Office Use Only

PRIVACY NOTE: The information collected on this form will be used and disclosed by our
staff and contractors, for the purpose of exercising Council's functions under the Application No . ..........................................
Environmental Planning & Assessment Act 1979, we may not be able to process your
application without it. The information in this form will be published on Council's website and Receipt No . ...............................................
may be available for public access or disclosure under the Government Information (Public Date ..........................................................
GROWTH WITH PRIDE
Access) Act 2009. Our Privacy Management Plan sets out how you can access or correct
your personal information. Please visit www.blacktown.nsw.gov.au for a copy of the plan. Property No . ..............................................

Civic Centre DX 8117 Blacktown

All communications to be addressed to: 62 Flushcombe Road Telephone: (02) 9839 6000
The General Manager, Blacktown City Council, PO Box 63, Blacktown NSW 2148 Blacktown NSW 2148 Facsimile: (02) 9831 1961

Complying Development Certificate Application

(Section 85A of the Environmental Planning and Assessment Act 1979)

Details must be printed in ink. Tick  as applicable.

The State Environmental Planning Policy (Exempt and Complying Development) 2008 (Codes SEPP), State Environmental Planning
Policy (Affordable Rental Housing) 2009 (ARH SEPP) and various other State Environmental Planning Policies (SEPPs) are
comprehensive planning documents that provide for the comparatively fast approval of routine development in various land zones.
An applicant must select whether the application is to be assessed under the Codes SEPP, ARH SEPP OR another specified SEPP
(refer Note 2.1 of this form).
1.1 Applicant's selection
I request that this application be assessed under the provisions of:
Codes SEPP ARH SEPP Other SEPP (Please specify ………………………………………………………)
I wish to appoint Council as the Principal Certifying Authority for this Complying Development project
(refer Note 4.3 of this form)
I wish to apply for an Occupation Certificate on Subdivision Certificate, as applicable, upon completion of the project
(refer Note 4.1 or 4.2 of this form)
1.2 Description of property
Address Street No. Street Suburb

Lot or Portion, Section

and Deposited/Strata
Plan Number Lot/Portion Section DP/SP

1.3 Description of proposed development

(refer to the Codes SEPP or ARH SEPP provisions at Note 2.1 of this form)

1.4 Cost of development - contract price or estimated cost (including GST) of proposed $
development (including labour and materials)
1.5 Building construction details
External Walls Roof Floor Floor Area sq.m

1.6 Applicant (If owner, consent and authorisation

is given as per Note 1.7 of this form) Builder (If known)
Surname Given names Surname Given names

Postal address Postal address

Daytime phone and fax Daytime phone and fax

Signature Date Builder licence/owner or builder/permit No.

1.7 Consent of owner – if applicant is not the owner (all owners must sign)
If insufficient space, attach a separate consent
I/We own the subject land and consent to: [1] this application, and [2] Council’s officers entering the premises during
normal office hours for the purpose of conducting inspections relative to this application. Note: If the owner is a Company or
Owner’s Corporation, its Common Seal must be stamped over the signature/s, otherwise the Managing Director must sign and clearly
indicate the ACN.

