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
Completion Certificate where no
warrant obtained - Submission
Building (Scotland) Act 2003
Submission under section 17(4) of a completion certificate where no building warrant
was obtained for work which required a building warrant
Please refer to the accompanying guidance Notes when completing this form.
You can submit a Completion Certificate where no warrant obtained - Submission on-line through the eBuilding Standards portal.
1
Relevant Person (see below)
Name...............................................................................................
Address............................................................................................
........................................................................................................
.........................................................................................................
Post code.........................................................................................
Tel no......................................... Fax no........................................
Email...............................................................................................
Relevant Person
The completion certificate must be submitted by the relevant person as
defined by the Building (Scotland) Act 2003, that is:
a) where the work was carried out, or the conversion made, otherwise
than on behalf of another person, the person who carried out the
work or made the conversion.
b) where the work was carried out, or the conversion made, by a
person on behalf of another person, that other person.
c) if the owner of the building does not fall within paragraph (a) or (b)
and the person required by these paragraphs to submit the
completion certificate has failed to do so, the owner.
2
Duly authorised agent (if any)
Name...............................................................................................
Address............................................................................................
.........................................................................................................
.........................................................................................................
Post code.........................................................................................
Tel no......................................... Fax no........................................
Email...............................................................................................
3
Owner (if different from applicant) [See note 1]
Name...............................................................................................
Address............................................................................................
.........................................................................................................
.........................................................................................................
Post code.........................................................................................
Tel no......................................... Fax no........................................
Email...............................................................................................
4
Location of building
Address of building to which this completion certificate applies
(include post code if known)
Address............................................................................................
.........................................................................................................
.........................................................................................................
Post code.........................................................................................
5
Use of building
Please state current use:
............................................................................................................
............................................................................................................
............................................................................................................
(If different from use before work) Please state original use:
............................................................................................................
............................................................................................................
............................................................................................................
(If there is a change) Is the change a conversion in terms of the
regulations? [See annex 1]
YES NO
If YES please state which description of conversion applies:
............................................................................................................
............................................................................................................
............................................................................................................
6
Description of work
Please state whether the work is to:
a)
Construct (erect,
extend or alter)
c)
Provide services,
fittings or equipment
b)
Convert
d)
Demolish
and give brief description of the work:
............................................................................................................
............................................................................................................
............................................................................................................
............................................................................................................
............................................................................................................
2
7
Security matters
Do you consider any part of your proposals should not be open to
public inspection on the Building Standards Register?
YES NO
(If YES, the verifier will decide with you the extent of the
restrictions.) [See Note 2]
8
Limited-life building
If the intended life of the building is to be five years or less from
the date of completion, please state..................................... years.
9
Planning listed buildings
If the application concerns buildings listed as being of special
architectural or historic interest or in a conservation area, please
state category (if in doubt, the planning authority can advise):
...........................................................................................................
Does the building have any other historical importance? (e.g.
association with significant historical person or event):
...........................................................................................................
10
Relaxation direction
Has any relaxation of the provisions of the building regulations
been given by the Scottish Ministers?
YES NO
If YES, give date(s) and reference number(s):
Date(s)................................................................................................
Reference number(s)..........................................................................
11
Notices
Please indicate if this submission is as the result of any of the
following notices, and if so give the reference number:
Building regulations compliance notice (Section 25)
...........................................................................................................
Building warrant enforcement notice (Section 27)
...........................................................................................................
Defective building notice (Section 28)
...........................................................................................................
Is the building subject to any Dangerous building notice? (Section
29)
YES NO
If YES, give the reference number....................................................
12
Estimated value of works
£ ...................................................
Please note that the verifier may seek evidence for this figure and
make comparisons with established independent indices of
building costs.
13
Certificates
Do any certificates from approved certifiers of design or
construction accompany this submission? (If YES, see annex 2)
YES NO
14
Declaration
I/We* submit a completion certificate in accordance with the
details supplied above and with any necessary accompanying
information (see note 3). This completion certificate is
confirmation that the work was carried out and/or conversion*
made in accordance with the building regulations.
This completion certificate also 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.
I enclose a fire safety design summary submitted in accordance
with regulation 41 (bd) of the Building (Procedure) (Scotland)
Regulations 2004.
This completion certificate imposes the following continuing
requirements, made under section 22 of the Act.
Continuing requirements (please list in full).
............................................................................................................
Signed.................................................................................................
Relevant person/duly authorised agent on behalf of relevant
person*
Dated..................................................................................................
*Delete as appropriate
Address to which you should send this submission:
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.
Notes
1 The name and address of the owner is required as the
procedure regulations require the owner to be informed if
a completion certificate is accepted or rejected.
2 The procedure regulations provide for matters which would
raise security concerns to be excluded from disclosure, or
from copying. Details of residential buildings generally will
be available only to interested parties, defined as the owner,
occupier, tenant or prospective tenant.
3 A submission for work which should have had a building
warrant must be accompanied by the plans, specifications
and other information that would have accompanied an
application for a building warrant. A fee is also required.
Note that the building regulations which apply are those in
force at the time of submission of this certificate.
WARNING
This certificate 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 a ‘notice of
acceptance of a completion certificate’ is obtained except
where this is for the purpose of the construction or
conversion of the building. Note that temporary permission
may be obtainable from a verifier, and note that the
restriction on occupation or use does not apply to alterations.
If any person submits a completion certificate containing a
statement which that person knows to be false or misleading
in a material particular or recklessly submits a completion
certificate containing a statement which is false or
misleading in a material particular the person will be guilty
of an offence and liable on summary conviction to a fine not
exceeding level 5 on the standard scale.
ANNNEX 1
CONVERSION
Any change in the occupation or use of a building which falls into
one of the following descriptions is considered a conversion to
which the building regulations apply.
Change in the occupation or use of:
1 A building to create a dwelling or dwellings or a part thereof.
2 A building ancillary to a dwelling to increase the area of
human occupation.
3 A building which alters the number of dwellings in a building.
4 A domestic building to any other type of building.
5 A residential building to any other type of building.
6 A residential building which involves a significant alteration
of the characteristics of the persons who occupy, or will
occupy, the building, or which significantly increase the
number of people occupying, or expected to occupy, the
building.
7 A building so that it becomes a residential building.
8 An exempt building (in terms of Schedule 1) to a building
which is not so exempt.
9 A building to allow access by the public where previously
there was none.
10 A building to accommodate parts in different occupation
where previously it was not so occupied.
ANNEX 2
CERTIFICATES FROM APPROVED CERTIFIERS
Please list reference numbers of any certificates from approved
certifiers of design and/or construction which relate to this
submission, and attach the signed certificates to this completion
certificate.
1) Scheme....................................................................................
Reference number...................................................................
2) Scheme....................................................................................
Reference number...................................................................
3) Scheme....................................................................................
Reference number...................................................................
Annex 2 Important Note: The certificates must be signed by
certifiers fully approved to issue certificates for the matters certified
on the date the certificate was signed.
Form 6 Completion Certificate where no warrant obtained - Submission 25 May 2018
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