Non-Residential Building Application (Page 8 of 8) in pdf

AUBURN HILLS

FIRE DEPARTMENT

Owner’s certificate of commodities and fire protection

Business name______________________________________________________________________________________

Address____________________________________________________________________________________________

Indicate whether the fire protection is intended for one of the following specialized occupancies or areas:

(check all that apply)

Spray area or mixing room

Solvent extraction

Laboratory using chemicals

Oxygen‐fuel gas systems for welding or cutting

Acetylene cylinder charging

Production or use of compressed or liquefied gases

Commercial cooking equipment

Class A hyperbaric chamber

Clean room

Incinerator or waste handling systems

Linen handling system

Industrial furnace

Water‐cooling tower

Describe type, location, arrangement, and intended maximum quantities for any specialized occupancies indicated.

__________________________________________________________________________________________________

Will there be any storage of products of 12 feet or higher?

yes

If yes, describe product, intended storage arrangement, and height

__________________________________________________________________________________________________

Will there be any storage of plastic, rubber, or similar products over 5 feet high except as described above?

yes

If yes, describe product, intended storage arrangement, and height

__________________________________________________________________________________________________

Is there any special information concerning water supply?

yes

If yes, provide information, including known environmental conditions that might be responsible for corrosion, including

microbiologically influenced corrosion (MIC).

__________________________________________________________________________________________________

I certify that I have knowledge of the intended use of the property and that the above information is correct

Signature of owner’s representative or agent:_______________________________________Date:_________________

Name of the owner’s representative or agent completing certificate (print):_____________________________________

Relationship and firm of agent (print): __________________________________________________________________

Revised 2014

1899 N SQUIRREL ROAD – AUBURN HILLS, MICHIGAN 48326 – (248) 370‐9461

Non-Residential Building Application Page 8