322

ANNEXURES TO G.O.Ms.NO. 168 M.A. & U.D, DATED: 07.04.2012

ANNEXURE VI
(Rule-15.a.vii)
GOVERNMENT OF ANDHRA PRADESH
ABSTRACT
Conservation and Harvesting of Rain water Structures in construction of buildings in all Municipal Corporations /
Urban Development Authorities / Municipalities - Orders - Issued.
-----------------------------------------------------------------------------------------------------------------------------------------------------MUNICIPAL ADMINISTRATION & URBAN DEVELOPMENT (M1) DEPARTMENT
th

G.O.Ms.No.350 M.A.,
1.
2.
3.

Dated:9 June,2000
Read the following:G.O.Ms.No.422 M.A., dt.31.07.1998.
G.O.Ms.No.423 M.A., dt.31.07.1998
G.O.Ms.No.611 M.A., dt.26.10.1999
* * *

ORDER:The ever increasing population and its increasing trend concentration in urban areas has a direct effect on
the availability of water. The excess tapping of ground water and absence of its recharge has lead to depletion of
ground water table to greater extent. This is evident from the increasing number of dry bore wells and digging of
bore wells to a greater depth of every new bore well that is taken up. Most of the urban area is in their paved or
covered by buildings leaving little scope for charging the ground water during the monsoons.
st

rd

Keeping in view the above, provisions have already been made in G.O.s 1 to 3 read above that it is
mandatory to provide required facilities land infrastructure for conservation and harvesting of rain water in all Group
Housing and commercial
Further there have been number of representations and provisions from environmentalists to make it
mandatory the provisions of such rain water harvesting structure of all types or buildings including residential
buildings as large parts of the towns are covered by residential layouts.
Government after careful examination of the matter decided to make the provisions for rain water
harvesting contained in the third read above as mandatory for all categories of proposed buildings including
residential buildings on the interest of rural public. Accordingly the following orders issued.
1.

2.
3.

The Competent Authorities i.e., Director of Town and Country Planning, Vice Chairman of Urban
Development Authorities, Commissioners of Municipal Corporations/Municipalities shall insist for
facilities and infrastructure for conservation and harvesting rain water in all layouts and sub division for
sanctioning the same.
Every building proposed for constructing plots having extent of 300 Sq. Mtrs. and above shall be
provided with required facilities and infrastructure for conservation and harvesting of rain water viz.
Part-A is compulsory and part-B & C or D is optional.
All existing buildings in Municipalities / Municipal Corporations shall construct rainwater harvesting the
structure within a period of one year from the issue of this G.O.

Percolation pits or Trenches

The paved surface around the building shall have percolation pits or Trenches or combination of pits &
Trenches in such a way that total volume of such structure shall not less than 6 cum for each 100 Sq.Metres of roof
top area and multiples there on. Depending on the geomorphological and topographical condition, the pits can of
size 1.2m wide x 1.2 m long x depth of 2 to 2.5 m. The trenches can of width of 0.6 x length of 2 to 6m x depth of
1.5 to 2.0 meters terrace water shall be channeled, to pits and or trenches. The pits shall be back filled with filter
media comprising of the following materials.
i)
ii)
iii)
iv)
v)
vi)
vii)

40 mm Road metals the bottom layer upto 50% of the depth.

20 mm road metal as the lower middle layer upto 20% of the depth.
Course sand as the upper middle layer upto 20% of the depth.
Top 10% of the Pits/Trenches will be empty and a splash pad is to be provided in such a way that
roof top water falls on the splash pad.
Brick masonry wall is to be constructed and cement mortar plastered on the exposed surface.
The depth of wall below the ground shall be in such a way that the wall prevents loose soil going
into pits/Trenches. The projection of the all above ground could be minimum of 15 cm.
Perforated concrete slabs shall be provided on the pits and trenches.

Terrace water collection

The terrace shall be connected to a sump or the wall through a filtering tank by PVC pipe. A value system
shall be incorporated to enable the first part of the rain water collected to discharge out to the ground, if it is dirty.
A filtering tank measuring 1mx1mx1m meter can be constructed near sump. The tank can divided by a
potion slab and the one part shall be filled by fine sand and
by course sand. The bottom portion of the tank
should have a slope to avoid stagnation of water.
Open ground;-

323

Whenever there is a open ground, the top soil shall be removed over a portion of the ground and back
filled with course sand to allow percolation of rain water.
(or)
Any other methods proved to be effective in conservation and harvesting of rainwater may be adopted each and
every construction taken up.
The Commissioners of all Urban Local Bodies shall open a "rain water harvesting cell" to motivate existing
building owners to implement the scheme before the arrival of monsoons and take up area wise interactive
programme at regular intervals to educate the people on the importance of Ground water recharging and Rain
water Harvesting / Water Conservation.
Failure to follow the above orders by the concerned and for penal action u/s 41 of A.P. Urban
Development Authority Act,1975 or U/s 596 & 597 of Hyderabad Municipal Corporation Act, 1955 or U/s 340 of A.P.
Municipalities Act, 1965 as the case may be.
A copy of this order is available on the interest and to be accessed of the address http://apts.gov.in/apgos.
(BY ORDER AND IN THE NAME OF THE GOVERNOR OF ANDHRA PRADESH)

N.S.HARIHARAN
PRINCIPAL SECRETARY TO GOVERNMENT

324

ANNEXURE VII
(Rule-3(i)
LIST OF MAJOR / HISTORIC TEMPLES WHERE IN RESTRICTION ON BUILDING ACTIVITY
Sl.No.

Name of the District

Name of the Town

Name of the Temple

4
Sri Lakshmi Narasimha Swamy
Temple
Sri Satya Sai Prasathi Nilayam

1
1

2
Ananthapur

Kadiri

Ananthapur

Puttaparthi

Ananthapur

Tadipatri

Ananthapur

Tadipatri

Chittoor

Kanipakam

6
7
8
9
10
11

Chittoor
Chittoor
Chittoor
Chittoor
Chittoor
Chittoor

12

East Godavari

Srikalahasthi
Tirumala
Tirupathi
Tirupathi
Tiruchanur
Srinivasa
Mangapuram
Annavaram

13
14
15
16

East Godavari
East Godavari
Guntur
Guntur

Draksharaama
Samalkot
Amaravathi
Mangalagiri

17
18

Karimnagar
Khammam

Vemulawada
Bhadrachalam

19

Krishna

Vijayawada

20
21

Kurnool
Kurnool

Mahanandi
Srisailam

22

Nalgonda

Yadagirigutta

23

Nellore

Nellore

24
25
26
27
28

Nizamabad
Prakasam
Rangareddy
Srikakulam
Vishakhapatnam

Basara
Markapur
Chilkur
Arasavelli
Simhachalam

29
30
31
32
33

Warangal
Warangal
Warangal
West Godavari
West Godavari

34

West Godavari

Palampet
Warangal
Warangal
Dwaraka Tirumala
Gunupudi
Bhimavaram
Palkol

35

YSR Kadapa

Kadapa

Sri Bugga Rama Lingeswara Swamy

Temple
Sri Chintala Venkataramana Temple
Sri Varasiddi Vinayaka Swamy
Temple
Sri Kalahasthiswara Temple
Sri Venkateswra Swamy Temple
Sri Govindaraja Swamy Temple
Sri Kodandarama Swamy Temple
Sri Padmavathi Ammavari Temple
Sri Kalyana Venkatewara Swamy
Temple
Sri Veera Venkata Satyanarayan
Swamy Temple
Sri Bheemeswara Swamy Temple
Sri Someswara Swamy Temple
Sri Amareswa Swamy Temple
Sri Pankala Laxmi Narasimha Swamy
Temple
Sri Raja Rajewara Swamy Temple
Sri Seeta Ramachandra Swamy
Temple
Sri Durga Malleswara Swamy Vari
Devasthanam
Sri Mahanandeswara Swamy Temple
Sri Bramarambika Mallikarjuna
Swamy Temple
Sri
Lakshminarasimha
Swamy
Temple
Sri Talpa Ranganayaka Swamy
Temple
Sri Gnana Saraswathi Temple
Sri Chennakesava Swamy Temple
Sri Balaji Temple
Sri Suryanarayana Swamy Temple
Sri Varaha Narasimha Swamy
Temple
Sri Ramappa Temple
1000 Pillars Temple
Sri Badhrakali Temple
Sri Venkateswara Swamy Temple
Sri Someshwara Janardhana swamy
Temple
Sri Ksheera Rama Lingeswara Swami
Temple
Sri Venkateswara Swamy Temple

