IDAS Forms - OPW14.0226

Page 2

Email address (non-mandatory requirement) AS, hife FOL

Applicant's reference number (non-mandatory
requirement)

 

 

 

 

@ Vcourapty oleh AMeges 1 COW au
so 7

 

 

 

1.

What Is the nature of the development proposed and what type of approval is being sought?

 

 

Table A—Aspect 1 of the application (If there are additional aspects to the application please list in Table B--Aspact 2.)

 

a)

b)

°)

a)

 

What is the nature of tha development? (Please only tick one box.)
[_] Material change of use] Recontiguring a fot [7] Building work Operational work
What is the approval type? (Please only tick one box.)

[-) Preliminary approval [} Pretiminary approvat [bevelopment permit
under 8241 of SPA under $241 and 8242
of SPA

Provide a brief description of the proposal, including use definition and number of buildings or structures where
applicable (e.g. six unit apartment building defined ag a mulii-unit dwelling, 80 lot residential subdivision etc.)

A.

a “i tnel efter (/1). Whe as SYACE E,
"2. Ohlone MS of bothers Teck

Whatis the level of assessment? (Please only tick one box.)
[7] impact assessment oe

 

VY
Code assessment Lowbegp i brhe Onty .

 

Table B—Aspsct 2 of the application (If there are additional aspects to the application please list in Table C—
Additional aspects of the application.) >

 

a)

b)

¢)

What is the nature of development? (Please only tick one box.)

    
  
    

LD Material change ofuse =] Reconfiguring a fot Cl Building work erational work

What is the approval type? {Please only tick one box.)

[] Preliminary approval J Preliminary approval
under 5241 of SPA under $241 and s242
of SPA

Provide a brief description of the proposal, inclugiag Use definition and number of buildings or structures where
applicable (e.g. six unit apartment buildin ned as a multi-unit dwelling, 30 lot residential subdivision etc.)

 

 

 

 

   
   

  

What is the lev:
act assessment [] Code assessment

assessment?

 

 

Table C—Additional aspects of the application (if there are additional aspects to the application please fist in a
separate table on an extra page and attach to this form.)

 

 

 

&
(4 Reter attached schedule [] Not required MA

 

IDAS form 1-—Appilication detaits
Version 3.0—1 July 2013

 

Page 3

 

2. —_ Location of the premises {Complete Table D and/or Table E as applicable. identify each lot in a separate row.}

 

 

Table D—Street address and lot on plan for the premises or street address and lot an plan for the land adjoining or
adjacent to the premises (Note: this table is to be used for applications involving taking or interfering with waiter).
(Attach a separate schedule if there is insufficient space In this table.)

 

{] Street address and lot on plan (Ali lots must be listed.)

Cs street address and tot on plan for the land adjoining or adjacent to the premises (Appropriate for
development in water but adjoining or adjacent to land, e.g. jetty, pontoon. Alf lots must be listed.)

 

Street address , Lot on plan Local government area
Meosa. Donn, . description (e.g. Logan, Caims)

 

 

 

 

 

 

Lot Unit Stedt Street name and official Post- Lot no. Plan type
no, no. suburbs locality name code and plan no. /
) hbeliyr [ep Ll, OK
ii (/
wW) “

 

 

 

 

 

Planning scheme detalls (If the premises involves multiple zones, clearly identify the relevant zone/s for each lot ina
Separate row in the below table. Non-mandatory)

 

Lot Applicable zone / precinct Applicabte local plan / precinct Applicable overlay/s

 

) yf /y
i) if” -

iti)

 

 

 

 

 

 

 

Table E—Premises coordinates {Appropriate for development in remote areas, over part of a lot or in water not
adjoining or adjacent to land e.g. channel dredging in Moreton Bay.) (Attach a separate schedule if there is insufficient
space in this table.)

 

 

 

 

 

 

 

 

 

 

 

Coordinates Zone Datum Local government
(Note: place each set of coordinates in a separate row) reference area {if applicable)
Easting Narthing Latitude Longitude
y LC] spac
ly A. ’ [1 weses
/ CJ other
3, Total area of the premises on which the davelopment Is proposed (indicate square metres) ‘|
if fr

 

 

ASA.

