Appendices

Appendices

APPENDIX A        Form for First Application to Develop, Erect, Demolish or to Make Alteration in any Part of the Building

APPENDIX B        Form for Certificate of Supervision

APPENDIX C        Form for Sanction or Refusal of Development/Building Permit

APPENDIX D        Form for Completion Certificate

Appendix A

(Position and Address of the Building Official)

Form for First Application to Develop, Erect, Demolish or to Make

Alteration in any Part of the Building

Type of intended work: Develop         Erect         Demolish                 Alter

(Check one)

Name of the owner:

Contact address:

Post code:               

Telephone no:               

Name, address and qualification of the engineer, architect or planner involved in the proposed work:

For planning:                               

For architectural design:

For structural design:

For civil works design:

 For other services design:

Address of the site

Plot number: _________________________ Holding number: _________________________

Dag/Khatian number: _________________   Mouza/Block/Sector: ____________________

Street name: _________________________   Municipal ward number: __________________

Documents enclosed along with this form:

 Name of document  Number of sheets  Number of copies

1.        Key plan        _____        _____

2.        Site plan        _____        _____

3.        Subdivision/layout plan        _____        _____

4.        Building plan        _____        _____

5.        Services plan        _____        _____

6.        Specifications        _____        _____

7.        Ownership title        _____        _____

_________________ _____________________________

Date Signature of the owner

For use of the Building Official. Do not write anything below this line.

Reference number: ___________________________        Date: __________________

(To be referred to in all subsequent correspondences)

Received by: ______________________________

Appendix B

Form for Certificate of Supervision

Reference number: _________________________

Address of the site:

Plot number: _____________________________        Holding number: ___________________

Street name: _____________________________

Municipal ward number: ___________________

Type of intended work (Check one) :

Develop                 Erect                 Demolish                 Alter

Name of the owner:        ______________________________________________________

Contact address:                ______________________________________________________

                        ______________________________________________________

                        ______________________________________________________

Post code:                ____________________

Telephone no:                ____________________

I hereby certify that the building for which the location, the type of work, and the name and address of owner appear above will be supervised by me as per the provisions of the Bangladesh National Building Code.

______________________________________________

Signature of the engineer, architect, planner or supervisor

__________________________________________

Name of the engineer, architect, planner or supervisor

_______

Address

___________________________

QualificationDate

Appendix C

(Position and Address of the Building Official)

Form for Sanction or Refusal of Development/Building Permit

Reference number: ___________________________

In response to your application whose reference number appears above, I hereby inform that the documents submitted along with your application have been  (check as appropriate)

                Approved for implementation by the Authority

                Refused by the Authority for violation of the following provisions of the Bangladesh National Building Code:

 (List of the sections violated)

 ----------------------------------------

 ----------------------------------------

 ----------------------------------------

 ----------------------------------------

 ----------------------------------------

________________________ ____________________________

Signature of the Officer Permit number

________________________ ____________________________

Name of the Officer Official stamp

________________________ ____________________________

Designation Date

Appendix D

Form for Completion Certificate

Reference number: ________________________

Permit number: __________________________

Address of the site :

Plot number: ____________________________        Holding number: _________________________

Dag/Khatian number: ____________________        Mouza/Block/Sector: ____________________

Street name: ____________________________        Municipal ward number: __________________

Documents enclosed along with this form:

   ______________________

   ______________________

Type of work (Check one)

Develop                 Erect                 Demolish                 Alter

Name of the owner:        ______________________________________________________

Contact address:                ______________________________________________________

                        ______________________________________________________

                        ______________________________________________________

Post code:                ____________________

Telephone No:                ____________________

I hereby certify that the work having the above mentioned detailed particulars has been supervised by me and completed in accordance with the plan and design approved by the permit number cited and the provisions of the Bangladesh National Building Code.

______________________________________________

Signature of the engineer, architect, planner or supervisor

__________________________________________

Name of the engineer, architect, planner or supervisor

_______

Address

______________________________________

QualificationSignature of the owner

______________________________________________________________

DateDate

This part to be completed by the Building Official.

The work identified by the reference number and permit number at the top of the form is hereby accepted as complete in accordance with the approved plan and design.

________________________

 Signature of the Officer

 ________________________  ____________________________

 Name of the Officer  Official stamp

 ________________________  ____________________________

 Designation  Date

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