Online Permit Application FormBusiness Permit Application Form Step 1 of 156%Business Permit IDApplication Information When you know which permits are required for your business and you have the necessary information ready, submit your application using this form. Note: It is highly recommended that you speak to our Business Engagement Coordinator prior to completing this form to determine if a pre-application meeting is required. Most businesses will require registrations or permits in order to commence trading. You must complete this application form to begin the approval process for your business or community group. At any stage when filling in the form you can use the 'Save and continue later' button at the bottom of each page to save your application and return to it later. You will be sent an email with a link to return to the form when you are ready to continue filling it in. If you require any assistance completing the form please contact the Business Engagement Coordinator on 03 5321 6122 or business@hepburn.vic.gov.au After you submit your application:You will receive an automatic email response confirming that your application has been received by council.Please note that your application will not be processed until payment has been made. The fee will be calculated and you will be contacted by a Customer Service Officer for payment or alternatively we can provide an invoice. (Please note your application will not be processed until the payment has been made.)Your application form will be forwarded to the relevant council departments for assessment and you may be contacted by them for more information. You will receive any request for further information by your email or phone provided on the application form.Pre-application meeting*Have you attended a pre-application meeting with council officers? Yes NoA pre-application meeting is strongly recommended in the following situations:more than one permit is requiredit is the first time you have had to submit a permit applicationthe application is for a new businessyou have had a bad permit application experience previously If none of the above apply to you, and you are sure of the permits and/or registrations that you require, please continue. If you are unsure of exactly what you need to do, you can take a business permit self assessment or check out Council's website for more information by clicking here, or contact council's Business Engagement Coordinator on 03 5321 6122 or business@hepburn.vic.gov.auContinue*Would you like to continue with this application form? Yes NoPermit and registration requirements*Please check the permit(s) and/or registration(s) that you are applying for. Select All Planning permit Building permit Food registration Accommodation registration Health premises registration Domestic animal business registration Waste water permit Footpath trading permitPlease contact our Business Engagement Coordinator on 5321 6105, or email business@hepburn.vic.gov.au if you need any further information regarding permits that may be required to get your business operating. NO FURTHER ACTION IS REQUIRED. JUST CLOSE YOUR BROWSER TO EXIT.Private building surveyorAre you going to use a private building surveyor to issue the building permit? Yes NoPlease note that as per the Building ACT 1993 - Section 80, within 7 days of their appointment, your private building surveyor (PBS) is required to notify council in writing that they have been engaged. Please remember that all queries regarding your building permit should be directed to your PBS rather than council.Private building surveyor detailsPrivate building surveyor engaged*Have you already engaged your private building surveyor? Yes NoPBS name* Given Name(s) Surname PBS trading name*PBS email PBS contact number*Property detailsCertificate of title and title planPlease attach a full current copy of the Certificate of Title and title plan (the diagram showing the dimensions of the land). Please ensure that these documents are no more than 3 months old. These can be obtained from https://www.landata.vic.gov.au/ under the Title & Property Information page.Max. file size: 20 MB.Restriction on titleAre there any restrictions on the title, for example, building envelopes, covenants or section 173 agreements? This information can be found on the front page of the title document under the heading 'ENCUMBRANCES, CAVEATS AND NOTICES' Yes NoCopy of restriction on title*Please upload a full copy of the restriction on the titleMax. file size: 256 MB.Works within easement*Will the building works be constructed over or within an easement? Yes No UnsureLegal description of the land parcelPlease provide the legal description for the particular parcel of land for which the application is made. A land parcel may be described either by Lot number, lodged plan type and lodgement plan number or Crown