HOLROYD CITY COUNCIL
D.A. No. …………..............
Date Rec. ………….............
APPROVALS APPLICATION FORM
DEVELOPMENT CONSENT (EP&A Act 1979)
CONSTRUCTION CERTIFICATE (EP&A Act 1979)
ACTIVITY APPROVAL – SECTION 68 (Local Government Act 1993)
APPLICANT DETAILS
I/We, ........................................................................................................................................................................................................
(Print Name or Company & A.B.N/A.C.N.)
of ........................................................................................................................................... ..................................................................
(Full Postal Address)
Phone No. (Business Hours): ....................................................................... Fax: ..................................................................................
Mobile No.: ................................................ Email Address: ..................................................................................................................
I /We hereby apply for Development Consent and/or a Construction Certificate to carry out the Development described
below. I/We grant consent to Holroyd City Council for the release of any plan(s) and documents submitted in
relation to this development application for the purposes of Council fulfilling its requirements under the
Government Information (Public Access) Act 2009. To assist the progress of this Application, I/We agree to copies
of correspondence being forwarded to the owner/s.
....................................................................................................................... Date: ................................................................................
Applicant’s Signature or person signing on behalf of Applicant
.................................................................................................................................................................................................................
Full Name and Capacity (If not Applicant)
DESCRIPTION OF THE LAND TO WHICH THIS APPLICATION RELATES
House No
Street
Suburb
Post Code
Lot and DP or SP
DETAILS OF ALL OWNERS & CONSENT TO LODGE THIS APPLICATION
Title
Surname (or Company & A.B.N. / A.C.N.)
Given Names
Title
Surname
Given Names
Title
Surname
Given Names
Address for Primary Contact
Phone No (Business Hours)
As the owner/s of the land to which this Application relates, I/We consent to the making of this
Application.
Company/Owners Corporation
Seal
Signature/s
A separate letter providing the written consent of all owners to lodge this Application is attached.
ESTIMATED COST OF DEVELOPMENT
This is the total cost of labour and materials at current Sydney prices. Council uses the
$
Rawlinsons Australian Construction Handbook to confirm the estimated cost of development.
Complete cost calculation form on checklist to calculate cost of development or alternatively provided written advice from a registered
quantity surveyor.
FEES & CHARGES
Application fees and charges will be determined by Council based on the estimated cost provided above and are to be paid when you
lodge the application. Please contact Customer Services if you require an estimate of the applicable DA fees.
Please address all communications to: The General Manager, PO Box 42, Merrylands 2160
DX 25408 MERRYLANDS Telephone (02) 9840 9840 Fax: (02) 9840 9837
Page 1 of 4
ACTIVITY APPROVAL – SECTION 68 OF THE LOCAL GOVERNMENT ACT 1993
Tick the relevant boxes below to nominate the type of Activity Approval being sought.
Install a manufactured home, moveable dwelling or
associated structure on land.
Operate a public car park, caravan or camping ground,
or manufactured home estate.
Water supply, sewerage and stormwater drainage work.
Install a domestic oil or solid fuel heating appliance,
other than a portable appliance.
Management of waste.
Install or operate amusement devices.
Engage in a trade or business on Community Land.
Use a standing vehicle or any article for the purpose of
selling any article in a public place.
Erect hoarding or occupy public roads (including footways)
for swinging or hoisting goods or exposure of articles for
sale or otherwise.
Carry out activity prescribed by the regulations or an
activity of a class/description prescribed by regulations.
INTEGRATED DEVELOPMENT / ROAD OCCUPANCY APPROVAL
Tick the relevant boxes below, if the proposal requires Development Consent from Council and an Approval under any of the following
environmental planning instruments.
Fisheries Management Act 1994
Protection of the Environment Operations Act 1997
Heritage Act 1997
Roads Act 1993
National Parks & Wildlife Act 1974
Water Management Act 2000
SUBMISSION REQUIREMENTS
Tick the relevant boxes below to confirm you are providing all required documentation. Please be aware the application may be
rejected if it is incomplete in accordance with Clause 51 of the EP&A Regulation 2000.
Statement of Environmental Effects.
Completed DA Checklist
Integrated Development or Designated Development (an
Environmental Impact Statement) and 10 x sets of plans and
documents and 1 CD ROM copy per Approval Body.
Required no. of plans and documents provided as per
DA Checklist.
