Nyc Buildings Form Pw2 PDF Details

For anyone involved in construction or renovation within New York City, understanding the complexities of the required permits is crucial. The PW2: Work Permit Application serves as a pivotal document in this process. From initial permits for new developments to renewals, updates, and declarations of no work, this form covers a broad spectrum of construction-related applications. It's designed to be filled out with detailed information about the project location, including house numbers, street names, and boroughs, ensuring that the Department of Buildings (DOB) has all the necessary details to process the application. Additionally, the PW2 form requires comprehensive information about the applicant or contractor, highlighting the need for transparency and accountability. Every section, from insurance details reflecting compliance with state laws to declarations by construction superintendents or site safety managers, is integral for maintaining the standards of safety and regulation set by the city. Moreover, the form mandates explicit statements and signatures from applicants, reinforcing the seriousness of providing accurate and complete information under the threat of legal consequences for falsification. Taken together, the PW2 form epitomizes the meticulous planning and regulation that epitomize New York City’s approach to building and renovation projects, aiming to ensure that every aspect of construction complies with the city's comprehensive safety, insurance, and regulatory requirements.

QuestionAnswer
Form NameNyc Buildings Form Pw2
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesPW2, Notarization, New_York, Mitigation

Form Preview Example

PW2: Work Permit Application

Orient and affix BIS

job number label here

Must be typewritten.

 

 

 

 

BIS Document No., required:

 

 

 

 

 

 

 

 

 

1

Reason For Filing Required for ALL applications.

 

 

 

 

 

 

 

 

Initial Permit Complete all sections. Expected work start date:

 

Renewal Permit with changes Complete all sections.

 

No Work Permit Complete all sections.

 

Renewal Permit without changes 1, 5, 7-10

 

 

2Location Information Required for ALL applications.

House No(s)

Street Name

 

 

 

 

 

 

 

 

Borough

Block

Lot

BIN

CB No.

 

 

 

 

 

Work on Floor(s)

 

 

 

Apt/Condo No(s)

 

 

 

 

 

3Applicant / Contractor Required for ALL applications. * indicates optional.

Last Name

 

First Name

Middle Initial

 

 

 

 

Business Name

 

 

Business Telephone

 

 

 

 

Business Address

 

 

Business Fax*

 

 

 

 

City

State

Zip

Mobile Telephone*

 

 

 

 

E-Mail*

 

 

TAXPAYER ID

 

 

 

 

4Filing Representative Complete if different from applicant specified in section 3. * indicates optional.

Last Name

 

First Name

Middle Initial

 

 

 

 

Business Name

 

 

Business Telephone

 

 

 

 

Business Address

 

 

Business Fax*

 

 

 

 

City

State

Zip

Mobile Telephone*

 

 

 

 

E-Mail*

 

 

Registration Number

 

 

 

 

5 Additional Applicant / Contractor Information

6Insurance P.E. / R.A. only.

General Contractor

Demolition Contractor

Fire Suppression Contractor Master Plumber

Oil Burner Installer

Sign Hanger

Professional Engineer

Registered Architect

Homeowner*

*DOB approval required.

5A,

5A

Insurance Tracking Number:

 

 

5B

5B

Does work require a HIC license?

Yes

No

 

 

If yes, HIC license number:

 

 

5C,

 

 

 

 

5C

License Number:

 

 

5D

 

 

 

 

 

 

 

 

 

 

5D Is applicant responsible for all work on this application?

5C

Yes

No If no, describe work responsibility:

5C,

6

Compensation insurance has been secured in accordance with the requirements of the Workman's Compensation Law. Check off all requirements and submit documentation with application.

Liability Insurance (NB permits only)

Required for all permits:

Workman’s Compensation Insurance Disability Insurance

1/08

PW2

 

 

 

 

 

 

 

PAGE 2

 

 

 

 

 

 

7

Type of Permit Choose ONE and complete any appropriate sub-choices or other information.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Alteration

 

Curb Cut

 

Fuel Burning

Plumbing

7C

7A Electrical application no. for shed lighting:

 

Boiler

 

Demolition and Removal

Gas

Sign

 

 

 

 

Construction Equipment

 

Fire Alarm

 

Oil

Sprinkler

7C

 

 

 

 

 

7B Related fence job no.