 

 

4. Current use/s of the premises (é.g. vacant land, house, apartment building, cane farm etc.)

 

 

 

 

(DAS form 1—Appiication details
Version 20—1 July 2013

Page 4

 

5. Are there any current approvals {e.g. a preliminary approval} associated with this application? (Non-
mandatary requirement)

[No Ky Yes—provide details below

 

 

 

 

 

 

 

 

 

 

 

 

List of approval reference/s te 2 Date approved (dd/mm/yy) Date approval lapses (dd/mmvyy)
LETS wih Coad.
| 6 Is owner's consent required for this application? (Refer tc notes at the end of this form for more information.) ]
No

|] Yes—complete either Table F, Table G or Table H as applicable

 

Table F

44 . Ly Ay
Name of owner/s of the land (OL ti Vile qj Fe At :

We, the above-mentioned owner/s of the land, fonsent to the making of fis application,

SY, Signature of owner/s of the land Vv

x Date

Table G

% Name of owner/s of the land
O The owner's written consent is attached or will be provided separately to the assessment manager.

 

 

 

 

 

 

 

 

 

 

Table H
Nameatt< awner/s of the land

C7 py making this appfication, |, the applicant, declare that the owner has given written consent to the making of the application.

 

 

 

 

 

 

 

| 7. identify If any of the following apply to the premises (Tick applicable box/es.) |

 

Adjacent to a water body, watercourse or aquifer (e.g. creek, river, lake, canal}—camplete Table |
C “Bx Con Strategic port land under the Transport infrastructure Act 1994—complete Table J
ei a tidal water area—complete Table K
<6 On Brisbane core port land under the Transport Infrastructure Act 1994. (No table requires completion.)
SE On airport land under the Airport Assets {Restructuring and Disposal) Act 2008 (no table requires completion)

 

 

 

 

 

 

Table | iff
Name of water body, watercourse or aquifer Jy, A YP
UL
Table J ,
Lot on plan description for strategic port land t / / A Port authority for the lot

 

 

 

 

 

IDAS fom 1—Apaplication details
Version 3.0—~7 duly 2013

 

 

xv *K

Page 5

 

Table K
Name of local government for the tidal area (if applicable) 4 | Port authority for the tidal area (if applicable)

WAL.

7
8, Are there any existing easements on the Premises? (¢.g. for vehicular access, electricity, overland flow,
water etc)

No (_] Yes—ensure the type, location and dimension of ach easement is included in the plans submitted

 

 

 

 

 

 

 

9. Does the proposal include new building work or operational work on the premises? (including any

services)“

Cl No EY Yes—ensure the nature, location and dimension of Proposed works are included in plans submitted

 

 

10. 1s the payment of a porteble long service leave levy applleable to this application? (Refer to notes at the
i of this form for more information.)

 

C ot No—go to question 12 [] Yes

11. “fer the portable long service leave levy been pald? (Refer to notes at the end of this form for more
jntarmation.)

 

 

 

 

No

Ol Yes—complete Table L and submit with this application the yellow local government/private certifier’s copy of the
receipted Qleave form

 

Table L

Amount paid Date paid QLeave project number (6 digit number
(dd/mmiyy) _| Starting with A, B, E, L ar P)

 

 

 

 

 

 

12. Has the local government agreed to apply a superseded planning scheme to this application under
Section 96 of the Sustainable Planning Act 2009?

C Pf Wo

[_]  Yes—please provide details below

 

 

 

 

Name of local government Date of wiitten notice given | Reference number of written notice given
by local government by jocal government (if applicable)
- (dd/mmi/yy)

 

hh

 

 

 

 

 

IDAS form 1—Application details
Version 3.0—1 Juiy 2013

Page 6

 

13. List below all of the forms and Supporting Information that accompany this application (Include ait IDAS
forms, checklists, mandatary supporting information ete. that wilt be submitted as part of this application. Note:
this question does not apply for applications made ontine using MyDAS)

 

 

 

 

 

Description of attachment or title of attachment Method of lodgement to
assessment manager
“LD ft J £ G . bet ronte ‘

 

 

 

 

 

 

14. Applicant's declaration

 

 

bby making this application, | declare that all information in this application is true and correct (Note: itis unlawful to
provide false or misteading information)

 

 

 

Notes for completing this form

¢ Section 261 of the Sustainable Planning Act 2009 prescribes when an application is a properly-made application.
Note, the assessment manager has discretion to accept an application as properly made despite any non-
compliance with the requirement to provide mandatory supporting information under section 260(1){c) of the
Sustainable Planning Act 2009

Applicant details
* Where the applicant is not a natural Person, ensure the applicant entity is a real legal entity.

