Application for Planning Approval

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:

1. Site address details (including a post code where applicable).

43 Palatine Road, Douglas, Isle of Man. IM2 3PB

1. Local Authority District.

Douglas

1. Please state the type of application (choosing one box as appropriate):
2. a) Full approval for development involving building or engineering works.
3. b) Change of use of land or buildings not involving building or engineering works.
4. c) Approval in principle - please specify below which matters are to be determined now:
5. Siting
6. ☐ Internal layout
7. Design
8. ☐ Means of Access
9. External Appearance
10. ☐ Landscaping
11. ☐

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: 12. Siting 13. ☐ Internal layout 14. Design 15. ☐ Means of Access 16. External Appearance 17. ☐ Landscaping 18. ☐

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.

1. a) Full name of applicant

Vivienne Moore

Please include all first names and surname or full details where an applicant is 'trading as' or a limited company. 2. b) Address of applicant

43 Palatine Road, Douglas

| Postcode | IM2 3PB | | --- | --- | | Home | Work | | | | | Applicant's e-mail address | [email protected] |

Putting the Customer First

PA Form 1.9(i)

5. a) Full name of Agent b) Address of Agent

Telephone number Agent's e-mail address

Gerard McCarten

Housing Division, Markwell House, Douglas Postcode IM1 2RZ 685934 [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.

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, 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. 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.

Residential

Residential

Yes \square No \square

Yes \square No \square

Yes \square No \square

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. \square Started \square Completed

12. Description of the proposed development. Please state clearly what you propose to do. Where the application is for a change of use please state the hours of use, where appropriate/applicable. Alteration to the existing dining room and the construction of a new single storey extension to form a bedroom and shower room ensuite. \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? Please confirm the number of parking spaces within the site. 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. Yes \square No \square Yes \square No \square Yes \square No \square 15. Please specify below whether the proposal requires new or amended services: a) Gas Yes \square No \square c) Water Yes \square No \square No \square d) Telecommunications Yes \square No \square 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?

Existing combined drain b) How will foul sewage from the proposed development be disposed of?

Existing combined drain. 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? \square Yes \square No \square b) Are there any trees or hedges on adjacent land that might be affected by the proposal? \square 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. 19. Have you received pre-application advice from a Planning Officer?

Yes \square No \square If yes, please state the Officer's name Abigail Morgan Date 02.11 .16

1. Please provide details of any supporting information or other details that you would like the Planning Officer to take into account. Please note that you may use a separate sheet to complete this section.

See separate sheet.

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) unknown

1. Schedule of Drawings 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 | Nov 16 | 190FG-01 | | Locations Plan | Nov16 | 190FG-01 | | Exist Plan / Elevatio | Nov 16 | 190FG-02 | | Photographs | Nov 16 | 190FG-02 | | Proposed Plan, | | | | Elevations, Sections | Nov 16 | 190FG-03 |

1. Statement - I hereby enclose four copies of the following: - this application form - all supporting plans and documentation which must include a site location and site plan

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 - A Certificate of Land Ownership (Certificate O1), 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.

Signature of Applicant or Agent

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)

Planning Application Check List

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).

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 | 43 Palatine Road, Douglas, Isle of Man, IM2 3PB | | --- | --- | | | | | 1. I have referred to the Guidance Booklet 'Making a Planning Application'. | ✓ | | 2. I have consulted with the Network Planning Officer of the Department of Infrastructure, Highway Services, to agree access issues (where appropriate). | N/A | | 3. I have included one fully completed application form and three copies of same (two for windows). | ✓ | | 4. The correct fee of £ na is enclosed - 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. | N/A | | 6. If your application is for works to a Registered Building, please provide a Photographic Survey with your application. | N/A | | 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 1624 685923. | ✓ | | 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 the Planning and Building Control. | ☐ Yes |

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.

1. 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.

11. Illustration of the proposed site/buildings, incorporating elevations and sections and clearly showing height dimensions in relation to any neighbouring properties.
12. Existing and proposed ground levels and finished floor levels relating to a fixed point off site (datum) (e.g. manhole covers, gate posts, etc.).
13. Where the application seeks approval for groundworks (i.e. tipping and infilling), existing and proposed levels, together with sections through the site, must be submitted. Note: You may be advised to consult with Department of Economic Development, Minerals Section.
14. If your proposal involves the extraction and removal off-site of minerals (rock, stone or sand), please provide details of the expected tonnage involved, and include a method statement detailing the means proposed for: extracting the rock, stone or sand; the processing of materials on-site where applicable; exportation and destination of the minerals.
15. In the case of development of an existing property that is in a poor state of repair, a survey must be provided confirming the structural stability of the building before alteration. If necessary a method statement should be submitted illustrating how the proposed works are to be carried out without compromising the structural integrity of the building.
16. Photographs, as may be necessary, to assist the explanation of the proposal and to demonstrate the existing elevations of the property.
17. In the case of applications for replacement windows, brochure diagrams can be submitted, but scale drawings showing the elevations, the materials proposed, style and opening method are also required.
18. Applications for change of use of part of the premises must be accompanied by scaled floor plans showing the extent of the existing and proposed uses.
19. A plan showing all existing trees on the site; trees should be numbered. Any trees suggested for removal must be clearly marked on the plans and agreement with the Department of Environment, Food and Agriculture's Forestry, Amenity & Lands Directorate confirmed. The assumption will be that any trees not identified for removal are to be retained and will be given appropriate protection by the applicant during any development approved.
20. A planting/landscaping scheme must be provided where appropriate.
21. In the case of an application for advert consent the colours and sizes are clear and an accurate reflection of what is intended is shown. Please provide photomontages where possible.

Plans Required: four copies of plans (three for applications relating to windows) drawn accurately to an appropriate metric scale, and including:

PLEASE ENSURE YOU HAVE ENCLOSED

• A current, up-to-date Site Location Plan in order to identify the application site at an appropriate scale to easily locate the property. These can be purchased from Planning and Building Control. The site must be clearly outlined in red with an unbroken red line indicating the curtilage of the proposed works. A blue outline should be used to define the extent of any additional land ownership or land owned or controlled by the applicant.
• A Site Plan showing the boundaries outlined in red of the curtilage of the building or the building as extended, and its relationship to adjoining boundaries (including written dimensions from each side of the building to its relevant boundary), and the size, position and use of every other building or proposed building within that curtilage. Please Note: the site indicator must be a continuous, unbroken red line delineating the exact footprint of the site proposed. A copy of the application will be forwarded to the Local Authority in which the site is situated, and the Network Planning Officer, DOI Highways Services. Applications for registered building consent must include sufficient copy for the Manx Museum

Signed Dated

Print Name in BLOCK LETTERS

Gerard McCarten

Planning and Building Control Directorate

Department of Environment, Food and Agriculture Murray House, Mount Havelock, Douglas, Isle of Man, IM1 2SF Tel: +441624685950 Fax: +44 1624686443 Email: [email protected]

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 and planning application form and any supporting documents.

NO APPLICATION WILL BE PROCESSED UNTIL SUCH TIME AS THE CERTIFICATE IS SUBMITTED.

1. STATEMENT A: Land owner is applicant

I certify that the accompanying application is made by or on behalf of the owner of the land, namely:

Vivienne Moore VIVIENNE MOORE

(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.

2. STATEMENT B: Land owner is not the applicant

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 & <br> Address | Name & <br> Address | | :-- | :-- | | | | | Interest | Interest | | Date <br> notified | Date <br> notified |

Signature Applicant/Agent

Date

3 No 2016