Environment

Health & social care

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20 November 2008

Demolition Online Form

1. Your Details:

Surname:	*
First Name:	*
Address:	Please Enter Address*
Post Code:	*
Phone Number:
E-Mail:



2. Your Agents Details:

Surname:
First Name:
Address:	Please Enter Address
Postcode:
Phone Number:
E-Mail:
Fax:



3. The Building you want to work on:

Address:	Please Enter Address*
Postcode:	*



4. The work you want carry out:
Please list the work you want to carry out:	Please Enter Text*



5. What you will use the building for:

Please state present use:	*
Please state previous use:	*

Is the building being put to a designated use under the Fire Precautions Act 1971?
Does this application relate to work commenced on or after the 11 th November 1985?

Please State as accurately as possible the date when this work was commenced:



6. Charges:

Floor Area m2:	*
Estimated�cost of work �:	*
Regularisation Charge �:	*



Has planning permission been granted for this scheme:

You may need Planning Permission. Please contact the Development Control team for advice on 01895 837293



Statement (to be completed by the owner of the property or a person/s acting as his/her agent) I confirm that in my capacity of owner/agent of the above building I am authorised to submit this formal notice in relation to the building work as described and is submitted in accordance with Regulation 21. I understand that I may have to pay another charge when you inspect the work for the first time. I will pay this charge when I receive an invoice.

Please define your capacity: