Application for Construction-related Temporary Structures Instructions

Provide details of the affected properties or area, feedback received during consultation, and explain how the design has addressed any concerns raised. Fill only if 'Yes' is 'Yes'.

Check this box if the temporary structure will NOT extend in front of properties adjoining the worksite and will NOT be installed in a laneway.

Check this box if the temporary structure WILL extend in front of properties adjoining the worksite or WILL be installed in a laneway.

Please provide the signature of the applicant.

Please provide the date of the declaration.

Please provide the full name of the applicant.

Please provide the signature of the applicant.

Please provide the date of the declaration.

Please provide the full printed name of the applicant.

Please provide the family name of the applicant.

Please provide the given name(s) of the applicant.

Check this box if the applicant's signature has been included/attached.

Check this box if the location plan has been included/attached.

Check this box if the site plan has been included/attached.

Check this box if elevations and sections have been included/attached.

Check this box if structural drawings have been included/attached. Fill only if 'Are you seeking any variations to the provisions of the City's Code of Practice?' is 'Yes'.

Check this box if artwork/historic images details have been included/attached. Fill only if 'Hoarding and scaffolding graphics' is 'Historic Images'.

Check this box if public liability insurance documentation has been included/attached.

Check this box if structural certification has been included/attached. Fill only if 'Are you seeking any variations to the provisions of the City's Code of Practice?' is 'Yes'.

Check this box if the design checklist/certification has been included/attached. Fill only if 'Are you seeking any variations to the provisions of the City's Code of Practice?' is 'Yes'.

Check this box if the schedule of documents accompanying the application has been completed and included/attached.

Please provide your role or capacity within the company if you are signing on its behalf.

Please provide a list of certified drawings and details, including any revisions if applicable.

Please enter the National Engineer Register (NER) number of the certifier.

Please enter the professional qualifications of the certifier.

Please enter the mobile phone number for the certifier.

Please enter the business contact phone number for the certifier.

Please enter the full residential or business address of the certifier.

Please enter the name of the certifier's employer, or state 'self' if self-employed.

Please enter the family name of the certifier.

Please enter the given name of the certifier.

Please enter the email address for the certifier.

Please provide the date the declaration is made.

Please provide the certifier's signature.

Please provide the full name of the certifier, printed clearly.

Check this box if you are not seeking any variations to the provisions of the City's Code of Practice.

Check this box if you are seeking variations to the provisions of the City's Code of Practice.

Please enter any additional comments or notes relevant to the form.

Check this box if you are NOT an employee, Councillor, or relative of an employee/Councillor of City of Sydney Council.

Check this box if you ARE an employee, Councillor, or relative of an employee/Councillor of City of Sydney Council.

Please state the nature of your relationship if you are an employee/Councillor or a relative of an employee/Councillor of City of Sydney Council. Fill only if 'Yes' is 'Yes'.

Please enter the mobile contact number.

Please enter the primary business contact number.

Please enter the full name of the individual making this declaration.

Please enter the business name of the hoarding designer, supplier, or contractor.

Provide a detailed description of the work to be carried out on the building or site adjoining the road.

Please provide a detailed description of all proposed temporary structures, including any site-specific conditions or constraints you wish to highlight.

Check this box if the application is associated with building work under a Development Approval and you will provide the Consent number.

Check this box if the application is not associated with building work under a Development Approval and you should proceed to the next question relating to 'minor works'.

Please provide the unique identification number for the Development Consent associated with this application. Fill only if 'Yes, provide Consent number' is 'Yes'.

Please provide the email address for correspondence.

Check this box if the work cannot be carried out as exempt development, meaning a Development Application or Heritage Works application will need to be lodged.

Check this box if the work can be carried out as exempt development, and you will specify the SEPP Code.

Provide the specific State Environmental Planning Policy (SEPP) Code under which the work can be carried out as exempt development. Fill only if 'Yes' is 'Yes'.

