Table Of Contentcerfa 13404*01 Récépissé de dépôt d'une déclaration préalable & Déclaration préalable Construction, travaux, installations et aménagements nous soumis à permis comprenant
ou non des démolitions)
Traduction anglais - English Translation
Page 1
Filing Receipt in Respect of Preliminary Declaration
Mrs/Ms/Mr,
You have filed a Preliminary Declaration relating to construction or conversion works
that are not subject to planning permission. Processing the declaration may take up to
ONE MONTH and, should you receive no Planning Authority's notification within such
a period, you may benefit from tacit planning approval in relation with such construction
or conversion works.
• However, within a month following the declaration, you may receive Planning
Authority's notifications in respect of:
- either giving you notice that, pursuant to the Code de l'urbanisme [French Town
Planning Regulations], a different deadline may apply with a view to carrying out
necessary checks (where additional searches are required regarding the proposed
scheme...);
- either giving you notice that one or more additional document(s) are required to process
your application;
• Should you receive such notifications before the end of the month following the
filing of your declaration, such notifications shall replace this receipt.
• Should you receive no notifications before the end of the month following the filing
of your declaration, you may commence work (1) provided that you have:
- displayed on site, this receipt affixed with the Mairie's [Town Hall's] official stamp so
as to provide proof of the application date;
- displayed on site and for the entire work duration, a sign providing a description of the
scheme. Template signs are available in Mairies [Town Halls], on the [French]
Government Department for Town Planning's website and in most builders' stores.
• Please note: full planning approval is subject to absence of claims. During a two
month period starting on the day notice of planning approval is displayed on site, third
party claims relating to validity of planning approval may be filed with a Tribunal
Administratif [French Administrative Court]. In such cases, claimants must give you
notice thereof within a strict fifteen day period starting on the day of filing their claims.
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cerfa 13404*01 Récépissé de dépôt d'une déclaration préalable & Déclaration préalable Construction, travaux, installations et aménagements nous soumis à permis comprenant
ou non des démolitions)
Traduction anglais - English Translation
(1) In some cases, works may not commence immediately after planning approval is
granted and must be postponed: this applies to tree felling and trimming, [and]
conversion of residential units into different uses in cities exceeding 200,000.00
inhabitants and in the départements [French administrative districts] of Paris, Hauts-de-
Seine, Seine-Saint-Denis and Val-de-Marne, or works related to listed facilities with
regards to environmental protection. Please check with your [local] Mairie [Town Hall]
whether such regulations apply to the proposed scheme.
----
(to be filled in by the Mairie [Town Hall])
The proposed scheme referred to in the declaration reference:
, filed with the Mairie [Town Hall] on:
, benefits from planning approval, should no Planning Authority notice be given within a
month from this date (2). Construction or conversion works may commence once this
receipt and a sign complying with regular templates [and] providing a description of the
proposed scheme are displayed on site.
(2) Certificates of such permissions may be issued upon request by the Maire [Mayor] or
the Préfet [Head of Local Police Authority].
----
Mairie's [Town Hall's] Official Stamp:
----
Deadline & Claim Procedures: Planning approval may be subject to recours gracieux
[applications for re-consideration] and recours contentieux [contentious claims] during a
two month period starting on the first day of a two month period during which a sign
must be continuously displayed on site and provide a description of the proposed scheme
and remain visible from a public-right-of-way (Section R. 600-2, Code de l'urbanisme
[French Town Planning Regulations].
On pain of nullity, claimants must give notice of their claims to decision makers and
permission holders (Section R. 600-1, Code de l'urbanisme [French Town Planning
Regulations]).
Planning approval is issued without prejudice to third parties' rights: planning
approval relates to the conformance of the proposed scheme with town planning
regulations and limitations. Planning approval does not relate to other regulations and
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cerfa 13404*01 Récépissé de dépôt d'une déclaration préalable & Déclaration préalable Construction, travaux, installations et aménagements nous soumis à permis comprenant
ou non des démolitions)
Traduction anglais - English Translation
private law provisions. Anyone that may be deemed harmed as a consequence of a lack of
consideration in relation with property rights or any private law provisions may claim
their rights via civil court action, regardless of whether preliminary declarations are
compliant with Town Planning Regulations.
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cerfa 13404*01 Récépissé de dépôt d'une déclaration préalable & Déclaration préalable Construction, travaux, installations et aménagements nous soumis à permis comprenant
ou non des démolitions)
Traduction anglais - English Translation
Page 2
N° 13404*01
Preliminary Declaration [in respect of]
Permitted Constructions, Works, Installations and Conversions
including or not including demolition works
1/7
----
* Information required to process this declaration
• Information required for tax assessment purposes
◊ Information required in relation with Section R. 431-34, Code de l’urbanisme [French
Town Planning regulations]
----
You may use this form if:
• the proposed development (housing estate, camp site, parking area, [Gypsies' and]
Travelers' amenities, ...) is of limited importance and subject to a simple declaration
procedure.
