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Ppendix - I . (ULB) Building Permission Application Form File No. Date

This document appears to be a building permission application form for a local urban body (ULB). Section A requests applicant details. Section B requests location details of the proposed site. Section C requests details of the proposed construction including site area, number of floors, floor area, parking area, and use of the building. Section D requests details of licensed technical personnel involved, including builder, architect, and structural engineer. The final section is a certificate confirming ownership of the land and that plans comply with building regulations.

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Chandra Sekhar Talasila
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64 views

Ppendix - I . (ULB) Building Permission Application Form File No. Date

This document appears to be a building permission application form for a local urban body (ULB). Section A requests applicant details. Section B requests location details of the proposed site. Section C requests details of the proposed construction including site area, number of floors, floor area, parking area, and use of the building. Section D requests details of licensed technical personnel involved, including builder, architect, and structural engineer. The final section is a certificate confirming ownership of the land and that plans comply with building regulations.

Uploaded by

Chandra Sekhar Talasila
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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PPENDIX - I

.(ULB)

BUILDING PERMISSION APPLICATION FORM

FILE No. Date: ___.___._______

To,
The Commissioner,
..(ULB),

.
(Use CAPITAL LETTERS only)
A ADDRESS OF THE APPLICANT

1 Name

2 Door No./Flat No.

3 Road/Street

4 Village & Mandal

5 City/ Town

6 District PIN

7 Phone / Mobile No.

8 e-mail

B LOCATION OF THE PROPOSED SITE

1 Plot Nos.

2 Sanctioned Layout No. /


LRS No.
3 Survey No./Village

4 Premises / Door No.

5 Road/ Street

6 Ward No./ Block No.

7 Locality

8 Circle/ Division

9 City/ Town/ District

C DETAILS OF THE PROPOSED CONSTRUCTION

1 Site Area a As per b As per submitted c Road Widening d Net Area


(in Sq. m) Documents Plan Area

2 No. of Cellar Stilt Ground Upper Floors Total


Floors

3 Floor Area (in Sq.m)

4 Parking floor area


5 Use of the Building Individual Residential/ Group Housing/ Commercial/ Institutional/ Row Housing /
Others (specify) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

D DETAILS OF THE LICENSED TECHNICAL PERSONNEL:

Sl. Name Address License No.


No
1
Builder / Developer

2
Architect/ Engineer/ Surveyor

3

Structural Engineer

CERTIFICATE

I/ we declare that I am / we are the absolute/ owner/ owners/ lessee of the land on which I/we intend to erect the Building
and am / are enclosing copies of relevant document of ownership/ lease certified by Magistrate/ Notary public/ a Gazetted
Officer authorized by the Commissioner in this behalf.

I/ we have gone through the Building Regulations made under the provisions of the A.P. Building Rules-2012Aand have
satisfied myself/ ourselves that the site and building plans are in accordance with provisions contained therein.

Name of Owner / Developer / License Technical


Sl.No. Signature
Personnel

1 .....................................................................
Owner / Owners / Lessee / Authorised Agent

2 .....................................................................
Builder / Developer

3 .....................................................................
Architect/ Engineer/ Surveyor

4 .....................................................................
Structural Engineer

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