Name of the Urban Local Body

TOWN PLANNING SECTION BUILDING APPLICATION SELF-SCRUTINY STATEMENT

Sl . N o
.

FILE No.

Sl . N o

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Sl . N o

CSC

TP

Ward No.

Circle No.

Zo e No.

YYYY

S!"# B!ildi $ A%%lica&io .........

'or $ra & o' %er(i))io

'or Co )&r!c&io

o'

*********************....................................... ************************************ No&ice !+) ,-. / ,,0 o' APM Ac&1 2.34 + 5,6 / 577 o' 8MC Ac&1 2.44.
Da&e o' )!"(i))io CSC PART# I
A 1 2 3 4 Name Door No./Flat No. Road/Street Locality / Mandal !ity $ & ' B 1 2 3 4 5 Di%trict "hone / Mobile No. e(mail LOCATION OF T8E PROPOSED SITE Plot No. Sanctioned Layout No. / LRS No. Survey No. Premises / Door No. Road/ Street !ard No. $ % ' C S. No. Locality &ircle &ity/ (o)n Division District "loc# No. Village "#N

a&

dd

( (

999 9

BASIC INFORMATION

ADDRESS OF T8E APPLICANT

DETAILS OF BUILDER + LICENSED PERSONNEL Name )ddre%% Licen%e No. *alidity

+++++++++++++ B,ilder / De-elo.er

FILE No.

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CSC

TP

War d No.

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yyyy

++++++++++++++ )rchitect//n0ineer/S,r-eyor

++++++++++++++ Str,ct,ral /n0ineer

++++++++++++++ 12ner DETAILS OF T8E PROPOSED CONSTRUCTION Site )rea 3in S4. m5 7otal Floor )rea 3in S4. m5 !ellar% Stilt 6ro,nd Me88anine U..er Floor% No. of Floor% Floor )rea 3in S4. m5 U%e of the B,ildin0 #ndi-id,al Re%idential 6ro,. 9o,%in0 !ommercial #n%tit,tional 1ther% 3%.ecify5 )% .er Doc,ment% )% on 6ro,nd

3 4

$ E S. No . 1 2 a b c d e f 0 h i @ ; l m 3 4

9ei0ht 3m5

/:cl,din0 "ar;in0 Floor

From 6ro,nd Le-el

DETAILS OF DOCUMENTS Doc!(e & de&ail) B,ildin0 )..lication d,ly %i0ned by the 12ner< B,ilder< )rchitect< Str,ct,ral /n0ineer. B,ildin0 "lan% 31 7racin0 !loth = & )mmonia "rint%5 d,ly %i0ned by 12ner< B,ilder< )rchitect//n0ineer/S,r-eyor< Str,ct,ral /n0ineer Location "lan 37o.o0ra.hical "lan5 3%cale 1>2???5 !onto,r "lan 3in ca%e of ,nd,latin0 terrain5 Site "lan 3%cale 1>2??5 Detailed Dra2in0% of each floor 3%cale 1>1??5 Detailed Dra2in0% of "ar;in0 Floor% 3%cale 1>1??5 7errace "lan 3%cale 1>1??5 B,ildin0 /le-ation% 3%cale 1>1??5 !ro%% Section 3%cale 1>1??5 Lon0it,dinal Section< 3%cale 1>1??5 "lan %ho2in0 rain2ater har-e%tin0 .it% 3%cale 1>1??5
3a% .er 6.1 M%. No.3 ? M.) dt.A.$.2???5

No& re:!ire d

S!"(i&&e d

No& )!"(i&&e d

Mort0a0e "lan 3%cale 1>1??5 /:tract of Ma%ter "lan / BD" /:tract of Road De-elo.ment "lan / C,nction #m.ro-ement "lan< if any 3%cale 1>1??5 "hoto0ra.h% 345 %ho2in0 fo,r %ide% of the %ite. Fee D !har0e% "artic,lar% 3!hallan / Demand Draft5 R%. !hallan No. Date DD No. Dt. Ban; Name> Branch>

FILE No.

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CSC

TP

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yyyy

$ & ' A 1? 11 12 13 14 1 1' 1A 2? 21 22 23 24 2 2$

2& 2'

Declaration form% d,ly %in0ed by the o2ner and atte%ted by 6a8etted 1fficer. Licence co.y of )rchitect rene2ed by !#) 3or5 Licence co.y of the 7o2n "lanner / /n0ineer / S,r-eyor i%%,ed by ULB atte%ted by 6a8etted 1fficer. Licence co.y of the Str,ct,ral /n0ineer i%%,ed by ULB atte%ted by 6a8etted 1fficer. Licence co.y of the B,ilder / De-elo.er i%%,ed by ULB atte%ted by 6a8etted 1fficer. 12ner%hi. doc,ment% 372o %et% atte%ted by 6a8etted 1fficer5 Lin; doc,ment% 3)tte%ted by 6a8etted 1fficer5 Late%t /nc,mbrance !ertificate i%%,ed by Re0i%tration De.artment "re-io,% Sanctioned "lan !o.y 3if the e:i%tin0 b,ildin0 in the %ite 2a% %anctioned .re-io,%ly5 U. to date "ro.erty 7a: Recei.t N.1.!. from )ir.ort ),thority of #ndia< if a..licable. N.1.!. D a..ro-ed .lan% from )ndhra "rade%h State Di%a%ter% Re%.on%e D Fire Ser-ice% De.artment< if a..licable R%.2?/( Non(@,dicial %tam. .a.er Soil 7e%tin0 Re.ort. Str,ct,ral Stability !ertificate i%%,ed by Licen%ed Str,ct,ral /n0ineer. Str,ct,ral Dra2in0% Underta;in0 R%.1??/( Non @,dicial %tam. .a.er d,ly %tatin0 2hether the con%tr,ction i% ta;en ,. by the o2ner. Declaration(!,m(Underta;in0 on R%.1??/( Non C,dicial Stam. "a.er from the 12ner and B,ilder. Underta;in0 on R%.1??/( Non C,dicial Stam. by 12ner< B,ilder< )rchitect< Str,ct,ral /n0ineer 3D,ly Notari%ed5. Underta;in0 on R%.1??/( Non C,dicial Stam. .a.er @ointly by o2ner and B,ilder %ee;in0 1cc,.ancy !ertificate. 3D,ly Notari%ed5. Coint ,nderta;in0 on R%.1??/( Non C,dicial Stam. .a.er for not %toc;in0 B,ildin0 material% on road mar0in not to enclo%e balconie%< ,%a0e of .ar;in0< .ayment of %.ecial %anitation char0e%< 0arba0e char0e% and not to increa%e n,mber of ,nit%. !om.rehen%i-e #n%,rance "olicy for 3 year% Underta;in0 on R%. 2?/( NCS .a.er for handin0 o-er road 2idenin0 .ortion 2here-er a..licable.

2A 3? F To be filled by CSC staff Verified. All the required particulars submitted. The application is admitted & acknowledgement is issued. File No. Assigned CSC T! "ard Circle #$ yyyy Signature of I/c CSC

% 1

&AC' ()F)()*C)S & +T,)( -)TA./S (to be filled by clerk) Back Refere nce Any ot!er rele#an t files nclosed File No. nclosed File No. Not enclosed as t!ere is no back reference Not enclosed as t!e back reference is not traceable Not enclosed as t!ere is no back reference Not enclosed as t!e rele#ant files are not traceable

"

%!et!er t!ere is any court case connected &it! t!e site or t!e 'ro'osals.

Signature of t!e (r. Asst. / Sr. Asst. Signature of t!e )*B+/)*S/)*+/)*A /AC*

PART# II
A

LAND OWNERS8IP INFORMATION

O; er)<i% De&ail) #n %,..ort of o2ner%hi. of title< the doc,ment% 3atte%ted by 6a8etted %,bmitted FILE Sl. Sl. Sl. Sl. CSC 1fficer5 TP War Circle ha-e Zone been yyyy No. No No No No d No. no. No. e:amined and the detail% are tab,lated a% follo2% > Sy.No. / Doc. No. /:tent Sched,le Stat,% *endor *endee "lot No./ D Date 3in S4.m5 of bo,ndarie% 9.No.
/ S E N / S E N / S E N

S. No. 1

3 B De&ail) o' &<e cer&i'ica&e i))!ed "9 S%ecial O''icer1 Ur"a

La d Ceili $ De%&. (If a''licable)

PART# III
A S. N1. 1

CERTIFICATES INFORMATION

Cer&i'ica&e) + Cleara ce) )!"(i&&ed 6o-t. / De.t. / )0ency 6o-t. 1rder%< if any. N1! from !ollector / C! / 7ah%ildar / Re-en,e De.t. 3Ehere-er re4,ired5. "re-io,% %anction "lan< if a..ro-ed .re-io,%ly N1! from ))#< 32here-er re4,ired5 N1! from )ndhra "rade%h State Di%a%ter% Re%.on%e D Fire Ser-ice% De.artment<< 32here-er re4,ired5 Str,ct,ral %tability certificate i%%,ed by the !om.etent ),thority N1! from "olice De.artment 37raffic5 32here-er re4,ired5 7raffic #m.act St,dy by F,alified !on%,ltant 32here-er re4,ired5 N1! from 9erita0e !on%er-ation !ommittee 32here-er re4,ired5 N1! from #rri0ation De.artment in ca%e of land% ab,t 2ater bodie%< Eater co,r%e% D nala% 32here-er re4,ired5 N1! from Re-en,e De.artment in ca%e of land% ab,t 2ater bodie%< Eater co,r%e% D nala% 32here-er re4,ired5 N1! from Rail2ay% 32here-er re4,ired5 N1! from State /n-ironmental im.act )%%e%%ment ),thority 32here-er re4,ired5 N1! from Defen%e ),thority 32here-er re4,ired5 N1! from State Na-al Science and 7echnolo0y Laboratory< *i%a;ha.atnam 3NS7L5 Memo / !ertificate / Letter Ref. Detail% Remar;%

3 4

$ & ' A

1?

11

12

13

14

FILE No.

Sl. No

Sl. No

Sl. No

Sl. No

CSC

TP

War d No.

Circle no.

Zone No.

yyyy

PART# TEC8NICAL INFORMATION I= A De&ail) o' &<e Pro%o)al)

8i)&or9 o' &<e Ca)e

3#n ca%e of re-i%ion / re%,bmi%%ion / additional .ro.o%al%5

C
1 2 3 4

Go>&. Order) a d R!le) a%%lica"le &o &<e )!"(i&&ed %ro%o)al)#

37ic; a..ro.riate item5

Bonin0 Re0,lation% B,ildin0 Byela2% 6.1.M%.No. ?' dt>1 .11.?2 6.1.M%.No.2'' dt>?3.?4.?' 6.1.M%.No.&$$ dt>1'.1?.?& 6.1.M%.No.4'$ <dt>?&.?&.2??& M)< M)< M)< M)

)..ended to Ma%ter "lan )..ended to 9M! )ct< 1A R,le%(2?12

/ )"M )ct 1A$ /).". B,ildin0

Declaration of !ommercial Road% in 69M! area /:ten%i-e Modification% to Ma%ter "lan of 9UD) !ate0ori8ation of notified commercial road% in 69M! area R,le% for M,lti.le:e% 2??&

$ & ' A 1?

I )%ec&io

Re%or&

()o be filled by ins'ecting officer)

I )%ec&e do

#n%.ected the %ite and it% %,rro,ndin0% and -erified the mea%,rement%< Sched,le of bo,ndarie% doc,ment% etc. of the %ite ,nder reference.

E
1 2 3 4

Gro! d Po)i&io
Site fall% in )..ro-ed Layo,t )rea Site i% a Re0,lari8ed "lot Site fall% in already de-elo.ed area Site fall% in ,na..ro-ed layo,t area "lain Land / Und,lated / /le-ated from road le-el / Belo2 the road le-el / ++++++++++ Site enclo%ed 2ith Fence / !om.o,nd 2all / No !om.o,nd 2all / Bo,ndary Stone% if no com.o,nd 2all Eor; !ommenced / Not !ommenced #f commenced< the %tat,% of con%tr,ction at the time of in%.ection Site S,rro,nded by 3.hy%ical feat,re%5 /)S7 S1U79 E/S7 N1R79 Ehether the abo-e .hy%ical feat,re% are tallyin0 / Not tallyin0 2ith the %ched,le of the Doc,ment%. YES Re(ar?) YES NO NO

& ' A 1?

11 F

Re)&ric&io ) o' "!ildi $ ac&i>i&9 i &<e >ici i&9 o' cer&ai area)#
(,ide Rule $)

Ehether the %ite fall% in the area 2here

FILE No.

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Sl. No

Sl. No

Sl. No

CSC

TP

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there are re%triction% of b,ildin0 acti-ity a% %tated in the ).". B,ildin0 R,le% G 2?12.

#f ye%< 0i-e the detail% and %.ecify the action to be ta;en>

G
2

Loca&io

o' &<e Si&e

(#ide rule - of A.*. Building Rules ".1")

SITES IN OLD+E@ISTING BUILT-UP AREAS + CONGESTED AREAS + SETTLEMENT AGRAM B8ANTAM+ABADIC Minim, S%eci'9 &<e area# Area) o' A eD!re I
m ab,ttin0 road 2idth re4,ire d 3in m5

Eard No.

Bloc; No.

Name of the Locality

)ll B,ildin0% 31ther than 6ro,. 9o,%in05 G .E Ma:im,m .ermi%%ible !% &o 2-( <ei$<& *In case of Sites in Category-A, if a Site is abutting to a road which is less than 9m in width, a building may be permitted with a maximum height of 1 m in such site, after lea!ing "#$m from the Centre %ine of such road for widening and the same shall be handed o!er the %ocal &ody and shall lea!e the prescribed setbac' as per (able-III after the said road widening portion# )o relaxations are permissible in such cases# B 2 SITES IN NEW AREAS + APPRO=ED LAYOUT AREAS 7he ty.e of b,ildin0% D inten%ity of de-elo.ment %hall be 2.r.t. the ab,ttin0 road 2idth< -i8.< S%eci'9 &<e area# Eard No. Bloc; No. Name of Locality

, 7

Pro%o)al 'all) i

()ick a''ro'riate ty'e)

B2
AHH

B,
12

B7
1'

B5
3?m D abo-e

Minim,m ab,ttin0 road 2idth re4,ired 3in m5

Road ;id&< a) %er $ro! d %o)i&io **In case of Sites in Category-&, if a Site is abutting to a road which is less than 9m in width, indi!idual residential building may be permitted with a maximum height of 1*m, after lea!ing "#$m from the Centre %ine of such road for widening and the same shall be handed o!er to the %ocal &ody and shall lea!e the prescribed setbac' as per (able-III after the said road widening portion# )o relaxations are permissible in such cases# IF T8E PROPOSALS ARE FOR 8IG8 RISE BUIDLING1 W8ET8ER IT IS PERMISSIBLE IN YES NO T8E SITE REMARBS

8
1 2 3 4

La d U)e
Ehether the /:tract of Land U%e Ma. of M"/BD" i% enclo%ed Land U%e in 2hich the %ite fall% a% .er of M"/BD" "ro.o%ed U%e of the B,ildin0 Ehether .ermi%%ible a% .er Bonin0 Re0,lation% Ehether the %ite fall% in the cate0ory of the ,%e% .ermi%%ible a% .er YES NO YES NO

61MS.N1. ?' M.). dt 1 .11.?2 3in 69M! area5 61MS.N1.&$$ M.). dt 1'.1?.?& 3in 69M! area5

b c d e f I

Acce))

( in /) 6

FILE No.

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1
Directio n

Min. re4,ire d road 2idth

/:i%tin0 road 2idth

"ro.o%ed road 2idth a% .er BD"/RD"/M"/ a% .er r,le( 43b5/3c5

)ffected in road 2idenin0 Remar;% De.th )rea 3S4. m5

/a%t So,th Ee%t 2 3 4 North #f the %ite ,/r i% affected in road 2idenin0< 2hether the road affected .ortion ha% been handed o-er alreadyI Ehether the road i% already formed in the 2idened .ortion Ehether the road 2idenin0 .ortion ha% been handed o-er free of co%t by the a..licant in f,ll e:tent. #f ye%< 2hen 2a% it handed o-erI +++++++++++++ Ehether the a..licant ha% a0reed to hand o-er the ad-ance .o%%e%%ion of the area affected .hy%ically at %ite free of co%t thro,0h a .re%cribed ,nderta;in0 and .lan %ho2in0 affected area. Ehether the a..licant i% eli0ible to claim any rela:ation% a% .er r,le (1$ #f Je%< 2hether the a..licant i% claimin0 any rela:ation% #f %o< 2hat are the rela:ation% bein0 claimed

