0117-8 91.9=5+
... •RISE UNIT OFFICE INSPECTION/SURVL
/
DATE: I~ c~
i `
1913
INSPECTOR: J L I lcl
`~'
BUILDING PROFILE
TOTAL
ADDRESS NO. OF STORIES Al HI IN FT. SO. FT.
OWNER/AGENT -s PREMISE TEL. NO.
CLASS "E" FACS; MANUFACTURER 't C ODEL NO. C"
-
APPROVED CENTRAL STATION ALARM CO.
' f4 - C_
F.S.D. ON DUTY 1 0 ---3. C OF F NO. .6/ V601&.5 EXPIRES
SPRINKLER SYSTEM: FULLY !Z PARTIAL (AREA PROTECTED)
CENTRAL A/C Th AC STAIR PRESSURIZATION ACCESS STAIRS (FLS)
ADDITIONAL INFO (MAIL CONVEYORS, SPECIAL OCCUPANCIES, ETC.)
N/A YES NO SUMMONS/
NOV #
A. FIRE SAFETY DIRECT OR AND DEPUTY FIRE SAFETY DIRECTORS:
1. ON DUTY (SUMMDNS IF NO 27-4267)
2. DEPUTY FSD(S) P IC. CERTIFIED FOR PREMISE ( , )._ .__
3. BUILDING EVACU ATION SUPERVISOR (DESIGNATED AND TRAINED
AS PER FSP)
4. FIRE BRIGADE 'RES€NT IN BUILDING AND TRAINED) -
B. CLASS "E" ALARM 'rYSTEM:
1. INSTALLED (27-42 671) ( ) MAINTAINED (27-4265) ( ).
2. IF 100' OR MORE LETTER OF APPROVAL (FD ELEC. UNIT) _--
C. ALARM TEST (NOTIF' BORO DISP. BEFORE TRANSMITTING ALARM):
1. SYSTEM ON-LINE
IF OFF-LINE FOR APPROVED REASON:
a. FIRE COMMAN D STATION MANNED AT ALL TIMES
b. LOG BOOK MP INTAINED __
2. FLOOR WARDEN PHONE OPERATIONAL (FL. NO. ) _ _.
3. P.A. SYSTEM AUDIBLE (FL.
4. MANUAL ALARM TRANSMITTED NO.ZO)RO CENTRAL OFFICE
DISP. NO. (1,% ) ELAPSED TIME (IN MINUTES) TO RECEIVE (
IF ALARM IS NC T RECEIVED BY BORO CENTRAL OFFICE OR IF
CENTRAL STATIONI COMPANY CALLS PREMISE BEFORE TRANSMITTING
ALARM TO BORO CENTRAL OFFICE, FORWARD REPORT TO CHIEF IN
CHARGE OF BUR . OF COMMUNICATIONS.
5. F.S.D. PROFICIEN'I IN OPERATION OF F.A.C.S. SYSTEM
D. FIRE SAFETY PLAN:
1. APPROVED F.S.P.
2. ALL SECTIONS C1JRRENT AND CORRECT
3. COPY KEPT AT F(
4. COPY OF FLOOR PLANS ATTACHED TO FSP ~
5. APPLICABLE PAR '"S OF FSP DISTRIBUTED TO TENANTS -
E. FIRE COMMAND STA1'ION:
1. ELEVATOR KEYS i6)
2. WINDOW KEYS (1 ≥ IF APPLICABLE)
3. LIST OF FLOOR V ~IARDENS AND TELEPHONE NO.'s __ __
4. SYSTEM OF DAIL` NOTIFICATION OF WARDENS ___
5. COMMUNICATION FROM FCS TO: MER ( ) ELEV. MACH. ROOM ( )
TO REGULARLY A ASSIGNED LOCATION OF FSD ( ) _
NYC-WTC 000166180
OCR can misread numbers and units. Confirm readings against the page image before using them.
NYC-WTC_000166180Source: NYC Law Department, mirrored locally