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OTSEGO COUNTY LAND USE SERVICES 1322 HAYES ROAD GAYLORD, MICHIGAN 49735 (989)731-7400 FAX (989)731-7419 BUILDING PERMIT APPLICATION 1. REQUIRED ATTACHMENTS AND APPROVALS: a. EQUALIZATION DEPT ADDRESS ASSIGNMENT b. ZONING APPROVAL (Gaylord City and Vanderbilt Village) c. HOA APPROVAL d. ENERGY ANALYSIS SHEET (OR RESCHECK) e. HEALTH DEPARTMENT WELL & SEPTIC APPROVAL f. TWO SETS OF COMPLETE CONSTRUCTION DOCUMENTS g. ENERGY ANALYSIS SHEET (OR RESCHECK) 2. JOB SITE IDENTIFICATION: TAX CODE (PROPERTY ID#): - - - - TOWNSHIP: JOB ADDRESS: CITY: ZIP CODE: 3. PROPERTY OWNER OWNER NAME: MAILING ADDRESS: CITY/STATE: PHONE: 4. ARCHITECT/ ENGINEER/ OR CONTRACTOR: BUSINESS NAME: LICENSEE: PHONE: CELL PHONE: FAX: ADDRESS: STATE: CITY: ZIP CODE: LICENSE NUMBER: EXP DATE: FEDERAL ID NUMBER: WORKMAN’S COMPENSATION NUMBER/REASON FOR EXEMPTION: MESC EMPLOYER NUMBER/REASON FOR EXEMPTION: APPLICANT AFFIDAVIT I CERTIFY THAT THE PROPOSED WORK DESCRIBED ON THIS APPLICATION IS AUTHORIZED BY THE OWNER OF RECORD AND THAT I HAVE BEEN AUTHORIZED BY THE OWNER TO MAKE THIS APPLICATION AS HIS/HER AUTHORIZED AGENT. ALL INFORMATION SUBMITTED ON THIS APPLICATION IS ACCURATE TO THE BEST OF MY KNOWLEDGE. SECTION 23A OF THE STATE CONSTRUCTION CODE ACT OF 1972 (PA 230 OF 1972) PROHIBITS A PERSON FROM CONSPIRING TO CIRCUMVENT THE LICENSING REQUIREMENTS OF THIS STATE RELATING TO PERSONS WHO ARE TO PERFORM WORK ON A RESIDENTIAL STRUCTURE. VIOLATORS OF SEC 23a ARE SUBJECTED TO CIVIL FINES. CONTRACTOR SIGNATURE PRINTED NAME DATE HOME OWNER AFFIDAVIT (IF APPLICABLE) PURSUANT TO PA 299 OF 1980 SECTION 2403 I CERTIFY THAT THE WORK DESCRIBED ON THIS APPLICATION SHALL BE INSTALLED BY ME IN MY OWN SINGLE FAMILY DWELLING IN WHICH I AM LIVING OR ABOUT TO OCCUPY. ALL WORK SHALL BE INSTALLED IN ACCORDANCE WITH THE MICHIGAN RESIDENTIAL BUILDING CODE AND SHALL NOT BE ENCLOSED, COVERED UP, OR OCCUPIED UNTIL IT HAS BEEN INSPECTED AND APPROVED BY A BUILDING INSPECTOR FOR OTSEGO COUNTY. I WILL COOPERATE WITH THE OTSEGO COUNTY BUILDING DEPARTMENT AND ASSUME THE RESPONSIBILITY TO ARRANGE FOR NECESSARY INSPECTIONS. SECTION 23A OF THE STATE CONSTRUCTION CODE ACT OF 1972 (PA 230 OF 1972) PROHIBITS A PERSON FROM CONSPIRING TO CIRCUMVENT THE LICENSING REQUIREMENTS OF THIS STATE RELATING TO PERSONS WHO ARE TO PERFORM