HomeMy WebLinkAbout2621 - Application Form - Part AMONAGHAN COUNTY COUNCIL
Monaghan County Council,
Planning Section,
County Offices, The Glen, Monaghan
Tel: (047) 30532 Fax: (047) 76276
Email: planning@monaghancoco.ie
Office Use: np
Application Type:...15?l w`iW !......
Register Ref..... \..�-N.......;.........
Amount Rec.
Receipt No...S02)1...`. .,�.Ct...........
Date...... .....................
O.S.I. Map Ref ...................................
BEFORE COMPLETING THIS FORM PLEASE NOTE THE FOLLOWING
STANDARD PLANNING APPLICATION AND ACCOMPANING DOCUMENTATION
Failure to complete this form or attach the necessary documentation, or the submission of incorrect information or omission of required
information will lead to the invalidation of your application. Therefore please ensure that each section of this application form is fully completed
and signed, entering n/a (not applicable) where appropriate, and that all necessary documentation is attached to your application form.
ADDITIONAL INFORMATION
It should be noted that each planning authority has its own development plan, which sets out local development policies and objectives for its
own area. The authority may, therefore, need supplementary information (i.e. other than that required on this form) in order to determine
whether the application conforms with the development plan and may request this on a supplementary application form.
Failure to supply the supplementary information will not invalidate your planning application but may delay the decision -making process or lead
to a refusal of permission. Therefore applicants should contact the relevant planning authority to determine what local policies and objectives
would apply to the development proposed and whether additional information is required.
_ THER STATUTORY CODES
rk PI ANI,,3tNNG DEPARTMENT
An applican(will not be entltldBl"so�lby reason of a r anning permission to carry out the development. The applicant may need other consents,
dependinl on the type of development. For example, all new buildings, extensions and alterations to, and certain changes of use of existing
buildin musU�°° lye�°�'it m'1 regulations, ich set out basic design and construction requirements. Also any works causing the
deterioration or de�fnioniff the Ifreding and resting lace of bats, otters, natterjack toads, Kerry slugs and certain marine animals constitute a
cdi inal offence unless covered by a derogatio licence issued by the Minister of Arts, Heritage and the Gaeltacht (pursuant to
A title 16 of the Habitats Directive).
MjGHAttCO. COUNCIL
DATA PROTECTION
It is the responsibility of persons or entities wishing to use any personal data on planning application form for direct marketing purposes to be
satisfied that they may do so legitimately under the requirements of the Data Protection Acts 1988 & 2003. The office of the Data
Protections Commissioner state that the sending of marketing materials to individuals without consent may result in action by the Data
Protection Commissioner against the sender including prosecution.
1. Application for:
*Permission consequent ❑
on the grant of
Outline Permission
Place an x in the appropriate box
Where planning permission is consequent on grant of Outline
Permission, please quote the outline permission ref. no.
Date of grant of Outline Permission:
*NOTE: Permission consequent on the grant of Outline
Permission should be sought only where Outline Permission was
previously granted. Under S.36 3(a) of the Planning and
Development Act 2000 Outline Permission lasts for 3 years.
Outline Permission may not be sought for:
(a) the retention of structures or continuance of uses, or
(b) developments requiring the submission of an
Environmental Impact Statement/I.P.P.C./Waste Licence or
(c) works to Protected Structures or proposed Protected
Structures.
PLANNING APPLICATION FORM
Date Received:
*Outline Permission
Register Reference:
(Permission for )
Retention
2. Location for proposed development:
(a) Postal Address or Townland or Location (as may best
t / identify the land and/or structure in question).
