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STATUS
DATE
ID Address Description of Work DCRA
Notice Date
ANC
Expiration
Date
PER
SUB
TYPE
SSL ANC Zonin
g
Applicant
5/10/2019 R1900113 2322 19TH ST NW, WASHINGTON,
DC 20009
RAZE A ONE STORY GARAGE May 17, 2019 June 28, 2019 Raze 2539
0214
1C RA-2
5/20/2019 R1900126 901 FLORIDA AVE NW,
WASHINGTON, DC 20001
one story commercial building May 24, 2019 July 5, 2019 Raze 2873
0874
1B MU-10 MC KEVER
6/4/2019 R1900131 1242 POTOMAC ST NW,
WASHINGTON, DC 20007
RAZE A SINGLE STORY SHED June 7, 2019 July 19, 2019 Raze 1219
0045
2E R-20
5/22/2019 R1900128 3564 ALTON PL NW, WASHINGTON,
DC 20008
RAZE A 3 STORY SINGLE FAMILY FAMILY May 24, 2019 July 5, 2019 Raze 1970
0886
3F R-1-B CANDICE
5/10/2019 R1900115 3927 14TH ST NW, WASHINGTON,
DC 20011
RAZE OF 2-STORY BULDING + CELLAR ATTACHED
STRUCTURE.
May 17, 2019 June 28, 2019 Raze 2824
0048
4C MU-4 CITADEL
ARCHITECTS
LLC5/31/2019 R1900130 1206 LONGFELLOW ST NW,
WASHINGTON, DC 20011
TO RAZE CARPORT AND A SHED June 1, 2019 July 12, 2019 Raze 2933
0047
4C MU-4 CARLOS
5/16/2019 R1900118 5412 1ST ST NW, WASHINGTON, DC
20011
RAZE OF 2-STORY SINGLE FAMILY STRUCTURE May 17, 2019 June 28, 2019 Raze 3391
0029
4B MU-4 GERALD
ROPER5/17/2019 R1900121 4328 GEORGIA AVE NW,
WASHINGTON, DC 20011
Raze of -story building May 17, 2019 June 28, 2019 Raze 2914
0010
4C MU-4 GERALD
ROPER5/17/2019 R1900122 1103 FERN ST NW, WASHINGTON,
DC 20012
RAZE OF 1 STORY GARAGE May 17, 2019 June 28, 2019 Raze 2954
0817
4A RA-2 GERALD
ROPER6/5/2019 R1900132 4411 ILLINOIS AVE NW,
WASHINGTON, DC 20011
RAZE A SINGLE FAMILY DETACHED DWELLING,
DECK, REAR SHED, DRIVEWAY
June 7, 2019 July 19, 2019 Raze 3222
0010
4C R-3
5/13/2019 R1900116 3502 JOHN MCCORMACK RD NE,
WASHINGTON, DC 20064
RAZE A 3 STORY BRICK DORM ROOM May 17, 2019 June 28, 2019 Raze 3821
0044
5A RA-1 InterAgency
Inc 5/16/2019 R1900117 3005 12TH ST NE, WASHINGTON, DC
20017
RAZE A EXISTING ONE STORY MASONRY /
CONCRETE FRAME BUILDING (CURRENTLY FIRE
DAMAGED)
May 17, 2019 June 28, 2019 Raze 3933
0045
5B MU-3 TYLER
GREENE
5/17/2019 R1900120 812 18th Street NW, Washington, DC Raze end unit rowhouse May 17, 2019 June 28, 2019 Raze 4494
60/61
5D MU-7 Rose Knox 812 18th Street LLC
5/24/2019 R1900129 41 L ST SE, WASHINGTON, DC 20003 RAZE 1 STORY BRICK UTLITY BUILDING May 24, 2019 July 5, 2019 Raze 0698
0030
6D D-5 LEE
5/17/2019 R1900123 1222 1ST ST NE, WASHINGTON, DC
20002
TO RAZE A COMMERCIAL THEATER BUILDING May 17, 2019 June 28, 2019 Raze 0672
0844
6C D-5 MELISSA
DIAZ5/17/2019 R1900124 3451 BENNING RD NE,
WASHINGTON, DC 20019
RAZE A SINGLE STORY COMMERICAL BUILDING:
(TOW LOT).
May 17, 2019 June 28, 2019 Raze 5017
0136
7D MU-4
5/10/2019 R1900114 4626 BROOKS ST NE, WASHINGTON,
DC 20019
RAZE A SINGLE STORY WOOD FRAME HOUSE
WITH CELLAR
May 17, 2019 June 28, 2019 Raze 5134
0887
7D R-2
Owner Name
IT S MY CORNER LLC
SAPNA MEHTA
CRETCHEN CAN NON AND JIM CANNON
MARK KREITMAN TRUSTEE
4328 GEORGIA LLC
1103 FERN ST LLC
RK PROPERTIES LLC
3927 14TH ST NW LLC
FREDIS S MANZANO
5412 1ST ST HOLDINGS LLC
CATHOLIC UNIVERSITY OF AMERICA
JOHN T RHINES FUNERAL HOME LLC
DISTRICT OF COLUMBIA - DEPT OF
GENERAL SERVICESOSIB WASINGTON DC NOMA UNION
MARKET PROPERTIES LLCSHIRLEY T JONES
ANGLE3 DESIGN BUILD LLC
1 of 1 Department of Consumer and Regulatory Affairs(DCRA)
1100 4th St, SW Washington, DC 20024
Government of the District of Columbia Department of Consumer and Regulatory Affairs
• • • �
Ee
Rt: Request for clearance of pr,mises subj«t 10 razing oper.:ations
D.C. Hi.storic Preservation Orficc 1100 4th Street S.W., Rm [650 Washington, DC 2002-1
Cap Id:
0ece,ven n MAY 1 O 2019 u BY:, _
R1900113
Permit Operations 01..,lslon 1100 4th Street SW
Washington OC 20024 Tel. (202) 442 • 4589 Fax (202) 442 -4862
TO SCHEDULE INSPECTIONS PLEASE CALL (202) •42 • 9557
dcra May 10, 2019 Date:
An application to raze the structure identified below. locmed in the District of Columbia. was filed on this date with the Permit Operations Division. Our records do not reveal any kind of conservation holds on this property. We are hereby requesting conflrrnatlon from your office. in order 10 release the subject pcrmh.
