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Development Application part 1 of 2 Application Forms OPW13/0004

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Page 2

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                                                                                                        --




   111111              Integrated Development Assessment System form                                                           -




Application details-IDAS form 1
(SustainablePlanningAct 2009 version LO effective 18 December 2009)


You MUST complete All questions unless the form indicates
                                                                           hE!rwise;;neompletQ..fo.m1                       all necessary
information and documentation will result in
                                                   your application        ot b--ei.ng
                                                                                        arP.wp.~{!Y..mad~
                                                                              r..;.., III;;:..          P,P.tication’t
                                                                                               """,.In lerl( voun er
For all development applications,
                                      you must:

      complete this form (Application details-IDAS form 1)                                  o 2 JAN 2013
.
     complete any other forms relevant to your application
.
      provide any mandatory supporting information identifie~ on the forms                 aT~}~J:rl..~ to accompan your
     application.                                                      L




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~A R                ~Bb vftl\/\Ds.               PTY L--:nz
For companies, contact name
                                                           Ir~Vl~                        ~l) 5’’04 VL.:
Postal address

                                                           I    \7.0
                                                                      H m M"%
                                                                                  170>C           :}"Z,-’:}::t
                                                                                                 QCt>          ’
                                                                                                                     lfFr*
Contact phone number
                                                           lOLl>>                         l~3           ):}-        ocW~2~51o Iwt
Mobile number (non-mandatory)
                                                           I         ~        ~L                                                            I
Fax number (non-mandatory)
                                                           I-       Q-i-        )>40               (2-0~                                    I

                                                           I el-rvl
e-mail address (non-mandatory)
                                                                        II
                                                                    st~
                                                               Sljtl\J
                                                                @
                                                                              Y\
                                                                                               lN\l?t. ColN\. c:t...tA...                   I


 Department of Infrastructure and Planning                                 Qplan                                         Queensland
                                                                                                             ,’..1~~"Government
                                                                                                                1
                                                                                                               ’-

Page 3

               ODD

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

     o material change of use of premises
     o building work
     o operational        work

     o reconfiguring        a lot




    12.What type of approval being sought?
                                     is


     01’ development          permit        0 preliminary approval         D       both-provide details below




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


     ciNo
     o 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
            ~treet address/lot         on the   plan
            D street 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

     Unit     Street     Street name and official suburb/
                                                                                                      (e.g.Logan, Cairns)
                                                               Post-     Lot no.     Plan type
     no.       no.       locality   name                       code                  and plan no.
i
                                                                                      (2P
              ’~         Lcm’i~ ~                                       5Lt
                                                                                     1~(17~             S~~Co~f--.
                           (\\00~~ ~


                     2                                                                           Application details-IOAS form 1
                                                                                                    Version 1.018 Oecember 2009

Page 4

           ODD
     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.)



    I "5   tlO (7(.? ll\               C$N(YLtV

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



     ~NLr1:~tt~                 ’0,>
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                                                rJ   -


                                                          _rl2          (Jf?{!._        PLA1vV$           f~Ol/l~~                 .




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


    D      No


    ~YeS-ComPlete        either table D. table E or table F as applicable



    Table D

    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




                 3                                                                          Application details-IOAS form :l
                                                                                              Version 1.0 18Oecember 2009

Page 5

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Page 6

         ODD
      Table E

      Name of ownerIs of the land
                                               I
’f 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
                                               I
l<
     o 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)


      ~      No
                                         o Yes-complete table G

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


      Nature of state-owned re~ource




     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 water body, watercourse
                         a                          or   aquifer (e.g.creek, river, lake, canal)-complete table H
~    D    strategic port land under the Transport Infrastructure Act 1994-complete table I
             on



     o in tidal water area-complete table J
                a




     Table H        Name of water body, watercourse or aquifer




                    4
                                                                                                  Application details-IOAS form 1
                                                                                                    Version 1.0 18December 2009

Page 7

        ODD
     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.)
~
      oNo D 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 No       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 informaton)


     d     No-go to question 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     No


     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
t(   the Sustainable PlanningAct 2009?


     r:(   No


     o 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 (ifapplicable)




                 5                                                                            Application details-IDAS form :l
                                                                                                Version J.O 18December 2009

Page 8

    ODD
  16. list below all of the forms and
                                      supporting information that accompany this application (include alllDAS forms,
  checklists, mandatory supporting information etc. that wilt 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


 1vAS              b                                                                            p-){’^~ <,f) (f\le__,
 _1=\A ’5          _’r--                                                                                ’"               II




   >l"             (?L-rtM IA l(rJ.vo;                  St10tN AlL-- lJt1YlfL(                           l....           l\

                                I




  17. Applicant’s declaration
     L

 ~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


Question 8:
   Section 263 of the Sustainable PlanningAct
                                                 2009sets out when the consent of the owner of the 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 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      Queensland        office or
                                                                                           any                   post
  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 803481 or
                                                   www.qleave.qld.gov.au.




