Form 18-31-APP.01 "Plan Review Application" - Alaska

What Is Form 18-31-APP.01?

This is a legal form that was released by the Alaska Department of Environmental Conservation - a government authority operating within Alaska. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on January 1, 2019;
  • The latest edition provided by the Alaska Department of Environmental Conservation;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form 18-31-APP.01 by clicking the link below or browse more documents and templates provided by the Alaska Department of Environmental Conservation.

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Download Form 18-31-APP.01 "Plan Review Application" - Alaska

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Plan Review Application
Alaska Department of Environmental Conservation
Division of Environmental Health
Food Safety and Sanitation Program
Permit ID: _____________________________
Section A- General Information (All applicants complete entire section – please print).
Purpose
 New Construction
 Remodel of Existing Structure
 Reactivation
(check one)
Establishment Name:
Date
Plan Review Contact Name
Phone Number
Email
Address
Operating Days/Hours
Proposed Opening Date
If you are proposing to build a new food establishment or extensive remodeling of an existing food establishment in Alaska (except
in the Municipality of Anchorage), you must submit a completed Plan Review Packet 30 days prior to construction. Additional
information regarding calculations and drawings can be found in the Plan Review Guide.
Please Note: Failure to provide all the required information may delay the plan review process and permit issuance.
REQUIRED DOCUMENTATION LIST (Include the following in your packet)
 Food Establishment Application
 Floor Plan
 Fees (Plan Review Fee is Non-Refundable)
 Plumbing Schematic
 Plot Plan
 Complete list of equipment (including manufacturer’s specifications)
SECTION B – REQUIRED DOCUMENTATION
Potable Water Supply. Have plans been submitted to the
a.
Drinking Water Program
as required by 18 AAC 80?
 Yes*
 No
 N/A (Municipal Water Supply) Specify in comments.
Comments:
*Attach a confirmation email or letter from the Drinking Water Program stating that the system has been approved.
Wastewater Disposal System. Have plans been submitted to the
b.
Wastewater Program
as specified by 18 AAC 72?
 Yes*
 No
 N/A (Municipal System) Specify in comments.
Comments:
*Attach a confirmation email or letter from the Wastewater Program stating that the system has been approved.
If you have a septic system, please provide the legal description of your property (Lot, Block, etc.)
c.
Solid Waste Disposal. Please describe how you plan to dispose of your solid waste:
d.
Plot Plan. Have you included a detailed to scale drawing of the plot plan including:
 Yes
 No
 All buildings
 Outside walk-in cooler(s)/freezer(s)
 Access for deliveries
 Oil/Fuel tanks
 Refuse storage site
 Outside storage areas
 Sewage disposal system
 Potable water supply
 Identify nearby roads, other landmarks, and/or give GPS coordinates
Form 18-31-APP.01 (Rev 01/19)
Plan Review Application
Alaska Department of Environmental Conservation
Division of Environmental Health
Food Safety and Sanitation Program
Permit ID: _____________________________
Section A- General Information (All applicants complete entire section – please print).
Purpose
 New Construction
 Remodel of Existing Structure
 Reactivation
(check one)
Establishment Name:
Date
Plan Review Contact Name
Phone Number
Email
Address
Operating Days/Hours
Proposed Opening Date
If you are proposing to build a new food establishment or extensive remodeling of an existing food establishment in Alaska (except
in the Municipality of Anchorage), you must submit a completed Plan Review Packet 30 days prior to construction. Additional
information regarding calculations and drawings can be found in the Plan Review Guide.
Please Note: Failure to provide all the required information may delay the plan review process and permit issuance.
REQUIRED DOCUMENTATION LIST (Include the following in your packet)
 Food Establishment Application
 Floor Plan
 Fees (Plan Review Fee is Non-Refundable)
 Plumbing Schematic
 Plot Plan
 Complete list of equipment (including manufacturer’s specifications)
SECTION B – REQUIRED DOCUMENTATION
Potable Water Supply. Have plans been submitted to the
a.
Drinking Water Program
as required by 18 AAC 80?
 Yes*
 No
 N/A (Municipal Water Supply) Specify in comments.
Comments:
*Attach a confirmation email or letter from the Drinking Water Program stating that the system has been approved.
Wastewater Disposal System. Have plans been submitted to the
b.
Wastewater Program
as specified by 18 AAC 72?
 Yes*
 No
 N/A (Municipal System) Specify in comments.
Comments:
*Attach a confirmation email or letter from the Wastewater Program stating that the system has been approved.
If you have a septic system, please provide the legal description of your property (Lot, Block, etc.)
c.
Solid Waste Disposal. Please describe how you plan to dispose of your solid waste:
d.
Plot Plan. Have you included a detailed to scale drawing of the plot plan including:
 Yes
 No
 All buildings
 Outside walk-in cooler(s)/freezer(s)
 Access for deliveries
 Oil/Fuel tanks
 Refuse storage site
 Outside storage areas
 Sewage disposal system
 Potable water supply
 Identify nearby roads, other landmarks, and/or give GPS coordinates
Form 18-31-APP.01 (Rev 01/19)
Permit ID(s)________________________Establishment Name(s)______________________________________________________
e.
Floor Plan. A floor plan with the listed components must be submitted as part of the application packet. Have you included a
 Yes
 No
floor plan?
 Layout and purpose of each room
 Type and location of lighting
 Location of fixed equipment and plumbing features
 Type and location of ventilation, both building and local systems
 Size, construction, and design of fixed equipment
 Location of restrooms, including the number of toilets and handwash sinks.
Plumbing Schematic. A plumbing schematic with the listed components must be submitted as part of the application packet.
f.
Have you included a detailed drawing of the plumbing schematic?
 Yes
 No
 Plumbing schematic showing each hot, cold, and wastewater line.
 Plumbing connection to the wastewater line (direct vs. indirect)
 Hot water capacity
 Yes
 No
Have you contacted the State Plumbing Inspector?
G
Fire Marshall. Have you contacted the State Fire Marshall?
 Yes
 No
Please describe your ventilation/hood system:
SECTION C – ADDITIONAL INFORMATION
Storage. How often will you receive food deliveries? Do you have adequate storage to support your operation? Consult the
a.
Plan Review Guide for information about storage capacity.
Dressing Rooms and Locker Rooms. Describe how employee clothing, belongings, etc will be stored:
b.
c.
Poisonous/Toxic Materials. Describe location and means to store poisonous or toxic materials:
Floors/Walls/Ceilings. Describe how the floors, walls, ceilings, and shelving will be finished (tile, paint, etc):
d.
e.
Warewashing: Describe how dishes, utensil, and equipment will be washed:
Linens. Describe how soiled and clean clothing/linens will be stored and where they will be cleaned:
f.
SECTION D
I declare, under penalty of unsworn falsification, that this application (including any accompanying statements) has been examined
by me and to the best of my knowledge and belief is true, correct, and complete. I understand that plan review fees are not
refundable under the Alaska Food Code 18 AAC 31.050(k). I agree to pay all fees before operating.
Applicant's Signature
Date
Applicant's Printed Name
Title
Form 18.31.APP.01 (Rev 01/19)
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