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MICHIGAN DEPARTMENT OF LICENSING & REGULATORY AFFAIRS(Pursuant to Section 301 of PA 59 of 2013)P.A.289 Reports Received for FY 2014
• CITY OF STANDISH
• FRANKENLUST TOWNSHIP
• HATTON TOWNSHIP
• CITY OF FLINT
• BETHANY TOWNSHIP• CITY OF ST LOUIS
• CITY OF MT PLEASANT
• CITY OF LAPEER
• KOCHVILLE TOWNSHIP• CITY OF SAGINAW• TITTABAWASSEE TOWNSHIP
• INDIANFIELDS TOWNSHIP
Arenac
4 - Bay Region
Saginaw
Tuscola
Bay
Clare
Genesee
Gratiot
Isabella
Lapeer
Public Act 289 Fire Protection Grant Funding FY 2013/2014 Reporting Template
Jurisdiction: ('«rim:- ~£.q:;, ~d9//~jt:,dW/V'm/f Date: /?-?/,?-UJ(?
Part I: Profile Comparison Square City
. Miles Municipality J. x: Profile State Facility Profile
Part II: Profile Comparison
Buffdinos . Zoned t2} Over Four'
Stories . . , . .
Municipality Profile State Facility Profile
Part II: Required Reporting Fire Incident NFIRS Reoortina ID Comeliant
Fire Department O(oof/ o/"tfs State Facility
Part IV: Personnel Type Chief
. .
Fire Department VMd;I/I"'tI'iZ I
State Facility
Part V: Capabilities Fire Class Engines
Rating Class 1 . . .
Fire Department 7 Z State Facility
Part VI: Target Risks Dormitories Apartment
Complexes
Fire Department !) f State Facility
(1) Density cre?tes additional staffing demands. (2) Zoning considers department capabilities.
Urban Suburban .. Rural Population ..
I S{)~
limited Codes Codes MBC Streets, ICC NFPA 1
Building &101 .
Fires
Budget .
.
#'11 &>31<> ,?It? ,
Fire Fire Hazmat . Technician Technical Fighters Fighter Operations Rescue
.. 1&2 .. . ...
Z! 19 2.Z- 0 0
Aerials RaSe/va Response First Alarm Class_1 Class Time Personnel
. ..
{/ 3/1//// /(/
High-Rise Stadium(s) Assembly Manufacturing - Research Dorms > 1000 Facilities
0 () CJ /) !J
Public Act 289 Reporting Template - October 2013
UlRA-JAN3PH1:55
Population Densily(l)
··Medlcal • . First
Responder
5
MeetsNFPA 1710 ...
'lir'
Chemistry . Classroom
tJ
Page 1
Part VII: Public Act 289 Risk/Hazard Inventory of State Facilities 1. Are any of your state facilities identified by DHS as Critical Infrastructure or Key Resources?
DYes IXI No
If yes, how m~ny? D 1 - 5 D > 5
2. Do any of your State facilities exceed 4-stories in height? D Yes ~ No
If yes, how many? D 1-5 D 5-10 D >10
3. Do any of your State facilities use/store large quantities of hazardous materials? DYes 0 No
If yes, what best describes the facility's use (check all that apply)? D Research Labs D Storage Facility D Milit8ly/Weapons Dispensal'!
4. Do any of your State Facilities staff more than 250 employees? DYes I2Q No
If yes, how many? D 1 - 5 D 5 - 10 D > 10
5. Are any of your State facilities stadiums, auditoriums, or other venues deSigned primarily for large public assembly?
D Yes ~ No If yes, what is the maximum capacity for your largest venue?
D 1,000 - 4,999 D 5,000-9,999 D> 10,000
6. Do any of your State facilities house special popluations?
DYes IXJ No
If yes, what best describes that population (check all that apply)? D Students D Prisoners D Special Needs D Other
7. Do any of your State facilities have symbolic or psychological significance? DYes J:8l No
If yes, these include facilites where occupants (check all that apply): o Make decisions essential to conducting official state government business
D Pass state legislation
D Provide final arbitration or interpretation of legal issues D House original historical records or artifacts of unique significance D Regularly house miltal'! personnel or store milital'! equipment and records that are
essential in protecting and defending the state o Engage in special research
D Other:
8. Do any of your State facilities house information, records, or personnel with specialized knowledge or skills necessary to conduct essential national or state government functions?
DYes [&'J No
9. Do any of your State facilities regularly house military personnel, stofe military equipment and records that are essential in protecting and defending the state?
DYes ® No
Acronyms ICC = International Code Council NFPA = National Fire Protection Association MBC = Michigan Building Code NFIRS = National Fire Incident Reporting System
10. Form Completed by: 7>0//1 !i?h,c/,ttId Date: IZ-?/2.·Z!?(? E-Mail to : [email protected]
or mail to:
or fax to:
State of Michigan Fire Protection Reports Finance and Administrative Services 611 W. Ottawa
Lansing, MI48909 (517) 373-3621
Public Act Reporting Template - October 2013 Page 2
FEB-14-2014 16:50 FROM:FRANKENLUST 9896865300
puMc Ac/2B9 Flr9 Pro/Gcl/on Grant FUnd(ng FY~Of3/2014 RspOl1/ng T~mp/BI8
TO: 15173733621
JuModlotlon Dale: ....::;:<:....·_-r..:.~_~.:...1 7.1-' __ _
Part : Prom. Comporison SqUluo CII)' Mlfel
MUni.,lpolll)' Prome ~3. 0':;-1~1o(~.~'ClIII)' Pronl.
Pert II: Profile Comosrfson . Building. Zonod '"
O'vllf Four Storlo,
I",Un!,ClpOilly Promo 0 !~I.Ot. "<1II1y Proflio
P rt '" R I dR J1I • · eau r • oca no · ~I'.ln<ld.nt R.""rti"" 10
NFIRS COmJlII'nt
Fire Depbrtrnont t'ltl 9/;).. Y<-'> Stot. Flclllty
Pert IV' · Personnol Typo 'Chl.f
Flro Deperunent (J"" ..... liP GAol /
51.01. Feclllty
Part v : CeDsbllltles I'I,oCI ... 'Englnatl
ReUng CIU81
FIre Depo_rtment 7 ;;J.. SloteFaclllty
P VI art : T arg.t R k I. a DolTllhorlo. Ap,nmanl
Comtdexo! MunlefpalTty 0 (', PIOn",
Slala F,eUiIy
III OGnsiry creal~G edditlonal slIlfl1ng demands. rn ZonIng consider!!: dGparonent cap!!bililie5,
Urban Subum!!n Rural t'opultltron
70 30 3.s,;t
LlmlUld Codos Cod •• MBC StlO81S ICC NFPA 1
Building &101 Rrsil
BudgfH
) r::;'7 ~-co-
FIIll FI", HfllmO! Technlolan Technlcel Fi9~t.r. Fighle, Ope~UOI\S Re8OUO
1 & ~
17 /'/ /g
Aerle.ls RUIJN8 Response 'Flrut Alllrm CI .... 1 CIDI! Tlmo Peraonnel
S- /'7' w:..h.
