Get Appendix A2

APPENDIX - A2 see rule 133 PROFORMA Intimation of intention to carry out construction/ reconstruction/ addition/ alteration as per rule 133 of the Kerala Panchayat Building Rules 2011 Grama Panchayat ward Name of owner in Capital Letters Address i Permanent ii To which communication is to be sent Telephone/Mobile Number iii Nature of development/Construction please put mark in the appropriate box Hut New construction iii Reconstruction iv Alteration v Addition / Extension Details of plot Occupancy please put mark in the appropriate box. Page Survey Number of village Extent Nature of ownership Building No of the nearest building Nearest road junction or landmark Residential Group A1 Non residential/Others Please specify Total built-up Area of the building in sq. metres existing proposed Total Total number of floors a Whether the plot abuts National Highway State Highway District Road or roads notified by Grama Panchayat under section 220 b of the Kerala Panchayat Raj Act 1994 please put mark in the appropriate box Yes / No b If yes the distance of the construction from such highway/road Minimum Setbacks/yards Front metres Rear metres Side 1 metres Details to be included Copies of proof of ownership please put mark in the appropriate box Registered deed Pattayam Possession Certificate Consent from the owner of neighbouring plot if the construction abuts that plot boundary. In case NOC/clearances as specified in rule 133 of the Kerala Panchayat Building Rules 2011 are to be obtained a site sketch not necessarily to scale signed by the owner showing plot boundary outline of the existing and proposed built-up area within the plot abutting street and width of open yards around is to be enclosed* DECLARATION above and enclosed along with are correct complete and true to the best of my knowledge and belief and that I shall abide by the provisions contained in rule 113B of the Kerala Panchayat Building Rules 2011. Page Survey Number of village Extent Nature of ownership Building No of the nearest building Nearest road junction or landmark Residential Group A1 Non residential/Others Please specify Total built-up Area of the building in sq. metres existing proposed Total Total number of floors a Whether the plot abuts National Highway State Highway District Road or roads notified by Grama Panchayat under section 220 b of the Kerala Panchayat Raj Act 1994 please put mark in the appropriate box Yes / No b If yes the distance of the construction from such highway/road Minimum Setbacks/yards Front metres Rear metres Side 1 metres Details to be included Copies of proof of ownership please put mark in the appropriate box Registered deed Pattayam Possession Certificate Consent from the owner of neighbouring plot if the construction abuts that plot boundary. metres existing proposed Total Total number of floors a Whether the plot abuts National Highway State Highway District Road or roads notified by Grama Panchayat under section 220 b of the Kerala Panchayat Raj Act 1994 please put mark in the appropriate box Yes / No b If yes the distance of the construction from such highway/road Minimum Setbacks/yards Front metres Rear metres Side 1 metres Details to be included Copies of proof of ownership please put mark in the appropriate box Registered deed Pattayam Possession Certificate Consent from the owner of neighbouring plot if the construction abuts that plot boundary. In case NOC/clearances as specified in rule 133 of the Kerala Panchayat Building Rules 2011 are to be obtained a site sketch not necessarily to scale signed by the owner showing plot boundary outline of the existing and proposed built-up area within the plot abutting street and width of open yards around is to be enclosed* DECLARATION above and enclosed along with are correct complete and true to the best of my knowledge and belief and that I shall abide by the provisions contained in rule 113B of the Kerala Panchayat Building Rules 2011.