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Development Application part 1 of 2 IDAS Form 1 & 5 MCU11/0178

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                                                             SCRC CORRESPONDENCE



                               Place barcode here IIIIIIIIIIIII^iIItll^Ili4A^W^^
                                                              80382665

           THIS IS THE NEXT PART OF A
      MULTIPLE PART RECORD
                        Part          / Of a

    Application number:                          W Gt4 11 / 01
Development                       op'Nulti Part Record Cover Sheet NEXT PART (3)doc    RECEI

      17, A115, 201 1                                                                 15 AUG 2011
                                                                                        SCHC
                                                                                        M'dore
   Maroochydore
Full text of the other 10 pages

Page 2

Page 3

Application Details - IDAS form I
(Sustainable Planning Act 2009 version 1.0 effective 18 December 2009)


You MUST complete ALL questions unless the form indicates otherwise. In
necessary information and documentation will result in your application not

For all development applications, you must:

•     complete this form (Application details - IDAS form 1)

•     complete any other forms relevant to your application

•     provide any mandatory supporting information identified on the forms as bei             i.   cA daccompany your
      application.

All terms used on this form have the meaning given in the Sustainable Planning Act 2009 or the Sustainable
Planning Regulation 2009.

Applicant details (note: the applicant is the person responsible for making the application and need not be the
owner of the land. The applicant is responsible for ensuring the information provided on all IDAS application forms is
correct. Any development permit or preliminary approval that may be issued as a consequence of this application will
be issued to the applicant.)


Please note: If there is more than one applicant, provide additional applicant details by clicking the "Add another
applicant" button below.


Name/s (individual or company name in full)                   Andrew Malouf

For companies, contact name                                   The Certifier

Postal address                                                Po Box 368 Cleveland QLD 4163


Contact phone number                                          3821 8703


Mobile number (non-mandatory)

Fax number (non-mandatory)

e-mail address (non-mandatory)




1. What is the nature of development proposed? (tick all applicable boxes)


® material change of use of premises
q     building work
q     operational work
q     reconfiguring a lot

Page 4

2. What type of approval is being sought?


    development permit

q   preliminary approval

q   both - provide details below



3. Is the application for a mobile and temporary environmentally relevant activity (ERA)?


     No
q    Yes - complete table A and then go to question 5




4. Location of the premises (complete table B and/or table C as applicable. Identify each lot in a separate row)

Table B - street address/lot for the premises or street address/lot on plan for the land adjoining or adjacent to the
premises

                                                                               Lot on plan
                  Street Address
                                                                               description
                                                                                                   Local government area
                  Unit Street       Street name and official         Post          Plan type         (e.g. Logan,Cairns)
                                                                          Lot No
                                                                              No.
                  No.   No.          suburb/locality name            code         and plan no.
                                Black Mountain Road, Black                                       SCRC
              1         332                                                2       RP 200503
                                Mountain

® Street address / lot on plan
  Street address / lot on plan for the land adjoining or adjacent to the premises (appropriate for development in
q water e.g. jetty, pontoon)
Table C - premises coordinates (appropriate for development in remote areas, over part of a lot or in water e.g.
channel dredging in Moreton Bay)

                  Coordinates (note: place each set of
                  coordinates in a separate row)                         Zone                           Local government
                                                                                       Datum
                                                                       reference                        area (If applicable)
                    Easting     Northing    Latitude     Longitude

                                                                                   q GDA94

                                                                                   q WGS84
              1                                                                    q other



5. Total area of the premises on which the development is proposed (indicate hectares or m2)

110500m2
6. Current use/s of the premises (e.g. vacant land, house, apartment building, cane farm, etc.)


          1       Existing House



7. Provide a brief description of the proposal (e.g. six unit apartment building, 30 lot residential subdivision etc.)


Annexed Unit used as farm managers dwelling (Under SCRC falls under Multiple Housing Type 1)




                                                                                               Application Details - IDAS form I
                                                                                                 Version 1.0 18 December 2009

Page 5

8. Is owner's consent required for this application? (refer to notes at the end of this form for more information)


q   No

® Yes - complete either table D, table E or table F as applicable



Table D (note: do not complete this table if lodging the application on-line using Smart eDA)


Name of owner/s of the land

I/We, the above-mentioned owner/s of the land, consent to the making of this application.


Signature of owner/s of the land


Date

Table E


Name of owner/s of the land

 q The owner's written consent is attached or will be provided separately to the assessment manager


Table F


Name of owner/s of the land         Simon and Heidi Cronin

       By making this application, I, the applicant, declare that the owner has given written consent to the making of
       the application.


9. Does the application involve a state resource? (e.g. the application involves state land, or taking quarry
materials. Refer to the notes at the end of this form for more information)


® No                              q Yes - complete table G



10. Identify if any of the following apply to the premises (tick applicable box/es)


q        adjacent to a water body, watercourse or aquifer (e.g creek, river, lake, canal) - complete table H

q        on strategic port land under the Transport Infrastructure Act 1994 - complete table I

q        in a tidal water area - complete table J


11. Are there any existing easements on the premises? (e.g. for vehicular access, electricity, overland flow,
    water, etc.)

