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nCA CHeCKliST AnD WorKS APPROVAL APPLICATION FORM

nCA CHeCKliST AnD WorKS APPROVAL APPLICATION FORM

nCA CHeCKliST AnD WorKS APPROVAL APPLICATION FORM

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Australian Capital Territory (Planning and Land Management) Act 1988<strong>APPLICATION</strong> FOR WORKS <strong>APPROVAL</strong>Treasury Building, Parkes ACT 2600 • ph 6271 2836 • fax 6271 2890 • www.nationalcapital.gov.auApplicant’s detailsName. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Contact person . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Phone . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Fax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Email . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Location of proposed worksWORKS <strong>APPROVAL</strong> SCHEDULEOF FEES PAYABLEValue of WorksIf the estimated cost of works does not exceed $100,000If the estimated cost of works exceeds $100,000 and not$500,000If the estimated cost of works exceeds $500,000 and not$1,000,000If the estimated cost of works exceeds $1,000,000 and not$10,000,000Fee Payable$100 plus $2.00 for each $1,000 of the estimated cost ofworks$300 plus $1.25 for each $1,000 by which the estimated costof works exceeds $100,000$800 plus $1.00 for each $1,000 by which the estimated costof works exceeds $500,000$1,300 plus 75 cents for each $1,000 by which the estimatedcost of works exceeds $1,000,000Block . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Section . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Suburb/District . . . . . . . . . . . . . . . . . . . . . . . . . . . .Description of proposed worksIf the estimated cost of works exceeds $10,000,000 and not$100,000,000If the estimated cost of works exceeds $100,000,000 $54,000$8,100 plus 50 cents for each $1,000 by which the estimatedcost of works exceeds $10,000,000Project Name . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Type of WorksBuildings Landscape Signs Demolition Temporary WorksOther (please specify) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Estimated cost of works. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Details of proposed works (where applicable)Site Area . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Setbacks Front . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Gross Floor Area . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Side . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Approval of amendments to previously approved worksApproval of signsApproval of temporary worksAdvice on Preliminary Sketch Plans25% of the scheduled fee$200 per application25% of the scheduled fee50% of the scheduled fee, as an advance of the total WorksApproval fee payable, may be requested at Sketch Plan stage.Site Coverage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Car Park Spaces . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Height Storeys . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Lease Compliance Yes NoNature of submissionSketch plans Working Drawings Amendments Sample BoardPlease list drawing numbers. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Declaration: This application is being lodged by: the lessee or a representative of the lessee with his/her approvalPlease provide an estimate of the time taken to complete this form: mins . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Signature of applicant . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Date / /NCA staff to completeNotes:The fee payable by a non-profit making community organisation for a non-profit making activity is 25% of the amountotherwise payable.Works approval application fees will be waived for residential leases where the development proposed is consistent with thepolicies and meets the quantitative standards set out in Appendix H — Design and Siting Conditions — of the NationalCapital Plan.Temporary works are works erected for a specific event or period of time and which are intended to be removed when the event orperiod of time has elapsed.Calculation of the value of works will be based on current Indicative Building Costs as published quarterly in Cordell's BuildingCost Guide.Applications for works approval will only be recognised when the value of works has been verified and the appropriate fee hasbeen paid in full.For further information either write to the Authority at P.O. Box 373, Canberra 2001; call into the Authority's Reception —second floor, Treasury Building, Parkes, ACT; phone 6271 2836; fax 6273 2890 or visit the Authority website atwww.nationalcapital.gov.au.AF1 v2 042004Works Approval Application No . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Fee calculated . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Fee received / to be invoiced . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Signature . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Date / /NCA CHECKLIST AND WORKS <strong>APPROVAL</strong> <strong>APPLICATION</strong> <strong>FORM</strong> | Works approvalWORKS <strong>APPROVAL</strong> REPORTBLOCK 7 + 8 SECTION 6 FORREST30 NOVEMBER 2007Page 97

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