202004666 - DA Form 1 - Development Application.pdf

     Listed on the Environmental Management Register (EMR) under the Environmental Protection Act 1994
 EMR site identification:
     Listed on the Contaminated Land Register (CLR) under the Environmental Protection Act 1994
 CLR site identification:

 5) Are there any existing easements over the premises?
 Note: Easement uses vary throughout Queensland and are to be identified correctly and accurately. For further information on easements and
 how they may affect the proposed development, see DA Forms Guide.
     Yes – All easement locations, types and dimensions are included in plans submitted with this development
          application
     No


PART 3 – DEVELOPMENT DETAILS

Section 1 – Aspects of development
 6.1) Provide details about the first development aspect
 a) What is the type of development? (tick only one box)
     Material change of use               Reconfiguring a lot                  Operational work                     Building work
 b) What is the approval type? (tick only one box)
     Development permit                   Preliminary approval                 Preliminary approval that includes a variation approval
 c) What is the level of assessment?
     Code assessment                      Impact assessment (requires public notification)
 d) Provide a brief description of the proposal (e.g. 6 unit apartment building defined as multi-unit dwelling, reconfiguration of 1 lot into 3
    lots):
 REFURBISH POOL AND SURROUNDS, TERRACE, RETAINING WALLS & ALTS & ADD TO EXISTING UNIT
 e) Relevant plans
 Note: Relevant plans are required to be submitted for all aspects of this development application. For further information, see DA Forms guide:
       Relevant plans.
     Relevant plans of the proposed development are attached to the development application
 6.2) Provide details about the second development aspect
 a) What is the type of development? (tick only one box)
     Material change of use               Reconfiguring a lot                  Operational work                     Building work
 b) What is the approval type? (tick only one box)
     Development permit                   Preliminary approval                  Preliminary approval that includes a variation approval
 c) What is the level of assessment?
     Code assessment                      Impact assessment (requires public notification)
 d) Provide a brief description of the proposal (e.g. 6 unit apartment building defined as multi-unit dwelling, reconfiguration of 1 lot into 3
 lots):


 e) Relevant plans
 Note: Relevant plans are required to be submitted for all aspects of this development application. For further information, see DA Forms Guide:
       Relevant plans.
     Relevant plans of the proposed development are attached to the development application
 6.3) Additional aspects of development
     Additional aspects of development are relevant to this development application and the details for these aspects
     that would be required under Part 3 Section 1 of this form have been attached to this development application
     Not required



                                                                                                                                           Page 3
                                                                                                        DA Form 1 – Development application details
                                                                                                                     Version 1.2— 7 February 2020


[OCR of page images]
 

LJ Listed on the Environmental Management Register (EMR) under the Environmental Protection Act 1994
EMR site identification: |
CJ Listed on the Contaminated Land Register (CLR) under the Environmental Protection Act 1994
CLR site identification: |

 

 

 

 

 

 

5) Are there any existing easements over the premises?

Note: Easement uses vary throughout Queensland and are to be identified correctly and accurately. For further information on easements and
how they may affect the proposed development, see DA Forms Guide.

LJ Yes — All easement locations, types and dimensions are included in plans submitted with this development
application
XX] No

 

 

PART 3 —- DEVELOPMENT DETAILS

Section 1 — Aspects of development
6.1) Provide details about the first development aspect

 

a) What is the type of development? (tick only one box)

 

 

 

CJ Material change of use —‘_[_] Reconfiguring a lot LC Operational work XX Building work
b) What is the approval type? (tick only one box)
XX] Development permit LJ Preliminary approval CL Preliminary approval that includes a variation approval

 

c) What is the level of assessment?

 

XX] Code assessment LJ Impact assessment (requires public notification)

 

d) Provide a brief description of the proposal (e.g. 6 unit apartment building defined as multi-unit dwelling, reconfiguration of 1 lot into 3
lots):

REFURBISH POOL AND SURROUNDS, TERRACE, RETAINING WALLS & ALTS & ADD TO EXISTING UNIT

e) Relevant plans

Note: Relevant plans are required to be submitted for all aspects of this development application. For further information, see DA Forms guide:
Relevant plans.

XX] Relevant plans of the proposed development are attached to the development application
6.2) Provide details about the second development aspect

 

 

 

 

a) What is the type of development? (tick only one box)

 

 

 

LJ Material change of use —_[_] Reconfiguring a lot LJ Operational work C1 Building work
b) What is the approval type? (tick only one box)
LJ Development permit LJ Preliminary approval LJ Preliminary approval that includes a variation approval

 

c) What is the level of assessment?

 

LJ Code assessment LJ Impact assessment (requires public notification)

 

d) Provide a brief description of the proposal (e.g. 6 unit apartment building defined as multi-unit dwelling, reconfiguration of 1 lot into 3
lots):

 

 

e) Relevant plans

Note: Relevant plans are required to be submitted for all aspects of this development application. For further information, see DA Forms Guide:
Relevant plans.

LJ Relevant plans of the proposed development are attached to the development application
6.3) Additional aspects of development

LJ Additional aspects of development are relevant to this development application and the details for these aspects
that would be required under Part 3 Section 1 of this form have been attached to this development application

XX Not required

 

 

 

 

 

Page 3
DA Form 1 — Development application details
Version 1.2— 7 February 2020