Question 1
* Schedule 3 of the Sustainable Planning Regulation 2009 identifies assessable development and the type of
assessment. Where schedule 3 identifies assessable development as “various aspects of development” the
applicant must identify each aspect of the development on Tables A, B and C respectively and as required.

Question 6

© Section 263 of the Sustainable Planning Act 2009 sets out when the consent of the owner of the land is raquired for
an application. Section 260(+)(e) of the Sustainable Planning Act 2009 provides that if the owner's consent is
required under section 263, then an application must contain, or be accompanied by, the written consent of the
owner, or include a declaration by the applicant that the owner has given written consent to the making of the
application. If a development application relates to a state resource, the application is not required to be supported
by evidence of an allocation or entitlement to a state resource. However, where the state Is the owner of the
subject land, the written consent of the State, as landowner, may be required. Allocation or entitlement to the state
resource is a separate process and will need to be obtained before develapment commences.

Question 11

* The Building and Construction industry (Portable Long Service Leave) Act 1997 prescribes when the Portable long
service leave levy is payable.

© The portable long service leave levy amount and other prescribed percentages and rates for calculating the javy
are prescribed in the Building and Construction Industry {Portable Long Service Leave) Regulation 2002.

IDAS torm 1—Appiication dziails
Version 3.0—1 July 2013

Page 7

Question 12

¢ The portable long service leave levy need not be paid when the application is made, but the Building and
Construction industry (Portable Long Service Leave) Act 1991 requires the levy to be paid before a development
permit is issued.

* Building and construction industry notification and payment forms are available from any Queensiand post office or
agency, on request from QLeave, or can be completed on the QLeave website at www.dleave.qid.gov.au. For
jurther information contact GLeave on 1800 803 481 or visit www.gleave.qid.gov.au,

Privacy—Tha information collected in this form will be used by the Department of State Development, Infrastructure
and Planning (DSDIP), assessment manager, referral agency and/or butiding certifier in accordance with the
Processing and assessment of your application. Your personal details should not be disclosed for a purpose outside of
the IDAS process or the provisions about public access to planning and development information in the Sustainable
Planning Act 2009, except where required by legislation (including the Fight to Information Act 2009) or as required by
Parliament. This information may be stored in relevant databases. The information collected will be retained as
required by the Public Records Act 2002.

 

OFFICE USE ONLY

Date received | Reference numbers

NOTIFICATION OF ENGAGEMENT OF A PRIVATE CERTIFIER

 

 

 

 

 

 

 

To Council. | have been engaged as the private certitier for the
building work referred to in this application
BSA Certification license Building
Date of engagement | Name number classification/s

 

 

 

 

 

 

 

QLEAVE NOTIFICATION AND PAYMENT (Far completion by assessment manager or private certitier if
applicable.)

 

Date receipted .

j i i Name of officer

QLeave project Amount paid ig {| form sighted by f

number ($) Date pad | assessment wo sighted the
manager

Description of the work

 

 

 

 

 

 

 

 

 

The Sustainable Planning Act 2009 is administered by the Department of State Development, infrastructure and
Planning. This form and all other required application materials should be sent to your assessment manager and any
referral agency.

Department of State Development, Infrastructure and Planning
PO Box 15009 City East Qid 4002
tel 13 QGOV (13 74 68)

[email protected] IDAS farm 1—Appiication details
Version 3.0—1 July 2613

‘wew.dsdip.qid.gov.au

 

 

Page 8

Department of State Development, Infrastructure and Planning -..

IDAS form 6—Building or operational work assessable
against a planning scheme

{Sustainable Planning Act 2009 version 3.0 effective t July 2013)

This form must be used for development applications for building work or operational work assessable against a
planning scheme.

You MUST complete ALL questions that are stated to be a mandatory requirement unless otherwise identified on this
form.

For all development applications, you must:
* — complete IDAS form t—Application details
* — complete any other forms relevant to your application

* provide any mandatory supporting information identified on the forms as being required to accompany your
application.

Attach extra pages if there is insufficient space on this form.

All terms used on this form have the meaning given in the Sustainable Planning Act 2009 (SPA) or the Sustainable
Planning Regulation 2009,

This form must be used for building work or operational work relating on 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 that requires assessment against the land use pian for that land. Whenever a planning scheme is mentioned,
fake it to mean land use plan for the strategic port land, Brisbane core port land or airport land.

