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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: 7-66-69 | | | Receipt number: 916560 | | | 0306650098666 | |
13 Western Avenue Douglas IM1 4EP
Douglas Corporation
a) Full approval for operational development (e.g. involving building or engineering works)
b) Change of use of land or buildings not involving operational development.
c) Approval in principle - please specify below any matters are to be determined now:
d) Approval of reserved matters relating to a previous approval in principle. Please provide the reference number of the approval in principle application
| Applications under c) or d) | Ref. No. | | --- | --- | | Please circle any matters to be determined by this application | | | Siting | Internal layout (inside buildings) | | Internal appearance | | | 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.
Adam Joseph Williams & Helen Christine Williams
Please include all first names and surname or full details where an applicant is 'trading as' or a limited company.
b) Address of applicant
13 Western Avenue Douglas
Postcode IM1 4EP
Telephone number
Home 232659
Work
Applicant's e-mail address
Putting the Customer First
PA Form 2.1(i)
Telephone number Agent's e-mail address
Arch Tec ( IOM ) Ltd - Architectural Design Consultants
Architectural Studios 20 Duke Street Douglas Isle Of Man Postcode IM1 2AY
622122 [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. Applicant ☑
OWNERS ☑ 7. 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. Area ☑ Where the application is exempt from a fee under the current fees order, please state the registered charity number. 100.00
Creation of vehicular access / drop kerb & off road parking - alterations to rear garden
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 ☑
Please confirm the number of parking spaces within the site. existing ☐ ☐ proposed 2
PA Form 2.1(i)
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The proposal involves the reduction in level in part of the rear garden - the extent of excavation being around 39 cubic metres that will be disposed of at a licensed recycling centre delivered by road. Some carefully selected material will be used to infill the driveway area to the front of the site. 21. The Department of Environment, Food & Agriculture is a data controller for the purposes of the General Data Protection Legislation and requires the information on this form to comply with its legal obligations under the Town and Country Planning Act 1991 and subordinate Town and Country Planning (Development Procedure) Order 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 the 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 P&BC processes your personal information are contained in our P&BC Privacy Notice available on our website.
The Data Protection Officer can be contacted on 686781 or by email at [email protected]. 22. Statement - I hereby enclose four copies of the following:
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.
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 Director: ArchTec (IOM) Ltd 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 1624685950 Fax: +44 1624686443 Email: [email protected]

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.
For office use only
Ref:
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 | 13 Western Avenue Douglas IM1 4EP | | --- | --- | | | **MAKING & BUILDING CONFERENCE | | | 4 APR 2019 | | | CERTIFICATION | | | CERTIFICATION | | 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). | ☐ | | 3. I have included one fully completed application form and three copies of same (two for windows). | ✓ | | 4. The correct fee of £ 100.00 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. | ☐ | | 6. If your application is for works to a Registered Building, please provide a Photographic Survey with your application. | ☐ | | 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.
Continue overleaf
Putting the Customer First
Form PL.7(i)
Signed Print Name in BLOCK LETTERS Martyn Hobson ArchTec (IOM) Ltd Dated 4 April 2019
Planning and Building Control Directorate Department of Environment, Food and Agriculture Murray House, Mount Havelock, Douglas, Isle of Man, IM1 2SF Tel: +44 1624685950 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 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 is NOT ADEMENT DISCLOSURED ON THE PROCEDURE.
Adam Joseph Williams & Helen Christine Williams
(Full names in CAPITAL letters)
who is:
(a) the full filial owner of the freehold 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
Name & Address
Interest
Date notified
Date
Name & Address
Interest
Date
4 April 2019
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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