Loading document...
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: | |
Braddan
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 | ☐ | | --- | --- | --- | | 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 applicable.
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.
IOM Govt. Dept. Heath & Social Care
Please include all first names and surname or full details where an applicant is 'trading as' or a limited company.
b) Address of applicant
IOM Govt. Dept. of Health & Social Care, Crookall House, Demesne Road, Douglas, Isle of Man Postcode IM1 3QA
Telephone number
Home Work
Applicant's e-mail address
b) Address of Agent
Telephone number Agent's e-mail address
Kay Associates Ltd. Southgate House, 89 Circular Road, Douglas, Isle of Man Postcode IM1 1AX 01624674440 [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.
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. \mathrm{N} / \mathrm{A} \mathrm{N} / \mathrm{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. 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
Have you consulted with Highway Services? \square Yes \square No \square Please confirm the number of parking spaces within the site. existing 0 proposed 86 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 15. Please specify below whether the proposal requires new or amended services: a) Gas Yes \square No c) Water Yes \square No b) Electricity Yes \square No d) Telecommunications Yes \square 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. 16. a) How will rainwater run-off from roofs and paved surfaces be disposed of? To existing hospital attenuation pond b) How will foul sewage from the proposed development be disposed of? To existing hospital foul water drainage system 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? Yes \square No \square b) Are there any trees or hedges on adjacent land that might be affected by the proposal? 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. Yes \square No \square 19. Have you received pre-application advice from a Planning Officer?
If yes, please state the Officer's name and the date of their response.
Mr. E. Riley
Date 16/09/2016
See enclosed: 'Design Statement Report'; incorporating 'Planning Policy / Substantiation', & 'Traffic Statement', as well as attached Drawing Issue Sheet
b) If yes, please indicate to which Authority your application has been submitted.
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 | See | | | Locations Plan | Architect's | | | | Issue Sheet | | | | + Engineer's | | | | Report | |
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.
Dated 04 / 11 / 16
If signing on behalf of a company, please clearly state your relationship.
Director
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)
Town and Country Planning Act 1999 Town and Country Planning (Development Procedure) (No 2) Order 2013
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:
IOM Govt. Dept. of Health & Social Care, Crookall House, Demesne Road, Douglas, IM1 3QA
(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 | N/A | Name & Address | N/A | | --- | --- | --- | --- | | | | | | | Interest | N/A | Interest | N/A | | Date notified | N/A | Date notified | N/A | | 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] | | | |
Pursuant to the **Pursuant to the **Pursuant to the **Pursuant to the **Pursuant to the **Pursuant to the **Pursuant to the **Pursuant to the **Pursuant to the **Pursuant to the **Pursuant to the **Pursuant to the **Pursuant to the **Pursuant to the **Pursuant to the **Pursuant to the **Pursuant to the **Pursuant to the **Pursuant to the **Pursuant to the **Pursuant to the **Pursuant to the Pursuant to the
Copyright in submitted documents remains with their authors. Request removal
