11 LAFAYETTE STREET ST. MARYS PENNSYLVANIA 15857
PHONE (814) 781-1718 www.stmaryspa.gov FAX (814) 834-1304
City of St. Marys, PA
Code Enforcement Department
APPLICATION FOR IN-HOME DAY CARE FACILITY
This application must be completed to obtain approval to utilize a residential dwelling
unit where child day care services are provided for less than 24 hours for 4 to 12 children,
which is in a Residential Occupancy used primarily as a private residence.
APPLICANT INFORMATION
Owner:_________________________________________________________________
Site Address:_____________________________________________________________
Phone Number:__________________
SITE INFORMATION
Family Day Care (4-6 children)____ Group Day Care (7-12 children)____
Is the day care located in other than a 1or 2 family dwelling? ____________
Child day care areas: First Floor____ Second Floor____ Basement____
Number of adult caregivers present at all times? ____ adults
UNIFORM CONSTRUCTION CODE DAY CARE REQUIREMENTS
4-6 children: Smoke Detectors on all levels/audible with doors closed____
Lithium Battery____
7-12 children: Smoke Detectors on all levels/audible with doors closed____
Interconnected____
Egress from child care areas only: Door to exterior____ Escape/rescue openings____
Portable Fire Extinguishers (Class B) in kitchen or cooking areas____
Applicant Signature:___________________________________ Date:_______________
Yes
No
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