Pw1 Form PDF Details

Entering the realm of building and construction in New York City involves navigating a maze of forms and permits, among which the PW1: Plan / Work Application stands out for its critical role. This document, mandatory for nearly all construction, alteration, and demolition projects, must be completed meticulously in typewritten form to commence the official review process by the Department of Buildings (DOB). It succinctly gathers essential information about the work site, including precise location details, and extends to gather applicant and filing representative data, underscoring the demand for accuracy in both identification and contact information. Specific sections of the form guide applicants through declaring job/project types—distinguishing among alterations, new buildings, or demolition projects among others—and detail the nature of work, encompassing a wide spectrum from structural changes to essential service installations like plumbing, fire suppression, and more. The filing status and job description sections facilitate the initial versus amendment distinctions, crucial for the DOB's tracking and processing. Furthermore, considerations regarding zoning characteristics, building occupancy, and compliance paths for energy conservation highlight the PW1's comprehensive coverage. Accompanying professional certifications enforce the submission’s integrity, emphasizing the accountability of the applicants in ensuring adherence to all applicable codes and regulations. A final nod to property owner statements solidifies the form as a pivotal document bridging regulatory compliance with the physical transformation of New York City’s built environment.

QuestionAnswer
Form NamePw1 Form
Form Length5 pages
Fillable?No
Fillable fields0
Avg. time to fill out1 min 15 sec
Other namespw1 information, nyc buildings pw1, what is a pw1 form, dob pw1 forms

Form Preview Example

PW1: Plan / Work Application

Must be typewritten.

Orient and affix BIS

job number label here

1Location Information Required for all applications.

House No(s)

Street Name

 

 

 

 

 

 

 

 

Borough

Block

Lot

BIN

C.B. No.

 

 

 

 

 

Work on Floor(s)

 

 

 

Apt. / Condo No(s)

 

 

 

 

 

2Applicant Information Required for all applications. Fax, mobile telephone and e-mail address are optional information.

Last Name

 

 

First Name

 

Middle Initial

 

 

 

 

 

 

 

Business Name

 

 

 

 

 

Business Telephone

 

 

 

 

 

 

 

Business Address

 

 

 

 

 

Business Fax

 

 

 

 

 

 

 

City

 

 

State

Zip

 

Mobile Telephone

 

 

 

 

 

 

 

E-Mail

 

 

 

 

 

License Number

 

 

 

 

 

 

 

Choose one:

P.E.

R.A.

Sign Hanger

R.L.A.

Other:

 

 

 

 

 

 

 

3Filing Representative Complete only if different from applicant specified in section 2. Fax, mobile phone, and e-mail are optional info.

Last Name

 

First Name

Middle Initial

 

 

 

 

Business Name

 

 

Business Telephone

 

 

 

 

Business Address

 

 

Business Fax

 

 

 

 

City

State

Zip

Mobile Telephone

 

 

 

 

E-Mail

 

 

Registration Number

 

 

 

 

4 Filing Status Required for all applications. Choose one and provide specified associated information.

Initial Filing 5, 7, 11, 12A, 25-26

Choose only one:

Standard Plan Examination or Review

Professional Certification PC1, POC1 Professional Certification of Objections AI1

Prior to Approval Actions 25-26

Amend Existing Filing 4A

 

Subsequent Filing 6-7,

8A (Alt-2 only), 11

Post Approval Amendment (PAA) 4A, 6, 24-25

Will PAA affect filing fees?

Yes

No

New (Superseding) Applicant 4A, 25-26

Reinstatement 24-26

Withdrawal 26

Specified in 4A and 6

Entire Job

4A Indicate existing document number affected by filing:

5

Job/Project Types Choose one and provide specified associated information.

 

 

 

 

 

 

 

 

 

Alteration Type 1 or Alteration Type 1 required

Alteration Type 2

5A, 6A-D, 8A-B, 9-10, 13C-E, &

Full Demolition

6B, 8D, 9A &

 

to meet New Building requirements (28-101.4.5)

14, 20, 22

 

 

9C-D, 9K, 13D-E, 14, 21A, 22

 

6A-E, 8B-C, 9-10, 12, 13C-F, 14, 18-20, 22 &

Alteration Type 3

5A, 6B-F, 8C, 9-10, 13C-E, 20, 22

Subdivision 9A, 9D, 12A-B

 

PW1A, PD1

New Building 6A-E, 8F-G, 9A, 9C-K, 10, 12 &

Condominium

Improved 17

 

Alteration Type 1, OT: “No Work” 8C, 9-10 &

 

 

 

13A-E, 14, 18-20, PW1A, PD1

5ADirective 14 acceptance requested?

 

12, 13C-F, 14, 18-19, 22, PW1A, PD1

Sign 5A, 6B-D, 9A, 9D, 22-23

Yes

No

 

 

 

 

 

6

Work Types Select all that apply but no more than allowed by job and filing type. “OT” required on all NB and Alteration 1 initial applications.

 

 

 

 

 

 

 

6A

BL - Boiler PW1C

FS - Fuel Storage PW1C

PL - Plumbing PW1B

 

FA - Fire Alarm

FP - Fire Suppression

SD - Standpipe PW1B

 

FB - Fuel Burning PW1C

MH - Mechanical

SP - Sprinkler PW1B

 

 

 

 

6B

EQ - Construction

6C OT/GC - General

6D OT - Other, describe:

 

Equipment 15

Construction

 

 

 

 

 

6E

CC - Curb Cut 16

 

OT/LAN - Landscape

6F

OT/ANT - Antenna

 

OT/BPP - Builders Pavement Plan 8D

OT/FPP - Fire Protection Plan

OT/MAR - Marquee 8E, 26B

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PW1

 

 

 

PAGE 2

 

 

 

 

7

Plans/Construction Documents Submitted Plans are required for most applications.

 

 

 

 

 

 

 

 

Are plans being submitted with this PW1?

Yes

No If yes, do the plans include:

FO Foundation

EN Energy Analysis

 

 

 

 

 

 

8

Additional Information

 

 

 

 

 

 

 

 

 

 

8A WT Cost

WT Cost

WT Cost

8B Is a building enlargement proposed?

8C

Estimated Job Cost $

 

 

 

 

 

 

No enlargement is proposed

8D

Street Frontage:

 

linear ft.

 

 

 

 

 

 

Yes 12, PD1

 

8E

Height:

ft. Width:

ft.

Horizontal

Vertical

 

 

 

8F

Total Construction Floor Area:

 

Additional Construction Floor Area:

 

 

 

sq. ft.

 

sq. ft.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

9 Additional Considerations, Limitations or Restrictions

9A Review is requested under which building code?

2014

 

2008

1968

Prior to 1968

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Yes No

 

 

 

 

Yes No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

9B

 

Alteration required to meet New Building

 

 

 

 

Change in number of dwelling units

 

 

 

requirements (28-101.4.5) If yes, 13A-B

 

 

 

 

Change in occupancy / use

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Alteration is a major change to exits

 

 

 

 

Change is inconsistent with current certificate of occupancy

 

 

 

 

 

 

 

Change in number of stories

 

 

 

9C

 

Façade Alteration

 

 

 

 

 

 

 

 

 

Adult Establishment If yes, plot diagram (except DM)

 

 

 

 

 

 

 

 

 

 

 

 

 

Infill Zoning

 

 

 

 

 

 

 

 

Compensated Development (Inclusionary Housing)

 

 

Loft Board

Yes

No Work Includes:

 

 

 

Low Income Housing (Inclusionary Housing)

 

 

 

 

Quality Housing

 

 

 

Prefab wood I-joists

 

 

Single Room Occupancy (SRO) Multiple Dwelling

 

 

Site Safety Job/Project

 

 

 

Structural cold-formed steel

 

 

Filing includes Lot Merger / Reapportionment

If yes, 17

 

 

Included in LMCCC

 

 

 

Open-web steel joists

 

 

 

 

 

 

 

 

 

 

 

 

 

 

9D

 

Landmark

 

 

 

 

Filing to address violations

 

 

 

 

 

 

 

 

Little “E” or RD Site

 

 