YES YES YES

NO NO NO

YES YES YES

NO NO NO

$ & '

#f %o< 0i-e the .ermi%%ible detail% a% .er ).". B,ildin0 R,le%(2?12. "ermi%%ible floor area before road 2idenin0 K a )rea% effected in road 2idenin0 Kb 7otal .ermi%%ible floor area% Ka=b

7otal "ermi%%ible Floor area 3m25 "ro.o%ed Floor area 3m25 Remar;%

De&ail) o' Plo& area (in S0. /) 7otal "lot )rea a% .er Doc,ment% 7otal "lot )rea a% .er Site )ffected area< if any Net "lot )rea

2 3 4
B

Ehether the %ite in-ol-e% a %,b( di-i%ion of .lot / land. #f ye%< 2hether the re%id,al .lot f,lfil% the minim,m re4,irement% a% .er r,le%. #f ye%< %,b(di-i%ion char0e% are to be collected
8ei$<& o' &<e B!ildi $ (in
/.) (#ide rule 1 (a)2 (b)3 )able III 4 I,)

J/S J/S J/S

Road 2idth 3m5

N1 N1 N1
No. of floor%

Net "lot area 3m25

S. No.

#tem )% .er )." B,ildin0 R,le% 2?12

(#ide Rule 1 (a)2 (b)3 4 )able III2 I, 4 conditions)

"ermi%%ible 9ei0ht Stilt/ U..er 6ro,n floor% d

"ro.o%ed 9ei0ht Stilt/ U..er 6ro,n floor% d

/:ce%% / Shortfall Stilt/ U..er 6ro,n floor% d

Remar;%

)% .er N1! of ))#

FILE No.

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Sl. No

Sl. No

Sl. No

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)% .er )..ro-ed "lan of ).". State Di%a%ter% Re%.on%e D Fire Ser-ice% De.artment.
(#ide Rule 1(f)( 5#)

As per the pro!isions of the A#+# ,ire Ser!ice Act, 1999, -esidential buildings of height more than 1. m, Commercial buildings of height 1$m and abo!e and buildings of public congregation li'e /ducational &uildings, Cinema (heatres, ,unction 0alls and other Assembly &uildings on plot area of $ S1#m# and abo!e or of height abo!e 2m are re1uired to obtain prior clearance from A#+# State 3isasters -esponse 4 ,ire Ser!ices 3epartment from fire safety point of !iew# L 1 2
Side%

All-ro! d O%e

S%ace) (all in /ts) (#ide rule 1 (a)2 (b)3)able III 4 I,)

"lot area 3Ne& area5 (in m2) 9ei0ht of the .ro.o%ed b,ildin0 e:cl,din0 the .ar;in0 floor% (in /.) Direction Road 2idth 3in m5 Set bac; 3in m5 Re4,ired "ro-ided Remar;%

F R S1 S2 3 a Ehether tran%fer of %etbac;% i% in-ol-ed

(#ide rule 1(f)(#iii) 4( i5)

YES #f Je%< 0i-e the detail%> 3"lot area>3m 25

Sid e "ermi%%ible %etbac; "ro-ided %etbac;

NO 5
"ro.o%ed .linth area after tran%fer

Plo& )iGe # 7-- m2-!% &o 04- m2

('er/itted to transfer u' to 1/ of setback fro/ one side to t!e ot!er side 5

J/S/ N1

"ermi%%ibl e .linth area 2itho,t tran%fer

Plo& )iGe# a"o>e 04- m21

('er/itted to transfer u' to " / of setback)< Needs to be unifor/ at any gi#en 'oint2 sub6ect to /aintaining of /ini/u/ building line in t!e front.

J/S/ N1

R S1 S2

Ehether the %ite ab,t% more than one road

(#ide rule 1(f)(ii)

YES
Road 2idth "ermi%%ible %etbac;3m5 "ro-ided %etbac;3

NO
Remar;%

Front %etbac; .ro.o%ed 3m5

3m5

m5

Ehether the %ite i% a narro2 .lot

(#ide rule 1(f)(5)

*)arrow
a b i

plot is one whose extent is not more than " s1#m and where the length is " times of the width of the plot5

YES

NO

"lot Si8e 9ei0ht U. to 1?m Side %etbac; .ermi%%ible 1m

Len0th (/) "ermi%%ible %etbac;

2idth (/) "ro-ided %etbac;

)rea 3m25
"ermi%%ibl e .linth area 2itho,t tran%fer "ro.o%e d .linth area after tran%fer

Side F

ii

abo-e 1?m D ,. to 1 m

2m
R S1 S2

Ehether the .ro.o%al% are more than 1

YES

NO

FILE No.

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Sl. No

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bloc;
()able7i,)

(#ide rule 1(f)(5ii)2 ()able7iii) / 8(a)(5i)2

9ei0ht of the bloc;

(/)

S.ace bet2een t2o bloc;% %hall not be le%% than the %ite %etbac;% of talle%t bloc; a% .er 7able ### D #* a% the ca%e may be

Bet2een 2 Bloc;%

Re4,ired

"ro.o%ed

Remar;%

M 1

Li$<&i $ a d =e &ila&io

9#ide rule 1(f)(5i) / 8(a)(5i#)

Ehether the li0htin0 and -entilation of a b,ildin0 i% thro,0h the mean% of a cho2; or inner co,rtyard or interior o.en %.ace/d,ct #f there are no d,ct%< 2hether the li0htin0 and -entilation .ro.o%ed for the b,ildin0 i% %ati%fyin0 the r,le% *entilation to .ar;in0 floor% i.e. cellar D %,b(cellar%

YES
Minim,m area Re4,ire "ro.o%e Remar d d ;% A/2 m2

NO
Minim,m 2idth Re4,ire "ro.o%e Remar;% d d 2/3 m

2 3

Re(ar?) YES
Re:!ired

NO
Pro>ided Re(ar?)

