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210055 - 327 Kinmond Creek Road, COOTHARABA - DA Form 2 - Building work details - Planning Act 2016 - 7 February 2020
DA Form 2 – Building work details
Approved form (version 1.2 effective 7 February 2020) made under Section 282 of the Planning Act 2016.
This form must be used to make a development application involving building work.
For a development application involving building work only, use this form (DA Form 2) only. The DA Forms Guide
provides advice about how to complete this form.
For a development application involving building work associated and any other type of assessable development
(i.e. material change of use, operational work or reconfiguring a lot), use DA Form 1 – Development application details
and parts 4 to 6 of this form (DA Form 2).
Unless stated otherwise, all parts of this form must be completed in full and all required supporting information must
accompany the development application.
One or more additional pages may be attached as a schedule to this development application if there is insufficient
space on the form to include all the necessary information.
This form and any other form relevant to the development application must be used to make a development
application relating to 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. For the purpose of assessing a
development application relating to strategic port land and Brisbane core port land, any reference to a planning
scheme is taken to mean a land use plan for the strategic port land, Brisbane port land use plan for Brisbane core
port land, or a land use plan for airport land.
Note: All terms used in this form have the meaning given under the Planning Act 2016, the Planning Regulation 2017, or the Development
Assessment Rules (DA Rules).
PART 1 – APPLICANT DETAILS
1) Applicant details
Applicant name(s) (individual or company full name) Sarah & Douglas Pearson C/- EarthCert Building Approvals
Contact name (only applicable for companies) Luke Owen-Jones
Postal address (PO Box or street address) PO Box 432
Suburb POMONA
State QLD
Postcode 4568
Country Australia
Contact number 0730639391
Email address (non-mandatory) [email protected]
Mobile number (non-mandatory)
Fax number (non-mandatory)
Applicant’s reference number(s) (if applicable)
PART 2 – LOCATION DETAILS
2) Location of the premises (complete 2.1 and 2.2 if applicable)
Note: Provide details below and attach a site plan for any or all premises part of the development application. For further infor mation, see DA
Forms Guide: Relevant plans.
2.1) Street address and lot on plan
☒ Street address AND lot on plan (all lots must be listed), or
☐ Street address AND lot on plan for an adjoining or adjacent property of the premises (appropriate for development in
water but adjoining or adjacent to land e.g. jetty, pontoon. All lots must be listed).
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Page 2
Unit No. Street No. Street Name and Type Suburb
327 Kinmond Creek Road COOTHARABA
Postcode Lot No. Plan Type and Number (e.g. RP, SP) Local Government Area(s)
4565 1 RP 184574 Noosa Shire Council
2.2) Additional premises
☐ Additional premises are relevant to this development application and the details of these premises have been
attached in a schedule to this development application
☒ Not required
3) 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 ease ments and
how they may affect the proposed development, see the DA Forms Guide
☐ Yes – All easement locations, types and dimensions are included in plans submitted with this development
application
☒ No
PART 3 – FURTHER DETAILS
4) Is the application only for building work assessable against the building assessment provisions?
☐ Yes – proceed to 8)
☒ No
5) Identify the assessment manager(s) who will be assessing this development application
Noosa Council
6) Has the local government agreed to apply a superseded planning scheme for this development application?
☐ Yes – a copy of the decision notice is attached to this development application
☐ The local government is taken to have agreed to the superseded planning scheme request – relevant documents
attached
☒ No
7) Information request under Part 3 of the DA Rules
☒ I agree to receive an information request if determined necessary for this development application
☐ I do not agree to accept an information request for this development application
Note: By not agreeing to accept an information request I, the applicant, acknowledge:
that this development application will be assessed and decided based on the information provided when making this development
application and the assessment manager and any referral agencies relevant to the development application are not obligated under the DA
Rules to accept any additional information provided by the applicant for the development application unless agreed to by the relevant
parties.
Part 3 of the DA Rules will still apply if the application is an application listed under section 11.3 of the DA Rules.
