Form 'A'
[See rule 3(2)]
To
(The officer authorized under section 3 of the Act).
Respected Sir,
I am willing to install a lift or to make additions / alterations to a lift
already installed at MGS Health & Wellness, Village Chharot & Gatoli, Tehsil & District
Solan, Himachal Pradesh – 173229. Therefore, I request you to kindly permit me to
install the same. The necessary particulars/ documents as required under section 3 of
the Act are as under. -
1. Full name and address of the applicant. : MGS Health & Wellness, Village
Chharot & Gatoli, Tehsil & District
Solan, Himachal Pradesh – 173229.
2. Name and address of Agent, if any : N.A.
3. Whether a license has been previously :
granted. (Details to be given) NA
4. Type of lift proposed to be erected. (A : MRL elevator (IM24091B05) P5L (05)
sketch of the lift and erection plans
should be attached
5. The rated maximum speed of the lift. : 1 mls (60m/min)
6. The maximum number of passengers in : 13 persons
addition to the lift operator which the
lift can carry.
7. The total weight of the lift cage carrying : 884 Kg
the maximum load.
8. The weight of the counterweight. : 1574 Kg
9. The number, description, weight and : 6 No’s (8 mm & dia)
size of the supporting cables.
1 The depth of the pit from lowest part of : 1550 mm
0. the lift cage when at the lowest floor.
1 Details of the construction of the : Overhead RCC beams casted (hight
1. overhead arrangements with the weight 4282mm)
and sizes of the beams
Place ___________________ Signature of applicant
Date ____________________
Form 'A'
[See rule 3(2)]
To
(The officer authorized under section 3 of the Act).
Respected Sir,
I am willing to install a lift or to make additions / alterations to a lift
already installed at MGS Health & Wellness, Village Chharot & Gatoli, Tehsil & District
Solan, Himachal Pradesh – 173229. Therefore, I request you to kindly permit me to
install the same. The necessary particulars/ documents as required under section 3 of
the Act are as under. -
1. Full name and address of the applicant. : MGS Health & Wellness, Village
Chharot & Gatoli, Tehsil & District
Solan, Himachal Pradesh – 173229
2. Name and address of Agent, if any : N.A.
3. Whether a license has been previously :
granted. (Details to be given) NA
4. Type of lift proposed to be erected. (A : MRL elevator (IM24146D02P1)
sketch of the lift and erection plans
should be attached
5. The rated maximum speed of the lift. : 1MLS(60M/MIN)
6. The maximum number of passengers in : 10 persons
addition to the lift operator which the
lift can carry.
7. The total weight of the lift cage carrying : 680 Kg
the maximum load.
8. The weight of the counterweight. : 1401 Kg
9. The number, description, weight and : 4 No’s (8 mm & dia)
size of the supporting cables.
1 The depth of the pit from lowest part of : 1610 mm
0. the lift cage when at the lowest floor.
1 Details of the construction of the : Overhead RCC beams casted (hight
1. overhead arrangements with the weight 4282mm) from FFL
and sizes of the beams
Place ___________________ Signature of applicant
Date ____________________
Form 'A'
[See rule 3(2)]
To
(The officer authorized under section 3 of the Act).
Respected Sir,
I am willing to install a lift or to make additions / alterations to a lift
already installed at MGS Health & Wellness, Village Chharot & Gatoli, Tehsil & District
Solan, Himachal Pradesh – 173229. Therefore, I request you to kindly permit me to
install the same. The necessary particulars/ documents as required under section 3 of
the Act are as under. -
1. Full name and address of the applicant. : MGS Health & Wellness, Village
Chharot & Gatoli, Tehsil & District
Solan, Himachal Pradesh – 173229
2. Name and address of Agent, if any : N.A.
3. Whether a license has been previously :
granted. (Details to be given) NA
4. Type of lift proposed to be erected. (A : MRL elevator (IM24146D02P2)
sketch of the lift and erection plans
should be attached
5. The rated maximum speed of the lift. : 1MLS(60M/MIN)
6. The maximum number of passengers in : 10 persons
addition to the lift operator which the
lift can carry.
7. The total weight of the lift cage carrying : 680 Kg
the maximum load.
8. The weight of the counterweight. : 1401 Kg
9. The number, description, weight and : 4 No’s (8 mm & dia)
size of the supporting cables.
1 The depth of the pit from lowest part of : 1610 mm
0. the lift cage when at the lowest floor.
1 Details of the construction of the : Overhead RCC beams casted (hight
1. overhead arrangements with the weight 4282mm) from FFL
and sizes of the beams
Place ___________________ Signature of applicant
Date ____________________