Address: 2322 i 9TII ST NW
LOT: 0214 SQUARE: 2539 TYPE: Single Family Dwelling - R-3 VACANT: Yes
Please notify our office of the satisfactory completion of your inspection of the premises, by filling out the clearance section below and returning this form to the D.C.R.A. Permit Operations Division. 1100 4th Street S \\I W:i<:hinurnn n r; 20024.
CLEARANCE
This is to infonn you that we researched our records concerning the structure identified above and we have no objections to proceeding with the proposed razing of said structure.
Date: --------- Slgnature0 , -----------------
Name of releasing HPO Official. (print) ------------------
Page 9 ol 13
Yarnall, Bruce (OP)
From: Sent: To: Subject:
Marsalis Foster <[email protected]> Friday, May 10, 2019 1:36 PM Yarnall, Bruce (OP) Re: 2322 19th ST NW
CAUTION: This email originated from outside of the DC Government. Do not click on links or open attachments unless you recognize the sender and know that the content is safe. If you believe that this email is suspicious, please forward to [email protected] for additional analysis by OCTO Security Operations Center (SOC).
Only the garage.
On Fri, May 10, 2019 at 1:16 PM Yarnall, Bruce (OP) <[email protected]> wrote:
Are you planning to raze the primary rowhouse structure at this location or a garage or accessory structure at the rear?
From: Marsalis Foster <[email protected]> Sent: Friday, May 10, 2019 1:04 PM To: Yarnall, Bruce (OP) <[email protected]> Cc: Carmel Greer <[email protected]> Subject: 2322 19th ST NW
CAUTION This email originated from outside of the DC Government. Do not click on links or open attachments unless you recognize the sender and know that the content is safe. If you believe that this email is suspicious, please forward to [email protected] for additional analysis by OCTO Security Operations Center (SOC).
Good Afternoon,
I need to get a Raze Permit For 2322 19th ST NW (SQ: 2539 LOT: 0214)
Can you please tell rne:
- What do I need to file in order to get sign off?
- Where do I file the items above?
Thank You,
Marsalis J. Foster
1
2873 901 Florida Avenue NW
\
0874 09/12/2004
Government of the District of Columbia Department of Consumer and Regulatory Affairs
• • • WfARE:: .... at&J
Date: May 22, 2019
Permit Operations Division 1100 4th Street SW
Washington DC 20024 Tel. (202) 442 - 4589 Fax (202) 442 - 4862
TO SCHEDULE INSPECTIONS PLEASE CALL (202) 442 - 9557
tYdcra R1900128 Cap Id.
D.C. Historic Preservation Office t 100 4th Street S.W., Rm [650 Washington, DC 20024
Re: Request for clearance or premises subject lo razing operations
0EcE,vEn n JUN O 5 2019 u BY:------
An application to raze the structure identified below, located in the District of Columbia, was filed on this date with the Permit Operations Division. Our records do not reveal any kind of conservation holds on this property. We are hereby requesting confirmation from your office, in order to release the subject permit.
Address: 3564 ALTON PL NW
LOT. 0886 SQUARE: 1970 TYPE. VACANT: Yes
Please notify our office of the satisfactory completion of your inspection of the premises, by filling out the clearance section below and returning this fonn to the D.C.R.A. Permit Operations Division. 1100 41h Street S. W . Washincrou n.r. 20024
CLEARANCE This is to inform you that we researched our records concerning the structure identified above and we have no objections to proceeding with the proposed razing of said structure.
Date: --------� Signature.:_-----------------
Name of releasing HPO Official. (print) ------------------
Page 9 of 13
fl"dcra Government of the District of Columbia
APPLICATION FOR RAZE PERMIT
Print Form
Application can be downloaded and is fillable except for signature area. If not filling out on computer, please type or print legibly In ink. Please provide detailed lnformatlOIL Write N/A (non-applicable) for items that do not apply. Erasing. crossing out. whiting out, or otherwise altering any entered information will void this application. The owner of record must sign the application with an onginal signature.
Applicable code sections are in the 2013 DCMR 12 8ui/di"9 CodeSupplementChapcer I§ 105.1.7, 105.1.7.1, 105.1.7.1.1, l•A•'f'7'f? •A•f'7'J • •
0886
'•I• '.
15 DoscnptlOl'1 of 611,lchng to be Razed (e g • two s:ory bnck s,ngte family dwelling)
1. Adc!ress of PrOPOSed Wont 13564
Alton Pl
I 3·Story single·famity dwelling
2. APPLICANT INFORMATION-. ·--: - -·- --- - - .. ... - ----- --·--·· --- -- - ----· -- --- -- ..=cC 6 Property Owner 17 Com11le10 ma,hng &ddrc,s {mclude zip) 8 Phone Number(s) 9.Ema1!
13564 Alton Pl, LLC
1115806 Little Falls R�a�. Arl�ngton V� 7035084421
sunilsaxena3535@gmai�
,o Agent/Contractor for 0-er (•f :,pl)l1Cable) 11 Como:e:e mailing addreu (include z.p) 12 Pnor,o Number(I} 13. EmaJ
IR. Michael Cross Design Group I 12001 S St NW, Suite 230 I I 202 536 3006 I vgundrum@rmichaetcro�
.,,.,,11i1A!il?i1
17. UN(S) of Property (1pecifically md1ca1e if any use ,s relldent1al.)
I Residential-Detached·Slngle-Family
18 Matenals of Burld111g (bl'ICk, wood. eit.)
19 Bldg Longtn {ft) 137.6
20 B!dg Wid!h (fl)
I lwood 21 Bldg He�nt (ft) 22. Bldg Volume (cu ti} (L • W • H)
1126.892
'OFFICIAL USE ONLY CONDmONSI COMMENTS
-=� Page 1 of 5 EffccttYI Oe:orbet 9. 2017
SECTION A. RAZE PERMIT 23 Raze Contrac1ofs Name 2,. Contractor's Address (inciud1r,g zip code) 25. Contrae.ofs ?hone I Protector Construction 111723 A BAYSIDE BEACH RD,
PASADENA,� 1404-819·6061 I 26. Historic District? OYes [E)No
33 RazeTkt"tre� 27. CFA? OYes[EJNo
28. Raze Entire Building? IB]YesDNo 34 Propeny Ownerc:nac:·
29. Building Condemned? OYes[E)No r
30a. Party Wall? OYes[E)No 30b. If yes. aojaceru property owner(s) will need to sign the Ncnficatlon Form which safe2uards durina construction 30c. Any raze permit application for a bu1ld11ig(s) involving party walls must be 1ncl1Jde 2 conies of a clen that show how the .:;,..;., wallls\ win be nrotected
31. Building Vacant? [EJYesONo S1.1,ld1ng must be vacant before Raze Pentut ,ssuar,ce
32. Public Space Vault? OYeslE]No Official Use Onlv Fu ., Date
33. Plumber's Name 34 Plumber's ueense Nltmber 35 Raze Method aian. bulk!ozer. ev t,anc. etc.t I Magnolia I 11000672 11 Bulldozer
1.You must submit a Certificate of Insurance coveri'tg !he raze C1pe.-alicrJ::ontractor- unless 1J';a buffdlng you plan to raze is an accessory building 500 square feet or less in area and not more than one story, wholly detached from any Olher buikmg on the same or adjoining prenises.
