Get Request For Modification - Ct.gov - Ct

Filling out the Request For Modification form is an essential step in ensuring compliance with elevator safety regulations in Connecticut. This guide will walk you through each section of the form to help you submit your request accurately and efficiently.

Follow the steps to fill out your Request For Modification form effectively.

1. Press the ‘Get Form’ button to access the Request For Modification form and open it for editing.
2. Begin by providing the name and location of the building in the designated fields, including street number, town, state, and zip code.
3. Fill in the building owner's name, along with their contact information, including telephone number and address.
4. Enter your name and telephone number as the applicant, along with your address, including the firm name if applicable.
5. Specify the date of the application for the building permit and the applicable code, ensuring to include the title and date.
6. Indicate the use group of the building and note if there has been a change in occupancy by selecting ‘Yes’ or ‘No.’ If applicable, provide details of the change.
7. Fill in the building construction classification, square foot area of the building, and the largest square foot area per floor.
8. Specify the number of stories in the building.
9. Select the appropriate designation for your request: New Building, Existing, Addition, or Other, and provide an explanation if necessary.
10. Check the applicable fire protection headings for the premises, including smoke detection, sprinklers, heat detection, extinguishers, or other.
11. Describe the alarm system(s) in place at the premises in the provided field.
12. State the ASME A17.1 Safety Code section from which the modification is being requested.
13. Clearly describe the modification sought in the designated section.
14. Explain the reason for the modification in detail to provide context for your request.
15. Sign and date the affidavit to certify the accuracy and good faith of your application before submitting.
16. Once all sections are completed, save your changes. You can also download, print, or share the form as needed.

Complete your Request For Modification online to ensure timely processing of your application.