APPENDIX A-1

FORM FOR CONSTRUCTION OR LAYOUT OF BUILDING / GROUP HOUSING

Application for permission for development under Section 44 / 58 of the

Maharashtra Regional and Town planning Act. 1966 read with Section 189 of
the Maharashtra Municipal Councils, Nagar Panchayats and Industrial
Townships Act, 1965.

From :_______________________________
(Name of the owner)
To,
The Commissioner
Municipal Corporation Chandrapur.

Sir,
I intend to carry out the under mentioned development in the site/plot of land, on
plot No……………town and Revenue S.No./Aakhiv Patrika no.…………………Block
No……....... Sheet No………………Mouza/Mohalla…………………….
………………………..situated at Road / Street
Society ……………………… in accordance with Section 44 / 58 of the Maharashtra
Regional and Town Planning Act, 1966 read with section 189 of the Maharashtra
Municipal Councils, Nagar Panchayats and Industrial Townships act, 1965.
I forward herewith the following plans and statements (Item 1 to 6) wherever
applicable, in quadruplicate, signed by me (Name in block letters)and the Architect /
(License No..) Who has prepared the plans, designs and a copy of other statements /
documents as applicable
i) Key Plan (Location Plan);

ii) Site Plan (in quadruplicate) of the area proposed to be developed;

iii) A detailed bui9lding plan (in quadruplicate) showing the plan, section and
elevations of the proposed development work;

iv) Particulars of development in Form enclosed (to be submitted for development

other than individual buildings);

v) An extract of record of right, property register card (any other document showing
ownership of land to be specified) along with consent of co-owners where third
party interest is created.

vi) Attested copy of receipt of payment of scrutiny fees;

vii) Latest property tax receipt;

viii) No Objection Certificate, wherever required.

I request that the proposed development/ construction may be approved and

permission accorded to me to execute the work

Signature of the Licensed Signature of Owner

Dated_______ Name and address of Owner
Signature of the Licensed Dated________
Address of Owner____________
 FORM GIVING PARTICULARS OF DEVELOPMENT

(PART OF APPENDIX A---------------ITEM 4)

1. (a) (i) Full Name of Applicant

(ii) Address of applicant
iii) e-mail ID
iv) Mobile No.
b) Name and address of Architect / licensed
Engineer / Structural Engineer / Supervisor
Employed.
c) No. and date of issue of License
2. Is the plot affected by any reservation or
road lines? If yes, are these correctly and
clearly marked on the block plan?
3. (a) What is the total area of the plot
according to the document?
(b) Does it tally with the Revenue / CTS
Record
(c) What is the actual area available on site
measured by Architect/licensed
Engineer/Structural Engineer/Supervisor
(d) Is there any deduction in the original
area of the plot on account of road lines or
reservation? Please state the total area of
such deductions?
(e) If so, what is the net area?
The permission shall be based on the area whichever is minimum.
(Note :Above details shall also be mentioned on building plan submitted for
approval)
4. Are all plans as required under Regulation
No.6.2 enclosed?

5. (a) Is the plot of a city triangulation Survey

Number, Revenue Survey Number of Hissa
Number of a Survey Number or a Final Plot
Number of a Town Planning scheme of a part
of an approved layout?
(b) Please state sanction Number and Date
of Sub-division / Layout
6. (a) In what zone does the plot fall?
(b) What is the permissible F.S.I. of the
Zone?
7. (a) Is the use of every room in the proposed
work marked on the plans?
 (b) Is it in accordance with the regulations?
(c) Does the use of the building, fall in the
category of special types of buildings like,
cinema halls, theatres assembly halls,
stadia, buildings for religious purpose,
hospital buildings, educational buildings,
markets and exhibition halls etc.?
8. It the work is in connection with an industry :
(a) Please briefly describe the main and
accessory process.
(b) please state the maximum number of
workmen and the total horse power likely to
be employed per shift in the factory
(c) Is the proposals for relocation of an
existing industry, if so give the name and
address of existing industry?
(d) Will be building be at 23 m. away from
the boundary of a residential and
commercial zone?
(e) Nature and quantum, of industrial
waste/effluents and method of disposal.

9. (a) What is the average?

