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NAGPUR IMPROVEMENT TRUST (Rs.50 Including Sale Tax)

Station road, Sadar, Nagpur 440001

APPENDIX-A
(Regulation No.6)
Form for the first application for development under section 44/45/58/89 of Maharashtra Regional and town
planning Act 1966 and to erect a building under section 274 of the city of Nagpur Corporation act 1948 or under section
of the Nagpur Improvement Trust act, 1936.
To
The Chairman,
Nagpur Improvement Trust
Sir,
I hereby give notice that I intend to carry out development in the site/ to erect, to re-erect/to
demolish/to make material alteration in the building ____________________________on/in Plot No. ___________Khasra
No. ________________C.T.S.No._______________Mauza _________Situated at Road / Sheet ___________________City
No. ________________and in accordance with Section 44/45/58/89 of Maharashtra Regional and town planning Act 1966
and section 274 of THE CITY OF NAGPUR CORPORATION ACT 1948/ SECTION__________________OF THE NAGPUR
IMPROVEMENT TRUST ACT,1936.
I Forward here with the following plans and statement (Item 1 to 6 ) where ever applicable in quadruplicate
signed by me and (Name in block letters) ____________________the Architect/ Licensed Engineer / Structural Engineer/
Supervisor, the License No. who has prepared the plans, designs and a copy of the other statements / documents as
applicable (Items 7 to 10)
(A)- 1. Key plan (Location Plan) 2. Site Plan
3. Sub-Division /Layout Plan 4. Building Plan
5. Service Plan 6. Particulars of Development form.
7. Ownership Title
8. Attested copy of Receipt for payment of Building Permission.
9. Copy of trailing ready Reckoner
10. No objection Certificate, where required.
(B) (1) PAN No. ……………………………………………………………………………
(2) Amount of Investment Estimated Cost ……………………………………./-
(3) HSUI DATA

Sr. Ward no. Detailed add. of building PIN Name of the owner/ Whether Building
No. Div.Name Code Builder contains Single =01
or Multiple=02
Housing Units
1 2 3 4 5 6

Ii CI (8) is Nos. of Storey’s Whatever Basement is Height of the Building Total Floor Area of the
02 then No. in the building a part of Housing Units (meters) Building (In Square
of Housing (Yes = 1, No =2) Meters)
Units in the
Building
7 8 9 10 11

I request that the proposed development / construction may be approved and permission
Accorded to me to execute the work.
Signature of owner -----------------------------------
Name ------------------------------------------------------
Dated: Address --------------------------------------------------
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FORM GIVING PARTICULARS OF DEVELOPMENT
(PART OF APPENDIX1 ------------ITEM 6)

1. (a) i) Full name of Applicant :_____________________________________________________

ii) Address of Applicant :_____________________________________________________
(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 reservations or road lines? If Yes ______________________________
Are these correctly an 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: TO INDICATE DETAILS ON THE SITE / BUILDING PLAN AS IN PROFORMA – I)

4. Are all plans as required under rule no 6.2 Enclosed? _____________________________________

5. (a) Is the plot part 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 or a part of
An approval layout? ______________________________________
(b) Please state Sanction Number and Date of Subdivision / Layout ______________________
6. (a) in what zones the plot fail? ______________________________________
(b) What is the permissible F.I.R. of the Zone ? ______________________________________
(c) What is the Number of tenements per hectare Permissible in the zone ?
_____________________
7. (a) is the use of every room is the proposed work marked_______________________________
(b) It is in accordance with the rules?
(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, Education buildings, markets and exhibition halls etc?
_______________________________________________________________________________