AdV JSI414 . iIyJ.SKE AJ
CCo • M oAlAcnrN i4 t1/
(b) Ordnance Survey Map Reference Number and the grid
reference where available. (Grid reference in terms of the
Irish transverse mercator).
o. S. )o /69g
3. (a) Name of applicant (person/entity seeking planning
permission, not an agent acting on his/her behalf)
f'AL'i2tc +A/4,W6,1 506WOi4 L L
(b) Address must be supplied at end of this form (question 23)
4. Where the applicant is a Company registered under the
Companies Acts 1963 —1999, please state the following:
Name(s) of Company Director(s)
Registered Address (of Company)
9 Site Area Q. 2 Lio H -
Area of site to which the application relates in hectares ha.
1 10. Where the application Relates to a Building or Buildings:
(a) Gross floor space of any existing building(s) in m2
ooe�t5C 1"l- �Z ± C- 4Gc -3 i:i
(b) Gross floor space of proposed works in m2
�.DEPART
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FIEF NO.
N° 2 6 / 2 1
MONAGHAN CO.
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Ifs)
5. Person/Agent Acting on Behalf of the applicant (if any).
Name 1 DEL. rVt Gs Ho/y
(address may be supplied at the end of this form (question 24)
6 Person responsible for the preparation of Drawings and Plans.
(Where the Plans have been drawn up by a firm/company, the name
of the person primarily responsible for the preparation of the
drawings and plans on behalf of that firm/company should be
given.) A F ,/�
Name iv®EL 1'`G G HOI/
(address may be supplied at the end of this form (question 25)
7 Legal Interest of Applicant in the Land and/or Structure
A. Owner B. Occupier ❑ *C. Other ❑
Please tick appropriate box to show the
applicant's legal interest in the land or structure.
If owner please state the date on which interest was acquired
¢tam i 1. y J 4o y .s +
* Where legal interest is other, the applicant is requested to expand
further on the interest in the land and/or structure.
If you are not the legal owne W r W n rho o n r
and supply a letter of consent torn the
application as listed in the acc panying
,�v
g atibPp-
3.6A zTF C T
* The owner's address must b inc uded at the end of the foim
(question 26)
25 MAR 20Z6
8 Description of Proposed Development:
(A brief description of the nature and extent of the development,
including reference to the number, height and uses of buildings,
protected structures, etc). (This should correspond with the
wording of the newspaper advert and site notice.)
Eta 6ial'r4 F
5 MFer ,47-rAC #e •�►E
irW51o&1 + CCNV+✓ (.Sio'V
ross floor space of work to be retained in m2 (if appropriate)
i3GE - Si• 2
ross floor space of any demolition in m2 (if appropriate).
Note: Gross floor space means the area ascertained by the internal
measurement of the floor space on each floor of a building i.e. floor
areas must be measured from inside the external wall.
11. In the case of mixed development (e.g. residential,
commercial, industrial, etc.), please provide a breakdown of the
different classes of development and a breakdown of the gross floor
area of each class of development:
Class of Development
a. Gross floor space of residential class
of development:
b. Gross floor space of industrial/
commercial class of development:
c. Gross floor space of demolition of
industrial/commercial class of development
d. Gross floor space of demolition of
residential class of development:
e. Other:
Gross Floor Area in m2
12. In the case of residential development please provide a
reakdown of residential mix: -
umber of
Studio
1 Bed
2 Bed
3 Bed
4 B
4+ BeTotal
ouses
partments
o. of car -parking Existing Pr osed Total
spaces to be provided
13. Where the application refers to a material change of use of
any land and/or structure or the retention of such a material
change of use:
Existing use (or previous
use where retention permission
is sought). (Note: Where the
existing use is "vacant" please
state the most recent authorised
f],
use of the land or structure).
1 It's
Proposed use (or use it is
proposed to retain)
Nature and extent of any such
proposed use (or use it is
proposed to retain).
2
i`V1
14. Social and Affordable Housing
Please tick appropriate box
Yes No
Is the application an application for permission ❑
for development to which Part V of the Planning
and Development Act 2000 as amended applies?