WORK ON A RESIDENTIAL STRUCTURE. VIOLATORS OF SECTION 23a ARE SUBJECTED TO CIVIL FINES. HOMEOWNER SIGNATURE PRINTED NAME DATE ALL STRUCTURES SHALL BE CONSTRUCTED IN ACCORDANCE WITH THE OTSEGO COUNTY ZONING ORDINANCE AND THE STATE OF MICHIGAN BUILDING CODES. ---PAGE BREAK--- 5. TYPE OF CONSTRUCTION: FOUNDATION ONLY SIGN NEW BUILDING ADDITION ALTERATION REMODEL DEMOLITION MOVING SETTING ONLY REPAIR CHANGE OF USE OTHER (please describe) 6. RESIDENTIAL USE: (CHECK ALL THAT APPLY) REMODEL: SCOPE OF ONE FAMILY TWO FAMILY MOBILE HOME MODULAR – DOUBLE WIDE NUMBER OF BEDROOMS: NUMBER OF BATHROOMS: DECK COVERED PORCH ATTACHED GARAGE DETACHED GARAGE SHED REROOF SIDING WINDOWS/DOORS OTHER (PLEASE NEW RESIDENTIAL SQUARE FOOTAGE: SLAB ON CRAWL WALKOUT BASEMENT___________ UNFINISHED BASEMENT FINISHED FIRST ATTACH GARAGE_____________DETACH FLOOR STORAGE COVERED 7. COMMERCIAL: USE TYPE OF CONSTRUCTION_____________ REMODEL: SCOPE OF COMMERCIAL SQUARE FOOTAGE: ASSEMBLY____________ BUSINESS__________ EDUCATIONAL____________ HIGH INSTITUTIONAL MERCANTILE REMODEL REROOF STORAGE PORCH/CANOPY______________ BASEMENT STORAGE SIGN ON SIGN ON CHANGE OF USE: (PLEASE DESCRIBE) 8. DEMOLITION: TYPE OF REFUSE WILL BE TAKEN: 9. CONSTRUCTION CHARACTERISTICS: (Complete what applies to THIS project) *ALL FOOTINGS SHALL BE A MINIMUM OF 42” BELOW GRADE TO THE TOP OF THE FOOTING* *ALL POLES SHALL BE PLACED IN THE GROUND ONE-FOURTH (1/4) IT’S TOTAL LENGTH OR A MINIMUM OF 48”** SEALED TRUSS SPECS NEED TO BE ON THE JOB SITE (ROUGH & FINAL) **ALL BASEMENTS ARE REQUIRED TO HAVE A MINIMUM OF ONE EGRESS WINDOW* FOUNDATION EXTERIOR PORCHES/DECKS BASEMENT/CRAWL: WOOD: COVERED PORCH: NO OF ROWS OF BLOCKS: VINYL: DECK SIZES: FOOTINGS: BRICK: BLOCK SIZE: OTHER: SLAB ON GRADE: POSTS: X INTERIOR GARAGE: PIERS: X WALL FINISH: ATTACHED: DETACHED: BACK FILL HEIGHT: FLOOR COVERING: SIZE: X VENTS: STORAGE ABOVE SIZE: X FRAMING SMOKE ALARMS STUDS: X SIZE OF BUILDING: NO. OF: LOAD BEARING HEADERS: X 2ND STORY: SEE CURRENT CODE FOR WALL SHEATHING: HEIGHT TO PEAK: REQUIREMENTS RAFTERS: X X OC SILL SEALER: ENGINEERED TRUSS: OC SILL PLATE: EGRESS WINDOWS TRUSS SPECS. REQUIRED: ANCHOR BOLTS/STRAPS TO CODE: NO. OF: ROOF SHEATHING: FLOOR JOIST: X X SEE CURRENT CODE FOR ICE &WATER SHIELD: STUDS: REQUIREMENTS ROOF COVERING: LOAD BEARING HEADERS: WALL SHEATHING: INSULATION