Kakinada Municipal Corporation
TOWN PLANNING SECTION
BUILDING APPLICATION FORM
BA No.: 1060/0477/B/KKD/REV/2024 Date of submission : 04 December, 2024
Sub: Building Application for grant of permission for Construction of Building Permission Notice u/s 209 & 227 of APM
Act, 1965 / 428 & 433 of HMC Act, 1955.
A ADDRESS OF THE APPLICANT
1 Name (In Full) GADA PEDDINTLAMMA,GADA PAVAN RAJU
2 Firm Name -
3 Door No./Flat No. Revenue Colony, Revenue Ward No 11, Kakinada, 533003
4 Road/Street NA
5 Locality / Mandal NA
6 City KAKINADA PIN 5 3 3 0 0 3
7 District KAKINADA DISTRICT
8 Phone / Mobile No. 8333933348
9 E-mail
[email protected] B LOCATION OF THE PROPOSED SITE
1 Ward No. Block No. Ward11 17
2 Layout Location REVENUE COLLONY
3 LP No. 421/81
4 RS /TS No. 1965/2E
5 Plot No. 17
6 Premises No./Door No. 17-8-34/B
7 Road/Street Revenue colony main road
8 Locality Revenue Colony
9 City/ Town District Kakinada Kakinada
C DETAILS OF BUILDER / LICENSED PERSONNEL
# Name Address License No. Validity
1 ARIGI DURGA PRASAD 04/LS/KAUDA/2022
(Surveyor 1)
2 - - - -
D DETAILS OF PROPOSED CONSTRUCTION
Site Area (sq. mtr.) As per Documents 167.27
1
As on Ground 167.27
2 Total Floor Area (sq. mtr.) 277.59
3 Tot-lot Area (sq. mtr.) 00.00
4 No. Of Units 3
E DETAILS OF BUILDING
1 No. of Blocks 1 Total Built-up Area (sq. mtr.) 277.60
Height
# Building Name Use Sub Use Type No. of Floors Bifurcation of Floors
(mtr.)
1. GADA (1 GADA Residential Individual NA 10 Floor BUA
PEDDITALAMMA Residential Floor Name
(sq. mtr.)
2 GADA PAVAN Building
RAJU) GROUND 92.53
FLOOR
FIRST 92.53
FLOOR
SECOND 92.53
FLOOR
F AUTOCAD FILE
1 AutoCAD File FOR PREDCR DWG.dwg
G APPLICATION CHECKLIST
# Description Yes/No Remarks
1. Is CLU is applicable? No -
2. Whether proposed site has VLT/Assessment number? Yes -
3. Whether proposed construction is an Educational building? No -
4. Whether The Proposed Building Is Already Constructed Without No -
Approval But Satisfying Present Rules
5. Whether the building is pre-certified from IGBC (Indian Green No -
Building Council) or LEED India or TERI or GRIHA following the G.
O. Ms. No. 30 Dated: 28.01.2014 to avail incentives under rule 145.
6. Whether the proposal falls in Urbanisable Land use zone? No -
7. Whether ECBC is complied for commercial buildings or other No -
Non-Residential Buildings proposals having plot area more than
1000 Square Meters or built up area of 2000 Square Meters or if the
building is a Multiplexes, Hospitals, Hotels, and Convention Center
with irrespective of built up area.?
8. Do you want to apply NOC from NMA?. No -
9. Whether NMA NOC is available with you for proposed construction No -
sites?.
10. Do you want to apply NOC from AAI? No -
11. If you are in Airport vicinity, Do you have NOC from AAI? No -
12. Whether any Approved Plan given in proposed site? No -
13. Whether site falls under Approved Layout/LRS/Plot part of LRS No -
Layout but not regularized ?
14. Whether 10% of EWS/LIG on the project site or 25% of total No -
number of units provided within a radius of 5km from the project site
in Group Housing/Development projects?
15. Whether Environmental Clearance is required for proposed No -
bulding?
16. Whether the Land is converted Agriculture to Non- Agriculture Land No -
as per NALA act, 2016?
17. Whether the proposal comes under Building penalization scheme No -
case?
18. Is water connection available.? No -
19. Whether the site falls under un-approved layout and any building No -
plan approval is given or any building exist prior to 1985 on this
site?
20. Whether Proposed site is located in the vicinity of Oil / Gas pipe No -
line?
21. Whether edge of the proposed building is within 30 mts distance No -
from the railway property boundary?
22. 50m within the limits of the Local Authorities. The boundary of the No -
river shall be as fixed and certified by the Irrigation Department and
Revenue Department?
23. Whether the proposed site is located within the distance of above No -
100m and upto 200m from the protected Monuments as notified
under Archaeological monuments and Ancient sites?
24. Whether the proposed site is located in the vicinity of defense No -
establishments within the distance of 500 mtr?
25. Whether the proposed site falls under Un approved Layout in which No -
building approval given?
26. Whether the plot is affected by road widening? No -
27. Whether the height of the industrial building is greater than 10 mtr? No -
28. Whether the height of the building is greater than 18 mtr? No -
29. Whether the height of the industrial building is greater than 18 mtr.? No -
30. Whether the buildings of Educational, Cinema Theatres, Functional No -
halls & other Assembly buildings where plot area is greater than 500
sq.m or height is greater than 6m?
31. Whether the Commercial building height is greater than 15 mtr? No -
32. Whether the size of the plot is above 200.00 sqmt. with height No -
above 10m ?(Only for Municipal Corporations)
33. Whether the size of the plot is above 200 sq.mts?(Only for No -
Municipal Corporations)
H DOCUMENT CHECKLIST
Primary
# Name of the Document Attachment
1. Photographs showing access roads.
2. Latest Encumbrance Certificate issued by Registration Department.
3. Master plan/ILUP extract indicating the site.
4. Self-Attested copies of Ownership Documents-lease-deed/sale deed etc. giving the
physical description of the plot/property.
5. A Declaration cum undertaking and Indemnity bond by the
Owner/Builder/Developer/LTP in the prescribed Form (Annexure-3).
6. Sign Drawing Plan Pdf And Apllication Form Of Owner
7. Sign Drawing Plan Pdf And Apllication Form Of LTP
8. Self-Attested Copies of Link Documents.
Additional
# Name of the Document Attachment
1. Up to Date property tax receipt.
I hereby declare that I am the owner/ PAH in possession of the plot on which the work is proposed and that the statement made in
this form are true and correct to the best of my knowledge.
I SIGNATURE
1 Signature of the Applicant Or Firm GADA PEDDINTLAMMA,GADA PAVAN RAJU
2 Signature of the LTP ARIGI DURGA PRASAD (Surveyor 1)
