Diocesan Advisory Committee
Case Number:
APPLICATION TO DAC FOR FORMAL ADVICE
Parish ...... Church ...... Parish No......
Please supply the name of a person in your parish who may be contacted if further information is required.
Name:………………………………………………………………………………………………….
Address:……………………………………………………………………………………………….…
………………………………………………………………………………………………….
………………………………………………………………………………………………….
Postcode:………………………………….
Telephone No:………………………… Email address: …………………………………………
Please give concise details of proposed Works or of Advice sought:
(Please submit as much detail as possible including plans, specifications, good colour photographsand samples of material where appropriate. Photographs may be sent via email to the DAC Secretary if this is easier).
You should enclose two copies of the following with your application:
- Statement of Need for the proposals *
- Statement of Significance if the building is Listed *
- Copies of all tender/quotations received (the Committee would normally expect three) and any advice from the Inspecting Architect or other specialist adviser
- Photographs of the church and any affected areas
*For guidance, please see ‘Statements for Applications’ on DAC page of Diocesan website
You should also complete Form 1A if you have not submitted a copy previously
DETAILS ABOUT THE CHURCH (continue on a separate sheet if necessary)
1a / Employed to draw up the proposals? / YES / NO
1b / Employed to oversee the works in progress? / YES / NO
1c / or asked for general advice in relation to the proposals or informed about the proposals? / YES / NO
2 / If another architect/surveyor is being engaged, what is his/her name? If someone other than an architect or surveyor is overseeing the works, please give their name and role.
...... / ......
* / Please note: to save time the Committee may wish to communicate directly with the Project Architect – please indicate if you object to this
3 / Is grant aid being sought from Historic England, Heritage Lottery Fund or any other grant making body? Please list any conditions / YES / NO
4 / What is the estimated cost of the proposed works? / £
5 / Please give details of any additions to or removal of furnishings, plaques etc. (Enclose separate pages if necessary)
6 / Are any alterations or additions to the exterior of the building or the churchyard proposed, other than straightforward like for like repairs?
If yes, have you consulted with the local planning authority about the need for planning permission? If planning permission has been granted, please include a copy of the permission. / YES / NO
YES / NO
7 / If works of alteration to the interior or the exterior of a listedchurch or churchyard are proposed, have you also consulted with Historic England, the Church Buildings Council, or any National Amenity Societies? What was the date of this consultation?
Please provide copies of any correspondence. / YES / NO
Date:
8 / Do any proposed repairs affect the roof, tower, or any place bats might be? If yes - an assessment must be made by a suitably licensed bat surveyor as to whether or not bats are present. It is a requirement of legislation that Natural England be informed of any operation that may affect bats or their roosts, even when the bats areapparently absent. (In the first instance contact the Bat Conservation Trust on 0845 1300 228 for an initial free visit from a bat warden) / YES / NO
9 / Have you obtained any archaeological advice about the proposedworks? If so, please provide details. / YES / NO
10 / If work affecting the electrical installation is proposed, have youinformed the church’s insurance company? / YES / NO
11 / Please provide acopy ofthe PCC minute regarding your proposals with thisapplication form.
Important: Please note thatif planning consent is also needed (as it will be for most external alterations), it is imperative that the DAC's view of the proposed work is obtained before a planning application is made to your local authority.
Signed by intending Petitioners
NameOfficeSignature
……………………………...…………………………………………………………… [1]
……………………………...…………………………………………………………… [2]
……………………………...…………………………………………………………… [3]
Date ……………………..
NOTE: Where the cost of the work is to exceed £5000, details of the Insurance and Indemnity of the Architect(s) and Contractor(s) to be employed should also be enclosed. (Revised Aug2015)
Form 1A(Rules 3.2 and 4.6)
Standard Information (parish churches etc.)
Diocese of ______
Church of ______
In the parish of ______
Approximate date of church
Is the church listed? / Yes / No
If so, please state whether it is grade I, II* or II
Is the church, churchyard or any adjoining structure wholly or partly scheduled as an ancient monument? / Yes / No
Is the church, churchyard or any adjoining structure in a conservation area? / Yes / No
If it is, please state which
Is the church, churchyard or any adjoining structure in a national park? / Yes / No
If it is, please state which
Is there any evidence that bats use the church, its curtilage or any adjoining structure? / Yes / No
Please give details of any privately owned chapels, aisles or windows
Name of lay rector, if known
Is the churchyard or burial ground consecrated? / Yes / No
Is the churchyard or burial ground still used for burials? / Yes / No
If the churchyard or burial grounds is no longer used for burials has it been closed by Order in Council? / Yes / No
If it has, please give the date of the Order
Are there any graves that are identified as war graves by the Commonwealth War Graves Commission? / Yes / No
Please identify any historic structures, listed tombs, war memorials or significant trees in the churchyard or burial ground
Please give the name and address of the architect or surveyor appointed for the church under the Inspection of Churches Measure 1955
Signed: / Date:
Office or position held: