Please complete the form below. If you prefer, you can download and print the form.
Full Name
Phone
Email
Property Address
City / Jurisdiction
What work was completed without a permit? Interior RenovationAdditionStructural WorkElectricalPlumbingHVACRoofPoolCommercial Work
Other
Approximate date work was completed
Who performed the work? Licensed ContractorUnlicensed ContractorOwnerUnknown
Have you received any of the following? Code violation noticeStop work orderUnsafe structure noticeLien noticeNone
Is the work currently: Exposed and visibleCovered / concealedPartially exposed
Has the city already been contacted? YesNo
If yes, explain
Do you have any of the following? PlansEngineeringPhotos before workContractor infoReceipts / contractsNone
Are you aware of structural changes? YesNoUnsure
Is the property currently: Under sale contractRefinancingInsurance issueRental compliance issueNone
Desired resolution timeframe
Client understands that after-the-fact permitting may require:
Exposure of concealed work
Additional engineering
Inspections or corrections
Extended timelines
Additional fees
Signature (Type your name)
Date
After-Fact-Intake-Form
