Property Information - Melville Fire Department

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Name*

Phone Numbers*

Home
Cell

Home Phone Number*

Cell Phone Number*

Email*

Where do You Live?*

Garage Door Code*

Does a neighbor have a key?*

Yes
No

Keyholder Name*

First Last

Keyholder Phone Number*

Keyholder Address*

Street Address

Emergency Contact Name (other than owner)

First Last

Emergency Contact Phone Number

How many floors? (excluding attic and basement)*

Please enter a number from 1 to 5.

Do you have a basement?*

Yes
No

Do you have exterior access to your basement?*

Yes
No

Do you have any apartments?*

Yes
No

Where are the apartments located?*

Please provide location in house and entrance. Ex. Basement apartment accessed through the backyard basement steps.

Do you have Natural Gas?*

Yes
No

Where is the gas meter located?*

Ex. Rear of the house, Right side of the house when looking from the street, etc.

Do you have propane gas?*

Yes
No

Where are the propane tanks located?*

Are there any hazardous materials on the property?*

Please list all (significant quantities only) hazardous materials, and where they are stored. If you can, provide the amount as well. Examples include gas cans, acetylene tanks, chlorine, home heating oil tanks, etc.)

Location of Electrical Panel?*

Ex. Basement Closet, Garage, etc.

Do you have solar panels?*

Yes
No

Do you have a generator for your home?*

Yes
No

Location of generator?*

Do you have a home battery for your home?*

Ex. Tesla Powerwall

Yes
No

Location of home battery?*

Are there any invalids living at the home?*

Yes
No

Please provide invalid(s) name, location in the house, and if they are on O2*

Any other important information you think we should know?