Kitchen Remodeling Approval Form

Kitchen Remodeling Approval Form

Parties and Property Identification

Applicant Name:

Project Summary

Scope of Work:

Estimated Total Cost:    Proposed Start Date:    Proposed Completion Date:

Contractor and Permits

Permit Required:    Permit Number (if obtained):    Issuing Authority:

Safety, Insurance and Compliance

Liability Insurance (minimum required): $ per occurrence.

Applicant shall provide certificate of insurance naming the Approving Authority as additional insured:

Contractor shall comply with all applicable building codes, electrical and plumbing regulations, and shall maintain safe worksite conditions at all times. Proof of contractor licensing and insurance must be provided prior to permit issuance and commencement of work.

Scope Limitations and Disclosures

Work Type (check all that apply):
Structural alteration (load-bearing walls)
Electrical work
Plumbing work
Cosmetic only (cabinets, counters, finishes)

Lead Paint / Hazardous Materials: Has the property been tested for lead paint or other hazardous materials?    Yes    No

Historic Property / Design Review Required:    Yes    No

Inspections, Access, and Restoration

Inspections required by Approving Authority prior to concealment and upon completion:    Pre-concealment inspection    Final inspection

Applicant agrees to restore any common areas, structural elements, finishes, or building systems damaged as a result of the approved work to match existing condition or to a condition approved in writing by the Approving Authority. Security deposits or restoration bonds may be required.

Terms, Conditions and Legal Acknowledgments

Applicant represents and warrants that all information supplied herein is true and complete, that the proposed work complies with the terms of any applicable lease, condominium declaration, bylaws, or ground lease, and that all work will be performed in a professional manner by licensed contractors. Applicant further agrees to obtain and maintain all required permits and to permit inspections by the Approving Authority or its designee.

Indemnification: Applicant shall indemnify, defend and hold harmless the Approving Authority, its officers, directors, agents and employees from and against any and all claims, liabilities, losses, damages, costs and expenses (including reasonable attorneys' fees) arising out of or relating to the performance of the work, except to the extent caused by the gross negligence or willful misconduct of the Approving Authority.

Default and Remedies: Failure to comply with any condition of this approval, applicable codes, or permit conditions constitutes a material breach and may result in revocation of approval, stop-work directives, restoration orders at Applicant's expense, and pursuit of other available legal or equitable remedies.

Governing Law: This approval and any dispute arising hereunder shall be governed by the substantive laws of the state in which the property is located, without regard to conflict of law principles.

Entire Agreement: This form, as executed, constitutes the entire agreement between the parties regarding the subject matter herein and supersedes prior verbal or written communications related to this approval.

Administrative and Payment Terms

Administrative Review Fee: $    Security Deposit or Restoration Bond (if required): $

Payment Terms:

Acknowledgment and Certification

By signing below the Applicant certifies that they are the owner or authorized representative with authority to undertake the described work, that they have provided full and accurate information, and that they understand and accept the conditions of this approval. Any deviation from the approved scope requires prior written authorization.

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