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Date Received / / GARAGE / GARAGE PLOT APPLICATION FORM Please complete this form in full and as clearly as you can in black ink. If you need help or advice please contact your nearest Housing Office or Contact Centre. 1. FIRST APPLICANT – Your Details Surname (Last name) First Name(s) Title e.g. Mr/ Date Age Miss/Mrs/Ms of birth All Previous Names (If applicable) National Insurance No. Address Postcode: Daytime Telephone No. Mobile No. 2. SECOND APPLICANT – Spouse / Partner’s Details Surname (Last name) First Name(s) Title e.g. Mr/ Date Age Miss/Mrs/Ms of birth All Previous Names (If applicable) National Insurance No. Address Postcode: Daytime Telephone No. Mobile No. 3. At Your Present Address Are you? Is your joint applicant? Council Tenant Owner Occupier Lodger Tied Tenant Housing Association Private Landlord 4. Do you currently rent or have you ever rented a garage Yes: No: from North East Derbyshire District Council 5. Do you currently rent or have you ever rented a garage plot Yes: No: from North East Derbyshire District Council If you answered No to questions 5 or 6, please go to Question 8 6. Where is/was the site situated? 7. If you are applying for an additional Garage / Garage Plot please state reason(s) why? 8. Do you require a Garage? Yes: No: 9. Do you require a Garage Plot? Yes: No: Eligibility to Register • Have you committed a criminal offence or engaged in criminal or anti social activity? Yes No If Yes please supply details: • Do you owe this council or any other landlord current rent arrears, former tenant’s arrears or any sundry debts? Yes No If Yes please supply details: • Are you, or have you been in the past, subject to any formal notice to seek possession of your home? Yes No If Yes please supply details: I / we* certify that the whole of the particulars given in this Application for a Garage/Garage Plot are true. I / we* realise that if a Council garage/garage plot is obtained by making a false statement, the Council reserves the right to take legal action to recover possession. The Council is a Data Controller under the Data Protection Act. We hold information for the purposes specified in our notification made to the Data Protection Commissioner, and may use this information for any of them. We may get information about you from others, or we may give information to them. If we do, it will only be as the law permits to check accuracy of information, prevent or detect crime and protect public funds. We may check information we receive about you with what is already in our records. This can include information provided by you as well as others such as government departments and agencies and overseas tax authorities. We will not give information about you to anyone outside the Council unless the law permits us to do so. Completing and signing this application form is consent under the Data Protection Act 1998. Signature:………………………………………….. Date:…………………………… Signature:………………………………………….. Date:…………………………… Thank you for your interest in renting a garage / garage plot from North East Derbyshire Council. The Council will normally exclude people from registering who have committed certain types of criminal offence or have engaged in a criminal or anti-social activity. By anti-social behaviour we mean being a nuisance to your neighbours. People are also not normally allowed to register if they have been evicted or are subject to a legal notice of possession by this Council or any other Local Authority or Registered Social Landlord, or owe arrears from a past tenancy or other debts to this Council (e.g. an unpaid bill for damage). We will therefore carry out checks and take up references as part of the Council’s strategy to tackle crime and anti-social behaviour and make its District a better, safer place to live. When your application has been assessed, the Council will send you a letter normally within 20 working days, giving your registration number. If you have a query about your application, you should contact the Housing Office as soon as possible. North East Derbyshire Council as a responsible landlord is working with tenant and other organisations to tackle crime and anti-social behaviour in its area. GENERAL INFORMATION • Council tenants receive priority over non-council tenants relating to the allocation of garages/garage plots. • Any current North East Derbyshire District Council tenant who owes current rent arrears or sundry debts at the time of allocation of a garage / garage plot, your application will be by passed for offer, until such time as the debt is cleared. • The Council will not be held liable for any damage or theft that may occur to private property. • Garage plots are subject to planning consent being granted, at a cost to the applicant. • It is a condition of renting a garage plot that a garage be erected and that the plot must not be used solely as a parking place. • The garage should be used solely for the purpose of garaging of a private motor vehicle. • No trade or business of vehicle repairing shall be carried out from the garage, or cause any nuisance or annoyance to occupants of nearby premises. • Only such tools and equipment as are necessary for the maintenance of a private motor vehicle shall be stored in the garage. • No storing of petrol or combustible materials other than such as may be contained in the fuel tank of the motor vehicle. 