2. The Certificate should: • Show the hOlderolthelnsuranc:e as: Deputy Director, Pemut DMSion, 1100 41h St SW, Washington, DC 20024 • Include a JO.day advance notice canceRation dause . • lndude these amounts of insurance coverage: Bodily Injury, $100,000; Aggregate, $300,000; and Property Damage, $100.000 • • State that the insurance covers "Razing Operations in the District of Columbia.· if the scope of the Insurance is for blanket coYerage . • If the insurance is ror one specific address ooty. state that 'Raling Op&tabons at .
'•ddrn.aofran M' 36. Insurance Company 37. Policy or Certificate No. 38. Expiration Date
jstate Farm I 99-BG-M532-9 u121311201s I - 39. Asbestos in Building? 0Yes(E]No Official Use Only If ves. indicate location:
FM ., Do�
Page 2 ol 5 Effeetive April 9. 2009
Raze Application - 3564 Alton Pl NW
Narrative:
Proposing to raze existing 3-story single family home over a cellar, subdivide the lot, and build two Identical, mirrored buildings, one on each lot.
Contact Information:
Victoria Gundrum R. Michael Cross Design Group 2001 S St NW, Washington, DC 20009 202-536-3006 [email protected]
Front Pacade \
Rear Fa�ade
1970
3564 Alton Place NW
0886 07/07/2004
Government of the District of Columbia Department of Consumer and Regulatory Affairs
Permit Operations Division 1100 4th Street SW
Washington DC 20024 Tel. (202) 442 • 4589 Fax (202) 442 • 4862
• • • WI: ARE cc
Date: May 10, 2019
TO SCHEDULE INSPECTIONS PLEASE CALL (202) «2 • 9557
tYdcra R1900115
0ece,vEn n MAY 3 1 2019 u BY: _ Re: Request for clea ranee or premtses subject to razing operations
O.C. Historic Preservation Office 1100 4th Street S.W., Rm E6SO Washington, DC 20024
Cap Id:
An application to raze the structure identified below. located in the District of Columbia, was filed on this date with the Permit Operations Division. Our records do not reveal any kind of conservation holds on this property. We arc hereby requesting conflrmarlon from your office, in order lo release the subject pennit.
Address: 3927 1.fTII ST NW
LOT: 0048 SQUARE: 2824 TYPE: Retail or Wholesale Store - M VACANT: Yes
Please notify our office of the satisfactory completion of your inspection of the premises, by filling out the clearance section below and returning this form to the D.C.R.A. Permil Operations Division, 1100 41h Street S \V Wad1in111nn n (' 20024
CLEARANCE
This is to inform you that we researched our records concerning the structure identified above and we have no objections to proceeding with the proposed razing of said structure.
Date: � Signature:�-----------------
Name of releasing HPO Official. (print) -----------------
Page 9 of 13
·vdcra Gov•rnment of the Dllltrlct of Columbla
APPLICATION FOR RAZE PERMIT
pplicatlon can l,e dow11loided and ts l!Uab]ji� fi>J" slpature area. If not ftlllnil•11tbri comlJ!lltr, Ink. Pl .... prvvld, d ... Ued lllfonutl"'*' WrlttN/A (noo-appllcabl<J for ltemslbat do not�ply,
1..., out or otherwise llb,,mg •1\1( •nlfflil loformollon will void Ibis 1pj>1Jc,at1on.:J1,e pw!l•I ofte� pplioatlon with an orf&lnal,lpature.
"'1b/1-1!6<#o1Uorefildle2DJJ�/;,,d,Slippl,,rwnta.opt,rr /f 105.U, li'it.7.J.1
.......
-
22.. Bldg Vob'l'lt (tuft) (1.. xwx H)
30,300
Brick, on wood stud
21. Bldg Height (1l) 20. Bldg Width (fl)
11,.
a two story building with basement the scope of work Include demolishing the front and rear
15. Descrlpllon of Bulding lo be Rezed (e.g •• lwo 11ory brick SffVII famly dweling:}
19. Bldg L11ng1n (ft)
Jso.s
I r,- ,,-,-,-.1TH --ST-N_w_u_c-----,1r,-60-H- ER_N_o_o_N_P_KWY __ H_ ER_N_oo_N_v-,ilr------,, J INFO@VALENTIScAPITAL� 10. ,IIQentfConlnlciof for Owner(" IJIPlceble) 12. Ptim. Number(•} 13. Emal
I citadel architects 1212 Pennsylvania Alie SE Wash ii r ,- 11-,-de-l@- ,.-,-dekl-b_d_<_O_m_'j I
mu,u P-e,a 1 of 5 EffectJvt, Octorbe( II, 2017
2824 0048 3927 14th Street NW (Center Building)
08/17/2004
3391 0029 07/21/2004
5412 1" Street NW
2914 0010 07/28/2004 4328 Georgia Avenue NW
3222 0010 4401 Illinois Avenue NW
07/14/2004
Government of the District of Columbia Department of Consumer and Regulatory Affairs
Permit Operations Division 1100 4th Street SW
• • • �
Ee
Date: May 13, 2019
Washington DC 20024 Tel. (202) 442. 4589 Fax (202) 442. 4862
TO SCHEDULE INSPECTIONS PLEASE CAU.1202) "'42 • 9557
vdcra R1900116 Cap Id:
D.C. Histo,·ic Preservation Office 1100 4th Street S.W., Rm E650 Washington, DC 2002-1
Rt': Request for clearance of premises subject 10 ruing optr:Uions
0EcE,vEn n JUN 1 O 2019 u BY:-----
An application to raze the structure identified below. located in the District of Columbia. was filed on this dale with the Permit Operations Division. Our records do not reveal any kind of conservation holds on lhis property. We are hereby requesting confirmation from your office, in order to release the subject permit.
