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DA form 2
DA Form 2 — Building work details
Approved form (version 1.1 effective 22 JUNE 2018) made under Section 282 of the Planning Act 2016.
This form must be used to make a development application involving building work.
For a development application involving building work only, use this form (DA Form 2) only. The DA Forms Guide
provides advice about how to complete this form.
For a development application involving building work associated and any other type of assessable development,
use DA Form 1 — Development application details and parts 4 to 6 of this form (DA Form 2).
Unless stated otherwise, all parts of this form must be completed in full and all required supporting information must
accompany the development application.
One or more additional pages may be attached as a schedule to this development application if there is insufficient
space on the form to include all the necessary information.
This form and any other form relevant to the development application must be used to make a development
application 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. For the purpose of assessing a
development application relating to strategic port land and Brisbane core port land, any reference to a planning
scheme is taken to mean a land use plan for the strategic port land, Brisbane port land use plan for Brisbane core
port land, or a land use plan for airport land.
Note: Ail terms used in this form have the meaning given under the Planning Act 2016, the Planning Regulation 2017, or the Development
Assessment Rules (DA Rules).
PART 1 — APPLICANT DETAILS
Applicant name(s) (individual or company full name) One MRT AS
Contact name (only applicabie for companies)
Postal address (PO Box or street address) ba Cox 2OS
Suburb PELE RAS BEACH
State AQ
Postcode us?
Country Aus tTrauaA
Contact number CaS oO iS
Email address (non-mandatory) a oambuwled an \ Gey
Mobile number (non-mandatory)
Fax number (non-mandatory)
Applicant’s reference number(s) (if applicable)
PART 2 — LOCATION DETAILS
Note: Provide di
Guide: Relevant
Va essi=\-) i= [ole|
[YStreet address AND lot on plan (el lots must be listed), or
LJ Sireet address AND lot on plan for an adjoining or adjacent property of the premises (appropriate for development in
water but adjoining or adjacent to land e.g. jetty, pontoon All lots must be listed).
and lot-on plan
ueensland
overnment
2b
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Page 2
Unit No.
i Postcode
7 :
LJ Additional premises are relevant to this development application and the details of these premises have been
attached in a schedule to this development application
ve Mh hte Rec iec
oe) aan ad a asa tila MEE eet ead
ODEN ee Miya saat tiete me /te ren ni
(J Yes — All easement locations, types and dimensions are included in plans submitted with this development
application
Eko
PART 3 — FURTHER DETAILS
4) Is the application only for building work as rainst the building a ment pr
LI Yes — proceed to 8)
[I No
5) Identify the assessment manager(s) who will be assessing this development application
IpMent application?
(1 Yes — a copy of the decision notice is attached to this development appiication
{-] The local government is taken to have agreed to the superseded planning scheme request — relevant documents
attached
LINo
agree to receive an information request if determined necessary for this development application
[11 do not agree to accept an information request for this development application
Note By not agreeing to accept an information request |, the applicant, acknowledge.
i
e that this development application will be assessed and decided based on the information provided when making this development I
application and the assessment manager and any referral agencies relevant to the development application are not obligated under the DA {
Rules to accept any additional information provided by the applicant for the development application unless agreed to by the relevant parties {
j
{
q
e Part 3 of the DA Rules will still apply if the application ts an application listed under section 17 3 of the DA Rules.
Further advice about information requests is contained in the DA Forms Guide
8) Are there any associated development applications or current approvals?
LJ Yes — provide details below or include details in a schedule to this development application
(INo
List of approval/development Reference i Assessment
application | manager
C1 Approvai erties i al
(1 Devetopment application cai j a, Mee
DC Approval
(J Development application
Page 2
DA Form 2 — Development Application details
Version 1.1— 22 JUNE 2018
Page 3
9) Has the portable long service leave levy been ie
C Yes — the yellow local government/private certifier’s copy of the receipted QLeave form is attached to this
development application
(1 No - I, the applicant will provide evidence that the portable long service leave levy has been paid before the
assessment manager decides the development application. | acknowledge that the assessment manager may give
elopment approval only if | provide evidence that the portable long service leave levy has been paid
4] Not applicable
Amount paid Date paid (dd/mm/yy) QLeave levy number (A, B or E)
$
10) Is this development application in response to a show Cause notice or required as a result of an enforcement
b i Py f 4
notice?
oes — show cause or enforcement notice is attached
No
CDM eM EM Colm Mau cIm (ctl tV Meisel cTat MLC lee ale) a Col pntaeettsl-fer alm aiicee(A yl ele stit
application
The proposed development is on a place entered in the Queensland Heritage Register or in a local
government's Local Heritage Register. See the guidance provided at www.des.qid.gov.au about the
requirements in relation to the development of a Queensland heritage place
Name of the heritage place: Place ID:
PART 4 — REFERRAL DETAILS
12)
oO Yes — the Referral checklist for building work is attached to this development application
[EY No — proceed to Part 5
Does this development application include any building work aspects that have any referral requirements?
13) Has any referral agency provided a referral response for this development application?
U Yes — referral response(s) received and listed below are attached to this development application
CINo
Referral requirement Referral agency Date referral response
Identify and describe any changes made to the proposed development application that was the subject of the
referral response and the development application the subject of this form, or include details in a schedule to this
development application (if applicable)
PART 5 — BUILDING WORK DETAILS
C Tick if the applicant is also the owner and proceed to 15), Otherwise, provide the following information.