 

Chute

Fire Suppression System

Fuel Storage

Standpipe

7C

 

 

 

7C If applicable, provide the secondary

 

Fence

Foundation / Earthwork

Mechanical / HVAC

 

 

permit description here:

 

Sidewalk Shed 7A

Area of site (sq. ft):

 

New Building 7B

 

 

 

 

 

Supported Scaffold

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Other:

 

 

 

 

 

 

 

 

 

 

Earthwork Only

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

8

Construction Superintendent / Site Safety Manager Requirements Not required if applicant is licensee.

 

 

 

 

 

 

I, the contractor stated below, hereby declare the scope of work filed under this permit application requires (choose one):

 

Construction Superintendent 10

Site Safety Manager 10

 

Neither

 

 

 

 

 

 

 

9

Applicant / Contractor Statements and Signatures Required for ALL applications.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I hereby state that the above information is correct and complete to the best of my knowledge. I hereby assume responsibility for all statements applying to the applicant/contractor on this application. Falsification of any statement is a misdemeanor under §26-124 of the Administrative Code and is punishable by a fine, imprisonment, or both. It is a crime to offer or give to a city employee, or for a city employee to accept, any benefit, monetary or otherwise, either as a gratuity for properly performing the job or in exchange for special consideration. A conviction of offering of a bribe or gratuity is punishable by imprisonment, fine or both.

I hereby state that if a Construction Superintendent or Site Safety Manager is required for this application that I have hereby advised the individual listed below he or she is designed as such and hereby certify he or she is registered and in good standing with the NYC Department of Buildings.

I hereby state that I am in compliance with §24-220 of the NYC Noise Code which requires a complete and accurate Construction Mitigation Plan at the work site.

I hereby state that this renewal application with no change to Applicant, Filing Representative, Construction Superintendent, Site Safety Manager, or insurance is for the work as originally filed or as officially amended.

In accordance with Section 27-151 of the Administrative Code, I hereby declare that I am authorized by the owner of the above-referenced premises to make this application for a permit to perform the work described herein.

Name (print)

Signature

Notarization (required if not licensee) State of New York, County of:

Sworn to or affirmed under penalty of perjury

Licensee Seal or Notary Seal

day of

20

Date

Notary Signature

10Construction Superintendent or Site Safety Manager Required except if “Neither” is selected in section 8 above. *indicates optional

Last Name

 

First Name

Middle Initial

 

 

 

 

 

 

 

 

 

 

Business Name

 

 

Telephone

 

 

 

 

 

 

Address

 

 

Fax*

 

 

 

 

 

City

State

Zip

Mobile Telephone*

 

 

 

 

 

E-Mail*

 

 

Registration/License Number

 

 

 

 

 

Choose one:

Construction Superintendent

 

Site Safety Manager

I, the undersigned, will perform, on behalf of the Contractor, all of the functions required of a Construction Superintendent/Site Safety Manager (identified above) as set forth in the Department of Buildings rules and regulations.

Name (print)

Signature

Notarization

State of New York, County of:

Sworn to or affirmed under penalty of perjury

Notary Seal

day of

20

Date

Notary Signature

1/08

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This document requires particular details to be filled out, hence you should definitely take whatever time to enter precisely what is asked:

1. The E-Mail will require certain information to be inserted. Be sure that the next fields are complete:

Completing segment 1 of Falsification

2. When this segment is done, you'll want to put in the required specifics in Filing Representative Complete if, Last Name, Business Name, Business Address, City, EMail, First Name, Middle Initial, State, Zip, Business Telephone, Business Fax, Mobile Telephone, Registration Number, and Additional Applicant Contractor so you can progress further.

Filling in part 2 of Falsification

3. The following section is mostly about Type of Permit Choose one and, Curb Cut, Fuel Burning, Plumbing C, Electrical application no for shed, Alteration, Boiler, Chute, Fence, Construction Equipment, Fire Alarm, Oil, Demolition and Removal, Gas, and Sign - fill out each of these blanks.

Falsification conclusion process shown (part 3)

It is possible to make errors while completing the Chute, hence ensure that you look again before you submit it.

4. Completing cid In accordance with Section of, application for a permit to, Name print, Signature, Notarization required if not, Sworn to or affirmed under penalty, day of, Licensee Seal or Notary Seal, Date, Notary Signature, Construction Superintendent or, Last Name, Business Name, Address, and City is key in this fourth stage - make certain that you take your time and fill in each and every empty field!

Address, Construction Superintendent or, and Last Name inside Falsification

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