4 N 1

Eidth of the corridor% 3m5 Gree er9+La;

2. L of each .ar;in0 floor area 2.?

9#ide rule 1(f)(iii)2(i#) / 8(a)(#iii) &!ic!e#er is a''licable:

) %tri. of at lea%t 1.? m 0reenery / la2n alon0 the fronta0e of the %ite 2ithin the front %etbac;. For the .lot% area abo-e 3?? m2 from the 1 mt 6reenery/la2n alon0 the front and .eri.hery are left. For <i$< ri)e "!ildi $) a minim,m 2 mt 6reenery/la2n alon0 the front and .eri.hery are left. Recrea&io al o%e

Mar;ed on the .lan% and hence Sati%fied Not Mar;ed on the .lan% and hence not %ati%fied Mar;ed on the .lan% and hence Sati%fied Not Mar;ed on the .lan% and hence not %ati%fied Mar;ed on the .lan% and hence Sati%fied Not Mar;ed on the .lan% and hence not %ati%fied

O 1 2 3 4

)%ace ATo&-lo&C 9#ide rule 1(f)(#) /8(a)(#ii) / ;(g) &!ic!e#er is a''licable: ()o be 'ro#ided for all residential / institutional / industrial 'lots abo#e 81. m2of 'lot area) "ro.o%ed U%e of the B,ildin0 "lot area of the %ite m2 L "ermi%%ible in m2 Re%idential "ro.o%ed in m2 #n%tit,tional #nd,%trial 1ther% Remar;%

/:ce%% / Shortfall L in m2

No. of Location% 2here thi% o.en %.ace i% .ro-ided Minim,m 2idth of 3m and e:tent not le%% than 1 m2 in ca%e of Non( 9i0h Ri%e B,ildin0% 3r,le( 3f53-5 and ? m2 in ca%e of 9i0h Ri%e B,ildin0% 3r,le(&3a53-ii5 i% .ro-ided P!"lic U&ili&9 9#ide rule 1(f)(#ii): For "lot% & ? (, and abo-e< 2hether an area of 3m : 3m for the .,r.o%e of %ettin0 of .,blic ,tilitie% li;e Di%trib,tion tran%former etc.< i% .ro-ided 2ithin the o2ner% %ite %,b@ect to mandated .,blic %afety re4,irement%. Ehether the %.ace for 0arba0e bin i% .ro.o%ed Ehether the draina0e D 2ater line% are e:i%tin0 #f %o< 2hether the %ame i% indicated on the .lan%

YES

NO

P 1

YES
3#f ye%< "ro-ided to2ard%5>

NO

2 3 4

YES YES

NO NO

H 1

Co((o

a(e i&ie) / 'acili&ie) 9#ide rule 11(5):

No. of Unit% .ro.o%ed

FILE No.

Sl. No

Sl. No

Sl. No

Sl. No

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Zone No.

yyyy

Ehether !ommon amenitie% D facilitie% li;e con-enient %ho..in0< committee hall / cl,b ho,%e< crMche< 0ymna%i,m etc. are re4,ired 32here no. of ,nit% are more than 1??5 L to total B,ilt ,. area 7

YES
Re:!ired Pro>ided

NO

#f Je%< the e:tent of B,ilt ,. area for !ommon amenitie% D facilitie% .ro-ided

/:tent
3m25

L to total B,ilt ,. area

/:tent
3m25

Re(ar?)

R 1 2 3 4

Par?i $ S%ace 9#ide rule 1$ 4 table , 4 rule 11(a)(i#):

3R,le 3d5 D 133c53i-55

#n m2

!ellar 1 !ellar 2 !ellar 3 !ellar 4 Stilt

$ & '

)ny ,..er floor *i%itor% "ar;in0 area

3S.ace o-er D abo-e $m 3e:cl,din0 0reen %tri.5 %et bac; i% con%idered5 (rule 1$(c)(5ii)

TOTAL PARBING AREA A(,C a Pro%o)ed B!il& U% AreaA(,C b c d 7otal Re%identia l !ommerci al #n%tit,tion al

1?

Par?i $ area &o &o&al "!il& !% area CATEGORY OF BUILDING +ACTI=ITY PROPOSED

I Par?i $ area %ro>ided "ercenta0e to total b,ilt ,. area = -i%itorN% "ar;in0 3L5

12 a b c d 13

Par?i $ area &o "e %ro>ided a% .ercenta0e of total b,ilt ,. area = -i%itorN% "ar;in0 3L5

Remar;%

Facilitie% .ro-ided in the %tilt floor (rule 1$.c.#i)

7he .ar;in0 %.ace% %ho,ld be efficiently de%i0ned and clearly mar;ed and .ro-ided 2ith ade4,ate acce%%< ai%le< dri-e% and ram.% re4,ired for manoe,-rin0 of -ehicle%. (rule 1$.c.ii)

Re:!ired M, J ,4

Pro%o)ed M, "ro.o%ed3 m5

Remar;%

14 1 1$ 1& a b c d

"ermi%%ible3 m5 .4 3.$

Remar;%

Minim,m 2idth of Sin0le Ram. (rule 1$.c.#ii) Minim,m 2idth of ram.% if .ro.o%ed more than one ram.
(rule 1$.c.#ii)

Minim,m Setbac;% for !ellar% from 0ro,nd le-el For %ite% of e:tent of ,. to 1???%4.m (rule 1$.c.5) For %ite% of e:tent of abo-e 1???%4.m ,. to 2??? m2
(rule 1$.c.5)

1. 2.? 3.? ?. m additional %etbac; for e-ery

For %ite% of e:tent of abo-e 2???%4.m (rule 1$.c.5) Minim,m Setbac; in ca%e of more than one cellar (rule
1$.c.5)

FILE No.

