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Fire Service Fee Challan

Performa of application for Pre-Operational NOC

* Timeline 30 days
* All fields are mandatory

Proposed/Compounding/Building name: *

Address: *

Mobile: *

Telephone No.

Fax No.

Email: *

Pincode: *

Name of Director/ Partner/ CEO/ Lead Promoter/ Proprietor: *

Telephone no.

Fax No.

Email: *

Mobile: *

Name of Authorized Coordinator/ Contact Person: *

Telephone no.

Fax No.

Email: *

Mobile: *

Select District: *

Type of Building: *

Type of Industry: *

Maximum height of proposed building (from Plinth level) : *

Plot area : *

Total Covered Area : *

Ground floor Coverd Area: *

No. of Blocks: *

Height of each Block : *

Distance between Blocks (mtr): *

No. of Floors: *

No. of Basement and Covered Area of Each Basement : *

Approach Road (in mtr): *

Set back:

Front: *

Rear: *

Side 1: *

Side 2: *

Compartmentation: *
Yes No

Lift with Fire Switch: *
Yes No

Emergency/Optional Source of Electric Supply: *

Exit: *
Yes No

Provision of no. of Exit in Each Floor: *

No. of Stairs in Each Block: *

Width of Stairs: *

Maximum Travel Distance in Building *:

Provision of Smoke / Fire check Doors: *
Yes No

Approved MAP from concerned authority
NA
Checklist of Fire equipments
NA
No Objection Certificate - Fire
NA

All above said information is correct with the best of my knowledge and belief. *

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