FORM -I FORM OF APPLICATION FOR “NO …

1 FORM -IFORM OF APPLICATION FOR NO OBJECTION CERTIFICATE (NOC) IN RESPECT OF FIRE SAFETY MEASURES IN ONE STOREY/MULTISTORIED/HIGH RISE BUILDING ASSAM FIRE SERVICE RULES 1989 .To,The DirectorFire & Emergency Services, proper , on behalf of .. apply for in respect of Fire Prevention & Fire Safety Measures under Assam Fire Service Rules 1989 for the purpose of Existing/Proposed Multi-storeyed /High rise building. Required documents /information as per formate furnished and address of the and address of the owner of the premises Number and Address of architect/ of blocks/ of floor in each block/ details of of the built up area floor to the premises properties: East : West : North : South of the abutting road/ roads : and condition( Hard surfaced or not) of entrances and width of each entrance : to the premises clearance of open spaceFront ( )Rear ( )Side ( ) Side ( ) or balcony projection provided If so at what height: for parking the cars basement is provided, number of rams available.

2 For the vehicles to reach the basement and it s location of Staircase : of the staircases (extended to the basement or :terminated at ground floor level) of of of of risers in a of hand distance from the farthest point and from the dead end of the corridor to the of of each of door provided at lift car and at each landing service ducts are provided. If so whether the :ducts are sealed at each floor generator is available or not. If not what capacity: is required to provide service to all the emergency provisions in the conditioned or not. If air conditioned, the and number of wet risers/down comer to be: proposed to be provided in the of overhead/underground tanks of fire alarm system of detection system system. If proposed details of the type and number of portable:extinguishers proposed to be provided in the address system proposed: Fire & Emergency Service Station other information which is to be included in the to be Enclosed :- i) Site Plan showing all the legends ii) Lay Out Plan iii) Service Plan iv) Elevation Plan / Section Plan for proposed building v) In case of existing Building copy of Construction permission / Trade license issued by the concern : Signature of the ApplicantDate :( Owner/ Signing Authority)Received & & Time :-FORM -IIFORM OF APPLICATION FOR NO OBJECTION CERTIFICATE (NOC) IN RESPECT OF FIRE SAFETY MEASURES IN THE storage AND HANDLING OF LPG/CNG/ OXYGEN/ HYDROGEN/METHANE/PROPANE/ BUTANE/ CHLORINE/AMMONIA ETC.

3 ASSAM FIRE SERVICE RULES 1989 .To,The Director,Fire & Emergency Services, proper , on behalf of .. apply for in respect of Fire Prevention & Fire Safety Measures under Assam Fire Service Rules 1989 for the purpose of Existing/Proposed the storage and handling of lpg/cng/ oxygen/ hydrogen/methane/propane/ butane/ chlorine/ammonia etc. Required documents /information as per format furnished and address of the and address of the owner of the premises of the premises numbers of the applicant/ occupier/ name/s of the gas/gases proposed to be stored proposed to be Stored of the storage point/s of the product proposed to be of the electrification in the proposed area storage Area/ Total area of the installation properties: East :West :North :South to the Space available around the storage ; Eastern side :Western Side:Northern Side :Southern Side : made of segregate the of the nearest Fire Station of the Fire Fighting Equipments available in the of the water storages available in the premises of the personnel trained in basic fire fighting (Sl No.)

4 Of the training certificate) number ( not applicable for new applicants) other information that the applicant desires to to be Enclosed :- i) Site Plan ii) Lay Out Plan iii) Service Plan iv) Licence / Permission : Signature of the ApplicantDate :( Owner/ Signing Authority)Received & & Time :-FORM -IIIFORM OF APPLICATION FOR NO OBJECTION CERTIFICATE (NOC) IN RESPECT OF FIRE SAFETY MEASURES IN TRANSPORT GO-DOWNS AND OTHER GO-DOWNS ASSAM FIRE SERVICE RULES 1989 .To,The DirectorFire & Emergency Services, proper , on behalf of .. apply for in respect of Fire Prevention & Fire Safety Measures under Assam Fire Service Rules 1989 for the purpose of Existing/Proposed Transport Go-downs and other go-downs. Required documents /information as per formate furnished and Address of the Applicant and address of the owner of the premises of the premises numbers of the applicant/ occupier/ owner Number and date of site built up area to the properties: of floors in each floor Space available around the Structure: Eastern side : Western Side : Northern Side : Southern Side : to the premises of entry/exits of emergency exits, sizes for parking 2 wheelers and 4 of the nearest Fire Station and telephone number of the Fire Fighting System/ Equipments available of the water storages available in the premises of the personnel trained basic fire fighting from the concerned land owner/ other information that the applicant desires to to be Enclosed.

5 - i) Site Plan ii) Lay Out Plan iii) Service Plan iv) Licence / Permission if :Signature of the ApplicantDate :( Owner/ Signing AuthorityReceived By:- & & Time :- FORM -IVFORM OF APPLICATION FOR NO OBJECTION CERTIFICATE (NOC) IN RESPECT OF FIRE SAFETY MEASURES IN CINEMA THEATERS ,MULTIPLEX ETC ASSAM FIRE SERVICE RULES 1989 .To,The DirectorFire & Emergency Services, proper , on behalf of .. apply for in respect of Fire Prevention & Fire Safety Measures under Assam Fire Service Rules 1989 for the purpose of Existing/Proposed cinema theatres, multiplex etc. Required documents /information as per formate furnished and Address of the Applicant and address of the owner of the premises of the premises numbers of the applicant/ occupier/ owner Number and date of site built up area to the properties: of floors in each floor Space available around the Structure Eastern side : Western Side : Northern Side : Southern Side : to the premises of entry/exits of emergency exits, sizes for parking 2 wheelers and 4 of the nearest Fire Station and telephone number of the Fire Fighting System/ Equipments available of the water storages available in the premises of the personnel trained basic fire fighting (Sl No.