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additional cellar floor 1' !ellar area .ro.o%ed for ,tilitie% D non habitable .,r.o%e% li;e )/! "lant room< 6enerator room< S7"< /lectrical in%tallation%< La,ndry< etc< (rule 1$.c.5i) 1?L

Minim,m 2. 1A 9ei0ht of the !ellar floor .ro.o%ed 3m5 Ma:im,m 4. in ca%e of mechanical %y%tem Minim,m 2.

2?

9ei0ht of the Stilt Floor .ro.o%ed 3m5

PART# =
) B ! D / F 6

SPECIAL CATEGORY BUILDING INFORMATION

#n contin,ation of the abo-e data< follo2in0 information %hall be filled ,.< if the b,ildin0 .ro.o%ed i% one of the follo2in0 %.ecial b,ildin0%. SPECIFY T8E TYPE OF BUILDING Tic? &<e rele>a & i&e( 9#69 R#S/ BU#LD#N6S/!1M"L/O/S 9#ide rule 8.a: 71E/R )ND "1D#UM 7J"/ BU#LD#N6 9#ide rule 8.b: PS7/""/D 7J"/Q 1R P"JR)M#D)L 7J"/Q BU#LD#N6 9#ide rule 8.c: 6R1U" D/*/L1"M/N7 S!9/M/S 9#ide rule ;.: R1E 7J"/ 91US#N6 / R1E 7J"/ S91""#N6 "R/!#N!7S 9#ide rule <: !LUS7/R 91US#N6 9#ide rule 1.: BU#LD#N6S E#79 !/N7R)L !1UR7(J)RDS F1R !1MM/R!#)L US/ 9#ide rule 1":

A 1

8IG8 RISE BUILDING +COMPLE@ES 9#ide rule 8.a:

0F+( 1&2 & 1C2 A/S+ T,) F+//+".*% .*F+(3AT.+* )4C)!T S)T &AC' ()56.()3)*TS S,A// &) F.//)6!78

W8ET8ER T8E SITE IS ELIGIBLE FOR 8IG8-RISE BUILDING 9#ide rule 8:

YES Re(ar? ) Re:!ired ,--Eitho,t road 2idenin0 26-Eith road 2idenin0 YES Pro>ided

NO

Minim,m %i8e of .lot 3in %4. m5 9#ide rule 8.a.ii:

=In res'ect of site 'ro'osed for !ig! rise buildings and affected in road &idening &!ere t!ere is s!ortfall of t!e net 'lot si>e2 u' to 1.? of suc! s!ortfall in net 'lot area &ould be considered &it! t!e 'ro'osed !eig!t and corres'onding /ini/u/ all round setbacks@.

Re(ar?)

3 4

N1! from Air%or& A!&<ori&9 o' I dia i% obtained R-ide r,le &.a.-S #f Ye)< ))# letter No. D date 9ei0ht "ermitted by ))#

NO

MSL 30ro,nd5

MSL 3con%tr,ction5

9ei0ht

$ & ' A

N1! form Fire Ser>ice) De%ar&(e & i% obtained 9#ide rule 8.a.#i: #f Je%< Letter No. D date of a..ro-al of Fire Ser-ice% De.artment No. of Floor% .ermitted by Fire Ser-ice% De.artment 9ei0ht "ermitted 3in m5 by Fire Ser-ice% De.artment U%e of the .ro.o%ed b,ildin0 .ermitted by Fire Ser-ice% De.artment Setbac;% .ermitted 3in m5 by Fire Ser-ice% De.artment Ehether the .lan% %,bmitted are tallyin0 2ith the "lan% .ermitted by the Fire Ser-ice% De.artment Ehether there are .ro.o%al% for tran%fer of %etbac;% in ca%e of Front

YES

NO

1?

11

Rear

Side1

Side2

12

J/S

N1

13

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b,ildin0% of hei0ht le%% than 3?m

9#ide rule 8.a.5ii:

#f Je%< 0i-e the detail%

"ermi%%ibl e .linth area 2itho,t tran%fer m2 "ro.o%ed .linth area after tran%fer m2

Side

"ermi%%ible %etbac;

"ro-ided %etbac;

F R S1 S2

9ei0ht of the B,ildin0 .ro.o%ed 3m5

9#ide rule 8.a.5.)able I,:

Min. ab,ttin0 road 2idth 3m5

Front o.en %.aceH 3m5

Min. o.en %.ace on remainin0 %ide%3m5 H Rear Side 1 Side 2

14H ++.3m5 Sati%fied / Not Sati%fied "ermi%%ible from $m on2ard% Sati%fied / Not Sati%fied "ro.o%ed "ermi%%ible /Not .ermi%%ible From ........ m Sati%fied / Not Sati%fied Sati%fied / Not Sati%fied Sati%fied / Not Sati%fied

Balcony .ro@ection .ro.o%ed

9#ide rule 8.a.5i#:

From 2hich le-el .ro.o%ed 1.en %.ace to be left bet2een t2o bloc;%
9#ide rule 8.a.5i: As 'er col7- of table7 i#

1$

"ermi%%ible TTT

"ro.o%edTTT

"ermi%%ible /Not .ermi%%ible

1& 1'

Li0htin0 D *entilation 9#ide rule 8.a.i#: Ehether the li0htin0 and -entilation of a b,ildin0 i% thro,0h the mean% of a cho2; or inner co,rtyard or interior o.en %.ace/d,ct
Minim,m D,ct area 3%4. m5

YES

NO
Minim,m Side Len0th 3m5

1A 2?

