OPW22-0251 - DA Form1 & 2 & owners consent

 •  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:                             Reference numbers:

 For completion by the building certifier
 Classification(s) of approved building work




 Name                                                      QBCC Certification Licence        QBCC Insurance receipt
                                                           number                            number



 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


 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


 Additional building details required for the Australian Bureau of Statistics
 Existing building use/classification? (if applicable)
 New building use/classification?
 Site area (m2)                                                       Floor area (m2)




                                                                                                                           Page 6
                                                                                        DA Form 2 – Development Application details
                                                                                                      Version 1.1— 22 JUNE 2018