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DA Form 2 – Building work details
Approved form (version 1.2 effective 7 February 2020) 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 and any other type of assessable development
(i.e. material change of use, operational work or reconfiguring a lot), 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)
  Contact name (only applicable for companies)
  Postal address (PO Box or street address)
  Suburb
  State
  Postcode
  Country
  Contact number
  Email address (non-mandatory)
  Mobile number (non-mandatory)
  Fax number (non-mandatory)
  Applicant’s reference number(s) (if applicable)


PART 2 – LOCATION DETAILS

  2) Location of the premises (complete 2.1 and 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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DA Form 2 — Building work details

Approved form (version 1.2 effective 7 February 2020) 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 and any other type of assessable development
(i.e. material change of use, operational work or reconfiguring a lot), 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

Applicant name(s) (individual or company full name)

Contact name (only applicable for companies)

Postal address (PO Box or street address)
Suburb

State

Postcode

Country

Contact number

Email address (non-mandatory)

Mobile number (non-mandatory)

Fax number (non-mandatory)

Applicant's reference number(s) (if applicable)

 

PART 2 —LOCATION DETAILS

2) Location of the premises (complete 2.1 and 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

CJ Street address AND lot on plan (all lots must be listed), OF

LJ 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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Government

       

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 Unit No.             Street No.        Street Name and Type                               Suburb


 Postcode             Lot No.           Plan Type and Number (e.g. RP, SP)                 Local Government Area(s)


 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
    Not required


 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 easements 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



 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.


 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
    Approval
    Development application
    Approval
    Development application

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                                                                                                                DA Form 2 – Building work details
                                                                                                                  Version 1.2— 7 February 2020


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Unit No. Street No. Street Name and Type Suburb

 

 

Postcode Lot No. Plan Type and Number (e.g. AP, SP) Local Government Area(s)

Param Nelo iter Um lett) irs)

LJ Additional premises are relevant to this development application and the details of these premises have been
attached in a schedule to this development application

CI Not required

 

 

 

 

 

 

 

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 easements and

how they may affect the proposed development, see the DA Forms Guide

L Yes — All easement locations, types and dimensions are included in plans submitted with this development
application

LI No

 

 

PART 3 — FURTHER DETAILS

 

4) Is the application only for building work assessable against the building assessment provisions?
LJ Yes — proceed to 8)
LJ No

 

 

5) Identify the assessment manager(s) who will be assessing this development application

 

 

6) Has the local government agreed to apply a superseded planning scheme f

 

his development application?

LJ Yes — a copy of the decision notice is attached to this development application

CJ The local government is taken to have agreed to the superseded planning scheme request — relevant documents
attached

LI No

 

7) Information request under Part 3 of the DA Rules

LJ l agree to receive an information request if determined necessary for this development application
LJ | 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.

e 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.

 

 

8) Are there any associated development applications or current approvals?
LJ Yes — provide details below or include details in a schedule to this development application
LI No

List of approval/development Reference Date Assessment manager
application

LD Approval

LJ Development application

LJ Approval
LJ Development application

 

 

 

 

 

 

 

 

 

 

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

Page 3

 9) Has the portable long service leave levy been paid?
     Yes – a 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 (e.g. building and construction work is less than $150,000 excluding GST)
 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.des.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



 Identify and describe any changes made to the proposed development application that was the subject of the
 referral response and this development application, 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)       Noosa Springs Investment Pty Ltd ACN 162 987 957
 Contact name (applicable for companies)         Phil Starkey, Project Manager, GH Australia Care/- Adamson Town
                                                 Planning
 Postal address (P.O. Box or street address)     PO Box 894
 Suburb                                          Cooroy

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                                                                                                  DA Form 2 – Building work details
                                                                                                    Version 1.2— 7 February 2020


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9) Has the portable long service leave levy been paid?

LJ Yes — a copy of the receipted QLeave form is attached to this development application

1 No -1, the applicant will provide evidence that the portable long service leave levy has been paid before the
assessment manager decides the development application. | acknowledge that the assessment manager may
give a development approval only if | provide evidence that the portable long service leave levy has been paid

LJ Not applicable (e.g. building and construction work is less than $150,000 excluding GST)
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?
LJ Yes — show cause or enforcement notice is attached

LJ No

 

 

11) Identify any of the following further legislative requirements that apply to any aspect of this development

application

 

LJ 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.des.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?

LJ Yes — the Referral checklist for building work is attached to this development application
1 No- proceed to Part 5

13) Has any referral agency provided a referral response for this development application?

LJ Yes — referral response(s) received and listed below are attached to this development application
VI No

Referral requirement Referral agency Date referral response

 

 

 

 

 

 

 

Identify and describe any changes made to the proposed development application that was the subject of the
referral response and this development application, or include details in a schedule to this development application
(if applicable)

 

 

 

 

PART 5 — BUILDING WORK DETAILS

 

14) Owner’s details

 

 

 

 

LJ Tick if the applicant is also the owner and proceed to 15). Otherwise, provide the following information.

