Re-Occupancy Form.pdf
PDF 521 KB Posted
- Solicitation number
- 300000146520058
- Issued by
- Michigan
About this file
This is a Re-Occupancy Authorization Form used by the City of Detroit, Michigan, specifically the Housing Development Department located at the Coleman A. Young Municipal Center. The form documents the completion of lead-based paint clearance testing conducted on a residential property and authorizes re-occupancy following successful test results. The form captures essential project information including the case number, program name, property owner details, property address, construction management contact information, relocation dates, and the total number of days required for the clearance process. The form identifies key personnel responsible for the project, including the housing compliance inspector and housing development specialist who verify that clearance testing indicates the home is safe for re-occupancy.
The form serves as official authorization documentation demonstrating compliance with lead-based paint safety requirements prior to residential re-occupancy. It requires completion of lead-based paint clearance testing as a prerequisite condition, with results documented by the assigned housing compliance inspector. The form does not address pricing terms, funding sources, or contract renewal options, as it functions as a clearance certification and occupancy authorization document rather than a procurement or service agreement. Contact information for the City of Detroit Housing Development Department is provided for inquiries, with phone number 313.224.6380 and fax number 313.224.1629.
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Text version
Case No.: Program Name:
Property Owner:
Property Address:
Construction Mgmt.:
Phone No.:
Fax No.:
TO: Total Days:
Date
Relocation Dates - FROM:
Housing Compliance Inspector
The results of that Clearance Test indicate that your home is safe for re-occupancy.
Contractor Address:
City/State/Zip:
Contractor Name:
Coleman A. Young Municipal Center Phone: 313.224.6380 2 Woodward Avenue. Suite 908 Fax: 313.224.1629 Detroit, Michigan 48226 www.detroitmi.gov
A Lead Based Paint Clearance Testing conducted on:
RE-OCCUPANCY AUTHORIZATION
City, State Zip:
Housing Dev. Specialist:
Compliance Inspector:
File details come from the government source that posted it. Updated .