330
UNDER TAKING
(Notarized Under taking to be executed on Rs.100/- N.J. Stamp Paper)

I, .. S/o, D/o, W/o .. aged about ............. Years,

R/o . Situated at
.. ,
..(ULB)
do hereby solemnly affirm and state that;
I, submit that I am aware about the provisions contained in the Regulations under rules in force for Builder
/ Real Estate Developer / Firm License of ..(ULB)
I submit that, I possess the required qualification of Engineer as prescribed in Rule 3.1 of the Regulations
for Builder / Real Estate Developer / Firm License and I am with my free consent working in the company
.., I, further undertake all the responsibility as a Civil Engineer of the Firm and
will be responsible for all the projects done by my Firm. If any misrepresentation / violation on my supervision, I will
be held personally responsible for any consequences aroused now and in future and the competent authority is at
liberty to initiate any action upon me including cancellation of Builders License or any other action enforced by the
........................(ULB).
Signed & Sworn before me on this day of

WITNESS:
1.
2.
DEPONENT

338
APPENDIX - I
.(ULB)
BUILDING PERMISSION APPLICATION FORM
FILE No.

Date:

___.___._______

To,
The Commissioner,
..(ULB),
.
(Use CAPITAL LETTERS only)

ADDRESS OF THE APPLICANT

Name

Door No./Flat No.

Road/Street

Village & Mandal

City/ Town

District

Phone / Mobile No.

e-mail

LOCATION OF THE PROPOSED SITE

Plot Nos.

Sanctioned Layout No. /

LRS No.

Survey No./Village

Premises / Door No.

Road/ Street

Ward No./ Block No.

Locality

Circle/ Division

City/ Town/ District

DETAILS OF THE PROPOSED CONSTRUCTION

Site Area
(in Sq. m)

No. of
Floors

Floor Area (in Sq.m)

Parking floor area

Use of the Building

PIN

(a) As per
Documents

Cellar

(b) As per submitted

Plan

Stilt

(c) Road Widening

Area

Ground

(d) Net Area

Upper Floors

Total

Individual Residential/ Group Housing/ Commercial/ Institutional/ Row Housing /

Others (specify) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

339

DETAILS OF THE LICENSED TECHNICAL PERSONNEL:

D
Sl.
No

Address

Name

License No.

Builder / Developer

Architect/ Engineer/ Surveyor

Structural Engineer

CERTIFICATE
I/ we declare that I am / we are the absolute/ owner/ owners/ lessee of the land on which I/we intend to erect the Building
and am / are enclosing copies of relevant document of ownership/ lease certified by Magistrate/ Notary public/ a Gazetted
Officer authorized by the Commissioner in this behalf.
I/ we have gone through the Building Regulations made under the provisions of the A.P. Building Rules-2012Aand have
satisfied myself/ ourselves that the site and building plans are in accordance with provisions contained therein.

Sl.No.

Name of Owner / Developer / License Technical

Personnel

.....................................................................
Owner / Owners / Lessee / Authorised Agent

.....................................................................
Builder / Developer

.....................................................................
Architect/ Engineer/ Surveyor

.....................................................................
Structural Engineer

Signature

340

APPENDIX II
Notarised under taking to be executed
On Rs.100/- N.J. Stamp Paper
ROAD WIDENING UNDERTAKING

This undertaking is executed on this

the ....................
day of .
by.
W/o.R/o.
Situated
at
st
.. herein after called the 1 party which term shall include their
legal heirs, successors, assigns and tenants in favour of the Commissioner, (ULB), herein
nd
after called the 2
party which term shall include his representatives, agents, officials, staff of
(ULB).
st

nd

WHEREAS, the 1 party has applied to the 2 party for permission to construct residential /
commercial consisting of .. .floors at Plot /
H.No.
situated . . WHEREAS,
nd
the 2 party arty has put in a condition that:
The land and the existing structures are/is getting effected in road widening throughout the frontage of the
plot admeasuring.Sq.m should be surrendered to the (ULB) for road widening
before releasing the approved plan free of cost without claiming any compensation towards the land and the
structures existing on the road widening site.
The first party in token of accepting the above conditions hereby undertake that they are herewith handing
over the physical possession of the strip of land to the Commissioner, (ULB) on this day of
at free of cost before commencing the construction without claiming any compensation towards
land and structures. The above undertaking is executed by me with free will and due consciousness for having
obtained permission for the construction of residential / commercial building in the Plot / H.No.
situated at

Witness:

Parties of 1

1)

1)

2)

Sworn & signed before me.

Notary

st

part

341

APPENDIX III
Notarised under taking to be executed
On Rs.100/- N.J. Stamp Paper
Declaration cum under taking by the Owner
I

We

...,

aged

..,

Occupation

S/o.,

D/o.,

W/o.,

R/o.. do hereby declare and solemnly affirm as follows:

That

I/

We

are

the

owners

of

the

Site

Plot/H.No,

situated

at. bearing Sy.No.., corresponding to T.S.No..., Block

No.

.,

Wd.No.......

of

..Village

of..

Mandal

. District admeasuring Sq.m. and that we have applied for the building
permission

for

construction

of

Residential

/Commercial

Buildings

consisting

of

at the above said premises / site.

That I am / we are taking up the construction of the said building by myself / ourselves and that I am / we
are not entrusting the work to any builder or any other person.
I / We hereby under take that I am / We are solely responsible for execution of the building construction
work according to plan sanctioned by (ULB), under the strict supervision of the Architect,
Structural Engineer, and Site Engineer engaged by me / ourselves for the purpose.
Hence this declaration cum under taking.
In witness therefore, I / We execute this on this the ______ day of _______.

Place:
DEPONENT
Address:

Witness

1)

2)

342

APPENDIX IV
Notarised under taking to be executed
On Rs.100/- N.J. Stamp Paper
Declaration cum Under Taking by Owner and Builder

We

...,

aged

..,

Occupation

S/o.,

D/o.,

W/o.,

R/o.. do hereby declare and solemnly affirm as follows:

That

I/

We

are

the

owners

at
T.S.No...,

Block

No.

of

the

bearing

.,

Site

at

Plot/H.No,

Sy.No..,

Wd.No........

of

situated

corresponding

to

..Village

of.. Mandal . District admeasuring Sq.m. and that we have

applied for the building permission for construction of Residential /Commercial Buildings consisting of
at the above said premises / site.
That

we

have

entrusted

the

Construction

of

the

said

building

to

Builder / Construction firm, the details of which are as given below:

Name of the Builder
Construction Firm

Represented by

Present Address

Permanent Address

Regd. No. if any

That I am / We are also jointly and severely responsible along with Builders, Architect, Structural and Site
Engineer, for the execution of building according to sanctioned plan.
That I am / We are fully aware of the provision of the A.P. Building Rules-2012 and I / We undertake to
abide by the same.
DEPONENT
(Owner)

We

being

individual

firm

company

Society

represented

as

by

address

. have been entrusted to construct the building consisting of

for purpose in P.No. situated
at

by

the

owners

Sri.

Smt.

. On by virtue of a
Regd. Development Agreement (copy of which is enclosed herewith).
We hereby undertake to carryout and complete the construction strictly according to the plan sanctioned
by (ULB).
We are jointly and severely responsible for the execution of building according to sanctioned plan along
with owners and Architect, Structural Engineer & Site Engineer engaged by us for the purpose for the purpose of
supervision.
We are fully aware of all the provisions of A.P. Building Rules-2012 and hereby undertaking to abide by
the same.
Hence this declaration cum under taking.
In witness therefore, I / We execute this onday of.20.

343

DEPONENT
1. Builders
2. Owners
Witness:

Signatures of the Parties of 1

1)

1)

2)

2)

Sworn & signed before me.

Notary

st

part

344

APPENDIX V
Notarised under taking to be
executed On Rs.100/- N.J. Stamp
Paper
Under Taking by Owner and Builder
This under taking is executed
,(ULB) Jointly by:
Owners:
Sri
/

I.

