Mechanical Equipment Water Heater

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HEAT SYSTEM INSPECTION CHECKLIST

*** ***** ***** ****** *******, MI 49424 Phone: 616-***-**** www.hct.holland.mi.us Rental properties with Holland Charter Township shall have their fuel burning mechanical equipment, including boilers, furnaces, water heaters, fireplaces, or other heating system inspected by a mechanical contractor licensed with the State of Michigan. Inspections may be completed up to six months prior to an inspection, but must be completed prior to the issuance of a new or renewed rental certificate. Please print or type:

Property Address: Property Owner:

Inspection Date: Technician:

Inspection Co.: State License #:

ITEM: Furnace / Water heater / Other PASS FAIL Flue draft and venting

Carbon monoxide in living area (ppm = ) Gas line properly installed with shut-offs

Check flame and inspect all burners

Ensure combustion air is open

Test each unit’s thermostat for proper operation

Exterior chimney and chimney cap

Interior of the chimney or flue liner

Test all safety control devices

Boiler: flow switches/low water cutoff

Boiler: test each zone control for operation

Boiler: test T&P valve for proper operation

Boiler: inspect all radiators and/or fin tubes

*Boilers subject to State of MI inspections shall provide proof of State approval* Comments:

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