For Official Use: Cash Office/Service Point

LL.2.

For Official Use: Cash Office/Service Point

Financial Code: 10-55203-000/KC1951

APPLICATION FEE: / £47.00 /
FEE PAID:
RECEIPT NO:
DATE RECEIVED:
RECEIVED BY:
(SERVICEPOINT & INITIALS)

THE LICENSING (SCOTLAND) ACT 2005

HIGHLAND LICENSING BOARD

Please read Guidance Notes before completing form

Application for Building Control Certificate under Section50
of the Licensing (Scotland) Act 2005

Application is hereby made by (a) ……………………………………………………………………………………………………………………………

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To THE HIGHLAND COUNCIL, Building Standards Manager

for the following certificate as to suitability of the premises at (b)

…………………………………………………………………………………………………………………………..

of a premises licence under S.20 or confirmation of a provisional premises licence under S.46 for which a S.50 Certificate is being sought, in relation to Building Standards.

1.Building Standards Certificate
Give the following information
In the case of an application for a new licence
(i) a. Date and reference of
warrant for the construction
of the premises, and
(ii) b. Date and reference of
certificate of completion
or If no warrant for the construction of the premises is required give reasons
(ii) Date and reference of warrant for the change of us of the premises
or If no such warrant is required give reasons
In the case of confirmation of provisional grant of a licence
(i) Date and reference of warrant for the construction of the premises
(ii) Date and reference of warrant for the change of use of the premises
or Reference to correspondence with your authority where it is indicated that on completion of the construction of the premises in accordance with the warrant, a warrant for the change of use will be granted
or If no warrant for change of use is required, give reasons / Yes/No
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Data Protection – the information you have supplied will be used for the purpose for which you have provided it and any relevant procedures following from this. This data will be maintained in accordance with the Data Protection Act 1998 and will not be passed on or sold to any other organisation without your prior approval unless this is a legal requirement.

Date ...... Signature ...... ………………..

(Applicant/Agent)

Address of Agent (if ay) ……………………………………

Daytime tel no: ……………………………………………………......

Fax no: ………………………………………………………………......

Mobile no: ……………………………………………......

E.Mail:………………………………………………….…………………………….

The completed application form should be sent to thePrincipal Building Standards Surveyor at the appropriate office.

These are:

Caithness

Sutherland and East Ross

Planning and Building Standards Area Office / Planning and Building Standards Area Office
Caithness House / Drummuie
Market Place / Golspie
Wick KW1 4AB / KW10 6TA

Dingwall

Skye

Planning and Building Standards Area Office / Planning and Building Standards Area Office
84 High Street / Tigh na Sgire
Dingwall / Park Lane
IV15 9JB / Portree
Isle of Skye
IV51 9GP

Lochaber

Inverness

Planning and Building Standards Area Office / Planning and Building Standards Area Office
Charles Kennedy Building / Council Offices
Achintore Road / Town House
Fort William / Inverness
PH33 6RQ / IV1 1JJ

Badenoch and Strathspey

Planning and Building Standards Area Office
100 High Street
Kingussie
PH21 1HY

WAYS TO PAY: Please note that the Council can no longer accept payment by cash or cheque:-

By Debit or Credit Card

In Person at any Service Point

By Telephone to a member of Council staff. Please telephone the payment line on 0845 602 4232 and a member of staff will be able to take your payment. This service is available Monday-Friday 8am to 6pm, and Saturday 9am to 12 noon.

By Bank Credit Transfer, Telephone or Online Banking or Standing Order

Please pay to the Clydesdale Bank, 15 Academy Street, Inverness, IV1 1JN

Bank Sort Code:82:70:13

Bank Account Number: 30000542

Please quote: Name of Premises/Type of Application with all payments.

Q:\Licensing (S) Act 2005\Application Forms - Oct 2010\Section 50 - Building Standards Application.doc