Nyc Buildings Form Elv1 PDF Details

In the bustling metropolis of New York City, the integrity and safety of buildings are paramount, especially when it comes to elevators. The Elevator Application, known as the ELV1 form, plays a crucial role in ensuring that elevator installations, alterations, replacements, and more, adhere to stringent codes and regulations. This comprehensive form requires meticulous filling across its sections, from detailed device information—including type, installation specifics, and compliance with NYC Handicap Provisions—to machine and hoistway specifications. It also encompasses an array of elevator functionalities such as the Destination Dispatch System and Fire Service Access, ensuring every aspect of elevator operation and safety is accounted for. Applicant information, location specifics, and ownership details form the backbone of this application, ensuring a transparent line of communication between building owners, filing representatives, and the Department of Buildings. The ELV1 form mandates three copies to be typewritten, underscoring the importance of accuracy and clarity in the submission process. Moreover, this form also touches on the critical aspects of insurance, including general liability and workers’ compensation, providing a holistic approach to elevator installation and maintenance within the architectural fabric of New York City.

QuestionAnswer
Form NameNyc Buildings Form Elv1
Form Length3 pages
Fillable?No
Fillable fields0
Avg. time to fill out45 sec
Other nameselv1 elv1 elevator application occupancy group form

Form Preview Example

ELV1: Elevator Application

Please file three (3) copies

Application must be typewritten

Application Number:

Filing Rep. Name:

Filing Rep. Lic.

Filing Rep. Email:

1 Filing Status

 

New Installation

Alteration / Replacement

 

 

Dismantle

Remove

 

 

Permit Renewal

Permit Reinstatement

 

Permit Withdrawal

Permit Number: ___________

 

 

 

 

Building Code ________________________

3Applicant Information

Elevator Agency Name Agency (Co) Director’s Name License Number

Address:

City

State

Zip

Email

 

 

Phone

 

 

2 Location Information

Borough

Block

Lot

BIN

 

 

Address

 

 

City

State

Zip

Occupancy Group ________________________

4 Owner Information

Name

Title

Business Name

Address

City

State

Zip

Email

 

 

Phone

 

 

5

 

Device Information

 

 

 

 

Num

 

Elevator Plan Numbers

NYC Device ID

Num

Elevator Plan Numbers

NYC Device ID

 

 

 

 

 

 

 

 

1

 

 

 

 

4

 

 

 

 

 

 

 

 

 

 

2

 

 

 

 

5

 

 

 

 

 

 

 

 

 

 

3

 

 

 

 

6

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Wheelchair Lift

Personnel Hoist

Escalator

 

Device Type:

 

 

Elevator

 

Pass

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Freight

Conveyor

Sidewalk

Moving Walk

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Pvt. Res.

Dumbwaiter

Other ________________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Is this:

Yes

The only elevator in the building?

 

Elevator part of Destination Dispatch System?

 

An Occupation Evacuation Elevator?

 

A Fire Service Access Elevator?

 

Building meets the stretcher car requirement?

 

No

Is this:

Yes

No

 

Device used in conjunction with an

MTA Station?

 

 

Device conforming with Seismic Compliance?

 

 

Device installed in a New Hoist way?

 

 

Device meeting NYC Handicap Provisions?

 

 

Device equipped with Fire Emergency Phase I & II?

 

 

Device part of an accessible route?

 

 

6

Machine and Machine Room

 

 

 

 

 

 

 

 

 

 

NA

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Location of Machine:

 

 

Manufacturer:

 

 

 

 

 

 

 

 

 

Machine Type:

OH Worm Gear Traction

Basement Worm Gear

Traction Gearless

 

Drum

 

 

 

 

 

Oil Hydraulic

Roped Hydraulic

MRL

 

 

 

 

Other

 

 

 

 

 

 

 

Quantity

Size

 

Ultimate Strength

 

 

 

 

 

 

Material

 

 

 

 

Hoist Ropes

 

 

 

 

 

 

 

 

Iron

 

 

 

Steel

Belt

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Car Counterweight Ropes

 

 

 

 

 

 

Iron

 

 

 

Steel

Belt

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Machine Counterweight Ropes

 

 

 

 

 

 

Iron

 

 

 

Steel

Belt

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Car Governor Ropes

 

 

 

 

 

 

Iron

 

 

 

Steel

Belt

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CWT Governor Ropes

 

 

 

 

 

 

Iron

 

 

 

Steel

Belt

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Car Governor

Location:

 

Tripping Speed

F.P.M.

Type

Fly Ball

Centrifugal

Tension

 

 

 

CWT Governor

Location:

 

Tripping Speed

F.P.M.

