Application to Inspect Existing Structure

APPLICATION FOR INSPECTION OF EXISTING STRUCTURE
Name of Establishment*
I, First Name* Last Name* am applying for an inspection of a building/structure for in accordance with the following information and as shown on the accompanying drawings.
1. Legal Description (street address or similar description that will readily identify,
and definitively locate the proposed building or work.)
Parcel No.:
Block No.:
Lot No.:
Address*

Building No. and Street Name

Street Address Line 2

City / Town / VillageDistrict

Postal / Zip Code
2. Legal owner of property:*

First NameLast Name
3. Name of Building Owner:*

First NameLast Name
4. Number of EXISTING building(s) on lot:*
i. Number of buildings on lot to be inspected:*
ii. Number of independent UNITS within each building to be inspected:*
iii. Estimated number of occupants (per building):
a) Guest*
b) Staff*
c) Total Occupant Loading*
5. Building Description:

i. Dimensions of building(s):
Length:*
Width:*
ii. Number of floors:*
iii. Approx. height of building(s):*
6. Building Category*

HotelBed & BreakfastHostelCondominiumResortLodgeInnCabins/CabanasVillasApartmentsGuest HouseOther
7. Date of Construction (if available):

MonthDayYear
Date
8. Building construction type (Construction Materials): if information is available
i. Foundation*

RC PilesRC PadsTimber PilesRC Strip Foundation
ii. Structural framework*

MetalReinforced ConcreteSteel FrameTimberOther
iii. Exterior walls & openings*

Concrete BlocksReinforced ConcreteTimberMetalOther
iv. Floors*

Reinforced ConcreteTimberOther
v. Stairways*

Reinforced ConcreteTimberOther
vi. Roofs*

ConcreteTimber w/Corrugated RoofingMetal w/ Corrugated RoofingThatchOther
9. The sewage is disposed by*

SepticSewerWaste Water Treatment (Specify Type)
10. Method of waste water discharge*

Leach fieldSewerSoak awayWaste Water Treatment (Specify Type)
11. Electricity supply is provided by*

B.E.LGeneratorSolar Panel
12. Back-up electricity supply will be provided by*

B.E.LGeneratorSolar PanelN/A
13. The building has been fitted with the following type and quantity of air conditioning fixtures.
i. Central air conditioning (insert quantity):*
ii. Split units (insert quantity):*
iii. Window units (insert quantity):*
I, First Name* Last Name* accept responsibility with consent of the owner for applying to the Director of Building Control Unit of the CBA for the following inspections: BTB Clearance EPZ Clearance*
Name of permittee or his authorized agent*

First NameLast Name
Address of permittee or his authorized agent*

No. of Building and Street Name

Street Address Line 2

City / Town / VillageDistrict

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Fax Number
Cell Number*
Please enter a valid phone number.
Email*
example@example.com
Signature of permittee or his authorized agent

Clear
OR Upload a Digital Signature

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Date Submitted*

DayMonthYear
Date
Upload Documents*

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Proof of Payment*

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APPLICATION FOR INSPECTION OF EXISTING STRUCTURE