• The proposed works (construction, conversion of existing buildings...) or change(s) of
use is/are subject to a simple declaration procedure.
• The proposed project includes demolition works.
To determine what precise procedure applies to the proposed works and developments,
you may use the help sheet or seek advice from the Mairie [Town Hall] of the locality
where the proposed scheme is located.
----
Fields to be filled in by the Mairie [Town Hall] of the locality where the scheme is
located
D P
Dpt - Commune [township] - Year - file No
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cerfa 13404*01 Récépissé de dépôt d'une déclaration préalable & Déclaration préalable Construction, travaux, installations et aménagements nous soumis à permis comprenant
ou non des démolitions)
Traduction anglais - English Translation
----
This application has been filed with the Mairie [Town Hall] of
on
Mairie's [Town Hall] official stamp & Mairie Officer's signature
File forwarded to:
-the Architecte des Bâtiments de France [official architect, French Heritage]
-the Directeur du Parc National [National Parc Manager]
----
* 1 - Declarant's Identity
Without prejudice to adverse claims, the Declarant referred to in the fields below
may undertake the [proposed] works and development. Where appropriate, he/she
will be liable for town planning tax.
Declarant acting as an individual
Mrs/Ms
Mr
Surname:
First Names:
Applicants acting on behalf of a legal entity:
Trading Name:
Company Name:
N° SIRET [company registration number]:
Catégorie juridique [company legal category - four digits]:
Legal Entity Representative:
Mrs/Ms
Mr
Surname:
First Names:
----
2 - Declarant's Details
* Address:
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cerfa 13404*01 Récépissé de dépôt d'une déclaration préalable & Déclaration préalable Construction, travaux, installations et aménagements nous soumis à permis comprenant
ou non des démolitions)
Traduction anglais - English Translation
Street Number:
Street:
Locality:
City:
Postcode:
PO Box:
Cedex [French acronym referring to major companies' PO boxes]:
Where the declarant resides abroad:
Country:
State/County:
----
If you wish that Planning Authority's correspondence (other than decision
notifications) be sent to another person, please indicate that person's names and
details:
Mrs/Ms
Mr
Legal Entity
Surname:
First Names:
OR company name:
Address:
Street Number:
Street:
Locality:
City:
Postcode:
PO Box:
Cedex [French acronym referring to major companies' PO boxes]:
Where the declarant resides abroad: Country:
State/County:
Telephone:
Please indicate international phone code:
----
During the application process I agree to receive Planning Authority's documents
via emails to the following email address: @
I take due note that, in such a case, the date of notification shall be that of email opening
or, at the latest, the date of email sending plus eight days.
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cerfa 13404*01 Récépissé de dépôt d'une déclaration préalable & Déclaration préalable Construction, travaux, installations et aménagements nous soumis à permis comprenant
ou non des démolitions)
Traduction anglais - English Translation
Page 3
2/7
3 - About the Site
* 3.1 - Site Location(s)
Details and drawings (see the list of documents to append) that are supplied must provide
Planning Authorities with accurate location(s) of the site(s) in relation with the proposed
scheme.
- A site is defined as a group consisting of every adjoining cadastral parcel [i.e. parcels
recorded on French Land Registers or Cadastre] belonging to a same owner.
Site Location(s)
Street Number:
Street:
Locality:
City:
Postcode:
PO Box:
Cedex [French acronym referring to major companies' PO boxes]:
Références cadastrales [French Land Registry References]: Section and Number (1)
(if the proposed scheme relates to several cadastral parcels, please indicate the
[references of the] first parcels below; you may continue on a separate sheet [if
necessary]).
Site surface area(s) (sq. m):
----
3.2 - Site Legal Information
(providing such items of information is not mandatory, however, it may help towards the
assertion of rights in relation with planning permission or tax rebates)
Have you been issued with a certificat d’urbanisme [outline planning permission
certificate] in relation with the site?
Yes - No - I do not know
Is the site located in a housing estate?
Yes - No - I do not know
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cerfa 13404*01 Récépissé de dépôt d'une déclaration préalable & Déclaration préalable Construction, travaux, installations et aménagements nous soumis à permis comprenant
ou non des démolitions)
Traduction anglais - English Translation
Is the site located in a Zone d'Aménagement Concertée (Z.A.C.) [area where special
zoning regulations apply]?
Yes - No - I do not know
Is the site included in a remembrement [land re-parcelling] operation (in relation with an
Association Foncière Urbain [registered zoning association])?
