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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: 23-5-16 Receipt number: 872818 000115034692
| GREENBANK | 11 TYNWALD | BUILDING PIECE | | --- | --- | --- | | 1SLE OF MAN | 1MS 1J2 | 4 | | 2. Local Authority District. | | | | | PEEL | 23 MAY 2016 |
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.
VAL GALFIN
Please include all first names and surname or full details where an applicant is 'trading as' or a limited company. b) Address of applicant
"GREEN BANK" 11 TYNWALD RD PEEL 10M Postcode 1MS 1J2
Telephone number
Home Work Applicant's e-mail address
Putting the Customer First PA Form 2(i)
| 5. a) Full name of Agent | TURNKEY BUILDERS | | --- | --- | | b) Address of Agent | 40 PRIMROSE COTTAGE MINERCA HILL | | | CAKEY | | | Postcode 1M4 702 | | Telephone number | | | Agent's e-mail address | team@turnkeyprojects. im |
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.
Agent
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, including first names in full.
| N/A | | | --- | --- | | |
| Postcode | | | --- | --- | | |
b) The name of occupier or tenant of the site if different from above.
| N/A | | | --- | --- | | |
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 | | --- | --- | | | |
| 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 | NIL | | --- | --- | | | N/A |
Where the application is exempt from a fee under the current fees order, please state the registered charity number.
| PAVATE RESIDENCE | | | --- | --- | | -11 - | |
b) Please state the proposed use of the site.
| 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 | | --- | --- | --- | | | | |
| PROPOSED ALTERATIONS TO FRONT PORCH AND BOUNDARY FENCING | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
NONE
b) If yes, please indicate to which Authority your application has been submitted.
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 | | | | PLAN | MAY 16 | G/918/1 |
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
23 / 5 / 16
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:
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 2(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:
VAL GALPIN
(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
Interest
Date notified
Signature Applicant/Agent
Name & Address
Interest
Date notified
Date
Name & Address
23.5.16.
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.
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) for REQUIRED 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 | "GREENHOUSE" 11 TYNWALD ROAD PEER 11M5 1JZ | | --- | --- | | | |
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 R Tunk.
Dated 23.5.16
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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