ULHASNAGAR MUNICIPAL CORPORATION CITIZEN FACILITATION CENTRE SUBJECT: ISSUE OF REVISED BUILDING CONSTRUCTION PERMISSION / BUILDING COMMENCEMENT CERTIFICATE Token Number (For Office Use) Date:- / / (If Citizen Identification Number is given, do not fill below Details) Applicant's Details: Last Name/ Surname Name Father/Husband's Name Details of Society (If Application from Society): Name Of Society: Designation Address: Head Information House/Building/Soc. Name: Flat/Block/Barrack No.: Wing/Floor: Road/Street/Lane: Area/Locality/Town/City: Taluka: Pin code: Ward Committee No.: 1 [ ] 2 [ ] 3 [ ] 4 [ ] Electrol Panel No.: Telephone No. (if any): Contact Person: Email Address (if any): Information of Property: Head Information Type of Property (Please Tick [?] as applicable) [ ] Land [ ] Building Property Number (Computerized) Name of original owner Name of Power of attorney holder (if any) Town/City: Taluka: Survey/Block/Barrack No.: C.T.S. No.: Part No./Sheet No.: Plot No./Unit No.: Citizen Identification Number Area of Land (sq.mtr.) Road/Street/Lane: Ward Committee No.: 1 [ ] 2 [ ] 3 [ ] 4 [ ] Necessary Particulars about above service: Head Particulars Surname Name Father/Husband's Name 1 Name of licensed Architech/ Engineer 2 Address of licensed Architech/ Engineer Pin: 3 License Number of Architect Date: 4 Type of Construction permission (Tick [ ? ] whichever applicable) [ ] Residential [ ] Non Residential/Commercial [ ] Mix 5 Details of previously sanctioned construction permission Number Date: Total Earlier Additional 6 Total area of the building (in sq. mtr.) (including area of revised additional construction) 7 Total number of residential flats in the proposed building (as per previous permission) 8 Total number of flats (As per revised plan) 9 Total number of residential flats (As per revised plan) 10 Number of non-residential galas / shops (As per revised plan) Details about usage of TDR (if any) Area Sr.No. TDR letter No. Date of TDR letter Reservation Road Total 1 2 3 11 4 Necessary Enclosures related to above application are enclosed as under. (If enclosed tick [ ? ] or not enclosed tick [?] ) Enclosures Yes/No 1 True copies of the original & revised building construction permission alongwith the plans [ ] 2 True copies of original & revised construction completion certificate and plans. [ ] 3 Appendix 'A' of D.C Rule [ ] 4 7/12 Extract for current year / Extract of all mutations / City Survey Extract [ ] 5 If revised maps are submitted considering closest land then, a) Latest measurement map form TILR for additional area / land b) Hissa wise - Gutbook extract from TILR [ ] 6 Schedule - II (3 Copies) [ ] 7 If Society then NOC from society for additional construction / Internal changes [ ] 8 Copy of sanctioned TDR orders [ ] 9 True copy of agreement related to Transfer of Development Rights. [ ] 10 Seven copies of plan prepared by licensed architect / engineer and duly signed by owner /power of attorney holder. [ ] 11 Details regarding modification / additional construction proposed in revised building permission (Revised plan with modification / addition highlighted in color) [ ] 12 Attested copy of Non Agricultural Permission [ ] 13 Copy of letter conveying construction started as per Appendix "F" [ ] 14 Copy of the Plinth Completion Certificate [ ] 15 NOC from Fire Brigade [ ] 16 Structural Stability Certificate from structural engineer (Certificate for proposed additional construction) [ ] Declaration I/We..................................................................................................state on solemn affirmation that the above information is true and correct with the best of my knowledge. If the information given is found wrong then I/We shall be held legally liable for its consequences. Date:- Applicant's Signature ( ) The document may please be delivered to:- 1. Self/Nominated Person [ ] a) C.F.C. [ ] b) Camp No. [ ] Name of Nominated Person (________________________________________________) 2. By Post a) U.P.C. [ ] b) Register A.D. [ ] 3. Courier [ ] (Not to be filled if address is same as above) Correspondence Address:- Last Name/ Surname Name Father/Husband Name House/Building/Soc. Name: Flat/Block/Barrack No.: Wing/Floor: Road/Street/Lane: Area/Locality/Town/City: Taluka: Pin code: Email Address (if any):
