If the invoice needs to be sent to someone other than the applicant/owner please provide the
information of the person responsible for payment.
Email address must be provided.
Company House Number
PLEASE ENSURE YOU HAVE
Provided the applicants full name, address and telephone number
Entered the full postcode
Provided a contact Email address
Provided an Electrical Certificate of Compliance (if applicable)
For any other works not specified on this form or if help is required please telephone (0113)
One copy of this notice should be completed
lf the proposal is over or in close proximity to a Public Sewer a Full Plans application will be
The applicant is the owner of the building
This application is for Building Regulations only. A separate application must be made if you need
Planning Permission. Please contact the Enquiry Centre if you are not sure on (0113) 2224409.
This Building Notice shall cease to have effect from three years after it is accepted by the Local
Authority unless the work has been commenced before the expiry of that period.
The information you provide on this form will only be used by the Council in the consideration of your Building
Notice application. The Council is the Data Controller of the information you provide, and we will only process
your contact details and payment information on a contractual basis for the purpose of undertaking this work. In
addition, the Council has a public task duty under the Building Act 1984 to maintain a register of all of works
related to its Building Control functions. This register will include any relevant documents submitted to us
(including those which may contain personal data). Non-personal information regarding your application will be
made available on the Council's public access website The Council may also use the information you provide, in
our legitimate interests, to contact you with regard to completing an anonymous customer satisfaction survey
concerning the service you have received.
The Council's corporate privacy notice, which includes details of the authority's Data Protection Officer and your
Information Rights is available at: https://www.leeds.gov.uk/privacy-statement/privacy-notice