PENNSAFE BUILDING INSPECTION SERVICES LLC PERMIT APPLICATION

Transcription

1 PENNSAFE BUILDING INSPECTION SERVICES LLC PERMIT APPLICATION Permit No. 175 Beaver Drive, P.O. Box 486 DuBois, PA Phone: Fax: Toll Free: 855-PENNSAF LOCATION OF PROPOSED WORK OR IMPROVEMENT Muniipality: Tax Parel # Site Address: Lot#_ Subdivision/Land Development: Phase: Setion:_ Owner: Phone# _Fax#_ Mailing Address: Prinipal Contrator: Phone#_ Fax# Mailing Address: Arhitet:_ Phone# _ Fax# Mailing Address: _ TYPE OF WORK OR IMPROVEMENT (Cirle all that apply) New Building Addition Alteration Repair Demolition Reloation Change of Use Plumbing Eletrial Mehanial Other Desribe the Proposed work:_ ESTIMATED COST OF CONSTRUCTION (Reasonable fair market value) DESCRIPTION OF BUILDING USE (Chek one then omplete appliable info) RESIDENTIAL NON-RESIDENTIAL (Commerial) Single Family Dwelling Speifi Use_ Duplex Use Group:_ Constrution Type: Townhouse Change of Use (indiate former and proposed): Total Sq. ft. of finished living spae Maximum Oupant Load:_ Maximum Live Load:_ (Page 1)

2 Sprinkler system to be installed: (Chek one) Yes No BUILDING DIMENSIONS Existing Building Area: sq. ft. Number of Stories:_ Proposed Building Area: _sq. ft. Height Above Grade: ft. Total Building Area:_ sq. ft. Area of Largest Floor: sq. ft. FLOODPLAIN INFORMATION Is the site loated within an identified flood plan area? (Chek one) Yes No Note: All proposed development shall be in aordane with the requirements of the National Flood Insurane Program and the Pennsylvania Flood Plain Management At. HISTORIC DISTRICT INFORMATION Is the site loated within a Historial Distrit? (Chek one) Yes_ No Note: If yes, you must provide proper Historial Distrit ertifiation per the UCC Law. The appliant ertifies that all information on this appliation is orret and the work will be ompleted in aordane with the approved onstrution douments and PA At 45 Uniform Constrution Code and any additional approved building ode requirements adopted by the Muniipality. The property owner and appliant assumes the responsibility of loating all property lines, setbak lines, easements, right of ways, flood areas, et. Issuane of a permit and approval of onstrution douments shall not be onstrued as authority to violate, anel or set aside any provisions of the odes or ordinanes of the Muniipality or any other governing body. The appliant hereby ertifies he/she understands all appliable odes, ordinanes and regulations. Appliation for a permit shall be made by the owner or lessee of the building or struture, or authorized agent of either, or by the authorized registered Design Professional employed in onnetion with the proposed work. I ertify that the Code Administrator or the Code Administrator s authorized representative shall have the authority to enter areas overed by suh permit at any reasonable hour to enfore the provisions of the appliable odes to suh permit. Signature of Owner or Authorized Agent Address: Print Name of Owner or Authorized Agent Date:_ Diretions to Worksite: OFFICE USE ONLY below Permit Fee: $_ Plan Submittal Cheklist Attahed: yes no Plan Review Approval Date: (Page 2)

3 MUNICIPAL PRIOR APPROVAL CHECKLIST Name of Muniipality Name of Appliant Parel# Lot# This Setion below to be ompleted by the Authorized Muniipal Representative CHECKLIST ITEMS Is the projet site loated in a Flood Area? (Chek one) yes no (Cirle one) residential Projet or Commerial Projet Desription of Work: Zoning or Land Use Permit Approved Not appliable Stormwater Management Approved Not appliable Street ut/ Driveway Approved Not appliable Sewage/Onlot Permit Approved Not appliable Water Permit Approved Not appliable PennDot Highway Oupany Approved Not appliable Floodplain Permit Approved Not appliable Other Approved Not appliable I ertify that all required Muniipal Codes, Ordinanes and Regulations have been met and approval thereby is granted to issue the requested Permit. Authorized Muniipal Representative signature: Date: **NOTE THAT THIS PERMIT APPLICATION PACKAGE MUST BE COMPLETED AND THEN SUBMITTED WITH THE PROJECT CONSTRUCTION PLANS AND THE CORRESPONDING SUBMITTAL CHECKLIST** (Page 3)