th
*Modification vide Govt. of Mah. Gazette notification dated 9 April 2001.
If the work is in connection with an industry:
(i) Please briefly described the main and accessory process _____________________________
(ii) Please state the maximum number of workmen and the total ___________________________
Horse power likely to be employed per shift in the factory _____________________________
(c) Under what industrial classification dose it fall
(Reference to relevant regulation should be given ___________________________________
(d) Is the proposal for relocation of an existing industry ______________________________
If so give the name and address of existing industry ______________________________
(e) Will the building be at 10 m away from the boundary of a residentional and commercial?
zone ? __________________________
(f) Is the proposal for service industrial estate on a plot reserved For service industries?_____
(g) Nature and quantum of industrial waste /effluents and method of disposal. ____________
9. (a) what is the average ______________________________
(i) Prescribed width? ______________________________
(ii) Existing width of 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? ______________________________
(i) Above the centre of the street ______________________________
(ii) Above the average ground level of the plot ______________________________
(c) Dose it comply with the Rule No. 15.5 ? ______________________________
10. (a) if there are existing structures on the plot ______________________________
(i) Are they correctly marked and numbered on the site Plan? ___________________________
(ii) Are those proposed to be demolished immediately and colored yellow? _______________
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(iii) What is the plinth area and total floor area of all existing structure to be retained? (Please append
statement I give details) ________________________________________________
(iv) What is the number of existing tenement in the structure
To be retained ? _____________________________________________________
(b) What is the plinth area and total floor area of the proposed work? (Please append
Statement I give details) ______________________
(c) What is the number of tenements proposed? ______________________
NOTE : TO INDICATE DETAILS ON THE BUILDING PLANS IN PROFORMA 1
11. (a) Please sate the plinth area and total floor area, existing and
Proposed( Total of item No.10 (a) (iii) and 10 (c) ______________________________
(b) Please state the overall F.A.R. (item 11 (a) divided by item 3(e) _________________________
(c) Dose the work consumed the full F.I.R. of the plot , as given in item
6(b) ? If not why not ?
(d) Is the Building proposed with setbacks on upper floor ? ______________________________
(e) What is the total number of tenements ? (Item 10(a) plus item 10(c) _____________________
NOTE : TO INDICATE DETAILS ON THE BUILDING PLAN AS IN PROFORMA 1
12. (a) what is the width of the open space? If the building about two or more streets, does the
Front open space comply with Rule No. 15.1.3 ? _____________________
(b) Please state which of the following rules is applicable for the front open spaces_______
N-2 1 to N-2 8
And does the front open space comply with that rule ______________________
13. (a) What is :
(i) The width of side open space(s) ? _____________________________________
(ii) The width of 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 as required under Rule No. 15.1.6?
_____________________________________
14. If the plot is narrow, which clauses under Table no 31 or 32 do you’re proposed to taken advantage of
(Whatever applicable) ? _____________________________
15 (a) what are the dimensions of the inner or outer chowk ? _____________________________
(b) (i) is any room dependent for its light and ventilation on the chowk ? If so, are the dimensions are
required for each wing of the building? ______________________________
(ii) if not, is the area equal as per Rule no. 15.2 ________________________________
16. If the area of the buildings is grater the 14 meter above the average ground level, is provisions for lifts made?
(a) If so, give details of light. _____________________________________
Type passenger No. of lifts Types of Doors
Capacity

(1) (2) (3) (4)

(b) Details of fire lift. ___________________________________

17. (a) does the building fall under purview of rule No. 6.2.6.1 ?
(b) If so, does the proposed fire protection requirement confirm to Appendix P ? __________ (c)
if not give reasons for non Conformity
a) ___________________________________ ___________________________________
b) ___________________________________ ___________________________________
c) ___________________________________ ___________________________________
d) ___________________________________ ___________________________________
18 (a) (I) what are the requirements for parking spaces under the Rules ? _________________
(ii) How many are proposed ? ___________________________________
(iii) How many lock up garages are proposed? ___________________________________
(b) (i) Are loading unloading spaces necessary under Rule No 16.5 ? __________________
(ii) if so, what is the requirements ? ___________________________________
(iii) How many are proposed? ___________________________________
NOTE : TO INDICATE DETAILS ON THE BUILDING PLAN AS IN PROFORMA 1
19. (a) (I) what are maximum widths of Balcones ? ___________________________________
(ii) Will they reduce the required open space to less than the provisions of Rules ? ____
(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, comice, eaves or other projection? ________________________
(c) (i) Are any porches / Canopies proposed? ___________________________
(ii) Are they in compliance with Rule No. 15.4.1 ___________________________
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20. (a) What is the width of the means of access ? ________________________________
(b) What is the clear height? ________________________________
(c) Will it be paved, drained and kept free of encroachment _____________________________
21. Is recreational or amenity open space provided as required under Rule No. 13.3 ? __________ __________
22. (a) Are any accessory building proposed ? If so for what purpose _________________________
(b) What are their heights? ______________________________
(c) Are the 7.5 m away from the street of front boundary and if ___________________________
Located within the open spaces 1.5 m from their boundary?
(d) Is their area calculated in F.A.R.? ____________________________
23. (a) what is the proposed height of the compound / boundary wall is it at a junction? ______
(b) Is it in compliance with Rule 17.16? ______________________________
24. (a) is the proposal in the Air Port Zone? _____________________________
(b) Is a “No Objection Certificate” for height and character of smoke from Chimneys Obtained?
in compliance with rule No. 15.5 ? _____________________________
25. Dose the proposal fall in any of the restricted Zones? _____________________________________
26. a) does any natural water sources pass through the land under development? _____________
b) Is the necessary setback provided as per Rule No. 11.1 ______________________________
27. Is the plinth level proposed to be above the level of the surrounding ground level? _____________
28. The details of the materials to be used in construction with specification are as below
29. The details of the materials to be used in construction with specification are as below:
Roofs ------------------------------------------------------- _______________________________
Floors------------------------------------------------------- _______________________________
Walls ------------------------------------------------------- _______________________________
Columns -------------------------------------------------- _______________________________
Any other material------------------------------------- _______________________________
30. The Number of water closet, urinal, kitchens, baths, to be provided are follows:
Water closets Baths Urinals Kitchens
Existing ------------------------ ----------------------- ------------------------ ------------------------
Proposed----------------------- ----------------------- ------------------------ ------------------------
31. Details of the source of water to be used in the construction _______________________
32. Distance from the sewer _______________________
33. How much municipal land will be used for stacking building Material ? _________________
34 Please explain in details in what respect the proposal does not _______________________
Company with the Development control Rules and the reason therefore
Attaching a separate sheet if necessary _______________________