 

This form can also be completed online using MyDAS at www.dsdip.gid.gov.au/MyDAS

 

 

Mandatory requirements

 

 

1. What is the nature of the work that requires assessment against a planning scheme? (Tick ail applicable

 

 

boxes.) 4
Cj Building work—complete Table A oy Operational work—complete Table B horthege .
Table A
2) What Is the nature of the building work (e.g. building, repairing, altering, underpinning, moving or demolishing a
building)?

 

b) Are there any current approvals associated with this application? (e.g. material change of
[Ci No LJ Yes—~ provide details below

 
 

 

List of approval reference/s Date » appravert (dd/mm/yy) Date approval lapses (dd/mm/yy)

 

 

 

 

 

 

 

 

 

 

 

Great state. Great opportunity.

Goverment

Page 9

 

Table B
@) What is the nature of the operational work? (Tick ail applicable boxes.)

["] Road works [Stormwater ["] Water infrastructure
(]  Draifage works (1 Earthworks ] Sewerage infrastructure
Landscaping C] Signage EL} Clearing vegetation under the Planning scheme

 

[]  Other—provide detaiis |

 

 

b) Is the rational work necessary to facilitate the creation of new lots? (E.g. subdivision.)
No [] Yes—specify the number of lots being created

 

 

c) Are there any current approvals associated with this application? (E,g. material change of use.)
[] No UyVeo_precde details below

 

List of approval reference/s Date approved (dd/mmiyy) Date approval lapses (ddimmiyy)

wit Com - COG

 

 

 

 

 

 

 

 

 

 

 

2. What Is the dollar value of the Proposed bullding work? $
(Inc GST, materials and labour.) } SO ee.

 

 

3. What is the dollar value of the proposed operational work? $
(inc GST, materials and labour.) 3O CCD,

 

 

 

 

Mandatory supporting information

 

 

| 4. Confirm that the following mandatory supporting Information accompanies this application

 

 

 

 

 

Mandatory supporting information Confirmation of | Method of
lodgement lodgement

All applications involving building work or operational work rae

A site plan drawn to an appropriate scale (1:100, 1:200 or 1:500 are kAContirmed

recommended scales) which shows the following:

¢ the location and site area of the land to which the application relates
(relevant land)

¢ the north point

* the doundaries of the relevant land

* tha allotment layout showing existing lots, any proposed lots {including the
dimensions of those lots}, existing or Proposed road reserves, building
envelopes and existing or Proposed open space (note: numbering is
required for all lots)

* any existing or proposed easements on the relevant land and their
function

* any access limitation strips

* all existing and proposed roads and access points on the relevant land.

 

 

 

 

 

{DAS form 6—Building or operational work assessable
against a planning scheme
Version 3.0—i July 2013

Page 10

 

* details of lighting levels.

 

Applications for operational work involving public utility services

 

Drawings showing:

© any existing light poles and power poles
* any existing underground services

* details of proposed services

* alteration to existing services.

C1 cerfirmed

Not applicable

 

Applications for operational work involving landscaping works

 

Drawings showing:
* the location of proposed plant species

numbers of plants
© planting bed preparation details including topsoit depth, subgrade

edge

the location and type of any existing trees to be retained
construction details of planter boxes, retaining wails and tences
the proposed maintenance period

irrigation system details.

esee

 

* aplant schedule indicating common and botanical names, pot sizes and

Preparation, mulch type and depth, type of turf, pebble, paving and garden

 

confirmed
Py Not applicable

 

 

 

Privacy—Please refer to your assessment manager, referral agency and/or building certifier for further details on the

use of information recorded in this form.

 

OFFICE USE ONLY

 

Date received Reference numbers

 

 

 

 

 

 

 

The Sustainable Pianning Act 2009 is administered by tha Department of State Development, Infrastructure and
Planning, This form and afl other required application materials should be sent to your assessment manager and any

referral agency.

Department of Stats Davelopment, Infrastructure and Planning
PO Box 15009 Gity East Qld 4902

tel 13 OGOV (13 74 68) IDAS form 6—Builaing or operational work assessable
[email protected] againsi a planning scheme

www.dsdip.qid.gov.au

Version 3.0—t July 2013

Page 11

 

catchpit, manhole and pipeline locations
drainage details (if applicable)

cross road drainage culverts (if applicable’
concrete footpaths and cycle,
location and detai ‘access points, ramps and invert crossings
ii Surfacing material.

