1
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 Temporary Occupation
or Use
Building (Scotland) Act 2003
Application under section 21 for permission to occupy or use a building prior to the
acceptance of a completion certificate for that building
Please refer to the accompanying Guidance Notes when completing this form.
You can submit an Application for Temporary Occupation or Use 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.........................................................................................
4
Details of building warrant
Date of building warrant (and any amendments)
.........................................................................................................
Reference number of building warrant ...........................................
5
Extent of occupation or use
Is whole building to be occupied or used?
YES NO
If NO, please state part of building to be occupied or used:
.........................................................................................................
6
Previous applications
Has a previous application for temporary occupation or use been
granted?
YES NO
If YES, please give details:
Date authorisation given...................................................................
Date authorisation expires.................................................................
7
Length of temporary occupation or use
Period of temporary occupation or use requested:
From (date)........................................................................................
To (date)............................................................................................
8
Reasons for application
Please state why you wish the above building to be temporarily
occupied or used before a completion certificate has been
submitted and accepted.
........................................................................................................
........................................................................................................
9
Declaration
I/We* apply for temporary occupation or use of the building in
accordance with the details supplied above and with any necessary
accompanying information.
This declaration confirms that in the case of work for the
construction of a building, the building as constructed complies
with the building regulations; that in the case of the provision of
services, fittings or equipment in or in connection with a building
that the services, fittings or equipment provided comply with
building regulations; and in the case of conversion of a building
that the building as converted complies with building regulations.
[and when the provisions of building regulations apply]
I enclose a copy of the energy performance certificate(s) for the
buildings.
I enclose a copy of the statement of sustainability issued for the
purpose of regulation 9 of section 7 of schedule 5 to the Building
(Scotland) Regulations 2004.
Signed................................................................................................
Applicant*/duly authorised agent*
(*Delete as appropriate)
Dated.................................................................................................
2
NOTES
1. Where the address has been amended since the building
warrant was granted, or where the submission covers only
part of a building warrant (for example is for one house in a
development of several dwellings that were subject to a single
warrant) an address identifying the work covered by the
submission must be supplied.
2. The person signing this form is declaring compliance with
building regulations by signing the application for a
temporary occupation or use. The verifier will undertake
reasonable inquiry, considering mitigation measures, and if
satisfied will permit temporary occupation or use.
WARNING
This permission does not exempt you from obtaining any other
types of permission that may be necessary before the building is
used, such as planning permission or licensing.
This application does not permit the occupation or use of a
building following construction or conversion. It is an offence to
occupy or use such a building until the verifier permits temporary
occupation or use of the building, during the period specified.
Should a completion certificate not be accepted by a verifier
within the specified period, an application should be made for [a]
further period[s] of temporary occupation or use.
If any person submits an application for temporary occupation or
use which that person knows to be false or misleading in a material
particular or recklessly makes an application for temporary
occupation or use containing a statement which is false or
mislea
d
in
g
in
a material particular the person is guilty of an
offence.
ADDRESS TO WHICH YOU SHOULD SEND THIS
APPLICATION
Building Standards Manager,
Midlothian Council,
Fairfield House,
8 Lothian Road,
Dalkeith,
Midlothian
EH22 3ZN
DATA PROTECTION ACT 2018
For information on how your personal data is used by Building
Standards visit our data protection page here.
Application for Temporary Occupation or Use 31 Oct 2019
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