               6
                                                                                         Application details-IDAS form 1
                                                                                           Version 1.0 18December 200.9

Page 9

      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 (includingthe 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   Council. I have been engaged as the private certifier for the buildl ng work referred
                                            to in this application




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




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-IOAS form ;1
                                                                                             Version 1.018Oecember 2009

Page 10

I’       ~




                                                                            --




        111111              Integrated Development Assessment System form                                                               ,   _




     Building or operational wor     essable against
     a planning scheme-IDAS forri1e~!CiJr 0nt Counter
     (SustainablePlanningAct 2009 version 1.0 effective 18 December 2009)
                                                                                                        o Z JAN 2013
     This form must be completed for development applications for buildin                 works or opeC4tional work assessable again t a
     planning scheme.                                                                                  ,ewantin

     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-/DAS 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 2009or the Sustainable Planning
     Regulation 2009.

     This 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 appUcable 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




                                                                                                                     ’




      Department of Infrastructure and Planning                                  Qplan                           .
                                                                                                                     ~\..: Queensland
                                                                                                                 .



                                                                                                                     ~\"   Government

Page 11

~      "




      ODD
    Table B

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


                   D     road works
                                                     D stormwater          D      water infrastructure



                   D     drainage works              D     earthworks
                                                                           D      sewerage infrastructure



                   D landscaping                     ~ignage               D      clearing vegetation under the planning scheme


                   0 other-provide details
         What type of approval is being sought? (ifyou 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                     both-specify below



         Is the operational work necessary to facilitate the creation of new lots? (e.g.subdivision)


         0’      No
                           D Yes-specify the number of lots being created                   I
         Are
               tt"e any current approvals associated with this application? (e.g.material change of use)
         c:;:r’ No         D Yes-provide details below
         List of approval reference/s                                             Date approved        Date approval lapses




    2. What Is the dollar value of the   proposed building work? (inc GST, materials and labour)            $   f:f2tx:>
    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:
                                                                                                confirmed
    .  the location and site area of the land to which the application relates
       (relevantland)                                                                     /{tr f!. toe~ <f(~N/It ~
    .  the north point
    .  the boundaries of the relevant land                                                I//_rWt!#tt(          ~t1cK
    .  the allotment layout showing existing lots,
                                                     any proposed lots (including the
       dimensions of those lots), existing or proposed road reserves, building             !
                                                                                           ovtl)                  .



       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 12

   .




  DDD
.
   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
government’s planning schemes and any other planning documents relevant to
                                                                                        D confirmed               ;V/,t;    .


the application

Applications for operational works Involving earthworks (filling and excavating)

drawings showing:
                                                                                        Dconfirmed
.
   existing and proposed contours                                                                               p,//pf
.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:
                                                                                        D confirmed
.
   existing and proposed contours                                                                             N/It
.  the centretine 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 centre line) 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
.
   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




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

Page 13

   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
                                                                                                              r
                                                                                                                l4     ..




.  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
                                                                                                                IV/,q        ,




   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:
.  location of all existing and proposed services
                                                                                        D confirmed
.


.
   location of all existing and proposed sewer lines and manhole locations
   location of all house connection branches                                                                      cJllt
.  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:
.  location of all light poles and service conduits
                                                                                        D confirmed
.  location of all other cross road conduits
.


.
   type of wattage and lighting
   any traffic calming devices
                                                                                                              N/4           ..




.  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 iJ planning scheme-IDASform 6
                                                                                            Version 1.0 18Oecember 2009

Page 14

     _.....




    ODD
  Applications for operational works involving public utility services
  drawings showing:
                                                                                           Dconfirmed
  .


  .
     any existing light poles and power poles
     any existing underground services
                                                                                                                  ’Ill
  .  details of proposed services
  .  alternation to existing services

 Applications for operational works involving landscaping works
  drawings showing:
 .   the location of proposed plant species
                                                                                           D confirmed
 .a           plant schedule indicating common and botanical names, pot sizes and

 .
     numbers of plants

     planting bed preparation details including topsoil depth, subgrade
                                                                                                                 rV/4          (




     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
                                                            I Reference   numbers




The Sustainable PlanningAct 2009is 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.



                     5                          Building or operational work assessable against a planning scheme-IDASform 6
                                                                                               Version 1.0 18December2009

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