Request For Overtime Inspection - Fire Department

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FIRE DEPARTMENT
BUREAU OF FIRE PREVENTION
FIRE ALARM INSPECTION UNIT
9 METROTECH CENTER, BROOKLYN, N.Y. 11201-3857
TELEPHONE: (718) 999-2467
FAX: (718) 999-2892
OVERTIME INSPECTION REQUEST FORM
________________________________________________________________________________
DOB APPL. No.; L/D No.; VO No.:
(INDICATE ALL APPLICATION, LETTERS OF DEFECT or VO’S TO BE INSPECTED)
____________________________________________________________________________________________
BUSINESS NAME:
(PROJECT NAME)
_________________________________________________________________________________________
PREMISES ADDRESS:
(ADDRESS) (CITY) (STATE) (BLDG. # / SUITE # ) (ZIP CODE)
:
______________________________________________________________________________________
CONTRACTOR LIC. No.
____________________________________________________________________________
COMPANY/ORGANIZATION NAME:
(NAME OF COMPANY REQUESTING OVERTIME)
________________________________________________________________________________________
COMPANY ADDRESS:
(ADDRESS) (CITY) (STATE) (BLDG. # / SUITE #) (ZIP CODE)
_______________________
_______________________
________________________
OFFICE TELEPHONE NO:
FAX:
E-MAIL:
_________________________________________________________________________
ADDITIONAL TELEPHONE NUMBER(S):
(PROJECT MANAGER, ETC.)
OVERTIME IS REQUESTED BECAUSE OF:
ADVANCED STATUS OF CONSTRUCTION OF THE ABOVE REFERENCED PROJECT
NATURE OF BUSINESS
INSPECTION TYPE:
INITIAL INSPECTION
REINSPECTION
FINAL INSPECTION
SYSTEM TYPE:
FIRE ALARM SYSTEM
SPRINKLER MONITORING SYSTEM
FIRE SUPRESSION SYSTEM
OTHER
DATE(S) REQUESTED: _____________________ START TIME: ______________________
AM
PM
ON-SITE CONTACT NAME: _________________ CONTACT NUMBER: _______________
We understand that after hours charges will be at the additional rate of $105.10 per hour.
Signature: _________________________ Print Name: _________________________ Date: _________________________
The "Overtime Inspections Program (OTI)" is a premium service. The Department will charge a premium fee of $315 an hour for
inspections performed on the overtime basis.
Overtime Inspections Program:
(AFTER 4:30P.M., MONDAY – FRIDAY) - overtime billing starts from 4:30 P.M.
1.
After-Hours Inspections
Early-Morning Inspections (BEFORE 5A.M., MONDAY – FRIDAY) - overtime billing starts from 5:00 A.M
2.
– Overtime billing starts from 8:00 A.M. (9:00A.M.)
3.
Weekend Inspections
(SATURDAY, SUNDAY)
– Overtime billing starts from 4:30 P.M.
4.
Overnight Inspections
(AFTER 9P.M.)
5.
Contact the Scheduling Supervisor at (718) 999-2467 or Booking Cler k at (718) 999 -1505 after 2:00 P.M. to verify approval
of overtime request.
OFFICE USE ONLY
INSPECTOR:
_______________________________________________________________________ ___________
DATE: __________________ START TIME: __________________ REF. DOCUMENT No: _________________
SCHEDULING SUPERVISOR _____________________________ DATE _____________________
FIRE PREVENTION, FAIU
FORMS: FORM B-45A, OVERTIME REQUEST
REV.:/02/11
5/25/11

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