For Office Use
Ref no.................................
Fee .....................................
Date paid ...........................
Receipt no .........................
Certificates of Design
...........................................
................................
.......
Midlothian Council
Building Standards
Fairfield House
8 Lothian Road
Dalkeith EH22 3ZN
Tel 0131 270 7500
Fax 0131 271 3537
www.midlothian.gov.uk/buildingstandards
Application for discharge or variation
of a continuing requirement
Building (Scotland) Act 2003
Application under section 23 for the discharge or variation of a continuing
requirement imposed by a verifier under section 22
You can submit an Application for discharge or variation of a continuing requirement on-line through the eBuilding Standards portal.
1
Applicant
Name...............................................................................................
Address............................................................................................
........................................................................................................
.........................................................................................................
Post code.........................................................................................
Tel no......................................... Fax no........................................
Email...............................................................................................
2
Duly authorised agent (if any)
Name...............................................................................................
Address............................................................................................
.........................................................................................................
.........................................................................................................
Post code.........................................................................................
Tel no......................................... Fax no........................................
Email...............................................................................................
3
Location of building or site to which the
application relates
Address ...........................................................................................
.........................................................................................................
Post code If know)...........................................................................
4
Details of building warrant (if relevant)
Date of building warrant..................................................................
Reference number of building warrant ...........................................
5
Details of acceptance of completion certificate
(if
relevant)
Date of acceptance...........................................................................
Reference number of acceptance.....................................................
6
Continuing requirements
Please state the continuing requirement which is to
be discharged/varied*
..........................................................................................................
..........................................................................................................
7
Reasons for the change
Is the building subject to any other continuing requirements?
YES NO
If YES, please give details:
...........................................................................................................
...........................................................................................................
Has a previous application to vary the continuing requirement
been granted?
YES NO
If YES, please give details:
...........................................................................................................
...........................................................................................................
Date notice given...............................................................................
8
Declaration
I/We* apply for the discharge/variation* of the continuing
requirement as detailed above.
Signed................................................................................................
Applicant /duly authorised agent *
Dated.................................................................................................
*Delete as appropriate
Model Form G • Application for discharge or variation of a continuing requirement 2 Oct 2017
Data Protection Act 2018
For information on how your personal data is used by Building
Standards visit our data protection page here.
Address to which you should send this application
Building Standards Manager,
Midlothian Council,
Fairfield House,
8 Lothian Road,
Dalkeith,
Midlothian EH22 3ZN