Check this box if you intend to use bespoke, site-specific commissioned artwork for your hoarding graphics. Fill only if 'Type of Temporary Structure/s on, above or beneath a public road' is selected as 'Type-A hoarding', 'Type-B hoarding' or 'Scaffolding'

Provide details of the consultation and outcomes regarding the bespoke artwork. Fill only if 'Bespoke artwork' is checked.

Check this box if you intend to use City licensed artwork for your hoarding graphics and will select three preferred artworks from the collection. Fill only if 'Type of Temporary Structure/s on, above or beneath a public road' is selected as 'Type-A hoarding', 'Type-B hoarding' or 'Scaffolding'

Check this box if you intend to use historic images for your hoarding graphics, especially for heritage-listed buildings or significant heritage conservation areas. Fill only if 'Type of Temporary Structure/s on, above or beneath a public road' is selected as 'Type-A hoarding', 'Type-B hoarding' or 'Scaffolding'

Check this box if site sheds are planned to be placed on the hoarding deck when a Type-B hoarding is proposed. Fill only if 'Type-B hoarding' is 'Yes'

Check this box if site sheds are not planned to be placed on the hoarding deck when a Type-B hoarding is proposed. Fill only if 'Type-B hoarding' is 'Yes'

Provide comprehensive details regarding the plan to place site sheds on the Type-B hoarding deck, including how the proposal addresses the matters outlined in the accompanying note. Fill only if 'Yes' is 'Yes'.

Provide the total number of weeks the temporary structure(s) will remain in place.

Provide the date on which the installation of the temporary structure(s) is planned to commence.

Check this box if the temporary structure/s will not be installed in a laneway.

Check this box if the temporary structure/s will be installed in a laneway.

Describe any potential obstructions or impacts and detail how compliance with the Code of Practice will be achieved, including any required vehicle swept-path diagrams.

Enter the full legal name of the organisation.

Please enter the end date of the public liability insurance coverage.

Please enter the start date of the public liability insurance coverage.

Please provide the name of the public liability insurance provider.

Please provide the full address of the property related to this permit.

Please enter the approval or permit number for amended applications. Fill only if 'Amendment to an existing approval' is 'Yes'.

Please provide the complete postal address for correspondence.

Check this box if '16 Ways to fold a dumpling' is one of your preferred artworks. Fill only if 'City licensed artwork' is checked.

Check this box if 'Country: water and sandstone' is one of your preferred artworks. Fill only if 'City licensed artwork' is checked.

Check this box if 'mermaids' is one of your preferred artworks. Fill only if 'City licensed artwork' is checked.

Check this box if 'Garrigarrang Nura (Sea Country)' is one of your preferred artworks. Fill only if 'City licensed artwork' is checked.

Check this box if 'The gardens we plant' is one of your preferred artworks. Fill only if 'City licensed artwork' is checked.

Check this box if 'Fan of Feeling Portriffs' is one of your preferred artworks. Fill only if 'City licensed artwork' is checked.

Check this box if 'Through their eyes' is one of your preferred artworks. Fill only if 'City licensed artwork' is checked.

Check this box if 'Unlauded Legends' is one of your preferred artworks. Fill only if 'City licensed artwork' is checked.

Provide the full street address of the property where the project is located.

Enter the permit number for amended applications only. Fill only if 'TYPE OF APPLICATION' is 'Amendment to an existing approval'.

Enter the total number of sheds proposed. Fill only if 'Yes' is 'Yes'.

Enter the total length of the hoarding in linear metres that will be occupied by sheds. Fill only if 'Yes' is 'Yes'.

Check this box if the proposed sheds are double stacked. Fill only if 'Yes' is 'Yes'.

Check this box if the proposed sheds are single stacked. Fill only if 'Yes' is 'Yes'.

Check this box if the proposed sheds are arranged in double rows. Fill only if 'Yes' is 'Yes'.

Provide details of the consultation undertaken, including the names and contact information of TfNSW personnel, and the feedback or outcomes reached regarding potential roadway impacts. Fill only if 'Yes' is 'Yes'.