 

 

(list #s—max. 5):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Unmapped/CCO Street

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Requesting legalization of work where no work

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

without a permit violations have been issued

 

 

 

 

 

 

 

 

 

LL Number

 

Year

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Other (please specify on line provided below):

 

 

 

 

Filing to comply with Local

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Laws (list #smax. 2)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CRFN(s) Restrictive Declaration / Easement (max. 4):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CRFN(s) Zoning Exhibit (I, II, III, etc. - max. 4):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

9E

 

BSA Calendar Numbers (max. 5):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

9F

 

CPC Calendar Numbers (max. 5):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

9G

 

Work includes lighting fixture and/or controls, installation or replacement. [ECC §404 and §505]

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

9H

 

Work includes modular construction under New York State jurisdiction

 

 

9I

High Rise Team tracking #:

 

 

Work includes modular construction under New York City jurisdiction

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

9J

 

Structural peer review required per BC 16. If yes, provide NYS P.E. license number:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

9K

 

Work includes permanent removal of standpipe, sprinkler or fire suppression related systems

 

 

 

 

 

 

9L

Work includes partial demolition as defined in AC §28-101.5, or the raising/moving of a building If yes, 21B

Structural stability affected by proposed work

10NYCECC Compliance New York City Energy Conservation Code

To the best of my knowledge, belief and professional judgment, all work under this application is in compliance with the NYCECC*

Code Compliance Path (choose one):

NYCECC

ASHRAE

 

 

Energy Analysis (choose one):

Tabular Analysis

REScheck

COMcheck

Energy Modeling (EN1)

To the best of my knowledge, belief and professional judgment, all work under this application is exempt from the NYCECC* in accordance with one of the following (choose one):

The work is an alteration of a State or National historic building.

The scope of the work is entirely in a “low-energy building” and is limited to the building envelope.

The entire scope of work involves a temporary structure and/or one or more of the following work types: FA, FP, SD, SP, FS, EQ, CC, OT/BPP, OT/FPP. Other work types are not exempt.

This is a post-approval amendment and exempt under a prior edition of the energy code. See statement of exemption on attached drawings.

12/14

PW1

 

PAGE 3

 

 

 

 

 

11

Job Description

 

11A

Related DOB Job Numbers

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

11B Primary application job no.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

12

Zoning Characteristics

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

12A

District(s)

 

 

 

 

 

 

 

12B Street legal width:

 

 

 

ft.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Overlay(s)

 

 

 

 

 

 

 

Street Status:

Public

Private

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Special Dist.(s)

 

 

 

 

 

 

 

 

If the zoning lot includes multiple

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Map Number

 

 

 

 

 

 

 

 

tax lots, list all tax lots here ►

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

12C Proposed: Use*

 

Zoning Floor Area

 

District

 

FAR

Proposed Lot Details:

 

 

 

 

 

Proposed Yard Details:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

sq. ft.

 

 

 

 

 

Lot Type:

Corner

Interior

Through

 

Check here if no yards:

or

 

 

 

 

 

 

 

 

 

 

 

 

 

 

%

 

 

 

 

 

ft.

 

 

 

 

sq. ft.

 

 

 

 

 

Lot Coverage

 

 

 

 

Front Yard

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

sq. ft.

 

 

 

 

 

 

Lot Area

 

 

sq. ft.

 

 

Rear Yard

ft.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

sq. ft.

 

 

 

 

 

 

Lot Width

 

 

 

ft.

 

Rear Yard Equivalent

ft.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

sq. ft.

 

 

 

 

Proposed Other Details:

 

 

 

 

 

 

Side Yard 1

ft.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

sq. ft.

 

 

 

 

 

 

Enclosed Parking?

Yes No

 

 

Side Yard 2

ft.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Proposed Totals

 

sq. ft.

 

 

 

 

 

If yes, no. of parking spaces:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Existing Total

 

sq. ft.

 

 

 

Perimeter Wall Height

 

ft.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

*Use can be one of the following: residential, commercial, manufacturing, or community facility. List only one use per line.

13Building Characteristics *Main use/dominant occupancy per AC §28-101.5. **Use 2014 Code equivalents only. Residential w/other use.

