To,

The Director Maharashtra Fire & Emergency Services

Mumbai.

Subject: Application for issuance of provisional fire NOC.

Sir,

I, the undersigned…………………………………………………………………………..Architect, having registration

number………………….hereby declare and certify that I have prepared the building plans and drawings
adhering to the provisions of the following:

1. National Building Code of India – 2005

2. 2. Development Control and Promotion Regulations for RP
3. 3. Maharashtra Fire Prevention & Life Safety Measure Act - 2006 (section-3)

The proposed development is in the village:- _________, Tal :-_________ The details of the
project are attached as per annexure A.

The Area details comprises with No. of floors/ Floor Area/ Height of the buildings/provision of
the Refuge Area etc. are enclosed as *Annexure- A duly signed and attested by me. The Plans
submitted by me are in compliance of the provisions of prevailing DC Rules & NBC. If any lapses or
deviations are observed in the said proposal / drawings submitted by me, I shall be personally liable
for actions deemed fit.

Yours faithfully,

Name, Sign & seal of the Architect

 Details of the proposed construction area as certified by the architect

Sr.
No Particulars Details
.
1 Address of the proposed site  
2 Builder/Developers Name  
3 Architect's Name  
4 Classification of the building  
5 Access road to plot (in MTRS)  
6 Total Plot Area  
7 Total Built-up Area  
8 Number of structures  
9 Height of the each structures  
10 Number of floors of each structure  
11 Number of staircase of each building  
12 Width of staircase of each building  

Marginal Spaces for every building structures

Sr. Provisions proposed on site in MTRS as

Sides
No. certified by the architect

1 Front Side  
2 Right Side  
3 Left Side  
4 Rear Side  

Details about the proposed structure

Building Built-up
Name/ Height in Meters No. of floors area (Sr.
Number M.)
1      
2      
3      
4      
5      
Annexure A