FORMS



FORM-I  
DETAILS TO BE CONTAINED AND TO BE ATTACHED TO THE APPLICATION FORM FOR BUILDING LICENCE. 

1. Name and address of the Applicant; 
2. Identification proof of the Applicant; 
3. Whether the Applicant is the owner of the plot or GPA holder or Promoter, representing the Owner; 
4. Survey No., Village, Taluk and District of the plot and other description of plot; 
5. Type of Building licence required (for new construction, addition / alteration, revises licence); 
6. Documents enclosed with the Application; 
7. Drawings or Details enclosed with the Application; 
8. Details of Professionals on Record to prepare the drawings;  
9. Details of Professionals on Record to supervise the works (compulsory in case B3, B4 and B5 types of buildings) 
10. Affidavit and indemnity for basement floor construction  
11. Specifications of the building enclosed with the application (in the format notified by the government) 
12. Affidavit of applicant and professionals on record for drawings and supervision enclosed with the application (in the format notified by the government)   

FORM-II  
DETAILS TO BE CONTAINED AND TO BE ATTACHED TO THE APPLICATION FOR NOCS FROM DIFFERENT DEPARTMENTS, IN ADDITION TO THE DETAILS REQUIRED FOR BUILDING LICENCE (as specified by the concerned department).  

IIa. From Department of Fire and Emergency Services 
IIb. From MOEF and KSPCB 
IIc. From Airport Authority of India 
IId. From Coastal Regulation Zone Authority 
IIe. From Karnataka State Water Supply & Drainage Board 
IIf. From Indian Railways 
IIg. From Metro rail corporation 
IIh. From Heritage conservation committee 
IIi. From National Monuments Authority 
IIj. From Urban Arts Commission    

FORM-III  
DETAILS TO BE CONTAINED IN THE ENDORSEMENT ISSUED BY THE AUTHORITY TO THE APPLICANT REGARDING DISCREPANCY IN THE DOCUMENTS SUBMITTED 

1. Name and address of the Applicant; 
2. Details of the application for building licence; 
3. Document having discrepancy; 
4. Details of discrepancy; and 
5. Details of rectification proposed, if any  

FORM-IV  
DETAILS TO BE CONTAINED IN THE ENDORSEMENT ISSUED BY THE AUTHORITY TO THE APPLICANT REGARDING DISCREPANCY IN THE PLANS AND DETAILS SUBMITTED FOR SANCTION OF BUILDING LICENCE 

1. Name and address of the Applicant; 
2. Details of the application for building licence; 
3. Drawings having discrepancy (specify for each drawing separately); 
4. Details of discrepancy in drawings (specify for each drawing separately); 
5. Details of discrepancy in the conditions for obtaining NOCs from other departments; and 
6. Details of rectification proposed, if any;  

FORM-V  
DETAILS TO BE CONTAINED IN THE INTIMATION LETTER OF THE AUTHORITY TO EMPANELLED PROFESSIONAL FOR SITE INSPECTION AND SUBMISSION OF SITE INSPECTION REPORT FOR APPROVAL OF SITE PLAN 

1. Name and address of the Applicant; 
2. Details of the application for building licence; 
3. Name and address of the Professional on record for preparing drawing; 
4. Details of the building site in which building licence is applied for; 
5. Copies of the relevant documents; 
6. Details of the site plan and other technical drawings & details submitted;  

FORM-VI  
DETAILS TO BE CONTAINED IN THE SITE INSPECTION REPORT 

1. Name and the address of the Applicant; 
2. Name and the address of the professional on record for drawings; 
3. Name and the address of the Empanelled  professional or designated officer ; 

4. Particulars of the Plot; 
5. Date of inspection; 
6. Noting of site inspection; 
7. Acknowledgement of applicant and professional on record 
8. Date of submission of report; 

FORM-VII  
DETAILS TO BE CONTAINED IN THE ENDORSEMENT ISSUED BY THE AUTHORITY TO THE APPLICANT REGARDING DISCREPANCY IN THE SITE INSPECTION REPORT 

1. Name and address of the Applicant; 
2. Details of the application for building licence; 
3. Name and address of the Professional on record for preparing drawing; 
4. Name and address of the empanelled professional who has submitted the inspection report;  
5. Drawings having discrepancy (specify for each drawing separately); 
6. Details of discrepancy in drawings (specify for each drawing separately); 
7. Details of rectification proposed, if any;  

FORM-VIII  
DETAILS TO BE CONTAINED IN THE BUILDING LICENCE  

1. Name and address of ULB with logo 
2. Type of building licence 
3. Building licence no. and date 
4. Plot approval details 
5. Particulars of Plot 
6. Name and address of Applicant 
7. Name and address of Professionals on record for drawings 
8. Name and address of Professionals on record for supervision 
9. Particulars of the building (floor area, construction area, parking details, etc.,) 
10. NOCs received 
11. Various fees paid 
12. Licence validity period 
13. Other Terms and conditions of licence 
14. Seal and signature of CEO     

FORM-IX 
DETAILS TO BE DISPLAYED OUTSIDE THE CONSTRUCTION SITE. 

