University of Connecticut Division of Public and Environmental Safety
Office of the Fire Marshal and Building Inspector
Application for Construction Document Review and Building Permit
Date of Application: Project Number: Project Name: Building Name: Campus: Applicant/Agent: Applicant Address: Applicant Telephone: Project Description: Documents Prepared By: Work shown is in response to written citation of Connecticut State Fire Safety Code. Request is for preliminary review of drawings or construction documents dated: Enumeration of Documents Submitted: Application is being made for Building Permit for construction. Construction Documents Dated: are attached. Enumeration of Documents Submitted: Construction documents are submitted with seal(s) of the required Licensed Professional(s). Construction documents declare the existing and/or proposed building Use and Occupancy Classification, the Type of Construction and provide information demonstrating compliance with the Connecticut State Building Code. General code compliance information is provided herein: Building Area:
Existing Proposed
Applicant Fax:
Applicant Email:
Building Height:
Existing Proposed
Construction Type: NFPA 13 NFPA 13R None
Building Use:
Existing Proposed
Sprinkler System:
Other Information: Signed:
Applicant
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