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    Annexure 1 Lift

    Uploaded by

    avinash
    This document contains an application form for permission to install a new lift or make additions/alterations to an existing lift. It requests details across 51 points, including applicant information, lift specifications, safety features, construction plans, and proposed work timelines. The applicant and authorized installer must sign confirming the provided details.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Annexure 1 Lift

    Uploaded by

    avinash
    359 views3 pages
    This document contains an application form for permission to install a new lift or make additions/alterations to an existing lift. It requests details across 51 points, including applicant information, lift specifications, safety features, construction plans, and proposed work timelines. The applicant and authorized installer must sign confirming the provided details.

    Original Description:

    Gujarat Lift License Documents Annexure 1

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

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    This document contains an application form for permission to install a new lift or make additions/alterations to an existing lift. It requests details across 51 points, including applicant information, lift specifications, safety features, construction plans, and proposed work timelines. The applicant and authorized installer must sign confirming the provided details.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    359 views3 pages

    Annexure 1 Lift

    Uploaded by

    avinash
    This document contains an application form for permission to install a new lift or make additions/alterations to an existing lift. It requests details across 51 points, including applicant information, lift specifications, safety features, construction plans, and proposed work timelines. The applicant and authorized installer must sign confirming the provided details.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    You are on page 1of 3

    ANNEXURE 1

    (rule-3)
    Application for permission to install lift or
    For making additions or alterations to the installed lift
    Sr
    no
    1
    2
    3

    6
    7
    8
    9

    Particulars
    Full name and permanent address of
    the owner / applicant
    Name and address of the local agent of
    owner, if any (appointed under section
    -14)
    Address of the premises where the lift is
    to be installed * or additions or
    alterations are proposed
    Whether a lift has been previously
    erected and a license has been granted.
    (Details to be given)
    Name and address of the person
    (authorized under section 13) who will
    install the lift or make additions or
    alterations.
    Type and make of lift proposed to be
    erected
    Number of lifts required
    Rated Load : Number of Persons&
    Kilograms
    Rated Speed (Meters per second)

    10
    11

    Travel in meters
    Servings-------------------------.
    Floors -------------------------.--Entrances ------------------------

    12
    13

    Method of control
    Positions and Details of machine room
    with distance of machine from the walls
    of machine room.
    Positions and details of counter weight
    Constructions, design and finish of the
    car body work.
    Bottom car run by (in millimeters)

    14
    15
    16

    Details

    17
    18
    19
    20

    21
    22
    23
    24
    25
    26
    27
    28
    29
    30
    31
    32
    33
    34
    35
    36
    37
    38
    39
    40
    41
    42
    43
    44
    45

    Bottom counter weight run by (in


    millimeters)
    Details of Buffer
    Detail of call indicator.
    Details of car frame, Platform, internal
    size of car.
    Details of bottom and Top counter
    weight clearance.
    Details of car and counter weight guide
    rails, brackets
    Details of car and landing doors with its
    opening And locking arrangement.
    Details of emergency stop switch, floor
    leveling switch, Floor selectors and car
    gate switch.
    Details of lift pit, Lift well enclosure
    and lifting beam
    Type of lift operation with its devices.
    Details of over speed governor.
    Details of retiring cam / retiring ram
    Details of safety gear
    Details of sheave and Diverter pulley
    Details of slack rope switch.
    Detail of terminal slow down switch
    Details of terminal stopping device
    normal
    Details of terminal stopping device final
    Distance of total head room
    Details of gear machine
    Travel distance
    Details of fireman switch when
    required.
    Details of main switch and wiring in
    machine room,Lift well and lift pit with
    position and controlling Switches.
    Details of over current protection
    Details of bottom and top car clearance.
    Details of alarm system
    Details of earthing
    Details of emergency signal or
    telephone.
    System of roping. The number and
    description, Weight and size of the
    supporting cables

    46
    47
    48

    49
    50
    51

    Details of lift well dimensions.


    Details of power and lighting cable to
    half way Point in lift well.
    Details of main switch(es) and fuse(s) or
    circuit breaker(s) In machine room and
    main switches and fuse for isolating
    Main cables to machine room(s)
    Details of the construction of the
    overhead arrangement with the weight
    and sizes of the beam.
    Proposed date for commencement of
    work.
    Proposed date for completion of work.

    Signature of person referred to at


    serial number -5 of above.
    Authorization No:

    Signature of Applicant

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