4 PENNSAFE BUILDING INSPECTION SERVICES LLC RESIDENTIAL USED MANUFACTURED HOME SUBMITTAL HANDOUT Every item below must be heked as ompleted (if appliable), or marked n/a (if not appliable), for your projet. This form must be ompleted in its entirety then returned with attahed drawings. Please see the Habitability Booklet under the General Info setion of this site, for more information on the form that needs ompleted below. Permit Appliation Two (2) full sets of plans Manufaturers Installation Manual to be loated at projet site Completed Habitability Form for all manufatured homes built after July 1976 Provide a opy of the ertified installers ertifiate **The following items are required to be inluded on the building plan drawings** Site plan showing all exterior setbaks Floor plan layout of home interior Footer Speifiations When basement is provided - Foundation Speifiation Approved tie down anhoring system Support pier speifiations and installation method Energy Code Requirements Onsite Mehanial System equipment, materials and layout Onsite Plumbing system equipment, materials and layout Onsite eletrial system must onform to the UCC adopted version of the NEC. Dek and porh plans- must have minimum 3' X 3' landing and be self-supporting. If full basement indiate type of provided means of egress. Provide omplete drawings of any strutural work (suh as a garage) to be performed in the field and was not fatory inspeted. If the Manufaturer s Installation Instrution Manual is not available, then the A Existing Manufatured Home Standard must be followed. (Continued)

5 FOOTER OPTIONS: (Chek one) INSTALLATION REQUIREMENTS AND METHODS Conrete Pier Footings Round Provide 36 deep minimum frost protetion when skirting is installed 48 without skirting. For piers spaed no more than 8' apart, holes should be 28" diameter, unless soil bearing apaity is greater than 1,500 lbs. per square foot. Conrete Pier Footings, Runners Provide 36 deep minimum frost protetion when skirting is installed 48 without skirting. For piers spaed no more than 8' apart, footings must be 24' wide, unless soil bearing apaity is greater than 1,500 lbs. per square foot. FOUNDATION OPTIONS: (Chek one) Main Support Piers Generally within 2' from eah end, and spaed 8' apart. A single stak onrete blok pier apaity is 8,000 lbs., up to 36". Piers higher than 36' require double bloks, interloked. No mortar required for piers less than 80" high. Cap bloks must be full size (16x16 pier requires 16x16 ap blok). Full Foundation Plan and speifiations required. Cross setion submittals are available for your drawings. Verify that all imposed strutural loads are properly supported. ANCHORING METHODS (Chek one) Auger and Strap Type: Installed within 2' of the end of the home, then generally 11 spaed apart. Install below frost line. Closely follow manufaturer s installation instrutions. Alternative systems - Vetor systems, OTI system. Any stamped engineered or alternative system approved by the manufaturer. Must be approved by Manufaturer and their DAPIA. INSPECTION SCHEDULE Always provide a minimum of 24 hours notie. 1. Foundation (before plaing footings) 2. Conrete slab or under floor (prior to pouring onrete floor) 3. Anhorage (after home is set in plae, installed and anhored) 4. Servie Equipment Eletrial, Plumbing, Mehanial work performed in field. 5. Frame (all before overing any work performed in field) 6. Means of egress (Deks & Porhes) 7. Final (prior to oupany) **THIS COMPLETED FORM MUST BE SUBMITTED WITH THE PROJECT PLANS AND DRAWINGS**

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9 PENNSAFE BUILDING INSPECTION SERVICES LLC RESIDENTIAL DECK AND PORCH ROOF PROJECT SUBMITTAL HANDOUT Every item below should be heked as ompleted (if appliable), or marked n/a (if not appliable), for your projet. This form must be ompleted in its entirety then returned with attahed drawings. Appliation Muniipal Prior Approval Form Site Plan showing setbaks Two sets of plans (All dimensions must be indiated, be in ink and drawn to sale) **The following items are required to be inluded on the Building Plan Drawings:** Floorplan drawing looking down at dek/porh. Provide loations of all posts and beam loations and indiate spans. Top, front and side views of dek. Complete ross setion (provided) Size, thikness and depth (below grade) of footings. Size, type and spaing of support olumns. Type of wood to be used. (Speify speies and grade) Size of floor joist, span and distane between joists. Size, type and span of all girder beams. Height of wood joist, girder and floor above finish grade. Type and thikness of floor sheathing. (Deking) Stair riser height and depth/width of tread. Handrail height and ballister spaing. Guardrail height and ballister spaing. Ledger fastening method, i.e. - bolt spaing. Dek flashing method Roof onstrution details (see ross setion) **THIS COMPLETED FORM MUST BE SUBMITTED WITH PROJECT PLANS**