Address: 3502 JOHN �ICCOR.M.ACK RD NE
LOT: 0044 SQUARE: 3821 TYPE: Educational above 12th grade· B VACANT: Yes
Please notify our office of the satisfactory completion of your Inspection of rhe premises, by filling out the clearance section below and returning this fonn to the D.C.R.A. Penni! Operations Division. 1100 -irh Street S.W .. Washineton n.r. 20024.
CLEARANCE
This is to inform you that we researched our records concerning the structure identified above and we have no objections 10 proceeding with the proposed razing of said structure.
Date:-------- Signature:�----------------
Name of releasing HPO Official. (print) ------------------
Page 9 of 13
tYdcra Government of the District of Columbia
APPLICATION FOR RAZE PERMIT
Application can be downloaded and is fillable except for signature area. If not filling out on computer, please type or print legibly in ink. Please provide detailed information. Write N/A (non-applicable} for items that do not apply. Erasing. crossing out, whiting out, or otherwise altering any entered information will void this application. The owner of record must sign the application with an original signature.
Applicable code sections ore in the 2013 DCMR 12 Building Code Supplement Chapter I§ 105.1.7, 105.1.7.1, 105.1.7.1.1, � • .., .. .,-,n<"•'7'> .-,rr,
Rl900116
1. Aoclress of Proposed Work
13502 JOHN MCCORMACK RD NE
4a. Square
IEJEJl3821
5/13/2019
0044
-----, �
� Raze Permit
4. DESCRIPTION OF BUILDING 15. Description of Building lo be Razed {e.g., t'NO story bnct,; single family dwelling) 16. Existing Number of Stories of Bldg:
f three story brick dorm room 113 I 17. Use{s) of Property (specifically indicate if any use is residential.) 18. Materials of Building (brick, wood. etc.)
!Residential Dorm room I brick
19. Bldg Length (ft) 20. Bktg Wdth (ft) 21. Bldg Heigh! {ft) 22. Bldg Volume (cu ft) (l x W x H)
1,30 I jso IE0 11260000 I OFFICIAL USE ONLY
CONDmONS/ COMMENTS:
2. APPLICANT INFORMATION 6. Property owner 7 Complete mailing address (include zip) 8. Phone Number(s) 9 Email
f catholic University of America I E20 Michigan Ave NE DC 20064 I 12023195000 11 3uc.y e """. edv I 10. Agent/Contrador for Owner (if appr&c:able) 11. Complete malting address (indude zip) 12. Phone Number(s) 13.Email
I Monling Lee I Inter Agency Inc I 2325 42nd st NW, ,320, woe 20007 I 301.310.8772 111 Monling [email protected].
·IUil•lli!il�li·
=u.,u
Page 1 of 5 Effective Octorber 9, 2017
SECTION A. RAZE PERMIT 23. Raze Contractor's Name 24. Contractor's Address (indud1ng zip code) 25. Contractor's Phone
Eso I 26. Historic District? OYes[E}No 33. Raze Cootractor Signature
27.CFA? 0Yes[E] No
28. Raze Entire Building? [E]YesO No 34. Property �nature fje/Zl"AiLO T. 6uA '1 29. Building Condemned? OYes(BJ No 1c;;,...;T {'.,- (A,-,.,,.,c.. t)..,,,e,,s,r7 I .
30a. Party Wall? OYeslE]No 30b. lf yes, adjacent property ovmer(s) will need to sign the Notification Form which safeguards during construction 30c. Any raze permit application for a building(s) in'laving party walls must be include 2 cooies of a olan that show how the n:im, waMfs\ V.,U be nro\ected.
31. Building Vacant? [E]YesONo Building must be vacant before Raze Permit issuance.
32. Publlc Space Vault? OYes (BJ No Official Use Onlv ,� By Date
33. Plumber's Name 34. Plumber's License Number 35. Raze Method /ball, bulldozer, ev hand, etc.)
Eso I I 1. You must submit a Certificate of Insurance covering the raze operalion/contraclor- unless the building you plan to raze is an accessory building 500
square feet or less in area and not more than one story, vmolly detached from any other building on the same Of ad}oining premises. 2. The Certificate should;
• Show the holder of the insurance as: Deputy Director, Permit Division, 1100 4th St SW, Washington, DC 20024 • lndude a 30-day advance notice cancellation dause . • lndude these amounts of insurance coverage: Bodily Injury, $100,000; Aggregate, $300,000; and Property Damage, $100,000 . • State that the insurance covers "Razing Operalioos in the District of Columbia,' if the scope of the insurance is for blanket coverage . • If the insurance is for one specific address only, state that, 'Razing Operations at •
!address of raze o ration I 36. Insurance Company 37. Policy or Certificate No. 38. Expiration Date
39. Asbestos in Building? OYesONo Official Use Only If ves, indicate location: ,� By Date
Page 2 of 5 Effective Apnl 9. 2009
Government of the District of Columbia Department of Consumer and Regulatory Affairs
Permit OperaUons Division 1100 4th Street SW
• • • � ....... ��·r oc
Date: May 16, 2019
Washington DC 20024 Tel. (202) 442 • 4589 Fax (202) 442 • 4862
TO SCHEDULE INSPECTIONS PLEASE CALL (202) 442 - 9557
tYdcra R1900117 Cap Id:
DEce,ven n MAY I 5 2019 u BY: _
An application to raze the structure identified below, located in the District of Columbia, was filed on this date with the Permit Operations Division. Our records do not reveal any kind of conservation holds on this property. We are hereby requesting confirmation from your office, in order to release the subject permit.
Address: 3005 I 2TI I ST NE
Re: Request for clearance of premises subject to razing operations
D.C. Historic Preservation Office 1100 4th Street S.W., Rm £650 Washington, DC 20024
LOT: 0045 SQUARE: 3933 TYPE: Funeral Parlors - A-3 VACANT: Yes
Please notify our office of the satisfactory completion of your inspection of the premises, by filling out the clearance section below and returning this fonn 10 the D.C.R.A. Permit Operations Division, 1100 41h Street S. W .. washlnoton 11.C:. 20024.
CLEARANCE
This is to infonn you that we researched our records concerning the structure identified above and we have no objections to proceeding with the proposed razing of said structure.
Date: � Signature:�---------------
Name of releasing HPO Official. (print) -----------------
Page 9 of 13
' vdcra Government of the District of Columbla
APPLICATION FOR RAZE PERMIT
Application can be downloaded and is fillable except for signature area. If not filling out on computer, please type or print legibly in ink Please provide detailed information. Write N/A (non-applicable) for items that do not apply. Erasing, crossing out, whiting out, or otherwise altering any entered information will void this application. The owner of record must sign the application with an original signature.