Smt.

on

this

day

of

....................................,

D/o....,

S/o.,

at

W/o.,

Aged,

occupation..R/o.

P.No.

Locality.
..
II.

Builders :
(In case if it is entrusted to builder)
Name of the Builder:

Address:

.
.

Here in after called the parties of the Ist part, which terms shall include their legal heirs successors, agents,
assignees etc.
In favour of the Commissioner, ..(ULB) here in after called the 2
their representatives, agents, officers and staff of the ..(ULB).

nd

party, which term shall include

st

Whereas the parties of the 1 party have applied for the building permission for the proposed construction of
residential
/
commercial
building
consisting
of
..
at
D.No...situated at ...in accordance with the provisions of A.P.
Building Rules-2012.
Whereas the 2

nd

party imposed the following conditions for grant of the building permission:

st

That the 1 party shall not deliver the possession of any part of built up area of the above said building
proposed to be constructed
at the above site by way of sale / lease, unless and until occupancy certificate is
nd
obtained from the 2 party by providing all the regular service connections to each portion of the building requires
for occupation.
st

The 1 party in token of accepting thendabove conditions imposed by 2

2012 hereby undertakes and assures the 2 party that;

nd

party according A.P. Building Rules-

We will not deliver the possession of any part of the built up area of building constructed by us to any
nd
purchaser or tenant unless & until the occupancy certificate is obtained by us from this 2 party by submitting the
following:
a)
b)
c)
d)

Building Completion Notice issued by the Architect duly certifying that the building is completed as per the
sanctioned plan.
Structural stability certificate issued by the Structural Engineer duly certifying that the building is structurally
safe and the construction is in accordance with the specified designs
An extract of the site registers containing inspection reports of Site Engineer, Structural Engineer and
Architect.
Insurance Policy for the completed building for a minimum period of three years.

We the above named deponents do hereby solemnly affairs and certify that we have voluntarily
executed, this undertaking with free will signed on this day of 20.. in
presence of the following witness.
Witness:

Parties of 1

1)

1)

2)

2)

Sworn & signed before me.

Notary

st

part

345

APPENDIX VI

Notarised under taking to be executed

On Rs.100/- N.J. Stamp Paper
UNDER TAKING TO BE GIVEN BY OWNERS, BUILDERS AND LICIENCED TECHNICAL PERSONNEL
This

under

taking

is

executed

on

thisday

of

20

at

,(ULB) Jointly by:

I.

Owners:
Sri
/

Smt.

...................................

D/o....,

S/o.,

Aged,

.R/o.

P.No.

W/o.,

occupation
,

Locality.
..
II.

Builders :
(In case if it is entrusted to builder)
Name of the Builder:

Address:

.
.

III.

Architect:
Name of the Architect:

Municipal Reg.No.

Address:

.
.

IV.

Structural Engineer:
Name of the Structural
Engineer:
Municipal Reg.No.

.
.

Address:

.
.

Here in after called the parties of the Ist part, which terms shall include their legal heirs successors, agents,
assignees etc.
In favour of the Commissioner, (ULB), here in after called the 2

nd

party, which

terms shall include, their representatives, agents, officers and staff of the (ULB).
st

Whereas the persons 1 & 2 being parties of the 1 party have applied for the building permission for the
proposed construction of residential / commercial building consisting of ......floors at Plot/
H.No. situated at ..
Whereas the 2
I.

nd

party imposed the following conditions for grant of the building permission:

st

That the 1 party shall employ a site Engineer, who shall maintain a register in which, the site Engineer,
Architect and Structural Engineer shall record their comments at regular intervals i.e. at foundation level, and
at each roof, slab level, and submit the periodical report to the 2

II.

nd

party.

That the construction work shall strictly be proceeded with under the supervision of the Architect, Structural
Engineer and Site Engineer, without which it shall be treated as construction without permission.

III.

That in case Site Engineer / Structural Engineer / Architect is changed during the course of construction or the
Architect / Structural Engineer / Site Engineer disassociates themselves with ongoing project, the fact shall
immediately be reported to the 2

nd

party i.e. within seven days by registered post / in person along with

consent of newly engaged site Engineer / Architect / Structural Engineer.

V.

st

That all the parties of the 1 part viz. Owner, Builder, Architect, Structural Engineer and Site Engineer shall
jointly and severely be held responsible for the structural stability during the building construction.

346

st

nd

The 1 party in token of accepting the above conditions imposed by the 2

party here by under takes and

st

assures that all the above conditions will be strictly adhered too, and if the 1 party commits violation of any of the
above conditions, the 2

nd

party is at liberty to take action deemed fit.

We the above named deponent do hereby solemnly affirm and certify that we have voluntarily executed, this
under taking with free will and signed this day of 20 in presence of the
following witness.

st

Witness:

Signature of the Parties of 1

1)

1)

2)

2)

3)

4)

Sworn & signed before me.

Notary

part

347
APPENDIX VII

Notarised under taking to be executed

On Rs.100/- N.J. Stamp Paper
GENERAL U N D E R T A K I N G
This undertaking is executed on this day i.e. ..... of
by Sri / Smt. ...... S/o. / W/o. /
D/o.R/o..
...Situated at , herein after
st
called the 1 Party which term shall include their Legal heirs, successors, agents assignees and tenants in favour
nd
called the 2
party which term shall include their representatives, agents, officials, staff
of (ULB).
st

party
has
applied
for
permission
for
the
construction
of
WHEREAS,
the
1
in premises No. ..
nd
situated at . Whereas, the 2 party imposed the following conditions for granting the
permission for the building.
(A)

'
(B)

(C)

PARKING SPACE: The parking space is provided in the Building Cellar/Stilt floor for parking of vehicles and
it should not be converted (or) misused for any other purpose other than parking of vehicles and it should be
free from all cross walls / partition walls, and rolling shutters should not be erected at any time in future and
nd
st
the 2 party is at liberty to demolish (or) remove the same without any notice in case, if the 1 party violates
the undertaking executed.
BALCONY PROJECTIONS: The balconies shall not be enclosed by converting them as toilets/bathrooms or
including into rooms by reducing the mandatory open spaces and if any such constructions are made, the
nd
same would be removed by 2 party without giving any notices.
PAYMENT OF SPECIAL COLLECTION CHARGES FOR GARBAGE:
st

That the 1 party should pay special collection charges for garbage disposal as prescribed for garbage
refuse collection.
(D)

PAYMENT OF SPECIAL SANITATION FEE: That the 1st party should pay special sanitation fee for the
routine clearing and desilting of storm water drain.

(E)

STACKING OF BUILDING MATERIAL & DUMPING OF DEBRIS: That the 1st party should not stock the
building material and dump any debris on the road margin/ footpath or on (ULB)
or Government land.

(F)

NO. OF UNITS: The number of units permitted should not be increased and the building should not be
converted into group housing and sold at any time in future.

(G)

PERCOLATION PITS & TERRACE WATER COLLECTION: The paved surface around the building shall be
provided with percolation pits of 4' x 4' x 4' covering at least 30% of such area and provide terrace water
collection and open ground (otherwise required charges to be collected by the ULB).
ST

THE 1 PARTY IN TOKEN OF ACCEPTING THE ABOVE CONDITIONS IMPOSED BY THE 2

HEREBY UNDERTAKE THAT:
(a)

(b)
(c)
(d)
(e)
(f)
(g)

ND

PARTY

The parking space provided in the stilt / cellar for parking of vehicles in the Residential flats / Commercial
complex will not be converted (or) misused for any other purpose other than parking and it will be free from
nd
any partition walls /cross and rolling shutters will not be provided at any time in future and the 2 party is at
liberty to demolish (or) remove the same if provided without any notice.
That the balconies will not be converted into toilets, bath & WCs, Staircase, landing or convert into rooms
nd
etc., and if any such construction is made the 2 party is at liberty remove them without any notice.
That I / We or Purchaser of the flats / shops etc., will pay the special collection charges for the garbage
nd
disposal as prescribed for garbage refuse collection on demand from 2 party.
That I / We or Purchaser of the flats / shops etc., will pay the special sanitation fees for the routine clearing,
nd
desilting of storm water drain on demand from 2 party.
That I / We will not stock the building materials and do not dump debris on the road margin, foot-path and on
nd
st
Municipal Land and the 2 party is at liberty to remove / seize such material or impose fine on 1 party.
The number of units permitted will not be increased and the building should not be converted into group
housing and sold.
That he / she will provide percolation pits of size not less than 4' x 4' x 4' size in the paved surface of the
building, covering at least 30% of such area and the pits shall be filed with small pebbles or brick jelly or river
sand and covered with perforated concrete slabs. Further terrace water collection and open ground will be
provided depending on the site conditions.
st

If the 1 party violates any of the above condition, the 2

nd

party is at liberty to take any action deemed fit.

