New Baltimore, MI · Macomb County
Gas Piping Affidavit
Mechanical contractors and installers complete this sworn statement to confirm fuel gas pipe testing requirements were completed at a job site.
What this form is
This sworn statement records that fuel gas pipe testing requirements have been completed at the listed job site. It asks for the job address, lot and subdivision, building and mechanical permit numbers, mechanical contractor company name, and the contractor’s and installer’s names, contact details, signatures, and dates. The document cites the 2015 International Fuel Gas Code and 2015 Michigan Residential Code.
Who needs it
Mechanical contractors and installers complete the statement for a job site where fuel gas pipe testing requirements have been completed.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details. The form provides no submission instructions.
About notarization
This document has no notary block; it is labeled a sworn statement, and the mechanical contractor and installer sign and date it.
How to submit this form
- 1
Download the Affidavit
Download the Gas Piping Affidavit PDF.
- 2
Complete the Job-Site Details
Enter the job address, lot and subdivision, and building and mechanical permit numbers.
- 3
Add Contractor Information
Provide the mechanical contractor company name and the contractor’s and installer’s names and contact details.
- 4
Sign and Date
The mechanical contractor and installer sign and date the statement.
- 5
Submit to the City
Submit the completed affidavit to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What does the Gas Piping Affidavit confirm?
- It states that fuel gas pipe testing requirements have been completed at the job site identified on the form.
- What information does the affidavit request?
- It requests job-site and permit details, contractor company and contact information, and the mechanical contractor’s and installer’s signatures and dates.
- Do I need a notary for the Gas Piping Affidavit?
- No notary block appears on the document. It is labeled a sworn statement, and the mechanical contractor and installer sign and date it.
- How do I submit the Gas Piping Affidavit?
- The form does not provide submission instructions. Submit it to the city department named on the form and check the city website for current contact details.