"Plan Review Submittal Form" - Missouri

Plan Review Submittal Form is a legal document that was released by the Missouri Department of Public Safety - a government authority operating within Missouri.

Form Details:

  • Released on March 24, 2015;
  • The latest edition currently provided by the Missouri Department of Public Safety;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the Missouri Department of Public Safety.

ADVERTISEMENT
ADVERTISEMENT

Download "Plan Review Submittal Form" - Missouri

Download PDF

Fill PDF online

Rate (4.4 / 5) 17 votes
I
I
MISSOURI DIVISION OF FIRE SAFETY
PLAN REVIEW SUBMITTAL FORM
Pub. Mar. 24, 2015
REC’D:
REG/INSP
** N O T I C E **
State Statute 327.101 requires that any building which is more than 20,000 cubic feet in
size OR has more than nine (9) occupants must have blueprints prepared by a registered architect.
* Omission of any of the items below will cause a delay in the plan review process.
* During the construction phase, Missouri Division of Fire Safety must conduct a framing and wiring inspection.
* Failure to have this framing & wiring inspection will result in an unapproved fire safety inspection.
PLANS SUBMITTED MUST INCLUDE THE FOLLOWING – complete both pages of this form.
□ Full dimensions of buildings, rooms, doors, etc.
□ Location of all exits, exit door swing,
□ Location and size of all windows
hardware
□ Type of wall construction and interior finish
□ Location and size of fire extinguishers
□ Location of all emergency lighting and lighted
□ Ceiling height in all approved child care
exit signs
spaces
□ Location and type of all fire alarm equipment -
□ Location of kitchen and cooking equipment
smoke detectors, heat detectors, manual pull
□ Fire rating of all mechanical rooms, furnace
stations, horn and strobe warning devices
rooms, laundry rooms
FACILITY TYPE:
□ FAMILY DAYCARE HOME
□ GROUP DAYCARE HOME
□ DAYCARE CENTER
□ LICENSE-EXEMPT DAYCARE
□ DMH
□ DSS
□ DYS
DVN (REQUIRED - obtained from Specialist):
SPECIALIST:
CSR:
# OF ROOMS USED FOR CARE:
__
AGE RANGE: __
to __
CAPACITY: ________
Facility Name:
Owner/Administrator:
Address:
City:
County:
ZIP:
Phone:
email:
Submitted by: (architect, contractor, etc. – if same as above, leave blank)
Company:
Name:
Address:
Phone:
email:
I
I
MISSOURI DIVISION OF FIRE SAFETY
PLAN REVIEW SUBMITTAL FORM
Pub. Mar. 24, 2015
REC’D:
REG/INSP
** N O T I C E **
State Statute 327.101 requires that any building which is more than 20,000 cubic feet in
size OR has more than nine (9) occupants must have blueprints prepared by a registered architect.
* Omission of any of the items below will cause a delay in the plan review process.
* During the construction phase, Missouri Division of Fire Safety must conduct a framing and wiring inspection.
* Failure to have this framing & wiring inspection will result in an unapproved fire safety inspection.
PLANS SUBMITTED MUST INCLUDE THE FOLLOWING – complete both pages of this form.
□ Full dimensions of buildings, rooms, doors, etc.
□ Location of all exits, exit door swing,
□ Location and size of all windows
hardware
□ Type of wall construction and interior finish
□ Location and size of fire extinguishers
□ Location of all emergency lighting and lighted
□ Ceiling height in all approved child care
exit signs
spaces
□ Location and type of all fire alarm equipment -
□ Location of kitchen and cooking equipment
smoke detectors, heat detectors, manual pull
□ Fire rating of all mechanical rooms, furnace
stations, horn and strobe warning devices
rooms, laundry rooms
FACILITY TYPE:
□ FAMILY DAYCARE HOME
□ GROUP DAYCARE HOME
□ DAYCARE CENTER
□ LICENSE-EXEMPT DAYCARE
□ DMH
□ DSS
□ DYS
DVN (REQUIRED - obtained from Specialist):
SPECIALIST:
CSR:
# OF ROOMS USED FOR CARE:
__
AGE RANGE: __
to __
CAPACITY: ________
Facility Name:
Owner/Administrator:
Address:
City:
County:
ZIP:
Phone:
email:
Submitted by: (architect, contractor, etc. – if same as above, leave blank)
Company:
Name:
Address:
Phone:
email:
-
p. 2 of 2
1. Is this facility currently licensed?
□ Yes
□ No
2. What type of work will be done?
Fire alarm
□ Fire sprinkler system
□ New construction
□ Remodel of existing facility
□ Number of stories
□ Basement
□ Hours of operation ______________ to ______________
3. Please describe
the type of work to be done.
in detail
Send to:
PLAN REVIEW, INSPECTION UNIT
email:
joanne.sterman@dfs.dps.mo.gov
mail: PO BOX 844, JEFFERSON CITY, MO 65102
Phone 573-522-6207
ship: 205 JEFFERSON ST., JEFFERSON CITY, MO 65101
FAX:
573-526-5971
Page of 2