DBW Application - 30 Upper Pinbarren Creek Rd Pinbarren

Postcode
Country
Contact number
Email address (non-mandatory)

Mobile number (non-mandatory)

Fax number (non-mandatory)


15) Builder’s details
    Tick if a builder has not yet been engaged to undertake the work and proceed to 16). Otherwise provide the
following information.
Name(s) (individual or company full name)
Contact name (applicable for companies)

QBCC licence or owner - builder number
Postal address (P.O. Box or street address)

Suburb
State
Postcode
Contact number
Email address (non-mandatory)
Mobile number (non-mandatory)

Fax number (non-mandatory)


16) Provide details about the proposed building work
What type of approval is being sought?______________________________________________________________
[3 Development permit
   Preliminary approval
b) What is the level of assessment?
Q Code assessment
O Impact assessment (requires public notification)
c) Nature of the proposed building work (tick all applicable boxes)
   New building or structure                                                  H Repairs, alterations or additions
   Change of building classification (involving building work)                   Swimming pool and/or pool fence
   Demolition                                                                    Relocation or removal
d) Provide a description of the work below or in an attached schedule.


e) Proposed construction materials
                                            Double brick              Steel                            Curtain glass
External walls                              Brick veneer              Timber                           Aluminium
                                            Stone/concrete            Fibre cement                     Other
                                            Timber                    Steel                            Aluminium
Frame
                                            Other
Floor                                       Concrete                  Timber                           Other
                                            Slate/concrete            Tiles                            Fibre cement
Roof covering
                                            Aluminium                 Steel                            Other
f) Existing building use/classification? (if applicable)



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                                                                                                 DA Form 2 - Building work details
                                                                                                   Version 1.2— 7 February 2020