Hlgh-RI •• 6ladlum.(.) A .. embly Mllnufecturlng Research Dorm a > 1000 Foollltl ••
0 I
Public Act 289 Reporting Templete· Oclober 2013
Pop\llodon ~ .... (I)
,/S'I . .s-
Medlcsl FlfOt
R"l>Ond.r
/.::s
Meets NFPA 1710
YR~ /
Chl)mleuy Clfl~$rOOm
Pege 1
FEB-14-2014 16:50 FROM:FRRNKENLUST 9896865300 TD:15173733621 P.Y3
Part VII: Public Act 289 Rlsk/Hatard Inventory of State FaclllUos 1. Ne eny 01 your state I.dlllle, Identified by DHS o. Criticellnfros\(ucture or Key Resource.?
o Ves 0 No
If ye., how many? o 1.5 0>5
2. 00 eny Stete fecilltle, exceed 4·.torle, In height? ~yes 0 No
If ye" how meny? 'Pf 1 - 5 o 5·10 o > 10
3.00 any 01 your Stete facliitios u.olotorol.rgo Quontlti.5 of hazardous mbtllriels7 ~ v.. 0 No
WIl.t best doscribe, Iho us. (eneCk ell ,he, apply)?
)l:( Research Labs o Storog. Facility o MilitetylWo.pons OI.pooo0'Y
4. Do an1 Of your SIBle Facilitle. staff more thOn 250 amploy ••• ? ll( Ye, 0 No
ffyo., how meny? )!I! 1 .5 0 5 - 10 o >10
S. Are any of your Stalo fccllHles 5tadlum$, CludHorfums, or other venues deslgn~d prlm£lrlly for large publlo assembly? r.lJ Ye. 0 No
If yes, wh~t i$lhe maximum otlpaclly for your largest venue? J( 1,000-4 ,999 0 5,000-9,999 0 > 10.000
6. Do eny of your Slate facilities house .peclol populoUon.? ;jQ Vo. 0 No
11 yo., whot beat descrlb •• thet population (chack oil thO! opply)? 'l,i1 Siudeni 0 PrI.one", 0 Spoelol Noedo
7. Do any of your State 'ocllilie. hove!Jmbolic or psychological ,Igntncanco? o Ve. JI'I. No
Irye., the.elncludo lacilitio. where occupont. (chock all thot apply); o Make doel.ions e.sonllel to conducllng official state governmenl bu.lno ..
o Po.s slSle legisl.lion
o Provide final arbltrallon or inlorprotollon of legell~:5l1e$
D House orlgln~1 historical ($cords or BrtlfoCI& of uniqul;t slgnJncence
o RogulMy hou.e mlllla'Y personnal or sloro mJlllary equlpmenl and record. that are
o e •• entlalln prolocling and d.'endlng lhe stele
o Engage In spacial r .... rch
DOth.,;
o Othor
8. Do any of your Stotl) focll/tles house Informalion, records, Of personnal with sp«iallzod knowledge or ~klll$ necessDty 10 conduct essentlDI nelional or stete govemment functions?
o Yo. J4 No
9. Do any of your Stolo foclllli.o. regularly hou •• mllitaty personnal, storo mililety oQulpmenl end records Ihal ora oss.ntlolln prolectlng and d.fendlng the slot07
o Ve' ,Pli. No
cronym.: ICC. Int.moUon"' Code Council NFPA .. NeUon.1 Fir. Protection ASBOcl.llon MBC = Mlchlgon Building Code NFIRS • National Flro Incident Re
10. Fonn Completed by: ~~~~"":'.f-!.:.~~>==:.-______ _ E-Mail 10 : wor~ensl@ml~hJRan.flov
Stal. 01 Mlchl~on FlrG Protoctlon Roporta Finance end Admlnletratlvo Service. 611 W. Ollewa lensing, 1.1148909
or mall to:
Public Acl Reporting Templete· October 2013 Pogo 2
Public Act 289 Fire Protection Grant Funding FY 2013/2014 Reporting Template
Jurisdiction: J f / '
~ It <!JZ;,C};c/ u), 4 II I
Part I' Profile Comparison Square City Urban Suburban Rural Population Miles
Municipality ~5 D) II'Ne, Profile State Facility
/ !I/c pi e, Profile
Part II: Profile Comparison Buildings Zoned (2)
Over Four Stories
Municipality 0 7e-i Profile
State Facility 6 V"'· s Profile
Part II: Required Reporting Fire Incident NFIRS Reporting ID Compliant
Fire Department (")Ife)] (jes
State Facility 01 fiB 1 40
Part IV' Personnel Type Chief
Fire Department Vc';"AeiJ r FL] /il,,')
State Facility V,1.uJ1fi'r f"')~,,.1
Part V' Capabilities Fire Class Engines
Rating Class 1
Fire Department /0 :r
State Facility /0 r:Y Part VI: Target Risks
Dormitories Apartment Complexes
Fire Department I
State Facility 0 0
(1) Density creates additional staffing demands. (2) Zoning considers department capabilities.
y / ()(:>
V ); () (I ;)
Limited Codes Codes MBC Streets ICC NFPA 1
Building &101 Fires
0 ~I j'IJ (fU
0 <? II:) :f<:"/l/
Budget
I "l0",7"'"
;,
Fire Fire Hazmat Technician Fighters Fighter Operations
1&2
(J-C) 'I ej r (110
)-0 ,/05 'JM (1IiJ
Aerials Reserve Response Class 1 Class Time
0 (I) kN1 ffll~/ 0 b I,) p/ m ,/'oJ ,
High-Rise Stadium(s) Assembly Manufacturing Dorms > 1,000
() 0 0 0
0 (7 0 0
Public Act 289 Reporting Template - October 2013
()
Technical Rescue
rJiJ
;fb
First Alarm Personnel
'5
3
Research Facilities
0
(7
Population Densily{l)
,211/~./·/ ~~;~;1ll
Medical First
Responder
I/JlnP
Q)//i I!
Meets NFPA i
1710
riD I'/J
Chemistry Classroom
C:J
I
Page 1
Part VII: Public Act 289 Risk/Hazard Inventory of State Facilities 1. Are any ofyour~te facilities identified by DHS as Critical Infrastructure or Key Resources?