10 PENNSAFE BUILDING INSPECTION SERVICES LLC Dek and Roof Cross Setion Submittal Roof Size: Width: Length: Roof Type: Gable: Hip: Shed: Roof Pith: (hek one) Trusses: Rafters: Spaing of Trusses or Rafters: Rafter Size and Span: Ridge Beam: Size: Span: Roof Sheathing: Roof Covering: Roof Header Beam: Size: Span: Dek Size: Width: Length: Footer Size: Width: Length: Carrier Beam: Size: Span: Type of Floor Joist: Floor Joist: Size: Span: Deking Material: Number of Steps: Riser Height: Tread Depth:

11 Pennsylvania Habitability Guidelines for Reloated Manufatured Homes November 2013 Data Plate Information The data plate is typially loated inside a kithen abinet, in a bedroom loset or on the eletrial panel-board over area. If the data plate is not available, additional inspetions may be required to determine if the home was onstruted for the Pennsylvania limate. TYPICAL DATA PLATE 1. Identify the date of manufature. 2. Identify the serial number. (Cross referene to the front rossmember of the hassis.) 3. Identify Wind Zone (Pa. WIND ZONE 1) 4. Identify Roof Snow Load Zone. (Pa. SOUTH (20) ZONE) NOTE Pennsylvania design riteria: Home manufatured after OCTOBER 1994 CLIMATE ZONE 3. Homes manufatured between June 1976 Otober 1994 CLIMATE ZONE 2. 2

12 Pennsylvania Habitability Guidelines for Reloated Manufatured Homes November 2013 Habitability Cheklist for Reloated Manufatured Homes Use this heklist to aid in onfirming ompliane with the habitability guide for reloated manufatured homes. All items must be orret prior to oupany. A ompleted heklist must be submitted to the loal building ode offiial as part of the building permit proess. Home Address: Data Plate, Serial Number & Certifiation Label Loate the serial number from the front hassis rossmember and the ertifiation labels from the exterior siding. Cross referene to the data plate in the home. See page 2. Verify the home was ertified as a manufatured home and that it was designed and onstruted for the Pennsylvania limate zone. Floors Floor is struturally sound. Floor overings are seure and do not present tripping hazards. Floor insulation is properly installed in floor avity, espeially at aess areas. Bottom Board is pathed and seure. See page 5. Walls Walls are struturally sound, without holes, breaks or protrusions. Doors and windows are operational with proper glazing. See page 3. Doors are equipped with proper hardware. See page 3. Exterior Coverings Roofing material free from obvious defets, holes, et. Roof aps, vents, flashing, et. are properly installed. Fireplae himneys are the proper height (3 above the roof where it passes and 2 higher than any part of the building with 10 of the himney). Siding material is free from obvious defets, holes, et. and is properly hanneled or sealed around penetrations. Sanitary Failities Plumbing system is in good working order and free from defets, leaks and obstrutions. See page 4. Drain piping under the floor is properly sloped and supported every 4. See page 4. Water supply line rossover insulation and overs are properly installed. Hot water appliane is properly installed and in good working order. 6 Ventilation Clothes dryer exhaust duts terminate outside of the skirting rawl spae enlosure. See page 4. Kithen, bath and toilet ompartment fans are operational. For homes built after Ot 25, 1993, see page 4. Heating Heating failities are in working order. Registers and grills are in plae at all outlets and intakes for the heating system. Fuel Burning Applianes All vents, flu pipes, himneys, et. are properly installed, and are free from rust, damage or any ondition that ould result in a leak of ombustion gases into the home. See page 4. Fire-bloking is adequately installed where vents, flu pipes, himneys or other penetrations are present in the eiling or walls inside furnae and water heater ompartments. See page 5. Fuel supply piping is properly installed and supported. Fuel supply piping has been tested for leaks by qualified personnel. Eletrial Systems All eletri reeptales, swithes, juntion boxes, fixtures, et. are properly installed with appropriate over plates. See page 5. All eletrial rossovers are properly assembled and seured. See page 5. Operational test assured that all eletrial devies operate properly. Ground Fault Ciruit Interrupters (GFCI) where required, test and reset properly. See page 5. All exposed metal parts likely to be energized have been bonded. Proper smoke detetors/alarms plaement and operation. See page 3. Proper arbon monoxide alarm plaement and operation, if appliable. See page 4.

13 PENNSAFE BUILDING INSPECTION SERVICES LLC 175 Beaver Drive, PO Box 486 DuBois, PA Phone: Fax: Toll free: PENNSAF I ertify that all items on this heklist have been inspeted and are in ompliane with PA Habitability Guidelines per the Manufatured Housing Improvement At (35 P.S ) as amended by May 9, Signed Date