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| THE EXISTING TUNEER WINDOWS ARE IN YOUR CONDITION. | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
| 5. | a) Full name of Agent | | | --- | --- | --- | | | b) Address of Agent | | | | Telephone number | | | | 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.
Please ensure that the following information (question 6) corresponds with the details included on the accompanying and compulsory certificate of ownership (Certificate 01).
| Applicant | | | --- | --- | | | |
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.
| Applicant | | | --- | --- | | | |
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.
| Residential | | | --- | --- | | Residential | | | Yes | ☑ | | Yes | ☐ | | Yes | ☐ | | No | ☑ |
b) Please state the proposed use of the site.
| Residential | | | --- | --- | | Yes | ☐ | | 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).
| Enforcement | | | --- | --- | | | |
| Replacement of Single GASED Timber | | | --- | --- | | SASK WINDOWS WITH SAME PATERN PUC | | | Double GASED SASK WINDOWS WHITE | | | FRONT ELEVATION FIRST AND SECOND FLOORS | | | ONLY | |
| Yes | ☐ | | --- | --- | | No | ☑ |
Have you consulted with Highway Services?
| Yes | ☐ | | --- | --- | | No | ☑ |
Please confirm the number of parking spaces within the site.
| Existing | ☐ proposed | | --- | --- | | | |
| Yes | ☐ No | | --- | --- | | No | ☑ |
| a) Gas | Yes | ☐ No | | --- | --- | --- | | b) Electricity | 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.
| No | ☑ | | --- | --- | | | |
b) How will foul sewage from the proposed development be disposed of?
| Yes | ☐ No | | --- | --- | | No | ☑ |
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.
| Yes | ☐ No | | --- | --- | | No | ☑ |
b) Are there any trees or hedges within 15 metres of the proposed development site?
| Yes | ☐ No | | --- | --- | | No | ☑ |
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 'lopsed' 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.
| Yes | ☐ No | | --- | --- | | No | ☑ |
| Yes | ☑ | | --- | --- | | No | ☐ |
If yes, please state the Officer's name and the date of their response.
| LUCY REPORDE | | | --- | --- | | EMAILS ENCLOSED | Date 26 June 17 |
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:
Leonard Chafee
(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 | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | 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) | | | | |
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