Your Reference

---

Applicant Details

Name*
Address*
Postcode
Telephone
Mobile
Email

---

Agent Details

Name
Address
Postcode
Telephone
Mobile
Email

---

Application Details

Location*
Postcode
Proposal*

---

For exemption purposes the building must comply with the following: (Please tick the relevant boxes)
No part of the building to be used as a dwelling	Yes   No
The building will be sited 1.5 x the height of the building from any building containing sleeping accommodation	Yes   No
The building is provided with fire exits such that no point of the building is more than 30 metres from an exit	Yes   No
If the building is a greenhouse or agricultural building it is not used for retailing, packing or exhibiting	Yes   No
Does the floor area exceed 50m2	Yes   No
Does the building have a planned time use of 2 years or less	Yes   No
Is energy to be used to condition the indoor climate	Yes   No

---

Upload Files

---

Statement
This Notice is given as confirmation that the works being undertaken are considered Exempt Works and fall outside of the scope of the Building Regulations 2010 Please check the box below to show your agreement to this statement and enter your name and the date.

Agree to Statement*
Signature*
Date*

---