#f Je%< 0i-e detail%

Re4,ired 2 %4. m

"ro.o%ed

Remar;%

Re4,ired 3.?m

"ro.o%ed

Remar;%

#f there are no d,ct%< 2hether the li0htin0 D -entilation .ro.o%ed for all the room% in the b,ildin0 i% %ati%fyin0 the r,le% Re:!ired *entilation to .ar;in0 floor%

YES Pro>ided

NO Re(ar?)

21

2. L of each floor

22

/:cl,%i-e Fire e%ca.e %tairca%e D lift are .ro-ided

9#ide rule 11.b.i:

YES

NO

Re(ar?)

TOWER AND PODIUM TYPE 8IG8 RISE STRUCTURE UPTO 4- M 9#ide rule 8.b:
0T,) A&+V) .*F+(3AT.+* )4C)!T S)T &AC' ()56.()3)*TS .* 1A2 S,A// &) F.//)- 6!7

Re4,ired 1 For "odi,m bloc; For the 7o2er bloc; Ehether the fire %afety and 6ro,nd .l,% fir%t floor all(ro,nd %etbac;% 3in m5 !o-era0e 2 )ll(ro,nd %etbac;% J/S
2

"ro-ided

Remar;%

& Minim,m ? L of the "odi,m Bloc; )t lea%t 3m from the "odi,m ed0e on all %ide% N1 R/M)RUS>

FILE No.

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C 1

fire e%ca.e mea%,re% for the 7o2er Bloc; inde.endent of the "odi,m Bloc; are .ro-ided KSTEPPED TYPEL OR KPYRAMIDAL TYPEL 8IG8 RISE STRUCTURE 9#ide rule 8.c: S,ch ty.e of hi0h ri%e b,ildin0 bloc;% may be allo2ed for hei0ht% abo-e 3? m
0T,) A&+V) .*F+(3AT.+* )4C)!T S)T &AC' ()56.()3)*TS .* 1A2 S,A// &) F.//)- 6!7

Minim,m all ro,nd o.en %.ace for the Am. fir%t fi-e floor% #ncrea%e of 1m all ro,nd o.en %.ace% or more for e-ery ,..er floor% or 1 )t U..er Floor% m hei0ht or .art thereof o-er and abo-e the 0ro,nd le-el o.en %.ace of minim,m Am GROUP DE=ELOPMENT SC8EMES 9#ide rule ;: )t 6ro,nd Le-el
ABrou' Ce#elo'/ent Sc!e/eD is reckoned as de#elo'/ent of Residential Buildings in a Ca/'us or Site of -...s0./ and abo#e in area and could be ro& !ouses2 se/i7detac!ed2 detac!ed Eouses2 A'art/ent blocks or !ig!7rise buildings or /i5 or co/bination of t!e abo#e.

1 2 3 3 4

Site area 3m25 Minim,m ab,ttin0 road 2idth 3m53blac; to..ed5 "ro-i%ional .lan% of a Ser-ice% and Utilitie% "lan< Land%ca.in0 "lan< "ar;in0 D #nternal !irc,lation "lan% S,bmitted R-ide r,le '.eS

Re4,ire d 4??? 12

"ro.o%ed

Remar;%

J/S 12

N1

1R6)N#S/D 1"/N S")!/ "ermi%%ible L in %4. m. L

"ro.o%ed in %4. m. Sati%fied

Not Sati%fied

Remar;%

a 1?L b No. of Location% .ro-ided "ermi%%ible Minim,m area3m 5 3 ?m2 2ith a minim,m 2idth of 3 m at each location5
2

"ro.o%ed )rea3m25 Eidth3m5

)rea3m25 ?

Eidth3m5 3

7y.e of B,ildin0% .ro.o%ed 3 7ic; a..ro.riate item5 a b c $ 6ro,. 9o,%in0 Ro2 9o,%in0 !l,%ter 9o,%in0 ) thoro,0h .,blic acce%% road of 2idth 3m5 2ith 2(lane blac;(to..ed i% .ro.o%ed on any one %ide at the .eri.hery.
09ide rule :.k.7

Non 9i0h Ri%e 9i0h Ri%e

Re4,ired 12 3 L of the b,ilt ,. area

"ro.o%ed

Remar;%

&

!ommon amenitie% D facilitie% li;e %ho..in0 center< comm,nity hall or center / cl,b ho,%e etc. in ca%e 2here the ,nit% are abo-e 1??. 9#ide rule 11.a.5: #n ca%e of Ro2 9o,%in0 D !l,%ter 9o,%in0 "ro@ect% of more than ac !ommon amenitie% D facilitie% li;e %ho..in0 center< comm,nity hall or center / cl,b ho,%e R-ide r,le A.o D 1?.iS
3

'

L of the %ite area

FILE No.

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ROW TYPE 8OUSING + ROW TYPE S8OPPING PRECINCTS 9#ide rule <: Re:!ire d 1??? ? ' $.? A.? $.? 1?L of total area 2 floor% 1r $m 6=2 floor% Re:!ire d 7 2.4 Pro>ided Re(ar?)

1 2 3 4

Minim,m %ite area 3%4. m5 Minim,m %i8e of indi-id,al .lot / Ro2 %ho.% 3%4. m5 No. of .lot% in a Ro2 9o,%in0 Se.aration bet2een t2o bloc;% 3m5 Minim,m 2idth of internal road%3m5 Eidth of #nternal c,l(de(%ac road 2ith ma:im,m len0th of ?m 3m5 Minim,m o.en %.ace area 9ei0ht of the b,ildin0 for .lot ,. to 12 %4. m 9ei0ht of the b,ildin0 for .lot abo-e 12 %4. m Setbac;% 3m5 *7he %etbac;% in a ro2 can be interchan0eable5 Front Rear
#n ca%e of ro2 ty.e %ho..in0 .recinct%< bac; to bac; %ho.% front %etbac; of 3m i% allo2ed.