    No    q Yes - ensure the type, location and dimension of each easement is included in the plans submitted




                                                                                            Application De!ails - IDAS form I
                                                                                              Version 1.0 18 December 2009

Page 6

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


q No ® Yes - ensure the nature, location and dimensions of proposed works are included in plans submitted


13. Is the payment of a portable long service leave levy applicable to this application? (refer to the notes at the
    end of this form for more information)


® No - Go to question 15                   q Yes



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



® No
q    Yes - provide details below



16. List be low all of the forms and supporting information that accompany this application (include all IDAS
forms, che( :klists, mandatory supporting information etc. that will be submitted as part of this application. Note: this
question do yes not apply for applications made online using Smart eDA)

                                                                                                 Method of lodgement to
                              Description of attachment or title of attachment
                                                                                                  assessment manager

            1    Town Planning Report                                                            mail



            2    Plans                                                                           mail


            3    Was Forms                                                                       mail



17. Applicant's declaration


 ® By making this application, I declare that all information in this application is true and correct (note: it is
     unlawful to provide false or misleading information).




                                                                                            Application Deta.,is - IDAS form I
                                                                                              Version 1.0 18 December 2009

Page 7

Notes for completing this form

Question 8:
•  Section 263 of the Sustainable Planning Act 2009 sets out when the consent of the owner of the land is required
   for an application. Section 260(1)(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.
•      Owner's consent is not required for a mobile and temporary ERA.

Question 9:
•  Section 264 of the Sustainable Planning Act 2009 provides that if a development involves a state resource, a
   regulation may require the application to be supported by certain evidence prescribed under the regulation.
   Schedule 14 of the Sustainable Planning Regulation 2009 prescribes the state resources for which evidence is
   required to be given, and the evidence required, to support the application.

Question 13:
•  The Building and Construction Industry (Portable Long Service Leave) Act 1991 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 levy
   are prescribed in the Building and Construction Industry (Portable Long Service Leave) Regulation 2002.

Question 14:
•  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 Queensland post
   office or agency, on request from QLeave, or can be completed on the QLeave website at
   www.gleave.qld,gov..au. For further information contact QLeave on 1800 803 481 or www.gleave.gld,gov,au.

    Privacy -the information collected in this form will be used by the Department of Infrastructure and Planning (DIP) in
    accordance with the processing and assessment of your application. Your personal details will not be disclosed for a
    purpose outside of the IDAS process, except where required by legislation (including the Right to Information Act
    2009) or as required by Parliament. This information may be stored in a departmental database. 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


                                                          Council. I have been engaged as the private certifier for the
To:
                                                          building work referred to in this application.


Date of                                                                       BSA Certification      Building
                        Name
engagement                                                                    license number         classification/s




                                                                                            Application Details - IDAS form 1
                                                                                              Version 1.0 18 December 2009

Page 8

QLEAVE NOTIFICATION AND PAYMENT (for completion by assessment manager or private certifier if applicable)


                                                                               Date receipted
                                      QLeave Project    Amount                 form sighted by Name of officer who
              Description of the work                              Date paid
                                      Number            paid ($)               assessment      sighted the form
                                                                               manager


        1


The Sustainable Planning Act 2009 (SPA) is administered by the Department of Infrastructure and Planning. This
form and all other required application materials should be sent to your assessment manager and any referral
agencies.




                                                                                      AppIicarion Detain - IDAS form 1
                                                                                        Version 1.0 18 December 2009

Page 9

Material change of use assessable against a planning
scheme - IDAS form 5
(Sustainable Planning Act 2009 version 1.0 effective 18 December 2009)

This form must be completed for development applications for a material change of use assessable against a
planning scheme.

You MUST complete ALL questions unless the form indicates otherwise. Incomplete forms or forms without all
necessary information and documentation will result in your application not being a properly made application.

For all development applications, you must:

•     complete Applicant details - IDAS form I

•     complete any other forms relevant to your application
•      provide any mandatory supporting information identified on the forms as being required to accompany your
       application.

All terms used on this form have the meaning given in the Sustainable Planning Act 2009 or the Sustainable
Planning Regulation 2009.

This form can also be used for development on strategic port land under the Transport Infrastructure Act 1994.



