DEPARTMENT OF HOUSING, BUILDINGS AND CONSTRUCTION

PUBLIC PROTECTION
CABINET

Contribute to the Team Eastern Kentucky Flood Relief Fund at TeamEKYFloodReliefFund.ky.gov

Division Forms

Boiler and Pressure Vessel Forms

Application for Boiler Commission - 134K

Boiler Installation - 179K

Boiler Installation Instructions - 106K

Pressure Vessel Installation - 179K

Pressure Vessel Installation Instructions - 106K

Pressure Piping Installation & Replacement - 285K

Pressure Piping Installation & Replacement Instructions - 106K

Repair of Boiler or Pressure Vessel - 178K

Repair of Boiler or Pressure Vessel Instructions - 103K

Routine Repair - 173K

Routine Repair Instructions - 173K

Building Code Forms

Building Official Complaint Form - 57K

Daycare Guide and Cooking Disclosure Form - 450K

Expanded Local Jurisdiction Application - 106K

Expanded Local Jurisdiction Renewal - 120K

Fire Suppression Design Criteria - 436K

Insurance and Worker’s Compensation Affidavit of Assurances - 118K

Plan Application Form - Fireworks - 87K

Plan Application Form Revised - 306K

Plan Application Submittal Guide - 1M

Plan Review Fee Schedule - 229K

Public Funding Disclosure Form - 183K

Seismic Design Category Determination Form - 93K

Kentucky Temporary Structures (KTS)

Fee Schedule Form - 150K

Model Approval Plan Application Form - 174K

Site Placement Plan Application Form - 164K

Electrical Inspection Forms

Application for Electrical Training Program - 111K

Contract Certified Electrical Inspector (Sample) - 64K

Electrical Consumer Complaint Form - 110K

EL-13 Electrical Permit Application - 105K

Electrical Inspection Supplies Request - 110K

Elevator Forms

Alteration Permit Application - 36K

Construction and Installation Permit Application - EV-1 - 44K

Safety Test Form - 96K

Fee Schedule - 29K

Bulletin - January 2024 - 355K

New Acceptance & Alteration pre-inspection checklist for elevators - 220K

Fire Protection Report of Inspection Forms

Chemical Suppression Systems - 387K

Rangehood Suppression Systems - 419K

Firework Forms

Public Display of Fireworks and Pyrotechnics Form - 50K

Fireworks Inspection Checklist (Revised 5-2014) - 372K

Permit Application For Supervised Public Display of Fireworks - 201K

Fireworks Registration Application 2020 - 43K

Public Display of Fireworks and Pyrotechnics - 265K

Fireworks Plan Application Form - 81K

Hazmat Forms

Application to Change Company for Certified Underground Petroleum Storage Tank (UPST) Contractor - 142K

Permit Application for Interior Lining & Repair of Underground Storage Tanks (UGST) for Petroleum Products - 328K

Permit Application to install-modify Aboveground Storage Tank (AGST) - 335K

Permit Application to Install-Modify Compressed Natural Gas (CNG) - 204K

Permit Application to Install-Modify Liquified Petroleum Gas (LPG) and Anhydrous Ammonia (NH3) - 402K

Permit Application to Install-Modify Underground Storage Tank (UGST) - 429K

Permit Application to Install Emergency Power Stand-by Power Systems - 86K

Notice of Routine Maintenance on UGST component - 301K

Underground Petroleum Storage Tank Contractor (UPST) Certification Application - 57K

HVAC Forms

HVAC Construction Permit Application: One & Two Family Dwelling - 109K

HVAC Construction Permit Application: Multi-Family Dwellings - 105K

HVAC Construction Permit Application: Homeowner One & Two Family Dwelling - 108K

HVAC Construction Permit Application: Commercial Buildings - 113K

Duct Pressure Test Verification Form - 213K

Formal Consumer Complaint Form - 100K

Notice of Local HVAC Inspection Program - 78K

HVAC Examination Registration Form - 112K

Manufactured Home Retailer & Manufacturer Forms

Affidavit of Sale - MH8 - 80K

Manufactured Home Retailer Monthly Report - MH7 - 92K

Manufactured Housing New Home Foundation Submittal - 100K

Monthly Manufacture’s Certification - 178K

Seal Purchase Application - MH12 - 75K

Recreational Vehicle (RV) Forms

Seal Purchase Application - MH12 - 75K

Recreational Vehicle Retailers Informational Bulletin 8/2017 - 158K

RV Retailer Monthly Report - RV7 - 241K

Unit Inspection for B-Seal - MH16 - 60K

Request for SKYPE Inspection of Recreational Vehicle Unit - 209K

Certified Installer & Certified Manager Forms

Certified Installer Information Bulletin 8/2017 - 91K

Certified Installer Monthly Report - MH40/30 - 151K

Manufactured Housing Consumer Forms

Consumer Complaint Form - 175K

Request for Skype RV Inspection - 209K

Consumer Protection Notice - MH10 - 76K

Release for Delivery - MH11 - 169K

Fire Safety Responsibilities - MH15 - 83K

Site Preparation Guidelines - MH17 - 90K

Frequently Asked Questions for B Seal Inspections - 454K

Kentucky Industrialized Building System (KIBS)

Application for M Seals - 121K

M-Seal Verification Form - 121K

January 2019 Bulletin – KIBS Manufacturers - - 194K

KIBS Model Application Form - 198K

KIBS Site Application Form - 176K

KIBS Plan Submission Application Guide - 462K

Third-Party Inspection Notice - 43K

Plumbing Forms

Affidavit for Farmstead Exemption - 188K

Affidavit of Homeowner - 171K

Homeowner Report of Inspections - 146K

Medical Gas Installation Permit Application - 185K

Medical Gas System Record - 16K

Plan Application Form - 306K

Plan Submission Application Guide - 1M

Plumbing Formal Consumer Complaint Form - 13K

Plumbing Permit Application - 164K

Requirements for Homeowners Installing Plumbing - 145K

Water Heater Report Form PLB 94 - 47K

2023 Kentucky Plumbing Law Regulations and Code Book - 3M

Final Installation Virtual Inspection Checklist - 104K

Irrigation & Backflow Installation Virtual Inspection Checklist - 112K

Rough-In Installation Virtual Inspection Checklist - 113K

Sewer Installation Virtual Inspection Checklist - 118K

Underground Installation Virtual Inspection Checklist - 111K

Water Heater Installation Virtual Inspection Checklist - 120K

Water Service Installation Virtual Inspection Checklist - 108K

Inspector Certification Applications

Certified Inspector Fee Schedule - 16K

Initial Application for Fire Sprinkler Systems Certification - 144K

Renewal Application for Sprinkler Systems Certification - 134K

FPS 33-01 - Fire Alarm Systems Inspector certification application - 163K

FPS 33-02 - Fire Alarm Systems Inspector Certification Renewal Application - 121K

Contractor Applications and Certificates of Competency

FPS-CC-2-2a - Application for Certificate of Competency Fire Protection Chemical - 81K

Prorated Fee Schedule - 698K

Surplus Lines.pdf - 15K

FPS-RC-2-2a - Application for Certificate of Competency Fire Protection Rangehood - 82K

FPS-CL-1 - Application for Contractor License Fire Protection Chemical - 8K

FPS-SC-2-2A - Application for Certificate of Competency - 83K

FPS-SL-1 - Application for Contractor License Fire Protection Sprinkler - 8K

Admitted Carrier - 17K

FPS-RL-1 - Application for Contractor License Fire Protection Rangehood - 8K

Tip Sheet New Applicants - 49K

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