I hereby declare that I am the owner/lessee/Mortgagee in possession/ ----of the plot on which the work is
proposed and that the statement made in this form are true and correct.
Date:

Signature of owner -----------------------------------

Name ----------------------------------------------------
Address ------------------------------------------------
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Form the certificate to be signed by the Architect/ Licensed Engineer / Structural

Engineer / Supervisor employed by the Applicant
I (Name ------------------------------------------------------------------------------------------------------------------------------)
Have been Employed by the applicant as his Architect / Lincensed Engineer / Structural engineer /Supervision. I have
examined the boundaries and the area of eh plot and I do hereby applicant who is the owner /lessee/ mortgagee in
possession of the plot as in the above form and the attached statement 1 and 2 found them to be correct.

Date. Signature
Architect / Licensed Engineer /Structural Engineer /Supervisor
Address___________________________________________
__________________________________________________
__________________________________________________

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NOTE : TO INDICATE ON BUILDING PLAN AS IN FROM II
CERTIFICATE OF AREA

Certificate that the plot under reference was surveyed by me on and the dimensions of sides etc. of plot
stated on plan are as measured on site and the area so worked out is tallied with the area stated in document of
___________________________ownership / T.P. scheme Records/ land Records Deptt. / City survey Records.

Signature of Architect / Licensed

Engineer / Structural Engineer / Supervisor.
Description of proposal & property
Name of owner
Job No. Drg. No. Scale Drawn By Checked by North Line

Signature
(Architect / Licensed Engineer /Structural Engineer /Supervisor)
Address___________________________________________
__________________________________________________
__________________________________________________

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APPENDIX-B
(Regulation No. 6.2.9)
FORM FOR SUPERVISION
To
The Building Engineer, NIT (E/W/N/S) / Nagpur.

Sir,
I hereby certify that the development /erection / re-erection / demolition of material alteration in /or Building
No…………….on/ in plot No………………………….No…………………………….in block
No…………………………………..situated at road/Street ………………………City No. ………………………………..shall be
carried out under my supervision and I certify that all the materials ( type and grade ) and the workmanship of the work
shall be generally in accordance with the general specification submittedAlong with, and that the work shall be carried
out according to the sanctioned plans. I Shall be responsible for the execution of the work in all respects.

Signature
Architect or Licensed Engineer / Structural Engineer / Supervisor
Name (in block letters)………………………………………………………….
Address ……………………………………………………………………………
Date:

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 (Clause 12.2.8 of NBC and Clause 22 Nagpur City DCR 2000)
FROM FOR CERTIFICATE FOR STRUCTURAL DESIGN SUFFICIENCY

With respect to the building work of erection, erection or for making alteration in the building No.
…………………………………or to ……………………………………or / in Plot no. ……………………..Kh. No.,
…………………………Mouza………………………………Tah.………………………Colony / Street …………………………….
MOHALLA/ BAZAR/Road/ ……………………………..City ……………………………….we certify that the structural Plans
and details of the building submitted for approval satisfy the structural safety
requirements for all situations including natural disasters, as applicable , as stipulated under Part 6 Structural Design
for the National Building Code of India and other relevant codes ; and the information given therein is factually correct
to the best of our knowledge and understanding and Structural work shall be carried out under my supervision and I
shall be responsible for Structural work in all respect.

No. of floors : ……………………………………………

Height of building : ……………………………………

Signature of owner Signature

With date Registered Engineer/Structural Engineer
Date and registration No.
Name (in block letters)……………………………………. Name (in block letters)…………………………………….
Address ……………………………………………………. Address ……………………………………………………
……………………………………………………………….. ………………………………………………………………..

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