M117-0 6 -aot,52J
RISE UNIT OFFICE INSPECTION/SURD I A " /
DATE• ~~ ~ 19 .- p1;''ut xi-r-1 1V7
INSPECTOR: (`t ~ ~[ /
BUILDING PROFILE
ADDRESS - • \A/ - ar NO. OF STORIES HT. IN FT. .3('2 SO.AFT-'1
OWNER/AGENT PREMISE TEL. NO. --Li
CLASS "E" FACS; MANUFACTURER ____.t t MODEL NO.
APPROVED CENTRAL STATION ALARM CO. Pr''
F.S.D. ON DUTY sX '+2-5 C OF F NO. '° EXPIRES._______
SPRINKLER SYSTEM: FULLY PARTIAL (AREA PROTECTED)
CENTRAL A/C A-~ STAIR PRESSURIZATION ACCESS STAIRS (FLS) 3 t
ADDITIONAL INFO (MAIL CONVEYORS, SPECIAL OCCUPANCIES, ETC.)
N/A YES NO SUMMONS/
NOV M
A. FIRE SAFETY DIRECT OR AND DEPUTY FIRE SAFETY DIRECTORS:
1. ON DUTY (SUMM DNS IF NO 27-4267)
2. DEPUTY FSD(S) I 1O. CERTIFIED FOR PREMISE ( ) -
3. BUILDING EVACU ATION SUPERVISOR (DESIGNATED AND TRAINED
AS PER FSP)
4. FIRE BRIGADE (I 'RESENT IN BUILDING AND TRAINED) ,
B. CLASS "E" ALARM WSTEM:
1. INSTALLED (27-42 67.1) ( ) MAINTAINED (27-4265) ( ) ___ -_ _- _
prr
2. IF 100' OR MORE LETTER OF APPROVAL (FD ELEC. UNIT) m
C. ALARM TEST (NOTIF f BORO DISP. BEFORE TRANSMITTING ALARM): t r.
1. SYSTEM ON-LINE
IF OFF-LINE FOR APPROVED REASON:
a. FIRE COMMAP ID STATION MANNED AT ALL TIMES
b. LOG BOOK M9 ,INTAINED
2. FLOOR WARDEN PHONE OPERATIONAL (FL. NO. ) C -~
3. P.A. SYSTEM AU[ IBLE (FL. NO. ) v t~
4. MANUAL ALARM TRANSMITTED TO BORO CENTRAL OFFICE --
DISP NO. ELAPSED TIME (IN MINUTES) TO RECEIVE ( )
IF ALARM IS NC IT RECEIVED BY BORO CENTRAL OFFICE OR IF
CENTRAL STATIOI I COMPANY CALLS PREMISE BEFORE TRANSMITTING
ALARM TO BORC CENTRAL OFFICE, FORWARD REPORT TO CHIEF IN
CHARGE OF BUS ~. OF COMMUNICATIONS.
5. F.S.D. PROFICIEt T IN OPERATION OF F.A.C.S. SYSTEM --- --
D. FIRE SAFETY PLAN:
1. APPROVED F.S.P. TI
2. ALL SECTIONS C URRENT AND CORRECT
3. COPY KEPT AT F dS
4. COPY OF FLOOF PLANS ATTACHED TO FSP
5. APPLICABLE PAF TS OF FSP DISTRIBUTED TO TENANTS
E. FIRE COMMAND STA rION:
1. ELEVATOR KEYS (6)
2. WINDOW KEYS (' 2 IF APPLICABLE)
3. LIST OF FLOOR VARDENS AND TELEPHONE NO.'S _
4. SYSTEM OF DAIL Y NOTIFICATION OF WARDENS
5. COMMUNICATIO? I FROM FCS TO: MER ( ) ELEV. MACH. ROOM ( )
TO REGULARLY , kSSIGNED LOCATION OF FSD ( I Q -.-
NYC-WTC 000166239
OCR can misread numbers and units. Confirm readings against the page image before using them.
NYC-WTC_000166239Source: NYC Law Department, mirrored locally