Check this box if the proposed temporary structure will NOT adjoin or be located above a roadway in a way that could affect the operation of any traffic lane or bus-related area.

Check this box if the proposed temporary structure WILL adjoin or be located above a roadway in a way that could affect the operation of any traffic lane or bus-related area.

Provide the name or description of the first accompanying document.

Provide the name or description of the second accompanying document.

Provide the name or description of the third accompanying document.

Provide the name or description of the fourth accompanying document.

Provide the name or description of the fifth accompanying document.

Provide the name or description of the sixth accompanying document.

Provide the name or description of the seventh accompanying document.

Provide the name or description of the eighth accompanying document.

Provide the name or description of the ninth accompanying document.

Provide the name or description of the tenth accompanying document.

Provide the name or description of the eleventh accompanying document.

Provide the name or description of the twelfth accompanying document.

Explain how the temporary structure will obscure public viewing of existing business identification signage and include the number of signs that will be impacted. Fill only if 'Yes' is 'Yes'.

Check this box if the proposed temporary structure will NOT obscure public viewing of any existing business identification signage installed on buildings.

Check this box if the proposed temporary structure WILL obscure public viewing of any existing business identification signage installed on buildings.

Enter the name of the individual signing this document.

Enter the date this document was signed.

Please enter the property number.

Please enter the street name.

Please enter the suburb name.

Please enter the lot number, if known.

Please enter the Deposited Plan (DP) or Strata Plan (SP) number, if known.

Provide specific details regarding any street infrastructure that will be impacted, modified, or temporarily removed to accommodate the temporary structure. Fill only if 'Yes' is 'Yes'.

Check this box if no street infrastructure (such as signage stems, parking control signage, street furniture, bollards, bus shelters, bicycle racks, parking ticket machines, or smart poles) will be impacted, modified, or temporarily removed to accommodate the temporary structure.

Check this box if any street infrastructure (such as signage stems, parking control signage, street furniture, bollards, bus shelters, bicycle racks, parking ticket machines, or smart poles) may be impacted, modified, or temporarily removed to accommodate the temporary structure.

Provide a brief description of the temporary structure being certified.

Check this box if you are submitting a new application for approval.

Check this box if you are submitting an amendment to an already existing approval.

Please provide the unique approval or permit number associated with this application. Fill only if 'Amendment to an existing approval' is 'Yes'.

Please specify the type of other temporary structure. Fill only if 'Other form of temporary structure' is 'Yes'.

Check this box if the temporary structure is a Type-A hoarding.

Check this box if the temporary structure is a Type-B hoarding.

Check this box if the temporary structure consists of site sheds.

Check this box if the temporary structure is scaffolding, including supported from ground level, hoarding deck, or a cantilevered platform.

Check this box if the temporary structure is a cantilevered work platform, such as one with needle beams or a deck.

Check this box if the temporary structure is a work compound.

Check this box if the temporary structure is an 'Other' type not explicitly listed, and specify its nature in the adjacent text field.

Check this box if the temporary structure is a cantilevered facade-mounted materials land platform.

Check this box if the temporary structure is a cantilevered overhead protective platform.

Check this box if the temporary structure includes facade-fixed screens, shutters, slip-forms, or similar structures.

Check this box if the temporary structure is a facade retention structure.

Check this box if the temporary structure is a cantilevered catch-scaffold or a netting capture system.

Check this box if the temporary structure is a tower crane, especially if supported from a road or cantilevered above.

Provide detailed information regarding the proposed use of the Type-B hoarding deck for material/personnel hoists, plant, or equipment. Fill only if 'Yes' is 'Yes'.

Check this box if you are not proposing to use the deck of a Type-B hoarding for material/personnel hoists, plant, or equipment.

Check this box if you are proposing to use the deck of a Type-B hoarding for material/personnel hoists, plant, or equipment.

Check this box if there are no vehicle access openings or driveways of the subject building and/or neighbouring properties that could be impacted by the temporary structure/s.

Check this box if there are vehicle access openings or driveways of the subject building and/or neighbouring properties that could be impacted by the temporary structure/s.