Sample Form 1 – Full Service Buildings Regs Planning

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 ………….. Imy said Firm are the ………….. retained by ………….. to design and make periodic inspection during the course of construction of ……. (insert precise description of buildings or works) …………..
known as ………….. situate at …………. . in
the ………….. of ………….. such building or works being hereinafter referred to as “the Relevant Works”.
4. The Plans and other particulars on foot of which there were granted or issued the Permission/Approval and the Fire Safety Certificate mentioned respectively in paragraphs 5 and 6 hereunder were prepared by me I by my said Firm.
5. The Grant of Permission/Approval -Decision Order No …………… dated ………. the ………….. day of ………….. , 19 ………….. Planning Reference No …………… relates to the Relevant Works.
6. The Fire Safety Certificate (Reference No…………… ) dated the ……….. … Day of ………. …. , 19 ………….. also relates to the Relevant Works.
7. The Relevant Works and the services thereof have been designed in substantial conformity with the Building Regulations made pursuant to the Building Control Act, 1990.
8. Commencement Notice of the intention to undertake the Relevant Works was
duly given on the ………….. day of ………….. in accordance with the Building Control Regulations, 1991 and such Notice contained or was accompanied by the information and
particulars prescribed by the said Regulations.
9. I made periodic inspections of the Relevant Works during the construction thereof AND in my opinion the construction of the same complies substantially with the Grant of Permission/Approval mentioned in Paragraph
5 hereof and substantially with all the said Building Regulations applicable thereto.
10. No Planning Permission other than that referred to at paragraph 5 aforesaid IS pertinent to the Relevant Works.
11. I consulted with the Fire Authority and ascertained its requirements in relation
to the Relevant Works AND in my opinion the said requirements have been complied with in the erection thereof.
12. 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.
13. 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.
14. 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 Control Act, 1990 and the Regulations thereunder.
Except insofar as it relates to compliance with the said requirements and Regulationsn 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 arising out of the conditions of the Permission/Approval or the Building
Regulations 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 Certificate.

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

Signed ……………………………………………….. .