1. How is the premises identified I zoned in the applicable planning scheme? (if the premises involves
 multiple zones, clearly identify the relevant zone for each lot in a separate row in the below table) Non-mandatory


                    Lot description
                                                                         Applicable zone /precinct       Applicable overlays
                    (i.e. street address or lot on plan details)

                                                                                                         EPA, Bushfire and
             1      L2 RP 200503                                         Rural Zone
                                                                                                         Landslide


2. How is the proposed use/s defined in the applicable planning scheme?


                                                    Planning scheme                                    Days and
                                                                                   No. of dwelling /                     No.. of
                            explanation of          definition (include each                           hours of
                                                                                   tency units
                                                                                   tenancy    nus                        employees
                    the proposed use                definition in a new row)                           operation
                                                                                   (if applicable)                       (if applicable)
                                                    (non-mandatory)                                    (if applicable)

                                                    Multiple Housing Type 1
             1      Farm Managers Dwelling                                         1                                     1
                                                    Employee


3 What type of approval is being sought for the material change of use?


® development permit                      q preliminary approval                   q both - provide details below


4. Are there any current approvals associated with this application for the change of use of the premises?
(eg. a preliminary approval)


    No      q Yes - provide details below

Page 10

5. Does the proposed use involve (tick applicable box/es)


the reuse of existing buildings on the premises            q No ® Yes

new building work on the premises                          q No ® Yes

the reuse of existing operational works on the premises    ® No q Yes

new operational work on the premises                       ® No [1 Yes



6. Confirm that the following mandatory supporting information accompanies this application


                                                                                     Confirmation Method of
All applications
                                                                                     of lodgement lodgement
a site plan drawn to scale (1:100, 1:200 or 1:500 are the 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 boundaries of the relevant land
•   any road frontages of the relevant land, including the name of the road
•   the location and use of any existing or proposed buildings or structures on
    the relevant land (note: where extensive demolition or new buildings are
    proposed, two separate plans (an existing site plan and proposed site plan)
    may be appropriate)                                                                   confirmed
                                                                                                       mail
•   any existing or proposed easements on the relevant land and their function
•   the location and use of buildings on land adjoining the relevant land
•   all vehicle access points and any existing or proposed car parking areas on
    the relevant land. Car parking spaces for persons with disabilities and any
    service vehicle access and parking should be clearly marked.
•   for any new building on the relevant land, the location of refuse storage
•   the location of any proposed retaining walls on the relevant land and their
    height
•   the location of any proposed landscaping on the relevant land
•   the location of any stormwater detention on the relevant land


a statement about how the proposed development addresses the local
government's planning schemes and any other planning documents relevant to                confirmed mail
the application


a statement about the intensity and scale of the proposed use (e.g. number of
employees, days and hours of operation, number of visitors, number of seats,              confirmed    mail
capacity of storage area etc.)

information that states:
• the existing or proposed floor area, site cover, maximum number of storeys              confirmed
    and maximum height above natural ground level for existing or new buildings
    (e.g. information regarding existing buildings but not being reused)                        mail
•   the existing or proposed number of on-site car parking bays, type of vehicle
                                                                                 E] not
    cross-over (for non-residential uses) and vehicular servicing
                                                                                     applicable
    arrangement (for non-residential uses)




                                                  Material change of use assessable against a planning scheme - IDAS form 5
                                                                                                Version 1.0 18 December 2009

Page 11

                                                                                        Confirmation       Method of
                                                                                        of lodgement       lodgement

When the application involves the reuse of existing buildings


plans showing the size, location, existing floor area, existing site cover, existing         confirmed
maximum number of storeys, and existing maximum height above natural                                       mail
                                                                                             not
ground level of the buildings to be reused
                                                                                             applicable

When the application involves new building work (including extensions)

floor plans drawn to scale (1:50, 1:100 or 1:200 are the recommended scales)
which show the following:
•   the north point
•   the intended use of each area on the floor plan (for commercial, industrial or
    mixed use developments only)                                                              confirmed    mail
•   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

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


plans showing the size, location, proposed site cover, proposed maximum                       confirmed
number of storeys, and proposed maximum height above natural ground level of                               mail
                                                                                             not
the proposed new building work                                                          q    applicable

When the application involves the reuse of other existing works

plans showing the nature, location, number of on-site car parking bays, existing        LI confirmed
area of landscaping, existing type of vehicular cross-cover (non-residential
uses), and existing type of vehicular servicing arrangement (non-residential                  not
uses) of the works to be reused                                                               applicable

When the application involves new operational work

plans showing the nature, location, number of new on-site car parking bays,                   confirmed
                                                                                        q
proposed area of new landscaping, proposed type of new vehicle cross-cover
(non-residential uses), proposed maximum new vehicular servicing arrangement                  not
(non-residential uses) of the proposed new operational works                            ®     applicable


Notes for completing this form:
•  This form can also be used for a material change of use assessable against the land use plan for Cairns airport
   land or Mackay airport land. Whenever a planning scheme is mentioned, take it to mean land use plan for the
   airport land.

Privacy - please refer to your assessment manager for further details on the use of information recorded in
this form.

OFFICE USE ONLY


Date received                               Reference numbers

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




                                                     4ateriat change of use assessable against a planning scile: nr - IDAS form 5
                                                                                                  Version 1.0 18 December 2009

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