 
 

eesee2e#8e

 
 
  
 

 

Applications tor operational work invalving stormwater drainage

 

Drawings showing:

¢ existing and proposed contours

© drainage tocations, diameters and class
easements

* manhole location, cl
invert levels,

 
  
  

, Open drains and

je and offset or coordinates and inlet and

* inlet pitt6cations, chainage and offset or coordinates and invert and kerb

‘els,

aa C1 co: itfnad
lot applicable

outlet

 

 

Applications for operational work involving water reticulation

 

Drawings showing:

* kerb lines or edge of pavement where kerb is not constructed

* location and levels of other utility services where affected by water
reticulation works

Pipe diameter, type of pipe and pipe alignment
water main alignments

water supply pump station details (if appli
minor reservoir details (if applicabfe!
conduits

location of valves ani
onnections (if applicable)
ench marks and reference pegs.

[opened
ot applicable
to

  
 
 
   
  
 
  

 

“Applications for operational work invoiving sewerage reticulation

 

Drawings showing:
location of all existing and proposed services

location of all existing and proposed sewer lines and manhole |
location of all house connection branches
kerb lines or edge of pavement where kerb is n mstructed
chainages

design sewer invert levels
design top of manhole

*eseseeoewneeee

fon of house connections (it applicable)
sewer pump station details (if applicable).

  
  
  
 
   

CT G irmed
Not applicable

 

Applications for operational work involving street lighting

 

Drawings showing:

location of all ight poles and service conduits
location of alt other cross road conduit:
type of waltage and lighting
any traffic calming
additional for roundabouts and major roads (if applicable)

ses © @ 28

 

any variations to normal alignment

 
  
  
    

geet
Not applicable

 

 

 

 

IDAS form 6—Buitding or operational work assassable
ag Planning scheme
Version 3.0—1 July 2013

 

Page 12

 

 

A statement about how the proposed development addresses the local
government's planning schemes and any other planning documents relevant
fo the application,

[AConfirmed
bp feleyrnuf Coles

 

A statement addressing the relevant Part(s) of the State Development
Assessment Provisions (SDAP).

CQ Corifirmed
lot applicable

 

Applications for bullding work (including extensions and demolition that {

§ assessable development)

 

Floor plans drawn to an appropriate scale (1:50, 1:100 or 1:200 are

recommended scales) which show the tollowing:

© the north point (

* the intended use of each area on the floor plan (for commercial, industrial
or mixed use developmenis only)

* the room layout (for residential development only) with all rooms clearly
labelled

¢ the existing and the proposed built form (for extensions only)

¢ the gross floor area of each proposed floor area.

Eh ctiee
| Not applicable

 

 

Elevations drawn to an appropriate scale (1:100, 1:200 or 1:500 are
recommended scales) which show plans of all building elevations and
facades, clearly labetled to identify orientation (e.g. north elevation).

[I gated
lot applicable

 

Plans showing the size, location, Proposed site cover, proposed maximum
number of storeys, and proposed maximum height above natural ground level
of the proposed new building work.

O firmed
Not applicable

 

Plans showing the extent of any demolition that is assessable development.

firmed
Not applicable

 

Applications for operational work involving earthworks (filling and excavating)

 

Drawings showing:

* existing and proposed contours

© areas to be cut and filled

* the location and lavel of any permanent survey marks or reference
Stations used as datum for the works

© the location of any proposed retaining wails on the relevant land and thelr
height
the defined fload level (if applicable}

* the fill levet (if applicable).

CI Gefffirmed
lot applicable

 

Applications for operational work involving roadworks

 

 

Drawings showing:
* existing and proposed contours

© the centreline or construction ine showing chainages, bearings, offsets if
the construction line is not the centreline of the road and all intersection
points

* information for each curve including tangent point chainages and offsets,
curve radii, arc length, tangent length, superelevation (if applicable) and
curve widening (if applicable)

© kerb fines including kerb radii (where not parallel to centreline) and
tangent point changes (where not parallel to centraline)
edge of pavement where kerb is not constructed
position and extent of channelisation

* location and details of alf trattic signs, guideposts, guardrail and other
street furniture

* pavement markings including details on raised pavement markers

Hopton
lot applicable

 

 

 

 

IDAS form &- Guiiding or operational work assessable

agains? a planning scheme
Version 3.0—1 July 2073