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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: | | | Receipt number: | |
Barroose Farm, Barroose Road Baldrine, IM4 6AR
Lonan Commissioners
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) | | | Drainage | | | Design | | | Means of Access | | | Landscaping | | | External 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.
Mr. Alex Burnett and Mrs. Deana Burnett
Please include all first names and surname or full details where an applicant is 'trading as' or a limited company.
b) Address of applicant
11 The Downs, Union Mills, Braddan
Postcode IM4 4NQ
Telephone number
Home N/A
Work N/A
Applicant's e-mail address
N/A
Putting the Customer First
PA Form 2.1(i)
b) Address of Agent
Telephone number Agent's e-mail address
Kay Associates, Chartered Architects Ltd.
Southgate House, 89 Circular Road,
Douglas, Isle of Man. Postcode IM1 1AX
674440
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 [x]
Applicant [ ]
Owner
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.
| | | | --- | --- | | 300.00 | | | Area | 217.2 sqm | | 217.2 sqm | |
Single storey extension to previously approved, and commenced on site, dwelling, (PA 09/01334/B), to form swimming pool with changing and ancillary facilities, together with roof terrace access porch and associated roof terrace landscaping.
| residential | | | --- | --- | | residential | | | residential | | | Yes ☐ | No ☑ | | Yes ☐ | No ☑ | | RB No. | RB 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 ☑ | | --- | --- | | Yes ☐ | No ☑ | | Yes ☐ | No ☑ | | Yes ☐ | No ☑ | | 6+ | |
Have you consulted with Highway Services?
Please confirm the number of parking spaces within the site.
existing 6+
proposed 6+
PA Form 2.1(i)
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 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 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 No \square No \square No \square No \square No \square No \square No \square No
Please note this proposed swimming pool extension is an addition to a previously approved, and commenced on site dwelling (PA 09/013334/B).
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].
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
Dated 13/09/2019
If signing on behalf of a company, please clearly state your Caroline Kay 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 1624 685950 Fax: +44 1624 686443 Email: [email protected]
PA Form 2.1(i)
Job No: K350 Job Title: Barroose Farm Swimming Pool Extension
| Date Issued | Dwg No | Size | Job Title | | --- | --- | --- | --- | | | | | |
| Site Location Plan | P-10-100 | A3 | / | | --- | --- | --- | --- | | Existing / Current Site Survey | P-10-200 | A1 | / | | Existing / Approved Plans + Site Plan | P-10-01 | A1 | / | | Approved and Commenced under | | | |
| PA 09/01334/B | | | | | --- | --- | --- | --- | | Proposed Plans + Site Plan | P-10-02 | A1 | / | | Existing / Approved Elevations + | P-12-01 | A1 | / | | Cross - Section Approved and | | | | | Commenced under PA 09/01334/B | | | | | Proposed Elevations and Section | P-12-02 | A1 | / |
| Circulation List | | | | | --- | --- | --- | --- | | Planning | | / | | | Building Control | | | | | Structural Engineer | | | | | M & E Consultant | | | | | Q.S | | | | | Planning Supervisor | | | | | Fire Officer | | | | | Client | | / | | | Landscape Architect | | | | | Contractor | | | | | Other | | | | | p-paper e-e-mail f-fax | | | | | Purpose of Issue | | | | | I-information/record | | | | | a-approval/comment | | / | | | c-contract/construction | | | |

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.
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:
MR. ALEX BURNETT + MRS DEANA BURNETT
(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 | | | --- | --- | | |
| Interest | | | --- | --- | | |
| Date notified | | | --- | --- | | |
| Signature Applicant/Agent | | | --- | --- | | |
| Date | | | --- | --- | | |
| 13/09/2019 | | | --- | --- | | |
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]

Certificate O3(i)
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