Fire and Life Safety Code Compliance Plan Review Check List

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					              Fire and Life Safety Code Compliance Plan Review Check List
                                          Site Plans Review Building Plans Review

This form and the applicable documents and information to be submitted with the Application
Date: ________________ Project: _____________________________ Address: __________________________________

Owner: ________________________________________ Contact Number: ______________________________________

Owner Address: ______________________________________________________________________________________

Owner Representative: ____________________________ Contact Number: ______________________________________

Occupancy Use: ______________________ Hazard: _______________________ New/Renovation: __________________

               Please Fill-in and check the items that are applicable to your project.
                      Site Plans; Access and Utility Plan               Building Const. Plans / Spec. Documents

                        Mixed-Occupancy:                                      Minimum Const. Requirements:
                        Multiple-Occupancy:                                   Rated Walls: 1-Hr: __ 2-Hr: __ 3-Hr: __
                                                                               Rated Ceiling:
                        Stories Above Grade:                                  Vertical Openings:
                        Stories Below Grade:                                  Classification of Interior Finish:

                        Minimum Const. Requirements:                          Fire Extinguishers:    Types:
                        Rated Walls: 1-Hr: __ 2-Hr: __ 3-Hr: __
                                                                               Fire Alarm Required:
                        Hazard Areas:                                         Smoke/Heat Detection Requirements:
                        Electrical Utilities locations:                       Duct Detectors:
                        Fuel / Propane tank locations:                        Horn/Strobe Location:
                        Underground Tank locations:                           Pull Stations:
                        Underground fuel lines:
                        Trash Compactors/ Dumpsters /Chutes:                  Occupant Load: Based On:        (sq/ft/per)
                                                                               Number of Exits:
                        Sprinkler System Required: YES/NO                     Egress Capacity:
                        Supervised / Monitored: YES/NO                        Door Size:
                        Underground Fire Protection Piping:                   Rated Doors:
                        FD Connection Location: (AHJ)                         Door Swing:
                                                                               Fire Rated Hardware:
                        Fire Department Access (NFPA 1-18):                   Panic Hardware:
                        City of Ellsworth Ordinance; Street Design            Common Path Distance:
                         and Construction Standards Chapter 56,                Travel Distance:
                         Article 9, Section 908.1. J                           Dead Ends:

                        Hydrant Location(s) (NFPA 1-18):                      Emergency Lights:
                        Fire Protection and Prevention                        Exit Signs:
                         Ordinance Article VII Fire Fighting Water
                         Supply                                                Cooking Equipment:
                                                                               Cooking Exhaust Hood System(s):
                        City of Ellsworth Fire Protection and
                         Prevention Ordinance                                  Building Numbering:
                                                                               Knox Box (s):
                        FD Apparatus Turning Radius
           For more information or questions, please contact the Ellsworth Fire Department.
                                                     Michael A. Hangge, Inspector,
                                                      Ellsworth Fire Department
                                                            1 City Hall Plaza
                                                        Ellsworth, Maine 04605
                                             Phone (207) 667-8666 ~ Fax       (207) 667-4902
                                                 E-Mail mhangge@ellsworthmaine.gov

				
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posted:10/1/2012
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