Contents and Specifications for Facility and Operating Plans as required in Section 110 of 410 IAC 7-26:

(Please check items submitted for review)

  • Proposed menu (including seasonal, off-site and banquet menus).
  • Anticipated volume of food to be stored, prepared, and sold or served.
  • Proposed layout, mechanical schematics, construction materials, and finish schedules.
  • Proposed equipment types, manufacturers, model numbers, locations, dimensions, performance capacities, and installation specifications.
  • Evidence that standard procedures that ensure compliance with ISDH Rule 410 IAC 7-26 are developed or are being developed.
  • Plan review questionnaire completed and submitted to the regulatory authority.
  • Please list any other information that may be required by the regulatory authority for the proper review of the proposed construction, conversion or modification, and procedures for operating a retail food establishment in the comment section listed below.
Signature of Applicant:
Print Name of Applicant:
Relationship to Project:
Date Signed:

Note: If all the required information is not submitted to the regulatory authority, it may delay the review process of your plans and possibly delay construction.

OFFICE USE ONLY:
Date Received:
By: