09/0077 - Preliminary Building Approval - Garage [As Published] · 172009.77

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

Attachments and supporting information (Compiete Table! ~ Use a separate row for each type of attachment or information, including information required under
this Part) Please ensure all documentation submitted: with this form, including ‘other Parts of Form 1, or owner's consent, ele, are securely attached to this. Part of the Form.

 

Table { Description of attachment or information Title (if applicable) Date Method of delivery to

(9 Patt Co Fon et cp? | (ag. Generel Aubert, James Stet Trafic Rept) assessment manager

' | See fort B Eviding 2s 1n EEN

Service Leave (PLSL) levy (apnicobe or cata bulking and concticPonutd“vaue over $8

 

 

 

 

 

 

 

J re
i”),

10. The Portable Long Service Leave Levy (PLSL) is not applicable to this application if any of the following apply: (~‘box if applicable)
Li the application seeks a preliminary approval only;
Ci the application is not for building and construction work under the Building and Construction industry (Portable Long Service Leave).
Act 1991, 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 fess than $80,000, inclusive of GST; or

i 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 it owner-buikler permit number stated). The receipted form must be sighted by the
assessment manager before a development permit can be given. . .

11. Is payment of a PLSL levy ovr to this application? (Refer to Q10 and the Advice below for more information}

(CI No ~ End of Part A Yes - Answer 012 below

   

12. Has the PLSL levy been paid?
oO No - (NOTE: An application can be lodged prior to payment of the applicable PLSL levy. However, the lavy must be paid and the receipted form sighted by the
Assessment Manager before a development permit may be given for this application. To pay the lavy you will need fo complete and submit 8 Notification
and Payment Form to Qleave.}

oO Yes - Complete Table L and sudmit, with the application, the “yellow’ (Local Government's (Council) / Private Certifier's) copy of the raceipted QLeave Form.

 

 

 

 

 

 

 

 

 

 

Table L Amount paid -**} Dale paid , 6 et oP)
1.
OFFICE USE ONLY (For usa by the Assessment Manager / Private Certifier) ( Optional)
Receiving Reference
Fee (8) Date received officer's name qumbers

 

 

 

 

 

 

 

 

NOTIFICATION OF ENGAGEMENT OF PRIVATE CERTIFIER

 

To: Council. | have been engaged as the private certifier for the building work referred to in this application.

 

 

 

 

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

 

 

 

 

 

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

 

4 Amount paid Date teceipted form
Cescription of the work QLeave Project Number pal Date paid =} sighted by Namie of officer wha sighted the form
8)
: assessment manager:

 

 

 

 

 

 

 

 

 

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 persona! details will not be disclosed for a purpose outside of the IDAS process, excep! where required by legislation (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.

 

 

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