34567

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The Town and Country Planning Act 1999 The Town and Country (Development Procedure) (No2) Order 2013 AY infrastructure pl.,}nn't>1;J.r>d buIId"'ll <O'lt<ol bun-tr~ • p.nNl •••9U••••.•"f>09OI Isle of Man G<Mnvn<nl ""',, ,,,..•... 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. For office use only Date: Receipt number: Guidance notes are available on request. c) Approval in principle - please specify below which matters are to be determined now: Siting C Intemallayout 0 Design C Means of Access 0 External Appearance [J Landscaping [] 1. t::: ,... r- •• ~ r '. ,".-,"" .!::::. ... - . > .~() Please state the type of application (choosing one box as appropriate): I 9 .•~ aJ Full approval for development involving building or engineering works. Gtc CON I.; I '-1, ""'-... "')",- b) Change of use of land or buildings not involving building or engineering works: >1-:- ,,~ 0 ......1 .RE- o Please ensure that details of the matters selected above are provided. d) Approval of reserved matters relating to a previous approval In prindple. Please provide the reference number of the approval in prindple application Pleasespecify below which matters are to be determined now: Siting 0 Internal layout 0 Design 0 Means of Access 0 External Appearance 0 Landscaping 0 o Ref. No. I=N=/A=-===== 4. If the proposed development would create additional Industrial, residential, retail or office floor space, please specify the floor area In square metres. 2. a) Development within a Conservation Area. If yes, please indude details of any demolition involved on a separate sheet 3. Are the activities Retrospective or as a result of an Enforcement Enquiry? If as a result of an enforcement enquiry please quote reference and the date that the building work or use was started/completed Please ensure that details of the matters selected above are provided. e) Variation of a condition. Please specify the reference number of the relevant planning application and indicate if the proposal is for a condition variation or removal. I_- IN/A 0 Ref. No. IN/A Yes 0 No [ZJ Yes 0 No [ZJ RBNo. 1 1 Yes 0 No [ZJ Completed Started b) Worl<sproposed to a Registered Building. If yes, please quote the RB number and complete an application for Registered Building Consent to accvmpany this form (form RBAP). EnfNo. ~[!]~~ Pulling the Customer First C'O<:lI~" b5 7'1"1. PA Form 1.8(1)

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£IN/A Area 1 _ 5. Relevant Fee Enclosed (where required) Please note the application will remain invalid until the application fee Is paid in full. Where a site or ffoor area has been used to establish the fee, please note the area measured in your calQJlation. Where the application is exempt from a fee under the current fees order, please state the registered charity number. OJeques should be made payable to rOM Government. 6. a) Please state the existing use of the site (e.g. residential, office, retail etc.) IHEALTH CARE bJ Please state the pmposed use of the site. IHEALTHCARE I a limited company. code IM4 4TE A I I code IM11LE I Agent [l] Applicant 0 R I etails included on the tcode I I Yes D No [Z] PA Fonn 1.8(1) Pas Post IOWNE 8AlLAMONA FARMHOUSE, STRANG ROAD BRADDAN IDEPARTMENT OF HEALTH ARMITAGE HOUSE LORD STREET DOUGlAS a Post 101624 672050 I [email protected] Agent's e~mail address Telephone number b) Address of Agent b) Address of applicant 9. Applicant's interest in the site (e.g. owner, tenant, potential purchaser) Please ensure that the following information (question 10) corresponds with the d accompanying and compulsory certificate of ownership (Certificate 01). 10. Name and Address of: aJ The site owner, if different from the INIA applicant. Please state all names, including first names in full. b) The name of occupier or tenant of IN/A the site if different from above. PEELMEDICAL CENTRE ALBANY ROAD PEEL IM51HU c) Does the applicant own or control any additional land within the v1dnity of the application. If yes, you must outline the additional land in blue on the site plan. 11. Site address details (including a post code where applicable). 7. a) Full name of applicant Please note correspondence is preftmed 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 indude all first names and surname or full details where an applicant is 'trading as' or Telephone number IHome N/A IWork N/ Appllcanrs e-mail address IN/A 8. aJ Full name of Agent SAVAGE & CHADWICK ARCHITECT LTD

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Description of the proposed development. Please state dearly what you propose to do. Where the application Is for a change of use please state the hours of use, where appropn'ate;appllcable. PROPOSED FLAT ROOF EXTENSION TO FORM RECORDS STORE 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. Yes No 0 No [l] 0 No [l] I PA Form 1.8(1) oo Yes Yes Yes existing IPEELTOWN COMMISSIONERS I Yes 0 No [l] Yes 0 No [l] proposed 1_3_9__ 1o [l] Please confirm the number of parking spaces within the site. Have you consulted with Highway Services? 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. The above works must be diSQJssedwith the Department of Environment, Food and Agn'rolture - Forestry, Amenity & Lands Directorate before the application is submitted. The Planning Authority IIN.Y also requIre you to submit a Tree Survey. If yes, please state the Officer's IN/ A II Date name and the date of their response. _ _ 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 hedges on adjacent land that might be affected by the proposal? Yes 16. Please spedfy below whether the proposal requires new or amended services: a) Gas Yes 0 No [l] c) Water Yes 0 No [l] b) Electricity Yes 0 No [l] d) Telecommunications Yes 0 No [l] 20. Have you received pre-application advice from a Planning Officer? 17. a) How will rainwater run-off from roofs and paved surfaces be disposed of? ITO EXIsnNG SW DRAINSI b) How will foul sewage from the proposed development be disposed of? IEXISTING FOUL DRAINSI 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. 13. Local Authority District. 15. Does your proposal involve a mange 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 fiU, including details of the expected quantities Involved. 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. 19. Are the proposed works within B metres of any watercourse (river, dltcil or otherwise)? If so, you are advised to contact DEFA for further guidance in respect of this appNcation.

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, , 21. Please provide details of any supporting information or other details that you would like the Planning Authority to take into account. Please note that you may use a separate sheet to complete this section. Building Regulations 22. a} Are you making a concurrent application for Building Regulations Approval? Yes D No [Z] b) If yes, please indicate to which Authority your application has been submitted. d) Building Regulations reference number (if known) c) The date of submission. DOl D Douglas Corporation D Onchan District COmmissioners I I I [N/A D I I 23. SChedule of Drawings Please detail the drawings or reference number and/or date of all plans submitted In support of this application. Should any plans be missing, the appliCiJtion will be considered incomplete and retumed with a request for missing plans to be subm;[ted. Please continue on a separate sheet if necessary. Plan Dated Ref No Site Plan DEC/2014 SC1347/P/10-01 Locations Plan DEC{2014 SC1347/P/10.10 {plans elevations 24. Statement

• I hereby enclose four copies of the following; • this application form • 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, DOl Highway Services. PLEASE ALSO ENCLOSE ~copy of • A Certificate of Land Ownership (Certificate 01), and • An Application Check List (Form PL.6) To the best of my knowledge and belief, all information given in this application is true, and the documents provided herewith are accurate. Dated I I? I r z. I leA,! Signature of Applicant or Agent If signing on behalf of a company, please ea state I lationshiP.1 »trlt(...10"tL Should this application be unsupported by adequate a clear site f maps and plans outlining all the works proposed, the partment retains the right to refuse acceptance and return the application. Note: no works may be commenced until such time as: a) on 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 Department of Infrastructure Murray House, Mount Havelock, Douglas, Isle of Man, IMI 2SF Tel: +44 1624685950 Fax; +44 1624 686443 Email: [email protected] PA Form 1.8(1)

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~ofMan Ga.<mmrnl ,..",. "'" •... Planning Application Check List 14 U1441 ~ infrastructure pId"","9 ~nd budd,"9 Coni"" bun-1""9'.Jo'ly\ • pl,onNl•• 9U'~ l~ This check list is aimed to assist the applicant In preparing an application and For office use only subsequently the Department's administration staff In validating the application and the I--::..:::..:"-'--..j 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 indudes 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 (Artide 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 PEEL MEDICAL CENTRE, ALBANY ROAD, PEEL, IMS IHU I have referred to the Guidance Booklet 'Making a Planning Application'. 1. 2. 3. 4. s. 6. 7. 8. I 9 ,,~ "" .. '" ~ I have consulted with the Network Planning Officer of the Department of Infrastructure, Hlghwat. services, to agree access issues (where appropriate). q,,o(:- II:> -'I "l;';j , 7' I~ o,_J, ...oJ, qf I have included one fully completed application form and three copies of same (two for'WindO"Y~S)~E The correct fee of If I is enclosed - 07eques should be made payable to the Isle of Man Government The building Is Registered. If Registered, have you completed and enclosed the appropriate Registered Building Consent AppliCiJtion(one form plus two full copies of all supporting plans). If your application is for works to a Registered Building, please provide a Photographic Survey with your application. The address is accurate and the description of the proposed work is dear and appropriate for the development. Field numbers CiJnbe obtained from Department of InfraslnJdure

• CQrtography. Tel +44 1624 685923. CERTIFICATE OF LAND OWNERSHIP
• certificate 01(i) is endosed This certificate is mandatory. No application will be processed until such time as the certificate is submitted. Yes DNO[Z]

Please indicate if the Applicant and/or Owners of the site is either an employee or member of Yes DNoIII 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 existing site/buildings, incorporating floor plans, elevations and sections (as necessary). III The plans must clearly show the existing relationship with neighbouring properties and land boundaries. Roor plans and elevations must be to a metric scale of either 1:50 or 1:100. ~~@)~ Putting the Customer First Continue overleaf Form PL6(1)