Yes - No - I do not know
If any of the above cases applies to the site, please specify dates of approval issuance or
notification, references and naming:
----
3.3 - Parcels Resulting from Land Sub-Division
If the site is set on a parcel resulting from the sub-division of a propriété bâtie [land with
buildings] that was carried out less than 10 years ago, please check with the [local]
Mairie [Town Hall] whether the plan local d'urbanisme [local land-use plan] includes
regulations that may limit your building rights and that were ordained prior to the date of
subdivision. If such regulations apply, the seller must have given you notice thereof. Such
a notice indicates the surface areas of the constructions already existing on the other part
of the site.
Please, indicate that surface area (sq. m):
and the site's surface area prior to sub-division (sq. m):
or append a copy of the notice hereto.
----
4 - Information Required with Regard to Application Relating to Development
Projects
If the proposed scheme does not include any development, please go straight to
paragraph 5 (construction project)
* 4.1 - Nature of the proposed works, installations and developments (please tick as
appropriate)
Regardless of local zoning
• Housing Estate
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cerfa 13404*01 Récépissé de dépôt d'une déclaration préalable & Déclaration préalable Construction, travaux, installations et aménagements nous soumis à permis comprenant
ou non des démolitions)
Traduction anglais - English Translation
• Other type of land subdivision
• Camping Site
• Caravan sited out of a camping site or a residential & leisure site
°Yearly duration of site occupation (in months):
• Public parking spaces, vehicle storage yards and caravan parks for collective use
°Capacity (number of units):
• Work carried out with a view to heightening or excavating the soil:
° Surface area (sq. metres)
° Depth (excavation work):
° Height (heightening work):
• Tree trimming and felling
• Modification or removal of elements listed under a plan local d'urbanisme [local
land-use plan] or any other similar land-use plans (i.e. plan d’occupation des sols,
plan de sauvegarde et de mise en valeur, plan d’aménagement de zone) (2)
• Modification or removal of elements listed pursuant to a resolution issued by the
[local] conseil municipal [Town Council]
• Installation of mobile accommodations for continual occupation by [Gypsies and]
Travelers during more than three consecutive months
• [Gypsies and] Travelers amenities
• Works modifying the surroundings of buildings located in conservation areas
Regarding secteurs sauvegardés [conservation areas], sites classés [listed sites] or
réserves naturelles [natural reserves]:
• Installation of street furniture and fixtures, work of art
• Modification of public areas and right-of-ways
• Planting, seeding or turfing carried out on public right-of-ways and public areas.
----
(1) If need be, you may seek advice from the [local] Mairie [Town Hall]
(2) Specified and listed elements pursuant to Section L. 123-1, Code de l'urbanisme
[French Town Planning Regulations]. In case of doubt, please refer to the [local] Mairie
[Town Hall].
Page 4
3/7
[Please provide a] short description of the proposed scheme or works:
* Surface area(s) of the site(s) for development (sq. m):
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cerfa 13404*01 Récépissé de dépôt d'une déclaration préalable & Déclaration préalable Construction, travaux, installations et aménagements nous soumis à permis comprenant
ou non des démolitions)
Traduction anglais - English Translation
If the work is to be undertaken in phases, please indicate the number of phases:
----
4.2 - Information required for declarations in respect of land parcelling or other
[types of] land sub-divisions
* Maximum number of proposed lots:
* Surfaces hors œuvre nettes (SHON [Net Floor Areas, NFA] in sq. metres):
* If the parcelling scheme is located in a commune [locality] where no plan local
d’urbanisme (PLU) [local land-use plan] or similar document (i.e. plan d’occupation des
sols, plan de sauvegarde et de mise en valeur, plan d’aménagement de zone [other types
of land-use plans]) applies, please indicate the maximum proposed surface hors œuvre
brut (SHOB) [Gross Floor Area, (GFA)] (sq. m):
* Please specify the allocation procedure regarding building rights:
• Via coefficient d’occupation du sol (COS) [plot ratio] calculation applied to each
lot
• In conformance with the drawings and tables appended hereto
• Buildings rights will be established upon the sale of each lot. In such a case, the
lotisseur [developer] shall provide the constructeurs [building contractors] with a
certificate [thereof].
----
4.3 - Information Required for declarations in respect of campsites, parcs
résidentiels de loisirs [holiday camps] or sites for camping use
* Extension or redevelopment of existing facilities?
Yes - No
If yes,
- please indicate permission date and/or references:
- please indicate the number of pitches:
prior to extension or redevelopment:
following extension or redevelopment:
Please indicate the maximum number of pitches dedicated to:
tents:
caravans:
mobile homes:
and please indicate the maximum number of people that may be accommodated:
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Description:displayed on site, this receipt affixed with the Mairie's [Town Hall's] official stamp so as to provide proof of the application date;. - displayed on site and for the entire work duration, a sign providing a description of the scheme. Template signs are available in Mairies [Town Halls], on the [F