13A Primary structural system, choose one:

Masonry

Concrete (CIP)

 

 

Concrete (Precast)

 

 

 

 

 

 

 

Wood

 

Steel (Structural)

 

 

Steel (Cold-Formed)

Steel (Encased in Concrete)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

13B

 

 

Existing

 

 

Proposed

 

13D Building Type:

 

1, 2, or 3 Family

Other

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Mixed use building?

Yes

No

 

 

Structural Occupancy/Risk Cat.

 

2014 Code

 

2014 Code

 

 

 

 

Seismic Design Cat.

 

Designations?

 

Designations?

 

13E

 

 

Existing

Proposed

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

13C

Occupancy Classification*

 

Yes

No

 

Yes**

 

 

Building Height

 

ft.

ft.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Construction Classification

 

Yes

No

 

Yes No

 

 

Building Stories

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Multiple Dwelling Classification

 

 

 

 

 

 

 

Dwelling Units

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

13F

 

Building was originally erected pursuant to which Building Code:

2014

2008

1968

Prior to 1968

 

 

The earliest Code with which this building or any part of it is required to comply:

2014

2008

1968

Prior to 1968

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

14

Fill Choose one.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Not Applicable

On-Site

Off-Site

 

Under 300 cubic yards

 

 

 

 

 

15 Construction Equipment

Chute

Sidewalk Shed

 

Construction Material:

Fence

Size:

linear ft. BSA/MEA Approval No.

 

 

 

 

 

Supported Scaffold

Other:

 

 

 

 

 

 

 

16 Curb Cut Description

Size of cut (with splays):

ft.

 

 

 

 

Distance to nearest corner:

ft.

to street:

 

 

 

 

 

 

17 Tax Lot Characteristics

Original tax lots being merged or reapportioned (if applicable):

Tentative tax lot numbers (new tax lots only):

18 Fire Protection Equipment

Existing Proposed

Yes No Yes No

Fire Alarm

Fire Suppression

Sprinkler

Standpipe

12/14

PW1

PAGE 4

19 Open Spaces

 

Existing

 

Proposed

 

 

 

 

Plaza Area

 

sq. ft.

sq. ft.

 

 

 

 

Parking Area

 

sq. ft.

sq. ft.

 

 

 

 

Loading Berths

 

sq. ft.

sq. ft.

 

 

 

 

 

Existing

 

Proposed

 

 

 

 

Arcade Area

 

sq. ft.

sq. ft.

 

 

 

 

Parking Spaces

 

 

 

 

 

 

 

Loading Berths

 

 

 

 

 

 

 

20

Site Characteristics

 

20A Flood Hazard Area Information

 

 

 

 

 

Yes No

Yes No

Yes No

 

Tidal Wetlands

Freshwater Wetlands

Substantial improvement?

 

Coastal Erosion Hazard Area

Urban Renewal

Substantially damaged?

 

Fire District

Flood Hazard Area If yes, 20A

Floodshields part of proposed work?

21Demolition Details *Mechanical equipment other than handheld devices to be used for demolition or removal of debris (BC §3306.4).

 

Yes No

 

 

21A

Demo. filing is for a secondary structure?

If yes, specify structure being demolished:

 

 

Mechanical means* from out of building?

If yes, mechanical means will demolish: entire structure or

part of structure

 

Mechanical means* from within building?

If yes, describe equipment proposed:

 

21B

Demolition work affects the exterior building envelope

 

 

The scope of work involves raising/moving of a building

 

22

Asbestos Abatement Compliance Choose one.

 

The scope of work requires related asbestos abatement as defined in the regulations of the NYC Department of Environmental Protection (DEP).

 

The scope of the work is not an asbestos project as defined in the regulations of the NYC DEP. DEP Control # is required.

 

DEP ACP-5 Control No.

 

The scope of work is exempt from the asbestos requirement as defined in the regulations promulgated by the NYC DEP (15 RCNY 1-23(b))

 

or is an alteration to a building constructed pursuant to plans submitted for approval on or after April 1, 1987, in accordance with § 28-106.1.

