38190

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Isle of Man ClOYtmlllmt The Town and Country Planning Act 1999 The Town and Country (Development Procedure) (No2) Order 2013 , Application for Planning Approval In' , I' 15 00450 b) Full approval for development involving building or engineering ~E~""i o~C(:, "'RASTRUC'UI' c) O1ange of use of land not involving building or engineering operations; (7his may not include any building or engineering operations) PleasetkkOneboXas~ 27 APR ~::j e) Variation of a condition. If yes, please provide the reference number of the relevant application and indiCiJte if the application is for a condition variation or removal. Relevant Fee Enclosed (where appropriate) Please note an application will remain Invalid until the full application fee Is paid. Where a site or floor area has been used to establish the fee, please note the area measured in your calculation. O1eques should be made payable to rOM Government. 5. Address or description of site to be developed. ,On.M NoD Yes 0 RBNo. I No [Z) 1 Yes D No [Z] EnfNo. I 1 1__ 1 £ Iso I Arec 10 sq m I D IZI D D Ref. No. 1=========== D Ref. No. I===========-_ Yes IZI For office use only Date: ~ ) .Is. ,.; Receipt number: gS ••.2~3 d) Approval of matters reserved from a previous approval. If yes, please provide the reference number of the relevant application. a) Approval in principle; b) Works prop:>sedto a Registered Building. If yes, please quote the RB number and complete an appliCiJtion for Registered Building Consent to accompany this form (Form RBAP). 2. a) Development within a Conservation Area. If yes, please include details of any demolltlon involved; 3. Retrospective activities or as a result of an Enforcement Enquiry? If yes, please quote reference. 4. If the proposed development would create additional industrial, retail or office floor space, please gIve details of the respective areas In square metres. 1. Is this application for: Pleasecomplete in BLOCKCAPITALSand in black ink. 1 'B o. ..,.j The person here below named as the applicant is responslJe for payment of the appropMate fee. C ~ All relevant questions on this tonn must be answered. Guidance notes are available on request Douglas IM2SAU 6. Local Authority District. IDouglas

Putting the Customer First
PA Form 1.7(1)
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7.
a) Full name of applicant
I_M_r_D_a~v~id"-,C~lu"c"k,,ie~
_
Please include al/ first names and surname or full detaI'Is where an applk:antI's 'trad;ng as' or a I;m;ted company.
c)
If using an Agent, please indicate if the Agent is to be issued with the
acknowledgement letter and undertake the responsibility for affixing the site at
the development site.
oo
Agent
Applicant
PostmdelM95EA
PostmdelM2SAU
I
-IW-or1<--1
I
I
\1 Hildesley
Road,
Douglas.
IHome 203388
IQuay Design lid
15 The Quay
PortS! M;;.
1834965
Telephone number
Telephone number
b) Address of applicant
b)
Address of Agent
8.
a)
Full name of Agent
Please Note: If this box Is not completed all correspondence will be directed to
the Agent.
9.
Applicant's interest in the site. (e.g. owner, tenant, potential purchaser)
IOwner
Please ensure that the following
Information
(question
10) corresponds
with the details
fnduded
in the
accompanying
and compulsory
certificate
of ownership
(certificate
01).
10. Name and Address of:
a) The site owner, if different from the INt A
applicant. Pleasestate all names,
induding first names In full
~--
Postmde
~--
b) The name of occupier or tenant of INt A
the site if different from above.
~~--
c)
Does the applicant own or control any additional
land within the
vidnity of the application.
If yes, you must outline the additional land In blue on the site plan.
n.
wi
lng sas
win ows to
e ront e evation.
R
11. Description of the proposed development. Please state dearly what you propose to do.
12. a)
What Is the existJng use of the site? (e.g. residential, office, retail etc.)
b) What is the proposed use of the site?
IDwelling
IDwelling
13. Details, if known, of any previous planning applications.
106/00181//8
PA Form 1.7(1)
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".
14. Would the proposed development involve the creation of, or alteration to, a vehicular
or pedestrian accessto any highway? If yes, please provide details.
Have you consulted with the Highways Division?
15. Does your proposal involve a change In site levels?
If yes, please provide levels as existing and proposed and lndude a method
statement detailing the proposed means of importing fill and/or the means of
exporting the fill, induding details of the expected quantities involved.
Yes 0
Yes D
Yes D
No [Z]
No [Z]
NO\Zl
16. Would the proposed development require a new or amended supply of:
a) Gas
b) Electrlclty
Yes 0
Yes D
No [Z]
No0
c) Water
d) Telecommunications
Yes 0
Yes 0
N00
NO[Zj
To assist any impact on these utilities, the applicant must apply directly to the provider to establish the location of
existing services and whettler any affect may be caused by the proposed development or works. See guidance notes.
e)
Pleasegive details of the nature of the required supply if other than for a single domestic user.
1
_
17. a)
How would rainwater run-off from roofs and paved surfaces be disposed of?
I~N~/_A
_
--
b)
How would fout sewage from the proposed development be disposed of?
I_N~/_A
_
Yes 0
c)
If a septic tank or Blodisc system Is proposed, please provide details demonstrating that a septic tank would be
acceptable under BuildIng Byelaw Regulations.
1
-
1
No0
18. a)
Would the proposed building or engineering operations encroach into an area
demarcated as the canopy spread of any trees on or overhanging the site?
If yes;. plevse answer b) and c)
b)
Have you indicated which trees, if any, are to be 'lopped' or 'felled' as a result of
Yes D
the works? This detail must be agreed w;th Department
of Environment,
Food
and Agriculture
- Forestry DMsion before submission
of the application.
c)
Have you induded an accurate survey Illustrating the position of existing trees
Yes D
and their approximate canopy spread in relation to the proposed works?
19. Is/Are the proposed works within 8 meb'es of any watercourse (river, ditch or otherwise)?
Yes D
NO\Zl
NO[Zj
20. Pleasegive details of any other Information relevant to the application. Note: should you continue
onto a separate
sheet Ncb application copy must be accompanied by a copy of the continuation sheet.
Have you been provided
with
pre-application
advice from a Development
Control Officer?
If yes, Officers name
Yes [E(
NOC
I
PA Form 1.7(i)