SIGNS/BILLBOARDS RAFTERS: X FOUNDATION-R: WALL: ENG. TRUSS: WALLS-R: MONUMENT: TRUSS SPECS. REQUIRED: ROOF-R: HEIGHT: ROOF SHEATHING: ICE &WATER SHIELD: ROOF COVERING: 10. ESTIMATED PROJECT COST: ---PAGE BREAK--- EFFECTIVE CONSTRUCTION CODES IN OTSEGO COUNTY 1. THE MICHIGAN BUILDING CODE 2009 INCORPORATING THE 2009 EDITION OF THE INTERNATIONAL BUILDING CODE. 2. THE MICHIGAN RESIDENTIAL CODE 2009 INCORPORATING THE 2009 EDITION OF THE INTERNATIONAL RESIDENTIAL CODE FOR 1 & 2 FAMILY DWELLINGS. 3. THE MICHIGAN ELECTRICAL CODE 2008 INCORPORATING THE NEC 2008. 4. THE MICHIGAN PLUMBING CODE 2009 INCORPORATING THE INTERNATIONAL PLUMBING CODE 2009. 5. THE MICHIGAN MECHANICAL CODE 2009. 6. THE INTERNATIONAL FUEL GAS CODE 2009. 7. MICHIGAN UNIFORM ENERGY CODE 2009 CHAPTER 11 OF THE IRC. 8. Carbon Monoxide Alarms shall be provided in accordance with Section R315.1 & R315.2 SECTION 110.0 - CERTIFICATE OF OCCUPANCY 110.1 USE AND OCCUPANCY: A BUILDING OR STRUCTURE SHALL NOT BE USED OR OCCUPIED, AND A CHANGE IN THE EXISTING OCCUPANCY CLASSIFICATION OF A BUILDING OR STRUCTURE OR PORTION THEREOF SHALL NOT BE MADE UNTIL A CERTIFICATE OF OCCUPANCY HAS BEEN ISSUED IN ACCORDANCE WITH SECTION 13 OF 1972 PA 230 MCL 125.1513. NOTE: 110.4-REFER TO ISSUANCE OF A TEMPORARY CERTIFICATE OF OCCUPANCY. PLEASE NOTE: OCCUPYING WITHOUT BENEFIT OF A CERTIFICATE OF OCCUPANCY AND RELATED INSPECTIONS IS IN VIOLATION OF STATE LAW AND IS SUBJECT TO ENFORCEMENT UNDER THOSE LAWS. PERMITS ARE VALID FOR 180 DAYS FROM THE LAST INSPECTION DATE ON THE PERMIT/PROJECT. AFTER THAT PERMITS ARE SUBJECT TO SUSPENSION. SUSPENSION MAY HAVE AN ADVERSE EFFECT ON FUTURE PERMITS, LIFE SAFETY ISSUES AND/OR INSURANCE CLAIMS AND PROPERTY RESALE. CONTACT INFORMATION FOR SUPPORTING DOCUMENTS 1. ADDRESS - EQUALIZATION: [PHONE REDACTED] 2. WELL & SEPTIC SYSTEMS – NORTHWEST COMMUNITY HEALTH AGENCY: [PHONE REDACTED] 3. ZONING APPROVAL: A. OTSEGO COUNTY: [PHONE REDACTED] B. CITY OF GAYLORD: [PHONE REDACTED] C. VILLAGE OF VANDERBILT: [PHONE REDACTED] * NOTE IT IS RECOMMENDED TO CHECK TO DETERMINE IF YOUR PROPERTY IS REGULATED BY A PROPERTY OWNERS ASSOCIATION (HOA) SOME ASSOCIATIONS REQUIRE SEPARATE APPROVALS SOME ITEMS TO CHECK FOR ON YOUR PROPERTY: DEVELOPMENT RESTRICTIONS - PROPERTY TITLE - PROPERTY BOUNDARIES (DO NOT MOVE OR REMOVE MONUMENTS - IT IS PUNISHABLE BY