23

Sign

 

 

Purpose:

 

Type:

 

Estimated Cost: $

 

 

 

 

 

 

 

 

 

 

Advertising

 

Illuminated 23A

 

Total Square Feet:

 

 

 

 

 

 

 

 

 

 

Non-Advertising

 

Non-Illuminated

 

Height above Curb:

ft.

in.

 

 

 

 

 

 

 

 

Location: Ground

Roof 23B

Wall Height above Roof:

ft.

in.

Yes No

 

 

 

 

 

 

 

 

 

 

 

 

Is sign inside building line?

 

If no, sign projects by:

ft.

in.

 

 

 

 

Designed for changeable copy? If no, 23C

 

 

Does an OAC have an interest in this sign or location? If yes, 23G

 

Within 900’ and within view of an arterial highway? If yes, 23D

 

Within 200’ and within view of a park 1/2 acre or more? If yes, 23E

 

If answer is “yes” to either of the above two questions and this is an

 

advertising sign, OAC sign number is required in section 23F

 

 

23A

Illuminated type:

Direct

Flashing

Indirect

 

Yes No

 

 

 

 

If sign projects beyond building line, is owner

 

billed for annual permit? If no, specify in 26B

 

 

 

23B

Is roof sign tight, closed or solid?

 

 

 

23C

Sign wording. If extensive, provide only key wording.

 

 

 

 

23D

Distance from Arterial Highway:

 

ft.

 

 

 

23E

Distance from Park 1/2 acre or more:

ft.

 

 

 

 

 

23F

OAC Sign Number:

 

 

 

 

 

 

 

23G

OAC Registration Number:

 

 

 

 

 

 

 

24Comments Place additional comments on an AI-1 form. See Guide for proper incorporation of professional certification statements.

12/14

PW1

PAGE 5

 

 

 

25

Applicant’s Statements and Signatures

Required for all applications.

 

 

 

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 prepared or supervised the preparation of the construction documents and specifications herewith

submitted and to the best of my knowledge and belief, the construction documents and work shown thereon comply with the provisions of the NYC Administrative Code and other applicable laws and rules, (←check here if) except as set forth in the accompanying documents. I acknowledge that I have read and complied with all instructions pertaining to

this application and supplementary schedules submitted. Cluster Development Statement (if applicable): I hereby state that all specifications relating to this job are identical to those previously filed under the group lead job number, except as specified herein.

For initial New Building and Alteration 1 applications filed under the 2008 or 2014 NYC Building

Name (print):

Code only: does this building qualify for high-rise designation?

Yes

No

 

Directive 14 initial applications only: I certify that the construction documents submitted and

Sign and Date:

all construction documents related to this application do not require a new or amended Certificate of

 

Occupancy as there is no change in use, exits, or occupancy.

Yes

No

P.E. / R.A. Seal (apply seal, then sign and date over seal)

26

Property Owner’s Statements and Signatures

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. Furthermore, I understand that I am responsible for insuring that a final inspection be performed when the permitted work is complete, and that a satisfactory report of final inspection be submitted, along with all required submittal documents, so that the NYC Department of Buildings may issue a letter of completion or certificate of occupancy within the time prescribed by law.

I have authorized the applicant to file this application for the work specified herein and all future amendments. I will not knowingly authorize any work that is not in compliance with all applicable laws, rules, and regulations.

Yes No

Fee Exemption Request (Non-Profit Owned and Operated)

In accordance with Administrative Code §28-112.1, Exception 1, I certify that the deed holder is a corporation or association organized and operated exclusively for the purposes indicated in such section, and that the property is used exclusively by such entity for such purposed.

Fee Exemption Request (NYCHA/HHC, NYC Agency, or Other Government Owned and Operated) The building or any part thereof to be constructed, renovated, altered or demolished is owned and operated exclusively for the purposes of the NYC Agency, NYC Authority, NYS Agency, Federal Government or any other government entity.

Owner’s Certifications Regarding Occupied Housing

The site of the building to be altered or demolished, or the site of the new building to be constructed, contains one or more occupied dwelling units that will remain occupied during construction. These occupied dwelling units have been clearly identified on the submitted construction documents.

