HomeMy WebLinkAbout2634 - Application Form - Part AMONAGHAN COUNTY COUNCIL
Monaghan County Council,
->> Planning Offices,
1 Dublin Street, Monaghan H18 X982
Tel: (047) 047 30532
Email:
Office Use:
Application Type:.fl2%1 "nt`s75 ...........
Register Ref.......... .3........
Amount Rec. .... ..... ..........
Receipt No..........&... ..
Date ............2.(..-.
O.S.I. Map Ref. ..................................
BEFORE COMPLETING THIS FORM PLEASE NOTE THE FOLLOWING
STANDARD PLANNING APPLICATION AND ACCOMPANYING 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 nia
(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.
DATA PROTECTION PER Nlt ,
The planning process is an open and public one. In that context, all planning applications and ace mpan g cument ti with the exception
of certain contact details, are made available for public inspection/purchase and may be made avail ble on lle ani1g itlity4website
where this is their policy. Planning authorities also publish weekly lists of planning applications r dived as well a weekly lists of plannmg
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 c n M 1AN4hr'`t 11l lQ Lhn
in the business sector engaged in direct marketing. In response to a request from the Data Protectio ssnoner, you are ere y 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 taklf g,account of the preference-__.__
outlined above. i
PLANNING APPLICATION FORM
1. Application for: Date Received: f , 41
Permissions [/j" *Outline Permission ❑
Register Reference:
*Permission consequent ❑ Permission for ❑ __
on the grant of Retention
Outline Permission 2. Location for proposed development:
(a) Postal Address or Townland or Location (as may best
Place an x in the appropriate box identify the land and/or structure in question).
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.
(b) Ordnance Survey Map Reference Number and the grid
reference where available. (Grid reference in terms of the
Irish transverse mercator).
3. (a) Name of applicant (person/entity seeking planning
permission, not an agent acting on his/her behalf)
31��1;11 r P' .
(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)
Company Registration No
Telephone No
Email Address (if any)
5. Person/Agent Acting on Behalf of the applicant (if any).
Name
(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.)
Name I iJ 1 Cti�k A t \A
(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 I l,{' 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
* 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 fonn
(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.)
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LR& u t(\t-3 sr\ 1'1 U 2 QN ku �i okiltL
ro c& cal i cuss 0jad kcs
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9 Site Area
Area of site to which the application relates in hectares . Jtzs ha.
10. Where the application Relates to a Building or Buildings:
(a) Gross floor space of any existing building(s) in m2
(b) Gross floor space of proposed works in m2
(c) Gross floor space of work to be retained in m2 (if appropriate)
(d) Gross 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 Gross Floor Area in m2
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
Hz
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 d 4 Bed 4+ Bed Total
Houses f I I I f
I PP
f C CC CC
Apartments
No. of car -parking Existing Proposed Total
spaces to be provided F_ F_ F_
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 t
existing use is "vacant" 1
state the most recent authi
use of the land or structttn
Proposed use (or use it is
proposed to retain)
Nature and extent of and
proposed use (or use it is
proposed to retain).
14. Social and Affordable Housing
Please tick appropriate box
Yes
Is the application an application for permission
for development to which Part V of the Planning O
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.
(8) Do the Major Accident Regulations apply to
o
the proposed development?
No /�
(9) Does the application relate to a development in
VY
Q
O/
a Strategic Development Zone?
(10)Does the proposed development involve the
Q
O�
demolition of any habitable house?
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
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 Q
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 Q
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 o
close to a European Site (under S.I. No. 94 of
1997) or a Natural Heritage Area?
(5) Does the proposed development require the Q
preparation of an Environmental Impact
Statement?
(6) Does the application relate to a development Q
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 Q
which comprises or is for the purposes of an
activity requiring a waste licence?
J
ci
Note: 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 knowledge, been flooded?
Yes O
If yes, please give c
Are you aware of 1
quarrying?
Yes Q
If yes, please give i
No
e.g.year,h GO,
PLr NNONG"1.ECTI
23 APR 2026
us uses of the site e.g. dumping or
No V
PLANING DEPARTMENT
REF. NO.
(2) Are you aware of any val4 plangpatignsrevjously
made in respect of this land/st cture
Yes lx! 400
COUNCIL
If yes, please state planning referPOAHAN COa?'m" o"^
receipt of the planning application(s) by the planning authority if
known:
Reference No: I 1 y11jr, IS) S ;,60pate:
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 Q 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 Q 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 9
Yes No O
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 Q/ISew connection O Public Mains
Group Water Scheme Q Private Well 0
Other (please specify): 0
Name of Group Water Scheme (where applicable)
(2) Proposed astewater Management/Treatment
Existing New Q Public Sewer
Conventional septic tank system Q Mechanical WWTS 0
Other on -site treatment system Please specify.
(3) Proposed Surface Water Disposal
Public Sewer/Drain C Soakpit C Watercourse
Other C Please specify
20. Details of Public Notice
*Approved newspaper in which notice was published.
Name of Newspaper t , 10 '-
Date of publication: .. 4 —
* 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.:— i.F — 2.0,E
White @/Yellow O
21. Application Fee
Fee Payable
Basis of Calculation
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 t\ a c & $ Ir<Ci%J(a�
(Applicant or Agent as appropriate)
Date
An applicant will 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 I Form).
28. All applications for dwellings in Rural Areas under Strong
Urban Influence must be accompanied by a completed Rural
Housing Application Form (RH! 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 relevant (Section 28), will NOT invalidate your
application. However, the Planning Authority may not be
able to reach a decision on whether or not to grant
permission on the basis of the information available to it.
Therefore, failure to supply any relevant
supplementary information could delay the application or
lead to a refusal of permission.
You are advised to contact this office to determine
what local policies and objectives would apply to your
proposal and whether supplementary information is
required.
Please note the provisions of Section 34(13) of the
Planning and Development Act 2000.
"A person shall not be entitled solely by reason of
a permission under this section to carry out any
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.
Please note that in accordance with Section 251 of the
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)