DESCRIPTION OF PROPOSED DEVELOPMENT
Please provide a detailed description of the proposed development and detail all works (such as demolition, new buildings and
additions, stormwater, landscaping, site works, ancillary structures, any associated subdivision) and any proposed use.
………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………….
For residential, no. of bedrooms:
x 1br
x 2br
x 3br
x 4br
x 5br
x 6br or more
PROPOSED SUBDIVISION (FOR SUBDIVISION APPLICATIONS ONLY)
Please nominate the type of subdivision approval being sought.
Torrens Title
Strata Title
Number of Existing Lots ..........................................
Community Title
Number of Proposed Lots .............................................................
HOLROYD CITY COUNCIL
Please address all communications to: The General Manager, PO Box 42, Merrylands 2160
DX 25408 MERRYLANDS Telephone (02) 9840 9840 Fax: (02) 9840 9837
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PRIVACY NOTE
Council will collect and hold the personal information contained in this application for the purpose of processing the application. The intended recipients of the personal
information are officers within Council, relevant external public authorities or any relevant external expert who may provide specialised services for processing the
application. The supply of personal information by you is voluntary, however if you cannot provide, or do not wish to provide the information sought, Council may be
unable to process your application.
You may make an application for access or amendments to your personal information held by Council under the Privacy and Personal Information Protection Act 1998
(PPIP Act) or the Government Information (Public Access) Act 2009 (GIPA Act). You may also make a request that Council suppress your personal information from a
public register. Council will consider any such application in accordance with the PPIP Act.
Information provided to Council in correspondence, submissions or requests, including your personal information, may be made publicly available, including on
Council's website, under the GIPA Act. Please notify us if you object to the disclosure of your personal information.
COPYRIGHT NOTE
Council may make copies (including electronic copies) of the development application and accompanying documents for the purpose of complying with its obligations
under the Environmental Planning and Assessment Act 1979, the Local Government Act 1993 and Council’s Notification Policy. In addition, Council may make further
copies as, in its opinion, are necessary to facilitate a thorough consideration of the development application and public participation in the development assessment
process. This may include making copies of the advertised plans, supporting documentation and the determination available on Council’s website. The Applicant is
responsible for obtaining all copyright licences necessary from the copyright owners for this purpose.
DISCLOSURE OF POLITICAL DONATIONS OR GIFTS
If you have made a political donation or gift to or for the benefit of a political party, an elected member, group, candidate, local councillor or council employee, you may
be required to make a formal disclosure pursuant to section 147 to the Environmental Planning and Assessment Act 1979 (EP & A Act). For more information on your
obligations and to obtain a disclosure form if needed, please visit Council’s website at www.holroyd.nsw.gov.au.
OTHER INFORMATION MAY BE REQUIRED
There are various Federal and State Government policies that apply to the Holroyd Local Government Area which might affect your property. Some of these policies
create additional information requirements for lodgement of an application. The State Environmental Planning Policies, Sydney Regional Environmental Plans and
Regional Environmental Plans that are applicable to the City of Holroyd will be listed on a Section 149 planning certificate. For more information or to obtain a Section
149 planning certificate, please visit Council’s website at www.holroyd.nsw.gov.au.
BASIX CERTIFICATE
The Building Sustainability Index (BASIX) is a web-based planning tool designed to assess the potential performance of residential buildings against a range of
sustainability indices. A BASIX Certificate identifies the sustainability features required to be incorporated in the building design. These features may include
sustainable design elements such as recycled water, rainwater tanks, AAA-rated showerheads and taps, native landscaping, heat pump or solar water heaters, gas space
heaters, roof eaves/awnings and wall/ceiling insulation.
You need a BASIX Certificate in Holroyd City Council when BASIX applies to the type of development for which you require approval. Commencement dates and
details of types of development are at www.basix.nsw.gov.au.
The applicant is required to submit the BASIX Certificate with the Development Application or Complying Development Certificate application. The plans and
specifications must also identify the BASIX commitments which will be checked by a professional building certifier during construction. Where submitted plans or
specifications are inconsistent with the relevant BASIX Certificate, Council should require applicants to submit consistent applications before progressing the assessment
process, either by amending plans / specifications or by submitting a new BASIX Certificate with commitments that match the rest of the application.
