Pw1 Form – Fill Out and Use This PDF

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Pw1 Form PDF Details

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Question	Answer
Form Name	Pw1 Form
Form Length	5 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	1 min 15 sec
Other names	pw1 information, nyc buildings pw1, what is a pw1 form, dob pw1 forms

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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 &
	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

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
Horizontal	Vertical	8F	Total Construction Floor Area:
Additional Construction Floor Area:					sq. ft.
	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

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

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

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 #s—max. 2)

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

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

BSA Calendar Numbers (max. 5):

CPC Calendar Numbers (max. 5):

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

Work includes modular construction under New York State jurisdiction

High Rise Team tracking #:

Work includes modular construction under New York City jurisdiction

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

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

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.

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:

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

Structural Occupancy/Risk Cat.

2014 Code

Seismic Design Cat.

Designations?

13E

Existing

Proposed

13C

Occupancy Classification*

Yes

Yes**

Building Height

ft.

Construction Classification

Yes

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

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:
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
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)

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:

12/14

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1. Whenever filling out the pw1 form dob, make certain to include all necessary fields in its corresponding area. This will help to speed up the process, enabling your details to be processed without delay and properly.

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.

Alteration Type or Alteration, PWA PD Alteration Type OT No Work, and Alteration Type A AD AB CE inside pw1 forms

3. This next section is considered relatively easy, PlansConstruction Documents, Are plans being submitted with, Additional Information, A WT Cost, WT Cost, WT Cost, B Is a building enlargement, Additional Construction Floor Area, sq ft, No enlargement is proposed, D Street Frontage, Yes PD, E Height, ft Width, and Horizontal - these fields has to be filled out here.

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.

Concerning CRFNs Restrictive Declaration and BSA Calendar Numbers max, be sure that you get them right in this current part. These could be the key ones in this file.

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