DYes Ii:J No If yes, how many? 01-5 0 >5
2. Do any of your State facilities exceed 4M stories in height? DYes 1!21/ No
If yes, how many? 01-50 5-100 >10
3. Do any of your State facilities use/store large quantities of hazardous materials? o Yes lErNa
If yes, what best describes the facility's use (check all that apply)? o Research Labs 0 Storage Facility 0 MilitaryiWeapons Dispensary
4. Do any of your State Facilities staff more than 250 employees?
DYes 1!1 No If yes, how many? 01-5 0 5-10 0> 10
5. Are any of your State facilities stadiums, auditoriums, or other venues designetJ primarily for large public assembly?
DYes 0 No If yes, what is the maximum capacity for your largest venue? ro 1,000 - 4,999 0 5,000-9,999 0> 10,000
6. Do any of your State facilities house special popluations?
[Xl Yes ~ No
If yes, what best describes that population (check all that apply)? ~ Students 0 Prisoners 0 Special Needs 0 Other
7. Do any of your State facilities have symbolic or psychological significance? o Yes IX] No
If yes, these include facilites where occupants (check all that apply): D Make decisions essential to conducting official state government business
o Pass state legislation
D Provide final arbitration or interpretation of legal issues D House original historical records or artifacts of unique significance o Regularly house miltary personnel or store military equipment and records that are
essential in protecting and defending the state o Engage in special research
o Other:
8. Do any of your State facilities house information, records, or personnel with specialized knowledge or skills necessary to conduct essential national or state government functions?
DYes [{l No
9. Do any of your State facilities regularly house military personnel, store military equipment and records that are essential in protecting and defending the state?
o Yes !:i9 No
Acronyms ICC = International Code Council NFPA = National Fire Protection Association MBC = Michigan Building Code NFIRS = National Fire Incident Reporting System
10. Form Completed by: U It Lld4- ,:. , i;:LL:22{"#-.J E-Mail to:
or mail to:
or fax to:
State of Michigan Fire Protection Reports Finance and Administrative Services 611 W. Ottawa Lansing, MI 48909 (517) 373-3621
Public Act Reporting Template - October 2013 Page 2
Public Act289 Fire Protection Grant Funding FY 201312014 Repor1/ng Template
Jurisdiction City of Flint, Michigan Date: March 4, 2014
P art : P 0111 C r e omps rI son Square Clty Mil ..
Municipality 34.06 34.06 Profile
State Facility Profile
P II art : P fil C ro Ie ompsnson Buildings Zoned (2)
Over Four Stories
Municipality 29 No Profile State Facility 5 No Profile
P rt III a : R I dR eportlna squ ro Fire Incident NFIRS Reoortlna ID ComDiiant
Fire Department 2507 Yes
No No State Facility
Part IV' Personnel Type Chief
Fire Department career 1
Stale Facility No No
Part V: I Fire' ~~::e; Rating
I Fire 5 3
IState Facility No No
P VI art : T araet R' k IS S Donnltorfes Apartment
ComolBX8S
Municipality Profile
5 26
State Facility No No
(1) Density creates additional staffing demands.
(2) Zoning considers department capabilities.
Urban Suburban Rural Population
Yes No No 102,434
Limited Codes Codes MBC Streets ICC NFPA 1
Building &101 Fires
No Yes Yes No
No No No Yes
Budget
14,961,397
No
Fire Fire Hazmal Technician Fighters Fighter Operations
1&2
0 86 86 10
No No No No
A"na). Re.erve TI';~ Class 1 Class
2 4 six minutes
No No No
High-Rise Stadlums{s) Assembly Manufacturing Donns > 1.000
5 2 4 3
No No No No
Public Act 289 Reporting Template - October 2013
Populetlon n. "In (1)
3,065.1 SC
Technical Medical Rescue First
Responder
3 86
No No
I Personnel 1710
81 Yes
No No
Research ChemIstry Facilities Classroom
7 7
No No
Page 1
mi
Part VII: Public Act 289 Risk/Hazard Invantory of State Facilities 1. Are any of your state facilities identified by DHS as Critical Infrastructure or Key Resources?
ltl Yes D No
If yes, how many? D 1- 5 ltl > 5
2. Do any State facilities exceed 4-stories in height?
ltl Yes D No
If yes, how many? ex 1 - 5 D 5-10 D >10
3. Do any of your State facilities use/store large quantities of hazardous materials?
D Yes Dr No
What best describes the use (check all that apply)?
o Research Labs o Storage Facility o MilitarylWeapons Dispensary
4. Do any of your State Facilities staff more than 250 employees?
Xl Yes D No
If yes, how many? IX 1-5 D 5-10 D >10
5. Are any of your State facilities stadiums, auditoriums, or other venues designed primarily for large public assembly?
D Yes ~ No
If yes, what is the maximum capacity for your largest venue?
D 1,000-4,999 D 5,000-9,999 D > 10,000
6. Do any of your State facilities house special populations? Dr Yes D No
If yes, what best describes that population (check all that apply)?
ex Student IX Prisoners [X Special Needs
7. Do any of your State facilities have symbolic or psychological significance?
Dr Yes D No
If yes, these include facilities where occupants (check all that apply):
EX Make decisions essential to conducting official state government business
o Pass state legislation
EX Provide final arbitration or interpretation of legal issues
ex House original historical records or artifacts of unique significance
ex Regularly house military personnel or store military equipment and records that are
EX essential in protecting and defending the state
ex Engage in special research
D Other:
D Other
8. Do any of your State facilities house information, records, or personnel with specialized knowledge or skills
necessary to conduct essential national or state government functions?
Dr Yes D No
9. Do any of your State facilities regularly house military personnel, store military equipment and records that are essential in protecting and defending the state?
Dr Yes D No
Acronyms: ICC = IntemaUonal Code Council NFPA = National Fire Protection Association MBC = Michigan Building Code NFIRS = National Fire Incident Reporting Systam
10. Form Completed by: Lt_ Michael CoChran Date: March. 4, 2014
E~Mall to : [email protected]
State of Michigan Fire Protection Reports Finance and Administrative Services 611 W, Ottawa Lansing, MI48909
or mell to:
Public Act Reporting Template - October 2013 Page 2
JJurisdiction Date:
PPart I:SSquareMiles
City Urban Suburban Rural PPopulation
Density (1)
MMunicipalityProfileSState FacilityProfile
PPart II:BBuildingsOver Four
Stories
ZZoned (2) LLimitedStreets
CCodesICC
Building
CCodesNFPA 1
&101Fires
MMBC
MunicipalityProfileState FacilityProfile
Part III:Fire IncidentReporting ID
NFIRSCompliant
Fire Department
State Facility
Part IV:Type Chief Fire
FightersFire
Fighter1 & 2
HazmatOperations
Technician TechnicalRescue
MedicalFirst
Responder
Fire Department
State Facility
Part V:Fire Class
RatingEnginesClass 1
AerialsClass 1
ReserveClass
First AlarmPersonnel
Meets NFPA1710
Fire Department
State Facility
Part VI:Dormitories Apartment
ComplexesHigh-Rise
DormsStadiums(s) Assembly
> 1,000Manufacturing Research
FacilitiesChemistryClassroom
MunicipalityProfile
State Facility
Page 1
Public Act 289 Fire Protection Grant FundingFY 2013/2014 Reporting Template
Profile Comparison
Profile Comparison
Population
Public Act 289 Reporting Template - October 2013
Required Reporting
Personnel
Capabilities
Target Risks
Budget
ResponseTime
(1) Density creates additional staffing demands.(2) Zoning considers department capabilities.