(i) Prescribed width of road on which plot is
fronting?
(ii) Existing width of the street? (if the plot
abuts on two or more streets, the above
information in respect of all streets should
be given)
(b) what is the height of the building above
the average ground level of the plot
(c) Does it comply with the Regulation
10 (a) if there are existing structures on the plot
.
(i) Are the correctly marked and numbered
on the site plan?
(ii) Are those proposed to be demolished
Immediately and hatched in yellow color?
(iii) What is the plinth area and total floor
area of all existing structures to be retained?
(Please give details confirming to the plan
submitted)
(b) What is the plinth area and total floor
area of the proposed work?
(Please give details confirming to the plan
submitted)
11 (a) please state the plinth area and total
. floor area, existing and proposed
(total of item No. 10 (a) (iii) and 10 (b))
(b) Please state the overall F.S.I.
(Item 11 (a) divided by Item 3 (e)
(c) Does the work consume the full F.S.I. of
the plot, m as given in Item 6 (b)?
(d) Is the Building proposed with setbacks on
 upper floors?
12 (a) What is the width of the front open
. space? If the building abuts two or more
streets, does the front open space comply
with Regulation?
(b) Please state which of the following rule is
applicable for the front open spaces: chapter
IV and does the front open space complies
with that rule?
13 (a) What is :
.
(i) The width of the side open space (s)?
(ii) The width of the rear open space (s)?
(iii) The distance between buildings?
(b) Are there two or more wings to the
buildings? If so, are the open spaces
separate or distinct for each wing?
14 (a) What are the dimensions of the inner or
. outer chowk?
(b) (i) Is / are room (s) dependent for its light
and ventilation on the chowk ? If so, are the
dimensions the chowk as require for each
wing of the building?
(iii) if not, is the area equal as per Regulation
No. 15.2?
15 If the height of the building is more than 14
. meter above the average ground level, is
provision for lifts made?
(a) If so, give details of lift. Type Passeng No. Of Type
er lifts of
Capacity Doors
(1) (2) (3) (4)
(b) Details of Fire Lift.
16 (a) Does the building fall under purview of
. Regulation No. 6.2.6.1?
(b) If so, does the proposed fire protection
requirement confirm to part V?
(c) If not. Give reasons for non conformity
(i)
(ii)
(iii)
17 (a) (i) What are the requirements of parking
. spaces under the Regulations?
ii) How many are proposed?
(b) (i) Are loading-unloading spaces
necessary?
ii) If so, what is the requirement?
iii) Now many are proposed?
18 (a) (i) What are the maximum widths of
. balconies?
(ii) Will they reduce the required open
spaces to less than the provisions of
Regulations?
(iii) Do they serve as a passage to any part
of the building?
iv) What is their total area?
 b) What is the maximum width of weather
frames, Sunshades (chajja), Sun breakers,
cornice, eaves or other projection?
c) i) Are any porches / canopies proposed?
ii) Are they in compliance with Regulation
No. 15.4? (b)?
19 a) What is the width of the means of access?
.
b) Will it be paved, drained & kept free of
encroachment?
20 Is recreational or amenity open space
. provided as required under regulation No
133 & 13.3.11?
a) Are any accessory buildings proposed?
If so, for what purpose,
b) What are their heights?
c) Are the 7.5 m away from the street or
front 1.5 m. from other boundary?
d) Is their area calculated in F.S.I.?

21 a) What is the proposed height of the

. compound / boundary wall? Is it at a
junction?
b) Is it in compliance with Regulation No.
17.16?
22 a) Is the proposal in the air Port Zone?
.
b) Is a “No, objection certificate” for height is
obtained?
23 Does the proposal fall in any of the restricted
. zones?
24 a) Does any natural water source pass
. though the land under development?
b) Is necessary setback provided as per
regulation No. 11.1? (b)?
25 Is the plinth level proposed to be above the
. level of the surrounding ground level?
26 The details of materials to be used in
. construction with specification are as below:
Roofs
Floors
Walls
Columns
Any other material
27 The number of water closet, urinals,
. kitchens, washbasins, baths to be provided
are as follows
Water Baths Urinals Wash Kitchens
closets Basins
Existing
Proposed

28 Details of the source of water to be used in

. the construction
29 Distance from the sewer.
.

30 How much municipal land will be used for

. stacking building material?

31 Please explain in detail in what respect the

proposal does not comply with the
development control Regulations and the
reasons there for, attaching a separate
sheet if necessary.

I hereby declare that I am the owner / lessee in possession of the plot on

which the work is proposed and that the statements made in this form are true and
correct to the best of my knowledge.

Date / /

Address: _____________________ Signature of the Applicant.

______________________
______________________
 APPENDIX ‘B’

FORM OF SUPERVISION

To,
The Commissioner,
Municipal Corporation Chandrapur.

Sir,
I hereby certify that the development / erection /re-erection /demolition or material
alteration inPlot No. ………… Survey No………………./Block No.……………Sheet No.
……………. Mouza/Mohalla…..……………………………………. Shall be carried out under
mySupervision and I certify that all the materials (types and grade) and the workmanship
of the work Shall be generally in accordance with the general specifications Submitted
alongwith, and that the shall be carried out according to the Sanctioned Plans. I shall be
responsible for the execution of the work in all respects.

Signature of the Architect

Name of Architect (in block letters)

Licensed No. of Architect

Address of Architect Along with Mobile

No. & e-mail ID

Date:-