allotment number, section number and a parish or township name. This information can be found on the Certificate of Title under the heading LAND DESCRIPTION.Legal description type*Please select the applicable legal description of the particular parcel for which the application is made: Lot number and lodgement plan number Crown allotment number, section number and parish or township nameLot number*Lodged plan type* Lot Plan - LP Plan of Consolidation - CP Plan of Consolidation - PC Plan of Subdivision - PS Title Plan - TP Lodgment plan number*Crown allotment number*Section numberParish or township name*Applicant detailsApplicant Name* Given name(s) Surname This will be used for all correspondence during the submission stage of this application.Applicant phone*Applicant email*This will be used for all correspondence during the submission stage of this application. Applicant residential address* Street Address Locality State Postcode Postal address*Is there a different postal address? Yes NoApplicant postal address* Postal Address Locality State Postcode Primary language used?Primary contact*Is there an alternative primary contact for communication during the processing of this application? Yes NoPrimary contact name* Given name(s) Surname Primary contact email*Is there an alternative primary contact for communication during the processing of this application? Primary contact phone number*Primary contact role*Please provide details of the role of the primary contact that is detailed above.Property owner* Yes NoBusiness owner*Are you the business owner? Yes NoAgent details*What role are you filling in completing this form on behalf of either the property or business owner?Business detailsPlease provide all the relevant details about the business that this application refers to.Business trading nameIf you have not yet registered your business and trading name, you can submit this information to the Council at a later time.Australian Business Number (ABN)Home-based business*Is the business a home-based business? Yes NoBusiness trading address* Street Address City State Post Code Business operation*Is the business to be operated by an individual, partnership or company? Individual Partnership CompanyPartnership name*Company name*Australian Company Number (ACN)*Business status* New ExistingNumber of full time staff*Number of part time staff*Planning permitFor what use, development or other matter do you require a permit?* Change or extension of use Alterations to a building structure or dwelling Extension to an existing dwelling or structure associated with a dwelling Extension to existing building or structure (other than dwelling) Other buildings and works Demolition Waiving of parking requirement OtherPlease specify other use and development requiring a permit*Estimated cost of development*You may be required to verify this estimate. Insert ‘0’ if no development is proposed.Existing Conditions* Food and drink premises Industry and warehouse Office Place of assembly (Church, Event Centre, Nightclub, etc) Residential / Accommodation Retail Premises Mixed Use Vacant Other land useEncumbrances on title*Encumbrances listed on the title of the land could be listed as a Covenant or a Section 173 Agreement. A covenant or agreement may place additional restrictions on what can or can not be done on the land. Yes (If ‘yes’ contact Council for advice on how to proceed) No Not applicable (no such encumbrance applies)Documentation supporting your planning applicationMinimum documentation requirements Professionally drawn plans. These are plans done by an architect or drafts-person, should include accurate dimensions and have the following: Site plan Floor plan Elevations Signage plans (If relevant) Red line plan (if relevant) Drop files here or Select filesMax. file size: 256 MB. Building permitPractitioner/Architect* Given name(s) Surname Practitioner/Architect category and class*Practitioner/Architect category and classPractitioner/Architect registration number*Practitioner/Architect registration numberPractitioner/Architect address* Street Address City State Postcode Practitioner/Architect 2 Add another Practitioner/ArchitectPractitioner/Architect 2* Given name(s) Surname Practitioner/Architect 2 category and class*Practitioner/Architect 2 category and classPractitioner/Architect 2 registration number*Practitioner/Architect 2 registration numberPractitioner/Architect 2 address* Street Address Locality State Postcode Practitioner/Architect 3 Add another Practitioner/ArchitectPractitioner/Architect 3* Given name(s) Surname Practitioner/Architect 3 category and class*Practitioner/Architect 3 category and classPractitioner/Architect 3 registration number*Practitioner/Architect 3 registration numberPractitioner/Architect 2 address* Street Address Locality State Postcode Owner builder*I intend to carry out the work