Type

Fly Ball

Centrifugal

Tension

 

07/15

ELV1

PAGE 2

7Location Information Please provide the same information as in section 2

Borough

Block

LOT

BIN

8

General Information

 

 

NA

 

 

 

 

 

 

 

 

 

Types of Motive Power

 

 

 

 

 

 

Elevator

AC

DC

Main Supply

AC

DC

 

Travel from Floor:

 

 

to floor:

 

 

 

Total travel

(ft):

 

 

Number of Stops:

 

 

Capacity:(lbs)

 

 

Speed: (FPM)

 

 

Elevator Control

 

 

 

 

 

 

Resistance

 

Multi-Voltage

 

 

 

Generator Field Control

Solid State

 

 

 

Mode of Operation

Automatic P.B.

Constant Pressure

 

Top Emergency Exit Min Area

sq.in Min Side

 

in

 

Glass Car

 

 

Glass Hoistway

 

 

Atrium Elevator

 

 

 

 

 

9

Cars and Counterweight

 

NA

 

 

 

 

 

 

 

 

 

 

Car Inside Dimensions:

feet

in by

feet

in

 

Car Inside Area

 

Sq. feet:

 

 

 

 

 

 

 

 

 

 

 

Car Safety Type:

 

 

 

 

 

 

Instantaneous

 

Flexible Guide

Gradual WC

 

 

 

 

 

 

 

 

 

 

Counterweight Safety Type:

 

 

 

 

 

 

Instantaneous

 

Flexible Guide

Gradual WC

 

 

 

 

 

 

 

 

 

 

Car Opening:

 

 

 

 

 

 

Door

 

Gate

 

 

 

 

 

 

 

 

 

 

 

Operation:

 

 

 

 

 

 

Manual

 

Power

 

 

 

 

 

 

 

 

 

 

 

Contact Type

 

Manufacturer

 

 

 

 

 

 

 

 

 

 

 

10

 

Hoist way Opening

 

NA

11

Pit and Buffers

 

 

 

 

NA

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Door

 

Gate

 

 

 

 

 

 

 

 

 

 

Car Buffer:

Reduced Stroke?

Yes

NO

 

 

 

 

 

 

 

1 1/2 Hr Fire Rated Construction Type

 

 

 

 

 

 

 

 

 

Engagement Speed:

 

 

F.P.M. Stroke

feet

 

in

 

 

 

 

 

 

 

Operation

Manual

 

Power

 

 

 

 

 

 

Manufacturer:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Self Closing

 

Facias

 

 

 

 

 

 

Type:

 

 

 

Spring

Oil

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Vision Panel with Grilles

Vision Panel

 

 

 

 

 

 

Counterweight Buffer:

 

 

Reduced Stroke?

Yes

 

O

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

N

 

 

 

 

 

 

 

 

Interlocks

 

Locks & Contacts

 

 

 

 

 

 

Engagement Speed:

 

 

F.P.M. Stroke

feet

 

in

 

 

 

 

 

 

 

Interlocks Type:

 

 

Manufacturer:

 

 

 

 

 

 

 

 

 

Manufacturer:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Number of Openings:

 

 

 

 

 

 

 

 

 

 

 

Type:

 

 

Spring

Oil

 

 

 

 

 

 

 

 

 

 

 

Front

 

 

Side

 

 

 

 

 

 

 

 

 

Compensation Chain

 

Length

 

ft.

 

 

 

 

 

 

 

Rear

 

 

Total:

 

 

 

 

 

 

 

 

 

Compensation Rope

 

Length

 

ft.

 

 

 

 

 

 

 

Self Closing Emergency Doors in Blind Hoist way

 

 

 

 

 

 

Counterweight Screen

 

Yes

No

 

 

 

 

 

 

 

 

 

 

 

Interlock in Blind Hoist way

 

 

 

 

 

 

 

 

 

 

Occupied Space Below

 

Yes

No

 

 

 

 

 

 

12

 

Personnel Hoist Information

NA

13

Escalator Information

NA

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Hoist car manufacturer

 

 

 

 

 

Escalator manufacturer

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Hoist Mast manufacturer

 

 

 

 

 

 

 

 

Speed

 

 

 

Rise

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Hoist Safety manufacturer

 

 

 

 

 

 

 

Width

 

 

 

Angle

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Hoist car dimensions:

 

 

 

 

 

 

 

Capacity

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Hoist car capacity

 

 

 

 

 

 

 

 

 

Number of flat steps

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Hoist Safety Capacity

 

 

 

 

 

 

 

 

 

 

Brake Torque

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Hoist Safety Expiration Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Hoist Counterweighted

Yes

No

 

 

 

 

 

 

Flame/Heat/Smoke protection provided?

Yes

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Speed

 

Rise

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

14

 

Insurance Information

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

General Liability

 

 

 

Company

 

 

 

 

 

 

 

 

Expiration Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Workers’ Compensation

 

Certificate/Policy No.

 

 

Expiration Date

 

 

 

 

 

 

 

 

 

 

 

Disability

 

 

 

Certificate/Policy No.