Name(s) (individual or company full name) Noosa Springs Investment Pty Ltd ACN 162 987 957

Contact name (applicable for companies) Phil Starkey, Project Manager, GH Australia Care/- Adamson Town
Planning

Postal address (P.O. Box or street address) PO Box 894

Suburb Cooroy

 

 

 

 

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

Page 4

State                                                 QLD
Postcode                                              4563
Country                                               Australia
Contact number                                        07 54306671
Email address (non-mandatory)                         [email protected]
Mobile number (non-mandatory)                         0437 754 420
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
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.
Proposed “Boutique Hotel” development comprising 112 suites, lagoon swimming pools, three tennis courts and
extension to existing Club House kitchen area.
e) Proposed construction materials
                                            Double brick              Steel                           Curtain glass
External walls                              Brick veneer               Timber                          Aluminium
                                      Stone/concrete                  Fibre cement                    Other

Frame
                                            Timber                    Steel                           Aluminium
                                            Other
Floor                                 Concrete                        Timber                          Other


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


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State QLD

Postcode 4563

Country Australia

Contact number 07 54306671

Email address (non-mandatory) [email protected]
Mobile number (non-mandatory) 0437 754 420

Fax number (non-mandatory)

 

M1 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?
LJ Development permit
vi Preliminary approval

 

 

b) What is the level of assessment?

 

I Code assessment
oO Impact assessment (requires public notification)

 

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

 

VI New building or structure vl Repairs, alterations or additions
L Change of building classification (involving building work) IV] Swimming pool and/or pool fence
LJ Demolition LJ Relocation or removal

 

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

Proposed “Boutique Hotel” development comprising 112 suites, lagoon swimming pools, three tennis courts and
extension to existing Club House kitchen area.

 

 

e) Proposed construction materials

 

 

 

L] Double brick M1 Steel LJ Curtain glass
External walls L] Brick veneer C1 Timber CL Aluminium

M1 Stone/concrete [J Fibre cement L] Other

CJ Timber M1 Steel (J Aluminium
Frame FJ Other
Floor M Concrete LJ Timber LJ Other

 

 

 

 

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

Page 5

 Roof covering
                                                 Slate/concrete                    Tiles                                 Fibre cement
                                                 Aluminium                           Steel                                Other

 f) Existing building use/classification? (if applicable)
 N/A
 g) New building use/classification? (if applicable)
 Class 3
 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?
 $ 32M

 18) Has Queensland Home Warranty Scheme Insurance been paid?
    Yes – provide details below
  No
 Amount paid                               Date paid (dd/mm/yy)                              Reference number
 $


PART 6 – CHECKLIST AND APPLICANT DECLARATION

 19) Development application checklist
 The relevant parts of Form 2 – Building work details have been completed                                          Yes
 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                             Yes
 a development permit is issued (see 9)
                                                                                                                    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
                                                                                                                                             Page 5
                                                                                                                    DA Form 2 – Building work details
                                                                                                                      Version 1.2— 7 February 2020


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L] Slate/concrete M| Tiles L] Fibre cement

Roof covering (J Aluminium CO Steel (J Other

 

 

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

g) New building use/classification? (if applicable)
Class 3

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.

 

 

 

 

 

 

 

lV] Relevant plans of the proposed works are attached to the development application

 

17) What is the monetary value of the proposed building work?
$ 32M

 

 

18) Has Queensland Home Warranty Scheme Insurance been paid?
LJ Yes — provide details below

IVI No

Amount paid Date paid (dd/mm/yy) Reference number
$

 

 

 

 

 

 

 

PART 6 — CHECKLIST AND APPLICANT DECLARATION

 

19) Development application checklist
The relevant parts of Form 2— Building work details have been completed M Yes

 

This development application includes a material change of use, reconfiguring a lot or Yes
operational work and is accompanied by a completed Form 1 — Development ,
application details LJ 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 Vv] Yes
information, see DA Forms Guide: Relevant plans.

The portable long service leave levy for QLeave has been paid, or willbe paid before [VJ yes
a development permit is issued (see 9)

 

 

LJ Not applicable

 

20) Applicant declaration

 

vi By making this development application, | declare that all information in this development application is true and
correct

lV] Where an email address is provided in Part 1 of this form, | 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:

e 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

 

 

 

 

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

Page 6

 • 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 alternative 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


 QLeave notification and payment
 Note: For completion by assessment manager if applicable
 Description of the work
 QLeave project number
 Amount paid ($)                                                    Date paid (dd/mm/yy)
 Date receipted form sighted by assessment manager
 Name of officer who sighted the form


 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 – Building work details
                                                                                                 Version 1.2— 7 February 2020


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e required by other legislation (including the Right to Information Act 2009); or

e 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: [i 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 alternative 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:

 

 

 

 

CJ Double brick U Steel LJ Curtain glass
External walls C1 Brick veneer CJ Timber CD Aluminium
LJ Stone/concrete LJ Fibre cement LJ Other
CL Timber UO Steel CD Aluminium
Frame J Other
Floor CL Concrete CJ Timber CJ Other
. LJ Slate/concrete (Tiles LJ Fibre cement
Roof covering C1 Aluminium C1 Steel CF Other

 

 

 

 

QLeave notification and payment
Note: For completion by assessment manager if applicable

Description of the work
QLeave project number
Amount paid ($) | Date paid (dd/mm/yy) |
Date receipted form sighted by assessment manager

 

 

 

 

 

Name of officer who sighted the form

 

Additional building details required for the Australian Bureau of Statistics

 

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

 

 

 

 

 

Site area (m?) | Floor area (m?) |

 

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

Page 7

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

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