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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.
Site address details (including a post code where applicable): 38 MURRAYS ROAD DOUGLAS IM2 3HW
Local Authority District. DOUGLAS EAST
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: 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.
a) Full name of applicant
NELLY ANNICK CHRISTIAN Please include all first names and surname or full details where an applicant is 'trading as' or a limited company. b) Address of applicant
154 WOODBOURNE ROAD DOUGLAS Postcode IM2 3BD Telephone number Home 619905 Work 391107 Applicant's e-mail address [email protected]
Putting the Customer First PA Form 2(i)
Telephone number Agent's e-mail address \square 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 \square 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)
Area 6 275 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. 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).
UTILITY ROOM Yes \square No \square
Yes \square No \square RB No. 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
THE BACK OF THE BUILDING IS COMPOSED OF A SMALL BOILER ROOM AND A SMALL COVERED YARD. IT IS PROPOSED TO REPLACE BOTH ROOMS BY A UTILITY ROOM.
A WINDOW WOULD BE PLACED ON THE RIGHT SIDE OF THE PROPERTY FACING THE YARD
Have you consulted with Highway Services?
Please confirm the number of parking spaces within the site. existing ☐ proposed ☐
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.
Yes ☐ No ☑
a) Gas
Yes ☐ No ☑
c) Water
Yes ☐ No ☑
d) Telecommunications
Yes ☐ No ☑
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.
b) How will foul sewage from the proposed development be disposed of?
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.
b) Are there any trees or hedges within 15 metres of the proposed development site?
c) 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.
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.
Have you received pre-application advice from a Planning Officer?
If yes, please state the Officer's name and the date of their response.
Date
PA Form 2(i)
| THE UTILITY ROAD WOULD HAVE A PLAT ROOF AND THE FITNESS OCCURRISON OF WELCHBOWA PROPERTY | | | --- | --- | | |
| | 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.
| | 1 | | --- | --- | | | |
d) Building Regulations reference number (if known)
Please detail the drawings or reference number and/or date of all plans submitted in support of this application.
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 | | | | Locations Plan | | | | | | | | | | | | | | | | | | |
I hereby enclose four copies of the following:
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 | Dated | 29/09/2016 | | --- | --- | --- | | | | |
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:
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]
Town and Country Planning Act 1999 Town and Country Planning (Development Procedure) (No 2) Order 2013 7 8 SEP 2018
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 | MRS CHRISTINE WOULNCKOWK C/O 15 ALMOND DRIVE CO PPOWNORLEY PR7 4AY | Name & Address | | | | --- | --- | --- | --- | --- | | Interest | 100% OWNER | Interest | | | | Date notified | 27-09-2016 | 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]
Putting the Customer First
Certificate O1(i)
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