131160

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,. • IsIc of Man Go.anmml •"",, 'l<,. ,•••.• 'IS ll0429 .#" infrastructure The Town and Country Planning Act 1999 ~.n<! buikl""J '<><>1101 Town and Country Planning (Registered Buildings) Regulations 2013 bur1.f'fI99o\Iy>."'"" ••••I •• 9U'_I.'~ Application for Registered Building Consent 21 APR :::j For office use only Date: A Registered Building is a building of special architectural or historic interest which has been induded in the Department's Protected Buildings Register. It is an offence to carry out any works (internally or extemally) affecting the character of a Registered Building without the written consent of the Department. An up to date list of the Register is available from the Department or Its website. An application for Registered Building Consent is required where demolition, extension or alteration to a Registered Building is proposed. The application must be submitted to and approved b'{tlieDepartmen18~~ Infrastructure, Planning and Building Control Division prior to any work being undertaken. Nf:F?ASTRUC'i Where works are to the exterior of the property, FOURcopies of this form must be submitted along with ALL supporting information and plans. Registered Building Consent is required in ADDITION to any application for the appropriate planning permission. Where the works proposed are internal FOUR copies of this form must be submitted, each supported by a set of the appropriate plans, information and details. Please also note Buildings Regulations Approval may also be required and advice on this should be obtained from the appropriate authority. The supporting information, which should accompany this application form, must be set out as a schedule of works. Alternatively, Table 1 of this form can be used to set out how the Registered Building is proposed to be altered and/or extended. Either format must be supported by drawings and/or specifications and/or photographs, explaining the existing appearance of the historic fabric and how it will be affected by the proposals. A site location plan and a site plan must also be provided at an appropriate scale such that the Registered Building is dearly outlined in red and its curtilage, if different, clearly outlined In blue. The applicant's attention is drawn to the Policy and Guidance Notes for the Conservation of the Historic Environment of the Isle of Man (Planning Policy Statement 1/10 is available from the Planning and Building Control Division) and in particular to Policies RBIS and RB/6. Please complete in BLOCKCAPITALS and in black ink. All relevant questions on this form must be answered. 1. Address of the building which is the subject of the application. /10 "-'-;;/ I.f A ,VI< L./TTc...~ S<-J/"TZcr.:.c...A"JD O",J <0t.. A--s. / A "2 P /-l 6. 2. Registered BuildIng Number /63 3. Description of works ~as detailed on Table 1. bE/-,\ 0<"/"''':''0

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T~/VfI..i""'-/C u":' ~c5R vri T"'~)/. Form RBAP3(i) Have you consulted the Conservation Officer prior to making this submission?

Pulling the Customer
First
Yes 0
NoD

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3.
a} Name of owner
b}
Address if different from section 1
4.
a}
Full Name of Applicant (if different from above)
1
_
b)
Address of Applicant
A"O~L~
6ArJrC
CJrr<"£
..s 4/ ~-r.c::c;.,.eGA- ,J p
~<J r:::-'-A"S,
.0
Z.
a.
a)
Full Name of Agent
1
-
b)
Address of Agent
1__
-
c)
If using an Agent, please indicate If the Agent is to be Issued with the
acknowledgement letter, site notice, P2 certificate and undertake the
responsibility for affixing the notice at the development site.
Please Note:
If this box is not completed all correspondence will be directed to
the Agent.
Telephone number
IHome ,; 76 11"0/ Ilwork
1
Applicant E-Mail [d,.LJ~elnar"",-,;;;;a
Telephone number
1__
-
I
Agent
D
Applicant D
S.
To be signed
by the Applicant/Agent
I hereby apply for Registered Building Consent to carry out the alterations and/or extensions to the building
described by the address in section 1, as shown on the endosed plans and In accordance with the enclosed
drawings.
Signed
(*Applicant/*
Agent)
On behalf of
Date
*please delete as appropriate
6.
Demolition
only
I hereby apply for Registered Building Consent to demolish *the building/part
of the building described by the
address in section 1, as shown on the endosed plans and in accordance with the enclosed drawings.
Signed
(*Applicant/*Agent)
Date
*please delete as appropriate
On receipt and validation of this form you (or your Agent) will be issued with a site notice to display at the site by fixing
it firmly to a bullding, structure or post on the land and placed and displayed In such a way as to be easily visible by
members of the public and for a period of not less than
21 days.
Where the Department directs Under the Registered Building Regulations 2005 6{2) that further partiOJlars or other
matters are furnished and the applicant fails to comply with that direction and within such time as is given (not being
less than 21 days) this application shall be deemed to be withdrawn.
Note:
no works
may be commenced
until
such time
as •
a)
After issue of any Decision Notice the time perioo for requesting an appeal has expired and no such appeal has
been requested; or
b)
Any Appeal has been completed.
Planning
and Building
Control
Department of Infrastructure
Murray House, Mount Havelock, Douglas, Isle of Man, IMI 2SF
Tel: +44 1624 685950
Fax: +44 1624686443
Email: [email protected]
Form RBAP3(1)

