Idas Form 1 · OPW15/0072

Page 2

  

pS

 

       

Email address (non-mandatory requirement)

@ martooconsulting.com

Applicant's reference number (non-mandatory 01824

requirement)

  
 
 
 
 

 

 

   

      

Table
a) What is the nature of the development? (Please only tick one box.)
Material change of use Ol Reconfiguring 4 lot oO Building work ol Operational work

A—Aspect 1 of the application (if there are additional aspects to the application please list in Table B—Aspe'

   
 
    
    
 
 

b) What is the approval type? (Please only tick one box.)

  
 
 
  

Cl Preliminary approval Ol Preliminary approval Development permit
under $241 of SPA under 2441 and $242
of SPA

c) Provide a brief description of the proposal, including use definition and number of buildings or structures where
applicable (e.g. six unit apartment building defined as a multi-unit dwelling, 30 lot residential subdivision etc.)

  
  
 
  
  
   

 
 
   

       

 

Commer

 

  
    

   

cial business — Type 4 Office

 

 

  

d) What is the level of assessment? (Please only tick one box.)

  
 
 

   
   

K Impact assessment oO Code assessment

    
   

 
 

Table B—Aspect 2 of the application (If there are ion please list in Table C—

Additional aspects of the application.)

additional aspects to the applicati

  

 
 
 
 

   

 
 

a) What is the nature of development? (Please only tick one box.)

oO Material change of use Oo Reconfiguring a lot ol Building work Ol Operational work

   
 
     
 
 

b) What is the approval type? (Please only tick one box.)

  
 
 
  

Ol Preliminary approval ol Preliminary approval oO Development
under s241 of SPA under $241 and $242 permit
of SPA

c) Provide a brief description of the proposal, including use definition and number of buildings or structures where
applicable (e.g. Six unit apartment building defined as a multi-unit dwelling, 30 tot residential subdivision etc.)

  
   
   
   
  
  
   

   
 

    
        

  
 
   
   
   

 
  

a) What is the level of assessment?

 
  
 

oO Impact assessment oO Code assessment

 
   
 

 
 

 
 
 
  

Table c—Additional aspects of the application (If there are additional aspects to the application please list ina
separate table on an extra page and attach to this form.)

Cl Refer attached schedule Not required

  
    

 
 
    

IDAS form 4-—Application detail:
Version 4.14 July 201

    
   

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Table D—Street address and lot on plan for the premises OF street address and lot on plan for the land adjoining or
adjacent to the premises (Note: this table is to be used for applications involving taking or interfering with water).
(Attach a separate schedule if there is insufficient space in this table.)

mM Street add

oO Street address and lot on plan for the land adjoining or adjacent to the premises (Appropriate for
development in water but adjoining or adjacent to land, e.g. jetty, pontoon. Ail lots must be listed.)

 
 
  

 
  
   
  

   
   
   

ress and fot on plan (All lots must be listed.)

    
      
 
 

  
  
  
  
   

   

    
    
       
 
  

  
   
  
 

Street address Lot on plan

description

Street name and official Post- Lot no. Plan type
suburb/ locality name code and plan no.
168 Noosa Parade, 4566 4
Noosaville Qld

Planning scheme details (If the premises involves multiple zones, clearly identify the relevant zonels for each lot ina
separate row in the below table. Non-mandatory)

Local government area
(e.g. Logan, Caims)

   
 

Unit Street
no no.

     

  
   
 
 

   

    

    

     

  

   

Natural hazard: Landslide &
Flooding

Natural hazard: Bushfire & Acid
Sulfate Soils

 
 
   
   
 

 
   
 
      
  
  
  

   
      
     
  
   
   
   
 

Table E—Premises coordinates (Appropriate for development in remote areas, over part of a lot or in water not
adjoining or adjacent to land e.g. channel dredging in Moreton Bay.) (Attach a separate schedule if there is insufficient
space in this table.)

