Bhubaneswar Development Authority, Bhubaneswar
Items marked with * are mandatory 1 Sq. ft = 0.09290304 sq mtr 1 Ft = 0.3048 mtr 1 Acre = 4046.85642 Sq.Mtr.. = 43,560 Sq.ft
APPLICATION FORM
Proposal Information____________ Owner's / Applicant's Information * Name of the Applicant : * Name of Builder/Developer : * Permanent Address : Email ID : * Name of the Owner : * Address for Communication. : * Mobile No. (For SMS) :
Case Information *Case Type : [New Construction / Addition/Alteration / Renewal/Revalidation / Compounding /
Demolition / Re-construction]
* Permission For :
*No's of storey:
* Proposed Project: [ Building Plan /
Layout Plan / Apartment / Group Housing / Farm House / Integrated Township]
*Tenancy :
[Lease hold / Free hold / Sitiban]
* Date :
* Proposal Type:
[Residential / Commercial / Residential -Commercial / Office Staff Quarters / Industrial /Public/Semi Public (Institutional) /Utility Services]
Scheme Information Is Scheme available? : Yes No
AutoDCR File Drawing detail Drawing type : PreCDR Drawing Manual Drawing
[Only one has to be tick marked by the applicant] For PreDCR Ensure drawing is in PreDCR format
* AutoCAD File [PRE Formatted] :
Architect Information Name : C.A.No. : Email ID : Valid upto : Empanelment No. : Mobile No.
Road Details Approach Road Nature of Road : Whether such connection is available in settlement sheet : Is approach Road Connected to an existing public road in site plan : Width of the Road As per Site Plan/ Development Plan :
Plot and Building details
* Village / Mouza Name * Division : * Plot No. : Thana No. : Building Name : * No Of Dwelling Units : * Plot area as Per Document (Sq.Mtr.) : * Total built-up Area (Sq.Mtr.) : Net Built up Area (Sq.Mtr.) : * Total Plinth Area (Sq.Mtr.) : Whether plot effected by : Is Plot within Airport Funnel Zone : Yes No Distance of plot from Airport funnel zone : Distance of plot from Transition Zone : Monument Distance :
* D.P.A. : Organization Name : Khata No. : Ward No. : * Building height : Holding No. : Plot area as Per Possesion (Sq.Mtr.) : * Exempt built up area for FAR calculation (Sq.Mtr.) : * FAR (Floor Area Ratio) :
Permissible Height allowed in NOC :
Is Airport Transition Zone : Yes No Any Monument near plot Is plot within 200 mtr. radius :
Document checklist Page No Four Set of Building Plan Ownership Document Supervision Certificate in form Part II Affidavit for Peaceful Possession Structural Stability Certificate NOC form Lessee in case of ease hold NOC from Fire Prevention Officer NOC from Airport Authority Environmental Clearance Checklist of Proposed Building Any other certificate /NOC Land use information sheet from BDA is enclosed showing the proposed Plot NOC from neighbor enclosed
I hereby confirmed that above said information is correct.
Applicant Signature