Fire Department inspection report form

NYC 9/11 Public Portal Document

FIRE DEPARTMENT 250 LIVINGSTON STREET BROOKLYN, N.Y. 11201-5884

BUREAU OF FIRE PREVENTION

RANGEHOOD CHECKLIST

DATE: FOLDER # PREMISES: 3^ Dept. AltT^se.

F.D. Plan #

Name of Contractor:.___ .

TO WHOM IT MAY CONCERN: J ^101 is Voft. Plans submitted to this office have been examined and found to be acceptfor an inspection and test at this time; The plan will be re-examined ^er the following defects are corrected: ey. ■

□ 1. An original approved Building Dept, plan and application/amendment have not been submitted. □ 2. Brand name, model number and B.S. & A. approval number of system not indicated. □ 3. A Building Dept, approved plot plan to scale showing the location of the extinguishing system in relation to the balance of the building not submitted. □ 4. Hood and Duct size has not been indicated. □ 5. Pipe size has not been indicated. •□ 6. The number and size of extinguishing agent containers has not been indicated. □ 7. The type of extinguishing agent has not been indicated. □ 8. The number of surface, plenum and duct nozzles have not been indicated and do not meet manufacturers specifications. □ 9. The number of fusible links and temperature setting has not been indicated. □ 10. Location and distance of remote manual pull station not shown (10—35' from hood required). □ 11. An automatic gas or electric shut-off valve not indicated. n 12. Approved B.S. & A. grease filters statement not included. NOTE: Actual approval number is not necessary. □ 13. Name of B.S.,& A. approved (Secowash, Quest Clear, Air, Cyclowash or Gaylord) Grease Extractor System approval No. not included. n 14. Damper requirements as per RS-13-3 as modified by the Board of Standards and Appeals under Cal. #695-84 B.C.R. Sections 3-2.9.4 have not been met. □ 15. The exhaust fan operation upon discharge does not conform to RS-13,-7-2.4. n 16. Type and location of cooking appliances have not been indicated. □ 17. Surface dimensions (length & width) of ail appliances. □ 18. System not installed as per manufacturers specifications. □ 19. Model No. of nozzles omitted/incorrect. □ 20. Clearance between open flame and deep fat fryers has not been indicated. (16" space or vertical baffle). □ 21. Duct statement has not been indicated. (Additional ducts have been tied in and meet the requirements of RS-13-3 as shown on drawing, —or— no other ducts are tied into the fire system hood). □ 22. Other: ___________________________________________________________________________

Xy CHl^OF FIRE PREVE^ON -TW4-2-117

NYC-WTC_000166092