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.-' infrastru,ture pl ••••.""'1.<>d b!.I,kJlnl~ ~"''',,'' b'ln-lrl>OlloI1V1
Building Regulations b) If yes, please indicate to which Authority your application has been submitted. 24. Statement
If the proposed development would create additional industrial, residential, retail or office floor space, please specify the floor area in square metres.
Putting the Customer First
PA Form 1.8(1)
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Yes
Yes
1
Yes 0
No 0
Yes
[{]
No 0
proposed
1__
1
Yes 0
No [Zf
DNoO
0NOO
<:>1
existing
c)
Water
d)
Telecommunications
Yes
Yes
a) Gas
b)
Electricity
Please confirm the number of parking spaces within the site.
12.
Description of the proposed development.
Please state dedrly ~t}(XI
IYOIXJ.Seto (jQ. ~
the dlJfiication is fry
a cIJar,ge of use p/oose sla1l? the ho<r.; of use, """"" d{:(lIO(JIiat<Yapp/icab/e.
"l"'"
13. Local Authority
District.
15. 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.
16. Please specify below whether the proposal requires new or amended services:
14. 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?
Postcode
Iw"""",,~O'"
()E"12~.:T
Ie.e.~'D::ErV
-r-J.-..AL-'
YVf2:jE,,~
Postcode ~
6 H H
IWork
I ","'0>2 E,
H,Q-l'2 Eo
IHome S3?-I?Z
i!~
I
I
I
Telephone number
Agent's e-mail address
Telephone number
Applicant's e-mail address
Please indt.ne all first I')d/1']$S dI1d
st..IfT'1iJI'r'
or ftJlI detaJ1swhere an applicant is 'trading as' or a limited company.
b)
Address of applicant
b)
Please state the proposed use of the site.
7.
a)
Full name of applicant
8.
a)
Full name of Agent
b)
Address of Agent
5.
Relevant
Fee Enclosed
(where required)
Please
note
the
application
will
£ I ?-SO. c:e:e:>
remain
Invalid
until
the
application
fee
15 paid
in full.
W7ereafiteryffcxyqroo
--
has been /P!(j 10 eslablish the fee p/oose note the area measured In your calaJ!ali(Y).
__ I--~
l1/Je"e
the app/iceli(Y) is _
froo> a fee lJfIder the ","""I fees otrJer, p/oose sla1l?
~. w
the regis/efW
dldIit'y
f1lJI'I)beI-.
--~
Cheqws
sf>oold be rr>ddepayab/elo
10f0r Go""",,,,,,,,t
6.
a)
Please state the existing use of the site (e.g. residential, office, retail etc.)
oo
Yes
Yes 0
No 0'
Yes 0
No 0
I Date
- I
PA Form 1.8(1)
If you answered Yes to either of the above, then your application will need to included an accurate survey
drawing 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.
1I>e abo",
~
musl be discussed With the CJei:>drtrner>1 of fr>ViIOfllt/€fl~
Rxxf and 4griruI1tfe
- Fm!stry,
~",...,it'y Il(afldS Directora1l? befiJn: the app/iceliorl is sulYnitted.
1I>e Planning ~ut/xYit'y ll:PJt also ""'lUi,..
you 10 sulYnil a 7>'ee Sl;'>ey.
1I>e app/icenl sf>ookt COI1StJ/1the_
/YOidders separatelY in ()/'(fer 10 establish the Iocaliorl of eJrisling...,,;ees
and
the i"'lJ'Jd
of the IJI'CI)OSed~
(Y) eJrisling ...,,;ees. See g<;iddr1re no1l?s.
n
I 'f"~
s;;.')'oJSlINc.--
17. a)
How wilt rainwater run-off from roofs and paved surfaces be disposed 01 ~
W A re,2...
DQ.A::i:N
b)
How will foul sewage from the proposed development be disposed of?
I~"t'bEJo<.'4 :>TIi"J
Cr' I
~v. '- v,JArc~
'D2A..L~,
c)
If a septic tank/SiOOisc system is proposed, please provide details demonstrating
that the septic tank/Biodisc
would be acceptable under Building Regulations -
see gukJijnce
l1OleS.
18. a)
Are there trees or hedges on the proposed development site that might be
affected by the proposal?
b) Are there any trees or hec:lQeson anjrw:ent land that might be affected by the nropclSilI? Yes
20.
Have you received
pre.application
advice
from
a Planning
Officer?
If yes, please state the Officer's
I
name and the date of their response.
_
19.
Are the proposed works within 8 metres of any watercourse (river, ditch or otherwise)? If
s<> you ate adVised 10 COf1lactlJCF;il for IiJttf>et guidar>ce
in teS(>OCI of this app/iceliorl.
PA Form 1.8(1)
Yes D
Postcode
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.
11. Site address details (it>c/lJding a pOSl code """""
app/iceb/e).