FIRST PARTY

WITNESSES:
1.
2.
VERIFICATIONS:

348

I, the above named deponent do hereby solemnly affirm and certify that I have voluntarily executed this
Affidavit/Undertaking and that its contents are true to the best of my knowledge.

Verified on this day of ... at ...

Place:
DEPONENT
Address:
ATTESTED BY:

349

APPENDIX VIII
(Under taking with reference to quality of material / workmanship and supervision as per NBC)
Notarised under taking to be executed On Rs.100/N.J. Stamp Paper
To
The Commissioner,
.(ULB),

Sir,

I hereby certify that the erection, re-erection of material, alteration, demolition in/of building premises
No. shall be carried out under the supervision and
further I certify that all designs, constructions and the materials (type and grade and workmanship) of the work shall
be generally in accordance with the general and detailed specifications submitted along with and as per standards
specified by the National Building Code and Bureau of Indian Standards and that the work shall be carried out
according to the sanctioned plan.
We, the undersigned are held responsible for structural and other safety of the building during construction
and after completion. The structural design including Geo-Technical aspects shall be in accordance with the
National Building Code of India. All materials and workmanship shall be a good quality confirming to the Bureau of
Indian Standards Specifications and codes. Accordingly, the (ULB) can processed for the legal action if any
such structural failures occur during of after the construction.
1)

Signature of the Site Engineer

Name and Address with Regn.

2)

Signature of the Architect

Name and Address with Regn.

3)

Signature of the Structural Engineer Name and

Address with Regn.

4)

Signature of the Builder / Contractor name and

Address with Regn.

5)

Signature of the Land Owner

name and Address

Witness:
1)
2)
Sworn & signed before me.
Notary

350
APPENDIX IX

FORM FOR SUPERVISION OF BUILDING WORK

(Notarised under taking to be executed on Rs.100/- N.J. Stamp Paper)

To
The Commissioner,

Date

dd

mm

yyyy

.(ULB)
Sir / Madam,
I hereby certify that the erection, re-erection or material alteration or demolition at House/ Premises No/ Plot
as given below shall be carried out under the supervision of a qualified person and I certify that all the materials (Type and
grade and the workmanship of the work shall be generally in accordance with the general and detailed specifications
submitted along with, and that the work shall be carried out according to the sanctioned plans.
(Use CAPITAL LETTERS only)

A
B
1
2
3
4
5
6
7
8
9
C
Sl.
No.

NAME OF THE APPLICANT

LOCATION OF THE PROPOSED SITE
Plot No.
Sanctioned Layout No. / LRS No.
Survey No.
Village
Premises / Door No.
Ward No.
Block No.
Road/ Street
Locality
Circle
Division
City/ Town
District
DETAILS OF OWNER / DEVELOPER / LICENCED TECHNICAL PERSONNEL
Name
Licence No.

.
Owner / Owners / Lessee / Authorised Agent

.
Builder / Developer

.
Architect/ Engineer/ Surveyor

.
Structural Engineer

Signature

Witness:
Name

Signature

1)

2)

Sworn & signed before me.

Notary

354

APPENDIX XI

BUILDING COMMENCEMENT NOTICE

(To be submitted by Owner/Builder/Developer)

To
The Commissioner,

Date

dd

mm

yyyy

.(ULB)
Building Permit /
Date dd
mm
yyyy
Ref: Proceedings No
FILE No.
Sir / Madam,
I/We hereby give notice that the work of the construction will be commenced on (Date) . as per the details
of the Sanctioned Plan as given below. (Due date for commencement of work is given in Building Permit Order)
A

NAME OF THE APPLICANT

B
1
2
3
4
5
6
7
8
9
C

LOCATION OF THE PROPOSED SITE

Plot No.
Sanctioned Layout No. / LRS No.
Survey No.
Village
Premises / Door No.
Ward No.
Block No.
Road/ Street
Locality
Circle
Division
City/ Town
District
DETAILS OF THE SANCTIONED PLAN
Building Permit /
Proceedings No

1
2

Site Area (m )

4
5
6
7

Floors as per
Sanctioned Plan
Number
Use
2
Floor Area (m )
2
Parking Area (m )

Setbacks (m)

9
D
Sl.
No.

Date

dd

mm

yyyy

As per Documents

As per submitted Plan

Road Widening Area

Net Area

Cellar

Stilt

Ground

Upper Floors

Front

Rear

Side I

Side II

Height (m)
DETAILS OF OWNER / DEVELOPER / LICENCED TECHNICAL PERSONNEL
Name
Licence No.

.
Owner / Owners / Lessee / Authorised Agent

.
Builder / Developer

.
Architect/ Engineer/ Surveyor

.
Structural Engineer

Signature

355
APPENDIX XII
(ULB)

BUILDING COMPLETION NOTICE

(To be submitted along with other relevant documents)

Date
dd
mm yyyy
To
The Commissioner,
.(ULB)
Building Permit /
Date dd
mm yyyy
Proceedings No
Ref: Building Commencement Notice submitted by the Applicant
Date dd
mm yyyy
FILE No.
I/ We hereby give notice that the erection of the building / erection of works have been completed as per Sanctioned
Building Plan. The work has been completed to my/our best satisfaction. The workmanship and all the materials (type
and grade) have been used strictly in accordance with general and detailed specifications. No provisions of the Building
Bye-Laws/Rules, conditions prescribed or orders issued thereunder have been transgressed in the course of the work.
I/We hereby enclose the plan of the building completed in all aspects. The land is fit for which it has been developed or
redeveloped and the building is fit for use for which it has been erected, re-erected or altered, constructed and enlarged.
The necessary occupancy certificate may be issued. Any subsequent changes from Completion Drawings will be the
responsibility of the owner(s).
(Use CAPITAL LETTERS only)

NAME OF THE OWNER / DEVELOPER

B
1
2
3
4
5
6
7
8
9
C

Plot No.
Sanctioned Layout No. / LRS No.
Survey No.
Village
Premises / Door No.
Road/ Street
Ward No.
Block No.
Locality
Circle
Division
City/ Town
District

1
2
3
4

9
D
Sl.
No.

LOCATION OF THE PROPOSED SITE

DETAILS OF THE COMPLETED BUILDING

Building Permit /
Proceedings No.
a Due date for completion of the building
b Date on which completion notice submitted
c Whether it is completed within the stipulated time
d If No, the Fine to be paid
As per Documents
As per submitted Plan
Site Area (m2)
No. of Floors
a As per Sanctioned Plan
b As per Completed Building Plan
Use of the Building
a As per Sanctioned Plan
b As per Completed Building Plan
Floor Area (m2)
a As per Sanctioned Plan
b As per Completed Building Plan
Parking Area (m2)
a As per Sanctioned Plan
b As per Completed Building Plan
Setbacks(m)
a As per Sanctioned Plan
b As per Completed Building Plan
c Extent of deviation in %
d Fine to be Paid (Rs)

dd

mm

y yyy

Date
Date

dd
dd

mm
mm

y yyy
y yyy

Yes
Road Widening Area

No
Net Area

Cellar

Stilt

Ground

Upper floors

Front

Rear

Side I

Side II

As per Sanctioned Plan

Height (m)

Date

As per Completed Building Plan

DETAILS OF OWNER / DEVELOPER / LICENCED TECHNICAL PERSONNEL

Name

.
Owner / Owners / Lessee / Authorised Agent

.
Builder / Developer

.
Architect/ Engineer/ Surveyor

Licence No.

Signature

356

.
Structural Engineer

Enclosures:
1.
2.
3.
4.
5.

