Nyc Form Ll4A PDF Details

In the bustling metropolis of New York City, safety regulations and compliance are paramount, especially when it comes to fire prevention within commercial and residential buildings. Among these critical regulations is the Local Law 26/04, which mandates the installation of sprinkler systems in buildings to enhance fire safety. The NYC LL4A form, known as the Seven Year Sprinkler Report Form, plays a crucial role in this initiative, serving as a critical document that building owners must complete and submit to demonstrate their compliance with the law. This form requires detailed information about the property, including location and ownership details, and demands the expertise of licensed professionals, such as P.E. (Professional Engineers) or R.A. (Registered Architects), to prepare and verify the report. It not only contains a synopsis of work already completed towards achieving 100% sprinkler coverage but also outlines a planned approach for full implementation. The form underscores the seriousness of compliance through its stern warning about the legal consequences of falsification, including fines and imprisonment, showing the city's commitment to maintaining high safety standards and the legal ramifications for those failing to adhere to these standards.

QuestionAnswer
Form NameNyc Form Ll4A
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesll4a local law 26 nyc sprinkler form

Form Preview Example

Local Law 26/04

Seven Year

Sprinkler Report Form

Application must be typewritten

1

Location Information

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

House No(s)

 

Street Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Borough

 

Block

 

Lot

BIN

 

 

 

 

 

 

 

 

 

 

2

Professional Information

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Last Name

 

First Name

 

 

Middle Initial

 

 

 

 

 

 

 

 

 

 

 

Business Name

 

 

 

 

 

 

 

Business Telephone

 

 

 

 

 

 

 

 

 

 

 

Business Address

 

 

 

 

 

 

 

Business Fax

 

 

 

 

 

 

 

 

 

 

 

City

State

 

Zip

 

 

Mobile Telephone

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

E-mail

 

 

P.E.

 

 

R.A

 

NYS License Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3Owner of Record Information (Not a Representative or Business Manager or Agent)

 

Last Name

 

First Name

Middle Initial

 

 

 

 

 

 

Business Name

 

 

Business Telephone

 

 

 

 

 

 

Business Address

 

 

Business Fax

 

 

 

 

 

 

City

State

Zip

Mobile Telephone

 

 

 

 

 

 

E-mail

 

 

 

 

 

 

 

 

4 Percentage of Building Sprinkled

%

5 Synopsis of work completed and implementation plan to complete 100% sprinklerization (continued on page 2, if necessary)

6Statement and Signatures

Falsification of any statement is a misdemeanor and is punishable by a fine or 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 performing the job or in exchange for special consideration. Violation is punishable by imprisonment or fine or both.

Name (please print)

 

Signature

Date

 

 

 

 

 

 

 

 

 

Internal Use Only

 

NYS P.E. / R.A. Seal (apply seal, then sign and date over seal)

 

 

 

 

 

 

 

Local Law Enforcement Unit (stamp)

 

Initials_________________

Date_________________

 

 

 

 

LL4A (4/11)

Local Law 26/04

Seven Year

Sprinkler Report Form

Application must be typewritten

PAGE 2

5a Synopsis of work completed and implementation plan to complete 100% sprinklerization (continued)

LL4A (4/11)

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Step # 1 of submitting Nyc Form Ll4A

2. Your next stage is usually to fill in all of the following blank fields: Percentage of Building Sprinkled, Synopsis of work completed and, Statement and Signatures, Falsification of any statement is, and Name please print Signature Date.

Nyc Form Ll4A conclusion process described (part 2)

3. The following portion is about a Synopsis of work completed and - fill in all of these fields.

Nyc Form Ll4A writing process explained (portion 3)

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