as an owner-builder Yes NoCost of building work*Is there a contract for the building work? Yes NoContract Price*Estimated cost*Please state the estimated cost of the building works (including the cost of labour and materials)Food registrationAll Victorian food businesses that handle, prepare, package, store, serve, supply or convey food must be registered with Hepburn Shire Council or notify under the Food Act.If most of your business sells, produces, transports, stores or prepares Meat, Poultry or Seafood you will need to register with PrimeSafe or for Dairy register with Dairy Food Safety Victoria If you are registering a Temporary or Mobile Food Business (including community groups) you will need to register through the Department of Health's Streatrader If you are purchasing an existing business and would like an Environmental Health Officer to inspect the premises prior to purchase, you may request a Pre-Purchase Inspection and Report. For information on fitting out a new food premises, please refer to the Setting Up a Food Business in the Hepburn Shire guidance document.Food classification*Please select one of the below Food Classifications that relates to your business. If you are unsure which classification applies to your business, we can confirm later. Class 1 - Food being prepared or served exclusively for vulnerable groups. Class 2 - Food premises selling or handling unpackaged high risk food. Class 3 - Food premises selling or handling unpackaged low risk food Class 4 - Food premises selling packaged low risk food or sale of uncut fruit and vegetablesClass 1 premises type* Aged care service Hospital Child care Meals on wheelsClass 2 premises type* Cafés, delis, take-away premises, restaurants Home business preparing cakes containing cream, custard and/or raw eggs Manufacturer Supermarket Sporting club School Canteen OtherClass 3 premises type* Greengrocer that only sells cut fruit, vegetables and/or packaged food Home business preparing low risk baked products Sporting club or Community group Community group – cooked on site and served immediately - non-profit, all food handlers are volunteers OtherClass 4 premises type* Pre-packaged low risk food such as confectionery, crisps, frozen ice cream, bottled drinks. For example, newsagents, pharmacies, video stores and some milk bars The sale to members of the public or the wholesale of whole fruit or vegetables OtherDescription of premises and details of food preparation to take place*Will you operate off site (markets, fetes, stalls, catering)? Please provide detailsFood Safety Records Class 3 premises are required to keep minimum records of the food business activities. The proprietor of the class 3 premises must ensure that the required records are kept at the premises to which they relate. The template is available hereIs tobacco sold?* Yes NoIs tobacco sold from vending machine?* Yes NoHiddenSit in dining avaialable?* Yes NoFood safety program*A Food Safety Program (FSP) is a document in your business, which outlines food safety and hygiene requirements, and documents how food safety will be maintained. A template FSP is available at the PrimeSafe or for Dairy register with Department of Health and Human Services (DHHS) website. All Class 1 businesses must have an independent Food Safety Program. DHHS Class 2 Standard Food Safety Program Template Other DHHS Food Safety Program Non-Standard Food Safety Program (Independent FSP) – Requires annual third party auditFood safety supervisor nameA Food Safety Supervisor (FSS) is a person in your business who is responsible for food safety, hygiene and staff training and must be authorised to supervise other food handling staff. A FSS must hold a certificate of attainment in the relevant food industry. To find out more, see information about Food Safety Supervisors on the DHHS websiteRegistered template number*Food safety inspector nameA Food Safety Supervisor (FSS) is a person in your business who is responsible for food safety, hygiene and staff training and must be authorised to supervise other food handling staff. A FSS must hold a certificate of attainment in the relevant food industry. To find out more, see information about Food Safety Supervisors on the DHHS website http://bit.ly/food-safety-supervisorsFilePlease ensure you upload the following documents to support your application.A layout plan of the premises, including a detailed plan of all food handling and storage areas.Copy of proposed menu / foods being sold / producedCopy of the Food Safety Supervisor’s certificate (Class 1 & 2 Only) Drop files here or Select filesAccepted file types: jpg, gif, png, pdf, doc, docx, Max. file size: 256 MB, Max. files: 5. Accommodation registrationFor businesses operating an accommodation or health business, you will need to complete this section.Registration of your business applies until 