Lenox, MI

I. Project or Facility Information

TOWNSHIP OF LENOX
63775 Gratiot, Lenox, MI. 48050
Phone No: 586/727-2085
Fax No: 586/727-3188
Authority : 1972 PA 230
Completion: Mandatory to obtain permit
Penalty: Permit can not be issued
LARA is an equal opportunity employer/program. Auxiliary aids, services and other reasonable accommodations are available upon request to individuals with disabilities.
NAME OF OWNER / AGENT / SCHOOL / STATE DEPT.
Phone Number*
Fax Number
Email Address*
HAS A BUILDING PERMIT BEEN OBTAINED FOR THIS PROJECT?
1. Yes
2. No
3. Not Required
STREET ADDRESS AND JOB LOCATION
(Street Number and Name)
NAME OF CITY, VILLAGE OR TOWNSHIP IN WHICH JOB IS LOCATED
WHERE IS THE JOB LOCATED
1. City
2. Village
3. Township
COUNTY
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II. Applicant/Facility Contact Information

INDICATE WHO THE APPLICANT IS
1. Contractor
2. Homeowner
NAME OF HOMEOWNER / CONTRACTOR
COMPANY NAME
LICENSE NUMBER
EXPIRATION DATE
EXPIRATION DATE
ADDRESS (Street Number and Name)
TELEPHONE NUMBER (Include Area Code)
CITY
STATE
ZIPCODE
FEDERAL EMPLOYER ID NUMBER (or reason for exemption)
WORKERS COMPENSATION INSURANCE CARRIER (or reason for exemption)
UIA NUMBER (or reason for exemption)
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III. Type of Job

IV. Plan Review Information

Plans must be submitted with an Application for Plan Examination and the appropriate deposit before a permit can be issued, except as listed below.
Plans are not required for the following:
1. One-and two-family dwellings when the total building heating/cooling system input rating is 375,000 Btu's or less. 2. Alterations and repair work determined by the mechanical official to be of a minor nature. 3. Business, mercantile, and storage buildings having HVAC equipment only, with one fire area and not more than 3,500 square feet. 4. Work completed by a governmental subdivision or state agency costing less than $15,000.00.
1. One-and two-family dwellings when the total building heating/cooling system input rating is 375,000 Btu's or less.

2. Alterations and repair work determined by the mechanical official to be of a minor nature.

3. Business, mercantile, and storage buildings having HVAC equipment only, with one fire area and not more than 3,500 square feet.

4. Work completed by a governmental subdivision or state agency costing less than $15,000.00.
What is the building size in square footage?
What is the input rating of the heating system in this building?
Plans are required for all other building types and shall be prepared by or under the direct supervision of an architect or engineer licensed pursuant to 1980 PA 299 and shall bear that architect's or engineer's seal and signature.
BCC Plan Review Project No.
Are Plans Required?
1. Yes
1. No
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V. Applicant Signature and VI. Homeowner Affidavit

Section 23a of the 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.
SIGNATURE OF CONTRACTOR OR HOMEOWNER
(Homeowner signature indicates compliance with Section VI. Homeowner Affidavit)
DATE
DATE
VI. Homeowner Affidavit
I hereby certify the electrical work described on this permit application shall be installed by myself in my own home in which I am living or about to occupy. All work shall be installed in accordance with the Michigan Mechanical Code and shall not be enclosed, covered up, or put into operation until it has been inspected and approved by the State Mechanical Inspector. I will cooperate with the State Mechanical Inspector and assume the responsibility to arrange for necessary inspections.
I hereby certify the electrical work described on this permit application shall be installed by myself in my own home in which I am living or about to occupy. All work shall be installed in accordance with the Michigan Mechanical Code and shall not be enclosed, covered up, or put into operation until it has been inspected and approved by the State Mechanical Inspector. I will cooperate with the State Mechanical Inspector and assume the responsibility to arrange for necessary inspections.
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VII. Fee Schedule

