DA/CC/CDC Site Assessment

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

APPLICATION & PROPERTY LOCATION DETAILS

• DA/CC/CDC Application No.

• Proposal Description:

• Building Classification

• Assessment Officer

  Select Grant Meredith Cathy Bern Greg Porter Jera Kubitzky Kevin Shepstone Jacob Helson Nick Cavallo Jasmina Micevski Graham Mitchell Victoria Nicholson Sharyn Grant

  • Grant Meredith
  • Cathy Bern
  • Greg Porter
  • Jera Kubitzky
  • Kevin Shepstone
  • Jacob Helson
  • Nick Cavallo
  • Jasmina Micevski
  • Graham Mitchell
  • Victoria Nicholson
  • Sharyn Grant

• Assessment Date

  Date

• Signing Officer

  Select Grant Meredith Cathy Bern Greg Porter Jera Kubitzky Kevin Shepstone Jacob Helson Nick Cavallo Jasmina Micevski Graham Mitchell Victoria Nicholson Sharyn Grant

  • Grant Meredith
  • Cathy Bern
  • Greg Porter
  • Jera Kubitzky
  • Kevin Shepstone
  • Jacob Helson
  • Nick Cavallo
  • Jasmina Micevski
  • Graham Mitchell
  • Victoria Nicholson
  • Sharyn Grant

SITE INSPECTION DETAILS

• Select date

  Date

• Fill?

  Yes

  No

  N/A

• Easements?

  Yes

  No

  N/A

• Trees on site for removal?

  Yes

  No

  N/A

• Street Trees that require protection

  Yes

  No

  N/A

• No. Of street trees

  Select 1 2 3 4 5 6 N/A

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • N/A

• Street lights/Other Services

  Yes

  No

  N/A

• Topography of site?

  Flat Site

  Gradual fall to rear

  gradual fall to street

  Significant fall to rear

  Significant fall to street

• Desirable Orientation?

  Yes

  No

  N/A

• Roof Drainage

  Street

  Easement

  Pit

• Existing Absorption Pit (roof water)

  Yes

  No

  N/A

• Kerb Type

• Culverts?

  Yes

  No

  N/A

• Driveway location

• Other Site Comments?

• Site Photos

  Media

Signature

• Add signature

  Sign