Applicable code sections are in the 2013 DCMR 12 Building Code Supplement Chapter I§ 105.1.7, 105.1.7.1, 105.1.7.1.1, 1.,., ... 1?1? .,,,...1 .... -'"'· • .,. ...
May 16th, 2019 Application Date:--------------
-----, �
0 Raze Permit
1. INFORMATION ON PROPERTY 1. Address of Proposed Wor1< 2. Quad 3. ward 4a. Square 4b. Suffix 5. Lot
3005 12th St. NE Washington, DC 20017 NW EJ 933 I I 45
2. APPLICANT INFORMATION 6. Property Owner 7. Complete malling address (include zip) a Phone Number(s) 9. Email
Casey Trees 3030 12th St NE Washington, DC ; 202.349.1900 [email protected]
1 O. AgenUContractor for Owner (If applicable) 11. Complete malling address (include zip) 12. Phone Number(s) 13. Ema!I
Tyler T. Greene (Tamma]) 5705 Arundel Ave, Rockville, MD 2( 301·816·1606 [email protected]
1r1;1,11;aiJ�h·
4. DESCRIPTION OF BUILDING 15. Description of Building to be Razed (e.g., two story brick single family dwell!ng) 16. Existing Number of Stories of Bldg:
Existing one Story Masonry/Concrete frame building (currently Fire Damaged) 1
17. Use(s) of Property (specfflcally ind!cate If any use is residertllal.) 1 B. Materials of Bullding (brick, wood, etc.)
Funeral Home Concrete/Masonry
19. Bldg Length (fl) ' 20. Bldg IMdth (fl) 21. Bldg Height (fl) 22. Bldg Volume (cu ft) (L K WK H)
74 71 14 73556
OFFICIAL USE ONLY CONDITIONS/ COMMENTS:
. SECTION A. RAZE PERMIT 23. Raze Contractor's Name 24. Contractor's Address (including zip code) 25. Contractor's Phone
Tammal Enterprises, lnc. 5705 Arundel Ave. Rockville, MD. 2�2 301-816-1606 /
26. Historic District? OYeslZJNo 33R:Coo��7�/ # 27. CFA? OYeslZJNo
28. Raze Entire Building? IZJYesONo l�'"x=) /) I 29. Building Condemned? IZJYesONo - 30a. Party Wall? OYeslZJNo 30b. lf yes, adjacent prope, ,1 v .... ner(s) will need to sign the
Notification Form which safeguards during construction 30c. Any raze permit application for a building(s) involving party walls must be include 2 cooles of a clan that show how the carts wall(sl will be orotected.
31. Building Vacant? IZJYesONo Building must be vacant before Raze Pennit issuance.
32. Public Space Vault? OYeslZJNo Official Use Only Foe By Date
33. Plumber's Name 34. Plumber's License Number 35. Raze Method (ball, bulldozer, by hand, etc.)
TBD TBD Mechanical (Demolition Excavators)
1. You must submit a Certificate of Insurance covering the raze operation/contractor- unless the building you plan to raze is an accessory building 500 square feet or less in area and not more than one story, wholly detached from any other building on the same or adjoining premises.
2. The Certificate should: • Show the holder of the insurance as: Deputy Director, Permit Division, 1100 4th St SW, Washington, DC 20024 • Include a 3D-day advance notice cancellation dause . • Include these amounts of insurance coverage: Bodily Injury, $100,000; Aggregate, $300,000; and Property Damage, $100,000 . • State that the insurance covers "Razing Operations in the District of Columbia,· if the scope of the insurance is for blanket coverage .
If the insurance is for one specific address only, state tha� "Razing Operations at • • /address of raze o ratlonl
36. Insurance Company 37. Policy or Certificate No. 38. Expiration Date Bogart & Browned of MD. Inc. 2019-2020 2-1-2020
39. Asbestos in Building? OYeslZJNo Official Use Only lf ves indicate location:
Fee By Date
Google Maps 301212th St NE
Image capture: Jul 2018 C 2019 Google
Washington, District of Columbia
S1reet View· Jul 2018
-
t•lo.'(i,VC. ()Jl.(£,'� t\'lW I•� ,:t-.4 ?'), .
Government of the District of Columbia Department of Consumer and Regulatory Affairs
Permit Operations Division 1100 4th Street SW
• • • WE: AR� � cc
')
Date· May 17, 2019
Washington DC 20024 Tel. (202) 442 • 4589 Fax (202) 442 - 4862
TO SCHEDULE INSPECTIONS PLEASE CALL (202) 442. 9557
dcro R1900120
·-.
'j
Cap Id:
D.C. I lisloric Preservation Office 1100 -tth Street S.\V .. H.111 E650 Washington, DC 20024
Re: Request for ctearnnce or premises subject to ra1:ing opcranons
0Ece,ven 11 MAY 3 �,2019 u· " BY: -�-"'
'I
J
't /\n application to raze the structure identified below. located in the District of Columbia. was filed on this date with the Permit Operations Division. Our records do not reveal any kind of conservation holds on this property. We arc hereby requesting confirrnauon from your office. in order to rctcasc the subject permit.
• 'I
Address: 812 ISTII ST Nt: ·
LOT· 60/61 �QUARE: 4494 TYPE: VACANT· Yes
·,
Please notify our office of the satisfactory completion of your inspection' of the premises. by filling out the clearance section below and returning this form to the D.C.R.A. Permit Operations Division. 1100 4th Street S.W .. Wa<:hirwton D C. 20024.
CLEARANCE This is to inform' you that we researched our records concerning the structure identified above and we have no objections to proceeding with the proposed razing of said structure.
·,
Date:-------- Signature.,_-----------------
Name of releasing HPO Official. {print) ------------------
Page 9 of 13
Print Form Government of the District of Columbia
APPLICATION FOR RAZE PERMIT
Application can be downloaded and is fillable except for signature area. If not filling out on computer, please type or print legibly in ink Please provide detailed information. Write N/A (non-applicable) for items that do not apply. Erasing. crossing out, wh.iting out, or otherwise altering any entered information will void this application. The owner of record must sign the application with an original signature.
