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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: | | | 000115039045 | |
Site address details (including a post code where applicable).
The Lihargan, Port St Mary
Local Authority District.
PORT ST MARY COMMISSIONERS
| Applications under c) or d) | Ref. No. | | --- | --- | | Please circle any matters to be determined by this application | | | Siting | Internal layout (inside buildings) | | Drainage | Design | | External appearance | |
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.
MANX UTILITIES AUTHORITY
Please include all first names and surname or full details where an applicant is 'trading as' or a limited company.
b) Address of applicant
PO BOX 177, DOUGLAS, ISLE OF MAN
| Telephone number | Home | 687903 | | --- | --- | --- | | | | |
| Work | 464746 | | --- | --- | | | |
Applicant's e-mail address
Putting the Customer First
PA Form 2.1(i)
| 5. a) Full name of Agent | MARK CHRISTIAN | | --- | --- | | b) Address of Agent | AS ABOVE | | | Postcode | | Telephone number | 464746 | | Agent's e-mail address | [email protected] |
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.
| Heat Pump owner | | | --- | --- | | |
| 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. | Area | N/A | | --- | --- | --- | | | | |
Where the application is exempt from a fee under the current fees order, please state the registered charity number.
| INSTALLATION OF AIR SOURCE HEAT PUMP TO REPLACE FOSSIL FUEL BOILER | | | --- | --- | | |
| RESIDENTIAL | | | --- | --- | | |
| RESIDENTIAL | | | --- | --- | | |
| RESIDENTIAL | | | --- | --- | | |
| RESIDENTIAL | | | --- | --- | | |
| RESIDENTIAL | | | --- | --- | | |
Have you consulted with Highway Services?
| RESIDENTIAL | | | --- | --- | | |
Please confirm the number of parking spaces within the site.
| RESIDENTIAL | | | --- | --- | | |
PA Form 2.1(i)
| | Yes | ☐ | ☐ | | --- | --- | --- | --- | | | ☐ | ☐ | ☐ |
| | Yes | ☐ | ☐ | | --- | --- | --- | --- | | | ☐ | ☐ | ☐ | | | ☐ | ☐ | ☐ | | | ☐ | ☐ | ☐ | | a) Gas | | | | | b) Electricity | | | | | | Yes | ☐ | ☐ | | | ☐ | ☐ | ☐ | | | ☐ | ☐ | ☐ | | | ☐ | ☐ | ☐ | | | ☐ | ☐ | ☐ | | c) Water | | | | | d) Telecommunications | | | | | | Yes | ☐ | ☐ | | | ☐ | ☐ | ☐ | | | ☐ | ☐ | ☐ |
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.
| | N/A | | --- | --- | | | |
b) How will foul sewage from the proposed development be disposed of?
| | N/A | | --- | --- | | | |
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.
| | Yes | ☐ | ☐ | | --- | --- | --- | --- | | | ☐ | ☐ | ☐ | | | ☐ | ☐ | ☐ | | | ☐ | ☐ | ☐ | | | ☐ | ☐ | ☐ | | | ☐ | ☐ | ☐ | | | ☐ | ☐ | ☐ | | | ☐ | ☐ | ☐ | | | ☐ | ☐ | ☐ | | | ☐ | ☐ | ☐ | | | ☐ | ☐ | ☐ | | | ☐ | ☐ | ☐ | | | ☐ | ☐ | ☐ | | | ☐ | ☐ | ☐ |
If you answered Yes to either of the above, then your application will need to include a level of tree related information appropriate to the proposed development, which in some circumstances (e.g. change of use) may mean that no additional information is required. Please refer to the guidance document, "Trees and the planning process — Part 1" for further guidance. You must provide details of any trees which are to be "lopped" or "felled" as a result of the proposal.
| | Yes | ☐ | ☐ | | --- | --- | --- | --- | | | ☐ | ☐ | ☐ | | | ☐ | ☐ | ☐ | | | ☐ | ☐ | ☐ | | | ☐ | ☐ | ☐ | | | ☐ | ☐ | ☐ | | | ☐ | ☐ | ☐ | | | ☐ | ☐ | ☐ | | | ☐ | ☐ | ☐ | | | ☐ | ☐ | ☐ | | | ☐ | ☐ | ☐ | | | ☐ | ☐ | ☐ | | | ☐ | ☐ | ☐ | | | ☐ | ☐ | ☐ | | | ☐ | ☐ | ☐ | | | ☐ | ☐ | ☐ | | | ☐ | ☐ | ☐ | | | ☐ | ☐ | ☐ | | | ☐ | ☐ | ☐ | | | ☐ | ☐ | ☐ | | | ☐ | ☐ | ☐ | | | ☐ | ☐ | ☐ | | | ☐ | ☐ | ☐ | | | ☐ | ☐ | ☐ | | | ☐ | ☐ | ☐ | | | ☐ | ☐ | ☐ | | | ☐ | ☐ | ☐ | | | ☐ | ☐ | ☐ | | | ☐ | ☐ | ☐ | | | ☐ | ☐ | ☐ | | | ☐ | ☐ | ☐ | | | ☐ | ☐ | ☐ |
PLEASE SEE SUPPORTING DOCUMENT IN RELATION TO SOUND PRESSURE
Your personal information will be held by DEFA for the purposes of processing this application and may be used to ensure compliance with the provisions of the Town & Country Planning Act and in particular Part 4 Enforcement of Control.
