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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.
DOUGLAS 2. 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:
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:
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.
Ref. No.
DR JEFFREY LUNT
Please include all first names and surname or full details where an applicant is 'trading as' or a limited company.
b) Address of applicant
113 WOODBOURNE ROAD
113 WOODBOURNE ROAD
DOUGLAS
Postcode IM2 3AR
Telephone number
Home
Work
Applicant's e-mail address
Enf No. Started Completed
DOCTORS SURGERY. INCLUDING CREATION OF 'OFF STREET PARKING' (PREVIOUSLY APPROVED UNDER PA 17/00820/B) 13. Would the proposed development involve the creation of, or alteration to, a vehicular or pedestrian access to any public highway (this includes footpaths)? If yes, please provide details.
Have you consulted with Highway Services? Please confirm the number of parking spaces within the site. existing \square proposed \square 14. Does your proposal involve a change in site levels?
If yes, please provide drawings showing the change in site levels (e.g. spot levels or site sections). Please also include a method statement detailing the proposed means of importing fill and/or the means of exporting the fill, including details of the expected quantities involved. 15. Please specify below whether the proposal requires new or amended services: a) Gas Yes \square No \square b) Electricity Yes \square No \square c) Water Yes \square No \square d) Telecommunications Yes \square No \square
The applicant should consult the service providers separately in order to establish the location of existing services and the impact of the proposed works on existing services. See guidance notes. 16. a) How will rainwater run-off from roofs and paved surfaces be disposed of? b) How will foul sewage from the proposed development be disposed of?
N/A EXISTING c) If a septic tank/Biodisc system is proposed, please provide details demonstrating that the septic tank/Biodisc would be acceptable under Building Regulations - See guidance notes. 17. a) Are there trees, large shrubs or hedges on the proposed development site? b) Are there any trees or hedges within 15 metres of the proposed development site?
Yes \square No \square If you answered Yes to either of the above, then your application will need to include accurate tree survey drawings showing the position of the trees and hedges and their canopy spread in relation to the proposed works. You must provide details of any trees which are to be 'lopped' or 'felled' as a result of the proposal. For trees to be retained you will need to demonstrate that the constraints imposed by these trees have been properly considered and that the trees can be adequately protected. The above works must be discussed with the Department's Forestry, Amenity & Lands Directorate before the application is submitted. The Planning Officer may also require you to submit a Tree Survey. 18. Are the proposed works within 9 metres of any watercourse (river, ditch or otherwise)? If so, you are advised to contact the Department's Environment Safety and Health Directorate for further guidance in respect of this application.
Yes \square No \square
If yes, please state the Officer's name and the date of their response.
Yes \square No \square
PLEASE REFER TO ATTACHED LETTER FROM APPLICANT DATED 20-5-18
Building Regulations 21. a) Are you making a concurrent application for Building Regulations Approval? Yes [ ] No [x] 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 | MAY 2018 | 4 | | Locations Plan | MAY 2018 | 3 | | Plan as Existing | MAY 2018 | 1 | | Plan as Proposed | MAY 2018 | 2 | | | | | | | | |
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 1 / 6 / 18
If signing on behalf of a company, please clearly state your relationship.
DIRECTOR
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]
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:
(Full names in CAPITAL letters)
who is:
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:
The persons upon whom notice was issued are:
| Name & Address | STEVEN BURKE 58 SELBORNE DRIVE DOUGLAS IM2 3NL | | --- | --- | | Interest | OWNER | | Date notified | 1-6-18 |
| Name & Address | Interest | Date notified | | --- | --- | --- | | | | |
| Signature Applicant/Agent | Date | | --- | --- | | | |
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]
1-6-18
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