10. Choice of Area. Dronfield Housing Office Area Apperknowle Garage Sites ND61 Sharman Close ND62 High Street Barlow Garage Sites Barlow Garage Plots ND021 Springfield Road ND022 Valley Road Coal Aston Garage Sites ND551 Birches Fold Cutthorpe Garage Sites ND201 Riggotts Way Dronfield Garage Sites Dronfield Garage Plots ND511 Fletcher Avenue ND520 Fairview Road ND512 Gledhill Close ND521 Great Croft ND513 Marsh Avenue ND522 Smithy Croft ND514 Moonpenny Way ND523 The Avenue ND515 Snape Hill Crescent ND516 Stonelow Green ND517 Stubley Place ND518 Summerwood Place ND519 Thirlmere Drive Holmesfield Garage Sites ND401 Park Rise ND402 Vicarage Close ND403 Woodside View Holymoorside Garage Sites Holymoorside Garage Plots ND121 Pinfold Close ND122 Loads Road Unstone Garage Sites Unstone Garage Plots ND621 Whittington Lane ND62 2 Loundes Road ND623 St Johns Road ND624 Whittington Lane Wadshelf Garage Sites ND211 School Lane Eckington Housing Office Area Eckington Garage Sites Eckington Garage Plots NE652 Billam Street NE658 Berry Avenue NE653 Castle Hill NE659 Billam Street NE654 Darcy Road NE660 Castle Hill NE655 Fir Road NE661 Ducksett Lane NE656 Pinfold Street NE662 Elm Road NE663 Mulberry Road NE664 Pitt Street Renishaw Garage Sites Renishaw Garage Plots NE665 Carrwood Road NE662 Emmett Carr Lane NE663 Circular Drive Marsh Lane Garage Ridgeway Garage Sites plots NE681 Lowfield Avenue NE682 Warren Crescent Killamarsh Housing Office Area Killamarsh Garage Sites Killamarsh Garage Plots NK811 Beech Crescent NK817 Chandos Crescent NK812 Chandos Crescent NK818 Delves Road NK813 Delves Road NK819 Nether Avenue NK814 Norwood Place NK820 Sherwood Road NK815 Rectory Road NK816 Westthorpe Road Clay Cross Housing Office Area Clay Cross Garage Sites Clay Cross Garage Plots SX311 Angel Estate SX325 Brassington Street SX312 Bestwood Park SX326 Waterloo Street SX313 Florence Road Danesmoor Garage Sites SX314 Bevan Road SX315 Oakdale Close SX316 Rye Crescent SX317 The Square SX318 Wheatcroft Close SX319 Wilson Close Holmgate Garage Sites Holmgate Garage Plots SX320 Ashbourne Avenue SX327 North Street SX321 Coupe Lane SX328 Ashbourne Avenue SX322 Rock Crescent SX329 Meadow Road SX323 North Street SX330 Cromford Road SX324 Valley Road Ashover Garage Sites SX501 Malthouse Lane SX502 Dovecotes Kelstedge Garage Sites SX511 Westedge Close Woolley Moor Garage Sites Woolley Moor Garage Plots SX901 Hawthorne Close SX902 Badger Lane Mickley Garage Plots SX421 Mickley Lane SX422 Priestley Avenue Morton Garage Sites Morton Garage Plots SX801 New Street SX802 Evershall Close SX803 Sitwell Villas Shirland Garage Sites Shirland Garage Plots SX431 Burnside Avenue SX433 Elm Tree Avenue SX432 Willow Street Stonebroom Garage Sites Stonebroom Garage Plots SX411 Addison Road SX416 Brierley Road SX412 Byron Grove SX413 Scott Crescent SX414 Shelley Grove SX415 Thackray Road Tupton Garage Sites Tupton Garage Plots SX101 Davenport Road SX108 Davenport Road SX102 Ford Street SX109 Northside SX103 Queen Victoria Road SX110 Wingfield Road [Bottom] SX104 Queen’s Walk SX111 Northside SX105 Redfern Street SX106 Wingfield Road [Top] SX107 Wingfield Road [Bottom] Wessington Garage Wessington Garage Sites Plots SX701 Hill Crest Avenue SX702 Coronation Street Brackenfield Garage Sites Brackenfield Garage Plots SX601 Carr Lane SX602 Carr Lane Wingerworth Garage Sites Wingerworth Garage Plots SX201 Allendale Avenue SX203 Greenway SX202 Oak Close North Wingfield Housing Office Area North Wingfield Garage Sites North Wingfield Garage Plots SN821 Ashford Avenue SN825 Dark Lane SN822 Greenland Close SN826 Whiteleas Avenue SN823 Holbrook Avenue SN824 Whiteleas Avenue Hepthorne Lane Garage Sites SN881 Crich Place SN882 Hambleton Avenue SN883 Mayfield Drive SN884 Bamford Avenue Heath Garage Sites Heath Garage Plots SN621 Moorland Drive [A] SN623 Heather Avenue SN622 Moorland Drive [B] SN624 Moorland Drive Holmewood Garage Holmewood Garage Sites Plots SN611 Masefield Avenue SN 613 Central Street SN612 Searston Avenue SN614 Devonshire Terrace SN615 Searston Avenue SN616 Shakespeare Street Grassmoor Garage Grassmoor Garage Sites Plots SN141 MacDonald Close SN142 Westhill Lane SN143 Broom Drive T Normanton Garage Sites SN144 Burns Drive SN401 Elm Street Pilsley Garage Sites Pilsley Garage Plots SN701 Elm Road SN704 Landsbury Avenue SN702 Queensway SN705 Pear Tree Road SN703 Broom Avenue SN706 Queen Street SN707 Queensway Calow Garage Sites Calow Garage Plots SN031 North Road SN032 North Road SN033 Allpits Road FOR OFFICE USE ONLY Date of Application/Review Comments Offered:- Date Address Type Gross Rent Reply Initials £ p Cancellation:- Signature ………………………………………… Date ………………………….
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