Applicant Details

Agent Details

If an Inspection charge applies please supply the name and address of the person to whom the invoice should be sent if different from the applicant

Application Details

Use of Building(s)

Builder Details

If it is not possible to give a decision within the prescribed period do you consent to an extension of time?Yes   No   
Do you consent to the plans being passed subject to conditions where appropriate?Yes   No   
Is the building currently used or intended to be used as a building to which the Regulatory Reform (Fire Safety) Order 2005 applies?Yes   No   
Where applicable have you dealt with matters under the Party Wall etc. Act 1996Yes   No   
Will any electrical installation work be designed, constructed, inspected and tested in accordance with BS7671 or will it be undertaken by an electrician registered with a competent persons scheme?Yes   No   
Where a new building or an extension to a building is to be erected are there any trees within 30 metres of the building? (If Yes, show species, size and location on plan)Yes   No   

Upload Files

Fee Details

This Notice is given in relation to the building work as described and is submitted in accordance with regulation 14.
Please check the box below to show your agreement to this statement and enter your name and the date.

Agree to Statement*