City of Mishawaka

Jeffrey L. Rea , Mayor

DEPARTMENT OF CODE ENFORCEMENT
George Obren, Director

RENEWAL FORM FOR SMOKE ALARMS IN RENTAL PROPERTIES

     The Department of Code Enforcement is here to help and assist Landlords in keeping their properties neat and clean, which helps add to property values and higher rent receipts. Also, all Single, Multiple Family, and Mobile Home rentals shall be equipped with smoke detectors under Ordinance #3372, Section 93.11 which is required by the Mishawaka Fire Prevention Bureau.
      Every homeowner, manager, or agent of any rental property shall be responsible for the installation and maintenance of all smoke detectors. Each year between January 1st and January 31st, the homeowner, manager, or agent is required to certify in writing to the Mishawaka Fire Prevention Bureau that the maintenance has been performed and that the detectors are in good working condition as of the date of certification. This form will meet that certification requirement.
      Please fill out the required information form below by listing all properties that you own within the City of Mishawaka, along with your preferred mailing address (no Post Office Box's please) and send it to the Department of Code Enforcement, 600 East Third Street, Mishawaka, IN 46544. We will forward this information to the Fire Department.
      Thank you for your required assistance in this matter.

IN ACCORDANCE WITH AND BY VIRTUE OF THE PROVISIONS OF ORDINANCE #3372 OF THE CITY OF MISHAWAKA, the undersigned owner(s) of the real estate stipulated below, hereby certifies that the maintenance has been performed on all detectors in the owner's rental unit(s) and that the detectors are in good working condition as of the date of this certification.

Address of Rental Properties:

Number of Detectors

1. _________________________________________________________

_________________

2. _________________________________________________________

_________________

3. _________________________________________________________

_________________

4. _________________________________________________________

_________________

5. _________________________________________________________

_________________

(Please use back of this form if more space is needed)

 

 

____________________________________

__________________________________________________

Print Name

Home Address or Preferred Mailing Address (No P.O. Box, please)

 

 

 

____________________________________

_________________________

____________________

Signature of Owner or Agent

Phone #

Date

THIS IS A RENEWAL CERTIFICATE FOR THE YEAR 2005

City Hall, 600 East Third Street, Mishawaka, IN 46544-2241 (574) 258-1612 Fax (574) 258-1713
E-Mail Code Enforcement


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