Economic & Community Development Building Safety Division

Fire Sprinkler Permit Application

PERMITS MUST BE OBTAINED BEFORE WORK BEGINS.
ACCEPTANCE OF PAYMENT DOES NO CONSTTITUTE A PERMIT.
SUBMISSION OF THIS FORM DOES NOT GUARANTEE OR GRANT APPROVAL TO START WORK.
APPLICATION VOID IF WORK IS NOT STARTED WITHIN 6-MONTHS AFTER PERMIT ISSUANCE.
PLEASE ALLOW UP TO 5 BUSINESS DAYS FOR APPROVAL.

Applicant

Owner

General (Company applying for permit)

Application date

Anticipated start date

Anticipated end date

Site address?

Owner Email address

Owner Phone Number

Contractor/Company name (Must be a registered contractor with The City of Bloomington)

Contractor Email

Contractor Phone Number

Description of work

Total cost of work (material and labor included)

Is this part of a larger project?

If yes, please provide name of project or the project assigned application number

Number of zones?

Number of risers?

Number of sprinkler heads?

Type of Sprinkler Heads

Fire Pump?

Standpipe?

Water Supply Static Pressure

Water Supply Residual Pressure

Water Supply Flow

Hydraulic Design Occupancy

Hydraulic Design Density

Hydraulic Design Demand @ Base of Riser

Hydraulic Design Hose Allowance

Plans

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First Name

Last Name

Choose how to sign

Draw Type

I agree to electronically sign and to create a legally binding contract between the other party and myself, or the entity I am authorized to represent.