Please provide accurate tenant and property information for this alteration request.
Tenant/Lessee Name
Contact Person Full Name
Contact Email Address
Contact Phone Number
Property Address
Current Space Square Meterage/Square Footage
Lease Agreement Reference Number
Describe the nature and extent of your proposed kitchen and breakroom alterations.
Type of Alteration
Kitchen Expansion
Breakroom Creation
Equipment Upgrade Only
Layout Modification
Complete Renovation
Other:
Detailed Description of Proposed Work
Will this alteration involve structural changes to walls, floors, or ceilings?
Describe specific structural modifications required:
Will you be using licensed professionals (architects, engineers, contractors)?
Primary Contractor/Company Name:
Note: Property management may require licensed professionals for certain types of work. This will be reviewed during the approval process.
Provide technical details about your proposed design and specifications.
Do you have detailed architectural/engineering plans?
Upload plans (PDF, CAD, or similar formats):
Please note: Detailed plans may be required before approval can be granted. Property management will contact you regarding requirements.
Key Equipment to be Installed (if applicable)
Materials & Finishes Proposed
Does the design include accessibility improvements?
Describe accessibility features:
Provide your proposed timeline for the alteration work.
Preferred Start Date
Expected Completion Date
Total Estimated Project Duration (in days)
Preferred Working Hours
Business Hours Only (8am-6pm)
After Hours Only (6pm-8am)
Weekends Only
Flexible - Combination of hours
24/7 (requires justification)
Will the work require temporary closure of your business operations?
Explain closure plan and mitigation strategies:
Do you require access to common areas (hallways, elevators, loading docks)?
Describe access requirements and schedule:
Provide estimated costs for the proposed alterations.
Total Estimated Project Cost
Cost for Kitchen Portion
Cost for Breakroom Portion
Contingency Amount (if any)
Will this alteration increase the value of the property?
Explain value-add components:
Confirm compliance requirements and permit status for the proposed work.
Required Permits & Approvals (check all that apply)
Building Permit
Fire Safety Approval
Health Department Approval
Electrical Permit
Plumbing Permit
Mechanical/HVAC Permit
Environmental Permit
No permits required
Unsure - need guidance
Have you already obtained any required permits?
Upload copies of obtained permits:
Will the alteration comply with fire safety and emergency egress requirements?
Explain non-compliance and proposed mitigation:
Does the design meet health and sanitation standards for commercial food preparation?
Explain concerns and remediation plan:
Will you be using any hazardous materials (asbestos, lead paint, etc.)?
Describe materials and safe handling plan:
Assess how the alteration will affect building infrastructure and other tenants.
Will this require modifications to electrical systems?
Describe electrical load requirements and modifications:
Will this require modifications to plumbing or water supply?
Describe plumbing changes:
Will this require modifications to HVAC systems?
Describe HVAC modifications and ventilation requirements:
Will this require new gas lines or modifications to existing gas supply?
Describe gas line requirements:
Could this work impact adjacent tenants or common areas?
Describe potential impacts and mitigation measures:
Noise, Dust & Disruption Mitigation Plan
Provide insurance and liability information for the alteration work.
Will your contractors carry valid general liability insurance?
Insurance Coverage Amount:
Warning: Property management may require contractors to carry adequate insurance. This will be reviewed during approval.
Will your contractors carry workers' compensation insurance?
Do you have property damage insurance covering this alteration?
Policy Reference Number:
Risk Management & Safety Protocols
Outline your plan for construction waste management and daily site cleanliness.
Will the project generate significant construction debris?
Describe debris removal plan and disposal method:
Will you be recycling any materials?
List materials to be recycled:
Daily Cleanup & Site Maintenance Plan
Will you require dumpster or waste container placement on-site?
Specify location and duration:
Confirm requirements for project completion and handover.
Will you provide as-built drawings upon completion?
Will equipment come with manufacturer warranties?
List equipment with warranty details:
Will staff require training on new equipment or systems?
Describe training requirements:
Will you conduct a final cleaning before handover?
Proposed Final Inspection Date
Final declarations and authorization signatures.
I confirm that all information provided is accurate and complete to the best of my knowledge.
I understand that this request is subject to property management approval and may require additional documentation.
I agree to comply with all building rules, regulations, and lease terms during the alteration work.
I accept responsibility for any damages caused to the property or other tenants during the alteration work.
Has the landlord/property management provided preliminary approval?
Approval Reference Number:
Tenant Authorized Signature
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