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Imperial Municipal Services 263 Northland Drive Rockford, MI 49341 (616)863-9294 or 1-800-442-2794 Fax: (616)863-9298 E-mail: info@imsinspections.com Algoma Township 10531 Algoma Ave. NE Rockford, MI 49341-7108 (616)866-1583 RESIDENTIAL BUILDING PERMIT INFORMATION Please Note: A zoning permit is REQUIRED from Algoma Township before a building permit can be issued for anything other than remodeling or basement finish projects. Please remit Zoning permits and ONE Set of plans to Algoma Township. Zoning permits can be obtained from Algoma Townships website, www.algomatwp.org or from our website: http://imsinspections.bravesites.com/ The following materials and documents are required in order for you to obtain a Building Permit: 1. COMPLETED BUILDING PERMIT APPLICATION: A) MUST be completed IN FULL B) DETAILED SITE DIAGRAM with setbacks; front setbacks are measure from the road right of way, not from the edge of the asphalt or the center of the road. Side and rear are measured from property lines to structures. 2. PROOF OF OWNERSHIP: A) A deed or land contract (must be notarized) for new homes. Property tax statement for garages, pole barns, residential additions, or pools. B) PERMANENT PARCEL NUMBER indicating that your parcel is split from any other nonvacant parcels. MUST BE RECORDED WITH THE COUNTY AND LOCAL UNIT OF GOVERNMENT. 3. SURVEY DRAWING OF JOB SITE. 4. TWO sets of Construction Plans, drawn to scale. Plans MUST include: A. Foundations show depth of footing. B. All significant elevations (side views). C. Floor plans for all floors, including basement. D. Cross-section of one wall from footing to peak. E. North elevation identified as (N). 5. WASTEWATER/WATER SUPPLY PERMIT: This permit can be obtained from the Kent County Health Department, Environmental Health Division, 700 Fuller NE, Grand Rapids, MI 49505; Phone Number (616) 632-6900, or online at: https://www.accesskent.com/health/wellseptic/pdfs/form_wastewater_permit.pdf (Note: There may be a fee associated with this permit) 6. HIGHWAY PERMIT: This permit can be obtained from the Kent County Road Commission (616) 242-6920. The Road Commission will assign the permanent address.

7. TRUSS DIAGRAM: Manufactured truss diagrams are required for any plans that call for engineered trusses. These plans or Truss Data Sheet can be obtained from your truss supplier. 8. ENERGY CODE CALCULATIONS: State law requires a minimum level of energy efficiency in new residential structures and any remodel involving adding walls/insulation. REScheck is available online at www.energycodes.gov or your lumber yard may be able to assist you with REScheck or another system that calculates the necessary insulation requirements. YOUR COMPLIANCE REPORT MUST BE SUBMITTED AT THE TIME OF APPLICATION WHERE APPLICABLE. Also need to include manual J and S as required by the 2015 residential energy code for new residences and additions. 9. SOIL EROSION AND SEDIMENTATION POLLUTION CONTROL PERMIT: State law requires that you obtain a Soil Erosion and Sedimentation permit if your job site is within 500 feet of a lake or stream, or if your will be clearing over 1 acre for a new job site. You may contact Kent County Road Commission at (616) 242-6910. This information MUST BE TURNED IN TO THIS OFFICE BEFORE A BUILDING PERMIT IS ISSUED. Your Building Permit Application is subject to zoning approval based on local Zoning Ordinance provisions. Normally, a Building Permit may be obtained when all documents and materials are presented to the Building Inspector and zoning approval is granted. Inspections are done on Mondays, Wednesdays and Fridays. It is the permit holder s responsibility to arrange for unobstructed access to the inspection address and accessible entrance when an inspection is scheduled to be performed. Days of inspection are subject to change without notice.

