1
TecumsehTownship
Send to: 107 S Oneida, Tecumseh 49286 (This is a residence)
DEPARTMENT OF BUILDING SAFETY
Phone (517)423-4641 Email:
Application for Building / Zoning Permit Consideration When Plan Review Is Needed
(Read Instructions before completing this application, if you need help give us a call)
Application shall be typed or printed legibly in ink. Fill in all applicable sections that pertain to your project. Failure to do so will delay the approval of your project. Along with this application include: two sets of drawings, specifications and plot plans, including all encroachments. This application is for Building plan review and Zoning compliance only.
- PROJECT INFORMATION (Location where construction is to take place if you are a homeowner skip to #2)
Project Cost: $______for statistical information
Job Name:______
Address: ______Suite or Unit No. ______
Jobs Contact Person & Phone No.
2.HOMEOWNER INFORMATION - IF YOU ARE DOING THE WORK YOURSELF (Fill this Section Out)
Name: ______Address: ______
City:______State: ______Zip Code: ______
Phone No. ______Cell Phone No.______Business______
E-mail Address ______
3.ARCHITECT / ENGINEER / CONTRACTOR
Name/Firm: ______Address: ______
City: State: ______Zip Code: ______
Phone No. ______Fax Phone No. ______
E – Mail Address: ______Other Phone No.______
License Number.______Expiration Date: ______
MESC No. ______or reason for exemption ______
Federal ID ______or reason for exemption ______
Workers Comp. Insurance ______or reason for exemption ______
- Additional Information Needed In Order for Permit to be issued if applicable:
Lenawee County Health Department - Well & Septic Permit
Lenawee County Road Commission – Road Culvert Permit
Michigan Department of Transportation – If driveway accesses a state highway
5. Insulation Method: Prescriptive Method or Alternative Trade-Off
6. TYPE OF IMPROVEMENT (Check One)
New Building Demolition Mobile Home Set-up Relocation Repair / Replacement
Addition Safety Inspection Pool Foundation Only Pre-manufactured
Alteration Deck Certificate of Use / OccupancyTemporaryBuilding / Structures
Tenant Space (exterior walls and roof only) Fence (Zoning Review)
Other:______
7.CONTRACTOR AFFIDAVIT (To be filled out by contractor only)
Applicant is responsible for the payment of all fees and charges applicable to this application and must provide the following information. If you are the agent, attorney or design professional of another person, a written instrument confirming your authority, such as a copy of a Contract, power of attorney or notarized authorization letter must be submitted with this application. I acknowledge that I am responsible to design this building with future improvements taken into consideration as related to setbacks.
I hereby certify that I have read and understand this application and 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/her authorized agent, and we agree to conform to all applicable Laws, of the State of Michigan, and all Ordinances and requirements of the Tecumseh Township. All information submitted on this application is accurate to the best of my knowledge. I have also read and understand SECTION 9 of this application.
Applicant SignAture____ Date______
Print Name:______
8.HOMEOWNER AFFIDAVIT The undersigned represents that the following described Property:
Is, or will be on completion, his or her bona fide residence, that he or she will occupy same upon completion, and that no part of such premises will be used for rental purposes for one year, nor is such property contemplated for sale. The undersigned further represents that he or she is fully aware of the provisions of the Building Code of the TecumsehTownship and all ordinances and supplements pertaining to the proposed work. I have also read and understand SECTION 9 of this application. In making this application, the undersigned understands that as the homeowner:
- I am responsible for paying all fees as required by the TecumsehTownship.
- I am responsible for correcting any code or ordinance violations.
- I am responsible for calling to schedule inspections as required by the TecumsehTownship and to keep all work and installation exposed until approved by the appropriate inspector.
- I am doing all the work myself.
- I understands that if this property is used for rental purposes that any mechanical, electrical, or plumbing work has to be by a licensed contractor.
OWNER SignAture ______Date ______
Print Name:______
9. Permit Fee’s
NOTE: THESE FEES ARE FOR THE BUILDING DEPARTMENT ONLY. IF YOUR ARE DOING ELECTRICAL, MECHANICAL, OR PLUMBING WORK YOU NEED TO APPLY FOR THE APPROPRIATE PERMITS WITH THE STATE OF MICHIGAN.
