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b=g=+ M
j8f gDj/ M ___ ;fljs j8f g+= ___ hUufdf kSsL kvf{n nufpg]
hUuf /x]sf] 7fpF M ____________________________________ 3/sf] df]xf]8f km]g{] 3/sf] 5fgf] km]g{]
If]qkmn M /f]kgL___ cfgf___ k};f___ bfd ___ l8 kL ;L cfj]bg kmf/d
gflk gS;f gDj/ M ___________________ lsQf gDj/M ________
lKnGy n]en eGbf dflysf] cfj]bg kmf/d
hUufsf] :jfldTj M cfˆg} ;+o'Qm u'l7
lgdf{0f ;DkGg cfj]bg kmf/d
d~h'/Lgfdf cfˆg} / s]lx d~h'/Lgfdf
s}lkmot_______________________________________
gf]6M Ps lsQf eGbf a9L hUuf ePdf yk hUufsf] ljj/0f eg{sf] nflu yk kfgfsf]
k|of]u ug'{xf]nf .
Page 1 of 22
hUufsf] rf/ lsNnfljj/0f M
!._______ tkm{ _______ ld=, cfˆg} hUuf kl5 ls= g=+ ___________ sf] ___________________________ a:g],
@._______ tkm{ _______ ld=, cfˆg} hUuf kl5 ls= g=+ ___________ sf] ___________________________ a:g],
#._______ tkm{ _______ ld=, cfˆg} hUuf kl5 ls= g=+ ___________ sf] ___________________________ a:g],
$._______ tkm{ _______ ld=, cfˆg} hUuf kl5 ls= g=+ ___________ sf] ___________________________ a:g],
%._______ tkm{ _______ ld=, cfˆg} hUuf kl5 ls= g=+ ___________ sf] ___________________________ a:g],
^._______ tkm{ _______ ld=, cfˆg} hUuf kl5 ls= g=+ ___________ sf] ___________________________ a:g],
&._______ tkm{ _______ ld=, cfˆg} hUuf kl5 ls= g=+ ___________ sf] ___________________________ a:g],
*._______ tkm{ _______ ld=, cfˆg} hUuf kl5 ls= g=+ ___________ sf] ___________________________ a:g],
(._______ tkm{ _______ ld=, cfˆg} hUuf kl5 ls= g=+ ___________ sf] ___________________________ a:g],
!)._______ tkm{ _______ ld=, cfˆg} hUuf kl5 ls= g=+ ___________ sf] ___________________________ a:g],
!!._______ tkm{ _______ ld=, cfˆg} hUuf kl5 ls= g=+ ___________ sf] ___________________________ a:g],
Page 2 of 22
hUufwgL -lgj]bseGbf km/s ePdf_
xfnsf] 7]ufgf
xfnsf] 7]ufgf
Page 3 of 22
g]kfn /fli6«o ejg lgdf{0f ;+lxtf cg';f/ ejg / ;+/rgf l8hfOg u/LPsf] ;DjGwdf
d÷xfdL of] k|dfl0ft ub{5' ls sf7df08f} dxfgu/kflnsfsf] :yfg ______________ j8f g+= _____ df cjl:yt
gfkL gSzf l;6 g+ ______________ lsQf g+ __________ If]qkmn ______________ sf 3/÷wgL >L
;+/rgf !÷@÷# ju{df kg{] ePsf]n] o;sf] :6«Sr/n, :oflg6/L KnlDjË, O{n]lS6«sn l8hfOg, 8«Oª d}n]÷xfdLn] u/]sf] xf] .
o;df ejg P]g /fli6«o ejg ;+lxtf tyf cGo P]g lgodåf/f k|ltkflbt ;d:t lgod kfngf ub{} ________ tNnf ;Ddsf]
o; ejgsf] :6«Sr/n, :ofgL6/L, O{n]lS6«sn ;'kl/j]If0f /fli6«o ejg ;+lxtf cg';f/ d}n]÷xfdLn] ug{]5'÷5f}+ .
;'kl/j]Ifssf] gfd M
-v ju{ ;d]t_
sf=d=kf= /lhi6«]zg g+= M
7]ufgf M
kmf]g g+= M
;lx M
ldlt M
lgj]bssf] b:tvt M
Page 4 of 22
yk hUufsf] ljj/0f
j8f gDj/ M ___ ;fljs j8f g+= ___ hUuf /x]sf] 7fpF M ____________________________________
s}lkmot_______________________________________
j8f gDj/ M ___ ;fljs j8f g+= ___ hUuf /x]sf] 7fpF M ____________________________________
s}lkmot_______________________________________
j8f gDj/ M ___ ;fljs j8f g+= ___ hUuf /x]sf] 7fpF M ____________________________________
s}lkmot_______________________________________
j8f gDj/ M ___ ;fljs j8f g+= ___ hUuf /x]sf] 7fpF M ____________________________________
s}lkmot_______________________________________
Page 5 of 22
FLOOR DESIGN
Floor Area (in Sq. Meter) Total Floor Area (in Sq.
