DHS

Indiana Department of Homeland Security / Fire and Building Safety Division

2020-21 version

 
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Apply for CDR for Industrialized Building Systems/ Mobile Structures

Designer Details
Firm Name:
Designer First Name:
esi Disgner Last Name:
address1:
address2:
city:
state:
zip:
designer indiana number:
designer type:
phone:
email:
System Type Lengths of Units produced Units contain
Electrical
Fire Alarm
Hood Suppression
Mechanical
Plumbing
Sprinkler
Structural
CDR Type Building Type Filing Status completed Width
(LATE = this plan is already in production assembly line)
number of additional plans($$ extra fee need to be paid): Enter numbers only
(Note: 1 plan per filing are included in the filing fee, mention only how many plans above 1)
number of additional modules($$ extra fee need to be paid): Enter numbers only
(Note: 2 modules per filing are included in the filing fee, mention only how many modules above 2)
Number of Stories Number of units in Structure previous release number
Enter numbers only
 Enter numbers only
plan building structure type and occupancy: number public: number private:
Enter numbers only Enter numbers only
structure use(max 2000 characters):
comments(max 2000 characters):
facilty used for manufacture1:
facilty used for manufacture2:
facilty used for manufacture3:
facilty used for manufacture4: