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Appendix 1
Instructions: To be reproduced and distributed by the owner in accordance with 3 RCNY § 401-06.
PART I – BUILDING INFORMATION SECTION
NEW YORK CITY APARTMENT BUILDING
EMERGENCY PREPAREDNESS GUIDE
BUILDING INFORMATION
BUILDING ADDRESS: ________________________________________
BUILDING OWNER/REPRESENTATIVE:
Name: ________________________________________
Address: ________________________________________
Telephone: ________________________________________
BUILDING INFORMATION:
Year of Construction: __________________
Type of Construction: __ Combustible __ Non-Combustible
Number of Floors: ______ Aboveground ______ Belowground
Sprinkler System: __ Yes __ No
Sprinkler System Coverage: __ Entire Building __ Partial (complete all that apply):
   __ Dwelling Units: ________________________________________
   __ Hallways: ________________________________________
   __ Stairwells: ________________________________________
   __ Compactor Chute: ________________________________________
   __ Other: ________________________________________
Fire Alarm: __ Yes Transmits Alarm to Fire Dept/Fire Alarm Co __ No
   Location of Manual Pull Stations: ________________________________________
Public Address System: __ Yes __ No
   Location of Speakers: __ Stairwell __ Hallway __ Dwelling Unit __ Other: ________________________________________
Means of Egress (e.g., Unenclosed/Enclosed Interior Stairs, Exterior Stairs, Fire Tower Stairs, Fire Escapes, Exits):
 
Type of Egress
Identification 
Location
Leads to
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Other Information: ________________________________________
DATE PREPARED: __________________________________________
PART II – FIRE AND EMERGENCY PREPAREDNESS INFORMATION
NEW YORK CITY
APARTMENT BUILDING
EMERGENCY PREPAREDNESS GUIDE

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