Mens Shed Further Plans & Plumbing application

 

 

6. Fixtures to be
installed

Completion of this section is

mandatory. A fixture pair may

be considered one fixture.

Indicate the number of fixtures to be installed:

 

 

 

 

 

 

sinks: { basins: Z urinals: | showers:
baths: W.C.s: Z laundry tubs:
other: Total number of fixtures: 5

 

 

 

7, Water supply

Examples of supply details may
include dual reticulation or
recycled water.

Completion of this section is
Mandatory if there is water
supply plumbing work. If a prior
approval from the distributor-
retailer is NOT provided with
this application, the applicant
may need to obtain an approval
prior to the local government
issuing a compliance permit.

If the application is for a new connection, or disconnection of an existing water service,
complete the following:

(a) _ size of the service required (if known) mm
(b) purpose of the water service (tick applicable boxes)
(domestic [7 industrial OO commercial
nature of the work (tick applicable boxes)
CJ new (1 alteration

Note—SEQ local governments cannot grant certain compliance permits or compliance
certificates unless the distributor-retailer has approved the associated connection,
connection change or disconnection to its water infrastructure; or it is a class of work that
does not require distributor-retailer approval (Plumbing and Drainage Act 2002, section
85(7A) and 86(9A)).

OC fire
(c)

 

8. Disposal of
wastewater in
unsewered area

Completion of this section is
mandatory if there is an on-site
sewerage facility or a
greywater use facility.

A Chief Executive Approval
(CEA) number must be
included for any on-site
sewerage treatment plant or
greywater treatment plant.

 

All applications must be accompanied by an on-site sewerage evaluation report. If the

application is for an on-site sewerage facility or greywater use facility, provide details of the
following:
Type of facility

(CO on-site sewerage facility (] greywater use facility
Treatment Plant CEA Number:

CO service requirements (e.g. frequency of servicing (if known):

brand: model: capacity:
Cl septic tank [7] holding tank
brand: model: capacity:

Description of work

(1 new dwelling (J connect to existing facility CO conversion from septic to

treatment plant
Number of bedrooms in dwellings to be serviced by the facility:

 

 

PRIVACY NOTICE: The information on this form is collected as required under the Plumbing and Drainage Act 2002 (PDA) by local
governments. This information may be stored in the local government database and will be used for purposes related to deciding an
application and monitoring compliance under the PDA. Your personal information will be disclosed to the financial institution which
handles the local government's financial transactions and may be disclosed to other local government agencies, local government
authorities, the Queensland Building and Construction Commission and third parties for purposes relating to administering and
monitoring compliance with the PDA. Personal information will otherwise only be disclosed to third parties with your consent or in
accordance with the Information Privacy Act 2009,

RTI: The information collected on this form will be retained as required by the Public Records Act 2002 and other relevant Acts and
regulations, and is subject to the Right to Information regime established by the Right to Information Act 2009,

 

 

        

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©The State of Queensland (Department of Housing and Public Works) 2014, Published by the Queensland Government, November 2014, 41 George Street, Brisbane
Qld 4000.

 

ons

The Plumbing and Drainage Act 2002 is administered

é ; Queensland
by the Department of Housing and Public Works

Government