Fillable Mechanical Permit MechanicalPermit2015

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Mechanical Permit MechanicalPermit2015

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U.S.A. forms for City of Oak Park

BROWSE CITY OF OAK PARK (MI) FORMS

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CITY OF OAK PARK
Department of Technical & Planning Services
14300 Oak Park Boulevard, Oak Park, MI 48237
Phone (248) 691-7450 Fax (248) 691-7165
www.ci.oak-park.mi.us
N:\Technical and Planning\FORMS\2015 Current forms and ltrs\MechanicalPermit2015
Rev 7/1/15
MECHANICAL PERMIT (Minimum Permit Fee $60)
LOCATION: DATE:
OWNER: PHONE:
CONTRACTOR: PHONE:
ADDRESS: ____________________________________________________ CITY/STATE: __________________
LICENSE# : E-MAIL: ZIP: __________________________
DESCRIPTION PER UNIT NO. OF
UNITS
DESCRIPTION PER UNIT NO. OF
UNITS
Base Fee $30 Fixtures
Humidifiers $10
Gas/Oil/Furnaces/Boilers/Etc. Flue Damper/separate inspection 30
First Unit $60 Flue Damper on Existing Furnace Residential 10
Each Additional Unit in the Same Building 40 Electronic Air Cleaner Residential 10
Electronic Air Cleaner with Washer 30
HVAC Duct Work $35 Space Heater 30
Gas Dryer 10
Factory Built Chimney $60 Gas Range 10
Chimney Liner $30 Gas Piping 35
Unit Heater Hot Water/Steam Unit $40 Air Conditioning
Hot Water Heater $40 First Unit $60
Each Additional Unit 30
Hydronic Systems Chiller 30
Hot Water, Steam $30 Cooling Tower 60
Chilled Water Piping Duct Coils $30
Evaporator Coils
Multiple Installations of Pump or Fan Coil Units First Unit $60
Per Units $30 per unit Each Additional Unit in the Same Building 30
Air Handling System Vent and Exhaust Fans
First Unit $60 Commercial
Additional Exhaust Fans 10 Roof top Furnace / AC Unit $60
Commercial Kitchen Make-up Air and Exhaust 60
Solid Fuel Equipment
Wood burning Stoves, Add-on Furnaces $30
Prefab Fireplace, residential (including chimney) 60
Boiler 60
Tank Installation and Removal CONTRACTOR REGISTRATION FEE $15
Above Ground Storage Tank Installation STATE MARSHALL
Under Ground Storage Tank Installation STATE MARSHALL
Hood and Duct Fire Suppression System
Each Establishment System Minimum $100
Each Additional System at the Same Location 60
Heat Pump $60
“Section 23a of State Construction Code Act of 1972, 1972 PA 230, MCL 125.1523a, prohibits a person from conspiring to circumvent the licensing
requirements of this state relating to persons who are to perform work on a residential building or a residential structure. Violators of Section 23a are
subjected to civil fines.”
APPLICANT SIGNATURE DATE __________
I hereby certify that the proposed work is authorized by the owner of record and that I have been authorized by the owner to make this application as his
authorized agent and we agree to conform to all applicable laws of this jurisdiction.
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CITY OF OAK PARK
Department of Technical & Planning Services
14300 Oak Park Boulevard, Oak Park, MI 48237
Phone (248) 691-7450 Fax (248) 691-7165
www.ci.oak-park.mi.us
N:\Technical and Planning\FORMS\2015 Current forms and ltrs\MechanicalPermit2015
Rev 7/1/15
HOMEOWNER AFFIDAVIT
LOCATION: DATE:
I certify that I am the bona fide homeowner of the above property which is:
a single family residence, not for rent and which is, or will be upon completion, my own place or residence.
a residential structure which is a rental property and upon which I desire to undertake certain maintenance
and/or alterations as specified below.
I hereby apply for an owner’s permit to install or erect
(type of work)
I REALIZE THAT BY MAKING THIS APPLICATION, I ASSUME THE RESPONSIBILITY OF A LICENSED
CONTRACTOR FOR COMPLETION OF WORK. I AGREE THAT I SHALL NEITHER HIRE ANY OTHER PERSON
FOR THE PURPOSE OF INSTALLING ANY PORTION OF THIS WORK OR EQUIPMENT, NOR SUBCONTRACT
TO, NEITHER PERSON NOR FIRM FOR INSTALLING ANY PORTION OF THIS WORK, EXCEPT TO A LICENSED
CONTRACTOR.
I WILL NOTIFY THE MUNICIPAL AUTHORITY WITHIN 72 HOURS AFTER WORK IS COMPLETED AND READY
FOR SERVICE OR OCCUPANCY SO THAT THE REQUIRED INSPECTION MAY BE MADE. ALL PARTS OF THIS
WORK SHALL REMAIN EXPOSED UNTIL THE INSTALLATION IS ACCEPTED BY THE MUNICIPAL AUTHORITY.
Signature of Owner
Subscribed and sworn to me this day of , 20 .
Notary Public , County of , Michigan
(Print Name)
My commission expires Signature ________________________________________
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Mechanical Permit MechanicalPermit2015

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Completed 8 February 2020

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