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Please complete in BLOCK CAPITALS and in black ink. The person here below named as the applicant is responsible for payment of the appropriate fee. All relevant questions on this form must be answered. Guidance notes are available on request.
| For office use only | | | --- | --- | | Date: | | | Receipt number: | | | 897064 | | | 00015041917 | |
HOMEFIELD COTTAGE, BALLAMODHA, MALEW, ISLE OF MAN. IM4 3ES 2. Local Authority District.
MALEW 21 JUL 2017 3. Please state the type of application (choosing one box as appropriate): a) Full approval for development involving building or engineering works. b) Change of use of land or buildings not involving building or engineering works. c) Approval in principle - please specify below which matters are to be determined now: Siting [ ] Internal layout [ ] Design [ ] Means of Access [ ] External Appearance [ ] Landscaping [ ] Please ensure that details of the matters selected above are provided. d) Approval of reserved matters relating to a previous approval in principle. Please provide the reference number of the approval in principle application Please specify below which matters are to be determined now: Siting [ ] Internal layout [ ] Design [ ] Means of Access [ ] External Appearance [ ] Landscaping [ ] Please ensure that details of the matters selected above are provided. e) Variation of a condition. Please specify the condition number and the reference number of the relevant planning application and indicate if the proposal is for a condition variation or removal.
Ref. No.
Ref. No.
Please include all first names and surname or full details where an applicant is 'trading as' or a limited company. b) Address of applicant
Telephone number Applicant's e-mail address
HOMEFIELD COTTAGE, BALLAMODHA, MALEW, ISLE OF MAN.
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Telephone number Agent's e-mail address
Postcode IMB 1DL
Please note correspondence is preferred and may be more expeditious via email c) If you are using an Agent, please specify whether the acknowledgement letter and Site Notice should be sent to the Agent or Applicant, who will be responsible for affixing the Site Notice at the site. Please Note: If this box is not completed all correspondence will be directed to the Agent.
Applicant Please ensure that the following information (question 6) corresponds with the details included on the accompanying and compulsory certificate of ownership (Certificate 01). 6. Name and Address of: a) the site owner, if different from the applicant. Please state all names, including first names in full. b) The name of occupier or tenant of the site if different from above. c) Does the applicant own or control any additional land within the vicinity of the application. If yes, you must outline the additional land in blue on the site plan. 7. Applicant's interest in the site (e.g. owner, tenant, potential purchaser)
If the proposed development would create additional industrial, residential, retail or office floor space, please specify the floor area in square metres This area should be used to where the fee calculus requires it. Where the application is exempt from a fee under the current fees order, please state the registered charity number. 9. a) Please state the existing use of the site (e.g. residential, office, retail etc.) b) Please state the proposed use of the site.
DWELLING 10. a) Development within a Conservation Area.
If yes, please include details of any demolition involved on a separate sheet. b) Works proposed to a Registered Building.
If yes, please quote the RB number and complete an application for Registered Building Consent to accompany this form (form RBAP). 11. Are the activities Retrospective or as a result of an Enforcement Enquiry? If as a result of an enforcement enquiry please quote reference and the date that the building work or use was started/completed.
Enf No. \square Started \square Completed
QUESTION 14. NO EARTH IMPORTED. NO EARTH EXPORTED.
Building Regulations 21. a) Are you making a concurrent application for Building Regulations Approval? Yes ☐ No ☑ b) If yes, please indicate to which Authority your application has been submitted.
DEFA ☐ Douglas Corporation ☐ Onchan District Commissioners ☐ c) The date of submission. / /
d) Building Regulations reference number (if known)
Should any plans be missing, the application will be considered incomplete and returned with a request for missing plans to be submitted. Please continue on a separate sheet if necessary.
| Plan | Dated | Ref No | | --- | --- | --- | | Site Plan | APRIL 17 | 1 | | Locations Plan | APRIL 17 | 1 | | survey drawing | DEC 16 | 2 | | proposal site plan | APRIL 17 | 3 | | prop plans + elevs | APRIL 17 | 4 | | photo legend (photo 1-17) | JULY 17 | 5 |
A copy of this application will be forwarded to the Local Authority in which the site is situated and, where not an application relating to windows, the Network Planning Officer, DOI Highway Services.
PLEASE ALSO ENCLOSE one copy of - A Certificate of Land Ownership (Certificate O1), and - An Application Check List (Form PL.7)
To the best of my knowledge and belief, all the information given in this application is true, and the documents provided herewith are accurate.
Signature of Applicant or Agent
Dated 19 107 117
If signing on behalf of a company, please clearly state your relationship.
CHRIS MILLAR, DIRECTOR, PENKETH MILLAR LTD
Should this application be unsupported by adequate and clear site maps and plans outlining all the works proposed, the Department retains the right to reject acceptance and return the application.
Note: no works may be commenced until such time as: a) on your receipt of the planning Decision Notice the time period for requesting an appeal has expired and no such appeal has been requested, or b) any Appeal has been completed.
Planning and Building Control Directorate Department of Environment, Food and Agriculture Murray House, Mount Havelock, Douglas, Isle of Man, IM1 2SF Tel: +44 1624 685950 Fax: +44 1624 686443 Email: [email protected]
PA Form 2(i)
This certificate provides confirmation that the owner of the land which is the subject matter of the application is either the applicant or is fully aware of the application. The certificate constitutes a statement of ownership and is not proof of ownership. The applicant is requested to complete either Statement A or Statement B and return the completed certificate along with the planning application form and any supporting documents.
NO APPLICATION WILL BE PROCESSED UNTIL SUCH TIME AS THE CERTIFICATE IS SUBMITTED.
I certify that the accompanying application is made by or on behalf of the owner of the land, namely:
21 JUL 2017
(Full names in CAPITAL letters) who is: (a) the full*/limited* owner of the freehold*/basehold* estate in the land (*delete as appropriate); and (b) in full possession of every part of the land to which the application relates. If the application is made on behalf of the land owner, a certified copy of the power of authority signed by the owner authorising the application on his behalf is attached hereto.
I certify that appropriate written notice of the accompanying application has been given by or on behalf of the applicant to: (a) the land owner (referred to in statement A of this certificate); and (b) to any person who at the time of the making of the application was: (i) a person then in actual possession (ii) the trustee of a trust or settlement if a beneficiary under the trust or settlement was in actual possession and no person other than such a beneficiary was entitled to enter into actual possession within a period of 40 years; and (iii) a person, not being a person falling within (a) or (b) (i) and (ii), entitled to enter into actual possession within a period of 40 years. The persons upon whom notice was issued are
Name & Address
Name & Address
Name & Address
Interest
Interest
Date notified
Date notified
Signature Applicant/Agent
Date
CHRIS MILLAR DIRECTOR PEAKETH MILLAR LTD
Planning and Building Control Directorate, Department of Environment, Food and Agriculture Murray House, Mount Havelock, Douglas, Isle of Man, IM1 2SF Tel: +44 1624 685950 Fax: +44 1624 686443 Email: [email protected]
Putting the Customer First
Certificate 01(i)
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