For Office Use
Ref no.................................
Fee .....................................
Date paid ...........................
Receipt no .........................
Certificates of Design
...........................................
.......................................
Midlothian Council
Building Standards
Fairfield House
8 Lothian Road
Dalkeith EH22 3ZN
Tel 0131 270 7500
Fax 0131 271 3537
www.midlothian.gov.uk/buildingstandards
Application for Temporary Occupation
or Use
Building (Scotland) Act 2003
Application under section 21 for permission to occupy or use a building prior to the
acceptance of a completion certificate for that building
Please refer to the accompanying Guidance Notes when completing this form.
You can submit an Application for Temporary Occupation or Use on-line through the eBuilding Standards portal.
1
Applicant
Name...............................................................................................
Address............................................................................................
........................................................................................................
.........................................................................................................
Post code.........................................................................................
Tel no......................................... Fax no........................................
Email...............................................................................................
2
Duly authorised agent (if any)
Name...............................................................................................
Address............................................................................................
.........................................................................................................
.........................................................................................................
Post code.........................................................................................
Tel no......................................... Fax no........................................
Email...............................................................................................
3
Location of building or site to which the
application relates
Address ...........................................................................................
.........................................................................................................
Post code.........................................................................................
4
Details of building warrant
Date of building warrant (and any amendments)
.........................................................................................................
Reference number of building warrant ...........................................
5
Extent of occupation or use
Is whole building to be occupied or used?
YES NO
If NO, please state part of building to be occupied or used:
.........................................................................................................
6
Previous applications
Has a previous application for temporary occupation or use been
granted?
YES NO
If YES, please give details:
Date authorisation given...................................................................
Date authorisation expires.................................................................
7
Length of temporary occupation or use
Period of temporary occupation or use requested:
From (date)........................................................................................
To (date)............................................................................................
8
Reasons for application
Please state why you wish the above building to be temporarily
occupied or used before a completion certificate has been
submitted and accepted.
........................................................................................................
........................................................................................................
9
Declaration
I/We* apply for temporary occupation or use of the building in
accordance with the details supplied above and with any necessary
accompanying information.
This declaration confirms that in the case of work for the
construction of a building, the building as constructed complies
with the building regulations; that in the case of the provision of
services, fittings or equipment in or in connection with a building
that the services, fittings or equipment provided comply with
building regulations; and in the case of conversion of a building
that the building as converted complies with building regulations.
[and when the provisions of building regulations apply]
I enclose a copy of the energy performance certificate(s) for the
buildings.
I enclose a copy of the statement of sustainability issued for the
purpose of regulation 9 of section 7 of schedule 5 to the Building
(Scotland) Regulations 2004.
Signed................................................................................................
Applicant*/duly authorised agent*
(*Delete as appropriate)
Dated.................................................................................................
