Fillable APPLICATION FOR RENTAL CERTIFICATION CITY OF MIDLAND BUILDING (City of Midland)

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APPLICATION FOR RENTAL CERTIFICATION CITY OF MIDLAND BUILDING (City of Midland)

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APPLICATION FOR RENTAL CERTIFICATION
CITY OF MIDLAND – BUILDING DEPARTMENT
333 W. ELLSWORTH ST., MIDLAND, MI 48640
Please submit the following information, pay the appropriate certification fees and schedule a
property inspection before the property is occupied, or by the date indicated by the Building
Department Housing Inspector.
RENTAL ADDRESS____________________________________________________________________
PROPERTY OWNER __________________________________________ NUMBER OF UNITS_________
PHONE___________________ ALT. PHONE___________________EMAIL_______________________
MAILING ADDRESS___________________________________________________________________
PROPERTY MANAGER, IF DIFFERENT THAN OWNER_________________________________________
PHONE___________________ ALT. PHONE___________________EMAIL_______________________
MAILING ADDRESS___________________________________________________________________
PERTINENT INFORMATION REGARDING THE RENTAL: _______________________________________
___________________________________________________________________________________
SIGNATURE_________________________________________________________________________
PRINTED NAME
____________________________________________ DATE __________________________
New rental certification fees must be received before an inspection can take place. The Housing
Inspector must be accompanied by the owner/agent or property manager. If occupied, the occupant
must be notified prior to the scheduled inspection. Rental inspectors must have access to all rooms
and areas of the residence. General categories of inspection are:
Smoke detectors Furnace/Water heater Electrical systems Room layout/Egress
General safety Plumbing systems Doors/Windows General structural
Sanitation Exterior property areas Building exterior
Inspectors do not inspect for mold, airborne contaminants or other possible contaminants.
FEE SCHEDULE
Each rental unit $20
1
st
month late fee $20 additional per unit
2
nd
month late fee $20 additional per unit
1
st
reinspection Free
2
nd
reinspection $20
8/21/14
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APPLICATION FOR RENTAL CERTIFICATION CITY OF MIDLAND BUILDING (City of Midland)

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Completed 2 June 2021

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