IDAS Form 1 · OPW13/0908

Page 2

Fax number (non-mandatory requirement) |

 

 

 

e-mail address (non-mandatory requirement) Ce ° emi \\Ve

Applicant’s reference number (non-mandatory
requirement)

 

@ ho*Marcrd- Com -

 

 

 

 

 

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 CL] Reconfiguring a lot | Building work i creranenal work

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

LJ Preliminary approval oO Preliminary approval imarapanent
under $241 of SPA under s241 and s242 permit
of SPA

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.)

 

 

 

 

Whatis the level of assessment? (Please only tick one box.)

C Impact assessment KA 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)

d)

What is the nature of development? (Please only tick one box.)

| Material change of use CL Reconfiguring a lot CL] Building work | Operational work

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

CJ Preliminary approval CL Preliminary approval CJ Development
under s241 of SPA under $241 and s242 permit
of SPA

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.)

 

 

 

 

What is the level of assessment?

CL] Impact assessment | Code assessment

 

 

 

Page 3

| Table C—Additional aspects of the application (If there are additional aspects to the application please list ina
| separate table on an extra page and attach to this form.)

Cc] Refer attached schedule C] Not required

L

| 2. Location of the premises (Complete Table E and/or Table Fas applicable. Identify each lotina separate row.)

 

| Table E—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.)

LC] 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 Streel ] Street name and official Post-

 

Lot no Plan type
| no no. suburb/ locality name code | and plan no
i - ebean Bunk To _ ; |
|} Br emer ES lO _feP9077AB Puvsune, Coonrk .
| ii) |
| it) op i tt __l - _

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 | Applicabl

  

| | |

ay 0 Pr —— ee

ill) | ; - : ; ; 5
|

: ‘| Applicable local plan/precinct | Applicable overlay/s

 

 

[ Table F—Premises coordinates (Appropriate for development in remote areas, over part of a lot or in water not 7
_ adjoining or adjacent to land e.g. channel dredging in Moreton Bay.) (Attach a separate schedule if there is insufficient
space in this table.)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ss sci caeuesereinonreae earn - a

Coordinates SO | Zone | Datum Local government

(Note: place each set of coordi s in a separate row.) reference area (if applicable) |

aia 2 yo —______—_| |

Easting Northing Latitude | Longitude | _ Joe a
; - |) cpaga |
| wesea |

L_ a I ee {U1 other Ms a —

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

IGS square MmetreA. |

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

 

 

 

 

Nowe ore

Application details

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.)

 

I No

C Yes—complete either Table G, Table H or Table | as applicable

 

Table G

 

Name of owner/s of the land

 

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 H

 

 

 

Name of owner/s of the land

 

 

 

C] The owner's written consent is attached or will be provided separately to the assessment manager

 

 

Table |

 

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. Does the application involve a state resource? (E.g. the application involves taking water or quarry material, or
interfering with the flow of water. Refer to the notes at the end of this form for more information) (Non-mandatory

requirement.)

 

 

ry No [_] Notidentified whether or [_] Yes—complete Table J
not the application
involves a State
resource

 

Table J

 

Nature of state-owned resource (if identified)

 

 

 

4 IDAS form 1—Ap;

Page 5

 

 

8. 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 K
On strategic port land under the Transport Infrastructure Act 1994—complete Table L

In a tidal water area—complete Table M

On Brisbane core port land under the Transport Infrastructure Act 1994 (no table requires completion)

Hoo ao

On airport land under the Airport Assets (Restructuring and Disposal) Act 2008 (no table requires completion)

 

Table K

 

Name of water body, watercourse or aquifer

 

 

 

 

 

 

 

 

Table L

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

Table M

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

 

 

 

 

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

 

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

 

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

 

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

 

11. 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.)

 

KY No—20 to question 13 [] Yes

 

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

 

 

A Wo

Yes—complete Table N and submit with this application the yellow local government/private certifier’s copy of the
receipted QLeave form

 

Table N

 

 

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

 

 

 

5 IDAS form 1—A

 

 

Page 6

 

 

 

 

 

 

13. Has the local government agreed to apply a superseded planning scheme to this applicati tel i
96 of the Sustainable Planning Act 2009? i iia il

 

 

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)

 

 

 

 

 

14. 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 eDA.)

 

 

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

 

 

 

 

 

 

 

 

15. Applicant’s declaration

 

[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

e 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
e Where the applicant is not a natural person, ensure the applicant entity is a real legal entity.

Question 1

e 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
e 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

6 IDAS form 1—App

Page 7

application. If a development application relates to a state resource, the application is not required to be supported
by evidence of resource entitlement. However, where owner's consent to the application is required under section
263, and the State is the owner of the subject land, the written consent of the state as landowner will be required.
Some departments, such as the Department of Natural Resources and Mines, have specific requirements

for applying for owners consent. Allocation or entitlement to the state resource is a separate process and will need
to be obtained before development commences.

Question 7

¢ If adevelopment application involves a state resource, the application is not required to be supported by evidence
of resource entitlement. The allocation or entitlement to the resource is a separate process and should be obtained
prior to development commencing.

Question 11

e The Building and Construction Industry (Portable Long Service Leave) Act 1991 prescribes when the portable long
service leave levy is payable.

e 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

e 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.

e 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.qid.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 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 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 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. | 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
form sighted by |Name of officer who
assessment sighted the form

manager

QLeave project Amount paid

number ($) Gate pal

Description of the work

 

 

 

 

 

 

 

 

 

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 agencies.

i IDAS form 1

Page 8

Department of State Development, Infrastructure and Planning
PO Box 15009 City East Qld 4002

tel 13 QGOV (13 74 68)

[email protected]

www.dsdip.qid.gov.au