Building Control Application Form Please complete this form in full as an instruction to Assure Building Control to carry out the Building Control function as Building Control Body and Approved Inspector as designated under the Building Act 1984 and the Building (Approved Inspectors) (Amendment) Regulations 2010. About the Project Description of Work * Full description of all work that is to be covered by Building Regulation Application Site Address * The address of where the work is to be carried out Post Code * The postcode of where the work is to be carried out Project Value * Weeks on site * Weeks Enter the approximate length of time the project is expected to be on site Expected start date * Date E.g., 17/08/2017 Does the work include the creation of 1 or more dwellings? * Yes No Has Planning Permission Been Granted For The Project? * Yes No Have any of the following ‘Optional Requirements’ been attached to the planning approval? a) Regulation 36(2)(b) (Optional water efficiency requirement of 110 litres per person per day) * Yes No b) Schedule 1 Part M optional requirement M4(2) (category 2- accessible and adaptable dwellings) * Yes No c) Schedule 1 Part M optional requirement M4(3) (category 3- Wheelchair user dwellings) * Yes No Once planning permission has been granted I will inform Assure Building Control of any ‘Optional Requirements’ attached to the planning approval under Building Regulations 2010 NB Such requirements can include the following (aa). regulation 36(2)(b) (Optional water efficiency requirement of 110 litres per person per day) (bb). Schedule 1 Part M optional requirement M4(2) (category 2- accessible and adaptable dwellings); (cc). Schedule 1 Part M optional requirement M4(3) (category 3- Wheelchair user dwellings) I will inform Assure Building Control of any ‘Optional Requirements’ attached to the planning approval under Building Regulation * PaymentBuilding Control Fees. payable in two instalments. SUBMISSION FEE (40% of the Total Fee) Invoiced once the project is received, payable in 7 Days. INSPECTION FEE (60% of the total fee) Invoiced once work starts on site, payable in 7 Days. Details should be entered below from the quotation received. Building Control Fee (EX VAT) Submission fee £ Invoiced once the project is received, payable in 7 Days. Inspection fee £ Invoiced once work starts on site, payable in 7 Days. Please indicate who will be responsible for payment of the Building Control fee * Applicant (Usually the owner) Agent (eg. Architect, Designer or Contractor) Other (Provide Details below) Applicant Applicant Name Applicant Address Applicant Post Code * Applicant Telephone * Please provide the best number to contact you on Applicant Email * Person Responsible for payment of fee (OTHER) Details Name (Other) * Address (Other) * Post Code (Other) * Telephone (Other) * Email (Other) * Are you an Architect / Agent or Contractor completing this form on the applicants behalf * Yes No Agent/Company (Onbehalf of Applicant) * Address (Onbehalf of Applicant) * Post Code (Onbehalf of Applicant) * Telephone (Onbehalf of Applicant) * Email (Onbehalf of Applicant) * Project Details Is the project * New Build, Extension, Underpinning or Basement Other New Build, Extension, Underpinning or Basement Please send a location plan to email@example.com Note if your proposals are located close to a public sewer, you may be required to enter into a ‘build over’ agreement with the water authority which is likely to incur additional charges payable to the water authority. 2.0 Regulation H4 - Public Sewers – Has a water authority search been carried out? * Yes No Please note that some Water Authorities charge a fee for searching their map of sewers, if applicable, these charges will be added to our invoice as a disbursement (Typically £30 - £50) Building Regulations 2010 Part P Electrical SafetyI confirm that for this domestic project, any electrical work will be carried out by a member of a ‘Part P’ Competent Person Scheme who will independently certify the work. It is my responsibility to ensure that I receive a certificate within 30 days of completion of the work. I confirm to Building Regulations 2010 Part P Electrical Safety * Appointment and Initial Notice ConsentIn signing this agreement I appoint Assure Building Control in accordance with their Terms and Conditions and I authorise them to sign and submit, on behalf of the person carrying out the work, an Initial Notice under The Building (Approved Inspectors etc.) Regulations 2010 I Agree to the Terms and Conditions * Signed (Full name) * Date * Date E.g., 17/08/2017 Plans & Files Add a new file Files must be less than 64 MB.Allowed file types: doc docx pdf jpeg jpg. Uploading multiple files To upload multiple files with your application please choose the first file then then click/tap the 'Upload' button. Once uploaded you will be able to repeat the process to add more files to the application Leave this field blank CAPTCHAThis question is for testing whether you are a human visitor and to prevent automated spam submissions. What code is in the image? * Enter the characters shown in the image.