ANNEXURE II FORM FORM TO ACCOMPANY BUILDING APPEAL PETITTION PREFERED TO DIRECTOR OF TOWN AND COUNTRY PLANNING/GOVERNMENT 1. Refernce Number-Corporation/Municipality/ Town Panchayat : 2. a) Applicant Name : b) S.F.No./R.S.NO. : c) Location : d) Street Name e) Door Number f) Permission rejected Date g. Date of receipt of appeal petition h. Whether the applicant already made appeal Petition, state the DTCP's approval or Disapproval details namely File No. and date : 3. I)Whether the applicant's appeal petition application is enclosed : ii)Whether necessary court fee stamp has been affixed with the appeal petition. : iii)Whether the file of the respective corporation/Municipality/enclosed : iv)If the appeal petition submitted to the DTCP, 4 sets of Map copies enclosed : Yes/No v)If the appeal petition submitted to the Govt, 6 sets of map copies enclosed : Yes/No 5. Master Plan i) Stage of the Master Plan : ii) Consented/approved : iii) Land use contemplated in the Master Plan : iv) Whether the Master Plan extract Map enclosed : 6. Detailed Development Plan g. Name of the D.D.Plan ii) State of the D.D.Plan : iii) Land use contemplated in the D.D.Plan : iv) Whether the D.D.Plan Extract Map enclosed incorporating applicants land and boundary details : 5. Layouts details : i) Approved layout number and date : ii) Unapproved Layout/Natham/Private site : 8. Approach Road for the site : i) Whether the approach road to the site is maintained/not maintained by corporation/ Municipality/Township/Town Panchayat : 9. Topo Sketch In the site plan the land use details, namely burial/cremation Ground, Railway line, Pond, Tank, river like water bodies, Electric line and protected area are marked. : Yes/No 10. Site details: i) Site total area : ii) Building area : iii) Open space area : iv) Width of the site : v) Length of the site : 11.Nature of construction i) New : ii) Reconstruction : ii) Addition : iv) Alteration : v) Constructed against the approved building Plan : vi) Unauthorised Construction : 12.Building Use :1) Residential house : 2) Shop/Shops : 3) Lodges/Restaurant/Hospitals/others : 13.Construction stages of the building as on the Date of submission of appeal plan : i) Proposal level : ii) Construction under progress : iii) Construction completed : 14.Height and Floor particulars of the building: i) No of Floors : i. Height of building under road Level(exclusion of compound wall) : 12.Building Area: i) Ground Floor : i. Ist Floor: ii. 2nd Floor: iii. 3rd Floor: iv. 4th Floor: 12.A certificater from the Commission/Executive Officer stating whether the building Plans and site plans with surrrounding details have been verified and found corred, is obtained. : 13.If the appeal plan is submitted to the DTCP/or to the Governemtn atleast 2 set Of copies to Government to be enclosed On the following items. (Commissioner/EO Covering leter, building Inspector inspection report, offending rules Schedule and applicant appeal application) Whether the following are enclosed. : 14.Whether the proposed addigtional/alteration/ Unauthorised construction are clearly marked And indicated in different colours in the Map : 15.Whether the Inspection reports of Building Inspector/TPO/CTO/Commissioner/Executive Officer are enclosed. : 16.Offended rules for the consideration of Exempation/relaxation: S.No. Offerned Rule Required Existing Deficit % of deficit Rules details available excess Tamil Nadu District Municipalities Building Rules 1972 Planning Rules Layout conditions Multi storied and Public Building Rules 1973 Other building Rules (Panchayat building Rules 1970, Cyclone prone area building rules 1982, etc.) 17.Town Planning Officer/Chief Town Planning Officer/ Executive Officer/Commissioner Recommendations. Sd. Commssioner/Executive Officer.