31 December each calendar year**If the premises is self contained, i.e. has its own kitchen and bathroom facilities and is only used by the one group per booking, registration is not required.Accommodation Type* Hotel / Motel Rooming House Hostel Student Accommodation Holiday Camp Residential Accommodation Bed and BreakfastMaximum number of guest accommodated*Number of rooms*Food service*Will food be provided at the accommodation? Yes NoYou must have food act registration in order to provide food. If you do not already have food act registration please return to the beginning of this form and select Food registration and complete the relevant section.Health premises registrationIf you are a mobile hairdresser or a mobile beauty therapist, please register your primary place of business. Mobile personal care and body art businesses that conduct skin penetration are not permitted.Health business type* Beauty therapy Hairdressing Piercing / skin penetration Tattooing Colonic irrigation Mobile health premises Please choose the business activity that your business conductsFile UploadA layout plan of the premises, including a detailed plan of all food handling and storage areas. Drop files here or Select filesMax. file size: 256 MB. Domestic animal business registrationUnder current legislation, all domestic animal businesses must be registered with the Hepburn Shire and comply with the appropriate mandatory Code of Practice. Domestic animal businesses include:animal pounds either run by Council or a Council contractorbreeding businesses (cats and/or dogs)training facilities for dogspet shopsanimal (welfare) sheltersdog/cat rearing premises. Responsibilities of a domestic animal business as defined under the Domestic Animals Act 1994 can be found the Department of Agriculture website. All domestic animal businesses must be registered annually with the Hepburn Shire. Hepburn Shire Council require an inspection of the facilities prior to registration each year. Hepburn Shire Council are required to report the number of domestic animal businesses registered with them to DJPR on an annual basis. PLEASE NOTE: A planning permit may be required for some animal businesses. Please contact the Planning DepartmentNumber of animals*Type of animals*Type of establishment* Animal shelter Boarding establishment Training establishment Pet shop Breeding and/or rearing establishment OtherAnimal estabishment*Please specify the nature of your businessWaste water permitType of installation/alteration* New installation Major alteration to existing system (ie. Increasing wastewater field, replacing an existing system) Minor alterations to existing septic system (ie. Connecting new internal plumbing fixtures)Plumber First name(s) Surname Plumber address Street Address Locality State Post Code PIC license numberPlumber phone numberPlumber email Proposed System*Please specify the type of system to be installed/altered Traditional septic tank Package treatment plant Septic tank and sand filter system Absorption/transpiration trenches Sub-surface irrigation OtherSeptic tank capacity in litres*EPA approval number*Make and model*Sand filter size in m2*Total length of trench in m2*Width of each trench in mm*Total area of sub-surface irrigation in m2*Other details*Please enter further details of the septic system, this may include capacity, total area, EPA approval numberSeptic system attachmentsAs a minimum please attach the following documentation. A house floor plan. A site plan showing contours, the relative position of the septic tank and all existing and proposed buildings, driveways, easements, streams and underground water tanks and wells. Details including a plan of the proposed septic tank system to be used, showing distances from boundaries, buildings, driveways, dams and water courses. Drop files here or Select filesMax. file size: 256 MB. Footpath trading permitApplicants can commence trading on the footpath once they have complied with the Conditions of Use and:Submitted this form,Paid in full for the permitAttached public liability insurance certificate. Hepburn Shire Council will conduct onsite checks to ensure compliance.Type of Application Alfresco dining application A frame application Display goods for salePlease enter the number of..TablesUmbrellasPlantersbox gas heaters (AGA)ChairsWind barrier screensOther (Please specify)Footpath trading required document*Copy of public liability insurance indemnifying the Hepburn Shire Council.Max. file size: 256 MB.Public liability document disclaimer I am unable to provide a copy at this stage but understand that I will not receive a footpath trading permit and be able to undertake the activity on Council land outside my business unless a permit has been issuedPlease review your information. You can go back to amend any errors or submit if the form is complete.{all_fields}
