CITY OF ADRIAN Labe 1 Building Permit Permit No: PB12-092 ADRIAN, Ml. 49221 Construction Code Services Phone: 517-264-4814 135 E. MAUMEE ST Hours: Monday-Friday 8 am - 4:30 pm 1365 E BEECHER ST XA0-61 0-0001-00 Zoned Contractor (490) 543 4563 K & D DEMOLITION & EXCAVATING 16016 MESSENGER RD Owner: BEECHER ASSOCIATES I 938 DURSLEY RD BLOOMFIELD HILLS Ml Occupant: BEECHER ASSOCIATES I 938 DURSLEY RD 48304-2012 BURTON OH 44021 BLOOMFIELD HILLS Ml 48304-2012 Appli ca ble Cock: Michigan Code 2009 I ssued: 04/30/12 Expi re Date: 10/27/12 Work Description: Dura Demolition of factory portion of building, leaving office section for new business site. Stipulations: PLEASE HAVE PERMIT AND PLAN ON SITE FOR ALL INSPEC110NS ----- -- --- - - - Permit Item All work not involving sq ft Demolition Dick Garno, Building Inspector Authorized by Work Type 6) Build Permit Build Permit Fee Basis 1.00 1. 00 Fee Total: Amount Paid: Balance Due : Item Total $0.00 $0.00 $0.00 $0.00 ·- · -- ··- $0.00 I agree lh is per mi t is only fo r the work descri bed, and docs n ot grant permissi on for addit ional or r elated work whi ch r equires separate perm its. I understand that t his perm it will expire, and become null and vo id if work is not st arted within 180 days, or if wo rk is suspended or abandon ed for a p erio d of 180 days at any t ime aft er work has commenced; an d, that I am responsible fo r assuring all required inspect ions are requested in conformance with the applicable co de I hereby certify that the proposed work is auth ori zed by th e own er, and th at I am authorized by t he owner to make th is applica ti on as h is auth orized agent. I agree to conform to all ap pli cable laws of the State of Michigan and the local j urisdict ion. All i nformation on the permit app lication is accurate to the bes of my k nowledge Payment of pennit fee constitutes accep1ance of the above terms. POST THIS PERMIT SO IT IS VISIBLE FROM THE STREET PLEASE CALL FOR THESE REQUIRED INSPECTIONS D Footing D Frame D Insulation D Mobile Home Installation - ---- 0 Sla _b_ 0 Structural Steel 0 Open Roof D Backfill D CONTRACTORS ARE RESPONSIBLE FOR SCHEDULING INSPECTIONS. THIS IS IN ACCORDANCE WITH STATE CODES. PLEASE CALL 264-4814 TO SCHEDULE INSPECTIONS. THANK YOU. PLEASE ALLOW 24 HOURS NOTICE FOR APPOINTMENTS.
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CITY OF ADRIAN Labe1Building Permit Permit No: PB12-092
ADRIAN, Ml. 49221 Construction Code Services Phone: 517-264-4814
135 E. MAUMEE ST
Fax:~15i1-~t:B8 Hours: Monday-Friday 8 am - 4:30 pm
1365 E BEECHER ST
XA0-61 0-0001-00 Zoned
Contractor (490) 543 4563
K & D DEMOLITION & EXCAVATING
16016 MESSENGER RD
Owner: BEECHER ASSOCIATES I 938 DURSLEY RD BLOOMFIELD HILLS Ml
Work Description: Dura Demolition of factory portion of building, leaving office section for new business site.
Stipulations: PLEASE HAVE PERMIT AND PLAN ON SITE FOR ALL INSPEC110NS
----------- - -
Permit Item
All work not involving sq ft Demolition
Dick Garno, Building Inspector Authorized by
Work Type
6) Build Permit
Build Permit
Fee Basis
1.00
1.00
Fee Total: Amount Paid:
Balance Due:
Item Total $0.00
$0.00
$0.00 $0.00 · - · --··-
$0.00
I agree lh is permit is only fo r the work described, and docs not grant permission for addit ional o r related work which requires separate perm its. I understand that t his perm it will exp ire, an d become null and vo id if work is not started wit hin 180 days, or if work is suspended or abandoned for a period of 180 days at an y t ime aft er work has commenced; an d, th at I am responsible fo r assuring a ll required inspections are requested in conform ance with the applicable co de I hereby certify that the proposed work is authorized by the own er, and th at I am autho rized by the owner to make th is application as h is auth orized agent. I agree to con fo rm to all applicable laws of the State of Michigan and the local j urisdiction. All information on the p erm it app lication is accurate to the bes of my knowledge
Payment of pennit fee constitutes accep1ance of the above terms.