Bethany Township 01/14/2014
36 36 3500.25 100 unknown
yes yes yes yes yesyes yes yes yes
02906 yes 216,00010 yes unknown
unknown
paid call 1 24 yes no yes no yesno no no no no no no no
6 2 0 0 3 min 24 yesno no no no no no
no no no no yes yes no noyes no no yes yes no no no
PPart VII: Public Act 289 Risk/Hazard Inventory of State Facilities1. Are any of your state facilities identified by DHS as Critical Infrastructure or Key Resources?
Yes No
If yes, how many? 1 - 5 > 5
2. Do any State facilities exceed 4-stories in height? Yes No
If yes, how many? 1 - 5 5 - 10 > 10
3. Do any of your State facilities use/store large quantities of hazardous materials?
Yes No
What best describes the use (check all that apply)?
Research Labs Storage Facility 4. Do any of your State Facilities staff more than 250 employees?
Yes No
If yes, how many? 1 - 5 5 - 10 > 10
5. Are any of your State facilities stadiums, auditoriums, or other venues designed primarily for large public assembly? Yes No
If yes, what is the maximum capacity for your largest venue?
1,000-4,999 5,000-9,999 > 10,000
6. Do any of your State facilities house special populations? Yes No
If yes, what best describes that population (check all that apply)?
Student Prisoners Special Needs Other
7. Do any of your State facilities have symbolic or psychological significance?
Yes No
If yes, these include facilities where occupants (check all that apply):
Make decisions essential to conducting official state government business
Pass state legislation
Provide final arbitration or interpretation of legal issues
House original historical records or artifacts of unique significance
Regularly house military personnel or store military equipment and records that are
essential in protecting and defending the state
Engage in special research
Other:
8. Do any of your State facilities house information, records, or personnel with specialized knowledge or skillsnecessary to conduct essential national or state government functions?
Yes No
9. Do any of your State facilities regularly house military personnel, store military equipment and records that are essential in protecting and defending the state?
Yes No
AAcronyms:IICC = International Code CouncilNNFPA = National Fire Protection AssociationMMBC = Michigan Building CodeNNFIRS = National Fire Incident Reporting System
10. Form Completed by: Date:
EE-Mail to : [email protected] or mail to:State of MichiganFire Protection ReportsFinance and Administrative Services611 W. OttawaLansing, MI 48909
Page 2
Military/Weapons Dispensary
Public Act Reporting Template - October 2013
✔
✔
✔
✔
✔
✔
✔
✔
✔
✔
✔
✔
✔
DARRYL FOWLER 1/14/2014
Public Act 289 Fire Protection Grant Funding FY 201312014 Reporting Template
Mid Michigan Community Fire Department Jan 21,2014 Date: Jurisdiction
P art : P fil C ro Ie ompanson Square , City Miles
Municipality 4 3.5 Profile State Facility .25 66 Profile
Part II: Profile C omparison Buildings Zoned (2)
Over Four Stories
Municipality 0 yes Profile State Facility 0 yes Profile
P rt III a R . d R rt' eqUire epo mg Fire Incident NFIRS Reporting 10 Compliant
Fire Department 02906 yes
State Facility 10 yes
Part IV: Personnel Type Chief
paid call 1 Fire Department
no State Facility
no
P V art C bT' apa Iities Fire Class Engines
Rating Class 1
6 2 Fire Department
no no State Facility
P rtVI a T arge t R' k IS S Dormitories Apartment
Complexes
Municipality no yes Profile
State Facility yes no
(1) Density creates additional staffing demands.
(2) Zoning considers department capabilities.
----------------------
Urban Suburban Rural Population Population Densitv(l)
0 .5 0 5000 1565 0 0 33 4500 unkown
Limited Codes Codes MBC Streets ICC NFPA 1
Building &101 Fires
yes yes yes yes yes yes yes yes
Budget
220,000
unkown
Fire Fire Hazmat Technician Technical Medical Fighters Fighter Operations Rescue First
1&2 Responder
24 yes no yes no yes
no no no no no no
Aerials Reserve Response First Alarm Meets NFPA Class 1 Class Time Personnel 1710
0 0 3min 24 yes
no no no no no
High-Rise Stadiums(s) Assembly Manufacturing Research Chemistry Dorms > 1,000 Facilities Classroom
no no yes yes no no
no yes yes no no no
Public Act 289 Reporting Template - October 2013 Page 1
Part VII: Public Act 289 Risk/Hazard Inventory of State Facilities 1. Are any of your state facilities identified by DHS as Critical Infrastructure or Key Resources?
Ii2I Yes D No
If yes, how many? Ii2I 1 - 5 D >5
2. Do any State facilities exceed 4-stories in height? DYes Ii2I No
If yes, how many? D 1 - 5 D 5-10 D >10
3. Do any of your State facilities use/store large quantities of hazardous materials?
DYes r;a No
What best describes the use (check all that apply)?
D Research Labs D Storage Facility D MilitarylWeapons Dispensary
4. Do any of your State Facilities staff more than 250 employees?
hlI Yes D No
If yes, how many? 1i211-5 D 5-10 D >10
5. Are any of your State facilities stadiums, auditoriums, or other venues designed primarily for large public assembly? DYes D No
If yes, what is the maximum capacity for your largest venue?
J;lI 1,000-4,999 D 5,000-9,999 D > 10,000
6. Do any of your State facilities house special populations? ~ Yes D No
If yes, what best describes that population (check all that apply)?
D Student r;a Prisoners D Special Needs
7. Do any of your State facilities have symbolic or psychological significance?
DYes G;!j No
If yes, these include facilities where occupants (check all that apply):
D Make decisions essential to conducting official state government business
D Pass state legislation
D Provide final arbitration or interpretation of legal issues
D House original historical records or artifacts of unique significance
D Regularly house military personnel or store military equipment and records that are
D essential in protecting and defending the state
D Engage in special research
D Other:
D Other
8. Do any of your State facilities house information, records, or personnel with specialized knowledge or skills necessary to conduct essential national or state government functions?