Applicable code sections are in the 2013 DCMR 12 Building Code Supplement Chapter I§ 105.1.7, 105.1.7.1, 105.1.7.1.1, ·--. -- ., ---. "7'> • ---·
13. Email
ApplrcaUon Date: I May 17, 2019
1200 POTOMAC AVE SE WASHINGT
10. Agent/Contractor fOf � (If applicable) 11. Complete maUing address (lndude zip) 12. Phone NumW(s)
I s121aTH STREET LL(
4, DESCRIPTION OF BUILDING 15. Description of Building to be Razed (e.g .• two story brick single family dweling) 16. Existing Number of Stories of Bldg:
9 UNIT,MULTl·FAMILY RESIDENTIAL BUILDING 1, I 17. Use(s) of Property (specifically Indicate if any use Is resldentlal.) ] 18. Materials ol Building (brick, wood. etc.)
I RESIDENTIAL 11 U) ""'' ' I l:>r, c..l,
19. Bldg Length (ft) 20. Bldg lMdth (ft) 21. Bldg Height (ft) 22. Bldg Volume (cu ft) (L x W x H)
154 1132 11·· I 79,488
OFFICIAL USE ONLY CONDITIONS/ COMMENTS:
•
Page 1 of 5 Effective Octorber 9, 2017
23. Raze Contractor's Name 24. Contractor's Address (lndudlng zip code) 25. Contractor's Phone
26. Historic District?
27. CFA?
28. Raze Entire Building?
29. Building Condemned?
30a. Party Wall?
31. Building Vacant?
OYes�No
0Yes0No
OYes�No
OYesONo OYes�No
�YesONo
33 Raze Contractor Signature
3"'. Property Owner SlgnatlM"e
30b. If yes, adjacent property owner(s) will need to sign the Notification Form which safeguards during construction 30c. Any raze permit application fOf a building(s) involving pa,fy walls must be indude 2 co lee of a an that show how the wall s will be otecled.
Building must be vacant before Raze Pem1it Issuance.
32. Public Space Vault? 0Yes0No Fee
Official Use On By Date
33. Plumber's Name 3"'. Plumber's License Number 35. Raze Method baN, buOdozer. hand, etc.
1. You must submit a Certificate of Insurance covering the raze operaUon/contractor- unless the building you plan to raze is an accessory building 500 square feel Of less r1 area and not more than one stcxy, v.tiolty detached from any other building on the same or adjoining premises.
2. The Certificate should: • Show the holder of the insurance as: Deputy DirectOf, Permit Division, 1100 4th SI SW, Washington, DC 20024 • lndude a 30-day advance noUce cancenation clause. • lndude these amounts of llsurance coverage: Bodily Injury, $100,000; Aggregate, $300,000; and Property Damage, $100,000. • Stale that the insurance covers "Razing Operations in the District of Columbia,' If the scope of the insurance is for blanket coverage. • If the insurance Is for one specific address only, state Iha� "Razing Operations at
address of raze o ration
36. Insurance Company
39. Asbestos in Building? If es indicate location:
37. Policy or Certificate No.
0Yes0No
F •• By
38. Expiration Date
Official Use Only
Date
Page 2 of 5 El'fective April 9, 2009
- 4494 0060 08/02/2004
812 181" Street NE
Government of the District of Columbia Department of Consumer and Regulatory Affairs
Pennlt Operations Division 1100 4th Street SW
••• W!=ARi=: .... •Q'""' ex::::
Date: May 24, 2019
Washington DC 20024 Tel. (202) 442 - 4589 Fax (202) «2 • 4862
TO SCHEDULE INSPECTIONS PLEASE CALL (202) 442 • 9557
vdcra R1900129
DECEl\lEn n JUN I O 2U1� u BVc.. ·----- Re: Request ror clearance of premises subject 10 razing operations
D.C. Historic Preservation Office 1100 4th Street S.W., Rm E650 Washington, DC 20024
Cap Id:
An application to raze the structure identified below, located in the District of Columbia. was filed on this date with the Pennit Operations Division. Our records do not reveal any kind of conservation holds on this property. We are hereby requesting conrirmation from your office. in order to release the subject pennit.
Address: 41 LSTSE
LOT: 0030 SQUARE: 0698 TYPE: VACANT: No
Please notify our office of the satisfactory completion of your inspection of the premises, by filling out the clearance section below and returning lhis form to the O.C.R.A. Permit Operations Division. 1100 4th Srreer S.W .. WA�hinp-tnn n.r. 20024.
CLEARANCE
This is to inform you lhat we researched our records concerning the structure identified above and we have no objections to proceeding with the proposed razing of said structure.
Date: ------- Signature:. _
Name of releasing HPO Official. (print) ----------------
Page 9 of 13
f/dcra Government of the District of Columbia
APPLICATION FOR RAZE PERMIT
Print Form
Application can be downloaded and Is fillable except for signature area. If not filling out on computer, please type or print legibly in ink. Please provide detailed information. Write N/A (non-applicable) for items that do not apply. Erasing. crossing out. whiting out. or otherwise altering any entered infonnation will void this application. The owner of record must sign the application with an original signature.
Applicable code sections are in the 2013 DCMR 12 Building Code Supplement Chapter I§ 105.1. 7, 105.1.7.1, I 05.1. 7.1.1, l<n'.1717 <1'11:1.,... '.,lC'IC'A
Rl900129
t. Address of Propl)sed 'No1k
F1 L Street
5.24.2019
30
-----, �
(EJ Raze Permit
2. APPLICANT INFORMATION 6. Property Owner 7. Complete maillog address (Include zip) 8. Phone Number(s) 9. Email
141 l Street Holdings LLC (c/o James � 13050
K St. NW, STE 125 WashingtonJ 1202-719-9000 I I [email protected] I to. AgenuCon!fador for C>v.fler (if applicable) 11. Complete mailing address (iotlude zip) 12. Phone Number(S) 13. Email
JMonling Lee (lnteragency) I 2325 42nd St NW, DC #320
1301-310-8772 I ; I monling.lee@interagency
lrl�l·Jlalil�II
4 DESCRIPTION OF BUILDING 15. Description of Building to be Ra:.ted (e.g., two SIDI)' brick slogle family i:tweOing) 16. Exisl1ng Number of Stories of Bldg: I
l1 story brick utility building 11, I 17. Use(s) of Property (specifially Indicate if any use Is residential.) 18. Ma1erials of Building (brick, wood, etc.)
