Version ECAB 2019
Application to determine if prior approval is required for a proposed:
Change of Use from Offices (Class B1(a)) to Dwellinghouses (Class C3)
1. Applicant Name and Address
Title: First name:
Last name:
Address 1:
Address 2:
Address 3:
Town:
County:
Country:
Postcode:
Building
name:
Unit:
Company
(optional):
Suffix:Number:
2. Agent Name and Address
Title: First name:
Last name:
Building
name:
Unit:
Address 1:
Address 2:
Address 3:
Town:
County:
Country:
Postcode:
Suffix:Number:
Company
(optional):
Town and Country Planning (General Permitted Development) (England) Order 2015 (as amended) - Schedule 2, Part 3, Class O
This form is specifically designed to be printed and completed offline.
Please complete this form in block capitals using black ink to facilitate scanning.
Publication on Local Planning Authority websites
Information provided on this form and in supporting documents may be published on the authority's planning register and website.
Please ensure that the information you submit is accurate and correct and does not include personal or sensitive information.
If you require any further clarification, please contact the Local Planning Authority directly.
Upon receipt of this form and any supporting information, it is the responsibility of the Local Planning Authority to inform you of its
obligations in regards to the processing of your application. Please refer to its website for further information on any legal, regulatory and
commercial requirements relating to information security and data protection of the information you have provided.
Please be aware that once you have downloaded this form, Planning Portal will have no access to the form or the data you enter into it.
Any subsequent use of this form is solely at your discretion, including the choice to complete and submit it to a Local Planning Authority in
agreement with the declaration section.
Privacy Notice
This form is provided by Planning Portal and based on the requirements provided by Government for the sole purpose of submitting
information to a Local Planning Authority in accordance with the legislation detailed on this form.
Local Planning Authority details:
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You are advised to read the accompanying guidance notes and per-question help text.
If you would rather make this application online, you can do so on our website:
https://www.planningportal.co.uk/apply
Version ECAB 2019
Unit: Number: Suffix:
Building name:
Address 1:
Address 2:
Address 3:
Address 4:
Postcode:
Please provide the full postal address of the application site.
3. Site Address Details
Was the building in use on 29 May 2013 (or when last in use before that date) as an Office (Use Class B1(a))?
NoYes
Is any part of the land, site or building:
- in a safety hazard area;
- in a military explosives storage area;
- a scheduled monument (or the site contains one);
- a listed building (or within the curtilage of a listed building).
If you have answered no above, the proposal will exceed the limits set by legislation. In this circumstance, you should not continue with
this application and seek advice from the Local Planning Authority on the best course of action.
NoYes
If you have answered yes above, the proposal will exceed the limits set by legislation. In this circumstance, you should not continue with
this application and seek advice from the Local Planning Authority on the best course of action.
4. Eligibility
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Version ECAB 2019
5. Description of Proposed Works, Impacts and Risks
Please describe the proposed development:
Please provide details of any transport and highways impacts and how these will be mitigated:
Note that this figure should be the number of dwellinghouses proposed by the development that is additional to the number of
dwellinghouses on the site immediately prior to the development.
What will be the net increase in dwellinghouses:
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Version ECAB 2019
5. Description of Proposed Works, Impacts and Risks (continued)
Please provide details of any contamination risks and how these will be mitigated:
Please provide details of any flooding risks and how these will be mitigated.
A flood risk assessment should accompany the application where the site:
- is in Flood Zones 2 or 3 (Check online: https://flood-map-for-planning.service.gov.uk/ ); or
- is in an area with critical drainage problems (Check with the Local Planning Authority, it will have been notified of such areas by the
Environment Agency).
Please provide details of the impacts of noise from commercial premises on the intended occupiers of the development and how this will
be mitigated:
Note that 'commercial premises' means any premises normally used for the purpose of any commercial or industrial undertaking which
existed on the date this application including any licensed premises or any other place of public entertainment.
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Version ECAB 2019
6. Checklist
Please read the following checklist to make sure you provide all the required information in support of your proposal.
The information provided should include all the details necessary for the Local Planning Authority to determine if the proposal complies
with permitted development legislation, and if its prior approval will be required.
If sufficient information is not provided the Local Authority can either request it, or refuse the application.
A plan indicating the site and showing the proposed development.
A plan drawn to an identified scale will assist the authority in assessing
your development proposal. Plans can be bought from one of the
Planning Portal's accredited suppliers:
https://www.planningportal.co.uk/buyaplanningmap
All sections of this application completed in full, dated
and signed.
The correct fee
7. Declaration
(date cannot be
pre-application)
Signed - Applicant: Or signed - Agent: Date (DD/MM/YYYY):
I/we hereby apply for a determination as to whether prior approval will be required as described in this form and the accompanying plans/
drawings and additional information. I/we confirm that, to the best of my/our knowledge, any facts stated are true and accurate and any
opinions given are the genuine opinions of the person(s) giving them.
Country code:
National number: Extension:
Country code:
Mobile number (optional):
Country code:
Fax number (optional):
Email address:
Country code:
National number:
Extension:
Country code:
Mobile number (optional):
Country code:
Fax number (optional):
Email address:
Telephone numbers
9. Agent Contact Details
Telephone numbers
8. Applicant Contact Details
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