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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: | |
THIE FOLLAN, SHORE ROAD UNDERWAY, PORT ST MARY, IM9 5DX
1.9 DEC 2016
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 | ☐ Means of Access | ☐ Landscaping | | --- | --- | --- | --- | | ☐ | ☐ | ☐ | ☐ | | ☐ | ☐ | ☐ | ☐ | | ☐ | ☐ | ☐ | ☐ | | ☐ | ☐ | ☐ | ☐ | | ☐ | ☐ | ☐ | ☐ | | ☐ | ☐ | ☐ | ☐ | | ☐ | ☐ | ☐ | ☐ | | ☐ | ☐ | ☐ | ☐ | | ☐ | ☐ | ☐ | ☐ | | ☐ | ☐ | ☐ | ☐ | | ☐ | ☐ | ☐ | ☐ | | ☐ | ☐ | ☐ | ☐ | | ☐ | ☐ | ☐ | ☐ | | ☐ | ☐ | ☐ | ☐ | | ☐ | ☐ | ☐ | ☐ | | ☐ | ☐ | ☐ | ☐ | | ☐ | ☐ | ☐ | ☐ | | ☐ | ☐ | ☐ | ☐ | | ☐ | ☐ | ☐ | ☐ | | ☐ | ☐ | ☐ | ☐ | | ☐ | ☐ | ☐ | ☐ | | ☐ | ☐ | ☐ | ☐ | | ☐ | ☐ | ☐ | ☐ | | ☐ | ☐ | ☐ | ☐ | | ☐ | ☐ | ☐ | ☐ | | ☐ | ☐ | ☐ | ☐ | | ☐ | ☐ | ☐ | ☐ | | ☐ | ☐ | ☐ | ☐ | | ☐ | ☐ | ☐ | ☐ | | ☐ | ☐ | ☐ | ☐ | | ☐ | ☐ | ☐ | ☐ |
Telephone number Agent's e-mail address
PETER BURNS EVEREST LTD, UNIT M3, MOSSHILL INDUSTRIAL ESTATE, AYR.
Postcode KA6 6BE
01292271935 [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. Applicant 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, in- cluding first names in full. Postcode 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 7. Applicant's interest in the site (e.g. owner, tenant, potential purchaser) OWNER 8. Relevant Fee Enclosed (where required) Please note the application will remain invalid until the application fee is paid in full. Cheques should be made payable to IOM Government. 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. 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). 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. Started Completed
RESIDENTIAL Yes No Yes No RB No. Yes No ☑
Completed
PA Form 2(i)
\qquad \qquad 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? Please confirm the number of parking spaces within the site. \qquad existing \square proposed 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? \square 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. 17. a) Are there trees, large shrubs or hedges on the proposed development site? \square Yes \square No \square b) Are there any trees or hedges within 15 metres of the proposed development site? Yes \square No \square
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. 18. 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. 19. Have you received pre-application advice from a Planning Officer? \square Yes \square No \square
If yes, please state the Officer's name and the date of their response.
Date
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b) If yes, please indicate to which Authority your application has been submitted.
DEFA ☐ Douglas Corporation ☐ Onchan District Commissioners ☐
c) The date of submission. 19 /12 /2016
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 | 19/12/16 | 1 | | Ahero | 4 | 2 | | Existence | 4 | 3 | | Rofosen | 4 | 4 | | | | | | | | |
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 Agent
Dated 19 /12 /16
If signing on behalf of a company, please clearly state your relationship.
EMPLOYEE
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 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:
MISS LINDSAY HOOK
(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 | | Name & Address | | | --- | --- | --- | --- | | | | | | | Interest | | Interest | | | Date notified | | 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) |
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.
THIE FOLLAN,SHORE ROAD UNDERWAY,PORT ST. MARY,IM9,5DX
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 1624685923. 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 \quad Yes \square No \square Planning and Building Control.
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. 10. Illustration of the existing site/buildings, incorporating floor plans, elevations and sections (as necessary). The plans must clearly show the existing relationship with neighbouring properties and land boundaries. Floor plans and elevations must be to a metric scale of either 1:50 or 1:100.
Signed
Dated 19 / 12 / 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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