Sno
1
2
3
4
5
6
7
8
9
10
Item
Particulars to be furnished by
marking()
11
No
NA
Check
Points
Sno
Item
12
13
14
15
16
17
18
19
Occupancy
Min Width
Residential
1mtr
Assembly &
Institutional(Hospitals)
2 mtrs
1.5 mtrs
Particulars to be furnished by
marking()
Yes
No
NA
Yes
No
NA
Yes
No
NA
Yes
No
NA
Yes
No
NA
Yes
No
NA
Yes
No
Yes
No
Yes
No
NA
Details of Terrace
a)Whether Overhead tank for fire
fighting is provided
Yes
No
Yes
No
NA
Check
Points
Sno
Item
c) Whether Booster Pump
provided
20
Particulars to be furnished by
marking()
Yes
No
NA
Yes
No
North
East
West
21
22
23
24
25
South
Whether Open Space in the North
complies to M.S.B.R., 1981
Whether Open Space in the East
Complies to M.S.B.R., 1981
Whether Open Space in the South
Complies to M.S.B.R., 1981
Whether Open Space in the West
Complies to M.S.B.R., 1981
Whether width of street abutting
the Building(Clause 4.6 of part III)
Residential(12 meters) is available
a) Residential 12
mtrs/Commercial/Mercanti
le upto 1000 sq.mtrs.
Above 1000 sq mtrs 12
mtrs 18 mtrs
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
NA
Check
Points
Sno
Item
26
27
28
29
30
31
Particulars to be furnished by
marking()
Yes
No
Yes
No
NA
Yes
No
NA
Yes
No
NA
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
NA
Check
Points
Sno
32
33
34
35
36
37
38
39
Item
Particulars to be furnished by
marking()
Yes
No
No
No
No
NA
Yes
No
Yes
No
Yes
No
Yes
No
NA
Yes
No
NA
Yes
No
NA
Yes
No
Yes
No
NA
Check
Points
Sno
40
41
Item
Whether the Hydraulic Platform
can be moved all around the
building
Whether minimum required fire
safety measures as prescribed in
Table 20 of NBC to this type of
occupancy and height are
provided?
Particulars to be furnished by
marking()
Yes
No
Yes
Check
Points
No
Date :
Place:
(Signature)
Owner/Management