Fire Suppression Permit Application Form
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1FIRE SUPPRESSION PERMIT APPLICATION
Fire Prevention Division
500 W. Big Beaver Road
Troy, MI 48084
248-524-3419
Date:
Contractor: ____________________________________ Phone: _________________________
Address: _______________________________________________________________________
Contact Name: _________________________________ Phone: _________________________
License #: _______________________________ Email: ________________________________
Listed contractor is applying for a permit to install or alter fire protection equipment as indicated
PERMIT MUST BE POSTED ON JOB SITE.
below at the following location:
Address: ____________________________________
Suite: ________________________
Owner: _____________________________________
Phone: ________________________
When ready for inspection call 248-524-3419. 48 hours advance notice is required.
Minimum Permit Fee
$70.00
EQUIPMENT TO INSTALL
NUMBER
X
COST PER ITEM
=
FEE
Fire Pump
_______
$125.00
_____
Sprinkler Heads
_______
*
_____
Standpipe
_______
$ 70.00
_____
Each Hose Connection
_______
$ 10.00
_____
Hood Suppression System
_______
$125.00
_____
Additional System
_______
$ 70.00
_____
Alteration/Modification
_______
$ 70.00
_____
Total Flooding System
_______
$250.00
_____
Other System/Equipment
_______
$ 70.00
_____
Total Fee
_____
* Sprinkler Heads Fees:
1 - 20 heads
$125.00
101 - 200 heads
$300.00
401 - 500 heads
$600.00
21 - 50 heads
$150.00
201 - 300 heads
$400.00
500
+ heads
$675.00
51 - 100 heads
$225.00
301 - 400 heads
$550.00
plus $0.75 per head
Additional Fees:
Each Re-Inspection during normal working hours: Hourly rate of $70.00 per person with a minimum assessment of one (1) hour.
Each Re-Inspection during non-working hours: Hourly rate of $105.00 per person with a minimum assessment of three (3) hours.
__________________________
___________________
___________________
Signature of Contractor or
Initials of Fire Dept.
Initials of Building Dept.
Authorized Representative
Plan Reviewer
Permit Issuer
Premise File #: ______________
Review Date: ________
Expiration: __________
Comments:
_________________________________________________________________
Web Site:
Plan Submittal:
FD_Plans@troymi.gov
E-Mail
Disk
03-15
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