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 4                                                                Part Service/Building Bye-Laws Planning

SPECIMEN CERTIFICATE

CERTIFICATE OF COMPLIANCE

I , .. ............ CERTIFY as follows:
1. I am an .............. having qualified as such at ....... .. ..... in the year .. ....... ..... AND I
am a member of The .. ........... .
2. I 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.
3. I am the ......... ..... /my said Firm are the .............. retained by .............. to design the
.............. (insert precise description of building or works) .. ............ situate at
.............. in the .............. of .............. Such building or works being hereinafter
referred to as "the Relevant Works".
4, (a) The Plans and other particulars on foot of which there was granted the Permission/Approval
mentioned in Paragraph 5 (a) hereunder were prepared by me/by my said Firm.
(b) The Relevant Works and the services thereof were designed by me/my said Firm in substantial
conformity with the relevant Building Bye-Laws for the time being in force
OR
I visited the office of the Planning Authority and there inspected the house plans, estate layout plan,
specifications and other drawings and documents which were represented by the Planning Authority
As those on foot of which:
(i) was granted the Permission/Approval mentioned at Paragraph 5 (a) hereof
AND
(ii) was issued the Notice of Approval referred to at Paragraph 5 (b) hereof.
5 (a) The Grant of Permission -Decision Order No . .............. dated the ............. .
day of .............. 19 .............. Planning Reference No ..... ......... relates to the Relevant Works
(b) The Notice of Approval under the Building Bye Laws which Notice is dated
the .............. day of .............. 19 .. ........… and was issued under Reference Number ..............
relates to the Relevant works.
6. I have inspected the Relevant Works and in my opinion the construction thereof complies
substantially with the Permission/Approval mentioned in Paragraph 5 (a) hereof.7.
The position of the Relevant Works and of the site thereof is in substantial compliance with the
estate layout presented to the Planning Authority in so far as the estate has been completed.
8. No Planning Permission other than that referred to at Paragraph 5 (a) aforesaid is
pertinent to the Relevant Works.
9. The conditions of the Permission/Approval referred to at Paragraph 5 (a) 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.
10. 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 Permi ssion/ Approval.
11. I did not supervise the construction of the Relevant Works and my inspection thereof, which was
made on the ...........… day of .............. 19 .. ............ was visual only. This inspection did not entail
The opening up of works, which had been fully/substantially completed on said date.
To the extent that such inspection allowed, and not taking into account matters which
were inaccessible to me, I am of the opinion that the Relevant Works have been
constructed in substantial compliance with the relevant Building Bye-Laws as stipulated for in the
Notice of Approval mentioned in Paragraph 5 (b) hereof.
12. 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 following matters:
(a) the accuracy of dimensions in general save where and out of the conditions of the
Permission/Approval or out of 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 the said
Inspection

Dated the .............. day of ............. . 20 ............. .

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