Building Control Regulations 1997

F71 [ THIRD SCHEDULE

FORM OF APPLICATION FOR A FIRE SAFETY CERTIFICATE

Article 13

BUILDING CONTROL ACT, 1990
APPLICATION FOR A FIRE SAFETY CERTIFICATE

To_________________________ (insert name of building control authority)		OFFICIAL USE
Application is hereby made under Part III of the Building Control Regulations, 1997, for a Fire Safety Certificate in respect of the works or building to which the accompanying plans, calculations and specifications apply.		Received on:	__________
		Ref. No.:	__________
		Entered in Register on:	__________


1. APPLICANT:
Owner/Leaseholder (delete as appropriate)
FULL NAME	___________________________________________________________
ADDRESS	___________________________________________________________
SIGNATURE	___________________________________________________________
TELEPHONE NO	________________________________________DATE_______________
Owner of works or building (if different to above)
	___________________________________________________________
2. Name and address of person/s or firm/s to whom notifications should be forwarded (Owner/Leaseholder or Designer/Developer/Builder)
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
3. Name and address of person/s or firm/s responsible for preparation of accompanying plans, calculations and specifications.
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
4. Address (or other necessary identification) of the proposed works or building to which the application relates.
_______________________________________________________________________________
_______________________________________________________________________________
5. Nature of proposed works or building
(a) Classification (please tick as appropriate)
• Construction of new building		❏
• Material alteration		❏
• Material change of use		❏
• Extension to a building		❏
(b) Brief description
____________________________________________________________________________
____________________________________________________________________________
6. Use of proposed works or building
(a) Existing use (where a change is proposed)		___________________
(b) New use		___________________
7. In the case
(a) Works involving the construction of a building, or a building the material use of which is being changed —
Site area		__________ (sq. metres)
Number of basement storeys		__________
Number of storeys above ground level		__________
Height of top floor above ground level		__________ (metres)
Floor area of building		__________ (sq. metres)
Total area of ground floor		__________ (sq. metres)
(b) Works involving an extension or the material alteration of a building —
Floor area of extension		___________ (sq. metres)
Floor area of material alteration		___________ (sq. metres)
8. Amount of Fee (accompanying this application)		£ ____________ ]

F72 [ F73 [ (Article 20A)

(Article 20A)

]

Article 20A(2)

FORM OF 7 DAY NOTICE STATUTORY DECLARATION

Building Control Acts 1990 and 2007

7 Day Notice Statutory Declaration

	OFFICIAL USE
Building Control Authority:
	Date Received	__________
______________________________	Register Ref.	__________
	Entered on	__________
	Entered by	__________
	Fee Received	__________

I / We

do solemnly and sincerely declare that I / we have made an application to the above Building Control Authority for a Fire Safety Certificate in respect of works commencing not less than 7 days from this date.

Description of works:

located at

pursuant to Article 12 of the Building Control Regulations 1997 to 2009 and I / we solemnly declare that the application has been completed in full and complies in all respects with the relevant provisions of the Building Control Regulations.

I / We further solemnly declare that any works that have commenced before the grant of the Fire Safety Certificate will comply fully with the Building Regulations and I / we will, within such period as may be specified by the Building Control Authority, carry out any modification of such works that is required by or under the Fire Safety Certificate, including any condition( s ) attached to the Fire Safety Certificate when granted by the Building Control Authority.

Signed:

Date:

Signed in the presence of Commissioner of Oaths: —

Name:

Address:

Signature:

Commissioner of Oaths

Warning: It is an offence for a person to knowingly or recklessly make a Statutory Declaration that is false or misleading in a material respect.

Article 20A(2)

FORM OF APPLICATION FOR A REVISED FIRE SAFETY CERTIFICATE

Building Control Acts 1990 and 2007
Application for a Revised Fire Safety Certificate

	OFFICIAL USE
Building Control Authority:
	Date Received	__________
______________________________	Register Ref.	__________
	Entered on	__________
	Entered by	__________
	Fee Received	__________

Application is hereby made under Part IIIA of the Building Control Regulations 1997 to 2009 for a Revised Fire Safety Certificate in respect of proposed works or building to which the accompanying plans, calculations and specifications apply.

Original Fire Safety Certificate application Reference No.:

Reason for Revised Fire Safety Certificate application:

Planning Permission Reference No.:

1. APPLICANT: Owner / Leaseholder (delete as appropriate)

FULL NAME:

ADDRESS:

SIGNATURE:

TELEPHONE No.:		DATE:

Owner of works or building (if different to above):

NAME:

ADDRESS:

2. Name and address of person/s or firm/s to whom notifications should be forwarded (Owner/Leaseholder or Designer/Developer/Builder):
3. Name and address of person/s or firm/s responsible for preparation of accompanying plans, calculations and specifications.
4. Address (or other necessary identification) of the proposed works or building to which the application relates.
5. Description of changes to the proposed works or building from original application (i) arising from the granting of planning permission or (ii) from the Fire Safety Certificate granted.

