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BUREAU OF FIRE PREVENTION
FIRE ALARM INSPECTION UNIT
Reset/Clear Form
REQUEST FOR INSPECTION DATE
REFERENCE DOCUMENT No: _________________________
DATE: ______________
(PW-1, VO #, L/D #)
ADDRESS ___________________________________________ BORO________________ ZIP CODE_______
BUSINESS NAME ___________________________________ PREMISES TELEPHONE________________
NEAREST INTERSECTION ___________________________ MEETING LOCATION _________________
JOB DESCRIPTION____________________________________________________FLOOR (s) ____________
INSPECTION REQUEST MADE BY ____________________________ F.D. EXPEDITOR LIC. No. _______
OFFICE PHONE ___________ FAX ___________ CELL ______________ E-MAIL __________________
COMPANY NAME AND ADDRESS ____________________________________________________________
BUILDING OWNER OR MANAGING AGENT INFO:
NAME: (PRINT) _________________________ OFFICE PHONE___________E-MAIL __________________
ADDRESS ___________________________________________________________________________________
SUBMIT THE FOLLOWING CONSTRUCTION DOCUMENTATION:
o
Electrician’s Sign-off (Form A-433, signed and sealed) – original, one (1).
o
Plan Examination (Form TM-1) – original, one (1).
o
F.D. approved original plans (24”x 36”) and “AS BUILT” riser diagram (11”x17”) – one (1) set.
o
The Department of Buildings Plan/Work Application (Form PW-1) – original, one (1).
o
Registration of Central Station-Monitored Fire Alarm Systems identifying the terminal assignment number(s) (Form TB-60) for new
system only – one (1) copy.
o
Request for Inspection Date (Form B-45M) – three (3) copies.
o
File: documents should be neatly arranged (letter size format) and secured by a standard 2–hole fastener.
NO INSPECTION DATE WILL BE ASSIGNED IF THE ABOVE IS NOT PROVIDED.
To arrange an appointment with the Scheduling Supervisor (request for inspection or re-inspection, inquiry,
etc.) in person, please contact the booking clerk at 718-999-5114 at least 48 hours prior to the intended date.
The building occupants shall be notified prior to the test date.
Sufficient manpower and equipment shall be made available to conduct test.
For more details, visit the FDNY Bureau of Fire Prevention website.
OFFICE USE ONLY
INSPECTOR:
___________________________________________________________________
DATE: ________________ AT: ________________ REF. DOCUMENT No: ______________
SPECIAL
NOTES:
______________________________________________________________
SCHEDULING SUPERVISOR _____________________________ DATE _________________
FIRE PREVENTION, FAIU
FORMS: B45M, REQUEST FOR INSPECTION
REV.: 03/13