20170526 - DA Form 2 · 51901.3589.03

State
Postcode
Contact number
Email address (non-mandatory)
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?
   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.
ALTERATIONS & ADDITIONS TO EXISTING UNIT INC INSTALLATION OF LIFT

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


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                                                                                       DA Form 2 – Development Application details
                                                                                                         Version 1.0—3 July 2017