Transcription of 101 Sea Hero Road, Suite 100 Frankfort, KY. 40601- 5412 ...
1 Submit to: Dept. of Housing, Buildings and Construction Boiler Section 101 Sea Hero Road, Suite 100 Frankfort, KY. 40601- 5412 pressure vessel installation Phone: 502-573-1708 Permit Application For the installation of unfired pressure vessels and related pressure piping in the Commonwealth of Kentucky. 1. _____ Name of license holder & Company Name Complete mailing address Zip 1A. Boiler contractor phone number Office- Cell-_____ 2. Boiler contractor license number KY_____Expiration date _____ 3. _____ Where installed (name of business) Mailing address (include county) Zip 4. _____ Name, address, and telephone number of business owner * Make check payable to Kentucky State Treasurer* 5.
2 This permit is for the installation of: Approximate start date -_____ QTY _____ - Compressed Air Receiver_____ gallon QTY_____ - Domestic Hot Water Storage Tank QTY_____ -Autoclave / Sterilizer QTY_____ - CO2 beverage tank _____lb QTY_____ - Heat Exchanger QTY_____ - Ammonia QTY_____- DA Tank QTY_____- Cryogenic Bulk Storage Tank Plan #_____ (office use only) QTY_____ - Flammable / Hazmat / Other _____ Approved _____ YES NO Type of Pipe Joints - _____ Linear Ft_____ _____ Chief Boiler Inspector Date Range & Fee Check Appropriate Box ( )$2,000 or less $ ( )$2,001 -$ 10,000 $ ( )$10,001 -$ 25,000 $ ( )$25,001 -$ 50,000 $ ( )$50,001 -$ 75,000 $ ( )$75,001 -$100,000 $ ( )
3 $100,001 -$150,000 $ ( )$150,001 -$200,000 $ ( )$200,001 -$250,000 $ ( )$250,001 -$300,000 $ ( )$300,001 -$400,000 $ ( )$400,001 -$500,000 $1, ( )$500,001 -$600,000 $1, ( )$600,001 -$700,000 $1, ( )$700,001 and over $1, Date Received