Existing Proposed Meter)
SN Floor Previous FAR FAR
Other FAR Total
Permitted Non-countable Non-countable Total
Building Countable (Taxable)
Storey (Non-Taxable) (Taxable)
1 Basement
2 Semi Basement
3 Ground Floor
4 First Floor
5 Second Floor
6 Third Floor
7 Fourth Floor
8 Fifth Floor
9 Sixth Floor
10 Seventh Floor
11 Eight Floor
12 Ninth Floor
13 Tenth Floor
14 Eleventh Floor
15 Twelve Floor
16 Thirteenth Floor
Page 6 of 22
BUILDING BY-LAWS / GLD
As Per Submitted
Building Elements Remark
Design
Building Data
Detached
Attached
Nature of Construction
Semi Attached
Row type House
Residential zone
Preserved zone
Institutional zone
Industrial zone
Urban expansion
zone
Land Use Zone Surface vehicle
zone
Airport zone
Sports zone
Cultural heritage
zone
Narayanhiti Palace
Zone (NPZn)
Preserved
Monument Sub-
Zone (PMZn)
Preserved Cultural
Heritage Sub-Zone
(PCMZn)
Mixed Old
Residential Sub-
Zone (MORZn)
Green Open Sub-
Zone(GOZn)
Park and Jungle
Zone (NPZn)
Cultural,
Archeological and
Religious Sub-
Land Use Sub-Zone Zone (CULZn)
Urban Expansion
Zone (UEZn)
Surface Vehicle
Zone (SVZn)
Air Zone (ARZn)
Sport Zone (SPZn)
Commercial Sub-
Zone (CMZn)
Dense Mixed
Residential
Zone(DMRZn)
Other Residential
Sub-Zone(ORSZn)
Planned Residential
Sub-Zone(PRSZn)
Government and
Page 7 of 22
Semi government
Sub-Zone (GSGZn)
Health Service
Sub-Zone (HSZn)
Educational Sub-
Zone (EDZN)
Police and Army
Sub-Zone (PAZn)
Industrial Zone
Narayanhiti Palace
Zone (NPZn)
Golfutar
Residential Zone
(GRZn)
Land Development Area (LDA) Kuleshwor
Residential Zone
(KRZn)
Other
Name of the Other Land Development Area
100 ft from
boundary wall
100-200 ft from
Narayanhiti Palace Zone (NPZn)
boundary wall
200-300ft from
boundary wall
250/240 Volt-
11000 Volt
High Tension Line Classification (if any)
11000 Volt-33000
Volt
High Tension Setback (m)
Bagmati
Balkhu
Bishnumati
Dhobikhola
Hanumante
Karakhushi
Karmanasha
River Name Classification (if any) Koiku
Mahadev
Manohara
Nakkhu
Rajkulo
Saangel
Samakhushi
Tukucha
River Bank Setback (m)
Land Data
Page 8 of 22
>=0-2-2-0 and
<=1-0-0-0
>=1-0-0-0
<=1 anna
Adopted land area (Ropani)
>1 anna
>=0-2-2-0 and
<=0-8-0-0
>0-8-0-0
Frontage of plot
ROW (m)
Drawing Requirement
1:100
1:200
Drawing Scale
1:300
1:400
Page 9 of 22
ARCHITECTURAL DESIGN
As Per Submitted
Building Elements Remark
Design
Apartment
Building Purpose
Residential
Hospital
Industrial
Educational
Cinema
Auditorium above
500
Auditorium below
500
Public Assembly
Commercial more
than four storey
Cold Storage and
Wear house
Staircase
Exit
Page 10 of 22
Min. opening area of window for lighting largest
habitable room from external wall (sq. m)
Lifts
Other
Yes
Provision of fire escape and fire safety
No
Parapet heights
Page 11 of 22
STRUCTURAL DESIGN (Type B)
As Per Submitted
Building Elements Remark
Design
General
Structural
Aluminium
Brick Masonry
Materials to be used in structure(tick the listed Timber
materials that will be used in structure element) Structural Steel
RCC(Reinforcement
Bar)
Stone Masonry
Page 12 of 22
NBC 104-1994 Wind load
Wind Zone
Page 13 of 22
Adopted Base Shear multiplication Factor Along
Y(if response spectrum method used)
Page 14 of 22
Fe-415
Reinforcement Steel Grade Fe-500
Fe-550
Slab design
4 side continuous
1 short side
discontinuous
1 long side
discontinuous
2 adjacent side
continuous
2 long side
continuous
Boundary condition of slab
2 short side
continuous
1 long side
continuous
1 short side
continuous
4 side
discontinuous
Page 15 of 22
Calculated critical span to effective depth ratio (L/d)
for corresponding slab
Load Combinations
1: DL
1: LL
1: EQ
2: DL
2: LL
2: EQ
3: DL
3: LL
3: EQ
4: DL
4: LL
4: EQ
Page 16 of 22
Structural Data for Other types of structures
Purlin size
Designed Deflection
Permissible deflection
Page 17 of 22
ELECTIRCAL DESIGN
As Per Submitted
Building Elements Remark
Design
Rates and sizes
Page 18 of 22
Earthing
Testing
Phase
Each switch is placed in phase or Neutral?
Neutral
Page 19 of 22
SANITARY PLUMBING DESIGN
Building Purpose
Building Purpose Auditorium
Office Building
Hospital with Numbers of
bed>100
Hospital with Numbers of
bed<=100
Number of w.c.
No. of floors
Number of users
Urinal (Nos.)
Basin (Nos.)
Number of users
Page 20 of 22
Number of users
Page 21 of 22