ĐĎॹá>ţ˙ hjţ˙˙˙g˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙ěĽÁq` đż°3bjbjqPqP 4V::°+˙˙˙˙˙˙¤„„„„„„„˜\'\'\'\'$€'d˜_@đ'đ'đ'đ'đ'đ'đ'đ'Ţ?ŕ?ŕ?ŕ?ŕ?ŕ?ŕ?$aAhÉCN@„.*đ'đ'.*.*@„„đ'đ'@f,f,f,.*Ž„đ'„đ'Ţ?f,.*Ţ?f,f,Ćś=„„F?đ'ä' ;m]HĚ\'ź*ŠF>Ţ?/@0_@Z>ěDF,D(F?D„F?˜đ'hX(Jf,˘(<Ţ(Pđ'đ'đ'@@\, đ'đ'đ'_@.*.*.*.*˜˜˜Ä!\'˜˜˜\'˜˜˜„„„„„„˙˙˙˙ FORM A (See rule 4) Application for approval of a site for a Building _________________________________________ (Name in full in block letters) _________________________________________ (Address) To, The Chief Executive Officer Asansol Municipal Corporation . Sir, I/We hereby give you notice that the Premises No. Holding No. in............................ Street. _________________ Ward Circle ___________________will be used in future as Residential / Commercial / industrial / Others (specify) ___________________and I forward herewith a site plan and building plan (in case of hill area) in triplicate of the land for your approval (along with the fee determined by the Asansol Municipal Corporation) as prescribed in rule 4 of the West Bengal Municipal (Building) Rules, 2007 under the West Bengal Municipal Act, 1993 (West Ben. Act XXII of 1993). The reports/recommendations of the soil test and test for stability of slope as required under rules 14 and 157 are also attached herewith. I request that the site may be approved. Certified that the site has been inspected personally by the undersigned and the structural design including that of foundation has been made on the basis of recommendations/findings of the Geo technical engineer. Certificate to be incorporated and signature of: Yours’ faithfully, Signature of Owner/Owners Date : __________________________ Architect/Licensed Building Surveyor, Structural Engineer (if applicable under rule 15) Countersigned Geo technical Engineer (if applicable under rule 15) *Strike out if not applicable. FORM B [(See rule 11(3)] Application for Permission to Construct or Reconstruct, Addition to, or Alteration of Building OFFICE USE Application No. RB/CB/IB/ PB ______________________ Date. __________________ From: _________________________(Name in full in block letters) _________________________________(Address)Phone No. ____________________________Fax No. ______________________E-mail _______________Date: ________________ Purpose of construction: Residential / Commercial/Industrial / Others (specify) To, The Chairman, _______________________Municipality/Notified Area Authority / Industrial Township Authority Sir, I/We hereby give you notice that I / we intend to undertake the work as specified above at premises No./Holding No. ____________________________in __________________ Street _____________Ward/Circle _____________under rule 11(2) of West Bengal Municipal (Building) Rules, 2006. I/We hereby request you to grant us necessary Building Permit under rule 21 of West Bengal Municipal (Building) Rules, 2007. In accordance with provisions of the West Bengal Municipal (Building) Rules, 2007, I forward herewith. Approved site plan of the land; A plan in triplicate~ showing elevation and sections of the proposed building together with a specification of the work (in case of a building under the Salt Lake Township under Bidhannagar Municipality or Nabadiganta Industrial Township Authority the provisions of rule 96(a) has to be followed); Statement of particulars (Annexure); Water supply and sewage disposal plans; Copy of the possession certificate; Five copies of sewage and water connection plan as per rule 96(b); Reports of soil test or test for stability of slope as per rule 157; Detailed calculation of structural design as per provision in these rules; Current paid up Municipal Tax receipt; Clearance certificate/application copy from U.L.C. Branch of Urban Development Department, Government of West Bengal (if applicable); No objection of West Bengal Fire and Emergency Services Dept. (if applicable); Indemnity Bond (As per form No. L); Copy of Deed and Deed plan; Registered Undertaking for common passage (if applicable); Power of Attorney (if applicable); Sanctioned plan in case of any existing structure; FAR Calculation Sheet (if applicable). I request that the plan may be approved and that the permission may be accorded to execute the work. *Please note that I am also enclosing herewith the documents as desired by you as per instruction. Certificate to be incorporated and signature of Yours’ faithfully, Signature of Owner/Owners Structural Engineer if applicable under rule 15) countersigned Architect/Licensed Building Surveyor Date : Geo technical Engineer (if applicable under rule 15) Strike out if not applicable' I/ We hereby declare that I / we am / are the owner / owners of the property to be built upon and the copy of the registered deed of the land or other documents in support of ownership / ownerships of land are submitted herewith. That the aforesaid plot of land is the only plot of vacant land held by me/ us in any of the urban agglomerations covered under the Urban Land (Ceiling and Regulation ) Act.1976 and that extent of that plot is within the ceiling limit on vacant land imposed by the said Act; *That I do not hold any other vacant land or any other land with building with a dwelling unit therein in any of the urban agglomerations referred to the said Act; *That in the event of the aforesaid plot of land being declared as excess by the competent authority under the urban land (Ceiling and Regulation ) Act, 1976, I shall abide by the decision of the competent authority that Act, certificate of Engagement: Certified that I / We