D Yes ~ No
9. Do any of your State facilities regularly house military personnel, store military equipment and records that are essential in protecting and defending the state?
DYes r;a No
Acronyms: ICC = International Code Council NFPA = National Fire Protection Association MBC = Michigan Building Code NFIRS = National Fire Incident Reporting System
10. Form Completed by: Richard Prestage, Asst Chief
E-Mail to : [email protected]
State of Michigan Fire Protection Reports Finance and Administrative Services 611 W. Ottawa Lansing, MI48909
or mail to:
Date: 1/21/2014
Jurisdiction: Mt. Pleasant
Part I: Profile Comparison Square City Miles
Municipality 7.9 Yes Profile
State Facility 44 Yes Profite
Part II: Profile Comparison Buildings Zoned(2) Over Four
Stories
Municipality 2 R Profile
State Facility 11 RIE Profile
Part II: Required Reporting Fire Incident NFIRS Reoortina ID Camoliant
Fire Department 3702 Yes
State Facility 3702 Yes
Part IV: Personnel Type Chief
Fire Department Comb 1
.
State Facility No No
Part V: Capabilities Fire Class Engines
Rating Class 1
Fire Department 4 3
State Facility No No
Part VI: Target Risks Dormitories Apartment
Public Act 289 Fire Protection Grant Funding FY 2013/2014 Reporting Template
O t November 18,2011 a e: -------
Urban Suburban Rural Population Population Density(l)
Yes No No 26016 3293
Yes No No 18686 5338
Limited Codes Codes MBC Streets ICC NFPA 1
Building &101 Fires
No Yes No Yes
No Yes Yes Yes
Budget
$1,917,052
Fire Fire Hazmat Technician Technical Medical Fighters Fighter Operations Rescue First
1 & 2 Responder
26 26 26 10 11 26
No No No No No No
Aerials Reserve Response First Alarm MeetsNFPA Class 1 Class Time Personnel 1710
1 0 4Min Varies No
No No No No No
High-Rise Stadium(s) Assembly Manufacturing Research Chemistry Complexes Dorms > 1,000 Facilities Classroom
Fire Department No Yes
State Facility Yes Yes
(1) Density creates additional staffing demands. (2) Zoning considers department capabilities.
No
Yes
No No Yes No No
Yes Yes Yes Yes Yes
Public Act 289 Reporting Template - October 2013 Page 1
Part VII: Public Act 289 Risk/Hazard Inventory of State Facilities 1, Are any of your state facilities identified by DHS as Crilicallnfrastructure or Key Resources?
o Ves 0 No .... 1-. , . I D\.J~ W.-I\ NO-\ P~ - " 'O- r'- >->-·is ~1J 1=d<.~ r.."<At If yes, how many? 0 1 - 5 0 > 5 U /V ""v..,..... N -" "'-'v .<- ."
2. Do any of your State facilities exceed 4-5tories in height? I2Sl Ves 0 No
If yes, how many? 0 1 - 5 0 5 - 10 I2Sl > 10
3. 00 any of your State facilities use/store large quantities of hazardous materials? I2Sl Ves 0 No
If yes, what best describes the facility's use (check all that apply)? I2Sl Research Labs 0 Storage Facility 0 Military/Weapons Dispensary
4. Do any of your State Facilities staff more than 250 employees?
I2Sl Ves 0 No If yes. how many? 12Sl1-5 0 5-10 0> 10
5. Are any of your State facilities stadiums, auditoriums, or other venues designed primarily for large public assembly? I2Sl Ves 0 No
If yes, what is the maximum capacity for your largest venue?
o 1,000 - 4.999 0 5,000-9,999 12Sl> 10.000
6. Do any of your State facilities house special popluations?
I2Sl Ves 0 No
If yes. what best describes that population (check all that apply)? I2Sl Students 0 Prisoners 0 Special Needs 0 Other
7. Do any of your State facilities have symbolic or psychological significance? I2Sl Ves 0 No
If yes, these include facilites where occupants (check all that apply): D Make decisions essential to conducting official state government business
o Pass state legislation
D Provide final arbitration or interpretation of legal issues D House original historical records or artifacts of unique significance D Regularly house miltary personnel or store military equipment and records that are
essential in protecting and defending the state I2Sl Engage in special research
o Other:
8. Do any of your State facilities house information, records, or personnel with specialized knowledge or skills necessary to conduct essential national or state government functions?
o Ves I2Sl No
9. Do any of your State facilities regularly house military personnel, store military equipment and records that are essential in protecting and defending the state?
o Ves I2Sl No
Acronyms ICC = International Code Counci l NFPA = National Fire Protection Association MBC = Michigan Building Code NFIRS = National Fire Incident Reporting System
10. Form Completed by: Gregory L. Walterhouse Date: November 18, 2013
E-Mail to :
or mail to:
or fax to:
State of Michigan Fire Protection Reports Finance and Administrative Services 611 W. Ottawa Lansing. MI 48909 (517) 373-3621
Public Act Reporting Template - October 2013 Page 2
Jurisdiction: City of Lapeer
Part I: Profile Comparison Square City Miles
Municipality 7 Profile
State Facility .019%
Profile
Part II: Profile Comparison Buildings Zoned (2)
Over Four Stories
Municipality 2 Yes Profile
State Facility 0 Yes Profile
Part II: Required Reporting Fire Incident NFIRS Reporting ID Compliant
Fire Department 4410 Yes
State Facility
Part IV: Personnel Type Chief
Fire Department Combination 3
State Facility
Part V: Capabilities Fire Class Engines
Rating Class 1
Fire Department 5 2
State Facility
Part VI: Target Risks Dormitories Apartment
Complexes
Fire Department 0 10
State Facility 0 0
(1) Density creates additional staffing demands. (2) Zoning considers department capabilities.
Public Act 289 Fire Protection Grant Funding FY 2013/2014 Reporting Template
D t 11/19/2013 a e:
Urban Suburban Rural Population
85% 15% 8841
100% 1225
Limited Codes Codes MBC Streets ICC NFPA 1
Building &101 Fires
No No No Yes
Yes No Yes unknown
Budget
$811,278
Fire Fire Hazmat Technician Technical Fighters Fighter Operations Rescue
1 & 2
40 Yes Yes No Some
Aerials Reserve Response First Alarm Class 1 Class Time Personnel
1 1-Engine 6.2 minutes 10-18
High-Rise Stadium{s} Assembly Manufacturing Research Dorms > 1,000 Facilities
0 0 1 4 3
0 0 0 0 0
Public Act 289 Reporting Template - October 2013
Population Densitv(1)
1 239/sq mile
Medical First
Responder
No
Meets NFPA 1710
No
Chemistry Classroom
~
0
Page 1
Part VII: Public Act 289 Risk/Hazard Inventory of State Facilities 1. Are any of your state facilities identified by DHS as Critical Infrastructure or Key Resources?