6. Site area	Original Application	Revised Application

Number of basement storeys	__________	__________
	(sq. metres)	(sq. metres)
Number of storeys above ground level	__________	__________

Height of top floor above ground level	__________	__________
	(metres)	(metres)
Floor area of building	__________	__________
	(sq. metres)	(sq. metres)
Total area of ground floor	__________	__________
	(sq. metres)	(sq. metres)
7. Amount of Fee (accompanying this application) €
*Revised set of working drawings must accompany this application.*

Article 20C(2)

FORM OF APPLICATION FOR A REGULARISATION CERTIFICATE

Building Control Acts 1990 and 2007
Application for a Regularisation Certificate

	OFFICIAL USE
Building Control Authority:
	Date Received	__________
______________________________	Register Ref.	__________
	Entered on	__________
	Entered by	__________
	Fee Received	__________

Application is hereby made under Part IIIA of the Building Control Regulations 1997 to 2009 for a Regularisation Certificate in respect of the works or building to which the accompanying drawings apply.
1. APPLICANT: Owner / Leaseholder (delete as appropriate)

FULL NAME:

ADDRESS:



SIGNATURE:

TELEPHONE No.:		DATE:
Owner of works or building (if different to above):

2. Location of works or building:
3. Classification of works or building

Construction of new building		YES NO

Material alteration		YES NO

Material change of use		YES NO

Extension to a building		YES NO
4. Description of works or building:
5. Where a change of use applies:
(a) Existing use
(b) New use
6. Works involving the construction of a new building, or a building the material use of which is being changed —

(a) Number of basement storeys	__________	__________

(b) Number of storeys above ground level	__________	__________

(c) Height of top floor above ground level	__________	(metres)

(d) Floor area of building	__________	(sq. metres)

(e) Total area of ground floor	__________	(sq. metres)
7. Works involving an extension or the material alteration of a building:

Floor area of extension	__________	(sq. metres)

Floor area of material alteration	__________	(sq. metres)
8. Planning Permission for the works or building in question:

Date Planning Permission was granted:		__________

Planning Reference No.:		__________
9. Date construction started:		__________

Is construction of the building completed?:		YES NO

Date of completion:		__________

Is the building occupied or operational?:		YES NO

Is the building still under construction?: 25% 50% 75%

Have any modifications to the original design been made during construction?:		YES NO


If yes, was planning permission sought (if necessary) for the modifications?:		YES NO

10. Amount of Fee (accompanying this application) € __________

Note: —

1. This Application Form for a Regularisation Certificate must be accompanied by a Statutory Declaration.

2. This Application Form must be accompanied by a complete and certified set of drawings for the works or building as commenced or constructed.

Article 20C(2)

FORM OF STATUTORY DECLARATION FOR A REGULARISATION CERTIFICATE

Building Control Acts 1990 and 2007

Regularisation Certificate Statutory Declaration

		OFFICIAL USE
Building Control Authority:
		Register Ref.
______________________________

I/We

do solemnly and sincerely declare that the drawings, documents and information supplied in relation to the attached application for a Regularisation Certificate for the building as constructed or in respect of works already carried out to date:

pursuant to article 20C of the Building Control Regulations 1997 to 2009 are true and accurate and that the works comply fully with Part B (Fire Safety) of the Second Schedule to the Building Regulations.

I/We solemnly declare to agree to inspection of the works/building by the Building Control Authority in carrying out its functions under the Act.

I/We solemnly declare to abide by any conditions, including conditions to carry out additional work considered appropriate by the Building Control Authority necessary to enable the Authority to issue a Regularisation Certificate.

I/We accept that where the conditions attached to the Regularisation Certificate are not fully complied with to the satisfaction of the Building Control Authority within a period of 4 months from the date of issue of the Regularisation Certificate, the Certificate shall not have effect.

Signed:

Date:

Signed in the presence of Commissioner of Oaths:-

Name:

Address:

Signature:

Commissioner of Oaths

Warning: It is an offence for a person to knowingly or recklessly make a Statutory Declaration that is false or misleading in a material respect.