Further advice about information requests is contained in the DA Forms Guide.
8) Are there any associated development applications or current approvals?
☐ Yes – provide details below or include details in a schedule to this development application
☒ No
List of approval/development Reference Date Assessment manager
application
☐ Approval
☐ Development application
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☐ Approval
☐ Development application
9) Has the portable long service leave levy been paid?
☐ Yes – a copy of the receipted QLeave form is attached to this development application
☒ No – I, the applicant will provide evidence that the portable long service leave levy has been paid before the
assessment manager decides the development application. I acknowledge that the assessment manager may
give a development approval only if I provide evidence that the portable long service leave levy has been paid
☐ Not applicable (e.g. building and construction work is less than $150,000 excluding GST)
Amount paid Date paid (dd/mm/yy) QLeave levy number (A, B or E)
$0.00
10) Is this development application in response to a show cause notice or required as a result of an enforcement
notice?
☐ Yes – show cause or enforcement notice is attached
☒ No
11) Identify any of the following further legislative requirements that apply to any aspect of this development
application
☐ The proposed development is on a place entered in the Queensland Heritage Register or in a local
government’s Local Heritage Register. See the guidance provided at www.des.qld.gov.au about the
requirements in relation to the development of a Queensland heritage place
Name of the heritage place: Place ID:
PART 4 – REFERRAL DETAILS
12) Does this development application include any building work aspects that have any referral requirements?
☐ Yes – the Referral checklist for building work is attached to this development application
☒ No – proceed to Part 5
13) Has any referral agency provided a referral response for this development application?
☐ Yes – referral response(s) received and listed below are attached to this development application
☐ No
Referral requirement Referral agency Date referral response
Identify and describe any changes made to the proposed development application that was the subject of the
referral response and this development application, or include details in a schedule to this development application
(if applicable)
PART 5 – BUILDING WORK DETAILS
14) Owner’s details
☐ Tick if the applicant is also the owner and proceed to 15). Otherwise, provide the following information.
Name(s) (individual or company full Sarah & Douglas Pearson
name)
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Contact name (applicable for Sarah Pearson
companies)
Postal address (P.O. Box or street 82 Enkelmanns Road
address)
Suburb ALBERTON
State QLD
Postcode 4207
Country Australia
Contact number 0401 221 130
Email address (non-mandatory) [email protected]
Mobile number (non-mandatory)
Fax number (non-mandatory)
15) Builder’s details
☒ Tick if a builder has not yet been engaged to undertake the work and proceed to 16). Otherwise provide the
following information.
Name(s) (individual or company full
name)
Contact name (applicable for
companies)
QBCC licence or owner –
builder number
Postal address (P.O. Box or street
address)
Suburb
State QLD
Postcode
Contact number
Email address (non-mandatory)
Mobile number (non-mandatory)
Fax number (non-mandatory)
16) Provide details about the proposed building work
What type of approval is being sought?
☒ Development permit
☐ Preliminary approval
b) What is the level of assessment?
☒ Code assessment
☐ Impact assessment (requires public notification)
c) Nature of the proposed building work (tick all applicable boxes)
☒ New building or structure ☐ Repairs, alterations or additions
☐ Change of building classification (involving building work) ☐ Swimming pool and/or pool fence
☐ Demolition ☐ Relocation or removal
d) Provide a description of the work below or in an attached schedule.
Dwelling, garage, carport and plunge pool
e) Proposed construction materials
External walls ☐ Double brick ☐ Steel ☐ Curtain glass
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☐ Brick veneer ☒ Timber ☐ Aluminium
☐ Stone/concrete ☐ Fibre cement ☐ Other
☒ Timber ☐ Steel ☐ Aluminium
Frame
☐ Other
Floor ☒ Concrete ☒ Timber ☐ Other
☐ Slate/concrete ☐ Tiles ☐ Fibre cement
Roof covering
☐ Aluminium ☒ Steel ☐ Other
f) Existing building use/classification? (if applicable)
/ Vacant
g) New building use/classification? (if applicable)
1a, 10a, 10b / Dwelling, garage, carport & plunge pool
h) 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 works are attached to the development application
17) What is the monetary value of the proposed building work?
