Bell Associates - Design & Building Consultants, Coastguard Road, Rush, Co. Dublin.                                               01-8430267 | 087-2371984 www.bellassociates.ie | bellassociates@eircom.net

Bell Associates - Design & Building Consultants, Coastguard Road, Rush, Co. Dublin.                                               01-8430267 | 087-2371984 www.bellassociates.ie | bellassociates@eircom.net

Form 3                                                                  Full Service/ Building Bye-Laws Planning

SPECIMEN CERTIFICATE

CERTIFICATE OF COMPLIANCE

I, .............. CERTIFY as follows:
1I am an .............. having qualified as such at .............. in the year .............. AND I am a member
of The .......... ... .
2I have been in independent private practice on my own account since the year ..............
or thereabouts OR I am a Partner in (or a
Member of ) the above named Firm of .............. in independent private practice.
3I am the .............. /my said Firm are the .............. retained by .............. to design and make
periodic inspection during the course of
construction of ............. . (insert precise description of building or works) .............. Known
as .............. situate at .............. in
the .............. of .............. such building or works being hereinafter referred to as
"the Relevant Works".
4The Plans and other particulars on foot of which there were granted or issued the
Permission/Approval and the Notice of Approval
mentioned respectively in paragraphs 5 and 6 hereunder were prepared by me/by my said Firm.
5The Grant of Permission/Approval -Decision Order No............... dated the .............. Day
of .............. 19 .............. Planning
Reference No ............... relates to the Relevant Works.
6The Notice of Approval under the Building Bye-Laws, which Notice is dated the .............. Day
of .............. 19 .............. and was
issued under Reference Number .............. also relates to the Relevant Works.
7The Relevant Works and the services thereof have been designed in substantial conformity
with the relevant Building Bye-Laws for
the time being in force.
8I made periodic inspections of the Relevant Works during the construction thereof AND in
my opinion the construction of the same
complies substantially with the Permission/Approval mentioned in Paragraph 5 hereof and
substantially with all the said Building
Bye-Laws applicable thereto.
9No Planning Permission other than that referred to at Paragraph 5 aforesaid is
pertinent to the Relevant Works.
10. I consulted with the Fire Authority and ascertained requirements in relation to the
Relevant Works AND in my opinion the said
requirements have been complied with in the erection thereof.
II. The conditions of the Permission/Approval referred to at Paragraph 5 relating to the
Estate of which the Relevant Works form part
have been substantially complied with in so far as is reasonably possible at this stage
of the development of such Estate BUT
this paragraph is not to be taken as extending to conditions for the payment of financial
contributions or the giving of security
for satisfactory completion compliance with which is not within my competence to certify.
12. In the event that the Relevant Works and the site works pertaining thereto have not
been built and/or laid out exactly in
accordance with the said Permission/Approval any disparity is unlikely to affect the planning
and development of the area as
envisaged by the Planning Authority and expressed through such Permission/Approval.
13. TAKE NOTE that this Certificate is issued solely with a view to providing evidence for
title purposes of the compliance of the
Relevant Works with the requirements of Planning Legislation and of the Building Bye Laws.
Except insofar as it relates to
compliance with the said requirements it is not a report or survey on the physical condition
or on the structure of the Relevant
Works NOR does it warrant, represent or take into account any of the fol lowing matters:
(a) the accuracy of dimensions in general save where ansmg out of the conditions of the
Permission/Approval or the Building Bye-
Laws aforesaid
(b) the following conditions, compliance with which cannot be established: Planning
Reference No: .............. Conditions ............. .
Planning Reference No: .............. Conditions ........... .. .
(c) matters in respect of private rights or obligations
(d) matters of financial contribution and bonds
(e) development of the Relevant Works which may occur after the date of issue of this Certicate

Dated the ................................ day of .............. 19 ...........

Signed ........................................................ .
Bell Associates
Bell Associates