The site of the building to be altered or demolished, or the site of the new building to be constructed, contains occupied housing accommodations subject to rent control or rent stabilization under Chapters 3 and 4 of Title 26 of the New York City Administrative Code. If yes, select one of the

following:

The owner is not required to notify the New York State Homes and

Community Renewal (NYSHCR) of the owner’s intention to file because the nature and scope of the work proposed, pursuant to NYSHCR regulations, does not require notification.

The owner has notified the New York State Homes and Community Renewal (NYSHCR) of its intention to file such construction documents/apply for such permit and has complied with all requirements imposed by the regulations of such agency as preconditions for such [filing/application].

Provide date NYSHCR notified:

Owner’s Certification for Directive 14 Applications (if applicable)

I have read and am fully aware of the applicant's statement that the construction documents submitted and all construction documents related to this application will not require a new or amended Certificate of Occupancy as there is no change in use, exits, or occupancy and the work is not inconsistent with the current certificate of occupancy. Furthermore, I understand that I am responsible for retaining a qualified design professional to perform a final inspection when the permitted work is complete and this professional must submit a satisfactory final inspection report to the NYC Department of Buildings within the time following inspection prescribed by Department rule.

Notes for Section 26A: Section required if unit owner signed Section 26. Signature required for authorized representative of Condo or Co-Op board.

For fee waivers, please see the PW1 User Guide

Owner

Individual

Partnership

NYCHA / HHC

Type:

Corporation

Other Government

NYC Agency

 

Condo Unit Owner or Co-Op Tenant-shareholder 26A

 

Is the deed holder a non-profit organization?

Yes

No

Name (please print):

 

 

 

 

 

 

 

 

Relationship to Owner:

 

 

 

 

 

 

 

 

Business Name/Agency:

 

 

 

 

 

 

 

 

 

Street Address:

 

 

 

 

 

 

 

 

 

City:

State:

Zip:

 

 

 

 

 

 

Telephone Number:

Fax:

 

 

 

 

 

 

 

 

E-Mail Address:

 

 

 

 

 

 

 

 

Signature and Date

 

 

 

 

 

 

 

 

 

26A

Condo/Co-Op Board

See note in bottom left corner of page.

 

 

 

 

 

Name (please print):

 

 

 

 

 

 

 

 

 

Title:

 

 

 

 

 

 

 

 

 

Street Address:

 

 

 

 

 

 

 

 

 

City:

State:

Zip:

 

 

 

 

 

Telephone Number:

Fax:

 

 

 

 

 

 

 

 

E-Mail Address:

 

 

 

 

 

 

 

Signature and Date

 

 

 

26B Lessee Responsible for Annual Sign or Marquee Permit

Name (please print):

 

 

 

 

 

Relationship to Owner:

 

 

 

 

 

Business Name/Agency:

 

 

 

 

 

Street Address:

 

 

 

 

 

City:

State:

Zip:

 

 

 

Telephone Number:

Fax:

 

 

 

 

E-Mail Address:

 

 

 

 

 

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Filling out segment 1 in pw1 forms

2. The subsequent part is to fill in all of the following blanks: Choose only one, Standard Plan Examination or, Prior to Approval Actions Amend, Withdrawal Specified in A and, A Indicate existing document number, affected by filing, JobProject Types Choose one and, Alteration Type or Alteration, Alteration Type A AD AB CE, Full Demolition B D A, to meet New Building requirements, AE BC CF, Alteration Type A BF C CE, PWA PD Alteration Type OT No Work, and New Building AE FG A CK.

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4. The next subsection needs your details in the subsequent parts: Landmark Little E or RD Site, UnmappedCCO Street, Requesting legalization of work, without a permit violations have, Other please specify on line, CRFNs Restrictive Declaration, CRFNs Zoning Exhibit I II III etc, BSA Calendar Numbers max, CPC Calendar Numbers max, Filing to address violations list, Filing to comply with Local Laws, LL Number, Year, Work includes lighting fixture, and Work includes modular construction. Just remember to type in all requested information to move forward.

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