Plan Application Form - Kentucky Department Of Public Protection

ADVERTISEMENT

PLAN APPLICATION FORM
ENVIRONMENTAL AND PUBLIC PROTECTION CABINET
DEPARTMENT OF PUBLIC PROTECTION
OFFICE OF HOUSING, BUILDINGS AND CONSTRUCTION
DIVISION OF BUILDING CODE ENFORCEMENT & DIVISION OF PLUMBING
101 SEA HERO ROAD, SUITE 100
FRANKFORT, KENTUCKY 40601-5405
BUILDING CODES: 502/ 573-0373
PLUMBING: 502/ 573-0397
NOTE: Complete all applicable spaces
Today's Date:
REV.12/2007
Yes
NAME OF PERSON
IS THE BCE PLAN REVIEW FEE
(
)
-
Ext
Phone
SUBMITTING PLANS
INCLUDED WITH PLANS?
No
-
MAILING ADDRESS:
NUMBER / STREET, HWY, ROAD or P. O. BOX
CITY
STATE
ZIP CODE
BUSINESS & PROJECT NAME:
(Or tenant name if multi-tenant building)
PLEASE NOTE IF PROJECT IS INSIDE OR OUTSIDE LIMITS OF CITY NOTED BELOW
PROJECT
KY
LOCATION:
-
NUMBER/STREET, HWY OR ROAD (Please do not indicate P.O. Box or Postal Routes)
CITY
STATE
ZIP CODE
PROJECT LOCATED WITHIN CITY LIMITS?
Yes
No
COUNTY
OWNER (INDIVIDUAL &
(
)
-
Ext
PHONE
COMPANY)
-
MAILING ADDRESS:
NUMBER / STREET, HWY, ROAD or P. O. BOX
CITY
STATE
ZIP CODE
(
)
-
Ext
ARCHITECT (NAME & FIRM)
PHONE
AS THE ARCHITECT LISTED ABOVE, I AM RESPONSIBLE FOR CONSTRUCTION CONTRACT
Yes
No
ADMINISTRATION
-
MAILING ADDRESS:
NUMBER / STREET, HWY, ROAD or P. O. BOX
CITY
STATE
ZIP CODE
NOTE: DESIGN CERTIFICATION REQUIRED. All buildings or structures requiring professional design (Architect or Engineer) by Section 122 of the 2007
KBC shall include a statement from the design professional in responsible charge indicating the Seismic Design Category for this specific site and the
applicability of seismic bracing requirements for architectural, mechanical and electrical components and a statement to that effect shall be included with the
initial construction documents submitted to the building code official having jurisdiction.
(
)
-
Ext
ENGINEER (NAME & FIRM)
PHONE
-
MAILING ADDRESS:
NUMBER / STREET, HWY, ROAD or P. O. BOX
CITY
STATE
ZIP CODE
(
)
-
Ext
PROJECT CONTRACTOR
PHONE
-
MAILING ADDRESS:
NUMBER / STREET, HWY, ROAD or P. O. BOX
CITY
STATE
ZIP CODE
BUILDING INFORMATION
NUMBER OF BUILDINGS IN THIS
USE OF BUILDING(S)
ie...restaurant, office, classroom, storage or
SUBMITTAL:
other ( please specify )
NEW FREESTANDING
NEW ADDITION TO
RENOVATION
RENOVATION &
BUILDING(S) IN THIS PROJECT IS / ARE:
BUILDING
EXISTING STRUCTURE
ONLY
ADDITION
TOTAL AREA IN NEW
NUMBER OF LEVELS
2
FT
BASEMENT
Yes
No
BLDG. OR ADDITION:
(INCLUDING BASEMENT):
TOTAL AREA IN EXISTING
DATE CONSTRUCTION TO
ESTIMATED COMPLETION
2
FT
BLDG.:
BEGIN:
DATE:
TYPE OF PLAN SUBMITTALS
BUILDING
PLAN
SUBMITTALS
SHOP DRAWING PLAN SUBMITTALS
(Check the type of evaluations requested at this time)
(Check the type of evaluations requested at this time)
BUILDING PLAN REVIEW (BCE)
PLUMBING PLAN REVIEW
Suppression System
Full Building Review
Plumbing Review ONLY
Range Hood System
2
(Sprinkler, CO
, Etc.)
Expedited Site & Foundation Review
Water Supply Review
Alarm Systems
Fuel Tank
Waste Water Review
Boiler System
Elevator
Other (please specify)
Bleacher Seating
Swimming Pool
Prefabricated Truss
SUBMIT ONLY ONE SET FOR BCE
SUBMIT ONLY ONE SET OF PLANS FOR THE ABOVE
THE INFORMATION IN THIS SECTION IS FOR THE DIVISION OF PLUMBING (TO BE COMPLETED BY PERSON SUBMITTING PLANS)
NO. OF
NO. OF
ARE RESTROOMS ACCESSIBLE
DESIGN CAPACITY OF BUILDING:
Yes
No
MALES
FEMALES
TO PUBLIC?
ARE RESTROOMS ACCESSIBLE
SEWAGE DISPOSAL:
TYPE:
Municipal
Private
Yes
No
TO DISABLED?
WATER SUPPLY:
PUBLIC
DRILLED WELL
CISTERN
HAULED WATER
ROOF WATER
SPRING
STREAM
IF PRIVATE, INDICATE THE TYPE AND THE DESIGN:
BY WHOM:
NAME
TITLE
REGISTRATION NUMBER
THIS
SECTION
TO
BE
COMPLETED
BY
THE
LOCAL
HEALTH
DEPARTMENT OFFICIAL ( Must be completed prior to sending Plumbing
THIS AREA FOR OFFICE USE ONLY
Plans to Frankfort )
REVIEWED BY:
NAME
TITLE
DATE
APPROVED BY (COUNTY OR
DISTRICT HEALTH DEPARTMENT)

