DA Form 2

PART 7 – FOR OFFICE USE ONLY - FOR COMPLETION BY THE ASSESSMENT
MANAGER

  Additional building details required for the Australian Bureau of Statistics
  Existing building use/classification? (if applicable)
  New building use/classification?
  Site area (m2)                                                      Floor area (m2)


  Additional information required by the local government
  Confirm 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


  Date received:                              Reference numbers:

  For completion by the building certifier
  Classification(s) of approved building work               QBCC Insurance receipt         QBCC Certification Licence
                                                            number                         number




  Notification of engagement of alternate chosen assessment manager
  Prescribed assessment manager
  Name of chosen assessment manager
  Date chosen assessment manager engaged
  Contact number of chosen assessment manager
  Relevant licence number(s) of chosen assessment
  manager

The Planning Act 2016, the Planning Regulation 2017 and the DA Rules are administered by the Department of
Infrastructure, Local Government and Planning. This form and all other required development application materials should
be sent to the assessment manager.




                                                                                                                           Page 6
                                                                                        DA Form 2 – Development Application details
                                                                                                          Version 1.0—3 July 2017