IDAS form 1 signed

Page 2

Department of Infrastructure, Local Government and Planning

 

 

Email address (non-mandatory requirement) [email protected]

 

 

Applicant’s reference number (non-mandatory 02111
requirement)

 

 

 

4, -- What is the nature of the development proposed and what type of approval is being sought?

 

 

Table A—Aspect 1 of the application (If there are additional aspects to the application please list in Table B—Aspect 2.)

 

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

xX Material change of use CJ Reconfiguring a lot im Building work L] Operational work

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

C] Preliminary approval C] Preliminary approval xX Development permit
under s241 of SPA under $241 and s242
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.)

 

Type 2 Recreation, amusement & fitness (gym)

 

 

 

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

xX Impact assessment EJ Code assessment

 

 

Table B—Aspect 2 of the application (If there are additional aspects to the application please list in Table C—
Additional aspects of the application.)

 

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

C] Material change of use Ly Reconfiguring a lot Cl Building work CL Operational work

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

Fr] Preliminary approval CJ Preliminary approval im Development
under $241 of SPA under s241 and s242 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 lot residential subdivision etc.)

 

 

 

 

d) Whatis the level of assessment?

LC Impact assessment C Code assessment

 

 

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

 

 

| Refer attached schedule Xx Not required

 

 

IDAS form 1-—Application details
Versio: 3 August 2015

   

Ae

Page 3

Department of Infrastructure, Local Government and Planning

 

 

2. |. Location of the premises (Complete Table D and/or Table E as applicable. Identify each lot ina separate row.) .

 

 

Table D—Street address and lot on plan for the premises or 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.)

 

Street address and lot on plan (All lots must be listed.)

O 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. All lots must be listed.)

 

 

 

 

 

Street address Lot on plan Local government area
description (e.g. Logan, Cairns)
Lot Unit Street Street name and official Post- Lot no. Plan type
no. no. suburb/ locality name code and plan no.
i) 5 8 Selkirk Drive, Noosaville | 4566 5 SP188669 Noosa
ii)
iil)

 

 

 

 

 

 

 

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

 

Lot Applicable zone / precinct Applicable focal plan / precinct Applicable overlay/s

 

i) Industry Noosaville Biodiversity
Natural Hazard: Landslide &
Flooding

Natural Hazard: Bushfire & Acid
Sulfate

 

ii)

il)

 

 

 

 

 

 

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 Datum Local government
(Note: place each set of coordinates in a separate row) reference area (if applicable)
Easting Northing Latitude Longitude

L] cpas4

L] wesea

| other

 

 

 

 

 

 

 

 

'3. Total area of the premises on which the development is proposed (indicate square metres)

 

 

719m2

 

 

4. Current usels of the premises (e.g. vacant land, house, apartment building, cane farm etc.)

 

 

 

Tenancy - vacant industry

 

 

 

IDAS form 1-—Anpiication
Version 4.2—3 August 207

ifs
5

Page 4

Department of Infrastructure, Local Government and Planning

 

 

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

 

EX] 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

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

 

Table F

 

Name of owner/s of the land First Edition Properties Pty Ltd

 

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

 

Signature of owner/s of the land LLB
Léon gt! of
PSC CTEILE

 

Date ofp CnseEQe f0/6

 

 

Table G

 

Name of owner/s of the land

 

i 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.

 

 

 

mn

_ 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.)

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

OOOOUOO

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

 

 

 

 

IDAS form teAppication det
Version 4.2—3 August 2076

 

 

Page 5

Department of Infrastructure, Local Government and Planning

 

 

 

 

 

 

 

Table J

Lot on plan description for strategic port land Port authority for the lot

Table K

Name of local government for the tidal area (if applicable) Port authority for the tidal area (if applicable)

 

 

 

 

     

8. Are there any existing « easements on the Promises? (es a: for vehicular access elec icity, overland flow, oo
~ water etc). Te : 4 : ALLE Ge as :

 

 

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

 

 

9. Does the proposal. include new v building work or F operational work ¢ on the i premises? (including any
services) _ : HS : &

 

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

 

 

 

10. Is the payment of a portable long service leave levy applicable to this s applic tion? (Refer to notes at the _

o end of this form for more information. yo

 

[DX] No—go to question 12 [] Yes

 

 

  

41. Has the portable long | service > leave levy been pala? (Refer: to notes at the ni

this form for more -
information.) ee

 

 

 

 

[J No

C Yes—complete Table L and submit with this application the yellow local government/private certifier’s copy of the
receipted QLeave form

 

Table L

 

Amount paid Date paid QLeave project number (6 digit number
(dd/mmiyy) starting with A, B, E, L or P)

 

 

 

 

 

 

 

12. Has the local government agreed to apply a Superseded planning s scheme. to this application u under” a
-section 96 of the Sustainable Planning Act 2009? Bees : : :

 

 

 

 

KX] No

LC] Yes—please provide details below

 

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

 

 

 

 

 

 

IDAS form 1-—Appication details
Version 4.2--3 August 2078

 

Page 6

Department of infrastructure, Local Government and Pianning

 

 

 

 

 

 

 

 

 

 

 

 

 

 

13... List below all of the forms and supporting information that accompany this application (Include all IDAS-
: forms, checklists, mandatory supporting information etc. that will be submitted as part of this application) _
Description of attachment or title of attachment Method of lodgement to
assessment manager

IDAS form 5 electronic
Planning Statement and Proposal Plans electronic

| TTM Traffic Statement electronic
14. Applicant's declaration
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
e 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

e 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

If the 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.

Question 11

e The Building and Construction Industry (Portable Long Service Leave) Act 1991 prescribes when the portabie long
service leave levy is payable.

e The portable long service leave levy amount and other prescribed percentages and rates for calculating the levy
are prescribed in the Building and Construction Industry (Portable Long Service Leave) Regulation 2002.

IDAS form 1--Apolication detaits
Version 4.2-—3 August 2078

Page 7

Department of Infrastructure, Local Government and Planning

Question 12

e The portable long service leave levy need not be paid when the application is made, but the Building and
Construction Industry (Portable Long Service Leave) Act 1991 requires the levy to be paid before a development
permit is issued.

* Building and construction industry notification and payment forms are available from any Queensland post office or
agency, on request from QLeave, or can be completed on the QLeave website at www.qleave.qid.gov.au. For
further information contact QLeave on 1800 803 481 or visit www.qleave.qid.gov.au.

Privacy—The information collected in this form will be used by the Department of Infrastructure, Local Government
and Planning (DILGP), assessment manager, referral agency and/or building certifier in accordance with the
processing and assessment of your application. Your personal details should not be disclosed for a purpose outside of
the IDAS process or the provisions about public access to planning and development information in the Sustainable
Planning Act 2009, except where required by legislation (including the Right to Information Act 2009) or as required by
Parliament. This information may be stored in relevant databases. The information collected will be retained as
required by the Public Records Act 2002.

 

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

sae QLeave project Amount paid . form sighted by A
Description of the work number (3) Date paid assessment who sighted the
manager

 

 

 

 

 

 

 

 

 

The Sustainable Planning Act 2009 is administered by the Department of Infrastructure, Local Government and
Planning. This form and all other required application materials should be sent to your assessment manager and any
referral agency.

IDAS form 1—Applicatian details
Version 4.2—-3 August 2078