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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.
Port Erin Ambulance Station, Southlands, Castletown Road, Port Erin
Port Erin Port, A. A. A. & A. A. A. (P.O. Box 1009, Port Erin, A. A. A. 0001)
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.
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
The Drill Hall, Tromode Road, Douglas.
Postcode IM99 1PS
| | | | | --- | --- | --- | | Home | Work | 694325 | | [email protected] | | |
Putting the Customer First PA Form 1.9(i)
Kenneth Jordan RIBA Chartered Architect
b) Address of Agent
Engadine, Little Switzerland,
Douglas Postcode im2 6AG
Telephone number
622646
Agent's e-mail address
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.
Agents
Applicant
Please ensure that the following information (question 6) corresponds with the details included on the accompanying and compulsory certificate of ownership (Certificate 01).
a) the site owner, if different from the applicant. Please state all names, in- cluding first names in full.
DEPT OF HEALTH & SOCIAL CARE CROCALL HOUSE, DEMESNE ROAD, DUBLAS
Postcode 1W13QA
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.
Yes ☐ No ☑
Tenant
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.
b) Please state the proposed use of the site.
Ambulance Station
Fire & Rescue Station
If yes, please include details of any demolition involved on a separate sheet.
Yes ☐ No ☑
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).
Yes ☐ No ☑
Yes ☐ No ☑
Enf No.
Started
Completed
PA Form 1.9(i)
Proposed single storey extension to existing ambulance station and change of use from ambulance station to fire and rescue station with associated additional car parking for retained fire fighters and with emergency generator at rear of existing premises. \square 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? \square Yes \square No \square Please confirm the number of parking spaces within the site. existing 9 proposed 16 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? To existing public sewer 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. 17. a) Are there trees or hedges on the proposed development site that might be affected by the proposal? Yes \square No \square b) Are there any trees or hedges on adjacent land that might be affected by the proposal? Yes \square No \square If you answered Yes to either of the above, then your application will need to included an accurate survey drawing 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. The above works must be discussed with the Departments Forestry, Amenity & Lands Directorate before the application is submitted. The Planning Authority may also require you to submit a Tree Survey. 18. Are the proposed works within 8 metres of any watercourse (river, ditch or otherwise)? If so, you are advised to contact DEFA for further guidance in respect of this application. Yes \square No \square 19. Have you received pre-application advice from a Planning Officer? Yes \square No \square If yes, please state the Officer's name and the date of their response.
Sarah Corlett Date 25/11/2015
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.
PLEASE ALSO ENCLOSE one copy of - A Certificate of Land Ownership (Certificate 01), 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. BEST OF USING AFFAIRS
Signature of Applicant or Agent M. A. HOTTAN Dated 28 101 116
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] PA Form 1.9(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:
(Full names in CAPITAL letters)
who is:
(a) the full*/limited* owner of the freehold*/leasehold* 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
DEPT OF HOTTE BRAND
Name & Address
DEPT OF HOTTE BRAND
Name & Address
DEPT OF EQUIPMENT
Interest
Interest
Date notified
Date notified
Signature Applicant/Agent
Date
28/1/16.
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)
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 | Department of Health & Social Care, Four Roads, Castletown Road, Port Erin | | --- | --- | | | |
| 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.
KENNETH JORDAN
01 December 20151 28/1/16 Planning and Building Control Directorate 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]
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