IWMATA chiller plant I brick
19. Bldg Lenglh (ft) I 20. Bldg Width {f1) I 21. Bldg Height {fll 22. Bldg Volwie (tu ft) (L x W x H}
147.5' IE,·· 1120.3'+/- I ks.soo cu ft (approx)
OFFJCIAL USE ONLY CONDITIONS/ COMMENTS:
llliVl.Vll
Page 1 ol 5 EffectNe Oetofber 9. 2017
SECTION A. RAZE PERMIT 23. Raze Contractor's Name 24. ContradGl"s AddreM (inducting lip code) 25. Contractor's Phone
26, Historic District? DYes IEJNo 33. Rue Contrador Signature
27. CFA? OYeslEJ No
28. Raze Entire Building? IEJYesONo 34. Pfope,ty OWner Signatltt
� - 29. Building Condemned? OYeslE)No 30a. Party Wall? OYeslE)No 30b. If yes, adjacent property owner(s) will need to sign the
Notification Form which safeguards durini construction 30c. Any raze pem,tt application for a boikling(s) involving party wafts must be indude 2 cccles of a Nan that show how the n::artv watt(sl wil be nrotected.
31. Building Vacant? IE)YesONo Building mus.I be vacant before Ra.ze Permit Issuance.
32. Public Space Vault? OYeslE]No Official Use On F .. By Date
33. Plumber's Name 34. Plumber's License Nimber 35. Rne Method �aM, bulldoze,1 !!X hand. etc.!
I I 1. You must sut>rm a Certificate of Insurance covering the raze operationfcontrador- unless the building you plan to raze is an ao::ess«y building 500
square feet or less in eea and not more than one story, 'Mlolly detached from any other building on the same or adjoining premises. 2. The Certificate should:
• Show the holder of the lnsurence as; Deputy Director, Permit Oivisioo, 1100 4th St SW, Washington, DC 20024 • Include a 30-day advance notice cancellation clause . • Include these amounts of insurance coverage: Bodily Injury, $100,000: Aggregate, $300,000; and Property Damage, $100,000 . • State tha! the insurance covers "Razing Operations in the District of Columbia; if the scope of the insurance is fOI" blanket coverage . • If the insurance is for one specific address only, state that. "Razing Operations at .
f.1ddrns of nze .....,. 36. Insurance Company 37. Policy or Certificate No. 38. Expiration Date
39. Asbestos in Building? OYes[E!No Official Use Only lfves. indicate location:
'" By Da1e
Page 2 of 5 Effective April 9. 2009
41 L Street SE
41 L Street SE
Government of the District of Columbia Department of Consumer and Regulatory Affairs
Permit Operations Division 1100 4th Street SW
••• �Mr� cc
Date: May 17, 2019
Wnhington DC 20024 Tel. (202) 442 • 4589 Fax (202) 442 • 4862
TO SCHEDULE INSPECTIONS PLEASE CAU (202) 4-42 • 1557
vdcra R1900123
0ece,ven n MAY 2 9 2019 u B'r.'------ Re: Requesl for etearaeee or premises subj«( lo n,1.in& open lions
O.C. Historic Preservation Office 1100 4th Street S.W., Rm E6SO Washington, DC 20024
Cap Id:
An application to raze the structure identified below, located in the District of Columbia, was filed on this date with the Permit Operations Division. Our records do not reveal any kind ofconservalion holds on this property. We arc hereby requesting confirmation from your office, in order to release the subject permit
Address: 1222 ISTSTNE
LOT: 0844 SQUARE: 0672 TYPE: VACANT: Yes
Please notify our office of the satisfactory completion of your inspection of the premises, by filling out the clearance section below and returning this form to the D.C.R.A. Permit Operations Division, 1100 41h Street SW .. W11�hinP"tnn n r.. 20024
CLEARANCE
This is to inform you that we researched our records concerning the structure identified above and we have no objections to proceeding with the proposed razing of said structure.
Signature:�---------------
Name of releasing HPO Official. (print) ----------------
Page 9 of 13
Print Form .
11,,111u,•••u,,u c,111a,111rs,1• ............. ;::;
Government of the District of Columbia
APPLICATION FOR RAZE PERMIT
Application can be downloaded and Is fillable except for signature area. If not filling out on computer, please type or print legibly in ink. Please provide detailed Information. Write N/A (non-applicable) for items that do not apply. Erasing. crossing out, whiting out, or otherwise altering any entered information will void this application. The owner of record must sign the application with an original signature.
pplicable code sections are in the 2013 DCMR 12 Building Code Supplement Chapter I§ 105.1.7, 105.1.7.1, 105.1.7.1.1,
0844
4a. Square
IEJEJlo•,,
R1900123 1. Address of Proposed Wortc
11222 First Street
� (El Raze Permit
2. APPLICANT INFORMATION 6. Property Own� 7. Complete mailing address (indude zip) 8. Phone Number(1) 9.Email
I OS1B wASH1NGTON o.C. NOMMJNION I �:,:aaison l!tve, Floor 2New �orlt N? 11917.297.8811 I [email protected] I MARKET PROPERTIES LLC
10. Agent/Contra dot fo, Owner (if app�cable) 11. Complele mding address f,ndude zip) 12. Phone Number(&) 13. Email
I Altus Realty I rooo Potomac Street. NW, Suite 11202.873.1773 I I [email protected] I 119Wuhington, DC 20007
lr141·il43Mli
4. DESCRIPTION OF BUILDING 15. Oescnptlon of Building to be Razed (e.g., two story brick single family dwemng) 16. Existing Number of Stories ol Bldg
1 Story Concrete and (MU commercial building I · I 17. Use(s) ol Property (specifically indicate if any use Is residential.) 18. Materials of Building (brick, wood, etc.)
I Commercial I Vacant I I Concrete & (MU I 19. Bldg Length (ft) I 20. Bldg 'Mdth (ft) I 21. Bldg Height (ft) I 22. Bldg Volume (w ft) (L x W x H)
I·· 11 ••s 11,o· 11284,200 I OFFICIAL USE ONLY
CONDITIONS/ COMMENTS:
REV ll/1.1
Page 1 of 5 Effective Octorber 9, 2017
23. Raze Contractor's Name 24. Contrector's Address (lnduding zip code) 25. Contractor's Phone
26. Historic District? 33. Raze Contractor Signature
27.CFA? 0Yes0No TBD
28. Raze Entire Building? D Yes D No 34. Property CMner Signature
�2-9 B_u_i_ ld- in_g_C_o_n_d_e_m_n_ed_? __ -+_O_Y_e_s_O_N_o .;/,.//.IIIJ Jennifer Mitchell
30a. Party Wall? OYes D No 30b. lf yes, adJacent property owner(s) will need to sign the Notification Form which safeguards during construction 30c. My raze permit applicabon for a building(s) involving party walls must be include 2 co ies of a an that show how the a walls 'Niii be otected.
