Plan Review Application

Plan Review Application
Please select the island or region you are applying from:*

St. ThomasSt. JohnSt. Croix
1. Project Information

Part 1 required for all submittals: attach applicable checklist & fee schedule. Please print (black or blue ink only). Provide information on the name of this specific project, tenant, lease space, scope of work, etc.
Project Name:
Date:

MonthDayYear
Date
Street Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Plan #
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
2. Structure Information (overall building)

Provide information on the overall structure or building that this project is within, if different than above.
Building Name:
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
3. Purpose Of Application
Architectural Review (Architectural Life Safety, ADA-AG Construction, Building Electrical System, Smoke Control)Fire Alarm System ReviewKitchen Hood Wet Chemical Suppression System ReviewFire Suppression System Review (Sprinkler, Dry Chemical, Clean Agent, Halon, Paint Spray Booth, Hood, Water Suppression, Foam, Water)Storage Tank (For Flammable or Combustable Liquids, Number Of Tanks Above Ground / Below Ground)LPG Installing Plan
If fire alarm system review was selected, please answer the following:

LocalAuxiliaryCentral StationProprietary StationRemote Station
Review Type:

InitialPreliminaryRe-SubmittalRenovation/AdditionChange of OccupancyMobile/Modular
4. Project Details

Part 4 required for all submittals
New Sq. Ft:
Existing Sq. Ft:
Renovated Sq. Ft:
Total Sq. Ft:
Main Occupancy Type:
Sq. Ft:
Secondly Occupancy Type:
Sq. Ft:
Thirdly Occupancy Type:
Sq. Ft:
5. Owner Information
Owner:

First NameLast Name
Telephone No:
Please enter a valid phone number.
Name Of Firm
Fax No:
Mailing Adress:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
6. Tenant Information

Provide information on the tenant for this specific for this specific project, if different than owner, last name, first name, initial
Tenant:

First NameLast Name
Telephone No:
Please enter a valid phone number.
Name Of Firm
Fax No:
Mailing Adress:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
7. Preparer Or Shop Drawings Information

Provide information on the preparer of the structure, fire alarm, sprinkler, or fire suppression shop drawings.
Sub-ContratorEngineerDraftsman
Preparer:

First NameLast Name
Telephone No:
Please enter a valid phone number.
Name Of Firm
Fax No:
Mailing Adress:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
8. Professional Of Record Information As Recognized By The DPNR Division Of Building Permits
ArchitectCivil EngineerEE/ Me Engineer
Professional:
Name of Firm:
License No:
Telephone No:
Please enter a valid phone number.
Fax No:
Mailing Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
For Official Use Only
Fire Service Receipt No. Type a label
Blur Print Reading with accordance to Title 23 Chapter 9 Section 603 V.I.
Fee: Class A $300.00 / Class B - $200.00 / Class C - A$100.00 / LPG Plan Review - $25.00
Class A - 15,001 sq. ft. aggregate gross area and up
Class B - More than 3,000 sq. ft. but less than 15,000 sq. ft. aggregate gross area
Class C - All occupancy up to 3,000 sq. ft. aggregate gross area

Applicant must have proof that the plans were submitted to DPNR Permits Division
Comments:
Approving Authority:

First NameLast Name
Signature:

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Date Received:

MonthDayYear
Date
Should be Empty:

Plan Review Application

1. Project Information

2. Structure Information (overall building)

3. Purpose Of Application

4. Project Details

5. Owner Information

6. Tenant Information

7. Preparer Or Shop Drawings Information

8. Professional Of Record Information As Recognized By The DPNR Division Of Building Permits

Professional:

For Official Use Only