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Table 1
Location in the Building.
Feature or element of the building
How will this feature or element be
e.g. numbered Indicator on a Ooor
fabric to be affected.
affected by the proposals.
plan; i.e. Area 1on Roor Plan.
e.g. front entrance door, staircase.
e.g. inappropriate glazing replaced by
stained glass.
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1'9.t:.;T&-2r'T-T/QAl
7"
S,q'1'L.'"'~
re
..<"'6'A '"
Ec:£VA7/0N
_
6l</S7/"""-C;; •
(Continue overleaf If necessary)
Form RBAP3(1)

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JsleoiMan
,.•.••...•
Town.nd
Counby PUnning Act 1999
Town and Country
Planning
(Reglstered
Buildings)
Regulations 2013
Certificate of Building
This certlflcate
provides confinnation
that the owner of the land which Is the subject matter of the application
Is either
ttle applicant or Is fully aware of the application.
The certificate
oonstlMes
a statement
of ownershlp and Is W1t.,proof
of ownership.
The applicant Is requested to complete ~
Statement A or Statement B and retum the CDmpleted certIflcate and
applicatIOn form and any supportlng
dOOJments.
NO APPUCAUQN
WlU BEPROCESSED
UNTlL SUCH nHE MTHE CEBTlaCA TE ISSUlJHITTED.
1. STATEMENTA: Building owner Is appllanl
I certify that the accompanying
appllcatloo
Is made by or on behalf of the owner of the land, namely:
(F1JIInames In CAprrAL letters)
who Is:
(a) the fulllll/IL::Ilcd*
owner of the freehold.lh
r_rld. est2ste In the b:Jldlng and ("'delete as appropriate);
and
(b) in full possession of f!!Iery part of the buildIng to which the applk:at1on relates.
If the application
IS made on behalf of the building
owner,
a certified copy of the power of authority
Signed by the
0Wfl6" authorising
the application on his behalr Is attached
hereto.
2. STATEMENT B: Building
owner
Is not the applicant
Name &
Add •.•••
Interest
Da"
notllleel
the building owner;
and
any person who at the time 0( the making of the application
was:
(1)
a person then In actual possession
(It)
the trustee
of a trust or settlement
If a beneficiary
under the trust or settlement
was In ae.tual possession
and no person other than such a benefldary
was entitled
to enter Into actual possessIOn within
a period of
40 years; and
(III) a person, not being a person tailing within (a), (bXI) or b(1!), entitled to enter Into actual possession within a
period of 40 years.
lhe
persons upon whom notiCE was issued are
Name &.
Address
[ certify that apprOpriate wrttten notice of the aa:ompanylng
appilcat10n has been given by or on behalf of the applicant
to:
(0)
(b)
Inlerest
Da••
notified
Signature Applicantf#&W!::::
44ZZ2f,
1/.
Date
iSC ei~
I I 2. / ~A-/hd.. ..?a,,,--j
~~@)~
Putting t'"
Customer First
certllica •• 03(1)