TO THE APPLICANT – YOU WILL BE NOTIFIED WITHIN 10 DAYS AS TO WHETHER YOUR PROJECT HAS BEEN APPROVED OR IF ANY OTHER INFORMATION IS NEEDED. IF YOUR PROJECT IS DENIED YOU WILL BE NOTIFIED OF THE REASONS WHY. IF APPROVED, YOU WILL BE INFORMED OF THE PERMIT AND BOND FEES DUE. ONCE PAID YOU WILL BE ISSUED YOUR PERMIT AND YOU CAN START WORK. PLEASE MAKE SURE THAT YOU HAVE COMPLETED, SIGNED, AND HAVE ALL THE NECESSARY PAPER WORK SUBMITTED WITH YOUR APPLICATION SO THAT YOUR APPROVAL WILL NOT DELAYED. CONTACT US IF YOU HAVE ANY QUESTIONS.
Per R105.4 The issuance of or granting of a permit shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of this code or of any other ordinance of the jurisdiction. Permit presuming to give authority to violate or cancel the provisions of this code or other ordinances of the jurisdiction shall not be valid. The issuance of a permit based on construction documents and other data shall not prevent the building official from requiring the correction of errors in the construction documents and other data.
Section 105.6 - The building official is authorized to suspend or revoke a permit issued under the provisions of this code, whenever the permit is issued in error or on the basis of incorrect, inaccurate or incomplete information, or in violation of any ordinance or regulations or any of the provisions of this code.
ALSO: As the applicant you are responsible for making sure the building is located properly on the lot. Failure to comply with setbacks requirements will result in the building being moved.
______
Building Official/Inspector Dated Zoning Administrator (if different) Dated
Notes & Comments
______
______
DEPARTMENT USE ONLY
Received ByDate______
Amount Received: $ Check #
Zoning District: ______Type of Lot: (Check One) Interior Corner Cul-de-sac
TecumsehTownship Enforces the following codes:
MichiganBuilding Codes for Industrial, Multiple Family, & Commercial Uses.
Michigan Residential Code for Single and TwoFamilyBuildings.
Michigan Electrical, Mechanical, Plumbing Codes through the State of Michigan.
NO WORK SHALL BE STARTED NOR SHALL ANY PERMIT BE ISSUED UNTIL ALL REQUIRED FEES HAVE BEEN PAID IN FULL AND THOSE DEPARTMENTS AFFECTED BY THE PROPOSED WORK HAVE APPROVED THE WORK BEING DONE.
Site Plan – If required
District / Minimum Lot Area and Width / MaximumBuilding Height / Maximum lot coverage by all buildings in percent of lot area / Minimum set backs from lot line in feet - Add 33 feet if measuring from center of road to front setback line / Minimum Floor Area per dwelling unit in Sq.Ft.Sq. Ft. / Width of lot in feet / In Stories / In feet / Front / Side / Rear
AG / Agriculture / 1 Acre / 200 / 21/2 / 35 / 35 / 50 / 25 / 40 / 960
R-1 / Single Family Residential / 15,000 / 150 / 21/2 / 35 / 30 / 50 / 20 / 35 / 960 (see note below)
RM / Multiple Family Residential / 21/2 / 35 / 30 / 40 / 20 / 35 / 400
RMH / MobileHomePark
Single / 3,600 / 40 / 1 / 15 / 30 / See Section 10.02 / 600
Double / 5,500 / 55 / 1 / 15 / 30 / See Section 10.02 / 600
C-1 / General Commercial / 20,000 / 150 / 21/2 / 35 / 50 / 20
M-1 / General Industrial / 40,000 / 150 / 21/2 / 35 / 50 / 25
Two Story Family homes must have a first floor area of 780 Sq. Ft. and a second story floor area of 232 Sq. Ft.
AccessoryBuilding setbacks - 10 feet from a principal building & side lot line and 6 feet from a rear lot line