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COPELAND PRIDE OF PLACE: Town Centre Regeneration Scheme
Building Grant Application Form

IMPORTANT INFORMATION: PLEASE READ CAREFULLY BEFORE FILLING IN THE FORM

We strongly recommend that you speak to the Project Officerbeforecompleting this form.

  1. This application should be accompanied by a copy of the schedule of works and (if necessary) drawings of the proposed works. A minimum of two quotes must be obtained for eligible works. Your grant offer will be based on the eligible works detailed in the chosen priced specification. Suitable photographs of the building(s) and proof of ownershipare also required.
  1. It is important that you read the accompanying Guidance Notes and Terms & Conditions associated with the grant scheme before submitting your application.
  1. The applicant must obtain the necessary consents for the proposed works and provide evidence of them with the application. A grant offer does not imply any other consent or permission.
  1. No work may be started until written approval is given – or you will not be eligible for a grant.

Return address and contact details for further information:

Diane Ward

Project Officer

Copeland Borough Council

Copeland Centre

Catherine Street

WHITEHAVEN

Cumbria CA287SJ

Tel: 01946 598433

Email:

1.PROPERTY FOR WHICH GRANT IS SOUGHT

1.1Name of Business:
1.2Full address:

1.3Is the property a listed building? YES / NO (delete as appropriate)

2.APPLICANT DETAILS

You must give the details of all owners if the property or any part of it is jointly owned.

2.1Name of applicant:
(i.e. person(s) or body with legal responsibility for repairs)
2.2Full address:
Daytime Tel:
Email Address:
2.3Nature of Interest:
(i.e. Freehold, Leasehold, Tenancy, etc)
If leasehold or tenancy, please also state in what year it will expire.
2.4Date of acquiring interest:
If inherited, you need only state when and how long the property has been in your family.
2.5Name of person to act as the point of liaison with the Council if different:
If the same as 2.1 above, write N/A.
Full address:
Daytime Tel:
Email Address:

3.TYPE OF PROJECT FOR WHICH GRANT IS SOUGHT

3.1Summary and nature of repairs/ project:
Extent of proposed works.
3.2Will there be a change of use / business following the works?
Present use / business
Proposed use / business after repair:
No. new job opportunities created (if applicable)
3.3Names of architect and/or other professional advisers if applicable:
Full address:
Post Code:
Daytime Tel:
Email Address:
3.4Name of preferred contractor:
Full address:
Post Code:
Daytime Tel:
Email Address:

4.PROJECT COSTS

4.1Estimated cost (excluding fees and VAT):
Estimated fees:
VAT:
Total Estimated Cost:
4.2Is VAT likely to be recoverable or zero-rated on any part of the project?
If YES, please give details:
4.3Please clarify the breakdown of the Project Income:
Percentage: / Amount:
Other Grant Funding:
Own Contribution:
Grant sought from Pride of Place Building Grant scheme:
TOTAL: / 100%

5.DECLARATION

The completed form must be signed by the applicant (at 2.1 above). If the property is jointly owned, all owners should sign. If the applicant is an organisational body, an authorised member of that body should sign and should name his or her position in the body.

Any materially misleading statement (whether deliberate or accidental) made at any time during the application process could render the application invalid and the applicant liable to return any money already paid out.

I confirm that the information on this application form and the supporting information enclosed is true and complete to the best of my knowledge.

Signature:
Name:
Signature:
Name:
For bodies only:
Post held:
Organisation:
Date:

6.CHECKLIST

6.1Completed application form – ALL questions answered
6.2Drawings of proposed works attached (if necessary)
6.3Estimates attached (minimum two quotes)
6.4Photographs of the building included
6.5Contractor available to complete the works
6.6Read and understood Terms & Conditions and Guidance Notes
6.7Evidence provided of relevant permissions required(e.g. Planning, Building Regulations, Listed Building consent, Advertisement consent etc)
6.8Proof of ownership (and written permission from the owner if required)
6.9Please confirm that no work has started on site
In some areas, additional funding may be available through town councils and/or locality partnerships for further works to improve the appearance of empty shops. If you would like to discuss the opportunity further and you agree to this application form being forwarded to the relevant partner, please tick the box.

Copeland Pride of Place: Town Centre Regeneration Building Scheme. Application Form