Kurnool Municipal Corporation
TOWN PLANNING SECTION
BUILDING APPLICATION FORM
BA No.: 1016/0948/B/KURL/YB/2025 Date of submission : 15 November, 2025
Sub: Building Application for grant of permission for Construction of Building Permission Notice u/s 209 & 227 of APM
Act, 1965 / 428 & 433 of HMC Act, 1955.
A ADDRESS OF THE APPLICANT
1 Name (In Full) DAHINDE AJAY KUMAR
2 Firm Name -
3 Door No./Flat No. 68/30-31, Hajeera College Road, Revenue Ward No 68, Kurnool
4 Road/Street Hajeera College Road,
5 Locality / Mandal NA
6 City Kurnool PIN 5 1 8 0 0 1
7 District Kurnool
8 Phone / Mobile No. 9182385197
9 E-mail [Link]@[Link]
B LOCATION OF THE PROPOSED SITE
1 Ward No. Block No. NA
2 LRS Location old bus stand
3 LRS No. NA
4 RS / TS No. 35/5C1A1(PART)
5 Plot No. NA
6 Premises No./Door No. 68/30,31
7 Road/Street Hajira Collage Road
8 Locality Yerraburzu
9 City/ Town District Kurnool Kurnool
C DETAILS OF BUILDER / LICENSED PERSONNEL
# Name Address License No. Validity
1 [Link] Reddy [Link].402,SLN Mansion,Prakash LTP00071/KUDA/2020
(Structural Engineer) Nagar,Kurnool
2 - - - -
D DETAILS OF PROPOSED CONSTRUCTION
Site Area (sq. mtr.) As per Documents 202.52
1
As on Ground 199.85
2 Total Floor Area (sq. mtr.) 168.83
3 Tot-lot Area (sq. mtr.) 00.00
4 No. Of Units 1
E DETAILS OF BUILDING
1 No. of Blocks 1 Total Built-up Area (sq. mtr.) 202.52
Height
# Building Name Use Sub Use Type No. of Floors Bifurcation of Floors
(mtr.)
1. D (AJAY KUMAR) Residential Individual 9.04 Floor BUA
Residential Floor Name
(sq. mtr.)
Building
GROUND 86.94
FLOOR
FIRST 44.14
FLOOR
9.04 Floor BUA
Floor Name
(sq. mtr.)
GROUND 37.75
FLOOR
F AUTOCAD FILE
1 AutoCAD File P_PARVATHI_recover (1).dwg
G APPLICATION CHECKLIST
# Description Yes/No Remarks
1. Whether proposed site is within the 30 Mt. distance from the railway NA -
property? If yes, obtain NOC from Railway Department.
2. Whether proposed site falls within the Air Funnel Zone / Vicinity of NA -
Airport?.
3. Whether Proposed site is located in the vicinity of Oil / Gas pipe NA -
line? (In case of Sites in the vicinity of Oil / Gas pipelines, clearance
distance and other stipulations of the Respective Authority shall be
complied with. The Oil / Gas Authorities shall also specify the
clearances required stretch wise to Local Body.)
4. Whether Proposed site is located in the vicinity of Defense NA -
Establishments (500 Mt)? (“In case of sites abutting to Defence
establishments, NOC from Defence authorities need not be insisted.
However it will be the responsibility of the applicants to follow the
applicable rules as prescribed by the Defence authorities in their
rules G.O.M.S no. 7 MA dt: 5.1.16”)
5. Whether proposed site area is more than 50 ha? If yes, whether NA -
NOC of SEIAA is submitted.
6. Whether site falls within 500m from HTL of Coastal zone? If yes, NA -
whether NOC of CZMA is submitted.
7. Whether site falls within 30m of Heritage buildings? If yes, whether NA -
NOC is obtained.
8. Whether the size of the plot is above 200 [Link]?(Only for NA -
Municipal Corporations)
9. Whether the Commercial building height is greater than 15 mtr? NA -
10. Whether the size of the plot is above 200.00 sqmt. with height NA -
above 10m ?(Only for Municipal Corporations)
11. Whether the buildings of Educational, Cinema Theatres, Functional NA -
halls & other Assembly buildings where plot area is greater than 500
sq.m or height is greater than 6m?
12. Whether the height of the building is greater than 18 mtr? NA -
13. Whether the height of the industrial building is greater than 18 mtr.? NA -
14. Whether the height of the industrial building is greater than 10 mtr? NA -
15. Whether the plot is affected by road widening? NA -
16. Whether the proposed site falls under Un approved Layout in which NA -
building approval given?
17. Whether the proposed site is located in the vicinity of defense NA -
establishments within the distance of 500 mtr?
18. Whether the proposed site is located within the distance of above NA -
100m and upto 200m from the protected Monuments as notified
under Archaeological monuments and Ancient sites?
19. 50m within the limits of the Local Authorities. The boundary of the NA -
river shall be as fixed and certified by the Irrigation Department and
Revenue Department?