18) Has Queensland Home Warranty Scheme Insurance been paid?
☐ Yes – provide details below
☒ No
Amount paid Date paid (dd/mm/yy) Reference number
0
PART 6 – CHECKLIST AND APPLICANT DECLARATION
19) Development application checklist
The relevant parts of Form 2 – Building work details have been completed ☒ Yes
This development application includes a material change of use, reconfiguring a lot or ☒ Yes
operational work and is accompanied by a completed Form 1 – Development
application details ☐ Not applicable
Relevant plans of the development are attached to this development application
Note: Relevant plans are required to be submitted for all aspects of this development application. For further ☒ Yes
information, see DA Forms Guide: Relevant plans.
The portable long service leave levy for QLeave has been paid, or will be paid before ☒ Yes
a development permit is issued (see 9) ☐ Not applicable
20) Applicant declaration
☒ By making this development application, I declare that all information in this development application is true and
correct
☒ Where an email address is provided in Part 1 of this form, I consent to receive future electronic communications
from the assessment manager and any referral agency for the development application where written
information is required or permitted pursuant to sections 11 and 12 of the Electronic Transactions Act 2001
Note: It is unlawful to intentionally provide false or misleading information.
Privacy – Personal information collected in this form will be used by the assessment manager and/or chosen
assessment manager, any referral agency and/or building certifier (including any professional advisers which may
be engaged by those entities) while processing, assessing and deciding the development application.
All information relating to this development application may be available for inspection and purchase, and/or
published on the assessment manager’s and/or referral agency’s website.
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Personal information will not be disclosed for a purpose unrelated to the Planning Act 2016, Planning Regulation
2017 and the DA Rules except where:
such disclosure is in accordance with the provisions about public access to documents contained in the Planning
Act 2016 and the Planning Regulation 2017, and the access rules made under the Planning Act 2016 and
Planning Regulation 2017; or
required by other legislation (including the Right to Information Act 2009); or
otherwise required by law.
This information may be stored in relevant databases. The information collected will be retained as required by the
Public Records Act 2002.
PART 7 – FOR COMPLETION BY THE ASSESSMENT MANAGER – FOR OFFICE
USE ONLY
Date received: 15/02/2021 Reference numbers: 210055
For completion by the building certifier
Classification(s) of approved building work
1a, 10a
Name QBCC Certification Licence number QBCC Insurance receipt
number
Luke Owen-Jones A1035338
Notification of engagement of alternative assessment manager
Prescribed assessment manager Luke Owen-Jones
Name of chosen assessment manager Luke Owen-Jones
Date chosen assessment manager engaged 15/02/2021
Contact number of chosen assessment manager 07 3063 9391
Relevant licence number(s) of chosen assessment A1035338
manager
Additional information required by the local government
Confirm proposed construction materials:
☐ Double brick ☐ Steel ☐ Curtain glass
External walls ☐ Brick veneer ☐ Timber ☐ Aluminium
☐ Stone/concrete ☐ Fibre cement ☐ Other
☐ Timber ☐ Steel ☐ Aluminium
Frame
☐ Other
Floor ☐ Concrete ☐ Timber ☐ Other
☐ Slate/concrete ☐ Tiles ☐ Fibre cement
Roof covering
☐ Aluminium ☐ Steel ☐ Other
QLeave notification and payment
Note: For completion by assessment manager if applicable
Description of the work Dwelling, garage, carport and plunge pool / Dwelling, garage,
carport and plunge pool
QLeave project number
Amount $0.00 Date paid
paid ($) (dd/mm/yy)
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Date receipted form sighted by assessment
manager
Name of officer who sighted the form
Additional building details required for the Australian Bureau of Statistics
Existing building use/classification? (if applicable) Vacant /
New building use/classification? Dwelling, garage, carport and plunge pool / 1a
Site area (m )
2 3300 Floor area (m2) 287
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