Applicants can generate the BASIX Certificate only on the NSW Department of Planning' BASIX website: www.basix.nsw.gov.au. For more information, phone the
BASIX Help Line on 1300 650 908.
CONSTRUCTION CERTIFICATE
In addition to obtaining Development Consent, if you are undertaking any building or structural work, you will need to obtain a Construction Certificate, prior to
commencing work.
A Construction Certificate certifies that the construction plans and specifications for the development are consistent with the Development Consent, and comply
with the requirements of the Building Code of Australia (BCA) and all relevant Australian Standards.
If you nominate Council to issue your Construction Certificate and lodge a Construction Certificate at the same time as lodging your Development Application, cost
and time advantages may be available.
APPOINTMENT OF PRINCIPAL CERTIFIER (PCA)
If you are going to use Council as your PCA i.e., carry out critical stage building inspections and issue an Occupation Certificate it is necessary to complete the
Principal Certifying Authority (PCA) Appointment and Service Agreement Form.
HOLROYD CITY COUNCIL
Please address all communications to: The General Manager, PO Box 42, Merrylands 2160
DX 25408 MERRYLANDS Telephone (02) 9840 9840 Fax: (02) 9840 9837
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APPOINTMENT OF PRINCIPAL CERTIFIER AND NOTIFICATION OF COMMENCEMENT OF WORK
After obtaining a Development Consent and Construction Certificate, and before you commence building works, if Council is not acting as your PCA you will need
to advise Council who will be carrying out the compliance inspections on the property. The Development Consent that is issued by Council will have a Notice of
Commencement and Appointment of Principal Certifying Authority Form attached, which must be completed and returned to Council 7 days prior to the
commencement of building works.
OCCUPATION CERTIFICATE (OC)
An Occupation Certificate is required to be obtained at the completion of building works for all new buildings, additions, and where a change of building use has
been approved. The OC can only be issued by your PCA.
TYPE
Fee D.A. Fees – Dwellings less than $100,000
501
Fee D.A. Fees – Development Services
501
Plan First Levy Charge
PFL
WH&S Fee – Demolition only
930
Fee DA Change of Use
561
Fee Extension of Development Consent
572
503
Fee DA ADVERTISING – Paper Minimum
504
Fee DA ADVERTISING – Paper Maximum
504_1
Fee DA ADVERTISING – S96/S82A Maximum
504_2
Fee DA Advertising - Residential
581_1
Fee DA Advertising – Commercial/Industrial
581
Fee D.A. DESIGNATED DEVELOPMENT
505
Fee D.A. DESIGNATED DEV ADVERT FEE
506
Fee D.A. SUBDIVISION – STRATA
507
Fee D.A. SUBDIVISION – NEW ROAD
508
Fee D.A. SUBDIVISION - NO ROAD
509
Fee LINEN RELEASE (TORRENS)
510
Fee LINEN RELEASE (STRATA)
511
Fee CONSTRUCTION CERTIFICATE
512
Fee AMENDED CONSTRUCTION CERTIFICATE
513
Fee INSPECTION # 514 – 530
Fee COMPLYING DEVELOPMENT
Fee OCCUPATION CERTIFICATE 531/536
Fee LONG SERVICE LEVY
INSPECTION – LANDSCAPE/TREES
Fee PART 68 LGA APPROVAL *
*
555
*
537
538
539 *
Fee REGISTRATION CERTIFICATES COUNCIL
540
Fee REGISTRATION CERTIFICATES PCA
550
Fee ROAD OPENING PERMIT
543
Fee VEHICULAR CROSSING
544
Fee Building Works Up to $5000
599
Bond KERB & GUTTER > $50,000
601
Bond KERB & GUTTER > $10,000 < $50,000
601_1
Bond KERB & GUTTER Transfer – See Memo
601_2
Bond LANDSCAPING
Scanning Fee up to $250,000
RECEIPT NO.
CHANGEUSE
Fee Integrated Development – Administration Fee
Fee DA SECTION 96 MODIFICATION
MONIES
602
582
Scanning Fee $250,000 to $1M
582_1
Scanning fee over $1M
582_2
Checked by Council Officer ……….…………………………………………………………… Date
HOLROYD CITY COUNCIL
Please address all communications to: The General Manager, PO Box 42, Merrylands 2160
DX 25408 MERRYLANDS Telephone (02) 9840 9840 Fax: (02) 9840 9837
.……………………………
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