Appendix G - Construction Impact Notification.pdf
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- Solicitation number
- AEW-0170-0561
- Issued by
- Macomb County, Westland City, Michigan
About this file
The document is a Construction Impact Notification (CIN) form issued by the Directorate of Public Works at the US Army Garrison - Detroit Arsenal, dated 11 December 2023. The form is designed to provide advanced notification of construction activities at the Detroit Arsenal, with requirements for submission 14 days prior to the planned work, including electronic documentation and attached drawings showing location and impact. The form is intended to be used for a specific project involving HVAC shutdown and fire alarm repair in Building 230, and requires detailed information about the scope of work, potential impacts, exact location, project schedule, and any special coordination needs.
The form includes multiple sections for contractors to complete, such as describing the work being performed, identifying potential impacts to infrastructure (including electrical, water, telecommunications, traffic, and other systems), specifying the exact construction location, and outlining the project schedule including start and end dates. While the specific details are not filled in on this template, the form is structured to capture critical information about construction activities that may disrupt normal operations at the Detroit Arsenal. The point of contact for coordinating this document is identified as Brent Atkinson, with a contact number of (586) 282-5262, emphasizing the importance of clear communication and advance planning for construction projects at the facility.
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Directorate of Public Works Detroit Arsenal
APPENDIX G
Appendix G - Construction Impact Notification (11-Dec-2023) a [lilf:l;Mi]
Form: CIN Last Revision: 11 December 2023
Construction Impact Notification Form US Army Garrison - Detroit Arsenal
Directorate of Public Works This information is required 14 days in advance for notification of all construction activities and must be submitted in electronic format. Drawings must be attached showing location and impact. This may be submitted in conjunction with an excavation permit application. The responsible USAG DPW POC for coordination of this document at the Detroit Arsenal, MI, is Brent Atkinson (586) 282-5262.
• Project Name: ______________________________
• Contract No.: ______________________________
• Contractor Name: ____________________________
• POC Name & Phone No. ________________________
• Date Submitted: Click or tap to enter a date.
1. Describe Work Being Performed that is causing the impact:
2. What will be impacted? Provide a short summary and describe any mitigating being taken.
Check the below boxes as applicable.
IMPACT SUMMARY:
☐ Electrical Substation ☐ Lighting ☐ Water ☐ Telecom ☐ Compressed Air ☐ Loss of heat ☐ Loss of cooling ☐ Fire Alarm ☐ Fire Suppression ☐ Mass Notification ☐ Vehicular Traffic ☐ Parking ☐ Pedestrian Traffic ☐ Other: ________
3. Describe/show the Exact Location (including limits of construction – show in attached map):
4. Schedule:
Start Date (indicate time if less than full day): ________________ End Date (indicate time if less than full day): _________________ Any dates omitted? (I.e., weekends): _________________
5. Describe work activities during after-hours or weekend work: _________________
6. Describe any special needs, requests, coordination, or support required: ____________
7. Any additional comments? _________________
| Appendix C - Construction Impact Notification Cover Sheet |
| Construction Impact Notification_2023 |
File details come from the government source that posted it. Updated .