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. Auxilary aids, services and other reasonable accommodations are available upon request to individuals with disabilities.
NAME OF OWNER / AGENT / SCHOOL / STATE DEPT.
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
STATE LICENSE NUMBER
EXPIRATION DATE
EXPIRATION DATE
STATE REGISTRATION NUMBER
EXPIRATION DATE
EXPIRATION DATE
ADDRESS
TELEPHONE NUMBER (Include Area Code)
CITY
STATE
ZIPCODE
FEDERAL EMPLOYER ID NUMBER (or reason for exemption)
WORKERS COMPENSATION INSURANCE CARRIER (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. When the electrical system rating does not exceed 400 amps and the building is not over 3,500 square feet in area.

2. Work completed by a governmental subdivision or state agency costing less than $15,000.00.
What is the rating of the service or feeder in ampere?
What is the building size in square footage?
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 Electrical Code and shall not be enclosed, covered up, or put into operation until it has been inspected and approved by the State Electrical Inspector. I will cooperate with the State Electrical 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 Electrical Code and shall not be enclosed, covered up, or put into operation until it has been inspected and approved by the State Electrical Inspector. I will cooperate with the State Electrical 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 #17 Below
** Required for all school and state-owned construction projects
*** EVSE - Electrical Vehicle Supply Equipment
**** PV Moduls - Photovoltaic
NOTE: Under special circumstances the bureau will assess an hourly fee for inspection services at a rate of $75.00 per hour.
Item #17, Mobile Home Unit Site:
When installing a site service in a park, the permit application must include the application fee, service, the number of park sites and a final inspection. When setting a HUD mobile home in a park, a permit must include the application fee, service, feeder and a final inspection. These shall be done by a licensed electrical contractor. When setting a HUD mobile home or a premanufactured home on private property, a permit must include the application fee, service, feeder and a final inspection.
When installing a site service in a park, the permit application must include the application fee, service, the number of park sites and a final inspection. When setting a HUD mobile home in a park, a permit must include the application fee, service, feeder and a final inspection. These shall be done by a licensed electrical contractor. When setting a HUD mobile home or a premanufactured home on private property, a permit must include the application fee, service, feeder and a final inspection.
1. Application Fee (non-refundable) Incl. 1 Inspection
Fee
$75.00
# Items
1
Total
$75.00
SERVICE
2. Through 200 Amp.
Fee
$10.00
# Items
Total
3. Over 200 Amp. thru 600 Amp.
Fee
$15.00
# Items
Total
4. Over 600 Amp. thru 800 Amp.
Fee
$20.00
# Items
Total
5. Over 800 Amp. thru 1200 Amp.
Fee
$25.00
# Items
Total
6. Over 1200 Amp. (GFI Only)
Fee
$50.00
# Items
Total
7. Circuits
Fee
$5.00
# Items
Total
8. Lighting Fixtures/Outlets - per 25
Fee
$6.00
# Items
Total
9. Dishwasher
Fee
$5.00
# Items
Total
10. Furnace - Unit Heater
Fee
$5.00
# Items
Total
11. Electrical - Heating Units (baseboard)
Fee
$4.00
# Items
Total
12. Power Outlets (ranges, dryers, etc.)
Fee
$7.00
# Items
Total
SIGNS
13. Unit
Fee
$10.00
# Items
Total
14. Letter (each)
Fee
$15.00
# Items
Total
15. Neon - each 25 feet
Fee
$20.00
# Items
Total
16. Feeders - Bus Ducts, etc. (per 50 feet)
Fee
$6.00
# Items
Total
17. Mobile Home Park Site*
Fee
$6.00
# Items
Total
18. Recreational Vehicle Park Site
Fee
$4.00
# Items
Total
K.V.A., H.P., WIND TURBINES, ***EVSE and ****PV MODULES
19. Units up to 20 K.V.A. or H.P./Per PV Module
Fee
$6.00
# Items
Total
20. Units 21 to 50 K.V.A. or H.P./Per PV Module
Fee
$10.00
# Items
Total
21. Units > 50 K.V.A. or H.P./Per PV Module
Fee
$12.00
# Items
Total
FIRE ALARM SYSTEMS (not smoke detectors)
22. Up to 10 Devices
Fee
$50.00
# Items
Total
23. 11 to 20 Devices
Fee
$100.00
# Items
Total
24. Over 20 Devices
Fee
$5.00 ea.
# Items
Total
DATA / TELECOMMUNICATIONS OUTLETS
31. 1-19 Devices
Fee
$5.00 ea.
# Items
Total
32. 20 - 300 Devices
Fee
$100.00
# Items
Total
33. Over 300 Devices
Fee
$300.00
# Items
Total
ENERGY MANAGEMENT TEMP. CONTROL
25. Energy Retrofit - Temp. Control
Fee
$45.00
# Items
Total
34. Devices - Energy Management
Fee
$5.00
# Items
Total
26. Conduit only or grounding only
Fee
$45.00
# Items
Total
INSPECTIONS
27. Special Insp. (pertaining to sale of building)
(does not include an electrical service inspection)
Fee
$75.00
# Items
Total
28. Additional Inspection
Fee
$75.00
# Items
Total
29. Reinspection Fee
Fee
$50.00
# Items
Total
30. Final Inspection
Fee
$75.00
# Items
Total
31. Certification Fee**
Fee
$30.00
# 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:
Electrical 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 Electrical 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. 
Electrical 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 Electrical 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 six months after issuance of the permit or if the authorized work is suspended or abandoned for a period of six months 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 six months after issuance of the permit or if the authorized work is suspended or abandoned for a period of six months 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 Electrical Division at 517-241-9320.
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 Electrical Division at 517-241-9320.
VALIDATION AREA
REGISTRATION FEE -- $10.00
NEED COPY OF:
DRIVERS LICENSE
ELECTRICAL LICENSE

Leave This Blank:

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

This field is not part of the form submission.
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Electrical 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. Auxilary 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 #17, Mobile Home Unit Site:

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

Fee

# Items

Total

SERVICE

2. Through 200 Amp.

Fee

3. Over 200 Amp. thru 600 Amp.

Fee

4. Over 600 Amp. thru 800 Amp.

Fee

5. Over 800 Amp. thru 1200 Amp.

Fee

6. Over 1200 Amp. (GFI Only)

Fee

7. Circuits

Fee

8. Lighting Fixtures/Outlets - per 25

Fee

9. Dishwasher

Fee

10. Furnace - Unit Heater

Fee

11. Electrical - Heating Units (baseboard)

Fee

12. Power Outlets (ranges, dryers, etc.)

Fee

SIGNS

13. Unit

Fee

14. Letter (each)

Fee

15. Neon - each 25 feet

Fee

16. Feeders - Bus Ducts, etc. (per 50 feet)

Fee

17. Mobile Home Park Site*

Fee

18. Recreational Vehicle Park Site

Fee

K.V.A., H.P., WIND TURBINES, ***EVSE and ****PV MODULES

19. Units up to 20 K.V.A. or H.P./Per PV Module

Fee

20. Units 21 to 50 K.V.A. or H.P./Per PV Module

Fee

21. Units > 50 K.V.A. or H.P./Per PV Module

Fee

FIRE ALARM SYSTEMS (not smoke detectors)

22. Up to 10 Devices

Fee

23. 11 to 20 Devices

Fee

24. Over 20 Devices

Fee

DATA / TELECOMMUNICATIONS OUTLETS

31. 1-19 Devices

Fee

32. 20 - 300 Devices

Fee

33. Over 300 Devices

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

K.V.A., H.P., WIND TURBINES, *EVSE and **PV MODULES