09/0951 - MCU - Detached House [As Published] · 132009.951

INTEGRATED PLANNING ACT 1997 Part A, Version 3.1, 3 March 2008

  
  

 

Attachments and supporting information (Complete Table 1 - Use a separate row for each type of attachment or information, including information regu:
[ this Part) Please ensure all documentation submitted with this form, including other Parts of Form 1, or owner's consent, etc, are securely attached to this Part of the

 

 

 

 

   

       

 

Tabtey |*.-. Description of attachment or information Title @rappiicabte} Method of delivery to#
= (6g. Pi an C of Farm game's consent eee ote “ian | (09. General Authority, James Street Traffic Repor) assessment manager!
" Foam 4 Peer ALD .
' IDAS AsoEsoMenT CHECK LIST
ARonITEc “URAL PLANS Ite 6 |Busi4 BEACH 214 200A
Survew PLANS ones Flinst L Puke
Site Protos

 

 

 

 

 

 

 

Fison teyEC_SeArccHt

[Portable Long Servic é Leave (PLSL LTRS seman 8 cepsme: sa ee

10. The Portable Long Service Leave Levy (PLSL) is not applicable to this application if any of the following apply: (“box i applicable)
Li the application seeks a preliminary approval only;

a

remeron
icable. for certain building and construction work valued J over $80.0 000 only we

       

LJ the application is not for building and construction work under the Building and Construction Industry (Portable Long Service Leave)

Act 1997, section 3AA (e.g. the application is only for a change of use, or for the following types of work carried out solely for farming purposes:
land clearing, site preparation, earthworks, fences, fodder harvesting, clearing of encroaching vegetation, clearing of regrowth, thinning vegetation or
controlling weeds or pests);

Call costs, that relate to the work both directly and indirectly, are less than $80,000, inclusive of GST; or

CO the work is being carried out under an owner-builder permit issued under the Queensland Building Services Authority Act 1991 -

Complete and submit a QLeave Notification and Payment Form (no payment required  owner-builder permit number stated). The receipted form must be sighted by the
assessment manager belore a development permit can be given,

11. Is payment of a PLSL levy applicable to this application? (Refer to Q70 and the Advice below for more information)
LINo - End of Part a Yes - Answer Q12 below

@ 12, Hag.the PLSL levy been paid?
No - (NOTE: An application can be lodged prior to payment of the applicable PLSL levy. However, the levy must be paid and the recejpted form sighted by the

Assessment Manager before a development permit may be given for this application. To pay the levy you will need to complete and-submit a Notification
and Payment Form to Qleave.)

oO YeS - Complete Table L and submit, with the application, the "yellow" (Local Government's (Council) / Private Certifier’s) copy of the receipted Qleave Form.

: : QLeave Project Number
Table L a _ Date paid oe (6 digits, starting with A, B, E, L or P) ecthyewe nied

 

   

 

 

 

 

 

 

 

 

OFFICE USE ONLY (For use by by the Assessment Manager / Private Certifier) (Optional)

 

 

 

    

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Fee(8)] 72 2(110q foncersname| PS Sinema, [fumes | C4(AS\
NOTIFICATION OF ENGAGEMENT OF PRIVATE CERTFIER
To: Council. | have been engaged as the private certifier for the building work referred to in this application.
® | Date of engagement “BSA Certificationlicense number —_| Building classifications

    

 

 

 

 

 

QLEAVE NOTIFICATION AND PAYMENT (for completion by assessment manager or private centifier if applicable)

 

    

 
  
  

receipted form. _
sighted by 2
assessment manager

    

 

QLeave Project Numbe

 

me of officer whos sighted the

ak: RS SR

 

 

 

 

 

 

 

 

 

Privacy Statement

The information collected on Form 1 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 legistation (including the Freedom of Information Act 1992) or
as required by Parliament. This information may be stored in a DIP database. The information collected will be retained as required by the Public Records Act 2002.

 

 

 

Daan 2