B 2006 B
Authority: 1972 PA 230
Completion: Mandatory to obtain permit.
Penalty: Permit cannot be issued

Building Permit Application

City of River Rouge Building Department

10600 W. Jefferson River Rouge, MI 48218

(313) 842-4209 Fax: (313) 842-4208

JOB LOCATION:______DATE:______

All permit requests must have an address to be processed.

Property ID numberSubdivisionZoning

____ Old Bldg.____ New Bldg.____ New____ Replacement

Contractor Information:

______

Contractor’s NameLicense NumberIssue Date

______

AddressCityStateZIP Code

______

Telephone NumberFederal ID Number

______

Worker’s Compensation CarrierLicensee’s Signature

Owner of Property Information:

Owner’s Name: ______Phone#:______

Owner’s Address: ______

Owner’s AddressCityStateZIP code

Application Fee $25

Minimum Permit Fee +50

Registration Fee

($15 Reg., $15Processing$30)

Permit Cost is based on the cost of the Construction Job

Scope of work

Total Cost of Construction Job: $______

*Up to $1000$25

* $100 bond

* To increase $5 for every

$500 over initial $1000

Check Here If:

□FENCE PERMIT$30

□SIGN PERMIT

□DEMOLITION PERMIT

Type of Structure: ______

Scope of Work:

______

Rough Inspection: $25 each

Plans or drawings may be required before permit will be issued.

Contact Building Department before submitting permit.

(313) 842-4209

______

Rough inspections are required on all structural work. Failure to comply will result in an unapproved permit.

This is not a permit. Installation may not commence until a Building permit has been secured. A copy of the permitee’s State of Michigan Photo ID/Driver’s license is REQUIRED. A copy of the licensee’s State of Michigan Electrical License is REQUIRED (Registration fee $30). An original application with original signatures must be submitted for processing. Self addressed stamped envelopes must be submitted with all mail-in permits.

Section 23a of the State Construction 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 subject to civil fines.