Application Type

Commercial

Residential

Work Type

Addition

Accessibility or Renovation

Alteration of Renovation

Uncertified Existing Building

New Option

Approval Type

Phase Approval (Commercial Only)

If Phased Approval indicate total number of phases and describe scope of work for each phase. A plan shall be submitted with an outline defining each phase of the plan.

Phase Approval Additional Information

Check All Use/Occupancy Options As Applicable

Project Name

Project Address (Street, City, State, Zip):

Subdivision:

County:

Proposed timeline must be filled out for all commercial jobs.

Check each box below indicating that all the following will be submitted with this application.

Two (2) site plans

Two (2) complete sets of construction drawings

One (1) completed copy of the ABI-2 UCC PLAN REVIEW CHECKLIST

One (1) set of specifications (Only if Addition, Alteration, New Building or New Structure/Faciltiy)

PDF files of design drawings

Proposed project timeline (indicate months or years)Proposed project timeline (indicate months or years)

Does this construction involve modular units built in a factory?

Yes

No

If "Yes", submit 1 copy of a letter from a licensed design professional certifying that construction within the modular units (or the fully assembled modular building) and hidden from view will fully comply with all requirements of the UCC.

Is this construction regulated by the Health Care Facilities Act?

Yes

No

If "Yes", submit 1 copy of approval letter from the Pennsylvania Department Of Health.

Is this construction exempt from energy code requirements.

Yes

No

If "Yes", submit 1 copy of letter indicating that the building or structure will use neither electricity nor fossil fuels, and thus is exempt per ASHRAE 90.1, 2.3 (B). If "No" submit 1 copy of the COMcheck-EZ Certificate or the UCC-13 ENERGY CODE PRESCRIPTIVE COMPLIANCE REPORT.

Is project in flood hazard area?

Yes

No

If "Yes", submit 1 copy of one of the flood hazard certifications mandated in section 1612.5 of the International Building Code.

Are any of the International Building Code (Chapter 17) special inspection or structural observations required?

Yes

No

If "Yes", submit 1 copy of the ABI-6 SPECIAL INSPECTIONS OBSERVATIONS STATEMENT.

Will an alternative construction method or material be used on this project?

Yes

No

If "Yes", submit a signed statement indicating that the proposed method or material meets the requirements of 34 PA Code 403.44.

Is this application for "temporary certificate of occupancy" (Phased Approval)?

Yes

No

If "Yes", submit a letter signed by the design professional and owner acknowledging that the request for phased construction. For Phased Approval applicant shall indicate total number of phases and describe scope of work for each phase. A plan shall be submitted with an outline defining each phase of the plan. Inspection fees shall be based on a cost per phase. Plan review fees may, depending on level of submittal, cover entire project or each phase only per judgement of plans examiner. A building code official may issue a temporary certificate of occupancy (Phased Approval) for a portion or portions of the building or structure before the completion of the entire work covered by the permit if the portion or portions may be occupied safely. The building code official shall set a time during which the temporary certificate of occupancy is valid.

Construction Phase Requiring Certificate of Use & Occupancy

Yes (Indicate Phases Below)

No

Type(s) of construction per Chapter 6 of the International Building Code (check all that apply):

Fire supression:

Full

Partial

None

If application applies to an exisitng building that is "legally occupied," indicate permit (include #) held in space below each question:

Fire and Panic Occupancy Permit

Municipal Occupancy Permit

L&I UCC Certificate of Occupancy (Indicate File Number Below)

If "legally occupied" you must select which code requirements the building will comply with (choose only one):

International Existing Building Code

International Residential Building Code

Which triennial codes must this work comply with?

2015 (Cut off is Aug. 14 2022)

2018

Name:

Address

PA License #:

Phone Number:

E-Mail

Fax:

All deferred submissions will need to be submitted within 30 days of project approval unless other arrangements have been discussed.

Are you requesting deferred approval?

Yes (Please provide a written request on the construction disciplines to be deferred. )

No

Please check disciplines you wish to defer (check all that apply)

Text

Please Upload All Applicable Files

Maximum file size: 516MB

Applicant Certification

As the owner or the authorized agent of the project for which this application is filed, I certify that: 
The building or structure described in this application will not be occupied until all known code violations are corrected and a Certificate of Occupancy has been received from the local municipality. The project will be constructed in accordance with the approved drawings and specifications (including any required non-design changes) and the Uniform Construction Code standards as specified in 34 PA Code Chapters 401-405. Any changes to the approved documents will be filed with Associated Building Inspections LLC and the local municipality. When required, up to 20% of the total cost of any work performed on any area of primary function is an existing building will be expanded to provide an accessible route to the area of primary function. No error or omission in either the drawings and specifications or application, whether approved or not, shall permit or relieve me from constructing the work in any manner other than provided for 34 PA Code Chapters 401-405 of the Pennsylvania Uniform Constriction Code.

Applicant Printed Name:

Applicant E-Mail:

Applicant Signature

Clear

Date:

Applicant is responsible for the payment of ABI fees unless otherwise noted.

Name:

Address

Phone Number:

E-Mail

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