Nyc Form Pw5 PDF Details

In the bustling metropolis of New York City, where the skyline is constantly evolving and the streets rarely sleep, construction and maintenance work often extends beyond the typical 9-to-5 schedule. To accommodate this necessity while balancing the need for regulation and community peace, the New York City Department of Buildings requires the use of the PW5: After Hours Work Permit Application. This crucial form serves as a bridge between construction entities and the city's regulations, ensuring that both minor and major projects can proceed during hours that might otherwise infringe on local ordinances or residents' peace. The form meticulously outlines the need for comprehensive details including filing status, specific location information, contractor and subcontractor details, and a clear depiction of the variance sought for working beyond standard hours. It emphasizes the requirement for all applications to be typewritten and completed in full, underlining the city's strict deadline for weekend variance requests. Guidelines within the form also stipulate the legal and ethical boundaries for interactions between city employees and project representatives, alongside the obligations of the applicant to adhere to noise mitigation standards set forth by the city. This document not only facilitates the essential after-hours work but also embeds within it a framework aimed at ensuring accountability, transparency, and consideration for New Yorkers affected by such activities.

QuestionAnswer
Form NameNyc Form Pw5
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namespw5 pw5 job form

Form Preview Example

PW5: After Hours

Work Permit Application

Orient and affix BIS

job number label here

Must be typewritten

All information must be completed for review of this request. Incomplete submissions will be denied without review.

The deadline to submit weekend variance requests is Tuesday at 3:00PM, and variances will not be granted for any day earlier than Saturday of the same week.

1

Filing Status Information Required for all applications. Check applicable box for application type.

Work Permit No.

 

 

 

BIS Job

 

Electrical Application

Variance Type:

 

Initial

 

Renewal

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)

 

 

 

 

 

3

Contractor Required for all applications. Business Fax and Email are optional.

Last Name

First Name

 

 

 

 

Middle Initial

 

 

 

 

 

 

 

 

 

 

 

 

 

Business Name

 

 

 

 

 

 

 

Business Telephone

 

 

 

 

 

 

 

 

 

 

 

 

 

Business Address

 

 

 

 

 

 

Business Fax / Email

 

 

 

 

 

 

 

 

 

 

 

 

 

City

State

Zip

 

 

 

Mobile Telephone

 

 

 

 

 

 

 

 

 

 

 

 

 

 

License Number

License Type

 

 

GC

 

Electrician

 

MP

 

FSC

 

Other:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4Subcontractor If a subcontractor is involved in this work, their information must be provided. Business Fax and Email are optional.

Last Name

 

First Name

Middle Initial

 

 

 

 

Business Name

 

 

Business Telephone

 

 

 

 

Business Address

 

 

Business Fax / Email

 

 

 

 

City

State

Zip

Mobile Telephone

 

 

 

 

5

Variance Information Required for all applications.

Is a residence within 200 feet of the site?

 

Yes

 

No

Total Number of Days Requested:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Days of Week

Date(s) Requested

 

 

Hours

Description of Work (Specify weekday vs. weekend work)

 

Monday

 

 

 

 

 

to

 

 

 

 

 

 

 

 

 

 

 

Tuesday

 

 

 

 

 

to

 

Weekday

 

 

 

 

 

 

 

 

Wednesday

 

 

 

 

 

to

 

 

 

 

 

 

 

 

 

 

 

Thursday

 

 

 

 

 

to

 

 

 

 

 

 

 

 

 

 

 

Friday

 

 

 

 

 

to

 

 

 

 

 

 

 

 

 

 

Weekend

Saturday

 

 

 

 

 

to

 

 

 

 

 

 

 

 

 

Sunday

 

 

 

 

 

to

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Reason for Variance:

6Statements and Signature Required for all applications.

This permit must be posted visible to the public. Falsification of any statement is a misdemeanor and is punishable by a fine or imprisonment, or both. It is unlawful to 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. Violation is punishable by imprisonment or fine or both.

I understand that if I am found after hearing to have knowingly or negligently made a false statement or to have knowingly or negligently falsified or allowed to be falsified any certificate, form, signed statement, application, report or certification of the correction of a violation required under the provisions of this code or of a rule of any agency, I may be barred from filing further applications or documents with the Department.

I hereby certify that I have developed a noise mitigation plan for the site in accordance with Administrative Code § 24-219 through § 24-224 and that such plan is in compliance with the Department of Environmental Protection’s noise mitigation rules.

Contractor Name (print)

Signature

Date

 

 

Internal Use Only

Approved

Denied

Limited Approval

Indicate days-of-week authorized for electronic renewal

Limited to:

Borough Commissioner Signature

Date

 

Filing Fee

Permit Fee

 

 

 

 

 

 

 

 

 

12/10