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Illustration of the proposed site/buildings, Incorporating elevations and sections and dearly showing height I..;I dimensions in relation to any neighbouring properties. 13. Existing and proposed ground levels and finished floor levels relating to a fixed point off site (datum) (e.g. I..;I manhole covers, gate posts, etc.). 14. Where the application seeks approval for groundworks (Le. 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. 15. 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 indude a method statement detailing the means proposed for: extraetlng the rock, stone or sand; the processing of materials on-site where applicable; exportation and destination of the minerals, 16. 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 carned out without compromising the structural integn'ty of the building. 17. Photographs as may be necessary to assist the explanation of the proposal and to demonstrate the rEI existing elevations of the property. 18. In the case of applications for replacement windows, brochure diagrams can be submitted, but scale rJAJ drawings showing the elevations, the materials proposed, style and opening method are also required. 19. Applications for change of use of part of the premises must be accompanied by scaled floor plans showIng In/AI the extent of the existing and proposed uses. 20. A plan showing all existing trees on the site; trees should be numbered. Any trees suggested for removal I..; I must be dearly marked on the plans and agreement with the Department of Environment, Food and Agriculture's Foresby, Amenity & Lands Directorate confirmed, The assumption will be that any trees not identified for removal are to be retained and will be given appropn'ate protection by the applicant dun'ng any development approved. 21. A planting/landscaping scheme must be provided where appropriate, ~ 22. In the case of an application for advert consent the colours and sizes are dear 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: Print Name I in BLOCK LETTERS MARK SAVAGE --~ forwarded to the local Authority in which the site is situated, and the Network ices, 12/12/2014 Signed Dated • 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 the Planning and Building Control. The site must be dearly 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 (induding written dimensIons from each side of the buJlding to It's relevant boundary), and the size, position and use of every other building or proposed building within that curti- lage. 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 Planning Officer, DOl Highway Planning and Building Control Department of Infrastructure Murray House, Mount Havelock, Douglas, Isle of Man, IM1 2SF Tel: +44 1624 685950 Fax: +44 1624686443 Email: [email protected] Form PL.6(1)

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1~.~ ..J 4 41 infrastructure pl"""""J 4nd bo,rildn''Qt••••• '01 bun-1I~ _pIatmal••...-tl~ Town and Country Planning Act 1999 Town and Country (Development Procedure) (No 2) Order 2013 Land Ownership Stateme t Certificate 01 19"" It.-o~ L1 2> -" .•.•.• :lIb This certificate provides confirmation that the owner of the land which is the subject ~e( of the appll~bon is either the applicant or Is fully aware of the application. "'~~Ii")- The certificate constitutes a statement of ownership and Is D2l.Proof of ownership. 1?-1&~1£" I) r rJf The applicant is requested to complete ~ Statement A or Statement Band retum the complete(hcer:tiR~te and planning application form and any supporting documents. u, ••. Isle of Man Co<Mmm<nl •..".. "'" ..." NO APPLlCA UON WILL BfPROCE55EO VNUL 5VCH TIME A5 Tiff CfflUFlCA TE15 5VSHIITEO,

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: DEPARTMENT OF HEALTH BALLAMONA FARMHOUSE, STRANG ROAD, BRADDAN, IM4 4TE (Full names In CAPITAL letters] who is: (a) the full*/Umited* 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 (it) 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 (ii), entitled to enter into actual possession within a period of 40 years. The persons upon whom notice was issued are Name& Address NjA Name& Address NjA Interest Date notified Interest Date notified

Pullingthe CustomerArst
Date
Certificate
01(1)

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Arm,loge House,l.ord
Street,Dovglos, Isle of Mort, 1M1 lLE. Tel:(016241672050.
Fox; (01624) 629237, (01624) 615465,
E-moiL in!o@sollOfle<hodwick,com.
Website: www.sovoge<:hcdwid.com
14
d1441
o,""~ +
M. ScNoge SA DIP Arch(liverpool),
RJBA,K.A. MoPS
PE. Chadwick BA Hons D,pArd1(Ot!ord),
RIM, MoPS
Our Ref: MS/tI/SC1347
181h December
2014
Department
of Infrastructure
Planning & Building Control Section
Murray House
Mount Havelock
Douglas
Isle of Man
IMl 2SF
FAO Secretary
to the Planning
Committee
Dear Sirs
Re: Proposed
Peel Medical
Centre,
Extension
Please find enclosed four copies of the above application
and drawings.
This proposal constitutes
the addition of a flat roof extension to store medical records/documents.
Should you have any queries in connection
with the above please do not hesitate to contact the writer
at this office.
Yours faithfully
C adwick Architects
Ene
ee
Mr M Harrington
Department of Health Estates
"""""-
M. Norrey MOAT
5AVAGf & CHADWICK AACHITfCl)
[lMlrED
Co, Rag,43736 VATReg,No. 001 9068 12