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Building
Regulations
21. a)
Are you making a concurrent application for Building Regulations Approval?
Yes 0
No[{j
b)
If yes, please indicate to which Authority your application has been submitted.
c)
The date of submission.
d)
Building Regulations reference number (if known)
/
/
Onchan District Commissioners o
I
======1
o
Douglas Corporation
o
001
22. Statement
- I hereby enclose four copies (three for windows) of:
•
this application form
•
and all supporting
plans and attachments
which must indude*
* A Site Location
Plan, a current up to date plan in order to Identify the property (these can be purchased from the
Planning and Building Control Division), indicating the curtilage of the proposed works outlined in red. A blue outline
should be used to define the extent of any additional land oWllefship.
* 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 building to it's 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 this application will be forwarded to the local Authority In which the site is situated, and the Network
Planning Officer, DOl Highways Division.
PLEASE ALSO ENCLOSE
•
A Certificate
of Land Ownership
(Certificate
01) one copy
•
An Application
Check List
M Form PL4 one copy
To the best of my knowledge
and belief
all the Infonnatlon
given In this application
Is b'ue, and the
documents
provided
herewith
are accurate.
Signature
of Applicant
or Agent
Dated 119
/03
/ 15
If signing
on behalf of a company,
please dearly
state relationship.
Should this application
be unsupported
by adequate
and dear
site maps and plans outlining
all the works
proposed,
the Department
retains
the right to refuse acceptance
and retum
tt1e application.
23. Schedule
of Drawings
Pleasedetail the drawings or reference number and/or
date of all plans submitted in support of this application.
Should any plans be missing, the application wJ11be
considered Incomplete.
Please continue on a separate sheet If necessary.
Plan
Dated
Ref No
Site Plan
--
--
Locations Plan
--
--
General Arrangement
19/03/15
1161-02
Check.Ust
M Fonn PL4
19/03/15
c.rt 01
19/03/15
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 requestedi or
b) Any Appeal has been completed.
Planning
and Building
Control
Division
Department of Infrastructure
Murray House, Mount Havelock, Douglas, Isle of Man, 1M! 2SF
Tet: +44 1624 685950
Fax: +44 1624686443
Email: [email protected]
PA Form 1.7(1)

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16 u045U
~'II""'''''''''''''II'-'''''''
_.,_
•••••_
••••••••
QOO'nO'I.-
Land Ownership Statement
Certificate 01
Town and Country
Planning
Ad 1999
Town and Counby
(Development
Procedure>
(No 2) Ord«
2013
A'Y
infrastructure
ThIS certfflcate proVIdes confirmatIOn that the owner of the land which Is the subject mattt!r of the applicatlon Is eltner
the appllcant
or Is fully aware of the application.
The certfficate
oonstttutes
a statement
of ownership
and Is om.,proof
of ownership.
The applicant
15requested
to exxnplete ~
Statement
A or Statement
B and return the CDmpleted certificate
and
planning applicatlon
form and any supporting
documents.
NO APPUC4T1ON
WILL BE PROCESSED UNUl SUCH nHEAS
THECERUF1C4TEISSUffllUED.
1. STAnMENT A: lartd owner is applicant
I cert1fy that the accompanying
appllcatlon
Is made by or on behalf of the owner of the land, namely:
I D i'-V\D
-:5/'1IV,L.S.
(FullnamesIn CAPITAL Iett~)
who Is:
(a) the fun*'llmlted*
O'M'let" of the freehold*/teasehold*
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
15made on behalf of the land owner,
a certlf1ed copy of the power of authority
signed by the owner
authorising
the application
on his behalf Is attached
hereto.
2. STAnHENT
B: Land owner Is not the applicant
Name.
Address
Interest
D•••
notified
Interest
Date
notffied
the land owner
(referred
to In statement
A of this rertiflcate);
and
to any person who at the time of the making of the appllc:atjon was;
(I)
a person then In actual possession
(II)
the trustee
of a trust
or settlement
if a benefidary
under the trust or settlement
was In actual
possession
and no person other
than such a benefldary
was entltIed
to enter
Into actual possession
within
a period of
40 years; and
(111) a person,
not being
a person
falllng
within
(a) or (b) (I) and (II), eotltIed
to enter
Into actlJal possession
WIthin a period of 40 years.
The persons ulXJn whom notice was Issued are
Name&
Address
I certify that appropriate
written
notice of the accompanying
application
has been given by or on behalf of the applIcant
tn:
(.)
(b)
SIgnature ApplIcant/Agent
c<- -
Dare
I I 2«>/4/ i)"

Putting the eustomerFlrst Certificate01(1)