Copy of the Sanctioned Plan

Copy of the Building Permit Order
Copy of the Completed Building Plan showing the changes if any to Approved Building Plan along with a
statement of deviations.
Photographs of constructed building showing setbacks on four sides, elevation and roof level
Land value certificate issued by the Revenue Department (If deviations are made to Sanctioned Plan)

358
APPENDIX XIV

Name of the Urban Local Body

TOWN PLANNING SECTION
BUILDING APPLICATION SELF-SCRUTINY STATEMENT
Sl.
No

FILE No.

Sl.
No

Sl.
No

Sl.
No

CSC

TP

Ward
No.

Circle
No.

Zone
No.

YYYY

Sub: Building Application for grant of permission for Construction of

................................................

Notice u/s 209 & 227 of APM Act, 1965 / 428 & 433 of HMC Act, 1955.
Date of submission at CSC
PART: I

dd

mm

yyyy

BASIC INFORMATION

ADDRESS OF THE APPLICANT

Name

Door No./Flat No.

Road/Street

Locality / Mandal

City

District

Phone / Mobile No.

e-mail

LOCATION OF THE PROPOSED SITE

10

Plot No.

11

Sanctioned Layout No. / LRS No.

12

Survey No.

13

Premises / Door No.

14

Road/ Street

15

Ward No.

16

Locality

17

Circle

Division

18

City/ Town

District

DETAILS OF BUILDER / LICENSED PERSONNEL

S.
No.

PIN

Village

Block No.

Name

Builder / Developer

Architect/Engineer/Surveyor

Address

License No.

Validity

359

Structural Engineer

Owner

DETAILS OF THE PROPOSED CONSTRUCTION

Site Area
(in Sq. m)

As per Documents
As on Ground

Total Floor Area

(in Sq. m)
Cellars

No. of Floors

Floor Area (in Sq. m)

Stilt

Ground

Mezzanine

Upper Floors

Group Housing

Commercial

Institutional

Others (specify)

Individual
Reside
ntial

Use of the Building

Height (m)

DETAILS OF DOCUMENTS

S.
No.
1
2
a
b
c
d
e
f
g
h
i
j
k
l
m
3
4

5
6
7

Excluding Parking Floor

From Ground Level

Document details
Building Application duly signed by the Owner, Builder, Architect, Structural
Engineer.
Building Plans (1 Tracing Cloth + 7 Ammonia Prints) duly signed by Owner,
Builder, Architect/Engineer/Surveyor, Structural Engineer
Location Plan (Topographical Plan) (scale 1:2000)
Contour Plan (in case of undulating terrain)
Site Plan (scale 1:200)
Detailed Drawings of each floor (scale 1:100)
Detailed Drawings of Parking Floors (scale 1:100)
Terrace Plan (scale 1:100)
Building Elevations (scale 1:100)
Cross Section (scale 1:100)
Longitudinal Section, (scale 1:100)
Plan showing rainwater harvesting pits (scale 1:100)
(as per G.O Ms. No.350 M.A dt.9.6.2000)

Mortgage Plan (scale 1:100)

Extract of Master Plan / ZDP
Extract of Road Development Plan / Junction Improvement Plan, if any
(scale 1:100)
Photographs (4) showing four sides of the site.
Fee & Charges Particulars (Challan / Demand Draft)
Rs.
Challan No.
Date
DD No.
Dt.
Bank Name:
Branch:
Declaration forms duly singed by the owner and attested by Gazetted
Officer.
Licence copy of Architect renewed by COA (or) Licence copy of the Town
Planner / Engineer / Surveyor issued by ULB attested by Gazetted Officer.
Licence copy of the Structural Engineer issued by ULB attested by Gazetted
Officer.

Not
required

Submitted

Not
submitted

360
8
9

Licence copy of the Builder / Developer issued by ULB attested by Gazetted

Officer.
Ownership documents (Two sets attested by Gazetted Officer)

10
11

Link documents (Attested by Gazetted Officer)

Latest Encumbrance Certificate issued by Registration Department

12

Previous Sanctioned Plan Copy

(if the existing building in the site was sanctioned previously)
Up to date Property Tax Receipt
N.O.C. from Airport Authority of India, if applicable.

13
14
15
18
19
20
21
22
23
24
25
26

27
28

N.O.C. & approved plans from Andhra Pradesh State Disasters Response &
Fire Services Department, if applicable
Rs.20/- Non-judicial stamp paper
Soil Testing Report.
Structural Stability Certificate issued by Licensed Structural Engineer.
Structural Drawings
Undertaking Rs.100/- Non judicial stamp paper duly stating whether the
construction is taken up by the owner.
Declaration-Cum-Undertaking on Rs.100/- Non Judicial Stamp Paper from
the Owner and Builder.
Undertaking on Rs.100/- Non Judicial Stamp by Owner, Builder, Architect,
Structural Engineer (Duly Notarised).
Undertaking on Rs.100/- Non Judicial Stamp paper jointly by owner and
Builder seeking Occupancy Certificate. (Duly Notarised).
Joint undertaking on Rs.100/- Non Judicial Stamp paper for not stocking
Building materials on road margin not to enclose balconies, usage of
parking, payment of special sanitation charges, garbage charges and not to
increase number of units.
Comprehensive Insurance Policy for 3 years
Undertaking on Rs. 20/- NJS paper for handing over road widening portion
wherever applicable.

29
30

To be filled by CSC staff

Verified. All the required particulars submitted. The application is admitted & acknowledgement is issued.
File No. Assigned

CSC

TP

Ward

Circle

_Z

Signature of I/c CSC

BACK REFERENCES & OTHER DETAILS (to be filled by clerk)

Back
Referenc

Enclosed
File No.

e
2

Any other
relevant

Not enclosed as the back reference is not

traceable

Enclosed
File No.

files
3

Not enclosed as there is no back reference

Whether there is any court case connected with the

site or the proposals.

Signature of the Jr. Asst. / Sr. Asst.

Signature of the TPBO/TPS/TPO/TPA
/ACP

Not enclosed as there is no back reference

Not enclosed as the relevant files are not
traceable

yyyy

PART: II
A

LAND OWNERSHIP INFORMATION

Ownership Details
In support of ownership of title, the documents (attested by Gazetted Officer) submitted have been examined and the
details are tabulated as follows :

S.
No.

Doc. No.
& Date

Status

Vendor

Vendee

Sy.No. /
Plot No./ H.No.

Details of the certificate issued by Special Officer, Urban Land Ceiling Dept. (If applicable)

PART: III
A
S.
NO.
1
2
3
4

10

11

CERTIFICATES INFORMATION

Certificates / Clearances submitted

Govt. / Dept. / Agency
Govt. Orders, if any.
NOC from Collector / JC /
Tahsildar / Revenue Dept.
(Wherever required).
Previous sanction Plan, if
approved previously
NOC from AAI,
(wherever required)
NOC from Andhra Pradesh
State Disasters Response &
Fire Services Department,,
(wherever required)
Structural stability certificate
issued by the Competent
Authority
NOC from Police
Department (Traffic)
(wherever required)
Traffic Impact Study by
Qualified Consultant
(wherever required)
NOC from Heritage
Conservation Committee
(wherever required)
NOC from Irrigation
Department in case of lands
abut water bodies, Water
courses & nalas (wherever
required)
NOC from Revenue
Department in case of lands
abut water bodies, Water
courses & nalas (wherever
required)

12

NOC from Railways

(wherever required)

13

NOC from State

Environmental impact
Assessment Authority
(wherever required)

14

NOC from Defense Authority

(wherever required)

15

16
17

Schedule
of boundaries
E
S
W
N
E
S
W
N
E
S
W
N

Extent
(in Sq.m)

NOC from State Naval

Science and Technology
Laboratory, Visakhapatnam
(NSTL) (wherever required)
NOC from Oil / Gas
Authority
(wherever required)
TDR Certificate
(wherever required)

Memo / Certificate /
Letter Ref.

Details

Remarks

362

PART: IV

TECHNICAL INFORMATION

Details of the Proposals

History of the Case

(In case of revision / resubmission
/ additional proposals)

Govt. Orders and Rules applicable to the submitted proposals:

(Tick appropriate item)

Zoning Regulations

Appended to Master Plan

Building Byelaws

Appended to HMC Act, 1955 / APM Act 1965 /A.P. Building Rules-2012

G.O.Ms.No.508 MA, dt:15.11.02

Declaration of Commercial Roads in GHMC area

G.O.Ms.No.288 MA, dt:03.04.08

Extensive Modifications to Master Plan of HUDA

G.O.Ms.No.766 MA, dt:18.10.07

G.O.Ms.No.486 MA ,dt:07.07.2007

Categorization of notified commercial roads in GHMC area

Rules for Multiplexes 2007

6
7
8
9
10

Inspection Report
(To be filled by inspecting officer)

Inspected
on

Inspected the site and its surroundings and verified the

measurements, Schedule of boundaries documents etc. of the
site under reference.

