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Please complete in BLOCK CAPITALS and in black ink. All relevant questions on this form must be answered.
For office use only
Date:
Proposed conversation of existing boarding House into a 4 bedroom family property. Demolition of the Existing Utility Room and bathroom space above along with ground and first floor wall of the existing kitchen and family bathroom on the East Elevation as indicated on Plan 037/102. Steel beams to be installed at the ground floor ceiling level of the existing kitchen running beneath the proposed new cavity wall on the first floor. Ground floor window on the North elevation to be opened up and steel beams installed creating an opening into the existing dining room. A small 13m2 Extension with roof lantern to be erected to the rear of the plot on the East side to allow an open plan kitchen/dining area as indicated. Boundary wall to the West side of the plot to be reinstated using rendered block work. Internal changes to the position of partition walls on the First and Second floors to be to reduce the bedrooms from 6 to 4 creating larger better quality space for occupants. Master bedroom on the second floor to incorporate ensuite and walk-in wardrobe. Removal of existing dormer and installation of 2 roof Lights to the rear of the property providing light and ventilation to the ensuite and walk-in wardrobe.
Have you consulted the Department prior to making this submission?
| | Yes | No | | --- | --- | --- | | | | |
If Yes please state the Officer's name
| Mr Peter Bergquist | | | --- | --- | | b) Address of Applicant | | | 57 Governors Road, Onchan, Isle of man, IM3 1AZ | |
Telephone number
| Home 07624 404752 | Work | | --- | --- | | Applicant E-Mail [email protected] | |
c) If using an Agent, please indicate if the Agent is to be issued with the acknowledgement letter and site notice to undertake the responsibility for affixing the notice at the development site. Please Note: If this box is not completed all correspondence will be directed to the Agent.
a) Full Name of Agent
| Mr Andrew Henderson | | | --- | --- | | b) Address of Agent | | | 4 Furman Close, Onchan, Isle of Man, IM3 1BT | |
Telephone number
| 07624 499549 | | | --- | --- | | Agent E-Mail [email protected] | |
Agent
Applicant
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The Department of Environment, Food & Agriculture is a data controller for the purposes of General Data Protection Legislation and requires the information on this form to comply with its legal obligations under the Town and Country Planning Act 1999 and subordinate Town and Country Planning (Registered Buildings) Regulations 2013.
Your personal information will be held by DEFA for the purposes of processing this application and may be used to ensure compliance with the provisions of the Town & Country Planning Act and in particular Part 4 Enforcement of Control.
Some of the information you provide, such as your name, address and contact detail will be shared at our public counter, with the Local Authority and as part of the application image via our online service, in order to give notice and publicise receipt of the application. It may also be shared within DEFA or other Government Departments, boards or offices for the purposes of statutory functions. We will only keep these details for as long as we require them, and in accordance with General Data Protection Legislation.
You may withdraw your details at any time if you no longer wish us to process your application. Full details of how and why DEFA processes your personal information are contained in our privacy P&BC Privacy Notice.
The Data Protection Officer can be contacted on 686781 or by email at [email protected].
I hereby make application under Regulation 7(1)(b), for Registered Building Consent to carry out the alterations and/or extensions to the building described by the address in section 1, as shown on the enclosed plans and in accordance with the enclosed drawings.
| Signed | | Date | 28/08/19 | | --- | --- | --- | --- | | (*Applicant/*Agent) | | | | | On behalf of | | | *please delete as appropriate |
I hereby apply for Registered Building Consent to demolish *the building/part of the building described by the address in section 1, as shown on the enclosed plans and in accordance with the enclosed drawings.
| Signed | | Date | 28/08/19 | | --- | --- | --- | --- | | (*Applicant/*Agent) | | | *please delete as appropriate |
On receipt and validation of this form you (or your Agent) will be issued with a site notice to:
a) send a copy of the notice to every owner or occupier (known by you) of the building that is subject of the application or any part of it and
b) display a copy of the notice at the site by fixing it firmly to the building, or other structure or object on or near the building that is the subject of the application so that it is easily visible by members of the public from a public highway and is unlikely to become obscured or concealed and to ensure that it remains so displayed for a period of not less than 21 days.
Where the Department directs under the Registered Building Regulations 2013 7(3) that further particulars or other matters are furnished and the applicant fails to comply with that direction and within such time as is given (not being less than 21 days) this application may be treated as withdrawn.
Note: no works may be commenced until such time as -
a) After issue of any 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]
Form RBAP4.1(i)
Table 1
| Location in the Building. <br> e.g. numbered indicator on a floor <br> plan, i.e. Area 1 on Floor Plan. | Feature or element of the building <br> fabric to be affected. <br> e.g. front entrance door, staircase. | How will this feature or element be <br> affected by the proposals. <br> e.g. inappropriate glazing replaced by <br> stained glass. | | --- | --- | --- | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
(Attach a continuation if necessary)

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 application form and any supporting documents.
I certify that the accompanying application is made by or on behalf of the owner of the land, namely:
Mr Peter Bergquist
(Full names in CAPITAL letters)
who is:
(a) the full* /limited* owner of the freehold* /leasehold* estate in the building and (*delete as appropriate); and
(b) in full possession of every part of the building to which the application relates.
If the application is made on behalf of the building 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 building owner; and
(b) 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), (b)(i) or (b)(ii), entitled to enter into actual possession within a period of 40 years.
The persons upon whom notice was issued are
| Name & Address | | Name & Address | | | --- | --- | --- | --- | | | | | | | Interest | | Interest | | | Date notified | | Date notified | | | Signature Applicant/Agent | | | Date | | | | | | | | | | 28/08/19 |
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 03(i)
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