If you are proposing to carry out some form of improvement or alteration to your property, you are required under the terms of your Tenancy Agreement to obtain permission from Housing 21 prior to starting the work. This consent is also important as unauthorised work may jeopardise any future insurance claims and may not conform with current Health & Safety and Fire Regulations.
Please complete this form in full and provide as much detail as you can. Once complete, please pass this form onto your Scheme Manager who will approve or send to the relevant person(s) to authorise. Some minor improvements can be authorised by your Scheme Manager. Types of alterations include but are not limited to:
- Fixtures and fittings (fitted wardrobes, kitchen worktops, internal doors etc.)
- Electrical works (light fittings, additional or moving of plug sockets etc.)
- Flooring (carpets, tiles, laminate*)
- White goods (washing machine, dishwasher, fridge, freezer, cooker etc.)
Other alterations that we will consider once approved by the Operations Manager in your area are:
- Major works (bathrooms, kitchens, hot water cylinder*, storage heater*)
- Communal changes (fencing, patio slabs, shed and greenhouses etc.)
*These adaptations will also need reviewing and approving by the Building Surveyor in your area, your Scheme Manager will liaise with them directly.
If you are unsure as to whether the alteration you are requesting requires permission from Housing 21, please speak to your Scheme Manager in the first instance. If you do not have a Scheme Manager, please post, or email your form to the Extra Care Coordinators to process:
Extra Care Coordinators
Housing 21
10th Floor Tricorn House
51-53 Hagley Road
Birmingham
B16 8TP
RetirementLiving@housing21.org.uk
Housing 21 will inform you, in writing, of the outcome of your request. Our approval is subject to certain terms and conditions, to which you must adhere when carrying out the alteration. The permission letter will advise you whether we require copies of certificates for works that have taken place. It is unusual for permission not to be given for alterations; however, if this does happen, we will provide a full explanation of the reasons for declining the request.
Property Alterations Request Form
Please complete all sections of this form in full, with as much detail as possible.
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(Resident) Title and Full Name: |
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(Resident) Full Address:
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Is the Property Rented or Leasehold? ☐Rented ☐Leasehold |
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(Resident) Contact Details:
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Who will be funding the Property Alteration? ☐Local Authority Funding (please state the which LA) ☐DFG ☐Other (Please state below)
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Description of the works being requested for approval:
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Does the alteration include any of the following? Please tick as appropriate
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Replacement boiler, or any work involving gas supplies or pipe work |
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Electrical works – please provide all details on the previous sheet, even if this is just a replacement wall socket |
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External glazing including replacement doors or windows. Please note: if you replace your external front door locks these must maintain the suited system used within your scheme that allows the Scheme Manager to use a master key in cases of emergency. |
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Extension to the property or a conservatory |
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Replacement hot water cylinder or other significant plumbing works |
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Any building work that includes: · Domestic internal alterations · Removal of load bearing walls · Small domestic extensions · Alterations to domestic drainage |
To assist us with consideration of your application, please provide any of the following documents if relevant to the type of works described:
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Specifications and quotations, which must be submitted on the contractor’s letter headed paper. If no quotation supplied, please advise the value of the works for Housing 21’s insurance purposes £________________________ |
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Plans to scale (these are required if the alteration is structural) |
Please provide details about the person or company carrying out the alteration and what relevant qualifications or membership of trade body they have. If you have not decided on a contractor yet, please advise when you will have this information. Your Scheme Manager may be able to recommend a Housing 21 contractor.
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The following page is for Housing 21 use only: Please add any comments or recommendations, if necessary, below:
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Operations Manager Approval
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