Building Application Form

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43,560 Sq.ft. APPLICATION FORM ... For PreDCR Ensure drawing is in PreDCR format. * AutoCAD File ... NOC form Lessee in case of ease hold. NOC from Fire ...
Bhubaneswar Development Authority, Bhubaneswar Items marked with * are mandatory 1 Sq. ft = 0.09290304 sq mtr 1 Ft = 0.3048 mtr 1 Acre = 4046.85642 Sq.Mtr.. = 43,560 Sq.ft

APPLICATION FORM Proposal Information____________ Owner's / Applicant's Information * Name of the Applicant :

* Name of the Owner :

* Name of Builder/Developer :

* Address for Communication. :

* Permanent Address :

* Mobile No. (For SMS) :

Email ID :

Case Information *Case Type : [New Construction / Addition/Alteration / Renewal/Revalidation / Compounding / Demolition / Re-construction]

* Permission For :

*No's of storey:

* Proposed Project: [ Building Plan / Layout Plan / Apartment / Group Housing / Farm House / Integrated Township]

*Tenancy : [Lease hold / Free hold / Sitiban]

* Date :

* Proposal Type: [Residential / Commercial / Residential -Commercial / Office Staff Quarters / Industrial /Public/Semi Public (Institutional) /Utility Services]

Scheme Information Is Scheme available? : Yes No

AutoDCR File Drawing detail Drawing type :

PreCDR Drawing

Manual Drawing

[Only one has to be tick marked by the applicant] For PreDCR Ensure drawing is in PreDCR format

* AutoCAD File [PRE Formatted] :

Architect Information Name :

Valid upto :

C.A.No. :

Empanelment No. :

Email ID :

Mobile No.

Road Details Approach Road Nature of Road : Whether such connection is available in settlement sheet : Is approach Road Connected to an existing public road in site plan : Width of the Road As per Site Plan/ Development Plan :

Plot and Building details

* Village / Mouza Name

* D.P.A. :

* Division :

Organization Name :

* Plot No. :

Khata No. :

Thana No. :

Ward No. :

Building Name :

* Building height :

* No Of Dwelling Units :

Holding No. :

* Plot area as Per Document (Sq.Mtr.) :

Plot area as Per Possesion (Sq.Mtr.) :

* Total built-up Area (Sq.Mtr.) :

* Exempt built up area for FAR calculation (Sq.Mtr.) :

Net Built up Area (Sq.Mtr.) :

* FAR (Floor Area Ratio) :

* Total Plinth Area (Sq.Mtr.) : Whether plot effected by :

Permissible Height allowed in NOC :

Is Plot within Airport Funnel Zone : Yes No Distance of plot from Airport funnel zone :

Is Airport Transition Zone : Yes No

Distance of plot from Transition Zone :

Any Monument near plot

Monument Distance :

Is plot within 200 mtr. radius :

Document checklist Page No Four Set of Building Plan Ownership Document Supervision Certificate in form Part II Affidavit for Peaceful Possession Structural Stability Certificate NOC form Lessee in case of ease hold NOC from Fire Prevention Officer NOC from Airport Authority Environmental Clearance Checklist of Proposed Building Any other certificate /NOC Land use information sheet from BDA is enclosed showing the proposed Plot NOC from neighbor enclosed

I hereby confirmed that above said information is correct.

Applicant Signature