[8] Yes D No
If yes, how many? [8] 1 - 5 D > 5
2. Do any of your State facilities exceed 4-stories in height? DYes [8] No
If yes, how many? D 1-5 D 5-10 D >10
3. Do any of your State facilities use/store large quantities of hazardous materials? DYes [8] No
If yes, what best describes the facility's use (check all that apply)? D Research Labs D Storage Facility D MilitarylWeapons Dispensary
4. Do any of your State Facilities staff more than 250 employees?
[8] Yes D No If yes, how many? [8]1-5 D 5-10 D >10
5. Are any of your State facilities stadiums, auditoriums, or other venues designed primarily for large public assembly?
DYes [8] No If yes, what is the maximum capacity for your largest venue?
D 1,000 - 4,999 D 5,000-9,999 D> 10,000
6. Do any of your State facilities house special popluations?
[8] Yes D No
If yes, what best describes that population (check all that apply)? D Students [8] Prisoners D Special Needs D Other
7. Do any of your State facilities have symbolic or psychological significance? DYes [8] No
If yes, these include facilites where occupants (check all that apply): D Make decisions essential to conducting official state government business
D Pass state legislation
D Provide final arbitration or interpretation of legal issues D House original historical records or artifacts of unique significance D Regularly house miltary personnel or store military equipment and records that are
essential in protecting and defending the state D Engage in special research
D Other:
8. Do any of your State facilities house information, records, or personnel with specialized knowledge or skills necessary to conduct essential national or state government functions?
[8] Yes D No
9. Do any of your State facilities regularly house military personnel, store military equipment and records that are essential in protecting and defending the state?
[8] Yes D No
Acronyms ICC = International Code Council NFPA = National Fire Protection Association MBC = Michigan Building Code NFIRS = National Fire Incident Reporting System
10. Form Completed by: Terry Kluge, Fire Chief
E-Mail to:
or mail to:
or fax to:
State of Michigan Fire Protection Reports Finance and Administrative Services 611 W. Ottawa
Lansing, MI48909
(517) 373-3621
Public Act Reporting Template - October 2013
Date: 11/19/13
Page 2
JJurisdiction Date:
PPart I:SSquareMiles
City Urban Suburban Rural PPopulation
Density (1)
MMunicipalityProfileSState FacilityProfile
PPart II:BBuildingsOver Four
Stories
ZZoned (2) LLimitedStreets
CCodesICC
Building
CCodesNFPA 1
&101Fires
MMBC
MunicipalityProfileState FacilityProfile
Part III:Fire IncidentReporting ID
NFIRSCompliant
Fire Department
State Facility
Part IV:Type Chief Fire
FightersFire
Fighter1 & 2
HazmatOperations
Technician TechnicalRescue
MedicalFirst
Responder
Fire Department
State Facility
Part V:Fire Class
RatingEnginesClass 1
AerialsClass 1
ReserveClass
First AlarmPersonnel
Meets NFPA1710
Fire Department
State Facility
Part VI:Dormitories Apartment
ComplexesHigh-Rise
DormsStadiums(s) Assembly
> 1,000Manufacturing Research
FacilitiesChemistryClassroom
MunicipalityProfile
State Facility
Page 1
Public Act 289 Fire Protection Grant FundingFY 2013/2014 Reporting Template
Profile Comparison
Profile Comparison
Population
Public Act 289 Reporting Template - October 2013
Required Reporting
Personnel
Capabilities
Target Risks
Budget
ResponseTime
(1) Density creates additional staffing demands.(2) Zoning considers department capabilities.
Kochville Township 12/9/13
18.8 No No No Yes 5078 270.16.05 No No No No 2736 housed, 10552 Enrolled
0 Yes No Yes Yes Yes2 Yes Yes Yes Yes Yes
73-21 Yes 228,692.00No No Unknown
POC 1 17 17 17 0 0 14No No No No No No No No
6/9 2 0 0 9.65 16 No6 0 0 0 No 0 No
No 12 No No No 8 0 0No 64 No 1 2 1 0 9
PPart VII: Public Act 289 Risk/Hazard Inventory of State Facilities1. Are any of your state facilities identified by DHS as Critical Infrastructure or Key Resources?
Yes No
If yes, how many? 1 - 5 > 5
2. Do any State facilities exceed 4-stories in height? Yes No
If yes, how many? 1 - 5 5 - 10 > 10
3. Do any of your State facilities use/store large quantities of hazardous materials?
Yes No
What best describes the use (check all that apply)?
Research Labs Storage Facility 4. Do any of your State Facilities staff more than 250 employees?
Yes No
If yes, how many? 1 - 5 5 - 10 > 10
5. Are any of your State facilities stadiums, auditoriums, or other venues designed primarily for large public assembly? Yes No
If yes, what is the maximum capacity for your largest venue?
1,000-4,999 5,000-9,999 > 10,000
6. Do any of your State facilities house special populations? Yes No
If yes, what best describes that population (check all that apply)?
Student Prisoners Special Needs Other
7. Do any of your State facilities have symbolic or psychological significance?
Yes No
If yes, these include facilities where occupants (check all that apply):
Make decisions essential to conducting official state government business
Pass state legislation
Provide final arbitration or interpretation of legal issues
House original historical records or artifacts of unique significance
Regularly house military personnel or store military equipment and records that are
essential in protecting and defending the state
Engage in special research
Other:
8. Do any of your State facilities house information, records, or personnel with specialized knowledge or skillsnecessary to conduct essential national or state government functions?
Yes No
9. Do any of your State facilities regularly house military personnel, store military equipment and records that are essential in protecting and defending the state?
Yes No
AAcronyms:IICC = International Code CouncilNNFPA = National Fire Protection AssociationMMBC = Michigan Building CodeNNFIRS = National Fire Incident Reporting System
10. Form Completed by: Date:
EE-Mail to : [email protected] or mail to:State of MichiganFire Protection ReportsFinance and Administrative Services611 W. OttawaLansing, MI 48909
Page 2
Military/Weapons Dispensary
Public Act Reporting Template - October 2013
✔
✔
✔
✔
✔
✔
✔
✔
✔
✔
✔
✔
✔
✔
✔
✔
Alan Malesky 12/09/13
Public Act 289 Fire Protection Grant Funding FY 201312014 Reporting Template
Jurisdiction City of Saginaw Date: 01/14/2014 P art : P f'I C ro I e ompanson
Square City Miles
Municipality 18 Yes Profile
Stale Facility .03% Yes Profife
Part II: Profile Comparison Buildings Zoned (2)
Over Four Siories
Municipality 7 Yes Profile
State Facility 0 Yes Profife
Part III: Required Reporting Fire Incident NFIRS Repotting ID Compliant
Fire Department 7312 Yes
State Facility No Yes
Part IV' Personnel Type Chief
Fire Department Career 0
State Facility No No
Part v: Capabilities Fire Class Engines
Rating Class 1
Fire Department 3 4
State Facility No No
Part VI: Target Risks Dormitories Apartment
Complexes
Municipality 4 20 Profile
State Facility No No
(1) Density creates additional staffing demands. (2) Zoning considers department capabilities.
