A433 Form PDF Details

Ensuring compliance with local fire safety regulations is crucial for any building project within New York City, and this FDNY document plays a central role in the process. The application covers inspection of electric wiring and devices related to fire alarm systems installed, altered, or repaired in buildings subject to the NYC Building Code and Fire Code.

Who needs to file this application?

Licensed electrical contractors must file with the Fire Department's Bureau of Fire Prevention, Fire Alarm Inspection Unit before any fire alarm work begins. Building owners and managing agents may need to coordinate the submission depending on the nature and scope of the project.

What information is required?

Applicants must provide the premises address, occupancy type, ownership details, and a full description of the fire alarm system. All information must be typed. A separate submission is required for each system, and electrical floor plans must be included unless they are already on file with the FDNY.

What happens after submission?

The FDNY Bureau of Fire Prevention schedules an inspection to verify the fire alarm system meets all applicable code requirements. Buildings exceeding a certain number of floors must follow additional procedures outlined in the instructions. For buildings that also require fire suppression documentation, refer to the 5-year fire sprinkler inspection form or the annual fire door inspection form.

QuestionAnswer
Form NameA433 Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesform nyc ext fill in, a433 fdnyh form, a 433 form, a433 form

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OBEY THE LAW—FILE BEFORE STARTING WORK

FIRE DEPARTMENT CITY OF NEW YORK

BUREAU OF FIRE PREVENTION

FIRE ALARM INSPECTION UNIT (ELECTRICAL)-ROOM 3N-1

9 METROTECH CENTER, BROOKLYN, N.Y. 11201-3857

TELEPHONE: (718) 999-2466

APPLICATION A-433

(ALL INFORMATION MUST BE TYPED)

NOTE: SYSTEMS(S) SHALL BE TESTED AND MADE FREE OF ALL DEFECTS PRIOR TO REQUESTED FOR INSPECTION

Application No. _______________________

F.D. Folder No. _______________________

F.D. Plan No. _______________________

In accordance with the Administration building Code and Fire Code of the City of New York, application is hereby made for inspection of the electric wiring and appliances installed, altered or repaired in premises located at:

Premises

 

 

Borough of

Zip

 

 

 

 

Owner’s

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Owned by

 

Address

 

 

Boro

 

Zip

 

Occupied by

 

 

 

Used as

 

 

 

NOTICE: 1. All questions must be answered. Reverse side must be itemized. May modify device column if necessary. Use a SEPARATE application for each system installed.

2.One (1) set of electrical floor plans with the component parts located thereon and performance specifications are required. Plans NOT REQUIRED if Fire Department approved plans are on file.

3.Please Note: For buildings over the allotted floors, use a second A433 form.

4.Contractor to provide required information on back of form.

PLEASE CHECK ALL BOXES WHICH APPLY. Character of Work:

 

New

Alteration

 

Repair

 

Other

Type of systems filed for:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Building Department Application No.

List Other Systems here:

Authorized Central Office Company

 

 

 

 

 

 

 

 

 

Affix Department of Buildings

 

 

 

 

 

 

 

 

 

Location of Panels/Control Boards

 

 

 

 

 

 

 

 

Electrical Contractor Seal here

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name of Electrical Co.

 

 

Telephone No.

 

Address

 

 

Date of Application

 

 

 

 

 

 

 

Zip Code

 

 

License No.

 

Signature of Licensee

 

 

Date of Expiration

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

APPLICANT--DO NOT WRITE BELOW THIS LINE

 

 

 

 

 

 

 

 

 

 

 

 

RECOMMENDATION:

 

System

 

Installed as per Plan No.

 

 

 

 

 

 

 

 

Date

 

 

Inspector’s Signature

 

 

 

 

 

 

 

 

 

 

Print Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

INSPECTIONS

System

Date

Report Recommend

Inspector

System

Date

Report Recommend

Inspector

REMARKS:

V.O. NUMBER

Form ___ of ___

DATE ISSUED

RECOMMEND DISMISSAL 

EXAMINER

SG A433 II (Updated 03/16/12, Revised 12/20/12, Original 07/11/11)

Indicate No. of

T

 

B.S.A.,

 

 

O

 

M.E.A.,

Wire

Insulation/

Proposed Devices

T

Manufacturer

C.O.A. or

Gauge

WireType

on all Floors

A

 

Agency

 

 

 

 

L

 

 

 

 

 

Approval #

 

 

 

 

 

 

 

Initiating

Supervisory

Signals Control

Communication

 

& Control

Panels

Fire

 

How to Edit A433 Form Online for Free

To complete the A433 form online at no cost, use the free PDF editor at FormsPal. Follow these steps to finish the fire alarm inspection application accurately before submitting it to the FDNY.

Step 1: Click the "Get Form" button at the top of this page. The editor loads the document so you can begin entering information right away without any software installation.

Step 2: Enter all required premises details: building address, occupancy type, ownership information, and the electrical contractor's license number. Describe the fire alarm system being installed, altered, or repaired. All fields must be typed.

Step 1 for completing A433 FDNY fire alarm inspection form

Step 3: Attach electrical floor plans if they are not already on file with the Fire Department. A separate submission is required for each fire alarm system on the premises. If the building exceeds a specified number of floors, confirm you have followed the additional procedures in the instructions.

Step 4: Review every field for accuracy, then click "Done" to download or save your completed document. For other NYC fire safety paperwork, see the NYC hot work license and the annual fire door inspection form.

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