Ground Position

Site falls in Approved Layout Area

Site is a Regularized Plot

Site falls in already developed area

Site falls in unapproved layout area

5
7
8
9
10

11
F

Plain Land / Undulated / Elevated from road level / Below the road level /

Site enclosed with Fence / Compound wall / No Compound wall / Boundary

Stones if no compound wall
Work Commenced / Not Commenced
If commenced, the status of construction at the time of inspection
Site Surrounded by (physical features)
EAST
SOUTH
WEST
NORTH
Whether the above physical features are
tallying / Not tallying with the schedule of the
Documents.

Restrictions of building activity in the

vicinity of certain areas: (Vide Rule 3)
Whether the site falls in the area where there
are restrictions of building activity as stated in
the A.P. Building Rules 2012.

YES

NO

Remarks

YES

NO

If yes, give the details and specify the action to be taken:

Location of the Site (vide rule 4 of A.P. Building Rules 2012)

SITES IN OLD/EXISTING BUILT-UP AREAS / CONGESTED AREAS / SETTLEMENT (GRAM

KHANTAM/ABADI)

363
Minimum
abutting
road
width
required
(in m)

Areas of Annexure I
A

Specify the area:

Ward
No.

Block
No.

Name of the Locality

All Buildings (Other than Group Housing)

9*
Maximum permissible up to 10m height
*In case of Sites in Category-A, if a Site is abutting to a road which is less than 9m in width, a building may be
permitted with a maximum height of 10m in such site, after leaving 4.5m from the Centre Line of such road for
widening and the same shall be handed over the Local Body and shall leave the prescribed setback as per Table-III
after the said road widening portion. No relaxations are permissible in such cases.
B

SITES IN NEW AREAS / APPROVED LAYOUT AREAS

The type of buildings & intensity of development shall be w.r.t. the abutting road width, viz.,

Specify the area:

Proposal falls in (Tick appropriate type)

B1

B2

B3

B4

Minimum abutting road width required (in m)

9**

12

18

30m & above

Ward
No.

Block
No.

Name of Locality

Road width as per ground position

**In case of Sites in Category-B, if a Site is abutting to a road which is less than 9m in width, individual residential
building may be permitted with a maximum height of 12m, after leaving 4.5m from the Centre Line of such road for
widening and the same shall be handed over to the Local Body and shall leave the prescribed setback as per Table-III
after the said road widening portion. No relaxations are permissible in such cases.
IF THE PROPOSALS ARE FOR HIGH RISE BUIDLING,
YES
NO
WHETHER IT IS PERMISSIBLE IN THE SITE
REMARKS

Land Use

Whether the Extract of Land Use Map of MP/ZDP is

enclosed

Land Use in which the site falls as per of MP/ZDP

Proposed Use of the Building

Whether permissible as per Zoning Regulations

Whether the site falls in the category of the uses

permissible as per

GOMS.NO.508 M.A. dt 15.11.02 (in GHMC area)

b
c
d
e
f
I
1

GOMS.NO.766 M.A. dt 18.10.07 (in GHMC area)

YES

NO

YES

NO

Access ( in m)

Direction

Min.
required
road
width

Existing
road
width

Proposed road
width as per
ZDP/RDP/MP/
as per rule4(b)/(c)

Affected in road widening

Remarks
Depth

Area (Sq. m)

East
South
West

YES

North
If the site u/r is affected in road widening, whether the road affected portion has
been handed over already?
Whether the road is already formed in the widened portion

YES

NO

Whether the road widening portion has been handed over free of cost by the

YES

NO

NO

364

applicant in full extent. If yes, when was it handed over?

Whether the applicant has agreed to hand over the advance possession of the
area affected physically at site free of cost through a prescribed undertaking and
plan showing affected area.

YES

NO

Whether the applicant is eligible to claim any relaxations as per rule -16

YES

NO

If Yes, whether the applicant is claiming any relaxations

YES

NO

If so, what are the relaxations being claimed

If so, give the permissible details as per A.P. Building Rules2012.

Total Permissible
Floor area (m2)
Proposed
Floor area (m2)

Permissible floor area before road widening = a

Areas effected in road widening
=b
Total permissible floor areas
=a+b

Remarks

2
3

Details of Plot area (in Sq. m)

Total Plot Area
as per Site

Total Plot Area

as per Documents

Affected area, if any

Net Plot Area

YES

NO

YES

NO

YES

NO

Whether the site involves a sub-division of

plot / land.
If yes, whether the residual plot fulfils the
minimum requirements as per rules.

If yes, sub-division charges are to be

collected

Height of the Building (in m.)

Net Plot area (m2)

Road width (m)

No. of floors

(vide rule 5 (a), (b); Table III & IV)

S.
No.

Item

Permissible Height

Proposed Height

Excess / Shortfall

Stilt/
Ground

Stilt/
Ground

Stilt/
Ground

Upper
floors

Upper
floors

Upper
floors

Remarks

As per A.P Building

Rules 2012
(vide Rule 5 (a), (b); &
Table III, IV &
conditions)

As per NOC of AAI

As per Approved Plan
of A.P. State
Disasters Response &
Fire Services
Department.
(vide Rule 5(f)( xv)

As per the provisions of the A.P. Fire Service Act, 1999, Residential buildings of height more than 18 m, Commercial buildings
of height 15m and above and buildings of public congregation like Educational Buildings, Cinema Theatres, Function Halls
and other Assembly Buildings on plot area of 500Sq.m. and above or of height above 6m are required to obtain prior
clearance from A.P. State Disasters Response & Fire Services Department from fire safety point of view.

All-round Open Spaces (all in mts) (vide rule 5 (a), (b);Table III & IV)

Plot area (Net area) (in m2)

Height of the proposed building excluding the parking floors (in m.)

Sides

F
R
S1
S2

Direction

Road width
(in m)

Set back (in m)

Required
Provided

Remarks

365

All-round Open Spaces (all in mts) (vide rule 5 (a), (b);Table III & IV)

Plot area (Net area) (in m2)

Height of the proposed building excluding the parking floors (in m.)

Sides

Direction

Road width
(in m)

Set back (in m)

Required
Provided

Remarks

F
R
S1
S2
3

Whether transfer of setbacks is involved

YES

(vide rule 5(f)(viii) &( ix)

Plot size : 300 m2-up to 750 m2

(permitted to transfer up to 1m of setback
from one side to the other side)

YES/
NO

NO

If Yes, give the details: (Plot area:(m2)

Permissible
setback

Side

Provided
setback

Permissib
le plinth
area
without
transfer

Proposed
plinth
area after
transfer

Plot size: above 750 m2,

(permitted to transfer up to 2 m of setback),

YES/
NO

Needs to be uniform at any given point,

subject to maintaining of minimum building
line in the front.

R
S1
S2

Whether the site abuts more than one road

YES

(vide rule 5(f)(ii)

Road
width

Front setback proposed (m)

NO

Permissible
setback(m)

Provided
setback(

(m)

Remarks

m)

Whether the site is a narrow plot

(vide rule 5(f)(x)

YES

(Narrow plot is one whose extent is not more than

NO

400sq.m and where the length is 4 times of the

width of the plot)

a
b
i

Height
Up to 10m

width

Length (m)

Plot Size
Side setback
permissible

Side

1m

Area (m2)

(m)

Permissible
setback

Provided
setback

Permissibl
e plinth
area
without
transfer

Propose
d plinth
area
after
transfer

ii

above 10m & up

to 15m

2m
R
S1
S2

(vide rule 5(f)(xii), (Table-iii) / 7(a)(xi), (Table-iV)

Space between two blocks shall not be less

than the site setbacks of tallest block as
per Table III & IV as the case may be

M
1

YES

Whether the proposals are more than 1 block

NO

Height of the block

(m)

Between 2 Blocks

Required

Proposed

Remarks

Lighting and Ventilation [vide rule 5(f)(xi) / 7(a)(xiv)

Whether the lighting and ventilation of a building
is through the means of a chowk or inner

YES

NO

Minimum area

Minimum width

366

courtyard or interior open space/duct

If there are no ducts, whether the lighting

and ventilation proposed for the building
is satisfying the rules
Ventilation to parking floors
i.e. cellar & sub-cellars

A strip of at least 1.0 m greenery / lawn along the

frontage of the site within the front setback.

