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the date hereof, to bring the same into conformity with App. IV. the said Act in such particulars.

Pt. I.
Form No 4.

Building or structure referred to:

Situation of building or structure :—

Parish of

Street

Number in street (if any)

Description of locality (if the site be vacant)

Particulars of work done in cONTRAVENTION of the Act, and to be amended :

Particulars of work required to be done by the Act, but OMITTED, and now to be done :

Particulars of work to be cut into, laid open or pulled down, to ascertain whether anything has been done or omitted to be done as aforesaid :

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Seal of the
Board.

[N.B.-This Form was sanctioned by the Metropolitan
Board of Works, and sealed as required by the
Statutes in that behalf provided. It is still in use
under the Council's Bye-laws.]

THE METROPOLITAN BUILDING ACT, 1855, 18
& 19 VICT. CAP. 122, AND THE METROPOLIS
MANAGEMENT AND BUILDING ACTS AMEND-
MENT ACT, 1878, 41 & 42 VICT. CAP. 32,
PART II.

DISTRICT SURVEYOR'S OFFICE FOR THE

(a)

Mr. (b)

To the builder, or

DISTRICT.

of the occupier [or
the owner] engaged in constructing

the house, building, or erection hereinafter described.

(a) Insert address.

(b) Insert name of owner, occupier, or builder, as the case may be. It will be preferable to insert that of the builder in cases where the work is actually going on. Strike out the part not adapted to the case.

App. IV.
Pt. I.

Form A.'

Take notice that the house, building, or other erection situate and being as follows:

Nature of building

Parish

Street or place

Number in Street (if any)

Description of Locality or Site

has been begun to be and is constructed contrary to the provisions of the bye-laws made under the authority of the said Act of 1878, in the following respects (c) :

And I hereby require you forthwith to conform to the provisions of the said Acts and bye-laws by (d) altering the whole [or the part] of the aforesaid house, building, or other erection as follows (e):

the

[or] (f) pulling down and removing the whole [or part] of the aforesaid house, building, or other

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188.

N.B. By section 17 of the Act 41 & 42 Vict. c. 32 (1878), it is enacted that in case any occupier, builder, owner, or other person, during 28 days after the service of this notice, fails to comply with the requirements of such notice, he shall be liable to a penalty of not less than ten shillings, and not more than forty shillings, for every day from the time of the service of such notice, as aforesaid, until the house, building, or other erection, or any part thereof, comprised in such notice is altered, pulled down, or removed, in accordance with the terms of such notice, and every such penalty shall be in addition to any other penalty for breach of any bye-law.

(c) Here shortly state what is objected to, as: The foundation or site has not been properly prepared by excavating and removing the refuse or dust therefrom.'

'The site has not been covered with a layer of concrete.'

'The concrete used is not properly composed, or the materials,

namely, the lime is not of proper quality,' &c., &c.

'The external walls are not constructed of proper bricks or stone, or

are improperly put together, or bad mortar or cement is used.'

(d) In cases where alteration or addition and no pulling down is required, adopt this part of the form. Strike out the part not adapted to the case.

(e) Here state what alteration is required.

(f) In cases where pulling down and removal are required, adopt this part. Strike out the part not adapted to the case.

Form 'B.'

Seal of the
Board.

[This Form was sanctioned by the Metropolitan Board
of Works, and sealed as required by the Statutes in
that behalf provided. It is still in use under the
Council's Bye-laws.]

THE METROPOLITAN BUILDING ACT, 1855, 18
& 19 VICT. CAP. 122, AND THE METROPOLIS
MANAGEMENT AND BUILDING ACTS AMEND-
MENT ACT, 1878, 41 & 42 VICT. CAP. 32,
PART II.

DISTRICT SURVEYOR'S OFFICE FOR THE

(a)

DISTRICT.

I, the undersigned, being the district surveyor in and for the said district, having received from you notice of the intended erection of [or (b) re-erection of or alteration of or addition to] the building [(c) intended to be] erected on the site described in your said notice as being in street or place of

in the parish of

in the county and known as (d) and situate within my aforesaid district, do hereby require you forthwith to deposit with me at my office aforesaid, plans and sections of the proposed new building [or (e) alterations and additions to the said building] such plans and sections to be of sufficient detail to show the construction.

App. IV.
Pt. I.

Form 'B.'

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N.B.-By the bye-laws made under the authority of the above-mentioned statutes, and confirmed by the Secretary of State, it is provided that on notice being given to a district surveyor of the intended erection, reerection, alteration of, or addition to, a public building, or a building to which section 56 of the Metropolitan

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App. IV.
Pt. I.

Form 'C.'

Building Act, 1855, applies, it shall be the duty of the person giving such notice to deposit plans and sections of such erection, re-erection, alteration, or addition, with the district surveyor. Such plans and sections shall be of sufficient detail to show the construction.

In case of any breach of any of the provisions contained in the bye-laws, the offender shall be liable for each offence to a penalty not exceeding three pounds, and, in each case of a continuing offence, to a further penalty not exceeding thirty shillings for each day after notice thereof from the board or the district surveyor.

Seal of the
Board.

Form C.

[This form was sanctioned by the Metropolitan Board of Works, and is sealed as required by the statutes in that behalf provided. It is still in use under the Council's bye-laws.]

THE METROPOLITAN BUILDING ACT, 1855, 18 & 19 VICT. CAP. 122, AND THE METROPOLIS MANAGEMENT AND BUILDING ACTS AMENDMENT ACT, 1878, 41 & 42 VICT. CAP. 32, PART II.

DISTRICT SURVEYOR'S OFFICE FOR THE

DISTRICT.

(a)

I, the undersigned, being the district surveyor in and for the said district, do hereby require you forthwith to produce and show to me for my inspection, at my office aforesaid, between the hours of ten o'clock in the forenoon and four o'clock in the afternoon, a plan or plans and sections of and relating to the intended house, building, or other erection [or (b) of and relating to the intended alterations and additions to the house, building, or other erection], situate and being No. [or (c) to be erected on the plot of land situate in in the parish of in the county of within my aforesaid district, and in respect of which

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Street

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and

erection, alterations, or additions you have caused notice App. IV. to be given to me as such district surveyor.

Dated this

day of

District surveyor for the district of

(d) To Mr.

188.

N.B.-By the bye-laws made under the authority of the above-mentioned statutes, and confirmed by the Secretary of State, it is provided that on notice being given to the district surveyor of the intended erection, or alteration of, or addition to, any house, building, or other erection other than a public building, the district surveyor may, if he think fit so to do, by notice in writing, require the person giving such notice to produce a plan or plans, and sections of any such house, building, or other erection, or of the intended alterations or additions thereto, for his inspection.

In case of any breach of any of the provisions contained in the bye-laws, the offender shall be liable for each offence to a penalty not exceeding three pounds, and, in each case of a continuing offence, to a further penalty not exceeding thirty shillings for each day after notice thereof from the board or the district surveyor.

Pt. I.

Form.

Registered No.

METROPOLITAN BUILDING ACTS, 1855 AND 1869.

Notice of a Dangerous Structure.

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TO THE METROPOLITAN BOARD OF WORKS.

I hereby give you information that a certain structure, known as and being No.

in the county of

in the parish of is in my opinion in

a dangerous state, and request that the same may be dealt with by you according to the statute.

Name
Address

(d) The person giving the notice of works.

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