Building Control Northern Ireland

PLEASE READ THE GUIDANCE NOTES BEFORE COMPLETING THE FORM.

Nature of application (tick as appropriate)
Full Plans Submission	Building Notice	Regularisation Certificate
Complete Sections A+D	Complete Sections A+B+D	Complete Sections A+C+D

SECTION A - To be completed for all Applications

Applicant's full name and address
Forename(s):
Surname:
Address:

Town:
Postcode:
Tel:
Fax:
Email:

Agent's name and address
Name:

Address:

Town:
Postcode:
Tel:
Fax:
Email:

Official Use

Recieved:

Ref. No.

Plan Fee

Inspection Fee

Receipt No.

Description of Works

Total Proposed Floor Areas: sq.m.
Use of Building / Extension
Proposed Use:

If an existing building, present use:

Address / Location of site

Services
(a) Water Supply
(b) Heating
(c) Foul Sewage Disposal
(d) Surface Water Disposal

If an existing building, state present use:
If an existing building, is it classified as listed or a protected building under the Relevant Planning Legislation.
Yes No

Additional information
Which "Deemed to satisfy" standards were used for fire safety design:

SECTION B - Additional Information for a Building Notice.
Please give a brief description of any relevant materials, type of construction or services to be used in the proposed work.	For a new dwelling, or an extension: Number of Storeys: Floor area of new dwelling or extension Basement: sq.m. Ground Floor: sq.m. First Floor sq.m. Second Floor sq.m. Note You may be required to provide additional information as deemed necessary

SECTION C - Additional Information for Regularisation Certificate.

Description of Unauthorised Works.

Date on which the works were completed
Month Year

SECTION D (Fees) - To be completed for All Applications.
PLAN FEES - calculation	Amount of Fee enclosed
Erection of no. new dwellings/flats/maisonettes (area less than 250m²) Number of different plan types
Erection of a detached garage or carport nt exceeding 40m² (not exempt from Building Regulations)
Installation of an unvented hot water system
Extension or extensions of dwelling not exceeding 20m²
Extension or extensions of dwelling exceeding 20m² but not exceeding 40m²
Extension or extensions of dwelling exceeding 40m² but not exceeding 60m²
Extensions or alteration of a dwelling providing one or more rooms in the roofspace
All other works requiring an estimated cost of works Estimated cost of building works £
Erection of no, new dwellings (area more than 250m²) Estimated cost of building works £
Total Fee £

Works to an existing building for the sole benefit of a person with physical disabilities may be exempt from fees.

Is exemption from fees being claimed? YES NO

N.B. If Yes: Documented proof of disability will be required for domestic applications.

It is an offence under Article 21 (1A) of The Building Regulations (Northern Ireland) Order 1979 as amended to make false or misleading statements or to recklessly give a notice or certificate with an application

Information provided as part of this application may be disclosed in response to a request under the Freedom of Information Act 2000 or the Environmental Information Regulations 2004.

The Council, to which you have submitted this application form, collects the data for the purposes of the Building Regulations. This data may also be passed to other related Government Agencies. (Data Protection Act 1998)

I/We hereby submit this application under the Building Regulations (NI) 2000.

Signed: Applicant / Agent

Date:

For Council use only

Building Regulations Application