 

Lot plan [Area |Length of road j|Lot Area Length of road
description |(square/frontage number |(square frontage
metres) metres)

 

 

 

 

 

 

 

 

 

9. What is the reason for the boundary realignment? NOT BALKICHEKE

 

 

 

10. What are the dimensions and nature of the proposed
easement? (if there are more than two easements proposed please list
in a separate table on an extra page and attach to this form.)

 

 

Width {Length |Purpose of the easement (e.g. What land is benefitted
(m) (m) pedestrian access)? by the easement?

@+00 72°84 ACCESS ANO SKYE LOTS $0 8S!

 

 

 

 

 

 

 

 

Mandatory supporting information

 

 

 

41, Confirm that the following mandatory supporting information
accompanies this application or request

 

 

 

Page 14

Development, Infrastri
ast Qid 4002
38)

au

 

Mandatory supporting information

Confirmation
of
lodgement

Method of
lodgement

 

|All applications and requests for reconfiguring a lot

 

Site plans drawn to an appropriate scale (1:100,
1:200 or 1:500 are the recommended scales)
which show the following:

* the location and site area of the land to
which the application or request 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 contours and natural ground levels of
the relevant land

* the location of any existing buildings or

structures on 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 drainage features over the relevant
land, including any watercourse, creek,
dam, waterhole or spring and any land

urture and BapAwEt to a flood with an annual

exceedance probability of 1%

* any existing or proposed easements on

the relevant land and their function

all existing and proposed roads and

access points on the relevant land

any existing or proposed car parking

areas on the relevant land

* the location of any proposed retaining

walls on the relevant land and their height

the location of any stormwater detention
on the relevant land

* the location and dimension of any land
dedicated for community purposes

* the final intended use of any new lots.

Confirmed Vv

 

For a development application — A statement
about how the proposed development addresses)
the local government's planning scheme and any
other planning documents relevant to the
application.

For a request for compliance assessment — A
statement about how the proposed development
laddresses the matters or things against which
the request must be assessed.

Confirmed /|

 

A statement addressing the relevant part(s) of
the State Development Assessment Provisions
(SDAP).

Confirmed
Not
applicable

 

For an application involving assessable development in a wild river

 

application relates is not prohibited

 

area
Documentation that: Confirmed “
* describes how the development to which the Not .
applicable

 

development and

 

 

Page 15

* demonstrates how the proposed
development will meet the requirements set
out in the relevant wild river declaration and
any applicable code mentioned in the
relevant wild river declaration under the Wild

 

Rivers Act 2005.
Amap showing the proposed location of the Confirmed
development in relation to any nominated Not

waterways under the Wild Rivers Act 2005 and applicable
wild river management areas. (a map may be
prodiiced aay at

 

Wild river management area means any of the
following areas under the Wild Rivers Act 2005:

* special floodplain management area

* preservation area

* high preservation area

* floodplain management area

* subartesian management area

* designated urban area.

Editor's note: A floodplain management area,
subartesian management area or designated
urban area may be over all or part of a high
preservation area or preservation area. A
subartesian management area or designated
urban area may be over all or part of a special
floodplain management area.

 

 

 

 

 

Notes for completing this form
° For supporting information requirements for requests for
compliance assessment, please refer to the relevant matters for
which compliance assessment will be carried out against. To
avoid an action notice, it is recommended that you provide as
much of the mandatory information listed in this form as possible.

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 State Development, Infrastructure and Planning.
This form and all other required application materials should be
sent to your assessment manager and any referral agency.

IDAS form 7-

Page 16

Development, Infrastructure and Planning

ast Qid 4002
38)
au

Schedule 3 Assessable Development
Checklist 3

(Sustainable Planning Act 2009 version 3.1 effective 20 December 2013)

This checklist only applies when the development application seeks approval
for reconfiguring a lot. Before completing this checklist, it is recommended
you complete Checklist 1—Various aspects of development.

