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Wildland Urban Interface Application

  1. If an addition, please only provide SF of new portion of building. 

  2. (i.e.  New Structure, Addition, Ag Building )

  3. Fire Sprinklers Present/Proposed
  4. Is the driveway >200 feet*
  5. If so, does grade exceed 10%
  6. Defensible Space

    As defined by IWUIC 2018 edition, defensible space is an area either natural or manmade, where material capable of allowing a fire to spread unchecked has been treated, cleared or modified to slow the rate and intensity of an advancing wildfire and to create an area for fire suppression operations to occur. Further defined, trees and structures, overhead electrical facilities or unmodified fuel is not less than 10 feet.

  7. If you have already scheduled your Take In with the Town or County Building Department, please indicate date here

  8. Fire Hazard Rating

    A fire hazard rating  will be completed for the above address by this department. This rating, water compliance and the distance of defensible space will calculate the Ignition Resistant (IR) construction required for the structure construction. Details of IR requirements can be found on the contractor's page under the prevention tab at www.jhfire-ems.org. Once the area fire hazard rating and IR construction is determined, you will receive a IWUIC memo and hazard rating score sheet. This information will be sent electronically to the appropriate building department as well.

  9. Please attached site plan
  10. Electronic Signature Agreement
    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
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  12. This field is not part of the form submission.