Temporary Home Application

Authorising provisions - Local Law No 1 and Subordinate Local Law No 1 (Administration) 2015, Schedule 9.
If you have any enquiries on how to complete this form, please contact Council.
Proposed occupation of sheds and other structures is outside of this process as defined by the Building Act & should be referred to the Building & Plumbing Services Unit.

1. Applicant details
Surname	Given names
Trading name (if applicable)
Postal address
Property Address
Suburb	State	Postcode
Business phone	A/H phone	Mobile
Email address	Fax

2.  Application details
Location of temporary home
Type of home    Caravan   Car/Van   Bus   Tent  Other ___________________
Purpose of temporary home  Residential Caretaker   Site Caretaker  Other ______________________
Proposed timeframe for occupation  Months  Weeks
Number of occupants        Adults        Children
Facility details
Toilet(s)
Bathing
Laundry
Water storage
Waste water and refuse disposal

3. Property owner’s consent (if same as applicant write as above)
Owner’s name
Address
Suburb	State	Postcode
Preferred contact person
Business phone	Alternate phone	Mobile
Email address	Fax
I/We, the property owner named above permit the establishment or occupation of a temporary home at this property.  I/We declare that the above information is correct in all respects, at the time of lodgement of this application with the Noosa Council.  Should any of the details given in relation to this application be changed in the future, the applicant shall advise the Council in writing prior to any such change being implemented.
Property owner’s signature	Date

4. Supporting information required to be submitted with this application
  Application fee $464.50; and
  Detailed site plan showing the location of the proposed temporary home to a scale of 1:100, including plans and specifications of the proposed temporary home; and
  Details of water source, waste water disposal and sanitary facilities (eg. toilet, showers, basins, sinks); and
  Details of method of screening of temporary home (trees, landscaping, screens) to protect amenity of area; and
  Details or copies of other relevant approvals.  For example, building approval and plumbing approvals
Where the purpose of the temporary home is for;
Residential Caretaker
Residential caretaker means a person living in temporary accommodation while caretaking, supervising or participating in the construction of that person’s permanent dwelling.
  Copy of current building approval for the permanent residence and expected date of completion, and
  Written assurance from lending authority or other financial evidence detailing capacity of the applicant to fund the completion of a permanent residence.
Site Caretaker
Site caretaker means a person living in temporary accommodation while caretaking existing facilities or structures or the construction of new facilities or structures, with the aim of reducing theft, vandalism or damage to those facilities.
 Information demonstrating the need for a site caretaker to reduce the risks of vandalism, theft or damage
Applicant Signature                                                                                                              Date

5. Conditions which will be ordinarly be imposed on approvals
For all approvals, the conditions that will ordinarily be imposed on an approval are the following: -
The temporary home must not be occupied as a place of permanent residence for an indefinite period; and
The approval holder shall construct a permanent residence on the allotment within the timeframe specified in the approval; and
The temporary home must be designed, sited, constructed and maintained to ensure it does not adversely impact on the public health or safety, and must be
compliant with any structural standards, specified safety requirements and codes under relevant applicable laws; and
maintained in a good state of repair; and
maintained in a clean, tidy, sanitary and hygienic condition; and
provided with adequate ablution facilities – shower/bath, toilet and wash basin, including provision of sufficient water supply to adequately service those facilities; and
capable of storing adequate potable water for drinking purposes; and
occupiers must not interfere with the amenity of the area through any activity they undertake on the property.

The temporary home must not adversely impact of community health or constitute a nuisance and must: -
  (i)  be kept free of pests and vermin and conditions offering harbourage for pests and vermin; and
 (ii)  be screened by means of screens, natural topography, trees or landscaping so as not to adversely affect
       the amenity of the area; and
The temporary home must accommodate no more than the number of persons specified in the approval; and
The temporary home must be dismantled and removed by the date specified in the approval; if required
For an approval relating to a residential caretaker or site caretaker, the additional conditions that will ordinarily be imposed include: -
the development approval for a permanent dwelling remains current; and
the approval holder must provide a refuse or recycling collection service; and
the permanent dwelling is being progressively constructed at such a rate that it can be reasonably expected to be completed within the period of the development approval and the term of the temporary home approval.
Other conditions may be applied where applicable

6. Fees
Category - please tick	Application fee	Total fee
Application for approval	$464.50	$464.50
Renewal of approval	$355.00	$355.00

7. Payment options
In person	Noosa Council Tewantin office: 8.30 am to 4.30 pm Monday to Friday (excludes public holidays).
By mail	Cheque or money order to be made payable to: Noosa Council.

☐  Cheque	☐  Money order	☐  Mastercard	☐  Visa

Card number	Expiry date 	Amount $

Name on card	Signature of cardholder

Phone	Is a receipt required?	☐  Yes	☐  No
All payments made by credit card will incur a 0.50% surcharge (exempt of GST)  to reflect the cost of fees charged for credit card transactions

OFFICE USE ONLY
Application no.	Amount paid	Date paid	Receipt no.	Initial	Date stamp

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Privacy
Council will use any personal information provided for the intended purpose only and for remaining in contact with you. Council is authorised to collect this information in accordance with the Local Government Act 2009.  Your personal information is only accessed by persons authorised to do so. Your information will not be given to any other person or agency unless you have given us permission or we are required by law.

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2017/2018 Environmental Health

Temporary Home Application

T (07) 5329 6500   |   F (07) 5329 6501   |   ABN: 97 969 214 121   |   www.noosa.qld.gov.au   |   [email protected]
Postal address:  PO Box 141 Tewantin QLD 4565   |   Tewantin office:  9 Pelican Street Tewantin QLD 4565