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    Appedix A

    Uploaded by

    saif methar
    This document is an application for a permit or regularization for development or construction in a Panchayat. It requests information such as the applicant's name and address, details of the plot of land including survey number and area, and nature of the proposed development whether it is a new construction, addition, or other type of work. It requires the applicant to provide floor-by-floor details of the proposed building's area. Certifications are needed from architects or supervisors confirming the application conforms to applicable rules.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Appedix A

    Uploaded by

    saif methar
    232 views4 pages
    This document is an application for a permit or regularization for development or construction in a Panchayat. It requests information such as the applicant's name and address, details of the plot of land including survey number and area, and nature of the proposed development whether it is a new construction, addition, or other type of work. It requires the applicant to provide floor-by-floor details of the proposed building's area. Certifications are needed from architects or supervisors confirming the application conforms to applicable rules.

    Original Description:

    kpbr 2019 building permit/reg form

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    This document is an application for a permit or regularization for development or construction in a Panchayat. It requests information such as the applicant's name and address, details of the plot of land including survey number and area, and nature of the proposed development whether it is a new construction, addition, or other type of work. It requires the applicant to provide floor-by-floor details of the proposed building's area. Certifications are needed from architects or supervisors confirming the application conforms to applicable rules.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    232 views4 pages

    Appedix A

    Uploaded by

    saif methar
    This document is an application for a permit or regularization for development or construction in a Panchayat. It requests information such as the applicant's name and address, details of the plot of land including survey number and area, and nature of the proposed development whether it is a new construction, addition, or other type of work. It requires the applicant to provide floor-by-floor details of the proposed building's area. Certifications are needed from architects or supervisors confirming the application conforms to applicable rules.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 4

    APPENDIX - A

    [see 7(1) and 134 (1)]

    __________________________________________ Panchayat

    APPLICATION FOR PERMIT / REGULARISATION

    1. Name in Capital Letters :

    2. Address :

    (i) Permanent :

    (ii) To which communication


    are to be sent :

    3. Nature of development/construction :

    (i) Division of plot


    (ii) New construction
    (iii) Reconstruction
    (iv) Alteration
    (v) Addition / Extension
    (vi) Digging of well
    (vii) Change in occupancy
    (viii) Erection of Telecommunication tower /other structure
    (ix) Demolition

    4. Details of plot :

    (i) Survey Number :


    (ii) Extent :
    (iii) Nature of ownership :
    (iv) Number and date of deed /
    document :
    (v) Registrar’s Office :
    (vi) Sub Division :
    (vii) Ward Number :
    (viii) No: of the nearest building :
    (ix) Revenue Village :
    (x) Taluk :
    (xi) District :

    5. Occupancy.
    (i) Residential Group A1 :______________________________
    (State the number of dwelling units also)

    Page 102
    (ii) Non residential/Others (Please specify:__________________________)

    6. Whether Government
    or Quasi Government. :

    7. (i) Plinth area of the proposed


    building :

    (ii) Details :

    Floor Area in sq.metres


    Plinth Area Carpet Area
    Basement/Cellar floor
    ……..
    Ground floor
    First floor
    ………..
    ………..
    ………..
    Total Area

    8. Maximum height of building in metres :


    [as per rule 2(1)(ba)]

    9. If the application is for regularisation :

    (i) Whether completed or not :

    (ii) If not completed, the stage of


    construction :

    10 Details of Permit / Approved Plan


    already obtained :

    11. Name and address of the Developer


    if any :

    12 Details of fee paid :

    (i) Amount (in Rupees) :


    (ii) Number and date of receipt :

    13. Details of documents, Plans, Certificates etc.


    enclosed :

    Page 103
    DECLARATION

    I, ___________________________, hereby declare that, the measurements,


    specifications and other details and specifications mentioned above are correct,
    complete and true to the best of my knowledge and belief and that I shall abide by
    the approved plan and the provisions in the act and rules in undertaking the
    construction.

    Signature of the Applicant with name


    Place:
    Date :

    CERTIFICATE

    Certified that, the site plan is prepared after verification of the ownership
    document and the site and the measurements shown are found to be correct.

    Signature
    Name:
    Register Number:
    Address:
    (Registered Architect/ Building Designer / Engineer/ Town Planner/ Supervisor)

    Place:
    Date :

    CERTIFICATE

    Certified that the building plan is prepared in accordance with the provisions of the
    Kerala Panchayat Building Rules, 2011, Kerala Panchayat Raj 1994 and the
    provisions contained in the sanctioned Town Planning Schemes.

    Signature
    Name:
    Register Number:
    Address:
    (Registered Architect/ Building Designer / Engineer/ Town Planner/ Supervisor)

    Place:
    Date :

    Page 104
    UNDERTAKING

    I, _________________________hereby undertake that the building construction /


    land development will be carried on / being carried on/ was carried on as per the
    approved plan and permit in accordance with the rules in force.

    Signature
    Name:
    Register Number:
    Address:
    (Registered Architect/ Building Designer / Engineer/ Town Planner/ Supervisor)

    Place:
    Date :

    Page 105

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