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180093 - DA Form 2
Attached to the e-mail Change to DA (Replace Temp Covered area) - 51988.2849.03.
DA Form 2 – Building work details
Approved form (version 1.0 effective 3 July 2017) 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 with any other type of assessable development,
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) Kings Lane Architects Pty Ltd
Contact name (only applicable for companies) Amanda Wilson
Postal address (P.O. Box or street address) PO Box 687
Suburb Noosa Heads
State QLD
Postcode 4567
Country Australia
Contact number
Email address (non-mandatory) [email protected]
Mobile number (non-mandatory) 0409 501502
Fax number (non-mandatory)
Applicant’s reference number(s) (if applicable)
PART 2 – LOCATION DETAILS
2) Location of the premises (complete 2.1 and/or 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 information, 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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Unit No. Street No. Street Name and Type Suburb
1 49 Hastings Street Noosa Heads
Postcode Lot No. Plan Type and Number (e.g. RP, SP) Local Government Area(s)
4567 0&1 BUP 8884 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
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 easeme nts 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
John Dunn
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.
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DA Form 2 – Development Application details
Version 1.0—3 July 2017
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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
Noosa Shire Council
☑ Approval
Change to TPC 2021 17/03/1988
☐ Development application
☐ Approval
☐ Development application
9) Has the portable long service leave levy been paid?
☑ Yes – the yellow local government/private certifier’s 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
Amount paid Date paid (dd/mm/yy) QLeave levy number (A, B or E)
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.ehp.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
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DA Form 2 – Development Application details
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Identify and describe any changes made to the proposed development application that was the subject of the referral
response and the development application the subject of this form, 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 name) Bistro C Pty Ltd and Body Corporate for Noosa on the Beach CTS 6417
Contact name (applicable for companies) Lorri Banks
Postal address (P.O. Box or street address) PO Box 1273
Suburb Noosa Heads
State QLD
Postcode 4567
Contact number 07 54472855
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
Postcode
Contact number
Email address (non-mandatory)
Mobile number (non-mandatory)
Fax number (non-mandatory)
16) Provide details about the proposed building work
a) What type of approval is being sought?
☑ Development permit
☐ Preliminary approval
b) What is the level of assessment?
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☑ 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.
Replacement of temporary steel framed PVC covered area with a permanent building extension
e) 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
f) Existing building use/classification? (if applicable)
6
g) New building use/classification? (if applicable)
6
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
$ Not applicable
PART 6 – CHECKLIST AND APPLICANT DECLARATION
19) Development application checklist
The relevant parts of Form 2 – Building work details have been completed ☑ Yes
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This development application includes a material change of use, reconfiguring a lot or
operational work and is accompanied by a completed Form 1 – Development
☐ Yes
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 a ☑ Yes
development permit is issued
☐ 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.
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 OFFICE USE ONLY - FOR COMPLETION BY THE ASSESSMENT
MANAGER
Additional building details required for the Australian Bureau of Statistics
Existing building use/classification? (if applicable) 6
New building use/classification? 6
Site area (m2) Floor area (m2) Approx 45 m2 proposed
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
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DA Form 2 – Development Application details
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Floor ☑ Concrete ☐ Timber ☐ Other
☐ Slate/concrete ☐ Tiles ☐ Fibre cement
Roof covering
☐ Aluminium ☑ Steel ☐ Other
Date received: 14/3/2018 Reference numbers: 180093
For completion by the building certifier
Classification(s) of approved building work QBCC Insurance receipt QBCC Certification Licence
number number
6 Not applicable A621704
Notification of engagement of alternate chosen assessment manager
Prescribed assessment manager
Name of chosen assessment manager
Date chosen assessment manager engaged
Contact number of chosen assessment manager
Relevant licence number(s) of chosen assessment
manager
The Planning Act 2016, the Planning Regulation 2017 and the DA Rules are administered by the Department of
Infrastructure, Local Government and Planning. This form and all other required development application materials should
be sent to the assessment manager.
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DA Form 2 – Development Application details
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