HomeMy WebLinkAbout2657 - Application Form - Part A3 f i
PL.ANNIN0 05r-JAPT ENT
AF.F, NO. 4 JUN
MONAG C(J&**(%JNCI
Office Use:
MonaglIan County Council, L Application Type:
Pl j IN CO. COUNC LI Amount Rec. I
Qaa�' 1 Dublin Str
Tel: (047) 047 30532 Date... l`b\'2 ip ................
Email: planning(amonaghancoco.ie O.S.I. Map Ret...................................
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 nh
(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
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 r ponsmil e e s�'yi g to use tile personal data on planning applications a decision lists for direct marketing purposes to
be satisfi that th �'s� t tlirlht •under thd requirements of the Data Protection Act 198 Lakin account of the preference
outlined ove. PLANNING ECTION
IL )
1. Applicbtion for:
REG. N
*Permission consequent ❑ Permission for
on the grant of Retention
Outline Permission
Place an 4 gyp
Where planning permission consequent of
Permission, please quote t outline permisSibWFcf.1
Date of grant of Outline
G APPLICATION
*NOTE: Permission
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.
2. Location for proms IlgPti,,,,�„
(a) Postal Address or Townlan ' .L
identify the land and/or structure in
4ni,oac,U,
(as may
(b) Ordnance Survey Map Reference Number and the grid
reference where available. (Grid reference in terms of the
Irish transverse mercator
X K
Outline Permission may not be sought for: 3. (a) Name of applicant (person/entity seeking planning
(a) the retention of structures or continuance of uses, or permission, not an agent acting on his/her behalf)
(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 ►sY—�
Structures. (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
MON. CO.
PLANNING SE
Company Registration No
Telephone No �—
Email Address (if any) I r
5. Person/Agent Acting on Behalf of the applicant (if any).
Name �(x1�/� o,, V ---"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 firm/company should be
given.) Name 1 �y (address may be supplied at the end of this form (question 25)
7 Legal Interest of plicant in the Land and/or Structure
A. Owner B. Occupier ❑ *C. Others
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 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.)
1 17��1M``aS �cn t {- 1Gv
iy
t) +,.4^.C�u, _ I vw�dtCNc o S .s1�^Q %e411,on hri �3Uhet
9 Site Area
Area of site to which the application relates in hectares 6 7,1�Z•Pa.
10. Where the application Relates to a Building or Buildings:
(a) Gross floor space of any existing building(s) in m2
!mss 7 c�
(b) Gro s floor space of proposed works in m2
(c) Gros floor space of work to be retained in m2 (if appropriate)
oss floor space of any demoliti i m2 (if appropriate).
Note: Gross floor space means the area ascertained by the internal
measurement of the nnri e. floc
areas must be measu d 4lfl bA .TM E NT
REP. NO.
11. In the case of med development (e.g. residential,
commercial, industr' 1, etc.), please provide a breakdown of t
different classes of d v��jQ U 17 a(:lJ 4V W IVoI: L
area of each class of eb81 Uf7A'V l._lJ UhIIVI:
Class of Development Gross F oor rea m nr
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 develo ent
d. Gross floor space of demo ' i n of
residential class of develo ent:
e. Other:
12. In the case of residential development please provide a
mix:-
breakdown of residential mix: -
Number of
Studio
I Bed
2 Bed
3 Bed
4 Be
+ Bed
Total
:
Noof car -parkin proviExistingdedProposedotal
spaces
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 authoris
use of the land or structu
Proposed use (or U)Vt1 is
proposed to ret
Nature an extent of any such
propo use (or use it is
prop6sed to retain).
PLANNING t AE�ITAII 'NT
R1. N0.
14. Social and Affordable Housing MUNAG H.1 �.. -45 j r Accident Regulations apply to
Please tick appropriate box ie propose development? O Q
Yes No
Is o the application lopnt an application Prfor permon (9) Does the application relate to a development in
for development to which Part V of the Planning O a Strategic Development Zone?
and Development Act 2000 as amended applies?
If the answer to the above question is es and o
Y (10)Does the proposed development involve the
the development is not exempt (see below), you must demolition of any habitable house?
specify, as part of your application, the manner in
which you propose to comply with Section 96 Note: Demolition of a Habitable House re uires
of Part V of the Act. Please submit proposals on q
separate sheet. Planning Permission.
PI
If the answer to the above question is yes, but you consider the
development to be exempt by virtue of Section 97 of the Plannin
and Development Act 2000, a copy of the Certificate of Exemptio
under Section 97 must be submitted (or, where an application for
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(
of the Planning and Development Act 2000 details indicating the
basis on which Section 96(13) is considers to apply
development should be submitted. WI ON.. C
N.B. This section must be completed f all propoossals� for
provision of one or more new dwellin units on rnhally
zoned lands. ,l.Xj, J U fV
15. Development Details
Please tick appropriate box. REG. NO No
(1) Does the proposed development consist O
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
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 o
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 o
preparation of an Environmental Impact
Statement?
(6) Does the application relate to a development O
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 O
which comprises or is for the purposes of an
activity requiring a waste licence?
16. Sit 1 r `rm 11VIL NT
( D arding site history ( known)
s t e s i . estion ever, to your owpdge, been flooded?
Yes O No
SCN
225 Are you awire of previous uses of the site e.g. dumping or
JJ quarrying?
es O No Q/
If yes, ple a give details.
(2) Are you aware of any valid planning applications previously
made in respect of this land/structure?
Yes O 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: 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
l� 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 O No 15i'
`d 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 O No
Place an X in the appropriate box.
If yes, please give details
18. Pre -application Consultation
Has a pre -application consultati o the
proposed development o NNNI�i3 p� '
Yes o ► R . Nd,
If yes, please give details: ry
Reference No. (if any):
Date(s) of consultation
Persons involved: �2y
19. Services.
(1) Proposed Source of W r Supply
Existing Connection New connection Q Public Mains Q
Group Water Scheme O Private Well Q
Other (please specify)
P �ET rON
I'+a 2026
Name of Groun Water Sche a (where app..c
(2) Proposed stewater ta�em�F�'reatment
Existing New CC
Conventional septic tank system O Mechanical WWTS
Other on -site treatment systeJ O Please specify.
(3) Proposed Surface Water Disposal
Public Sewer/Drain C' Soakpit •0.// Watercourse ('
Other C Please specify
20. Details of Public Notice
*Approved newspaper in which notice was published.
Name of Newspaper
Date of publication: `yam y Z b
* 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 s' notice was Erected.: t
White Yellow
21. Application Fee
Fee Payable
Basis of Calculation , L. ).. = •J b "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 Plan ing & Development
Act 2000, as amen d, and t Regul ion sade thereunder: -
Signed ..-' s
(Applicant or Agent as appropriat
Date
An applicant will not be entitled solely by reason of a planning permission tot
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)
All applications for Agricultural Developments must
iplete The Agricultural Form (AG I Form).
All applications for dwellings in Rural Areas under Strong
Pan Influence must be accompanied by a completed Rural
ising 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 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)