For Office Use
Ref no.................................
Fee .....................................
Date paid ...........................
Receipt no .........................
Certificates of Design
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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:
Construct (erect,
extend or alter)
Provide services,
fittings or equipment
and give brief description of the work:
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