 

 

Expiration Date

 

 

 

 

 

 

07/15

ELV1

PAGE 3

15Location Information Please provide the same information as in section 2

Borough

Block

LOT

BIN

16Description of Work: For more space, please AI1 Additional Information

17

Statements and Signatures

 

 

 

 

 

 

 

Falsification of any statement is a misdemeanor and is punishable by a fine or

Applicant Name

 

 

imprisonment, or both. It is unlawful to give to a city employee, or for a city employee

 

 

 

to accept, any benefit, monetary or otherwise, either as a gratuity for properly

Signature

Date

 

performing the job or in exchange for special consideration. Violation is punishable

 

 

 

 

 

 

 

 

by imprisonment or fine or both. I understand that if I am found after hearing to have

 

 

 

knowingly or negligently made a false statement or to have knowingly or negligently

 

 

 

falsified or allowed to be falsified any certificate, form, signed statement, application,

 

 

 

report or certification of the correction of a violation required under the provisions of

 

 

 

this code or of a rule of any agency, I may be barred from filing further applications

 

 

 

or documents with the Department.

P.E. / R.A. Name (please print)

 

Replacement / Modification Statement

 

 

 

 

I am filing this Replacement/Modification Application for consideration under

 

 

 

Operations Policy and Procedures Notice # 26/90. I certify that no electrical or

 

 

 

mechanical tests need to be performed in conjunction with this work.

Signature

Date

 

I have assumed responsibility for making inspections during the progress and

 

 

 

 

upon completion of the indicated work. Upon completion I will file Form ELV3 to

 

 

 

sign off on the completed work and to remove all applicable violations.

 

 

 

P.E. / R.A. Seal

(apply seal, then sign and date over seal)

 

 

18

Fee Information

Estimated Cost: $

Fee Exempt (Proof Required):

New Building Application (Submit Permit)

Internal Use Only

Fee Estimator

Fee Due:

$

 

Fee Estimator Name:

 

Civil Penalty (If Applicable) :

$

 

Signature:

Date:

Total Fee Due:

$

 

 

 

Approvals

 

 

 

 

Examined and Recommended for Approval:

 

Approved:

 

Examiner Name:

 

 

Assistant Commissioner’s Signature:

 

Signature:

 

Date:

 

07/15

How to Edit Nyc Buildings Form Elv1 Online for Free

You are able to complete Nyc Buildings Form Elv1 effectively in our PDF editor online. To retain our editor on the forefront of practicality, we work to put into action user-oriented capabilities and enhancements on a regular basis. We're routinely happy to receive feedback - help us with revolutionizing PDF editing. Here's what you will have to do to start:

Step 1: Simply click the "Get Form Button" above on this site to see our pdf editing tool. This way, you'll find everything that is required to work with your file.

Step 2: With the help of our advanced PDF tool, it is easy to do more than merely fill out blanks. Express yourself and make your documents seem high-quality with custom textual content added, or fine-tune the original content to excellence - all backed up by an ability to add any kind of graphics and sign it off.

As for the fields of this precise form, here's what you should know:

1. To begin with, when filling out the Nyc Buildings Form Elv1, start with the area with the next blank fields:

Find out how to fill out Nyc Buildings Form Elv1 portion 1

2. Just after completing the previous section, head on to the next stage and fill in the necessary particulars in all these blank fields - Device Type, Elevator, Pass, Freight, Pvt Res, Wheelchair Lift, Conveyor, Dumbwaiter, Personnel Hoist, Escalator, Sidewalk, Moving Walk, Other, Yes, and Is this The only elevator in the.

Part # 2 for completing Nyc Buildings Form Elv1

3. Completing ELV Location Information Please, Borough, Block, Lot BIN, Cars and Counterweight, Car Inside Dimensions Car Inside, Counterweight Safety Type, Instantaneous, Car Opening, Door Operation Manual Contact Type, Pit and Buffers, feet in by, Sq feet, feet in, and Flexible Guide is essential for the next step, make sure to fill them out in their entirety. Don't miss any details!

Writing section 3 of Nyc Buildings Form Elv1

4. You're ready to fill out this fourth segment! In this case you will get all of these Car Buffer Reduced Stroke Yes, Oil, Compensation Chain Compensation, Counterweight Screen Occupied, Spring Length Length Yes Yes, ft ft, No No, Rise, Angle, Escalator manufacturer Speed Width, Capacity, Number of flat steps, Brake Torque, FlameHeatSmoke protection provided, and Yes blanks to complete.

Nyc Buildings Form Elv1 conclusion process outlined (stage 4)

5. When you come near to the completion of the document, you'll find a few extra requirements that should be satisfied. In particular, Company, CertificatePolicy No, Expiration Date, Expiration Date Expiration Date, General Liability, and Workers Compensation Disability must be filled out.

Expiration Date, CertificatePolicy No, and Company inside Nyc Buildings Form Elv1

It's easy to make errors when filling out the Expiration Date, and so ensure that you take another look before you send it in.

Step 3: Make certain your details are correct and then simply click "Done" to conclude the process. Create a free trial plan with us and gain instant access to Nyc Buildings Form Elv1 - with all adjustments kept and available inside your personal account. At FormsPal.com, we do our utmost to be sure that all your details are stored secure.