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).

FERN BANK, WEST KIMMERAGH ROAD, BRIDE.

1. Local Authority District.

BRIDE PARISH COMMISSIONERS

1. Please state the type of application (choosing one box as appropriate):

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) ____________________________________________________________________________________________________***

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

Telephone number Agent's e-mail address

MARK CHRISTIAN AS ABOVE Postcode 464746 [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 6. Applicant's interest in the site (e.g. owner, tenant, potential purchaser)

Heat Pump Owner 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. Where the application is exempt from a fee under the current fees order, please state the registered charity number.

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.

8. Description of the proposed development. Please state clearly what you propose to do.

INSTALLATION OF AN AIR SOURCE HEAT PUMP TO REPLACE FOSSIL FUEL BOILER 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. 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.

| RESIDENTIAL | | | :-- | :-- | | RESIDENTIAL | | | Yes | No | | Yes | No | | RB No. | |

Yes Yes No \square

| Yes | No | | :-- | :-- | | \square | \square |

\square

12. 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 No \square No \square No \square No \square No \square No \square No \square No \square No \square No \square No \square No \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. 14. a) How will rainwater run-off from roofs and paved surfaces be disposed of? b) How will foul sewage from the proposed development be disposed of? 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. 15. a) Are there any trees on or within 15 m of the proposed development site with a stem diameter of 75 mm or more, measured at 1.5 m above ground level? b) Are there any large shrubs or hedges on the proposed development site ?

If you answered Yes to either of the above, then your application will need to include a level of tree related information appropriate to the proposed development, which in some circumstances (e.g. change of use) may mean that no additional information is required. Please refer to the guidance document, 'Trees and the planning process - Part 1' for further guidance. You must provide details of any trees which are to be 'lopped' or 'feiled' as a result of the proposal. 16. Is the proposed development within 9 metres of any watercourse (river, ditch or otherwise)? If so, you are advised to contact the Department's Fisheries Directorate for further guidance in respect of this application.

Yes \square No \square Yes \square No \square Yes \square No \square Yes \square No \square Yes \square No \square Yes \square No \square Yes \square No \square Yes \square No \square Yes \square No \square Yes \square No \square Yes \square No \square Yes \square No \square Yes \square No \square Yes \square No \square Yes \square No \square Yes \square No \square Yes \square No \square Yes \square No \square Yes \square No \square Yes \square No \square Yes \square No \square Yes \square No \square Yes \square No \square Yes \square No \square Yes \square No \square Yes \square No \square Yes \square No \square Yes \square No \square Yes \square No \square Yes \square No \square Yes \square No \square Yes \square No \square Yes \square No \square Yes \square No \square Yes \square No \square Yes \square No \square Yes \square No \square Yes \square No \square Yes \square No \square Yes \square No \square Yes \square No \square Yes \square No \square Yes \square No \square Yes \square No \square Yes \square No \square Yes \square No \square Yes \square No \square Yes \square No \square Yes \square No \square Yes \square No \square Yes \square No \square Yes \square No \square Yes \square No \square Yes \square No \square Yes \square No \square Yes \square No \square Yes \square No \square Yes \square No \square Yes \square No \square Yes \square No \square Yes \square No \square Yes \square No \square Yes \square No \square Yes \square No \square Yes \square No \square Yes \square No \square Yes \square No \square Yes \square No \square Yes \square No \square Yes \square No \square Yes \square No \square Yes \square No \square Yes \square No \square Yes \square No \square Yes \square No \square Yes \square No \square Yes \square No \square Yes \square No \square Yes \square No \square Yes \square No \square Yes \square No \square Yes \square No \square Yes \square No \square Yes \square No \square Yes \square No \square Yes \square No \square Yes \square No \square Yes \square No \square Yes \square No \square Yes \square No \square Yes \square No \square Yes \square No \square Yes \square No \square Yes \square No \square Yes \square No \square Yes \square No \square Yes \square No \square Yes \square No \square

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.

PLEASE SEE SUPPORTING DOCUMENT IN RELATION TO SOUND PRESSURE

1. 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].

1. Statement - I hereby enclose four copies of the following:
2. this application form
3. 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)
• A schedule of drawings/plans. If applicant owns or controls any additional land within the vicinity of the application, please indicate the additional land in blue on the site plan.

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 17/6/2019

Dated 17/6/2019

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 2SP Tel: +44 1624 685950 Fax: +44 1624 686443 Email: [email protected]

PA Form 2.1(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.

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 | FERN BANK, WEST KIMMERAGH ROAD, BRIDE | | --- | --- | | | 24 HOME & BUILDING CONV. | | | 24 HOME 2018 | | | 2 | | 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 £ 0 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 ☐ No | | | | | Where the Applicant and/or Owner of the site is a family relation of either an employee or member of the Planning and Building Control, please enclose details with the application form. | | | | | | 10. 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. | ☑ | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | Continue overleaf | | | Putting the Customer First | Form PL.7(i) |

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 Print Name in BLOCK LETTERS MARK CHRISTIAN

Dated 17 / 6 / 2019

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]

Town and Country Planning Act 1999 Town and Country Planning (Development Procedure) (No 2) Order 2013

Certificate of Land Ownership PLANNING APPLICATION

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.

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:

26 JUN 2019

(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 & Address | JENETTE KREJCI FERN BANK WEST KIMMERAGH RD BRIDE | Name & Address | | --- | --- | --- | | | | | | Interest | PROPERTY OWNER | Interest | | Date notified | 17/6/2019 | Date notified |

Signature Applicant/Agent

| Name & Address | | | --- | --- | | |

| Name & Address | | | --- | --- | | |

| 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] | |

Certificate O1(i)