Name Surname Given names

Street number Street Suburb Post code

Postal Address

Phone & Fax (during

office hours) Work Home Fax

Signature of owner/s

1.8 Please indicate whether you wish the Certificate and any approved document/s to be: Posted  or Collected 

\\bccfiler\users\krivom\Documents\CDC Application Form Sep 15.docx

 Application submission requirements/checklist

Applicant's checklist
for building work:
No. of documents required
2.1 Complying Development standards
Complying Development may include a new residential, commercial or industrial building and addition/alteration
thereto, land use and change of land use, strata subdivision, building demolition and fire safety installations.
The Codes SEPP development standards are indicated at www.planning.nsw.gov.au/housingcode.asp - Phone
1300 305 695 for more information.
The ARH SEPP development standards are indicated at www.planning.nsw.gov.au/affordablerentalhousing.asp - - ❏
Phone 1300 305 695 for more information.
Other SEPP development standards are indicated in the specific SEPP, which are listed at
www.planning.nsw.gov.au/Exempt and Complying Development/State Environmental Planning Policies
The applicant should be satisfied that the documentation (including plans and specifications) lodged with the
application comply with each of the relevant development standards. The documentation is prescribed at Schedule 1
of the Environmental Planning and Assessment Regulation 2000.
2.2 "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 recycled water, roofwater tanks, AAA rated shower heads and taps, native landscaping, heat
pump or solar water heaters, gas space heaters, roof eaves/awnings, wall/ceiling insulation and the like.
1 ❏
The applicant is required to submit a current (< 3 months old) BASIX Certificate with the application for all new
residential buildings and residential, building additions, where the estimated cost of the work exceeds $50,000.
The plans and specifications must also identify the BASIX commitments.
Applicants can only generate the BASIX Certificate on the NSW Department of Planning and Environment
interactive website: www.basix.nsw.gov.au. Additional information can be obtained from the Department on Phone:
1300 305 695.
2.3 "Building plan" - means a plan* drawn to a suitable scale and indicating/consisting of:
(a) Site plan (showing the position of the proposed building in relation to site boundaries and any other
building erected on the site with the North point indicated and any easement over the land)
(b) A plan of each floor section
(c) A plan of each building elevation
(d) The level of the lowest floor in relation to adjacent ground level
2 ❏
(e) The height, design, construction (i.e, sectional elevation)
(f) Provision for fire safety and fire resistance (if any)
(g) Details of soil erosion control methods, where necessary, in accordance with Council’s Soil Erosion and
Sediment Control Policy
(h) Except for Class 1a and Class 10 buildings, assessment of the need to restrict public access to the
building site (e.g. security fencing).
2.4 "Building specifications" - means a document describing in detail the construction methods and materials
for the proposed building or alteration, the method of drainage, sewerage and water supply and shall state 2 ❏
whether the proposed materials are new or second hand.

2.5 Roads Act 1993 application - Council consent must be obtained where the proposed work will require the
opening of a public road, including the footway, for any purpose (e.g. construct a driveway, road kerb layback
or stormwater/roofwater drainage line to the road kerb). Where any work is proposed to be undertaken within 1 ❏
the road reserve, the applicant must lodge the attached Roads Act 1993 application form and plan indicating
those matters described on the form.
2.6 Sydney Water or agent (eg: Quick Check) – building plan approval for new building work. This will
1 ❏
incorporate an approval document and endorsed/stamped site plan
2.7 List of fire safety measures provided in relation to the land or any existing building on the land.
1 ❏
(NOTE: This does not apply to a dwelling-house or a building or structure that is ancillary to a dwelling-house.)
* "Plan" - means a drawing or pictorial representation of the proposal drawn to a suitable scale, dimensioned, and to
a satisfactory drafting standard in printed or in electronic format. The plan should include a title block indicating the
name of the owner, the property description and the peculiar identification of the plan.

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 General information

3.1 Home Building Act 1989

If a licensed builder is not engaged and the value of any residential work exceeds $10,000, an Owner-Builder Permit must
be obtained for the project.
Where a licensed builder is engaged and the value of residential work exceeds $20,000 a home owner’s warranty insurance
policy must be obtained for the project.
A copy of these documents must be lodged with Council one week before work is commenced.
3.2 Long Service Payment Corporation
The Environmental Planning and Assessment Act 1979 requires that a Complying Development Certificate enabling the
erection of a building or other construction exceeding a threshold value (currently $25,000) not be issued until the
appropriate levy or levy instalment has been paid to the Corporation.
Council is presently an agent for the Corporation for the collection of the full levy.

Office use only

Complying development

Building ................................................................................................................................................. (82) ...........................

Inspection package .............................................................................................................................. (72) ...........................

General fees

Road damage bond ................................................................................................................................ (7) ...........................

Special inspection
(Roads Act 1993 application) ........................................................................................................... (27/37)

Road damage inspection fee .................................................................................................................. (2) ...........................

Road damage administration fee........................................................................................................... (11) ...........................

LSPC levy ............................................................................................................................................ (58) ...........................

Sundry overpayment. .............................................................................................................................. (6) ...........................

Other fees

................................................................................................................................................................ ( ) ...........................

................................................................................................................................................................ ( ) ...........................

Outstanding matters

........................................................................................................................................................................................ ………………..
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 PCA information

