Version 2019
Notification for Prior Approval for a Proposed Larger Home Extension
This notification can be used by a household to notify a local planning authority of the intention to use the permitted development rights
to build a single-storey rear extension of greater than four metres up to eight metres for a detached house and greater than three metres
up to six metres for any other type of house outside Article 2(3) land* and sites of special scientific interest.
* Land within a National Park, the Broads, an area of outstanding natural beauty, an area designated as a conservation area and land within
World Heritage Sites.
2. Agent Name and Address
Title:
Last name:
House
name:
Unit:
Company
(optional):
Postcode:
Country:
County:
Town:
Address 3:
Address 2:
Address 1:
First name:
House
suffix:
House
number:
1. Householder Name and Address
Title: First name:
Postcode:
Country:
County:
Town:
Address 3:
Address 2:
Address 1:
House
name:
Unit:
Last name:
Company
(optional):
House
suffix:
House
number:
Town and Country Planning (General Permitted Development) Order 2015
Schedule 2, Part 1, Class A
If printed, please complete using block capitals and black ink.
Find contact details for Local Planning Authorities: https://www.planningportal.co.uk/lpasearch
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.
Information provided on this form and in supporting documents may be published on the authority's planning register and
website.
Publication on Local Planning Authority websites
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
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information to a Local Planning Authority in accordance with the legislation detailed on this form.
This form should be saved to your device and then completed using the free Adobe Acrobat Reader
application or full version of Adobe Acrobat. Many internet browsers and other applications can
display PDF files, but we cannot guarantee their compatibility in regard to these forms. We
specifically advise users of Apple devices not to use 'Preview' because of known issues.
permitted development rights
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House name:
Address 1:
Address 3:
Address 2:
Postcode:
Address 4:
House suffix:
Please provide the full postal address of the application site.
3. Site Address Details
House number:
Please describe the proposed single-storey rear extension.
What will be the height at the eaves of the proposed extension, measured externally from the natural
ground level?
What will be the maximum height of the proposed extension, measured externally from the natural
ground level?
How far will the proposed extension extend beyond the rear wall of the dwelling measured externally?
4. Description of the Proposal
Is the property? (tick one only)
(i) Detached (ii) Other
metres
metres
metres
Where the enlarged part will be joined to an existing enlargement of the dwellinghouse, please provide the total enlargement (being the
enlarged part together with the existing enlargement to which it will be joined) for the following questions:
metres
What will be the height at the eaves of the total enlargement, measured externally from the natural
ground level?
metres
What will be the maximum height of the total enlargement, measured externally from the natural
ground level?
metres
How far will the total extension extend beyond the rear wall of the original dwelling measured
externally?
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Please provide details of any additional adjoining premises on a separate sheet if necessary.
You are required to identify and provide the addresses of all the adjoining premises to your property:
5. Addresses of any adjoining properties
Address 1:
Address 2:
Address 3:
Address 4:
Address 5:
Address 6:
Address 7:
Address 8:
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A plan indicating the site and showing the proposed development and any existing enlargement of the original
dwellinghouse to which the enlarged part will be joined. A plan drawn to an identified scale will assist the authority in
assessing your development proposal. Plans can be bought from one of our accredited suppliers using our
All sections of this notification completed in full, dated and signed (typed signature if sent electronically).
6. Checklist
Please read the following checklist to make sure you have sent all the information in support of your proposal. Failure to submit all
information required could result in your notification being deemed invalid. It will not be considered valid until all information required by
the Local Planning Authority has been submitted. Please note that as part of this procedure, if any objections are received the Local
Planning Authority may require submission of further information at a later date.
(www.planningportal.co.uk/buyaplan)
The correct fee
7. Declaration
I/we hereby apply for prior approval as described in this notification 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.
(date cannot be
pre-application)
Date (DD/MM/YYYY):Or signed - Agent:Signed - Householder:
Email address:
Fax number (optional):
Country code:
Mobile number (optional):
Country code:
Extension
number:
National number:
Country code:
Telephone numbers
8. Householder Contact Details
Email address:
Fax number (optional):
Country code:
Mobile number (optional):
Country code:
Extension
number:
National number:
Country code:
Telephone numbers
9. Agent Contact Details
'Buy a planning map' service