Name(s) (individual or company full name) LY WirOman
Contact name (applicable for companies)
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DA Form 2 — Development Application details
Version 1.1— 22 JUNE 2018
Page 4
Postal address (P.O. Box or street address) Gy A cok Goe\ of tA
Suburb Mr Coolla
State RQLoO
Postcode S73
Contact number CUE Fo 9O 2S
Email address (non-mandatory)
Mobile number (non-mandatory)
Fax number (non-mandatory)
15) Builder's details
(1 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) Ome Wicd CTy Wo
Contact name (applicable for companies) &eso Cap Mare wd
QBCC licence or owner — builder number MS ‘
Postal address (P O. Box or street address)
Suburb
State
Postcode as 7z
Contact number Obhe7 180 (SS
Email address (non-mandatory) andy fee anbe ‘ id : nek a
J
Mobile number (non-mandatory)
Fax number (non-mandatory)
16) Provide details about the proposed building work
a) What type of approval is being sought?
[evelopment permit
Cileaniaes approval _
at is the level of assessment?
(1 Code assessment
CJ impact assessment (requires public notification)
c) Nature of the proposed building work (tick all applicable boxes)
C1 New building or structure Kepairs, alterations or additions
{J Change of building classification {involving building work} (1 Swimming pool and/or pool fence
(C1 Demolition (J Relocation or removal
d) Provide a description of the work below or in an attached schedule.
Ko pes ech AP Mery
e) Proposed construction materials
CJ Double brick Steel C] Curtain glass
External walls (J Brick veneer 1 Timber (1 Aluminium
(7 Stone/concrete C1] Fibre cement CD Other |
pad [A Timber [Steel D1 Aluminium \
(Other
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DA Form 2 - Development Application details
Version 1.1— 22 JUNE 2018
Page 5
Floor 1 Concrete (2 Timber LD Other UJ Slate/concrete O Tiles C1 Fibre cement 1 Aluminium Stee! OC Other f) Existing building use/classification? (if applicable) Roof covering g) New building use/classification? (i applicable) h) Relevant plans Note: Relevant plans are required to be submitted for all aspects of this development application. For further information, see DA Forms Guide. Relevant plans. Relevant plans of the proposed works are attached to the development application 17) What is the monetary value of the proposed building work? [Ry $s CO 6600 7 18) Has Queensland Home Warranty Scheme Insurance been Pete Yes - provide details below 0 Amount paid Date paid (dd/mm/yy) Reference number $ PART 6 — CHECKLIST AND APPLICANT DECLARATION 19) Development application checklist The relevant parts of Form 2 — Building work details have been completed Ef Yes This development application includes a material change of use, reconfiguring a lot or [bes operational work and is accompanied by a completed Form 1 — Development CI Not ficabl application details eee Relevant plans of the development are attached to this development application Note Relevant plans are required to be submitted for alf aspects of this development application. For further [ves information, see DA Forms Guide. Relevant plans. The portable long service leave levy for QLeave has been paid, or will be paid before a LL¥és development permit is issued (Not applicable By making this development application, | declare that all information in this development application is true and correct (0 Where an email address is provided in Part 1 of this form, | consent to receive future electronic communications from the assessment manager and any referral agency for the development application where written information is required or permitted pursuant to sections 11 and 12 of the E/ectronic Transactions Act 2001 Note. it is unlawful to intentionally provide false or misleading information Privacy —pPersonal information collected in this form will be used by the assessment manager and/or chosen assessment manager, any referral agency and/or building certifier (including any professional advisers which may be engaged by those entities) while processing, assessing and deciding the development application All information relating to this development application may be available for inspection and purchase, and/or published on the assessment manager's and/or referral agency's website. Personal information will not be disclosed for a purpose unrelated to the Planning Act 2016, Planning Regulation 2017 and the DA Rules except where: e _such disclosure is in accordance with the provisions about public access to documents contained in the Planning Act 2016 and the Planning Regulation 2017, and the access rules made under the Planning Act 2016 and Planning Regulation 2017; or Page 5 DA Form 2 — Development Application details Version 1.1— 22 JUNE 2018
Page 6
e required by other legislation (including the Right to information Act 2009); or
« otherwise required by law.
This information may be stored in relevant databases. The information collected wil! be retained as required by the
Public Records Act 2002.
PART 7 -FOR COMPLETION BY THE ASSESSMENT MANAGER — FOR OFFICE
USE ONLY
‘ id {
Date received: Reference numbers: | |
NSU eM MMM sTeLico Memes ath (et
Ciassification(s) of approved buiiding work
Name QBCC Certification Licence QBCC Insurance receipt
number number
| Date chosen assessment m it manager engaged
| Contact number of chos
| Relevant licence number(s) ‘of chosen n assessment
manager
Additional information required by the local government
Contirm proposed Construction materials:
a Double brick (1 Steel CJ Curtain glass
External walls (1 Brick veneer 0 Timber (Aluminium
C1 Stone/concrete (J Fibre cement (Other
(J Timber i Steel (Aluminium
[] Other
[concrete Ss Timber
oO Slate/concrete _ i (Tiles Oo Fibre ceme
0 Aluminium UO Steel 0 Other i
Existing building use/classification? (if applicable)
New building use/classification?
Site area (m’) ~
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DA Form 2 — Development Application detaits
Version 1.1— 22 JUNE 2018