4.1 Occupation Certificate

An Occupation Certificate (OC) authorises the occupation and use of a new building under the Environmental Planning and
Assessment Act 1979.
4.2 Subdivision Certificate
A Subdivision Certificate authorises the registration of a plan of subdivision under the Conveyancing Act 1919.
4.3 Principal Certifying Authority
The important role of a principal certifying authority (PCA) is to issue an OC for new building work.
The PCA is appointed under Section 109E of the Environmental Planning and Assessment Act 1979. The Act requires that a
person who proposes to carry out development (the applicant) involving building work must appoint a PCA prior to
commencement of that work. The applicant may appoint Council or a private accredited certifier as the PCA. The role of the
PCA and the conditions/terms that would apply if Council is appointed as the PCA are explained below. The applicant is
required to appoint a PCA and, where the PCA is not Council, notify Council of that appointment at least 2 days before work
commences.
Should the applicant wish to appoint Council as the PCA at the time of the initial application, please tick the appropriate box
at Section 1.1 of this form (the appointment only becomes effective upon the Complying Development Certificate being
issued). Otherwise, Council may be appointed by separate application at least 2 days before work is scheduled to
commence.
General
The appointment of Council as the PCA imposes various obligations upon both the applicant and Council. These are
outlined below and form part of any agreement between the applicant and Council. Council does not charge a fee for this
appointment however, the fee charged for an OC will vary depending on whether Council has, as the PCA, progressively
inspected construction work and issued all or the majority of the relevant Compliance Certificates or inspection reports.
Payment of the OC fee is not required until the lodgement of the relevant application.
A PCA must not be replaced by another accredited certifier without approval.
Council offers a variety of inspection packages which provide for the issue of inspection reports for the required construction
inspections.
Council’s role and obligation as the PCA will be to:
(a) Conduct a proper inspection of each critical stage during the construction and issue a Compliance Certificate or
inspection report to the applicant when such construction complies with the Complying Development Certificate (CDC).
(b) Promptly advise the applicant after any relevant inspection of any impediment to the issue of a satisfactory inspection
report.
(c) Issue an OC to the applicant when the relevant application has been lodged with Council and when all the required
works have been completed or satisfied, in accordance with the CDC-approved documents.
The applicant’s obligation is to:
(a) Ensure the relevant work at each critical stage of construction required to be inspected is completed in accordance with
the plans, specifications or other approved details attached to the CDC.
(b) Ensure that Council is given advice and sufficient notice to enable a proper inspection of the construction works,
including (but not limited to) the following applicable critical stages of construction relating to building development:
(i) soil erosion and sedimentation controls, site works and site set out - before development works start
(ii) excavation of piers or foundation material - before placing concrete
(iii) pool excavation - before the installation of a prefabricated pool
(iv) steel reinforcement of any structural concrete - before placing concrete
(v) framework of structure - before lining, cladding or covering is fixed
(vi) stormwater drainage - before covering or backfilling
(vii) wet area flashing - before affixing wall or floor tiles
(viii) pool fencing - before the pool is filled with water
(ix) completion - before occupation or use.
(c) Where Council has been engaged to inspect the critical stages of construction, lodge payment for the relevant
inspection package, individual inspection, reinspection or other fee prior to the issue of any inspection report.
(d) When the CDC relates to residential building work subject to the Home Building Act 1989, submit evidence to Council
that the required insurance has been effected or owner - builder permit obtained, prior to commencement of any
construction work.
(e) Ensure that the development is not occupied or otherwise used until such time as Council is satisfied that the
development has been completed in accordance with the CDC and has issued an OC.

CDC App Sep’15

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 Roads Act 1993

Application for Consent to Open a Public Road

I hereby make an application under the provisions of Section 15 and Section 138 of the Roads Act
1993 to open public road, as indicated below.

I attach a plan of the proposed work (please refer to the general layout requirements indicated below
and the sample plan on the reverse side of this form).

Owner’s Details Applicant’s Details

Name:-....................................................... Name:-........................................................

Address:-...................................................... Address:-.....................................................

..................................................................... ....................................................................

Daytime Phone:-........................................... Daytime Phone:-........................................

..................................................................... ....................................................................

Job Location Details Purpose of Road Opening

Site Contact Name:-......................................
 Vehicular Crossing
Address:-.......................................................  Roofwater connection
......................................................................  Stormwater connection
 Utility connection
Contact No:-..................................................
 Other ..................................

General Layout Requirements

1. Distance from the kerb tangent point to the vehicular crossing to be a minimum of 6 metres.
2. Minimum distance from stormwater inlet pit, tree etc. etc to be a minimum of 1 metre from the
edge of the vehicular crossing.
3. Any above ground utility asset e.g. Telstra box, power pole etc in the footway area to have a
minimum clearance of 1metre from the edge of vehicular crossing.
4. Vehicular crossing (VC) applications near bus shelter, pedestrian refuge, median island,
pedestrian crossing, intersections, roundabouts etc. to be individually assessed.
5. Separate application to be submitted to Council for vehicular crossing construction/ road
opening permit, prior to commencement of these works. The VC shown on the plan must
comply with the VC specifications.
6. All costs associated with the relocation of any of the above assets/structures will be at the
cost of the applicant.

For Office Use Only Assessing Officer:-..............................................

Date Application Lodged:-................................. Date Application Determined:-.............................