For the plots area above 300 m2 from the 1 mt

Greenery/lawn along the front and periphery
are left.

For high rise buildings a minimum 2 mt

Greenery/lawn along the front and periphery
are left.

4
5

NO

Required

Provided

Remarks

(To be provided for all residential / institutional / industrial plots above 750 m2of plot area)

Proposed Use of the Building

Plot area of the site m2

Residential

Institutional

Proposed
in m2

Industrial

No. of Locations where this open space is provided

Minimum width of 3m and extent not less than 15 m2 in case of Non-High Rise
Buildings (rule-5(f)(v) and 50m2 in case of High Rise Buildings (rule-7(a)(vii) is
provided

For Plots 750 m2 and above, whether an area of 3m x 3m

for the purpose of setting of public utilities like
Distribution transformer etc., is provided within the
owners site subject to mandated public safety
requirements.

Whether the space for garbage bin is proposed

Whether the drainage & water lines are existing

If so, whether the same is indicated on the plans

Common amenities & facilities [vide rule 15(x)]

No. of Units proposed

Whether Common amenities & facilities like
convenient shopping, committee hall / club
house, crche, gymnasium etc. are required
(where no. of units are more than 100)

YES

(If yes, Provided towards):

YES

NO

YES

NO

NO

YES

% to
total
Built
up area

Extent
(m2)

Provided

% to
total
Built
up
area

Parking Space [vide rule 13 & table V & rule 15(a)(iv)]

(Rule 5 (d) & 13(c)(iv))

Cellar 1

Cellar 2

NO

NO

3
R

Remarks

YES

Required

If Yes, the extent of Built up area for Common

amenities & facilities provided

Others

Excess / Shortfall
%
in m2

in m2

Remarks

Marked on the plans and hence Satisfied

Not Marked on the plans and hence not
satisfied
Marked on the plans and hence Satisfied
Not Marked on the plans and hence not
satisfied
Marked on the plans and hence Satisfied
Not Marked on the plans and hence not
satisfied

Public Utility [vide rule 5(f)(vii)]

Propose
d

Remarks

Require
d
2/3 m

Recreational open space (Tot-lot) [vide rule 5(f)(v) /7(a)(vii) / 8(g) whichever is applicable]

Permissible
3

YES

Remar
ks

Greenery/Lawn [vide rule 5(f)(iii),(iv) / 7(a)(viii) whichever is applicable] :

1
2

Propose
d

2.5%
of each
parking
floor area
2.0

Width of the corridors (m)

Require
d
9/25 m2

In m2

Extent
(m2)

Remarks

367

Cellar 3

Cellar 4

Stilt

Any upper floor

(Space over & above 6m (excluding green strip) set

back is considered)

Visitors Parking area

(rule 13(c)(xii)

TOTAL PARKING AREA (m2)

Proposed Built Up Area(m2)

Residential

Commercial

Institutional

d
Total
10

12

Parking area to total built up area

CATEGORY OF BUILDING
/ACTIVITY PROPOSED

Parking area to be
provided as percentage
of total built up area +
visitors Parking (%)

Parking area provided

Percentage to total
built up area + visitors
Parking (%)

Remarks

a
b
c
d
Required M2

13

Facilities provided in the stilt floor (rule 13.c.vi)

14

The parking spaces should be efficiently designed and clearly

marked and provided with adequate access, aisle, drives and
ramps required for manoeuvring of vehicles. (rule 13.c.ii)

15

Minimum width of Single Ramp (rule 13.c.vii)

Proposed M2

Remarks

< 25
Permissible(m)

Proposed(m)

Remarks

5.4

Minimum width of ramps if proposed more than one

16

ramp

3.6

(rule 13.c.vii)

17
a
b
c

18

Minimum Setbacks for Cellars from ground level

For sites of extent of up to 1000sq.m (rule 13.c.x)
For sites of extent of above 1000sq.m up to 2000 m

1.5
2

(rule 13.c.x)

For sites of extent of above 2000sq.m (rule 13.c.x)

Minimum Setback in case of more than one cellar (rule

13.c.x)

Cellar area proposed for utilities & non habitable purposes like
A/C Plant room, Generator room, STP, Electrical installations,
Laundry, etc, (rule 13.c.xi)

2.0
3.0
0.5 m
additional
setback for
every
additional
cellar floor
10%

Minimum 2.5
19

Height of the Cellar floor proposed (m)

Maximum 4.5
in case of
mechanical
system

20

Height of the Stilt Floor proposed (m)

Minimum 2.5

PART: V

SPECIAL CATEGORY BUILDING INFORMATION

In continuation of the above data, following information shall be filled up, if the building proposed is one of the following
special buildings.
SPECIFY THE TYPE OF BUILDING
Tick the relevant item

HIGH RISE BUILDINGS/COMPLEXES [vide rule 7.a]

TOWER AND PODIUM TYPE BUILDING [vide rule 7.b]

STEPPED TYPE OR PYRAMIDAL TYPE BUILDING [vide rule 7.c]

368

GROUP DEVELOPMENT SCHEMES [vide rule 8.]

ROW TYPE HOUSING / ROW TYPE SHOPPING PRECINCTS [vide rule 9]

CLUSTER HOUSING [vide rule 10]

BUILDINGS WITH CENTRAL COURT-YARDS FOR COMMERCIAL USE

A
1

[vide rule 12]

HIGH RISE BUILDING /COMPLEXES [vide rule 7.a]

[FOR B & C ALSO THE FOLLOWING INFORMATION EXCEPT SET BACK REQUIREMENTS SHALL BE FILLED UP]*

WHETHER THE SITE IS ELIGIBLE

FOR HIGH-RISE BUILDING

NO

YES

[vide rule 7]
Remarks
2

Minimum size of plot (in sq. m)

[vide rule 7.a.ii]

In respect of site proposed for high rise
buildings and affected in road widening
where there is shortfall of the net plot size,
up to 10% of such shortfall in net plot area
would be considered with the proposed
height and corresponding minimum all round
setbacks.

NOC from Airport Authority of India

is obtained [vide rule 7.a.v]

If Yes, AAI letter No. & date

Height Permitted by AAI

6
7
8

10

Use of the proposed building permitted

by Fire Services Department

11

Setbacks permitted (in m) by Fire

Services Department

Remarks

2000
Without road
widening
1800
With road widening
NO

YES

NOC form Fire Services Department

is obtained [vide rule 7.a.vi]
If Yes, Letter No. & date of approval of
Fire Services Department
No. of Floors permitted by Fire Services
Department
Height Permitted (in m) by Fire Services
Department

13

Provided

MSL (ground)

12

Required

MSL (construction)

Height

NO

YES

Front

Whether the plans submitted are

tallying with the Plans permitted by the
Fire Services Department
Whether there are proposals for
transfer of setbacks in case of buildings
of height less than 30m [vide rule 7.a.xii]

Rear

Side1

YES

Side2

NO
If Yes, give the details

Side

Permissible
setback

Provided
setback

Permissib
le plinth
area
without
transfer
m2

Proposed
plinth
area after
transfer
m2

F
R
S1
S2

Height of the Building

proposed (m)
[vide rule 7.a.x.Table IV]

Min. abutting road width

(m)

Front open space*

(m)

Min. open space on

remaining sides(m) *
Rear

Side 1

Satisfied /
Not
Satisfied

Satisfied
/
Not

Side 2

14
*
.(m)

Satisfied /
Not Satisfied

Satisfied /
Not Satisfied

Satisfied /
Not
Satisfied

369

Satisfied
Balcony
proposed

projection

Permissible

Proposed

[vide rule 7.a.xiv]

15

From which
proposed

Permissible /Not permissible

level

from 6m onwards

From ........ m

Permissible ___

Proposed___

16

Open space to be left

between two blocks

17

Lighting & Ventilation [vide rule 7.a.iv]

