Ida form 622052017 · OPW17/0180

Page 2

Department of Infrastructure, Local Government and Planning

Table B
a) What is the nature of the operational work? (Tick all applicable boxes.)
[] Road works [-] Stormwater [-] Water infrastructure
[_] Drainage works [_] Earthworks ["] Sewerage infrastructure
(_] Landscaping [_]_ Signage [-] Clearing vegetation under the planning scheme

CY other—provide details Lew =

b) Is the.operational work necessary to facilitate the creation of new lots? (E.g. subdivision.)

No [] Yes—specify the number of lots being created

 

c) Are thére any current approvals associated with this application? (E.g. material change of use.)
No [] Yes—provide details below

         

List of approval reference/s

2. What is the dollar value of the proposed building work? $
(Inc GST, materials and labour.) i AOOO
3, What is the dollar value of the proposed operational work? $
(Inc GST, materials and labour.)

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 .
Asite plan drawn to an appropriate scale (1-100. 1:200 or 1:500 are ] = Eonfirmed
recommended scales) which shows the following:
¢ the location and site area of the land to which the application relates
(relevant land)
© the north point
e the boundaries of the relevant land
* the 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 al! 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

Date approved (dd/mmi/yy)

Date approval lapses (dd/mmiyy)

  

 

 

 

 

 

   
 
 
 
 
 
  

 

IDAS form 6—-Building or operational work assessable
gainist 3 planning scheme
Version 3,1—3 August 2075

 

Page 3

 

Department of Infrastructure, Local Government and Planning

 

| A statement about how the praposed development addresses the local
government's planning schemes and any other planning documents relevant
to the application.

 

  
    
 

   

A statement addressing the relevant part(s) of the State Development CJ Confirmed
Assessment Provisions (SDAP). [Aft applicable

Applications for building work (including extensions and demolition that is assesSable development)

Floor plans drawn to an appropriate scale (1:50, 1:100 or 1:200 are 7 Confirmed

recommended scales) which show the following: C] Not applicable

@ the north point

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

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

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

® the gross floor area of each proposed floor area.
a ee

Elevations drawn to an appropriate scale (1.100, 1200 or 1:500 are im Confirmed
recommended scales) which show plans of all building elevations and tet acotene
facades, clearly labelled to identify orientation (e.g. north elevation).

Plans showing the size, location, proposed site cover, proposed maximum LJ firmed
number of storeys, and proposed maximum height above natural ground level Not applicable
| of the proposed new building work.

   

 

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

ot applicable
Applications for operational work involving earthworks (filling and excavating)
Drawings showing: esitimes
® existing and proposed contours Not applicable

® areas to be cut and filled

@ the location and level of any permanent survey marks or reference
stations used as datum for the works

* the location of any proposed retaining walls on the relevant land and their
height

® the defined flood level (if applicable)

e the fill level (if applicable).

Applications for operational work involving roadworks

Drawings showing: Cc] Confirmed |

® existing and proposed contours ot applicable

e the centreline or construction line 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)

e kerb lines including kerb radii (where not parallel to centreline) and
tangent point changes (where not paralle! to centreline)

® edge of pavement where kerb Is not constructed

® position and extent of channelisation

® location and details of all treffic signs, guideposts, guardrail and other
street furniture

® pavement markings including details on raised pavement markers

 
   

 

 

 

 

IDAS form 6—Siuldirig or operational work assessable
against a planning scheme
Version 3.1—3 Aucust 2075

Page 4

Department of Infrastructure, Local Government and Planning

 

catchpit, manhole and pipeline locations

drainage details (if applicable)

cross road drainage oulverts (if applicable)

concrete footpaths and cycle paths

location and details for access points, ramps and invert crossings
changes in surfacing material,

 
  
   

 

Applications for operational work involving stormwater drainage

Drawings showing: O Confirmed

*® existing and proposed contours PSiRetarpicaile

e drainage locations. diameters and class of pipe, open drains and
easements

® manhole location, chainage and offset or coordinates and inlet and outlet
invert levels

e inlet pit locations, chainage and offset or coordinates and invert and kerb
levels.

 

| Applications for operational work involving water reticulation

Sith nena eee escent  aa
Drawings showing: Ae
© kerb lines or edge of pavement where kerb is not constructed lot applicable

* 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 applicable)

minor reservoir details (if applicable}

conduits

location of valves and fire hydrants

location of house connections (if applicable)

location of bench marks and reference pegs.

 

fo eee
Applications for operational work involving sewerage reticulation

Drawings showing: [] Confirmed
location of all existing and proposed services Cello able

location of all existing and proposed sewer lines and manhole locations

location of all house connection branches

kerb lines or edge of pavement where kerb is not constructed

chainages

design sewer invert levels

design top of manhole levels

type of manhole and manhole cover

pipe diameter, type of pipe and pipe alignment

location of house connections (if applicable)

sewer pump station details (if applicable).

Applications for operational work involving street lighting

Drawings showing: [1] Confirmed
® location of all light poles and service conduits Foe

location of all other cross road conduits

type of wattage and lighting

any traffic calming devices

additional plans for roundabouts and major roads (if applicable)

details of any variations to normal alignment

IDAS form 6—8uilding or operational work assessable
agains! = piarining scheme
Version 3.1—3 August 2015

 

 

 

 

le oe 0 ee

Page 5

Department of Infrastructure, Local Government and Planning

© details of lighting levels.

Applications for operational work involving public utility services

Drawings showing: (] Confirmed

e any existing light poles and power poles [_LNof applicable
any existing underground services

.
° details of proposed services
© alteration to existing services. |

Applications for operational work involving landscaping works
ihe oles
fot applicable

 

      
   

Drawings showing:

® the location of proposed plant species

* aplant schedule indicating common and botanical names, pot sizes and
numbers of plants

* planting bed preparation details including topsoil depth, subgrade
Preparation, mulch type and depth, type of turf, pebble, paving and garden
edge

* the location and type of any existing trees to be retained

* construction details of planter boxes, retaining walls and fences

e the proposed maintenance period
* irrigation system details.

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
lace tr |

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

IDAS form 6—B8uilding or operational work assessable
against s planning scheme
Version 2.1—3 August 2015