Pfease note
C'OfT'eS{)()IJ(
is ~
dl)(/ may be more fM)editious
Ilia erhdi'
c)
If you are using an Agent, please specify whether the acknowledgement
letter and
Agent
D
Site Notice should be sent to the Agent or Applicant, who will be responsible for affixing
I/r
the Site Notice at the site.
Applicant
~
9.
Applicant's interest in the site (e.g. owner, tenant, potential purchaser)
I~Q~w~"'~E~I2.
1
Please ensure
that
the following
Information
(question
10) corresponds
with
the details
induded
on the
accompanying
and compulsory
certificate
of ownership
(Certificate
01).
10. Name and Address of:
a)
The site owner, if different from the I
applicant. Please state all names,
including first names in full.
b)
The name of occupier or tenant of
1
the site if different from above.
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"""""'w .,>d buikllnv (onlro!
b,.'1-\'<><I••• ..,.,
pI.>n".1 .' Q"' •••.oIl'OO'Jll'
Land Ownership Statement
Certificate 01
140 '1262
~0/Man
r••••"'""'"
..."
"
.
Town and Country Planning Act 1999
Town and Country (Development
Procedure)
(No 2) Order 2013
~
infrastructure
r.
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 ru21.Proof of ownership.
The applicant Is requested to complete ~
Statement A or Statement B and retum the completed certificate and
planning application fonn and any supporting documents.
NO APPLlCAUON
WILL BEPROCESSEP
UNTIL SUCH TIHE AS THE CERUFICA TEIS SUBHIITED.
1. STATEMENT A: Land owner is applicant
I certify that the accompanying application is made by or on~~hft~J
...
"'ner of the land, namely:
~
?, lrIl--
C-l-I
I 0
12-
/- 0<".<)
(Full names in CAPITAL letters)
't~
I
~
'1'S'l'f?u"NT
OF
who Is: A '
CTURE
(a) the full*/lImlted*
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
(i1)
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 benefidary 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 (i1), entitled to enter Into actual possession
within a period of 40 years,
The persons upon wnom notice was Issued are
Name &
Address
5ho~\o-H.<cuSE
51-\OeE:
~.
fbl2-,
G'12I r0
Name &
Address
Interest
1__
Interest
1
Date
1--/--
Date
1--
notified
Lt !\\_\T
notified
.~
X~nt/Agent
Date
I~~
IItrill!
Z<'>Ut_
Putting the Customer First Certificate 01(i)
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Isle of Man
~rnmml
..."., '''
,.
Planning Applicatiol) Check List
/4U1262
,
-#"
infrastructure
plOllMillg.nd hulldi"'l
(01"01
tnrn-tlO{Wafv\ ' plann.1.1
gil, ••••,)trll9ll.1
This check list is aimed to assist the applicant in preparing an application
and
For office
use only
subsequently
the Department's administrationstaff In validating the application
and the
f--'-=-===-==.:..=.::2..-
Planning Officer in their assessment of the proposal, by ensuring that the necessary
LRe.:.f.:.:
_
supporting
information
accompanies the application.
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.
1.
J have referred to the Guidance Booklet 'Making a Planning APPlicatio~~,()
~
""'" "IIYl"M
2.
J have consulted with the Network Planning Officer of the Department
of frltrast.r~b~ghway
Services, to agree access issues (where appropriate).
Site Address
i3<>A-,
l'-,ou...5E.
6H.o
l2.£.-
~..."
fbl2-TE':~
r ",,<1 6 H t-
oD
Yes D NOIkJ
3.
J have included one fully completed
application
form and three copies of same (two for windows).
~
4.
The correct fee of 1£2...'50 .. 00 Iis enclosed -
D
Cheques should be made payable to the Isle
of Man Government.
5.
The building is Registered.
If Registered, have you completed and enclosed the appropriate
Kl
Registered Building Consent Application
(one form plus two full copies of all supporting
plans).
6.
If your application
is for works to a Registered Building, please
provide
a Photographic
Survey
lZJ
with your application.
7.
The address is accurate and the des,cription of the proposed work is clear and appropriate
for the
0
development.
Field numbers can be obtained from Department
of Infrastructure
CERTIFICATE OF LAND OWNERSHIP
Please indicate if the Applicant and/or Owners of the site is either an employee or member of Yes D No [RJ Planning and Building COntrol. 10. 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. 11. Illustration of the exi5ting site/buildings, incorporating floor plans, elevations and sections (as n~~rv), 0 The plans must clearly show the existing relationship with neighbouring properties and land boundaries. Floor plans and elevations must be to a mettic scale of either 1:50 or 1:100. @J~~~ Pulling the Customer First COntinue overleaf Form PL,6(1)
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I ~ till 1'1 I Planning and Building Control Department of Infrastructure Murray House, Mount Havelock, Douglas, Isle of Man, IM1 2SF Tel: +44 1624685950 Fax: +44 1624 686443 Email: [email protected] Form PL.6(1)
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