If the answer to the above question is yes and
the development is not exempt (see below), you
must specify, as part of your application, the manner
in which you propose to comply with Section 96
of Part V of the Act. Please submit proposals on
separate sheet. (Vt
if
If the answer to the above question is yes, b you consider the
development to be exempt by virtue of S ion 97 of the Planning
and Development Act 2000, a copy of th Certificate of Exemption
under Section 97 must be submitted (o where an application for a
Certificate of Exemption has been m e, but has not yet been
decided, a copy of the application s ould be submitted).
If the answer to the above question is no by virtue of Section 96(13)
of the Planning and Development Act 2000, details indicating the
basis on which Section 96(13) is considered to apply to the
development should be submitted.
N.B. This section must be completed for all proposals for the
provision of one or more new dwelling units on residentially
zoned lands.
15. Development Details
Please tick appropriate box.
Yes No
(1) Does the proposed development con st N C
of work to a protected structure an or P LA 1LE-i No .
its curtilage or proposed protected
structure and/or its curtilage? 1 5 MAR 2 2E
Note: If Yes Newspaper advertiseme
and site notice must indicate this fact
(2) Does the proposed development con st of
work to the exterior of a structure wh
located within an architectural conservation
area (ACA)?
Note: If the answer is YES to either 15(1) or 15(2)
TEN sets of drawings/plans/photographs must be
submitted with the Planning Application.
(3) Does the application relate to development ❑
which affects or is close to a monument or
place recorded under Section 12 of the
National Monuments (Amendment) Act,
1994
(4) Does the application relate to work within or ❑
close to a European Site (under S.I. No. 94 of
1997) or a Natural Heritage Area?
(5) Does the proposed development require the ❑
preparation of an Environmental Impact
Statement?
(6) Does the application relate to a development ❑ rn
which comprises or is for the purposes of an (�
activity requiring an integrated pollution
prevention and control licence?
(7) Does the application relate to a development ❑
which comprises or is for the purposes of an
activity reauirine a waste licence?
(8) Do the Major Accident Regulations apply to ❑
the proposed development?
(9) Does the application relate to a development in ❑
a Strategic Development Zone?
(10)Does the proposed development involve the ❑
demolition of any structure?
16. Site History
(1) Details regarding site history (if known)
Has the site in question ever, to your knowledge, been flooded?
Yes ❑ No
If yes, please give details e.g. year, extent
LANNING DEPARTM
Are you aware of previous usesof the site e.g. dum in or,
quarrying?
es ❑ N
!fhess,,�le a give details. 1 MO1�d CO. COUN IL
(2) Are y4.i aware of any valid planning applications previously
made in r pect of this land/structure?
4es4'
No ❑
If yes, please state planning reference number(s) and the date(s) of
receipt of the planning application(s) by the planning authority if
known:
Reference No: 3 =3 Date:
Note: If a valid planning application has been made in respect
of this land or structure in the six months prior to the
submission of this application, then the site notice must be on a
yellow background in accordance with Article 19(4) of the
Planning and Development Regulations 2006. A valid
application includes an application subsequently withdrawn.
(3) Is the site of the proposal subject to a current appeal to An
Bord Pleanala in respect of a similar development.
(Note: the Appeal must be determined or withdrawn before another
similar application can be made).
Yes ❑ No
An Bord Pleanala Reference Number:
17. Do any Statutory Notices apply to the site/building at present?
(e.g. Enforcement, Dangerous Buildings, Derelict Sites, Building
Control, Fire Safety etc.).
Yes ❑ No
Place an X in the appropriate box.
If yes, please give details
18. Pre -application Consultation
Has a pre -application consultation taken place in relation to the
proposed development ?
Yes ❑ No
If yes, please give details:
Reference No. (if any):
Date(s) of consultation /
Persons involved:
19. Services.
(1) Proposed Source of Water Supply
Existing Connection �f'ew connection ❑ Public Mains
Group Water Scheme ❑ Private Well ❑
Other (please specify):
Name of Group Water Scheme (where applicable)
(2) Proposed Wastewater Management/Treatment
Existing New Public Sewer ❑
Conventional septic tank system'
Other on -site treatment system ❑ Please specify.