POST THIS PERMIT SO IT IS VISIBLE FROM THE STREET PLEASE CALL FOR THESE REQUIRED INSPECTIONS
D Footing D Frame D Insulation D Mobile Home Installation - ----
Number of Units 0 2. Two or more Family 0 4. Attached Garage 0 6. Other
Number of Units B. Non-Residential
7. Amusement 11. Service Station 15. School, Library, Educational ..__ - -8. Church Religion 12. Hospital, Institutional 16. Store, Mercantile - - -9. Industrial 13. Office, Bank, Professional 17 . Tanks, Towers - ..___ -10. Parkinq Garage 14. Public Utility 18. Other
Non-Residential - Describe in detail proposed use of building. Such as: food processing plant. machine shop, laundry building at hospital, elementary school. secondary school, college, parochial school, parking garage for department store, rental office building, office building at industrial plant. If use of existing building is being changed, enter proposed use.
CN~ Q,(,L;.A, 1{J CJl[p ~~f(
V. SELECTED CHARACTERISTICS OF BUILDING A. Principal Type of Frame (Please Circle) ~ ,,,,:.---
""" " 1. Masonry, Wall Bearing j 2. Wood Frame { Structu~. Reinforced Concrete j s. Other
B. ~ipal Type of Heating Fuel (Please Circle)
/~ Ga3'1 J 7. Oil 8. Electricity J 9. Coal J 10. Other ~y,nA Jr- I~ __. __ vcn ... M·- - -1 (Please Circle ~ . .;, -•- ~ ~, " Public~ __ •• 1-1a1.1 12. Septic System D. Type of .. .....-.::: .. ..: ....... nh.r <Please Circle)
~ublic or Private Compghy 14. Private Well or Cistern
c. I Yr-v v; :.~ ....... amcal (Please Circle) 15. Will there be Air Conditioninq? Yes No 16. Will there be Fire Suooression? Yes No F. Dimensions I Data
l 21. Floor Area Existing Alteratioos New
17. Number of Stories Basement
18. Use Group
P~te ~w First & Second Floor
19 Construction Type Third - Tenth Floor
20. No. of Occupants Eleventh - Above
Total A rea
G. Number of Off-Street Parking Spaces
22. Enclosed 23. Outdoors
VI. Applicant Information APPLICANT IS RESPONSIBLE FOR THE PAYMENT OF ALL FEES AND CHARGES APPLICABLE TO THIS
APPLICATION AND MUST PROVIDE THE FOLLOWING INFORMATION: NAME
~(}_ CA_:;; <;'T l~r ;;;;. L/tl.J, f7~_!l. hfMRU!f/ Cl~M~t/u STATE L ZIP CODE
1
l TELEPHONE NUMBER (include a:ea cod~)
F r ·~-f31q ~~:-ft,~3~ o~ x~ FEDE~ f ~L~? s~~J~O" tor exemption)
I
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 ALL APPLICABLE LAWS OF THE STATE OF MICHIGAN. ALL INFORMATION SUBMITIED ON THIS APPLICATION JS 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 persons
who a:..:~~ on a residential building or a residential structure. 10 of Section...23a are subjected to civil fines.
Signature of Applicant~ ~ ~ / I - /laL~
Building Permit Fee Enclos~ J / v /
(The first $75.00 of an application is Non-refundable (included $50.00 Certificate of Occupancy fee)
VII. Local Governmental Aaency to Complete This Section
ENVIRONMENTAL CONTROL APPROVALS
Reguired? Aeeroved Date Number fu:
A-Zoning Yes No B - Fire Dept. Yes No C - Pollution Control Yes No D - Noise Control Yes No E - Soil Erosion Yes No F - Flood Zone Yes No G - Water Supply Yes No H - Septic System Yes No I - Variance Granted Yes No J - Other Yes No
VIII. Validation - For Department Use Only
Use Group F-J Application Fee (non-refundable
Type of Construction 2 - ,5 Number of Inspections ~ Square Feet
Approval Signature ~;/ .. /!J~ Title BiML~~ I Date 'I - 2 7,. 12