You may complete this checklist as part of your development application. The
checklist will:

help you identify whether you need to make a development application for the
proposed development

help you identify the relevant Integrated Development Assessment System
(IDAS) form you need to complete as part of your application

assist in identifying the assessment manager or referral agency for
development that is assessable development under schedule 3 of the
Sustainable Planning Regulation 2009.

tf your development involves a material change of use, operational work or
building work, it is recommended you complete the relevant checklists:
Checklist 2—Material change of use, Checklist 4—Operational work or
Checklist 5—Building work where relevant.

If you are unsure how to answer any questions on this checklist, phone or
visit your local government, or go to the Department of State Development,
Infrastructure and Planning's (DSDIP) website at www.dsdip.gid.gov.au

All terms used in this checklist have the meaning given in the Sustainable
Planning Act 2009 or the Sustainable Planning Regulation 2009.

 

Part 1—General questions|

 

 

 

11 Does the proposal involve reconfiguring a lot under the Land Title Act
1994 or reconfiguring a lot that is assessable development under the
planning scheme, a temporary local planning instrument, a preliminary
approval to which section 242 of the Sustainable Planning Act 2009 applies,
or a state planning regulatory provision?

 

 

No |End of checklist

 

'Yes|Complete part 2 of this checklist

 

 

 

 

 

Part 2—Reconfiguring a lot under the Land Title Act 1994

 

 

 

 

2.1 Do any of the following apply?

 

 

The reconfiguration requires compliance assessment under Yes
schedule 18 of the Sustainable Planning Regulation 2009, or No

 

the reconfiguration is under a relevant instrument of lease, or | Yes

 

 

 

 

Page 17

No

 

the plan of subdivision necessary for the reconfiguration:

 

is a building format plan of subdivision that does not subdivide | Yes

 

 

 

land on or below the surface of the land, or No
is for amalgamation of 2 or more lots, or Yes

No
is for the incorporation, under the Body Corporate and Yes
Community Management Act 1997, section 41, of a lot with No
icommon property for a community titles scheme, or
is for the conversion, under the Body Corporate and Yes
Community Management Act 1997, section 43, of lessee No

common property within the meaning of that Act to a lot ina
community titles scheme, or

 

is in relation to the acquisition, including by agreement, under | Yes
ithe Acquisition of Land Act 1967 or otherwise, of land by: No
a constructing authority, as defined under that Act, for a
purpose set out in parts 1 to 13 (other than part 10,
second dot point) of the schedule to that Act, or

an authorised electricity entity, or

 

is for land held by the state, or a statutory body representing Yes

the state, and the land is being subdivided for a purpose set No
out in the Acquisition of Land Act 1967, schedule, parts 1 to 13
(other than part 10, second dot point) whether or not the land
relates to an acquisition, or

 

 

 

 

 

is for reconfiguring a lot comprising strategic port land, or Yes

No
is for reconfiguring a South Bank lot within the corporation area} Yes
under the South Bank Corporation Act 1989, or No
is for the Transport Infrastructure Act 1994, section 240, or Yes

No
is in relation to the acquisition of land for a water infrastructure | Yes
facility, or No
is for land in a priority development area. Yes

No

 

 

 

 

* If yes to any of the above, and this is the only aspect of your development, then you
do not require a development permit. End of checklist.

If no to all of the above, then your development requires a development permit, and
you must submit a development application to your local government as assessment
manager. Please contact your local government for further information. End of
checklist.

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

Disclaimer:

While DSDIP believes that the information contained on this form and
provided as part of this process will be of assistance to you, it is provided on
the basis that you will not rely on the information. It is your responsibility to
make your own enquiries regarding the interpretation and application of the
applicable legislation to your circumstances.

To the full extent permitted by law, DSDIP expressly disclaims all liability
(including but not limited to liability for negligence) for errors or omissions of
any kind or for any loss (including direct and indirect losses), damage or other
consequence which may arise from your reliance on this process and the

Page 18

information contained on this form.

OFFICE USE ONLY

Date received| Reference numbers|]

The Sustainable Planning Act 2009 is administered by DSDIP. This checklist
and all other required application materials should be sent to your
assessment manager and any referral agency.

Checklist 3