HomeMy WebLinkAbout2624 - Application Form - Part AI rllIII ruu III I
• MONAGHAN COUNTY COUNCIL
Monaghan County Council,
Planning Section,
1 Dublin Street, Monaghan, Co Monaghan
Tel: (047) 30500 Fax: (047) 82739
Email: planning@mon g tncoeo.ie
Office Use: pp
Application Type.......`'lM�
Register Ref...2r�ia\, V\O............ ..
Amount Rec.
Receipt o... 3..'s.\ ..............
Date..... `\� �.........................
O.S.I. Map ef..................................
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 MobilityAidsGrantApplicationForm.pdfis 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.
DATA PROTECTION
The planning process is an open and public one. In that context, all planning applications and accompanying documentation, with the exception
of certain contact details, are made available for public inspection/purchase and may be made available on the planning authority's website
where this is their policy. Planning authorities also publish weekly lists of planning applications received as well as weekly lists of planning
decisions in hard copy and, where this is their policy, on their websites.
It has come to our attention that the publication of planning applications by planning authorities can lead to applicants being targeted by persons
in the business sector engaged in direct marketing. In response to a request from the Data Protection Commissioner, you are hereby given an
opportunity to indicate a preference with regard to the receipt of direct marketing arising from the lodging of a planning application.
If you are satisfied to receive direct marketing please tick this box
Direct marketing may be by post, by telephone, by hand or by electronic mail such as email or text message where such details are supplied.
It is the responsibility of those entities wishing to use the personal data on planning applications and decision lists for direct marketing purposes to
be satisfied that they may do so legitimately under the requirements of the Data Protection Acts 1988.& 2003 taking account of the preference
outlined above.
PLANNING APPLICATION FORM
1. Application for:
Pennission V *Outline Permission E
*Permission consequent r Permission for r
on the grant of Retention
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: i�—
*NOTE: Permission consequent on the grant of Outline
Permission should be sought only where Outline Pennission 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.
Date Recei
Register
N
2. Location fo proposed development: f'
(a) Post l:Addy ss�gir7: n1_and or Location (as may best
identify the land and/or structure in question).
M0�,
(b) Ord anceirry ap eferer)ce Number and the grid
refe ence where available. (Grid rerence in terms of the
Irisl} transverse mercator).
3. (a) Name of applicant (person/entity seeking planning
permission, not an agent acting on his/her behalf)
I11'1lam R -'-'c C !f LcF, ::;4-i ,d I
(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)
I p-
�ompany Registration No
Telephone No
Email Address (if any)
Fax No (if any)
5. Person/Agent Acting on Behalf of the applicant (if any).
Name Yt T Out-kt�&E c ( O �,.J
(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 fum/company should be
given.)
Name
(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 r B. Occupier r *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
NBc cu;VQCSiJ1r`t
* 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 owner, please state the name of the owner
and supply a letter of consent from the owner to make the planning
application as listed in the accompanying documentation.
* The owner's address must be included at the end of the form
(question 26)
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.)
The development will consist of the following:
(A) To demolish an existing single storied derelict dwelling house and to
construct a replacement single storied dwelling and a detached domestic
garage. (B) To Install a proprietary waste -water treatment unit and
percolation area and provide new bored private well. (C) To close up an
agricultural entrance and make a new entrance onto a private farm lane
to serve the proposed development. (D) All ancillary site development we
way
rks.
9 Site Area
Area of site to which the application relates in hectares ha.
10. Where the application Relates to a Building or Buildings:
(a) Gross floor space of any existing building(s) inm2
(b) Gross floor space of proposed works inm2
(c) Gross floor space of work to be retained in m2 (if appropriate)
(d) Gross floor space of any demolition in m2 (if appropriate).
Lik -9�it
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 Gross Floor Area in m2
a. Gross floor space of residential class
of development:
b. Gross floor space of industrial/
f\.4 I /1
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:
12. In the case of residential development please provide a
breakdown of residential mix: -
Number of Studio
1 Bed
2 Bed
3 Bed
4 Bed
4+ Be
Total
Houses
Apartments
No. of car -parking Existing Proposed Total
spaces to be provided j
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
use of the land or structure).
