Forms& Schedules

FORMS/SCHEDULES 

APPENDIX-A1/PDA  

Application for Development Permission under Section 44 of the

Goa Town and Country Planning Act, 1974 

--------------------------   Date

From:-............................................. (Full name and address of the Owner/Owners of Land)

To,

The Member Secretary

......................Planning and Development Authority

 .........................., Goa. Sir,

 I/We intend to carry out the under mentioned development in the site or plot of land bearing Chalta No. ..................... of P.T. Sheet No. ............._/Survey No............_/Sub-divided Plot No._...................of .................City/Village on .............................road, in ........................._.ward.  

Particulars of proposed development:-  ........................

 I/We forward herewith the following:- *strike out which is not applicable.

1. Drawings:   (a) Site Plan 5 copies (     )  

(b) Detailed Plans, Elevations and Sections 5 sets (     )

(c) Location Plan 5 copies (     )  

(d) *Parking Layout Plan 5 copies (     )  

(e) *Contour Plans in case of sloping sites 3 copies (     )  

2.  Documents duly authenticated/signed as prescribed:  

(a) Questionnaire 3 copies (     )

(b) *Survey Plan 1 copy (     )

(c) Copy of Index of Land (Form-III/I & XIV/Form-B/D) 1 copy (     )  (d) Document showing ownership of land 1 copy (     )

(e) Certificate from the Architect/Engineer who has planned the  project and has signed the drawings 1 copy (     )

(f) Structural Liability Certificate from the Engineer responsible  for the Structural Design of the Project 1 copy (     )

(g) Affidavit from the Owner 1 copy (     )

(h) *Power of Attorney (if applicable) 1 copy (     )

(i) Conversion Sanad/Application for recommendation for conversion 1 copy (     )

 (j) *NOC from other agencies, if applicable:-  

(i)  ...........................  

(ii........................ 

(iii)  .......................... 1 copy (     )  I/We request that the proposed development may be approved and that development permission may be accorded.  

Yours faithfully,     

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

Signature of the Architect/Engineer

/Town Planner

(Seal with Name, Address, Reg. No.Name & Signature of Owner

APPENDIX-A1/TCP

Application for Technical Clearance 

-------------------------------- Date:

From:-...............................(Name and address of Owner)  

To,

The Deputy/Town Planner,

Town & Country Planning Department.

.................., Goa.

Sir,

 I/We intend to carry out the under mentioned development in the site or plot of land bearing Chalta No.......... of P.T. Sheet No. ............./Survey No............../Sub-divided Plot No......................_of ............................._ City/Village on_.............................road, in .....................ward.  Particulars of proposed development:- ............. I/We forward herewith the following:- * strike out which is not applicable.   1.  Drawings:   (a) Site Plan 5 copies (     )  (b) Detailed Plans, Elevations and Sections 5 sets (     )  (c) Location Plan 5 copies (     )  (d) *Parking Layout Plan 5 copies (     )  (e) *Contour Plans in case of sloping sites 3 copies (     ) 
 

2.  Documents duly authenticated/signed as prescribed:  

(a) Questionnaire 3 copies (     )  

b) *Survey Plan 1 copy (     )

 (c) Copy of Index of Land (Form-III/I & XIV/Form-B/D) 1 copy (     )

(d) Document showing ownership of land 1 copy (     )

(e) Certificate from the Architect/Engineer who has planned the project and has signed the drawings 1 copy (     )

(f) Structural Liability Certificate from the Engineer responsible for the Structural Design of the Project 1 copy (     )

(g) Affidavit from the Owner 1 copy (     )

(h) *Power of Attorney (if applicable) 1 copy (     )

(i) Conversion Sanad/Application for recommendation for conversion 1 copy (     )

(j) *NOC from other agencies, if applicable:-  

(i)  ................. 

(ii) ..............   

(iii)...................... 1 copy (     )   I/We request that the proposed development may be approved and that development permission may be accorded. ................... 

Yours faithfully,      .

Signature of the Architect/Engineer/

Town Planner

(Seal with Name, Address, Reg. No.)  

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

Name & Signature of Owner

APPENDIX-A2

Application to Municipal Council for Building Licence

 -------------------------- Date:

From:-...................   

Name and address of Owner)  

To,  

the Chief Officer,       

 ......Municipal Counci

, ................. Goa.    

Sir,  

I/We hereby give notice that I/We intend to erect/re-erect/add to/alter/execute the following works in the site or plot of land bearing Chalta No.........of P.T. Sheet No............../Survey No........./Sub- -divided Plot No.............. of .................City/Village on..................... road, in............ward.  

Description of construction:- ...........................  I/We forward herewith the following:- *strike out which is not applicable.  

1.  Drawings duly approved/technically cleared by PDA/TCPD:  

(a) Site Plan 3 copies (     )

(b) Detailed Plans, Elevations and Sections 3 sets (     )

(c) Location Plan 3 copies (     )

(d) *Parking Layout Plan 3 copies (     )

(e) *Contour Plans in case of sloping sites 1 copy (     )    

2.  Documents duly authenticated/signed as prescribed:  

(a) Questionnaire duly authenticated by PDA/TCPD 2 copies (     )

(b) *Survey Plan 1 copy (     )

(c) Copy of Index of Land (Form-III/I & XIV/Form-B/D) 1 copy (     )

(d) Document showing ownership of land 1 copy (     )

(e) Certificate from the Architect/Engineer who has planned the    project and has signed the drawings 1 copy (     )

 (f) Structural Liability Certificate from the Engineer responsible    for the Structural Design of the Project 1 copy (     )  (g) Affidavit from the Owner 1 copy (     )  (h) *Power of Attorney (if applicable) 1 copy (     )  (i) Conversion Sanad/Application for recommendation for conversion. 1 copy (     )

 (j) *NOC from other agencies, if applicable:-

 (i)  ...............................

(ii) ............................. 

(iii)  ...................._ 1 copy (     )

 I/We hereby declare that I/We am/are the owner/owners/authorized agent of the property to be built upon.  

Yours faithfully,       _________________________________

 Signature of the Architect/Engineer/

/Town Planner 

(Seal with Name, Address, Reg. No.)

       

 Name & Signature of Owner

******