ADVERTISEMENT

00 votes

Related Articles

Top 20 Happy Easter Cards And Gift Tags To Download For Free
Top Ten Easter Arts And Crafts Activities For Your Kids
Free Easter Coloring Pages And Easter Printables For Your Kids

Related forms

Tuition Waiver Application Form - Kentucky Department Of Veterans Affairs Tuition Waiver Application Form - Kentucky Department Of Veterans Affairs Legal
Affidavit Of Homeless Status Fee Waiver Application Form - California Department Of Public Health Affidavit Of Homeless Status Fee Waiver Application Form - California Department Of Public Health Legal
Special Movement Application Form - Oklahoma Department Of Public Safety Special Movement Application Form - Oklahoma Department Of Public Safety Legal
Environmental Health Permit Application Form - California Department Of Public Health Environmental Health Permit Application Form - California Department Of Public Health Legal
Form Epid 394 - Hepatitis B Infection In Pregnant Women Or Child - Kentucky Department Of Public Health Form Epid 394 - Hepatitis B Infection In Pregnant Women Or Child - Kentucky Department Of Public Health Legal
Application For Jobseeker's Allowance Transition Form (jst) - Department Of Social Protection, Ireland Application For Jobseeker's Allowance Transition Form (jst) - Department Of Social Protection, Ireland Legal
Form Pcureg-01 - Annual Charity Registration Application And Instructions - Department Of Consumer Protection Form Pcureg-01 - Annual Charity Registration Application And Instructions - Department Of Consumer Protection Business
Application For Permit To Sell Salable Fireworks At Retail Form - Alaska Department Of Public Safety Division Of Fire Prevention Application For Permit To Sell Salable Fireworks At Retail Form - Alaska Department Of Public Safety Division Of Fire Prevention Legal
Form 92a205 - Kentucky Inheritance Tax Return (short Form) - Kentucky Department Of Revenue Form 92a205 - Kentucky Inheritance Tax Return (short Form) - Kentucky Department Of Revenue Financial
Kentucky Individual Income Tax Forms - Kentucky Department Of Revenue - 2012 Kentucky Individual Income Tax Forms - Kentucky Department Of Revenue - 2012 Financial

Related Categories

Parent category: Business
Download
Go