Download Application Form for Obtaining Fire Licence

TAMIL NADU FIRE AND RESCUE SERVICES APPENDIX III FORM OF APPLICATION FOR APPLYING LICENCE (See section 13) Street Ward. 1. Premises Number and name of building 2. Occupants - (a) Name of firm or company or business factory (b) Name of the proprietor/owner (c) Name of contract 1. Description of - (a) Nature of business, trade or process (b) Commodities and quantities applied for (c) Position of storages in relation to number of rooms floor area, etc. (d) Commodities already licensed together with quantities (by Municipality, State or Central Government) State Licence number (e) Trade, business or commodities applied for disapproved with reasons if any 1. Building - (a) Constructional features (Fire resistance of the building in hours ) (i) General Low fire risk - cement concrete or brick walled Medium fire risk brick walled and timber framed High fire risk mostly timber framed such as timber floors, timber roof, timber staircase etc (ii) Particulars- Number of storeys and basement if any Walls Doors Windows (barred, etc) Varandahs or balconies Floors (Attics, Mezzanine floors, lofts, etc) Ceiling Roof (or Terrace) Number of staircases and position enclosed open (b) Other occupations within immediate 20/all round the proposed building­(Shops, godowns, factories, workshops, hotels, departmental stores, schools, hospitals, residences, offices, etc) 1. Observation - (i) Width of road/street/lane *(ii) Accessibility for Fire engines *(iii) Nearest Fire Hydrant (iv) Bounded on (if open space, state width and whether road, lane, by-lane or sweeper's lane. If structures, state shed building etc, and proximity) North South East West 1. Nearest means of communication - (i) Telephone (ii) Street Fire Alarm (iii) Fire Station (iv) Police Chowki or Station/Telephone No. 1. Installed fire-fighting equipments , if any (buckets and fire-extinguishers and their types, First-aid, hose reel, private hydrants and hose, sprinklers, pumps, etc.) 1. Fire detection - (i) Fire-detecting and alarms system, if any (ii) Watchman, if any 1. Water-supply, other sources, if any Lists, Static Tanks, Wells, Ponds, etc., Storage tanks (Overhead, Surface or underground) Certified that the above particulars furnished are true to the best of my knowledge. Signature of the Applicant