Minor works and maintenance request form

Note: If you are not the property owner you will have to attach the signed owner's consent form to this application. You can find the form here.

Minor works and maintenance request form

Clause 5.10(3) of the Canterbury-Bankstown Local Environmental Plan 2023 allows applicants to undertake minor works or the maintenance of heritage items and places within heritage conservation areas, without obtaining development consent. This may only occur if the development does not adversely impact the site’s heritage significance.

This form allows applicants to make a request to undertake such works. No fees are required for this application.

Prior to submission please read the Heritage Minor Works and Maintenance Requests Information Sheet and contact Council’s Heritage Advisor to understand if your proposed works are eligible. Council’s Heritage Advisor is usually available on Thursdays and can be contacted on 9707 9000.

An application cannot be made for works that have already been undertaken.

Section A: contact details

Address *

Lot: *

Section: *

Deposited Plan or Strata Plan:

Is the property a local heritage item? *

YesNo

Is the property a state heritage item? *

YesNo

Is the property located within a Heritage Conservation Area? *

YesNo

Note: You can use Council’s Planning Maps to find out which apply to your property if are you unsure.

Organisation name:

Applicant's first name: *

Applicant's last name: *

Applicant’s mailing address:

Email address *

Phone number *

Section B: standard requirements

A ‘Yes’ response is required to all the standard requirements below for the request to be endorsed. *

Yes

Have you read the Heritage Minor Works and Maintenance Requests Information Sheet?
Will all works be carried out between the hours of 7am-5pm, Monday to Saturday?
Will these works be in line with the National Construction Code of Australia and Building Code of Australia?
Will all material and equipment be stored within the property boundaries?
Will these works be undertaken in accordance with any relevant SafeWork NSW guidelines and Codes of Practice?
Will all waste material be managed on site and disposed of at an appropriate waste management facility?
Will the works wholly be located within the property boundaries?
If the property is of State Significance, has Heritage NSW’s Standard Exemption Record Keeping Form has been filled out?

Section C: description of works

What type of works are you planning to do? More than one type can be selected.

Please specify type of external work (if other selected) *

Internal works: *

Minor internal alterations, or refurbishment.Replace, remove, or install air conditioning.No internal work. Other (please specify)

Please specify type of internal work (if other selected) *

Please provide the following as attachment(s) where applicable:

A brief description of the proposed works.
Photographs of the site and location of proposed works.
Drawings indicating the proposed works, including plans, elevations and sections.
Schedule of colours (including colour swatches), materials and finishes.
Any other materials or information to assist with the request.

Please attach PDF or JPEG files. Please note there is 30mb limit. *

Browse

Section D: applicant’s signature

Applicant's signature *

Draw signature|Type signatureClear

Date signed. *

I agree that all information that I have supplied is true and accurate to the best of my knowledge. *

In submitting this form, you consent to Council:

1. collecting your personal information as contained in the form; and

2. using the information for the purposes outlined in the formand for any other Council function.

Providing your information is voluntary. Should you choose not to provide the information, Council is unable to process your application/request. You may access any of your personal information that Council holds upon request.

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