31. Building Vacant? OYesONo Building must be vacant before Raze Permit issuance.
32. Public Space Vault? 0Yes0No
'" Official Use On
By Dale
35. Raze Method ball, bulldozer, b hand, etc. 34. Plumber's License Number 33. Plumber's Name
1. You must submit a Certificate of lnsura'IOe covering the raze operation/cootractor-\PeSS the builcing you plal lo raze is an accessory builoog 500 square feet Of less in area and not more than one story, 'MIOly detached from a,y other building on the sane Of .qoiniog premises.
2. The Cettificale shouij: • Show the holder of the llsurau as: Deputy Di"ector, Permit Division, 1100 4th St SW, Washington, DC 20024 • Include a 30-day advance notice caioelation clause. • Include these amounts ofinsurn:e coverage: Bodily Injury, $100,000; Aggregate, $300,000; and Property Damage, $100,000. • State that the insurcY!Ce covers "Razing Operations if1 the District of Columbia," if the scope of the insurance is fOf blanket coverage. • If the insurance is fOf one specific address only, state that, "Razing Operations at
36. Insurance Company 37. Policy or Certificate No. 38. Expiration Date
39. Asbestos in Building? If es indicate location:
OYesONo Official Use Onty
By Date
Page 2 of 5 Effective Apnt 9, 2009
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5017 0136 07 /18/2004 3451 Benning Road NE
Department of Consumer and Regulatory Affairs Government of the District of Columbia • • • WleARE oc
oece,ven n MAY I O 2019 u ev: _ R1900114 Cap Id:
Pennlt Operations Division 1100 4th Street SW
Washington DC 20024 Tel. (202) 442 • 4589 Fax (202) 442 • 4862
TO SCHEDULE INSPECTIONS PLEASE CALL {202) ,4..42. 9557
tVdcra May 10, 2019 Date:
D.C. Historic Preservation Office 1100 4th Street S.W., Rm E650 Washington, DC 20024
Re: Request for clearance of premises subject to razing operations
An application to raze the structure identified below, located in the District of Columbia, was filed on this date with the Penn it Operations Division. Our records do not reveal any kind of conservation holds on this property. We are hereby requesting confinnation from your office, in order to release the subject pennit.
Address: 4626 BROOKS ST NE
LOT: 0887 SQUARE: 5134 TYPE: Single Family Dwelling· R..J VACANT: Yes
Please notify our office of the satisfactory completion of your inspection of the premises, by filling out the clearance section below and returning this form to the D.C.R.A. Permit Operations Division, 1100 4th Street S. W .. Washincton n.c:. 20024.
CLEARANCE
This is to inform you that we researched our records concerning the structure identified above and we have no objections to proceeding with the proposed razing of said structure.
Name of releasing HPO Official. (print) �����������������
Page 9 of 13
·vdcra Government of the District of Columbia
APPLICATION FOR RAZE PERMIT \ � \
Print Form
Application can be downloaded and is fillable except for signature area. If not filling out on computer, please type or print legibly in ink. Please provide detailed information. Write N/A (non-applicable) for items that do not apply. Erasing, crossing out, whiting out, or otherwise altering any entered information will void this application. The owner of record must sign the application with an original signature.
Applicable code sections are in the 2013 DCMR 12 Building Code Supplement Chapter I§ 105.1.7, 105.1.7.1, 105.1.7.1.1,
7. Complete mailing address (include zip) 1������������� 1.-��������--'���"'--'-" ''- .--�����--. ..-�������-,-- ! \\"\O l'.N\,c.'c.<...)1<-
. 4. DESCRIPTION OF BUILDING . 15. Description of Building to be Razed (e.g, two story brick single family dwelling) 16 Existing Number of Stories of Bldg:
s t« �\.,_ i::,�:ly I \L v.,_Q / (.," a, _.__., \... > P4- cz: I l I 17. Use(s) of Property (specifically indicate 1f any use is residential.) 18 Materials of Building (brick, wood, etc.)
I f!.L-�o�,,\-- i.l.\_ 11 (l.r:C.C.- ) l/JOOD / I 19. Bldg Length (ft) 20 Bldg Width (ft) 21. Bldg Height (ft) 22 Bldg Volume (cu ft) {l x W x H)
I z- '1 11 Z.G 11 'Z 11 '1..?00 I OFFICIAL USE ONLY
CONDJTIONSI COMMENTS:
REV :U./11
Page 1 of 5 Effective Dctort:ier 9, 2017
SECTION A. RAZE PERMIT ' 23 Raze Contractor's Name 24. Contractor's Address (Including zip code) 25. Contractor's Phone
I \BV I 26. Historic District? OYes EJNo 33 Raze Contractor Signature
27.CFA? 0YesE:].N6 28. Raze Entire Building? D)'esDNo 34 Prope �·/ 29. Building Condemned? DYes(9"No 30a. Party Wall? DYesliJ-No 30u. I y 's,,ldja�nt property owner(s) will need to sign the
Notification Form which safeguards during construction 30c. Any raze permit application for a DUilding(s) involving party walls must be
, include 2 coces of a i Ian that show how the partv wall(s} will be erotected. 31. Building Vacant? EJYesONo Building must be vacant eeroce Raze Permit issuance.
32. Public Space Vault? 0Yes[SLN6 Official Use Onlv Fee By Date
33. Plumber's Name 34. Plumber's License Number 35. Raze Method !ball. bulldozer, bl hand, etc.J
I \ R,D I I I 1. You must submit a Certificate of Insurance covering the raze operation/contracto<- unless the building yoo plan to raze is an eccessoy building 500 �uare feet or less in area and not more than one story, wholly detached from any other building Oil the same or adjoining premises.
2. The Certificate should: • Show the holder of the insurance as: Deputy Director. Permit Division, 1100 4th St SW, Washingtoo, DC 20024 • Include a 3(k!ay advance notice cancellation clause . • Include these amounts of insurance coverage: Bodrly Injury, $100,000; Aggregate, $300,000; and Property Damage, $100,000 . • State that the insurance covers "Razing Operations in the District of Columbia,' if the scope of the insurance is for blanket coverage . • If the insurance is fcx" one specific address only, state that, "'Razing Operations at .
taddress of raze o raucm 36. Insurance Company 37. Policy or Certificate No. 38. Expiration Date
39. Asbestos in Building? DYest;\iNo Official Use Only lf ves, indicate location:
Fee By Date
Page 2 of 5 Elfective April 9. 2009
5134 0887 07/09/2004