LAW UNDER ACT 26 P.A. 1988) UTILITIES & UTILITY EASEMENTS - ACCESS - ROAD RITE OF WAY - EASEMENTS - ROAD MAINTENANCE - EROSION PROBLEMS - DNR RULES FOR WATER FRONTAGE (NATURAL RIVERS) - GREEN BELT REQUIREMENTS - WATER QUALITY & QUANTITY - RIGHTS OF OTHERS (MINERAL, ETC) - EMERGENCY SERVICES AVAILABILITY *SIGNATURE REQUIRED ON BACK PAGE OF PERMIT APPLICATION* ---PAGE BREAK--- *THIS IS A BUILDING PERMIT ONLY* ELECTRIC, PLUMBING, AND MECHANICAL, and ZONING PERMITS ARE EACH SEPARATE PERMITS WITH SEPARATE FEES AND SEPARATE INSPECTIONS MINIMUM INSPECTION REQUESTS: 1. FOOTINGS & COLUMN PADS - AFTER THEY ARE DUG AND BEFORE POURING CONCRETE. FOOTINGS MAY REQUIRE A GROUNDING INSPECTION BY THE ELECTRICAL INSPECTOR BEFORE THE BUILDING INSPECTOR CONDUCTS A FOOTING INSPECTION. PLEASE VERIFY THIS WITH THE LAND USE SERVICES STAFF. *ALL FOOTINGS & PADS MUST BE INSPECTED INCLUDING POSTHOLES FOR DECKS. * UNDERGROUND SYSTEMS / ALL TRADE WORK THAT WILL BE COVERED BY CONCRETE FLOOR ARE REQUIRED TO BE INSPECTED BEFORE COVERING* 2. UNDERSLAB AND OR POURED WALL INSPECTION 3. BACKFILL INSPECTION AFTER WATERPROOFING/INSULATING/DRAINAGE TILE INSTALLED BUT BEFORE BACKFILLING. 4. ALL ICE & WATERSHIELD/FLASHING & HOUSEWRAP MUST BE INSPECTED BEFORE COVERING UP AND MAY BE COMBINED WITH ROUGH BUILDING IF CONVENIENT FOR YOU. 5. ROUGH BUILDING FRAME - AFTER ROUGH TRADES ARE APPROVED. 6. CORRECTED ROUGH BUILDING FRAME-IF REQUIRED. 7. INSULATION INSPECTION 8. FINAL BUILDING AND TRADE INSPECTIONS-AFTER WORK IS COMPLETE AND PRIOR TO THE OCCUPANCY OF THE BUILDING, SITE COMPLIANCE CAN BE DONE AT THIS TIME ALSO. 9. CORRECTED FINAL BUILDING AND TRADE INSPECTIONS-IF REQUIRED. INSPECTION REQUESTS: IT SHALL BE THE RESPONSIBILITY OF THE PERMIT APPLICANT THAT IS DOING THE WORK TO NOTIFY THE BUILDING DEPARTMENT THAT SUCH WORK IS READY FOR INSPECTION (MINIMUM 24 HOUR NOTICE). PLEASE ALLOW UP TO 2 FULL WORKING DAYS AFTER YOUR REQUEST IS MADE FOR THE INSPECTION TO BE CONDUCTED. *PERMIT WEATHER CARD MUST BE POSTED AND VISIBLE FROM THE ROAD* *PLANS SHALL BE ON SITE FOR INSPECTIONS TO BE CONDUCTED* BY SIGNING THIS PERMIT YOU ARE AGREEING TO CONTACT OTSEGO COUNTY LAND USE SERVICES TO SCHEDULE INSPECTIONS. YOU ARE ALSO AGREEING NOT TO OCCUPY OR ALLOW THE OCCUPANCY OF ANY STRUCTURE PRIOR TO A CERTIFICATE OF OCCUPANCY BEING ISSUED. Signature Date Printed Name