BUILDING PERMIT APPLICATION Imperial Municipal Services Separate applications must be completed for plumbing, 263 Northland Drive mechanical & electrical permits. Rockford, MI 49341 Algoma Township (616) 863-9294 (616)866-1583 (800) 442-2794 I. PROJECT INFORMATION PROJECT BETWEEN AND PERMANENT PARCEL NUMBER ZONE DISTRICT II. IDENTIFICATION A. OWNER OR LESSEE B. ARCHITECT OR ENGINEER LICENSE NUMBER EXPIRATION DATE C. CONTRACTOR BUILDERS LICENSE NUMBER EXPIRATION DATE FEDERAL EMPLOYER ID NUMBER OR REASON FOR EXEMPTION WORKERS COMP INSURANCE CARRIER OR REASON FOR EXEMPTION MESC EMPLOYER NUMBER OR REASON FOR EXEMPTION III. TYPE OF IMPROVEMENT AND PLAN REVIEW A. TYPE OF IMPROVEMENT Brief description of your project: New Building Addition Alteration Repair Demolition Mobile Home Set Up B. PLAN REVIEW REQUIRED Foundation Only Premanufactured Relocation Special Inspection Plans must be submitted with an Application for Plan Examination and the appropriate fee before a permit can be issued, except as listed below. Plans are not required for alterations and repair work determined by the Building Inspector to be of a minor nature. Plans and specifications 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. Plan Review Submission Number Page 1

IV. PROPOSED USE OF BUILDING A. RESIDENTIAL One Family Two or More Families No. of Units Hotel, Motel No. of Units Attached Garage Detached Garage Other B. NON-RESIDENTIAL Amusement Church/Religion Industrial Parking Garage Service Station Hospital/Institution Office, Bank, Professional Public Utility School, Library, Educational Store, Mercantile Tanks, Towers Other NON-RESIDENTIAL-Describe in detail proposed use of building. If use of an existing building is being changed, enter proposed use. V. SELECTED CHARACTERISTICS OF BUILDING A. PRINCIPAL TYPE OF FRAME Masonry, Wall Bearing Wood Frame Structural Steel Reinforced Concrete Other B. PRINCIPAL TYPE OF HEATING FUEL Gas Oil Electricity Coal Other C. TYPE OF SEWAGE DISPOSAL Public or Private Company Septic System D. TYPE OF WATER SUPPLY Public or Private Company Private Well or Cistern E. TYPE OF MECHANICAL Will there by Air Conditioning? Yes No Will there by Fire Suppression? Yes No F. DIMENSIONS/DATA Number of Stories FLOOR AREA: EXISTING ALTERATIONS NEW Use Group Basement Construction Type 1 st & 2 nd Floor No. of Occupants 3 rd 10 th Floor Storage Space 11 th & above A minimum of 200 sq ft of enclosed storage is required for new homes. This may include basement, Total Area shed, garage, etc., but not closets. Roof Pitch Length of Driveway G. NUMBER OF OFF STREET PARKING SPACES Enclosed Outdoors Page 2

VI. APPLICANT INFORMATION & FEE SCHEDULE Applicant is responsible for the payment of all fees and charges applicable to this application and must provide the following information: FEDERAL EMPLOYER ID NUMBER (or reason for exemption) I hereby certify that 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 al applicable laws of the State of Michigan. Al information submitted on this application is accurate to the best of my knowledge. 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 person who are to perform work on a residential building or a residential structure. Violators of Section 23a are subjected to civil fines. Signature of Applicant Zoning Approval ***Required prior to issuance of a building permit*** Building Permit Fee Schedule Approximate value of project: Base Fee for buildings up to $1000 in value $50.00 For each additional $100 in value (up to $10,000) add 1.00 Base fee for buildings over $10,000 in value 140.00 For each additional $1000 in value add 3.00 TOTAL Additional inspections, reinspections or hourly inspections will be charged at a rate of $50.00. IX. Instructions for Completing Application MAKE CHECKS PAYABLE TO: IMS General: Work shall not be started until the application for permit has been filed. All work shall be in conformance with the Michigan Building Code. When ready for an inspection, call Imperial Municipal Services at 1-800-442-2794 or 616-863-9294. 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 SIX MONTHS OF THE DATE OF ISSUANCE OR THE DATE OF A PREVIOUS INSPECTION. CLOSED PERMITS CANNOT BE REFUNDED OR REINSTATED. Authority: 1972 PA230 Completion: Mandatory to obtain permit Penalty: Permit can not be issued Algoma Township will not discriminate against any individual or group because of race, sex, religion, age, national origin, color, marital status, disability, or political beliefs. If you need help with reading, writing, hearing, etc., under the Americans with Disabilities Act, you may make your needs known to this agency. Page 3