Building Application Form - Urban Development Authority: Section - One
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Varuni_GunawardanaBuilding Application Form - Urban Development Authority: Section - One
Uploaded by
Varuni_GunawardanaBUILDING APPLICATION FORM URBAN DEVELOPMENT
AUTHORITY
Reference Number
Date of Applicant
Scheme of Processing
Processing fee :
Amount Paid:
Receipt No :
SECTION - ONE
1.
2.
3.
4.
Ward Number
Postal Deliver/Zone No.
Street Name :
Assessment Number
1. Name of the Owner
2. Postal Address (for Correspondence)
Signature of Applicant
3. Name the Applicant
4. Postal Address (for Correspondence)
Signature of Applicant
5. Name of the Qualified Person 1:
6. Postal Address:
7. Qualification of Qualified Person 1:
Signature of Qualified Person 1:
8. Name of the Qualified Person 2:
9. Postal Address 2:
10. Qualification of Qualified Person 2:
Signature of Qualified Person 2:
Street Code:
SECTION - TWO
1. Location of Development :
Assessment No:
Street Name:
Postal Zone:
2. Application for:
Previous Plans Ref Nos. & Dates
Construction
Reconstruction
addition
3. Purpose of Development:
4.
Nature of Development Existing:
Proposed:
5. Description of Site:
Ha/
a. Site Extent:
b. Whether Sub Division is
approved:
Yes/No
High Ground
Marshy land
Perch
Date:
Ref. No.
Filled Land
Subject flood
c. Status of Land:
6. Road Access
a. Width
b. Public or Private
7. Distances:
a. From the Centre Road
b. From rear boundary
c. From right boundary
d. From left boundary
e. Others
8. Building Height :
a. Height of ground floor level:
b. Height of the Bldg. from ground floor to the roof
c. Number of Floors:
d. Between Typical floor
m/ft
m/ft
m/ft
m/ft
m/ft
m/ft
m/ft
m/ft
m/ft
m/ft
Alteration
9. Details of Development
a. Floor Area Ratio (Gross Floor Area of Bldg/Site Area)
=
b. Plot coverage (Built up area at Ground level/site Area 100) =
m/ft
m/ft
10. Materials to be used:
a. Walls
b.
c.
d.
e.
11.
Ownership
a. freehold Ownership
b. Lease rights
c. Tenancy rights
Roof
Floors
Upper Floor slabs
Foundation
12.Waste Disposal Proposals
13.
a.
Surface Water Drainage connected to
b.
Sewer Disposal connected to:
c.
Waste Water connected to:
d.
Solid waste disposal to:
Area of Building (Sq.ft)
Floor Level
14.
Existing
Particulars Regarding Air Conditioning :
Proposed
Total
15.
Details of Stand by Generators Provided
16.
Car Parking Bays; Required
17.
Proposed date of Construction:
Provided
Proposed date of completion
I certify that the information furnished herein by me are true and accurate. I am also aware that
if any of the information provided by me are found to be false by the Authority, the permit
issued with regard to the development will be null and vold.
Date:
(Official Use Only)
Date Approved:
Date of Issue of Certificate of Conformity
Building Application/m
Signature of Applicant :