6 Of the training certificate) other information that the applicant desires to to be Enclosed :- i) Site Plan, ii) Lay Out Plans, iii) Service Plan, iv) Elevation Plan, v) Section Plans, vi) Licence / Permission etc. Place:Signature of the ApplicantDate :( Owner/ Signing AuthorityReceived & & Time :-FORM-VFORM OF APPLICATION FOR NO OBJECTION CERTIFICATE (NOC) IN RESPECT OF FIRE SAFETY MEASURES IN FUNCTION HALLS & BIBAH BHAWAN/ BUILDING BELOW 15 M. ASSAM FIRE SERVICE RULES 1989 .To,The DirectorFire & Emergency Services, proper , on behalf of .. apply for in respect of Fire Safety Measures under Assam Fire Service Rules 1989 for the purpose of Existing/Proposed function halls/ building below 15 Required documents /information as per format furnished and address of the and address of the owner of the premises of the premises numbers of the applicant/ occupier/ site built up area to the premises properties: East : West : North : South of in each Space available around the Structure Eastern side : Western Side : Northern Side : Southern Side.

7 To the premises of entry/ exits of emergency exits, size for parking 2 wheelers and 4 wheelers of the nearest Fire Station and telephone number of the Fire Fighting Equipments available of the water storages available in the premises of the personnel trained basic fire fighting number /Permission from the concerned Land Owner/ Authority other information that the applicant desires to provide to be Enclosed :- i) Site Plan ii) Lay Out Plan iii) Service Plan iv) Licence / Permission if :Signature of the ApplicantDate : ( Owner/ Signing Authority)Received & & Time :-FORM -VIFORM OF APPLICATION FOR NO OBJECTION CERTIFICATE (NOC) IN RESPECT OF FIRE SAFETY MEASURES IN ERECTING TEMPORARY STRUCTURES/ CIRCUS/ MOVEABLE THEATRE/ EXHIBITION ASSAM FIRE SERVICE RULES 1989 .To,The DirectorFire & Emergency Services, proper , on behalf of.

8 Apply for in respect of Fire Prevention & Fire Safety Measures under Assam Fire Service Rules 1989 for the purpose of erecting Temporary Structures/ Circus/ Moveable Theatre/ Exhibition. Required documents /information as per formate furnished Appraisal for erecting Temporary Structures/Circus/ Moveable Theatre/ Exhibition and address of the and address of the owner of the premises of the premises numbers of the applicant/ occupier/ area proposed to be utilized for erecting temporary to the premises :a. Distance from motor-able road:b. Width of the properties: East : West : North : South Space available around the Structure Eastern side : Western Side : Northern Side : Southern Side : for parking of 2 wheelers and 4 wheelers for cooking/ restaurants/stalls in the premises and their distances form the main structure to the nearest overhead electric line & height of ceiling of the structures of the nearest Fire Station and telephone number of the Fire Fighting Equipments available in the Premises/ temporary pandel : of the water storages available in the premises : of the personnel trained basic fire fighting (Sl No.)

9 Of the training certificate) : 17. Name and license number of electrician number/Permission from the concerned Land Owner/ Authority other information that the applicant desires to provide to be Enclosed :- i) Site Plan ii) Lay Out Plan iii) Service Plan iv) Licence / Permission if :Signature of the ApplicantDate :(Owner/ Signing Authority)Received & & Time :-FORM -VIIFORM OF APPLICATION FOR NO OBJECTION CERTIFICATE (NOC) IN RESPECT OF FIRE SAFETY MEASURES IN storage & HANDLING OF PETROLEUM PRODUCTS/ INDUSTRY (CLASS- A, CLASS-B and CLASS- C UNDER ASSAM FIRE SERVICE RULES 1989 .To,The Director,Fire & Emergency Services, proper , on behalf of .. apply for in of Fire Prevention & Fire Safety Measures under Assam Fire Service Rules 1989 for the purpose of Existing/Proposed storage & handling of petroleum products(class- a class-b and class- c ).

10 Required documents /information as per formate furnished and address of the and address of the owner of the premises of the premises numbers of the applicant/ occupier/ of petroleum product proposed to be Stored : HSD SK of the storage :under Ground/ Above the points of the product proposed to be of the electrification in the proposed area storage Area/ Total area of the properties: East : West : North : South to the Space available around the storage ; Eastern side :Western Side:Northern Side :Southern Side : made of segregate the of the nearest Fire Station of the Fire Fighting Equipments available in the of the water storages available in the premises of the personnel trained in basic fire fighting (Training certificate number) number ( not applicable for new applicants) other information that the applicant desires to to be Enclosed :- i) Site Plan ii) Lay Out Plan iii) Service Plan iv) Licence / Permission :Signature of the ApplicantDate :( Owner/ Signing Authority)Received & & Time :-FORM -VIIIFORM OF APPLICATION FOR NO OBJECTION CERTIFICATE (NOC) IN RESPECT OF FIRE SAFETY MEASURES IN THE storage AND HANDLING OF CHEMICALS ASSAM FIRE SERVICE RULES 1989.