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UNITED STATES DEPARTMENT OF BUILDING SAFETY & OCCUPATIONAL COMPLIANCE
 

Racking Storage Permit Application

Form BSC‑4120 — OMB Control No. 0990‑0000
Expiration Date: 12/31/2028
Contractor No.: CGC1537764
(Bogardus Warehouse Solutions — Licensed Commercial Contractor)

AUTHORITY

This information is collected pursuant to the agency’s regulatory authority under 42 U.S.C. § 1315 and 29 U.S.C. § 651 et seq., and regulations promulgated in accordance with federal safety and structural compliance requirements. Submission of this application is required for the lawful installation, modification, or operation of racking storage systems within commercial or industrial facilities.

NOTICE TO APPLICANTS

By submitting this application, the applicant acknowledges their responsibility to provide accurate information, follow all applicable federal, state, and local compliance requirements, and maintain supporting documentation for regulatory review. Incomplete submissions may delay or hinder permit approval.

Racking Permit Storage & Operational Details Form

OWNER'S INFORMATION CERTIFICATE

Existing or planned construction is:

Note regarding speculative buildings: The design and installation of the fire sprinkler system is dependent on an accurate description of the likely use of the building. Without specific information, assumptions will need to be made that will limit the actual use of the building. Make sure that you communicate any and all use considerations to the fire sprinkler contractor in this form and that you abide by all limitations regarding the use of the building based on the limitations of the fire sprinkler system that is eventually designed and installed.

Is the system installation intended for one of the following special occupancies:

Aircraft hangar
Fixed guideway transit system
Race track stable
Marine terminal, pier, or wharf
Airport terminal
Aircraft engine test facility
Power plant
Water-cooling tower

If the answer to any of the above is "yes," the appropriate NFPA standard should be referenced for sprinkler density/area criteria.

Indicate whether any of the following special materials are intended to be present:

Flammable or combustible liquids
Aerosol products
Nitrate film
Pyroxylin plastic
Compressed or liquefied gas cylinders
Liquid or solid oxidizers
Organic peroxide formulations
Idle pallets

Indicate whether the protection is intended for one of the following specialized occupancies or areas:

I certify that I have knowledge of the intended use of the property and that the above information is correct
Yes
No

• Please give a short description of the type of business and the operational activities that will occur within the warehouse.

How are the products packaged?
What type of decking will be present on the shelf / rack levels?
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Racking Storage Permit Building Details

   • Overhead Sprinkler Details & Design Criteria


      Design Criteria & Building Elevations will normally be found on the Fire Protection plans for the Building Shell


   • Location of Fire Hose Valve Connections


      Will normally be shown on the Fire Protection plans for the Shell but verify if any adjustments are being or have been made during the unit build-out.


   • Permit Number that the Sprinkler work was done under.

   • Electrical plans showing the Existing or Proposed Locations of Overhead Lighting within the Warehouse / Racked area.


   • Locations of all Egress & Emergency Lighting within Warehouse / Racked area.


   • Permit Number that the Electrical work was done under.

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Certifications 

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786-470-7797

gbogardus30@gmail.com
bwsracking@gmail.com

13483 NW 19th Ln, Miami, FL 33182

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