F74 [ Article 20D(4) ]

FORM OF APPLICATION FOR A DISABILITY ACCESS CERTIFICATE

Building Control Acts 1990 and 2007
Application for a Disability Access Certificate

	OFFICIAL USE
Building Control Authority:
	Date Received	__________
______________________________	Register Ref.	__________
	Entered on	__________
	Entered by	__________
	Fee Received	__________

Application is hereby made under Part IIIB of the Building Control Regulations 1997 to 2009 for a Disability Access Certificate in respect of the works or building to which the accompanying plans, calculations and specifications apply.
1. APPLICANT: Owner / Leaseholder (delete as appropriate)

FULL NAME:

ADDRESS:



SIGNATURE:

TELEPHONE NO.:		DATE:

Owner of works or building (if different to above):
FULL NAME:

ADDRESS:




2. Name and address of person/s or firm/s to whom notifications should be forwarded (Owner/Leaseholder or Designer/Developer/Builder):

3. Name and address of person/s or firm/s responsible for preparation of accompanying plans, calculations and specifications:

4. Address (or other necessary identification) of the proposed works or building to which the application relates:

5. Classification of works or building:

Construction of new building		YES NO

Material alteration		YES NO

Material change of use		YES NO

Extension to a building		YES NO

Brief description of building:





6.Use of proposed works or building:
(a) Existing use (where a change is proposed)
(b) New use
7. Has planning permission been applied for and granted for works or building?:

(a) Date permission was granted

(b) Planning Permission No.

8. In the case of

(a) Works involving the construction of a building, or a building the material use of which is being changed —

Site area		__________ (sq. metres)

Number of basement storeys		__________

Number of storeys above ground level		__________

Height of top floor above ground level		__________ (metres)

Floor area of building		__________ (sq. metres)

Total area of ground floor		__________ (sq. metres)
(b) Works involving an extension or the material alteration of a building:
Floor area of building extension		__________ (sq. metres)

Floor area of material alteration		__________ (sq. metres)
9. Amount of Fee (accompanying this application) € __________

This Application Form must be accompanied by a complete and certified set of drawings for the works or building.

Article 20E(2)

FORM OF APPLICATION FOR A REVISED DISABILITY ACCESS CERTIFICATE

Building Control Acts 1990 and 2007
Application for a Revised Disability Access Certificate

	OFFICIAL USE
Building Control Authority:
	Date Received	__________
______________________________	Register Ref.	__________
	Entered on	__________
	Entered by	__________
	Fee Received	__________

Application is hereby made under Part IIIB of the Building Control Regulations 1997 to 2009 for a Revised Disability Access Certificate in respect of proposed works or building to which the accompanying plans, calculations and specifications apply.

Original Disability Access Certificate application Reference No.:

Reason for Revised Disability Access Certificate application:

Planning Permission Reference No.:
1. APPLICANT: Owner / Leaseholder (delete as appropriate)

FULL NAME:

ADDRESS:

SIGNATURE:

TELEPHONE No.:		DATE:

Owner of works or building (if different to above):

NAME:

ADDRESS:
2. Name and address of person/s or firm/s to whom notifications should be forwarded (Owner/Leaseholder or Designer/Developer/Builder):

3. Name and address of person/s or firm/s responsible for preparation of accompanying plans, calculations and specifications:

4. Address (or other necessary identification) of the proposed works or building to which the application relates:

5. Description of changes to the proposed works or building from original application:

6. Site area	Original Application	Revised Application

Number of basement storeys	__________	__________
	(sq. metres)	(sq. metres)
Number of storeys above ground level	__________	__________

Height of top floor above ground level	___________	__________
	(metres)	(metres)
Floor area of building	__________	__________
	(sq. metres)	(sq. metres)
Total area of ground floor	__________	__________
	(sq. metres)	(sq. metres)
7. Amount of Fee (accompanying this application) € __________

Revised set of working drawings must accompany this application. ]

Annotations:

Amendments:

F71

Substituted (1.04.2000) by Building Control (Amendment) Regulations 2000 (S.I. No. 10 of 2000), art. 8, in effect as per art. 2.

F72

Inserted (1.10.2009) by Building Control (Amendment) Regulations 2009 (S.I. No. 351 of 2009), art. 22, in effect as per art. 2.

F73

Substituted (1.03.2014) by Building Control (Amendment) Regulations 2014 (S.I. No. 9 of 2014), art. 16, in effect as per art. 2.

F74

Substituted (17.12.2018) by Building Control (Amendment) Regulations 2018 (S.I. No. 526 of 2018), art. 6(a), in effect as per art. 2.

Editorial Notes:

E18

Some of the material inserted above, being graphic images, does not appear in brown as would normally be the case for amendments.

E19

Previous affecting provision: schedule substituted (1.03.2014) by Building Control (Amendment) Regulations 2013 (S.I. No. 80 of 2013), art. 12, in effect as per art. 2; revoked on that date (1.03.2014) by Building Control (Amendment) Regulations 2014 (S.I. No. 9 of 2014), art. 18, in effect as per art. 2.

Revised Acts

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Building Control Regulations 1997