$ & ' A 1? a b c 11 12 F

Pro>ided

Re(ar?)

#n ca%e of .ro@ect% more than acre% common amenitie% D facilitie% are re4,ired to be .ro-ided 2ith L of the Site )rea. 9#ide rule <.o.: "ar;in0 )rea 3%4. m5 CLUSTER 8OUSING 9#ide rule 1.: Re:!ire d 1??? 2 2? 3$ $ 2 floor% or $m A $ $ Pro>ided Re(ar?)

1 2 3 4

Minim,m %ite area 3%4. m5 Minim,m %i8e of .lot 3%4. m5 Ma:im,m no. of 9o,%e% in cl,%ter Minim,m %i8e of cl,%ter o.en %.ace3%4. m5 Minim,m 2idth of cl,%ter o.en %.ace 3m5

$ & ' A 1? a b c d 11 G

9ei0ht of the b,ildin0 3m5 Minim,m acce%% road in 3m5 #nternal acce%% 3m5 Minim,m %.ace bet2een t2o cl,%ter% 3m5 Setbac;% %hall be a% .er b,ildin0 line a% .er 7able ###
Front Rear Side 1 Side 2

#n ca%e of .ro@ect% more than acre% common amenitie% D facilitie% are re4,ired to be .ro-ided 2ith L of the Site )rea. 9#ide
rule 1.(i):

BUILDINGS WIT8 CENTRAL COURT-YARD 9#ide rule 1": Se&"ac? A(C Re:!ire d Pro>ided Re(ar?)

1 2 3 4

Front Rear S1 S2 )rea %o %a-ed 2hich i% tran%ferred in the !entral !o,rt( yard 3%4. m5

FILE No.

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De.th of !o,rt yard 2hich %hall be at lea%t ?L of the .ro.o%ed VUN ty.e b,ildin0 de.th 3m5

PART =I
1 2 3

PRO=ISION FOR EWS + LIG CATEGORYAR!le 22C

Site 3m25 Ehether /ES / L#6 need to be .ro-ided #F Je%< de-elo.ed area re%er-ed for /ES/L#6 3m25 J/S Re4,ired N1 "ro-ided

PART =II
A 1

OT8ER DOCUMENTS TO BE SUBMITTED

COMPLIANCE BY OWNER FOR ENSURING CONSTRUCTION IS UNDERTABEN AS PER SANCTIONED PLAN 9#ide rule "1S Ehether )ffida-it/Declaration d,ly Notari%ed i% %,bmitted R#ide rule "1.a: Floor or 1?L of the total b,ilt(,. area .ro.o%ed to be handed o-er 9#ide rule "1.d: YES Remar;% Re4,ired "ro.o%ed Remar;% NO

6ro,nd floor Fir%t floor Second floor #n re%.ect of 0ated de-elo.ment %cheme% li;e ro2 ho,%e% / inde.endent ho,%e% / cl,%ter ho,%in0 L of the ,nit% %hall be handed o-er to %anctionin0 a,thority.
9#ide rule "1.(d):

Re4,ired No. of ,nit%

"ro.o%ed No. of ,nit%

Remar;%

Ehether the Notari8ed )ffida-it %,bmitted9#ide rule "1.

(d):

YES

NO

PART =III
S. No . 1

FEE INFORMATION

Ca&e$or9 INITIAL FEES

S&a&!&or9 Pro>i)io 32 L of B,ildin0 "ermit / Licen%e fee% %,b@ect to a ma:im,m of R%.1?< ??? %hall be .aid alon0 2ith the b,ildin0 a..lication. No fees and c!arges &ould be le#ied for 'arking s'aces 'ro#ided in any floor.) 9#ide rule 1< (a):

A(o! & AR).C

2 3 4

$ & '

A
5

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1? 11 12 13 14
GRAND TOTAL

R!%ee)

PART I@

"ECL#$#TI%N

+/ )e declare t,at + am / )e are t,e a-solute/ o)ner/ o)ners/ lessee o. t,e land on ),ic, +/)e intend to erect t,e "uilding and am / are enclosing co/ies o. relevant document o. o)ners,i// lease certi.ied -y 0agistrate/ Notary /u-lic/ a 1a2etted 3..icer aut,ori2ed -y t,e &ommissioner in t,is -e,al.. +/ )e ,ave gone t,roug, t,e "uilding Regulations made under t,e /rovisions o. t,e 4.P. "uilding Rules526124and ,ave satis.ied mysel./ ourselves t,at t,e site and -uilding /lans are in accordance )it, /rovisions contained t,erein. Sl.No. 1 2 3 4 Na&e o' %(ner ) "e*elo+er ) Licen,e Tec-nical Per,onnel ..................................................................... 3)ner / 3)ners / Lessee / 4ut,orised 4gent ..................................................................... "uilder / Develo/er ..................................................................... 4rc,itect/ 7ngineer/ Surveyor ..................................................................... Structural 7ngineer Si.na/0re

PART @

REMARBS OF T8E SCRUTINY OFFICER REGARDING SITE CONDITIONS + LAYOUT RULES + BUILDING BYE-LAWS + POLICIES + PLANS ETC. / GIST OF T8E PROPOSALS. ;+FF.C) 6S)<

PROPOSALS ARE RECOMMENDED FOR APPRO=AL WIT8 CONDITIONS + REFECTION FOR REASONS+ RETURN FOR RESUBMISSION WIT8 PARTICULARS.

FILE No.

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