Enter the number of items being installed, multiply by the unit price for total fee.
* See VII. Fee Schedule Item #2 Below
NOTE: Under special circumstances the bureau will assess an hourly fee for inspection services at a rate of $75.00 per hour.
Item #2, Residential Heating System:
This item is used for the installation of a heating system in a new residual structure. Items #10 Gas Piping and #18 Duct need not be added. Replacement systems should be itemized.
1. Application Fee (non-refundable) Incl. 1 Inspection
Fee
$75.00
# Items
1
Total
$75.00
2. Residential Heating System (includes duct & pipe) New Building Only*
Fee
$50.00
# Items
Total
3. Gas/Oil Burning Equipment (furnace, roof top units, generators)
Fee
$30.00
# Items
Total
4. Boiler
Fee
$30.00
# Items
Total
5. Water Heater (gas piping & venting-direct replacement only)
Fee
$5.00
# Items
Total
6. Damper (control, back-draft, barometric or fire/smoke)
Fee
$5.00
# Items
Total
7. Solid Fuel Equipment (includes chimney)
Fee
$30.00
# Items
Total
8. Chimney, factory built (installed separately), B Vent, PVC Venting
Fee
$25.00
# Items
Total
37. Gas Burning Fireplace
Fee
$30.00
# Items
Total
9. Solar; set of 3 panels-fluid transfer (includes piping)
Fee
$20.00
# Items
Total
10. Gas Piping; each opening-new install (residential)
Fee
$5.00
# Items
Total
11. Air Conditioning (incl. split systems) RTU-Cooling Only
Fee
$30.00
# Items
Total
12. Heat Pumps (split systems) or Geothermal (complete residential)
Fee
$30.00
# Items
Total
13. Dryer, Bath & Kitchen Exhaust (residential ducting not included)
Fee
$5.00
# Items
Total
16. Humidifiers / Air Cleaners
Fee
$10.00
# Items
Total
TANKS
14. Aboveground (other than L.P.)
Fee
$20.00
# Items
Total
38. Aboveground Connection
Fee
$20.00
# Items
Total
15. Underground (other than L.P.)
Fee
$25.00
# Items
Total
39. Underground Connection
Fee
$25.00
# Items
Total
PIPING (ALL PIPING-MINIMUM FEE $25.00)
17. Fuel Gas Piping
Fee
$0.05 / ft.
# Items
Total
40. Process Piping
Fee
$0.05 / ft.
# Items
Total
41. Hydronic Piping
Fee
$0.05 / ft.
# Items
Total
42. Refrigeration Piping
Fee
$0.05 / ft.
# Items
Total
46. Commercial Air Conditioning Piping
Fee
$0.05 / ft.
# Items
Total
43. Exhausters (commercial)
Fee
$15.00
# Items
Total
18. Duct - minimum fee $25.00
Fee
$0.10 / ft.
# Items
Total
19. Heat Pumps; Commercial (pipe not included)
Fee
$20.00
# Items
Total
AIR HANDLERS / HEAT WHEELS
20. Under 10,000 CFM
Fee
$20.00
# Items
Total
21. Over 10,000 CFM
Fee
$60.00
# Items
Total
22. Commercial Hoods
Fee
$15.00
# Items
Total
23. Heat Recovery Units
Fee
$10.00
# Items
Total
24. V.A.V. Boxes (all variable volume or zone damper equipment)
Fee
$10.00
# Items
Total
25. Unit Ventilators / PTAC Units
Fee
$10.00
# Items
Total
26. Unit Heaters (terminal units)
Fee
$15.00
# Items
Total
27. Fire Suppression / Protection (includes piping)
(minimum fee $20.00)
Fee
$0.75 / head
# Items
Total
28. Coils (Heat / Cool)
Fee
$30.00
# Items
Total
29. Refrigeration (split system)
Fee
$30.00
# Items
Total
CHILLER / COOLING TOWERS
30. Chiller-Refrigeration
Fee
$30.00
# Items
Total
44. Chiller-Air Conditioning
Fee
$30.00
# Items
Total
31. Cooling Towers-Refrigeration
Fee
$30.00
# Items
Total
45. Cooling Towers-Air Conditioning
Fee
$30.00
# Items
Total
32. Compressor / Condenser
Fee
$30.00
# Items
Total
INSPECTIONS
33. Special Insp. (pertaining to sale of bldg.)
Fee
$75.00
# Items
Total
34. Additional Inspection
Fee
$75.00
# Items
Total
35. Reinspection Fee
Fee
$50.00
# Items
Total
36. Final Inspection
Fee
$75.00
# Items
Total
Total Fee*
(Must include $75 Application Fee & Contractor Reg Fee if Applicable)
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VIII. Instructions for Completing Application