have been engaged as licensed Building Surveyor / Structural engineer / Geo-Technical Engineer for the proposed building at premises no …………… by the owner (s) ………………………………………….. for planning designing, supervision and completion of the work as per rule 15 of the West Bengal Municipal ( Building ) Rules 2007. We undertake to work in close association with each other and will be individually and / or collectively responsible for ensuring the safety of the building as a whole; Certified that the site has been personally inspected while planning the building and / or designing the structural members, as well as has taken into account the findings of / or recommendation of stability analysis as well as soil tests performed as and where necessary under these rules. Structural Engineer (if applicable under rule 15) Signature of Architect / LBS Geo- Technical Engineer (if applicable under rule 15) Certified that certificate duly signed by the concerned technical personnel has also been incorporated on the building plan Name …………………………………………………………………...…… Signature of Owner / Owners …………………………………………………………………………..…….. Full Postal Address…………………………………………………………….. …………………………………………………………………………………. Date………………….. *This declaration is not necessary for the Salt Lake Township. Annexure Form B (Statement of Particulars and Specification ) Holding No……………………………………………………………..……….. Premises No……………………………………………..……………………… (i) name of owner(s) Phone No……………………………………………………………….. Address………………………………………..………………………… (ii) Name of applicant :……………………………..………………………….. Status : owner , authorized by power of attorney , other Phone No………………………………………….…………………….. Address……………………………………………………..…………… Name of Architect / Licensed Building Surveyor : Class ……………. No………………. Phone No…………….. Fax…………… e-mail…………….. Address ………………………………….…………………… (a) Name of Structural Engineer ( if applicable) Class ……………. No………………. Phone No…………….. Fax…………… e-mail…………….. Address ……………………………………………………… (b) Name of Geo-technical Engineer (if applicable)…………………….. Class ……………. No………………. Phone No…………….. Fax…………… e-mail…………….. Address ……………………………………...………………… (i) Area of Land: (a) As per deed (m2) …………………………….. (b) as per Physical Measurement (m2) …………………………….. (ii) Boundaries of site on North ……………………………. South ….…………………………. East ……………………………. West …………………………….. Nature of land whether solid / filled up part water body, if water body specify the area both on solid land and water body……………………………..……. (a) Proposed height of the building ……………………………………………… (b) No. of Stories ………………………………………………………………… Width of means of access: Municipal road :……………………………………………………………… Private road / Common passage (as per deed / documents)………………….. Alignment (if any) …………………………………. (prescribed / Proposed ) Width of alignment …………………………………………………….. (m) Junction distance (for Assembly use only)…………………………………. (m) (a) Principal occupancy: (if any) …………………………. ……………… (b) Other occupancy / occupancies (if any)…………………………………. Whether the existing premises is rented : Yes / No Whether the proposal involves new construction / horizontal addition / vertical addition by demolishing the existing structure: ……………………….. Height of the adjoining building / buildings : North…………(m)South…………(m)East …………(m) West…………(m) Total area of (i) Stair cover…………………..(m2) (ii) Lift Machine Room …………………(m2) (iii) Roof Tank…………………………(m2) (iv) Total Roof area …………………….(m2) (v) Total Loft area …………………….. (vi) Other Structure ……………………….(m2) Ground Floor Area : ………………………………………………………… Main Characteristic details of building : Sl. No. Items Proposed Permissible Remarks Value Value Height of the building (m) Front Open Space (N/S/E/W) Rear Open Space (N/S/E/W) Side Open Space (N/S/E/W) Side Open Space (N/S/E/W) Interior Open Space: Inter Courtyard : Outer Courtyard : Ground coverage : Area M2 Percentage Floor area ratio (FAR) Total covered area in all floors(m2) Basement area (m2) Basement area (m2) Mezzanine floor (m2) Stair case : (i) Number (ii) Minimum width of each flight (m) (iii) Area of stair case including landing in each floor Escalator : (i) Number (ii) Size Lift : (i) Number (ii) Size (iii) Height of the lift machine Room (iv) Size of the lift machine Room (v) Area of lift Machine Room with Lift landing Lobby in each floor Addition and Alteration Work (Strike out if not applicable) Area (m2) Parking Parking Required Provided Existing floor area Proposed floor area Total floor area Width of ramp Slope of ramp Area of ramp Width of driveway Ventilation shaft: Area (m2) Minimum Width (m2) Service door provided in shaft ______________ Yes / No Parking space as per Required no Parking Provided Rule 52 Car Parking Open Covered Required no. of Open Covered Bus / Truck Parking Occupancy or Use group (i) Residential Total (ii) Other Type Area % Coverage Proposed Remarks Residential Educational Institutional Assembly Mercantile (RST) Storage Industrial Business Any other use Proof of ownership (Whether it is deed of conveyance / Gift / Lease / Record of rights ( Parcha ) / Partition / Exchange / Will and Probate or other documents and mutation certificate issued by Municipal / others In case where applicant is Government / Semi- Government or statutory body to whom the land was given by L.A. Collector-Allotment and possession letter along with site plan, land area and boundary. The materials to be used as specification of the constructions:- Foundation, Floors, Walls, Roofs Fire places / Chimneys (a) Appropriate number of inhabitants proposed to be accommodated. 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