Ky Boiler Permit Application Form PDF Details

In the heart of Frankfort, Kentucky, the Department of Housing Boiler Section stands as a guardian of safety and compliance for the installation of boilers, pressure vessels, and related pressure piping. Nestled at 101 Sea Hero Road, Suite 100, this diligent office handles the critical responsibility of overseeing installations across the Commonwealth. The journey begins with the Ky Boiler Permit Application Form, a meticulously structured document engineered to streamline the application process. Form FMB39-3, last revised on September 1, 2005, is more than just paperwork; it's a gateway to ensuring that installations meet the stringent standards set forth by the state. Applicants are required to meticulously detail information ranging from the contractor’s name and license number to the owner’s details, installation location, and a comprehensive description of the unit(s) to be installed. Additionally, the form stipulates the necessity of a notification to the office 7 days in advance of the final inspection, underscoring the department's commitment to preparedness and safety. With a tiered fee structure based on the project's value, the form accommodates a wide range of installations, ensuring that every application is accurately assessed and processed with the utmost diligence. Upon submission, with the required fee made payable to the Kentucky Treasurer, the Chief Boiler Inspector then reviews and approves the application, a pivotal step that ensures the integrity and safety of boiler installations throughout Kentucky.

QuestionAnswer
Form NameKy Boiler Permit Application Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesky boilers form, how to get boiler certification in kentucky, kentucky boiler permit application, kentucky boiler license test

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FMB39-3

Rev. 9-1-05

Submit to:

 

Department. of Housing

 

Boiler Section

 

101 Sea Hero Road, Suite 100

 

Frankfort, KY. 40601- 5405

 

Phone: 502 573-1708

Permit Application

For the installation of boilers, pressure vessels and related pressure piping in the Commonwealth of Kentucky.

1.

Name of contractor\ license holder

Complete mailing address

Zip

2.Boiler contractor license number

3.

 

Name of owner\user

Complete mailing address

Zip

4.

 

 

 

 

Specific location of installation

Complete mailing address

Zip

County

5. Give description of unit(s) to be installed:

5A. Type of pipe joints

6.Approximate start date Approximate completion date

Notify this office 7 days in advance of final Inspection.

For office use only

Range & Fee Check Appropriate Box

( )$2,000 or less $ 70.00

( )$2,001 -$ 10,000 $ 130.00

( )$10,001 -$ 25,000 $ 200.00

( )$25,001 -$ 50,000 $ 250.00

( )$50,001 -$ 75,000 $ 300.00

( )$75,001 -$100,000 $ 410.00

( )$100,001 -$150,000 $ 520.00

( )$150,001 -$200,000 $ 630.00

( )$200,001 -$250,000 $ 740.00

( )$250,001 -$300,000 $ 850.00

( )$300,001 -$400,000 $ 960.00

( )$400,001 -$500,000 $1,350.00

( )$500,001 -$600,000 $1,500.00

( )$600,001 -$700,000 $1,650.00

( )$700,001 and over $1,850.00

Make check payable to Kentucky Treasurer

APPROVED

YES

NO

Chief Boiler Inspector

Date