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Please complete in BLOCK CAPITALS and in black ink.
For office use only
Date: 72-2-17
RECEIPT Number: 889089
All relevant questions on this form must be answered.
Guidance notes are available on request.
BALLELBY, DALBY, PATRICK, ISLE OF MAN, IM5 3BP
PATRICK
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:
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:
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.
MRS JOCELYN ROSENBERG
Please include all first names and surname or full details where an applicant is 'trading as' or a limited company.
b) Address of applicant
BALLELBY, DALBY, PATRICK, ISLE OF MAN
Postcode: IM5 3BP
Telephone number:
Home
Work
Applicant's e-mail address:
Putting the Customer First
PA Form 2(i)
a) Full name of Agent KELLY-LEWTHWAITE BUILDING DESIGN LIMITED b) Address of Agent 23 MARKET STREET DOUGLAS, ISLE OF MAN Postcode IM1 2PA Telephone number 01624 676199 Agent's e-mail address [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).
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
Applicant's interest in the site (e.g. owner, tenant, potential purchaser) OWNER
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. £ 275 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 77.8m2 Where the application is exempt from a fee under the current fees order, please state the registered charity number.
a) Please state the existing use of the site (e.g. residential, office, retail etc.) b) Please state the proposed use of the site. PRIVATE DWELLING PRIVATE DWELLING
a) Development within a Conservation Area. If yes, please include details of any demolition involved on a separate sheet. 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
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. Res
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. Res
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
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.
\qquad \qquad \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? \qquad \qquad Please confirm the number of parking spaces within the site. existing \square MIN 20 \square proposed \square MIN 20 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. \qquad No \square 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?
TO EXISTING SW DRAINAGE b) How will foul sewage from the proposed development be disposed of?
TO EXISTING FOUL DRAINAGE 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? \qquad 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? \qquad Yes \square No \square If yes, please state the Officer's name and the date of their response. \square Date \square
NONE
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)
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 | JAN 2017 | 3 | | Locations Plan | JAN 2017 | 4 | | Plan as Proposed | JAN 2017 | 2 | | Plan as Existing | JAN 2017 | 1 |
PLEASE ALSO ENCLOSE one copy of - A Certificate of Land Ownership (Certificate 01), 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.
Dated 22 12 117 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 2(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:
MRS JOCELYN ROSENBERG
(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 |
DIRECTOR (KELLY - LENTHWATT)
22-2-17
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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