Your Reference

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Applicant Details

Name*
Address*
Postcode
Telephone
Mobile
Email

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Agent Details

Name
Address
Postcode
Telephone
Mobile
Email

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Application Details

Location*
Postcode
Proposal*

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For exemption purposes the building must comply with the following: (Please tick the relevant boxes)
The extension is at ground level
The extension is a conservatory, porch, covered way or a carport
A carport must be open on at least two sides
The extension does not exceed 30 sq.m. floor area
Any glazing complies with Part K of the Building Regulations
Are electrics to be installed	Yes   No
Is this a new circuit	Yes   No
Approved Part P Contractor	Yes   No
Is the proposed access to the porch/conservatory through
i) An existing doorway which is to be retained or	Yes   No
ii) An opening which is to be enlarged or	Yes   No
iii) Newly created opening	Yes   No

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Upload Files

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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*

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