Fire Systems Permit Application Form
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1City of Lancaster, PA.
120 North Duke Street P.O. Box 1599 Lancaster, PA 17608
8:30 AM - 5:00 PM Permits and scheduling - 717-291-4724
Fire Systems Permit Application
City Code, Chapter 116 Uniform Construction Code and Chapter 142 Fire Prevention Code, as amended.
ALL FIRE SYSTEM CONTRACTORS ARE REQUIRED TO HAVE A CERTIFICATE OF FITNESS
ISSUED BY THE CITY FIRE BUREAU, FIRE MARSHAL’S OFFICE.
Applications for permits shall be accompanied by three copies of plans, specifications and calculations.
For fire sprinkler systems and wet standpipe systems, a water capacity letter is required from Public Works Engineering.
Battery calculations are required for all fire alarm systems and devices requiring battery backup.
BUILDING OWNER: ___________________________________________________________________
:___________________________________________________
PROJECT LOCATION/STREET ADDRESS
ALARM COMPANY: ___________________________________________________________________
CERTIFICATE OF FITNESS NO:_________________
Contact person: ___________________________
Office # _________________
Cell# ____________
E-Mail Address: __________________________________________________________________________
INSTALLING CONTRACTOR:___________________________________________________________
Contact person: ___________________________
Office # _________________
Cell# ____________
E-Mail Address: __________________________________________________________________________
Equipment costs:
Total installed costs:
TYPE OF FIRE SYSTEM: Provide a separate application for each type of system.
Residential
Commercial
Building Fire service line
Sprinkler system
Fire alarm system
Other
The issuance or granting of a permit shall not be construed to be approval to violate any provisions of city code.
The issuance of a permit based on construction documents and other data shall not prevent the construction
code official from requiring the correction of errors in the construction documents or any other related data.
Any addition to or alteration of construction design shall be approved in advance by the city construction code
official. No fire system shall be taken out of service without notification to the Fire Marshal’s Office.
WORK SHALL NOT BE CONCEALED PRIOR TO INSPECTION AND APPROVAL BY A CODE OFFICIAL.
I certify that any authorized UCC construction code official or city fire marshal shall have the authority to enter
the facility covered by such permit during normal business hours to enforce the provision of the code(s)
applicable to any permit issued.
_____________________________________
___________________________________
Signature of Owner or Authorized Agent
Print Name of Owner or Authorized Agent
___________________________________
Date
OFFICE USE ONLY
Code Compliance Office Review/Approval: _______________________________ Date: _______________
Permit # ________________
Permit Fee: $___________
State Education Fee $4.00
Total: $________________
1/22/16
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Parent category: Business