Alteration &Improvement Application

Thinking of making changes to your home? You need to let us know by completing the alterations & improvements form below and one of our agents will be in touch. Depending on your request we may need a technical surveyor to visit your home to make sure the changes can be made so please don’t start any work until we have been in touch.

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Contract Holder Details

Name (Contract Holder 1) *

First

Last

Date of Birth – Contract Holder 1: *

Name (Contract Holder 2)

First

Last

*If Applicable

Date of Birth – Contract Holder 2:

*If Applicable

Address *

Address Line 1

Address Line 2

City *

Postal Code *

Telephone Number: *

Email Address: *

Contact Preferences: *

Phone
Email
Letter
Face to face

Select all that apply.

Please state your contract status: *

Household members:

Please give details about your household members:

Property Details

What type of property do you live in? *

How many bedrooms do you have? *

Proposed Alteration *

Please include as much information as possible in relation to the work that you wish to complete. Please include sizes, materials to be used and estimated costs as well as expected start and end date of works. Please continue on separate paper is you require more space.

Does the proposed works involve gas or electrical alterations? *

Have you obtained all other relevant permissions e.g. Planning Permission? *

Will the work require the use of heavy or noisy machinery? *

Supporting Documents

Click or drag a file to this area to upload.

Please upload any documents that support your alteration, including Planning Permission confirmation, and any proposed works.

Further Information

Please list here any further information that you wish to be consider as part of your application:

Declaration

By signing this application, I confirm:
• The details provided on this application are true.
• I will consult Bron Afon regarding any changes required to the planned works.
• I accept full responsibility for the works; including the cost of ongoing maintenance relating to the works and the cost of any rectify work required as a consequence of the works being completed.
• I will use properly registered persons for any gas or electrical works required and I will obtain certificates for any gas or electrical works completed.
• Should I later vacate the property, I will be responsible for returning the property to its original condition, should Bron Afon request this. I accept to pay the cost of Bron Afon doing this should I fail to.
• I am responsible for ensuring I obtain any other relevant permissions from Torfaen County Borough Council where permission from them is required.

Use of person information:

Declaration: *

Choice 0

I agree for Bron Afon Community Housing to store and share the information I have provided with any relevant partners as part of the assessment process.

Date *

Contract Holder 1 Signature: *

Clear Signature

Date *

Contract Holder 2 Signature:

Clear Signature

If applicable