3 e A -Pc ' T r9`n-i \C:1 E3
(3) Proposed Surface Water Disposal
Public Sewer/Drain ❑ Soakpit Watercourse ❑
Other ❑ Please specify
20. Details of Public Notice
*Approved newspaper in which notice was published.
Name of Newspaper 1/vQ/J-LK E ' MO(Zwi t
Date of publication: I /fl'is4.mtc i. J2oZ 6
* Note: The list of approved newspapers for the purpose of
giving intention to make a planning application, is available from the
Council. Please also refer to directions for completion of Site Notice.
Date on which site notice was Erected.: 1/3/2o26
White ❑ Yellow ❑
21. Application Fee
Fee Payable ' 1 6 (4'343/of)x
Basis of Calculation CLI`I SS Z.
22. I hereby declare that, to the best of my knowledge and
belief, the information given in this form is correct and
accurate and fully compliant with the Planning & Development
Act 2000, as amended, and the Regulations made thereunder:-
Signed °%` ', %cJ
(AppI. it or Agent as ar p
>>ppriate)
Date /C /m/'/2L'- 2An applicant will not be entitled solelyson of a planning permission to
carry out the development. The applicant may need other consents, depending on
the type of development. For example, all new buildings, extensions and
alterations to, and certain changes of use of existing buildings must comply with
building regulations, which set out basic design and construction requirements.
ADDITIONAL INFORMATION
(Sections 27, 28)
27. All applications for Agricultural Developments must
complete The Agricultural Form (AG I Form).
28. All applications for dwellings in Rural Areas under Strong
Urban Influence must be accompanied by a completed Rural
Housing Application Form (RH1 Form).
Notes to Applicant
Sections 1 to 22 of this form MUST be completed insofar as
they relate to your particular proposal. Failure to do so will
render your application invalid.
The additional contact information at Sections 23 to 26 will
not be made available with the planning application.
Section 27 seeks additional information which will be
needed by this Planning Authority to assess the
application.
Section 28 seeks additional information which may be
needed by this Planning Authority to assess the application
having regard to its development plan which sets out local
development policies and objectives for its own area.
Failure to submit this additional information, where
relev a�n 28]___will NOT invalidate your application.
How4ver, the l OM � or ay no able to reach
a eriFission on the
basisof the information av` 1 abt1 d t. N
MAP
failu e to 1.9un relevant upplementary
i could delay the application or 1 ad to a refusal
of
You are a vis this office-la.,.determine what
local policies and objectives would apply to your proposal
and whether supplementary information is required.
Please note the 21isions of Section 34 13 of the Planning
and Developm4itIkEtGO1NG DEPARTMENT j
"A person sh 1 not be ei; I i N 1bly by reason of a
permission u der this section t carry out any
development". N� L 6 / 2
The applicant ay need other consents, depending on the
type of develoA)� ,..1,�, 1t !dings,
extensions and alterations to, and certain changes of use of
existing buildings must comply with building regulations,
which set out basic design and construction requirements.
Please note that in accordance with Section 251 of the
Planning and Development Act 2000, as amended: -
"Where calculating any appropriate period or other time limit
referred to in this Act or in any other regulations made under
this Act, the Period between the 24th day of December and
the 1st day of January, both days inclusive, shall be
disregarded."
8, Description of proposed development,
1. Permission for alterations and a singe storey extension to the
rear of the existing dwelling house to include the conversion of
an existing storage room into a habitable room.
2. Permission for improvement works to the existing septic tank
system to include a new percolation area.
3. Permission for the retention of a domestic garage.
MON. Co,, CO.
.��
PLAj, SCTON
25 MAR 2026
MONAGHAN CO• COUNCIL