FOrm 2 - updated - 53 Rene Street

 

Postcode

 

Country

 

Contact number

 

Email address (non-mandatory)
Mobile number (non-mandatory)

 

 

 

 

 

Fax number (non-mandatory)

 

Ld 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

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
C Preliminary approval

b) What is the level of assessment?

[+f Code assessment
O Impact assessment (requires public notification)

c) Nature of the proposed building work (tick all applicable boxes)

 

 

 

 

 

 

C1 New building or structure C1 Repairs, alterations or additions
(1 Change of building classification (involving building work) (J Swimming poo! and/or pool fence
[J Demolition [J Relocation or removal

 

d) Provide a description of the work below or in an attached schedule.

Prop. Devewau + Modification +o Sewer] Stormwater t hater mfrasipybivnes
e) Proposed constructidn/materials

 

 

 

 

 

 

DD Double brick Steel C1 Curtain glass
External walls 0 Brick veneer (J Timber C Aluminium
CJ Stone/concrete (1 Fibre cement (1 Other
(J Timber C1 Steel C1 Aluminium
Frame CJ other
Floor (1 Concrete (1 Timber D Other
. UO Slate/concrete O Tiles C Fibre cement
Roof covering UO Aluminium CJ Steel CJ Other

 

 

f) Existing building use/classification? (if applicable)

 

 

 

 

: Page 4
DA Form 2 — Building work details
Version 1.2— 7 February 2020