Urban Suburban Rural Population
Yes No No 51,230
Yes No No N/A
limited Codes Codes MaC Streets ICC NFPA 1
Building &101 Fires
No Yes Yes Yes
No Yes Yes Yes
Budget
$10,083,468
$0.00
Fire Fire Hazmat Technician Technical Fighters FIghter Operations Rescue
1&2
50 50 Yes Yes Yes
No No No No No
Aerials ReselVe Response First Alarm Class 1 Class TIme Personnel
2 2 4:10 13
No No No No
High-Rise Stadiums(s) Assembly Manufacturing Research Dorms > 1,000 Facilities
7 4 2 125 3
No No No No No
Public Act 289 Reporting Template - October 2013
Population nond.v (I)
2,846
N/A
Medical First
Responder
No No
Meets NFPA 1710
Yes
No
Chemistry Classroom
4
No
Page 1
Part VII: Public Act 289 Risk/Hazard Inventory of State Facilities 1. Are any of your state faCifities identified by DHS as Crilicallnfrastructure or Key Resources?
o Yes 0 No
If yes, how many? 0 1·5 0 > 5
2. Do any State facilities exceed 4-stories in height?
DYes 0 No
If yes, how many? 0 1 - 5 o 5-10 0> 10
3. Do any of your Stale facilities use/slore large quantities of hazardous materials?
DYes 0 No
What best describes the use (check all that apply)?
o Research Labs o Storage Facility D Mililary/Weapons Dispensary
4. Do any of your Stale Facilities staff more than 250 employees?
DYes 0 No
If yes, how many? o 1-5 o 5-10 0> 10
5. Are any of your State facilities stadiums, auditoriums, or other venues designed primarily for large public assembly?
DYes [2] No
If yes, what is the maximum capacity for your largest venue?
o 1,000-4,999 0 5,000-9,999 0 > 10,000
6. Do any of your State facilities house special populations? DYes 111 No
If yes, what best describes that population (check all that apply)?
D Sludent D Prisoners D Special Needs
7. Do any of your State facilities have symbolic or psychological significance?
o Yes D No
If yes, these include facilities where occupants (check all that apply):
D Make decisions essential to conducting official slate government business
D Pass slale legislation
D Provide final arbitration or interpretation of legal issues
D House original historical records or artifacts of unique significance
D Regularly house miHtary personnel or store military equipment and records that are
D essential in protecting and defending the state
D Engage in special research
o Other: their presence as a state government building
o Other
8. Do any of your State facilities house information, records, or personnel with specialized knowledge or skills necessary to conduct essential national or state government functions?
o Yes D No
9. Do any of your State facilities regularly house military personnel, store military equipment and records that are essential in protecting and defending the state?
DYes 0 No
Acronyms: ICC = International Code Council NFPA = National Fire Protection Association MBC = Michigan Building Code NFIRS = National Fire Incident Reporting System
10. Form Completed by: Yolanda M. Jones, Assistant to the City ManagerlBudget Administrator
E-Mail to : [email protected]
State of Michigan Fire Protection Reports Finance and Administrative Services 611 W. Ottawa Lansing, MI 48909
orma!! to:
public Act Reporting Template - October 2013
Date: 01114/2014
Page 2
12/31/2013 02:54 9896952278 TITTABAWASSEE FIRE
Public Act 289 Fire Protection Gmnt Funding FY 201312014 Reporting Templ8te
PAGE 02/03
Ju~sdlction TITTABAWASSEE TWP Date: DEC 28,2013
Port I: Profile Comparison Squa!U city MUes
MunlclpaItty 36 Pronlo
SIaIO F.,1I1ty 142 Aores Profile
PM": Ptofile Comp~rison Buildings Zonod '" Over Four
StOMS
MunlclpaIHy 0 NO Profile
State Facility 0 NO ProfiIG
Part III: R.qui .... d Reporting Fire Incident NFIRS RopmtlnglD Compliant
Fim Dl')partment 07316 YES
State Focility
Part IV' Personnel Type Chi.,
Fire Depanment PAID ON CALL 2
$toto .. ""lilly
P V art : C b olla ilitios Fila Cia .. .Engln9S
R.atlng elMS 1
FIfO OllpSr'lfI\t.1\t 5/9 2
Stale Facmty
Part VI: Target RIsks Oorm.ltorfas Apartment
Comol&xes Munlolpollty NO NO Profile
Slam F'acllhy
(I) Den~il)' creales addlion?15taffing den18nd~. 0:1 Zooing c:ontidQr.I: dQp:irtrnQnt C3p2bililiQ>:.
Urtwn Suburban Rural Population
YES 9726
1465
Umitoo Codas COdas MOO SUeoIS ICC NFPA 1
SuDdIng &"01 FIre>
NO YES YES YES NO YES YES YES
Budget
$160,000
2,000
Fire Fire H8ZM8l iecMJclan TiChnkol F~hters F~hlar Operations Rescue
1&2
20 22 22 0 0
A.ilais Reservo RespoMO FlnilAiarm C",,"1 C~ .. TiMe Personnel
0 0 8 min 10
HJgh-RLse. etadlums(a) A3s&mb~ Manufacturing Resoo.rch Do"", > I 000 FocllltJes
NO NO NO NO NO
Public Act 289 Reponing Template - October 2013
Population DanSitv (1)
270.16/SqMI
10.31/Acre
Modlcal FinO!
Rospoild.,
12 EMT-BASIC
M .. tsNFPA 1710
Meels NFPA 1720
ChemlatIy Classroom
NO
Pogel
12/31/2013 02:54 98%952278 TITTABAWASSEE FIRE PAGE 03/03
Part VII: Public Act 289 RiskIHazard Inventory of State Facilitias 1, Are any of your state facilities identified by DHS as CrttiC<lllnfrast(uclure or Key Resour~$?