   

    
 

Coordinates Zone
(Note: place each set of coordinates in a separate row) reference

(1 spas
(1 wese4
(1 other

Vacant medical centre

Local government
area (if applicable)

   

 
 
   

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

IDAS form 4—-Application details
Version 4.1--4 July 204«

 

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5. Are there any current approvals (e.g. a preliminary approval) associated with this application? (Non-
mandatory requirement)

 

BX] No []  Yes—provide details below

 

List of approval reference/s Date approved (dd/mm/yy) Date approval lapses (dd/mm/yy)

 

 

 

 

 

 

6. Is owner’s consent required for this application? (Refer to notes at the end of this form for more information.)

 

 

[] No

Yes—complete either Table F, Table G or Table H as applicable

 

Table F

 

Name of owner/s of the land kitra Ply Mel oft Men len Fenily Tvst

 

We, the above-mentioned owner/s of the land, consent to the making of this application.

 

Signature of owner/s of the land S » Drtetor = foc crcl on CFR
G7 PF Pf Kab Pry tte oft Miles fe! Lh

 

 

Date Qo/Y /20/5-

 

 

Table F ie oO py CORPARA

 

Name of owner/s of the land

 

 

 

 

 

 

 

Signature of owner/s of the land 7 /
{
Date A yu if Osi! 5 ah: O4o0b ACE Ges
t T
Table G

 

 

Name of owner/s of the land

 

O The owner’s written consent is attached or will be provided separately to the assessment manager.

 

 

Table H

 

 

Name of owner/s of the land

 

CO By making this application, |, the applicant, declare that the owner has given written consent to the making of the application.

 

 

 

 

=

Identify if any of the following apply to the premises (Tick applicable box/es.) |

 

Adjacent to a water body, watercourse or aquifer (e.g. creek, river, lake, canal)—complete Table |
On strategic port land under the Transport Infrastructure Act 1994—complete Table J
In a tidal water area—complete Table K

On Brisbane core port land under the Transport Infrastructure Act 1994 (No table requires completion.)

Oooog

On airport land under the Airport Assets (Restructuring and Disposal) Act 2008 (no table requires completion)

IDAS form 1-—Application details
Version 4.1—4 July 2074

Page 5

 
 

  

oO Listed on either the Contaminated Land Register (CLR) or the Environmental Management Register (EMR) under
the Environmental Protection Act 1994 (no table requires completion)

 

 

Table |
Name of water body, watercourse or aquifer

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

.

| Port authority for the tidal area (if applicable)

 

Table K
Name of local government for the tidal area (if applicable)

 

 

 

 

 

 

Table J — |
Lot on plan description for strategic port land Port authority for the lot |

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

  
 

 

  
   
   
 
 
 

No Cl Yes—ensure the type, location and dimension of each easement is included in the plans submitted

  
  

 

 

No xX Yes—ensure the nature, location and dimension of proposed works are included in plans submitted

 

 

 

No—go to question 12 (Yes

   

 

 

 

 

LL] No
CI Yes—complete Table L and submit with this application the y'

ellow local government/private certifier’s copy of the

5

| Date paid QLeave project number (6 digit number

receipted QLeave form

 

 

 

 

 

 

 

 

 

 

Table L
Amount paid

 

 

 

 

 

 

(ddimm/yy) starting with A, B, E, Lor P)

[__ 1

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

  
 

 

 

 

 

 

 

 

 

— No

[[] Yes—please provide details below

IDAS form 1—Application details
Version 4.1—4 July 2044

sepa NR ERIS LLL LIES

 

se aD

 

Page 6

 

LL

 

Name of local government Date of written notice given | Reference number of written notice given
by local government by local government (if applicable)
(dd/mmv/yy)

 

 

 

 

 

 

 

 

 

 

Description of attachment or title of attachment Method of lodgement to
assessment manager

IDAS Form electronic

Planning Report 01824 ~ A including proposal plans electronic

 

 

 

 

 

 

 

 

 

 

xX By making this application, | declare that all information in this application is true and correct (Note: it is unlawful to
provide false or misleading information)

 

 

 

Notes for completing this form

e Section 261 of the Sustainable Planning Act 2009 prescribes when an application is a properly-made application.
Note, the assessment manager has discretion to accept an application as properly made despite any non-
compliance with the requirement to provide mandatory supporting information under section 260(1)(c) of the
Sustainable Planning Act 2009

Applicant details
« Where the applicant is not a natural person, ensure the applicant entity is a real legal entity.