Some of the information you provide, such as your name, address and contact detail will be shared at our public counter, with the Local Authority and as part of the application image via our online service, in order to give notice and publicise receipt of the application. It may also be shared within DEFA or other Government Departments, boards or offices for the purposes of statutory functions. We will only keep these details for as long as we require them, and in accordance with the General Data Protection Legislation.
You may withdraw your details at any time if you no longer wish us to process your application. Full details of how and why DEFA P&BC processes your personal information are contained in our P&BC Privacy Notice available on our website.
The Data Protection Officer can be contacted on 686781 or by email at [email protected].
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
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
If signing on behalf of a company, please clearly state your relationship.
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]
DA
PA Form 2.1(i)


1 8 DEC 2019
This check list is aimed to assist the applicant in preparing an application and subsequently the Department's administration staff in validating the application and the Planning Officer in their assessment of the proposal, by ensuring that the necessary supporting information accompanies the application.
For office use only
Ref:
Please note that the checklist includes some items, which in some instances, it may be helpful for applicants to include as additional material to support their application, which is over and above the statutory requirements as stated within Schedule 1 [Article 4(1)(a)] of the Town and Country Planning (Development Procedure)(No2) Order 2013.
This form must be attached to your application (one copy should be completed per application).
Failure to complete and include this form with your application will result in your application being returned.
Please tick the boxes as necessary. Where detail is not applicable to the application please note 'N/A' accordingly.
| Site Address | 2 The Llhargan, Port St Mary. | | --- | --- | | | | | 1. I have referred to the Guidance Booklet 'Making a Planning Application'. | ✓ | | 2. I have consulted with the Network Planning Officer of the Department of Infrastructure, Highway Services, to agree access issues (where appropriate). | ☐ | | 3. I have included one fully completed application form and three copies of same (two for windows). | ✓ | | 4. The correct fee of £ 0 is enclosed - Cheques should be made payable to the Isle of Man Government. | ✓ | | 5. Is the building Registered? If Registered, and the works are external you will need planning approval and to complete the appropriate Registered Building Consent application form. Internal works to a registered building need only registered building consent. | ☐ | | 6. If your application is for works to a Registered Building, please provide a Photographic Survey with your application. | ☐ | | 7. The address is accurate and the description of the proposed work is clear and appropriate for the development. Field numbers can be obtained from Department of Infrastructure - Cartography. Tel +44 1624 685923. | ✓ | | 8. CERTIFICATE OF LAND OWNERSHIP - The appropriate certificate/statement is enclosed. This certificate is mandatory. No application will be processed until such time as the certificate is submitted. | ✓ | | 9. Please indicate if the Applicant and/or Owners of the site is either an employee or member of the Planning and Building Control. | ☐ Yes No |
Where the Applicant and/or Owner of the site is a family relation of either an employee or member of Planning and Building Control, please enclose details with the application form.

Signed Print Name in BLOCK LETTERS MARK CHRISTIAN Dated 18 / 12 / 2019
Department of Environment, Food and Agriculture Murray House, Mount Havelock, Douglas, Isle of Man, IM1 2SF Tel: +44 1624685950 Fax: +44 1624686443 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 | Mr & Mrs Newton 2 The Llhargan, Port St Mary | Name & Address | | --- | --- | --- | | | | | | Interest | Home Owner | Interest | | Date notified | 18/12/2019 | Date notified |
Signature Applicant/Agent
| Name & Address | Mr & Mrs Newton 2 The Llhargan, Port St Mary | Name & Address | | --- | --- | --- | | | | | | Interest | | | | Date notified | 18/12/2019 | |
| Name & Address | Mr & Mrs Newton 2 The Llhargan, Port St Mary | Name & Address | | --- | --- | --- | | | | | | | | | | | | | | | | | | | | |
Signature Applicant/Agent
| Name & Address | Mr & Mrs Newton 2 The Llhargan, Port St Mary | Name & Address | | --- | --- | --- | | | | | | | | | | | | | | | | | | | | | | | | |
Date
18/12/2019
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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