1. Name and address of the Applicant; 
2. Details of the building licence (extent of site, existing and proposed width of roads abutting the road and name of roads as per the records of the Authority, no. of building blocks and for each block – no. of floors, all-round setbacks, no. of basement floors, total floor area eligible and proposed – permissible, premium and TDR, no. of 4-wheeler and 2 wheeler parking required and provided, including visitors parking – within the building and outside the building, both covered and open)  
3. Details of Professionals on Record to prepare the drawings;  
4. Details of Professionals on Record to supervise the works; 
5. Site plan  
6. 3D view of the building (if proposed in any advertisement of the promoter)  

FORM-X  
DETAILS TO BE CONTAINED IN THE SITE INSPECTION REPORT OF EMPANELLED PROFESSIONAL, CERTIFYING THE WORKS OR STATING THE DEFECTS / DEVIATIONS IN WORKS EXECUTED AT SITE. 

1. Name and address of the Applicant. 
2. Name and address of the professional on record for supervision  
3. Name and address of contractor executing work 
4. Name and address of empanelled professional 
5. Name and address of the Authority 
6. Particulars of the Plot 
7. Noting of site inspection (stating the defects / deviations in works executed, from the approved plans, specifying the related drawing) 
8. Acknowledgement of applicant and professional on record 
9. Date of inspection 
10. Date of submission of report  

FORM-XI  
DETAILS TO BE CONTAINED IN THE ENDORSEMENT ISSUED BY THE AUTHORITY TO THE APPLICANT TO RECTIFY THE DEFECTS IN WORKS EXECUTED. 

1. Name and address of the Applicant; 
2. Details of the application for building licence; 
3. Name and address of the Professional on record for supervision; 
4. Name and address of the empanelled professional who has submitted the inspection report;  

5. Works having defects / deviations from approved drawings (specify for each drawing separately); 
6. Details of discrepancy in works executed (specify for each drawing separately); 
7. Details of rectification proposed, if any;  

FORM-XII  
DETAILS TO BE CONTAINED IN INSPECTION REPORT OF CEO REGARDING OBJECTIONS RAISED BY THE APPLICANT AGAINST THE INSPECTION REPORT OF EMPANELLED PROFESSIONAL OR DEPARTMENT ISSUING NOCs. 

1. Name and address of the Applicant. 
2. Name and address of the professional on record for supervision  
3. Name and address of contractor executing work 
4. Name and address of empanelled professional 
5. Name and address of the Authority 
6. Name and address of the Department which issued NOC (if objection is raised against such department) 
7. Particulars of the Plot 
8. Noting of site inspection (stating the changes to be made by the applicant in works executed, if applicable, or certifying the works executed) 
9. Acknowledgement of applicant, professional on record and designated officer of the department (if applicable) 
10. Date of inspection 
11. Date of submission of report  

FORM-XIII  
DETAILS TO BE CONTAINED IN COMPLETION CERTIFICATE ISSUED BY THE PRINCIPAL PROFESSIONAL ON RECORD, SUPERVISING THE WORKS. 

1. Name and address of ULB with logo 
2. Type of building licence issued 
3. Building licence no. and date 
4. Plot approval details 
5. Particulars of Plot 
6. Name and address of Applicant 
7. Name and address of Professionals on record for drawings 
8. Name and address of Professionals on record for supervision 
9. Particulars of the building (floor area, construction area, parking details, etc.,) as built in site 
10. Details of certification by empanelled professional 
11. Signature of Professional on record for supervision

FORM-XIV 
DETAILS TO BE CONTAINED IN THE OCCUPATION CERTIFICATE. 

1. Name and address of ULB with logo 
2. Type of building licence issued 
3. Building licence no. and date 
4. Plot approval details 
5. Particulars of Plot 
6. Name and address of Applicant 
7. Name and address of Professionals on record for drawings 
8. Name and address of Professionals on record for supervision 
9. Particulars of the building (floor area, construction area, parking details, etc.,) 
10. Approvals received from other departments which issued NOCs 
11. Details of completion certificate 
12. Details of certification by empanelled professional 
13. Other Terms and conditions of occupation 
14. Date and no. of occupation certificate 
15. Seal and signature of CEO  

FORM-XV 
CERTIFICATE OF STRUCTURAL DESIGN & SAFETY 

1. Name and the address of the Applicant; 
2. Particulars of the Plot; 
3. Building license sanctioned date; 
4. Date of inspection; 
5. A statement, stating that certifying that the building is structurally safe and the construction is in accordance with the specified designs   

FORM-XVI 
CERTIFICATE OF QUALITY CONTROL 

1. Name and the address of the Applicant; 
2. Particulars of the Plot;  
3. Building license sanctioned date; 
4. Date of inspection; 
5. Written statement submitted Quality Auditor on Record (QAR) affirming that the building meets the standard specification.   

By Order and in the name of the Governor of Karnataka  

NAGARAJ

Under Secretary to Government Urban Development Department. 

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