Department of Administrative Services
Office of the State Building Inspector
450 Columbus Boulevard, Suite 1303
Hartford, CT 06103
Tel: 860-713-5900 Fax: 860-713-7410
Affirmative Action/Equal Opportunity Employer
DATE SUBMITTED:
CODE INFORMATION
Proposed change to: Building Code Fire Safety Code
Code section(s):
PROPONENT INFORMATION
Name: Representing:
Telephone: Email:
Address:
Street Address Town State Zip Code
PROPOSAL INFORMATION
Description of change and reason for change (attach additional information as needed):
Proposed text change, addition or deletion (attach additional information as needed):
Supporting data and documents (attach additional information as needed)
This Proposal is original material. (Note: Original material is considered to be the submitter’s own idea based on or as a
result of his/her own experience, thought or research and, to the best of his/her knowledge, is not copied from another
source.)
This Comment is not original material, its source (if known) is as follows: (such as material / code development
proposal from a prior development cycle or proposal submitted to model code committee etc.)
I would like to make an in-person presentation of my proposal.
Release
I hereby grant the State of Connecticut full rights to the use of this material without benefit to me, including, but not limited to,
publication and reproduction rights.
Proponent’s Signature Printed Name
PLEASE EMAIL (PREFERRED) TO DAS.CodesStandards@CT.GOV OR MAIL OR FAX (SEE BELOW)
PROPOSED CHANGE OF THE CONNECTICUT STATE
BUILDING CODE AND FIRE SAFETY CODE