20. Whether edge of the proposed building is within 30 mts distance NA -
from the railway property boundary?
21. Whether Proposed site is located in the vicinity of Oil / Gas pipe NA -
line?
22. Whether the site falls under un-approved layout and any building NA -
plan approval is given or any building exist prior to 1985 on this
site?
23. Is water connection available.? NA -
24. Whether the proposal comes under Building penalization scheme NA -
case?
25. Land value certificate issued by the Revenue Department (If NA -
deviations are made to Sanction plan)
26. Whether the height of the building is 10-18mt / G+4? NA -
27. N.O.C from Andhra Pradesh State Fire Services & Disaster NA -
Response Department
28. If Height of Building > 10 Mtrs and upto 15 Mtrs, Commercial Usage NA -
29. If Height of Building > 15 Mtrs and upto 18 Mtrs, Residential Usage NA -
30. If Height of Building > 15 Mtrs and upto 18 Mtrs, Commercial Usage NA -
31. If Height of Building > 18 Mtrs Any Usage NA -
32. Whether the Land is converted Agriculture to Non- Agriculture Land NA -
as per NALA act, 2016?
33. Whether Environmental Clearance is required for proposed NA -
bulding?
34. Whether 10% of EWS/LIG on the project site or 25% of total NA -
number of units provided within a radius of 5km from the project site
in Group Housing/Development projects?
35. Whether site falls under Approved Layout/LRS/Plot part of LRS NA -
Layout but not regularized ?
36. Whether any Approved Plan given in proposed site? NA -
37. Whether the proposed site is abutting to NHs/SHs? NA -
38. Whether the proposed site is located within the distance of above NA -
100m and upto 200m from the protected Monuments as notified
under Archaeological monuments and Ancient sites?
39. Whether the Proposed site is abutting to notified forest? NA -
40. Whether proposed site is in the bed of water bodies like river or nala NA -
and in the Full Tank Level (FTL) of any lake, pond, cheruvu or
kunta / shikam lands?
41. Whether In case the land is declared as surplus? NA -
42. Whether proposed site comes under part of Survey No.s? NA -
43. If you are in Airport vicinity, Do you have NOC from AAI? NA -
44. Do you want to apply NOC from AAI? NA -
45. Whether NMA NOC is available with you for proposed construction NA -
sites?.
46. Do you want to apply NOC from NMA?. NA -
47. Approach road is canal bund /crossing the canal with permission to NA -
construct culvert.
48. Whether ECBC is complied for commercial buildings or other NA -
Non-Residential Buildings proposals having plot area more than
1000 Square Meters or built up area of 2000 Square Meters or if the
building is a Multiplexes, Hospitals, Hotels, and Convention Center
with irrespective of built up area.?
49. Whether The Proposal is of Group Development Scheme? NA -
50. Whether the proposal falls in Urbanisable Land use zone? NA -
51. Whether the proposal falls in Urbanisable Land use zone? NA -
52. Whether The Terrain Is Undulated. NA -
53. Whether the building is pre-certified from IGBC (Indian Green NA -
Building Council) or LEED India or TERI or GRIHA following the G.
O. Ms. No. 30 Dated: 28.01.2014 to avail incentives under rule 145.
54. Is rain water harvesting structure provided in the site? NA -
55. Is solar roof top system is installed in the site? NA -
56. Whether The Proposed Building Is Already Constructed Without NA -
Approval But Satisfying Present Rules
57. Is the Waste Water Recycle & Reuse system provided in the site? NA -
58. Whether proposed construction is an Educational building? NA -
59. Whether proposed site has VLT/Assessment number? NA -
60. Is CLU is applicable? NA -
61. The Proposed site not Group Development Schemes. NA -
62. The Proposed Building is not in CRZ areas. NA -
63. The Proposed Building is not in unauthorised Layout. NA -
64. The Proposed Site is not in in land uses where residential uses are NA -
prohibited in master plan land uses and zoning regulations and
building rules 2017.
65. Whether Self Certification Applicable for this proposal? NA -
66. Photos showing Common Telecom Infrastructure and services as NA -
per the In-Building Solutions and Digital Communication
Infrastructure guidelines by MOHUA, GOI
67. In-situ Dry and Wet Waste management shall be carried out in all NA -
Group Housing Projects/ Apartments, Group Development
Schemes, High Rise buildings.
68. Whether Agriculture Land Converted for Non Agriculture Purpose NA -
and received proceeding?
69. Whether Agriculture Land Converted for Non Agriculture Purpose NA -
but not received proceeding.?
70. Whether Agriculture Land Not Converted for Non Agriculture NA -
Purpose?
H DOCUMENT CHECKLIST
I hereby declare that I am the owner/ PAH in possession of the plot on which the work is proposed and that the statement made in
this form are true and correct to the best of my knowledge.
I SIGNATURE
1 Signature of the Applicant Or Firm DAHINDE AJAY KUMAR
2 Signature of the LTP [Link] Reddy (Structural Engineer)