Govt. of West Bengal Online Clearance for Fire Safety Certificate and Renewal (Application for Fire Safety Recommendations)
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1 Govt. of West Bengal Online Clearance for Fire Safety Certificate and Renewal (Application for Fire Safety Recommendations) Application ID IND/WB/FES/ / Details of Owner/Occupier/Proprietor/Director. Applicant Type Name Address Telephone No Mobile No. ID Others Durgapur Institute of Advanced Technology and Management G.T Road, Rajbandh, Durgapur, Dist Paschim Bardhaman, Pin Architect/Licensed Building Surveyor. Architect/LBS. Name. Architect Registration No./LBS License No. Address. License No. Validity Period of License. Architect Abhijit Datta CA/27188 Kamdhenu Building, Bengal Sristi Complex, Unit No A-206, City Center DMC/BPD/43 12/03/ Particulars of Site.
2 Whether Proposed or Existing Building? Premises No. Street/Address Pincode District Sub-division Police Station g) Fire Station h) Property Details Existing G.T Road, Rajbandh, Durgapur, Dist Paschim Bardhaman Paschim Bardhaman Durgapur Kanksa PS Durgapur F.S. Not Applicable 4. Total Area Plot. As per Documents (in sq. mtrs.) As per Pysical Measurements (in sq. mtrs.) Boundaries on each Sides. North (in mtrs.) South (in mtrs.) East (in mtrs.) West (in mtrs.) Existing Covered Area in Ground (in sq. mtrs.) 6. Covered Area Sl No Floor No Floor Area (in Sq. Meters) 1 Ground
3 Total (in sq. mtrs.). Permissible Covered Area(in sq. mtrs.) Was the building sanctioned with the advantage of the open space on which the present proposal has been? true Declaration-I Sl No Name Address Registration Particulars Type of Occupancy Type of Use-Group Educational Educational Institution 8. Main Characteristics Details. Area of the Site (in sq. mtrs.) Area of the Building (in sq. mtrs.) Width of abutting road(in mtrs.) Proposed F.A.R. Height of building (mtrs.) Floor Details Total No. of Floors Total Area of Floors Height of each Floor (in mtrs.) No. of Inhabitants/Occupants Basement Details. Total No. of Basements Total Area of Basements(in sq. mtrs.) No. of Mezzanine Floor 0 0
4 11. Means of Escape Details Means of Escape(No. and width of Internal Staircases) Means of Escape(No. and width of External Staircases) 12. Lift Details No. of Lifts Capacity of each Lift(persons/weight) Availability of Service Staircase, Service Lift? Yes 13. Open Space Details g) Open Spaces all around the Building (North) Open Spaces all around the Building(East) Open Spaces all around the Building (South) Open Spaces all around the Building(West) Means of Access to premises Width of Exit from Premises (in mtrs.) Width of Driveway (in mtrs.) Addition and Alteration Works Existing Floor Area Proposed Floor Area Car Parking No. of Car Parking(Existing) No. of Car Parking (Propose Net total floor area (in sq. mtrs.) No No Yes
5 15. Power of Attorney Details Name Address Letter of Proof Yes 16. Letter of Proof or Other Documents to be submitted Details Sl No Document Details Document Size 17. Fire Fighting Arrangements Available Fire Detection System (Automati Smoke Heat Gas 18. Availability of Fire Alarm System Manual Call Point Automatic Detection Integrated with Alarm Public Address System Inter Communication System Illuminated Signs 19. Availability of Automatic fire fighting system Wet Riser/Down Corner with Dia Sprinkler Hose Reel and Hose Box 20. Availability of Portable Fire Extinguishes
6 ABC Foam CO2 DCP Capacity of Underground Static Water Tank Capacity of Overhead Water Tank g) Fire Service Inlet h) Courtyard Hydrants i) Fire Pumps (Electrical) j) Fire Pumps (Diesel) k) Fire Pumps (Jockey) l) Alternate Lighting Arrangements m Air Conditioning System Available Total Units Available =5 Available Total Units Available =5 Available Total Units Available =5 Available 21. Transformer Not Available - g) h) Lightening Protection Control Room with BMS and CCTV Surveillance Whether the Aerial Ladder can be moved around the Building and adequate Open Space available beneath Refuge Area Availability of Trained Staff Helipad (if more than 60 mtres. height) Availability of Fire Notice Availability of Fire Order Availability of Exit Signage Available Available Available Available 23. I/We certify that I/We have employed person whose particulars are given in the Column next as a Licensed Building Surveyor or as an Architect. Sl No Name Address Contact No. Registration Particulars
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