Application for Maintenance and/or Minor Works Affecting a Heritage Item or Conservation Area Form

MINOR WORKS EXEMPTION APPLICATION

Application under Clause 5.10 (3) of the Canada Bay Local Environmental Plan 2013 for an exemption from the need to obtain development consent for minor work to a heritage item or a place within a heritage conservation area.

An application cannot be made for work that has already been undertaken.

Fees & Charges - No fee is payable for this application.

For more information, please contact Council by emailing council@canadabay.nsw.gov.au or by phoning 9911 6555.

Applicant Details

Organisation Name

Surname *

First Name *

Mailing Address *

Postcode *

Phone (mobile): *(e.g. 04XX XXX XXX)

Email *

Consent of ALL Owner/s

Please ensure all property owners sign the owners consent.

Is the owners a company/strata company? *

YesNo

Property Address/Subject Land

Property address: *

Property Postcode: *

DP No:

Lot No:

Vol/Folio No:

Strata Plan No:

Heritage Listing

Note: You can use Council's Public Mapping System to find the heritage listing information here.

Is the property a heritage item? *

YesNo

Is the property located within a heritage conservation area? *

YesNo

Description of proposed works

Describe in detail exactly what is to be done, including specific information and materials, eg colour, material and profile of replacement roofing, verandah posts to match existing, bricks to match existing etc.

Applications with insufficient information will be refused. A detailed description of the proposed works MUST be provided.

Item Description *

×

Standard Requirements

A 'yes' response is required to all the standard requirements below in order for an exemption application to be endorsed.

Will all work, including demolition, construction and the delivery of materials, be carried out between the hours of 7.00am and 5.00pm Monday to Saturday? *

YesNo

Will the work meet the relevant deemed-to-satisfy provisions of the Building Code of Australia, or in the case of an existing building, not cause the building to contravene the Building Code of Australia? *

YesNo

If the work is to an existing building, it will not cause the building to contravene the Building Code of Australia *

YesNo

Removal or pruning of a tree or other vegetation for which a permit or development consent is required will not be undertaken? *

YesNo

Will the work be undertaken in accordance with all relevant Australian Standards? *

YesNo

Will the work be undertaken in accordance with any relevant SafeWork NSW guidelines and Codes of Practice? *

YesNo

Will all materials and equipment be stored wholly within the work site? *

YesNo

Will all waste materials be managed on the site and then disposed of at an appropriate waste management facility? *

YesNo

Will the work be structurally adequate? *

YesNo

Will the work be located wholly within the property boundaries? *

YesNo

If the building is not a free-standing or semi-detached house - has a current fire safety certificate/s been attached? *

YesNo

Supporting documentation

In order for an application to be accepted, all documents must be added via the application form.

Photographs of the specific area of the proposed work as well as of the building generally *

Browse

Photographs of the context *

Browse

eg existing house and garden.

Drawings showing the specific location of the proposed work in relation to the existing house and site. *

Browse

Drawings describing the work

Browse

Drawings must be included for new construction work.

Trade Catalogue

Browse

If relevant

Proposed colours

Browse

If relevant. Actual colour, not printed from a website.

Applicant Signature:

Applicant Signature *

Draw signature|Type signatureClear

Date signed *

Rams

(For Internal Use Only)