Make Checks payable to "Lenox Township"
General:
Mechanical work shall not be started until the application for permit has been filed with the Bureau of Construction Codes. All installations shall be in conformance with the Michigan Mechanical Code. No work shall be concealed until it has been inspected. The telephone number for the inspector will be provided on the permit form. When ready for an inspection, call the inspector providing as much advance notice as possible. The inspector will need the job location and permit number. 
Mechanical work shall not be started until the application for permit has been filed with the Bureau of Construction Codes. All installations shall be in conformance with the Michigan Mechanical Code. No work shall be concealed until it has been inspected. The telephone number for the inspector will be provided on the permit form. When ready for an inspection, call the inspector providing as much advance notice as possible. The inspector will need the job location and permit number.
Expiration of Permit:
A permit remains valid as long as work is progressing and inspections are requested and conducted. A permit shall become invalid if the authorized work is not commenced within 180 days after issuance of the permit or if the authorized work is suspended or abandoned for a period of 180 days after the time of commencing the work. A PERMIT WILL BE CLOSED WHEN NO INSPECTIONS ARE REQUESTED AND CONDUCTED WITHIN 180 DAYS OF THE DATE OF ISSUANCE OR THE DATE OF A PREVIOUS INSPECTION. CLOSED PERMITS CANNOT BE REFUNDED. THE CHARGE TO RE-OPEN A CLOSED PERMIT IS $75.00.
A permit remains valid as long as work is progressing and inspections are requested and conducted. A permit shall become invalid if the authorized work is not commenced within 180 days after issuance of the permit or if the authorized work is suspended or abandoned for a period of 180 days after the time of commencing the work.
A PERMIT WILL BE CLOSED WHEN NO INSPECTIONS ARE REQUESTED AND CONDUCTED WITHIN 180 DAYS OF THE DATE OF ISSUANCE OR THE DATE OF A PREVIOUS INSPECTION. CLOSED PERMITS CANNOT BE REFUNDED. THE CHARGE TO RE-OPEN A CLOSED PERMIT IS $75.00.
Where to Submit Application:
The Bureau of Construction Codes is responsible for code enforcement in units of government throughout the state which have no local program and for all state owned buildings as well as public and charter school construction where a local delegation of authority does not exist. Permit applications for state issued permits should be sent to the address on the front of this application. If you are not sure whether a state permit or a local permit is appropriate, contact our office or your local building inspector. Questions regarding state issued permits may be directed to the Office of Management Services, Permit Section at 517-241-9313. Code questions may be directed to the Mechanical Division at 517-241-9325.
The Bureau of Construction Codes is responsible for code enforcement in units of government throughout the state which have no local program and for all state owned buildings as well as public and charter school construction where a local delegation of authority does not exist. Permit applications for state issued permits should be sent to the address on the front of this application. If you are not sure whether a state permit or a local permit is appropriate, contact our office or your local building inspector. Questions regarding state issued permits may be directed to the Office of Management Services, Permit Section at 517-241-9313. Code questions may be directed to the Mechanical Division at 517-241-9325.
VALIDATION AREA
REGISTRATION FEE -- $5.00
NEED COPY OF:
DRIVERS LICENSE
MECHANICAL LICENSE

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1. Receive an email copy of this form.
Email address

This field is not part of the form submission.
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Mechanical Permit

Steps

I. Project or Facility Information

TOWNSHIP OF LENOX

Authority : 1972 PA 230 Completion: Mandatory to obtain permit Penalty: Permit can not be issued

LARA is an equal opportunity employer/program. Auxiliary aids, services and other reasonable accommodations are available upon request to individuals with disabilities.

II. Applicant/Facility Contact Information

III. Type of Job

IV. Plan Review Information

Plans must be submitted with an Application for Plan Examination and the appropriate deposit before a permit can be issued, except as listed below.

Plans are not required for the following:

Plans are required for all other building types and shall be prepared by or under the direct supervision of an architect or engineer licensed pursuant to 1980 PA 299 and shall bear that architect's or engineer's seal and signature.

V. Applicant Signature and VI. Homeowner Affidavit

VI. Homeowner Affidavit

VII. Fee Schedule

Enter the number of items being installed, multiply by the unit price for total fee.

NOTE: Under special circumstances the bureau will assess an hourly fee for inspection services at a rate of $75.00 per hour.

Item #2, Residential Heating System:

1. Application Fee (non-refundable) Incl. 1 Inspection

Fee

# Items

Total

2. Residential Heating System (includes duct & pipe) New Building Only*

Fee

3. Gas/Oil Burning Equipment (furnace, roof top units, generators)

Fee

4. Boiler

Fee

5. Water Heater (gas piping & venting-direct replacement only)

Fee

6. Damper (control, back-draft, barometric or fire/smoke)

Fee

7. Solid Fuel Equipment (includes chimney)

Fee

8. Chimney, factory built (installed separately), B Vent, PVC Venting

Fee

37. Gas Burning Fireplace

Fee

9. Solar; set of 3 panels-fluid transfer (includes piping)

Fee

10. Gas Piping; each opening-new install (residential)

Fee

11. Air Conditioning (incl. split systems) RTU-Cooling Only

Fee

12. Heat Pumps (split systems) or Geothermal (complete residential)

Fee

13. Dryer, Bath & Kitchen Exhaust (residential ducting not included)

Fee

16. Humidifiers / Air Cleaners

Fee

TANKS

14. Aboveground (other than L.P.)

Fee

38. Aboveground Connection

Fee

15. Underground (other than L.P.)

Fee

39. Underground Connection

Fee

PIPING (ALL PIPING-MINIMUM FEE $25.00)

17. Fuel Gas Piping

Fee

40. Process Piping

Fee

41. Hydronic Piping

Fee

42. Refrigeration Piping

Fee

46. Commercial Air Conditioning Piping

Fee

43. Exhausters (commercial)

Fee

18. Duct - minimum fee $25.00

Fee

19. Heat Pumps; Commercial (pipe not included)

Fee

AIR HANDLERS / HEAT WHEELS

20. Under 10,000 CFM

Authority : 1972 PA 230
Completion: Mandatory to obtain permit
Penalty: Permit can not be issued