18

Whether the lighting and ventilation of a building is through the

means of a chowk or inner courtyard or interior open space/duct

[vide rule 7.a.xi]

As per col-4 of table-iv

Permissible /Not permissible

Minimum Duct area (sq. m)

19
20

If Yes, give details

Required

Proposed

Minimum Side Length (m)

Remarks

22

If there are no ducts, whether the lighting & ventilation proposed

for all the rooms in the building is satisfying the rules

YES
Provided

Exclusive Fire escape staircase &

lift are provided [vide rule 15.b.i]

NO

YES

NO
Remarks

Remarks

TOWER AND PODIUM TYPE HIGH RISE STRUCTURE UPTO 50 M [vide rule 7.b]
[THE ABOVE INFORMATION EXCEPT SET BACK REQUIREMENTS IN A SHALL BE FILLED UP]

For Podium block

Ground plus first floor

all-round setbacks
(in m)
Coverage

Remarks

2.5 % of each floor

Required
1

Proposed

3.0m

Required
21

Required

25 sq. m

Ventilation to parking floors

NO

YES

For the Tower

block
Whether the fire
safety and fire
escape measures
for the Tower
Block independent
of the Podium
Block are provided

All-round setbacks

Provided

Remarks

7
Minimum 50 %
of the Podium Block
At least 3m from
the Podium edge on all
sides
REMARKS:

YES

NO

STEPPED TYPE OR PYRAMIDAL TYPE HIGH RISE STRUCTURE [vide rule 7.c]
Such type of high rise building blocks may be allowed for heights above 30 m
[THE ABOVE INFORMATION EXCEPT SET BACK REQUIREMENTS IN A SHALL BE FILLED UP]

At Ground Level

Minimum all round

open space for the
first five floors

9m.

Increase of 1m all
round open spaces
or more for every 5
upper floors or 15
m height or part
At Upper Floors
thereof over and
above the ground
level open space of
minimum 9m
GROUP DEVELOPMENT SCHEMES [vide rule 8]

Group Development Scheme is reckoned as development of Residential Buildings in a Campus or Site of 4000sq.m and above in area
and could be row houses, semi-detached, detached Houses, Apartment blocks or high-rise buildings or mix or combination of
the above.

Site area (m2)

Required

Proposed

Remarks

4000
2

Minimum abutting road width (m)(black topped)

Provisional plans of a Services and Utilities Plan, Landscaping

Plan, Parking & Internal Circulation Plans Submitted
[vide rule 8.e]

12
YES

NO

370

3
4

12
ORGANISED OPEN SPACE

Permissible
%

in sq. m.

Proposed
%

in sq. m.

Satisfied

Not
Satisfied

Remarks

10%
b

No. of Locations provided

Permissible
2

Minimum area(m )
(50m2 with a minimum width of 3 m at each location)

Type of Buildings proposed ( Tick appropriate item)

Group Housing

Proposed

Area(m2)

Width(m)

50

Area(m2)

Width(m)

Non High Rise

High Rise
b

Row Housing

Cluster Housing
A thorough public access road of width (m) with 2-lane

Required

Remarks

12

[vide rule 8.k.]

Proposed

black-topped is proposed on any one side at the periphery.

Common amenities & facilities like shopping center, community

hall or center / club house etc. in case where the units are
above 100. [vide rule 15.a.x]

3 % of the
built up area

In case of Row Housing & Cluster Housing Projects of more

than 5 ac Common amenities & facilities like shopping
8

center, community hall or center / club house [vide rule 9.o

5 % of the site
area

& 10.i]

ROW TYPE HOUSING / ROW TYPE SHOPPING PRECINCTS [vide rule 9]

1
2

Minimum site area (sq. m)

Minimum size of individual plot / Row shops (sq. m)

No. of plots in a Row Housing

Separation between two blocks (m)

6.0

Minimum width of internal roads(m)

9.0

Width of Internal cul-de-sac road with maximum length

of 50m (m)

6.0

Minimum open space area

Height of the building for plot up to 125 sq. m

Height of the building for plot above 125 sq. m

10

Required
1000
50

Provided

Remarks

10%
of total
area
2 floors
Or
6m
G+2
floors

Setbacks (m) (The setbacks in a row can be interchangeable)

Required

Front

Rear

1.5

In case of row type shopping precincts, back to back shops front

setback of 3m is allowed.

11

In case of projects more than 5 acres common

amenities & facilities are required to be provided with
5% of the Site Area. [vide rule 9.o.]

12

Parking Area (sq. m)

Remarks

Provided

CLUSTER HOUSING [vide rule 10]

Minimum site area (sq. m)

Required
1000

Provided

Remarks

371

Minimum size of plot (sq. m)

25

Maximum no. of Houses in cluster

20

Minimum size of cluster open space(sq. m)

36

Minimum width of cluster open space(m)

Height of the building (m)

Minimum access road in (m)

Internal access (m)

Minimum space between two clusters (m)

10

2 floors
or
6m

Setbacks shall be as per building line as per

Table III

a
b
c

Front

Side 2

11

Rear
Side 1

In case of projects more than 5 acres

common amenities & facilities are required to
be provided with 5% of the Site Area. [vide
rule 10(i)]

BUILDINGS WITH CENTRAL COURT-YARD [vide rule 12]

Setback (m)

Front

Rear

S1

S2

5
6

PROVISION FOR EWS / LIG CATEGORY(Rule 11)

Site (m )

Whether EWS / LIG need to be provided

IF Yes, developed area reserved for EWS/LIG (m2)

PART VII

YES

NO

Required

Provided

OTHER DOCUMENTS TO BE SUBMITTED

COMPLIANCE BY OWNER FOR ENSURING CONSTRUCTION IS UNDERTAKEN AS PER SANCTIONED PLAN

[vide rule 25]

YES

Whether Affidavit/Declaration duly Notarised is submitted [vide

rule 25.a]

Floor or 10% of the total built-up area proposed to be

handed over [vide rule 25.d]
2

Remarks

Provided

Area so saved which is transferred in the Central Courtyard (sq. m)

Depth of Court yard which shall be at least 50% of the
proposed U type building depth (m)

PART VI

Required

NO

Remarks

Required

Proposed

Remarks

Proposed
No. of units

Remarks

Ground
floor
First floor
Second floor

In respect of gated development schemes like row houses /

independent houses / cluster housing 5% of the units shall be
handed over to sanctioning authority. [vide rule 25.(d)]

Whether the Notarized Affidavit submitted[vide rule 25.(d)]

Required
No. of units

YES

NO

372

FEE INFORMATION

PART VIII

S.
No.

Category
INITIAL FEES

Statutory Provision

Amount (Rs.)

(2 % of Building Permit / License fees

subject to a maximum of Rs.10, 000
shall be paid along with the building
application. No fees and charges would

be levied for parking spaces provided in

any floor.)
[vide rule 19 (a)]

2
3
4
5
6
7
8

9
10
11
12
13
14
GRAND TOTAL

Rupees

PART IX

DECLARATION

I/ we declare that I am / we are the absolute/ owner/ owners/ lessee of the land on which I/we intend to erect the Building and
am / are enclosing copies of relevant document of ownership/ lease certified by Magistrate/ Notary public/ a Gazetted Officer
authorized by the Commissioner in this behalf.
I/ we have gone through the Building Regulations made under the provisions of the A.P. Building Rules-2012Aand have
satisfied myself/ ourselves that the site and building plans are in accordance with provisions contained therein.

Sl.No.

Name of Owner / Developer /

License Technical Personnel

.....................................................................
Owner / Owners / Lessee / Authorised Agent

.....................................................................
Builder / Developer

Signature

373
.....................................................................
Architect/ Engineer/ Surveyor

.....................................................................
Structural Engineer

PART X

REMARKS OF THE SCRUTINY OFFICER REGARDING SITE CONDITIONS / LAYOUT RULES /

BUILDING BYE-LAWS / POLICIES / PLANS ETC. & GIST OF THE PROPOSALS.

(OFFICE USE)

PROPOSALS ARE RECOMMENDED FOR APPROVAL WITH CONDITIONS / REJECTION FOR REASONS/ RETURN FOR
RESUBMISSION WITH PARTICULARS.