DYe. 121 No
tfyes. how many? 01-5 D >5
2. Do any State facilities. exceed A-stories in height?
DYes 121 No
If yes, how many? 0 1·5 o 5·10 0> 10
3. Do any of your State facilities use/store large quantities of hazardous materials?
DYes 0 No What bast describes the use (check ell that apply)?
o Research Labs D Storage Facility D MilitaryM'eapons Dispensary
4. Do any of your State Facilities staff more than 250 employees?
121 Yes 0 No
If yes, how many? 01-5 0 5-10 0> 10
6. Are any of your Stete facilities stadiums, auditoriums, Of olhe:rvat'luQS dasigMd p(tm~tily fot largE! public a$$$mbly? DYes 0 No
If yes, what is tha maximum capacrty for your largest venue? o 1.000·4,999 0 5,000·9,999 0 > 10,000
6. Do any of yOU( State facilities house special populations? o Yes 0 No
If yes, what best describes that population (check all that apply)?
D Student iii Prisoners D Special Needs
7. Do any of your State facilities have symbolic or psychological significance? o Ye$ G'l No
If yes/ these Indude faClIIUes Where occupants (Check aU that apply):
o Make decisions essential to conductIng official state government business
D Pass state legislation
D Provide final arbitration or interpretation of legal issues
·0 House original historical records or anifacts of unique significance
o RGgularly house military personnel 0( slore military eqUipment and records that are
o essential in protecting and defending the 61ate
D Engage in 5pecial research
o Other:
o Other
8. Do any of your State facilities house information, record5 j or personnel with specialized knowledge or skills necessary to conduct essential national or state government functions?
DYes 0 No
9, Do any of your State facilities regularly house mllllary personnel, more military equipment end recon:ls that are essential in protecting and defending the state?
DYe. 0 No
Aoronyms: ICC - Intemational Code CouncU NFPA'" National Fire Protection Assoclation MBC· Michigan Building Code NFIRS'" National FIre Incident Reporting System
10, Form Completed by: PHILIP SHAVER Date; DEC 28 2013
E-Mail to : worden$l@michigan,2o'J or mall to: State of Michi9~n Fire Protection Repone
Finanoo and Administrative Servic6s 611 W, Ottawa lansIng, MI 48909
Public Act Reponing Template - October 2013 Page 2
Jurisdiction
P art I:
."
Mun[c!pa1lly Profile Slate FacUlty Profile
Part II:
Public Act 289 Fire Protection Grant Funding FY201312014 Repot1lng Templale
hIJMN;;;};S ~tV.rN!" P rofile Companson
Square <?ity Urban Suburban Rural Miles .. I
35 N N N Y 2,85 7/ % /1/ j\/ N Y
Profile Com arison
Date: _..:.1.:../.:.-1 ,::.:>.:../_/..:.'1 ___ _
Population PopulaUon n~oolru 'I)
ZBo':) 80 {)N\{rv(JLVN ()N'~NO'"N
Zoned {2}, • Limited Codes " Codes MBC
y UNI(NOtvN
P art III : R I d R eau re eportina
I',p,";';', Fire'lncldent; . . Reriortina 10'
, Fire Department 07Q 02
Slate Facility
Part IV: Personnel
Fire Department
State Facility M ~IV tt\ ( H'~A I nt
Part V: Capabilities
Fire Department
Slate Facility
Part VI: Tamet Risks
. , NflRS Comollant
y'
3
1
Streets . ICC Building'
y N
Y rJ
,·.Budge.,":. :
22.
I
:,: . Fire .. " _' .:: Fighte{-:::' . '1 & 2'
25
3
.',NFPA 1 -.' &101.
Fires
zz..
3 mIN
y
FIr? £
W I Til
(A avo .
o
S£/l..v/U.- foN/IUIUKI)
TN(i LI7 ft (otVr(Vl LT II {TI'l i HAP
o
8
", -, MedtcaJ- '-,_ -:/!-'-First;~.>;.
,-:.- ResDonder :.
o
y
-. > Dormitories.;;, _ .. Apanme~I~~'· HIgl\~Rls_e i ~I~dl~~;s.{.s"t._. _ ": Assem~ly:·~::;- ', .. '.: M." an,Ufa,c_IU .. ' .... I.p ... g ..... -' Research '. ,.-,., -'. ,: : Comnlexes-=-- . '.- 'O-o'rms','-' '.".:' >-1;000 ,,,-: - - ::r 'FacllltJe's':>
: .. .c~l)ljstl)'.' ,'0
Classroom '.' Municipality Profile
Slate Facility
<II Density creates additional staffing demands.
(2) Zoning considers department capabilities.
/
Public Act 289 Reporting Template - October 2013 Page 1
Part VII: Public Act 289 Rlsl:IHazard Inventory of State Facilities 1. Are any of your state facilities identified by DHS as Critical Infrastructure or Key Resources?
DYes ;z( No
If yes. how many? 0 1-5 0 > 5
2, Do any State facilities exceed 4-sto~ in height?
o Yes ~ No If yes. how many? 0 1 - 5 o 5-10 o > 10
3, Do any of your Slate facilities use/store large quantities of hazardous materials?
DYes ;:f No
What best describes the use (check all that apply)?
o Research Labs D Storage Facility D MlIItaryNJeapons Dispensary
4. Do any of your Slate Facilities slaff more than 250 employees?
DYes ,0 No
If yes. how many? 0 1-5 0 5-10 o > 10
5. Ase any of your State facilities stadiums, auditoriums, or other venues designed primarily for large public assembly? DYes ,.11 No
If yes, what is the maximum capacity for your largest venue?
o 1.000-4.999 0 5.000-9.999 0 > 10.000
6. Do ~ of your State facilities house spedal populations? )<:l Yes 0 No If yes. what best describes that population (check all that apply)? o Student D Prisoners ft Special Needs
7. Do any of your State facilities have symbolic or psychological significance? DYes %No
If yes, these include facilities INhere occupants (check. all that apply): o Make decisions essential to condUcting official state government business
D Pass state legislation
D Provide final arbitration or interpretation of legal issues
o House original histOrical records or artifacts of unIque significance
o Regularly house military personnel or store m11ltary equipment and records that are
o essential in protecting and defending the state
D Engage in special research
o Other:
o Other
8. Do any of your State facilities house information, records, or personnel '.\lith specialized knowledge or skills necessary to conduct essential national or state government functions?
DYes )2f' No
9. Do any of your State facllities regularly house military personnel, store military equipment and records that are essential in protecting and defending the state~
DYes p No
Acronyms: ICC = International Code Council NFPA = National Fire Protection Association MBC = Michigan Building Code NFIRS = National Fire Incident Reporting SYstem
10. Form Completed by: ~g£t1..r Os 60'(i<J Date:_!.!.!/.:...:./.:..s;..:):...:.'/~ __ _
E-Mail to : wordensl@mich!gan.goY State of Michigan Fire Protection Reports Finance and Administrative Services 611 W. Ottawa Lansing. MI48909
or mall to:
Public Act Reporting Template - October 2013 Page 2