Proposed use (or use it is
proposed to retain)
Nature and extent of any such
proposed use (or use it is
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.
If the answer to the above question is yes, but you consider the
development to be exempt by virtue of Section 97 of the Planning
and Development Act 2000, a copy of the Certificate of Exemption
under Section 97 must be submitted (or, where an application for a
Certificate of Exemption has been made, but has not yet been
decided, a copy of the application should 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 consist C'
of work to a protected structure and/or
its curtilage or proposed protected
structure and/or its curtilage?
Note: If Yes Newspaper advertisement
and site notice must indicate this fact.
(2) Does the proposed development consist of C
work to the exterior of a structure which is
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 C
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 C
V/
preparation of an Environmental Impact
Statement?
(6) Does the application relate to a development c
N
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 requiring 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?
(I 0)Does the proposed development involve the
demolition of any habitable h use?
Noe: Demolition of a Habitable House requires
Planning Permission,
16. Site History
(1) Details regarding site history (if known)
Has the site in question ever, to your knou1ge, been flooded?
Yes C No C�
If yes, please give details e.g. year, extent
Are you aware of previous uses of the site e.g. dumping or
quarrying?
Yes ((cS No C
If yes, please give details.
(2) Are you aware of any valid planning applications previously
made in respect of this land/structure?
Yes r No C
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: 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 C 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 Nd
Place an X in the appropriate box.
18. Pre -application Consultation
Has a pre -application consultation taken place in relation to the
proposed development ?
Yes (C Nd-(
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 (V New connection
Group Water Scheme (' Private Well
Other (please specify):
( Public Mains ('
(_
Name of Group Water Scheme (where applicable)
(2) Proposed Wastewater Management/Treatment
Existing (l New (1/ Public Sewer (`
Conventional septic tank system
Other on -site treatment system (i-lease specify.
(3) Proposed Surface Water Disposal /.
Public Sewer/Drain (, Soakpit (V` Watercourse ('
Other C Please specify
20. Details of Public Notice
*Approved newspaper in which notice was published.
Name of Newspaper &-(C) 4/
Date of publication: f
* Note: The list of approved net spape /for the purpose of giving
intention to make a planning application, is available front the
Council. Please also refer to directions for completion of Site Notice.
Date on which site notice was Erected.: / 2�2(
White C Yellow permission 1
21. Application Fee
Fee Payable I C i4 > .
Basis of Calculation
22. 1 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 /67ITi�>.wyl
(Applicant or Agent as appropriate)
Date 3/3/224
An applicant 'ill not be entitled solely by reason 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 1 Form).
28. All applications for dwellings in Rural Areas under Strong
Urban Influence must be accompanied by a completed Rural
Housing Application Form (RHI Form).
Notes to Applicant
Sections 1 to 22 of this form MUST be completed insofar am
they relate to your particular proposal. Failure to do sc
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 h
needed by this Planning Authority to assess th
application.
Section 28 seeks additional information which may h
needed by this Planning Authority to assess the applicatio
having regard to its development plan which sets out loco
development policies and objectives for its own area.
Failure to submit this additional information, whet
relevant (Section 28), will NOT invalidate your application
However, the Planning Authority may not be able to reac
a decision on whether or not to grant permission on th
basis of the information available to it.
Therefore, failure to supply any relevant supplementar
information could delay the application or lead to a refuse
of permission.
You are advised to contact this office to determine whi
local policies and objectives would apply to your proposi
and whether supplementary information is required.
Please note the provisions of Section 34(13) of the Plannin
and Development Act 2000.
"A person shall not be entitled solely by reason of a C
r this section to carry out any
development".
The applicant may need other consents, depending on th
type of development. For example, all new building:
extensions and alterations to, and certain changes of use c
existing buildings must comply with building regulation
which set out basic design and construction requirements.
Please note that in accordance with Section 251 of tit
Planning and Development Act 2000: -
"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." (Not applicable to Development Plan matters)