Question 1
« Schedule 3 of the Sustainable Planning Regulation 2009 identifies assessable development and the type of
assessment. Where schedule 3 identifies assessable development as “various aspects of development” the
applicant must identify each aspect of the development on Tables A, B and C respectively and as required.

Question 6

¢ Section 263 of the Sustainable Planning Act 2009 sets out when the consent of the owner of the land is required for
an application. Section 260(1)(e) of the Sustainable Planning Act 2009 provides that if the owner's consent is
required under section 263, then an application must contain, or be accompanied by, the written consent of the
owner, or include a declaration by the applicant that the owner has given written consent to the making of the
application. If a development application relates to a state resource, the application is not required to be supported
by evidence of an allocation or entitlement to a state resource. However, where the state is the owner of the
subject land, the written consent of the state, as landowner, may be required. Allocation or entitlement to the state
resource is a separate process and will need to be obtained before development commences.

Question 7

«Ifthe premises is listed on either the Contaminated Land Register (CLR) or the Environmental
Management Register (EMR) under the Environmental Protection Act 1994 it may be necessary to
seek compliance assessment. Schedule 18 of the Sustainable Planning Regulation 2009 identifies
where compliance assessment is required.

IDAS form 1—Application details
Version 4.1—4 July 2014

 

 

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Question 11
The Building and Construction Industry (Portable Long Service Leave) Act 1991 prescribes whe
service leave levy is payable.

The portable long service leave levy a
are prescribed in the Building and Construction Industry (Portal

Question 12

The portable long service leave levy need not be paid when t
Construction Industry (Portable Long Service Leave) Act 199
permit is issued.

Building and construction industry notification and payment forms are available from any Queen
agency, on request from QLeave, or can be completed on the QLeave website at www.qieave.q
further information contact QLeave on 1800 803 481 or visit www.qleave.qlid.gov.au.

Privacy—The information collected in this for
and Planning (DSDIP), assessment manager, referral agency
processing and assessment of your application. Your personal
the IDAS process or the provisions about public access to planni
Planning Act 2009, except where required by legislation (includi
Parliament. This information may be stored in relevant databases. The information collected will be
required by the Public Records Act 2002.

n the portable long

mount and other prescribed percentages and rates for calculating the levy
ble Long Service Leave) Regulation 2002.

he application is made, but the Building and
1 requires the levy to be paid before a development

sland post office or
Id.gov.au. For

rm will be used by the Department of State Development, Infrastructure
and/or building certifier in accordance with the

I details should not be disclosed for a purpose outside of
ing and development information in the Sustainable
ing the Right to Information Act 2009) or as required by

retained as

 

OFFICE USE ONLY

 

 

Date received Reference numbers

 

 

 

 

NOTIFICATION OF ENGAGEMENT OF A PRIVATE CERTIFIER

 

 

 

 

 

To Council. | have been engaged as the private certifier for the
building work referred to in this application
BSA Certification license Building
Date of engagement | Name number classification/s

 

 

 

 

 

 

QLEAVE NOTIFICATION AND PAYMENT (For completion by assessment manager or private certifier if
applicable.)
Date receipted
: . . Name of officer
inti QLeave project Amount paid _, | form sighted by .
Description of the work number (8) Date paid assessment who sighted the
manager

 

 

 

 

 

 

 

 

The Sustainable Planning Act 2009 is administered by the Department of State Development, Infrastructure and

Planning. This form and ail other required app!
referral agency.

lication materials should be sent to your assessment

Department of State Development, Infrastructure and Planning
PO Box 15009 City East Qid 4002

tel 13 QGOV (13 74 68)

[email protected]

www.dsdip.qid.gov.au

 

me

 

manager and any

IDAS form 1—Agplication details
Version 4.1—-4 July 2014