Ucc F110 Form PDF Details

The UCC F110 form plays a crucial role in the realm of building construction and maintenance, serving as a comprehensive document that outlines the technical section of the building subcode. It requires applicants to provide detailed information which includes but is not limited to, the identification of the applicant, worksite location, owner and contractor details, along with their contact information and relevant licenses or registration numbers. Additionally, the form delves into the job summary, plan review, and inspection schedules, highlighting the importance of coordination and communication between property owners, contractors, and local regulatory bodies. A unique aspect of the F110 is its section on certifications in lieu of oath, where the applicant or their agent confirms the authorization to make the application, signifying the legal and ethical responsibility held by the parties involved. Moreover, the technical site data and building characteristics sections demand precise descriptions of the proposed work, existing and proposed use groups, construction class, number of stories, and the type of work being undertaken. This can range from new building construction to renovations, demolition, and even specialized projects like asbestos abatement or radon remediation. The form concludes with a breakdown of associated fees, offering transparency and foresight into the financial implications of the application. This meticulous documentation is essential for ensuring compliance with local construction codes, safety regulations, and ultimately, the smooth execution of construction projects.

QuestionAnswer
Form NameUcc F110 Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesucc admission, outline of application form of ucc, application form unto ucc, ucc admission forms pics

Form Preview Example

BUILDING SUBCODE

TECHNICAL SECTION

A. IDENTIFICATION—APPLICANT: COMPLETE ALL APPLICABLE INFORMATION. WHEN CHANGING

CONTRACTORS, NOTIFY THIS OFFICE. CALL UTILITY DIG NO: 1-800-272-1000.

BlockLotQualification Code Work Site Location

Owner in Fee:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Tel.

 

 

 

 

 

 

 

 

 

 

 

 

 

e-mail

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

street

 

 

 

 

 

 

municipality

 

 

 

 

 

 

 

 

 

 

 

zip code

Contractor:

 

 

 

 

 

 

 

 

 

 

 

 

 

Tel.

 

Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

e-mail

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Contractor License No. or Builder Registration No.

 

 

 

 

 

 

 

 

 

 

Exp. Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Home Improvement Contractor Registration No. or Exemption Reason (if applicable):

 

 

Federal Emp. ID No.

 

 

 

 

 

 

 

 

 

 

 

FAX:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

JOB SUMMARY (Office Use Only)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PLAN REVIEW

Date Initial

 

INSPECTIONS

 

 

 

 

 

Dates (Month/Day)

[

]

No Plans Required

 

 

 

 

Type:

 

Failure Failure Approval Initial

[

]

All

 

 

 

 

 

Footing

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Footing Bonding

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

[

]

Footings/Foundations

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Date Received

Control #

Date Issued

Permit #

C. CERTIFICATION IN LIEU OF OATH

I hereby certify that I am the (agent of) owner of record and am authorized to make this application.

Sign here:

Print name here:

D.TECHNICAL SITE DATA DESCRIPTION OF WORK

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Foundation

 

 

 

 

 

 

 

 

 

 

 

[

]

Structural/Framework

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Slab

 

 

 

 

 

 

 

 

 

 

 

[

]

Exterior

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Frame

 

 

 

 

 

 

 

 

 

 

 

[

]

Interior

 

 

 

 

 

 

 

 

 

 

Truss Sys./Bracing

 

 

 

 

 

 

 

 

 

 

 

Joint Plan Review Required:

 

 

 

 

 

 

 

Barrier-Free

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

[

] Elec. [

] Plumb. [

] Fire

[ ] Elevator

Insulation

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SUBCODE APPROVAL for PERMIT

Finishes -Base Layer

 

 

 

 

 

 

 

 

 

 

 

Finishes -Final

 

 

 

 

 

 

 

 

 

 

 

Date:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Energy

 

 

 

 

 

 

 

 

 

 

 

Approved by:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Mechanical

 

 

 

 

 

 

 

 

 

 

 

 

SUBCODE APPROVAL for CERTIFICATE

 

 

 

 

 

 

 

 

TCO

 

 

 

 

 

 

 

 

 

 

 

[

]

CO

[ ] CCO

[

 

] CA

 

 

 

 

 

 

 

 

 

Other

 

 

 

 

 

 

 

 

 

 

 

Date:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Final

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Approved by:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Barrier-Free

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

B. BUILDING CHARACTERISTICS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Use Group

Present

 

 

 

 

Proposed

 

 

 

 

 

Constr. Class Present

 

 

 

Proposed

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

No. of Stories

 

 

 

 

 

 

 

 

 

 

 

 

If Industrialized Building:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TYPE OF WORK:

[] New Building

[] Addition

[] Rehabilitation

[] Roofing

[] Siding

[] Fence __________ Height (exceeds 6')

[] Sign ___________________ Sq. Ft.

[] Pool

[] Retaining Wall ________________ Sq. Ft.

[] Asbestos Abatement Subchapter 8

[] Lead Haz. Abatement NJAC 5:17

[] Radon Remediation

[] Other _______________________

[] Demolition

FEE (Office Use Only)

$

Height of Structure

 

 

 

 

 

ft.

State Approved

 

 

HUD

 

 

 

 

 

 

 

 

 

 

 

 

Area — Largest Floor

 

 

 

 

sq. ft.

Est. Cost of Bldg. Work:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

New Bldg. Area/All Floors

 

 

sq. ft.

1.

New Bldg.

$

 

 

 

 

Volume of New Structure

 

 

 

cu. ft.

 

 

 

 

 

 

 

2.

Rehabilitation

$

 

 

 

 

 

 

 

 

Max. Live Load

 

 

 

 

 

 

 

 

3.

Total (1+ 2)

$

 

 

 

 

 

 

 

 

 

Max. Occupancy Load

 

 

 

 

 

 

 

U.C.C. F110 (rev. 11/09)

 

Internet version

Administrative Surcharge $

Minimum Fee $

State Permit Surcharge Fee $

TOTAL FEE $

Applicant: When submitting this form to your Local Construction Code Enforcement Office, please provide one original plus three photocopies.