Construction Safety Compliance (CSC)
Easements & Restrictive Declarations
Administrative Enforcement Unit (AEU)
Borough Intake Form |
PW1 Plan/Work Approval Application |
PD1 Plot Diagram |
ZD1 Zoning Diagram |
PW1A Schedule A: Occupancy/Use |
PW1B Schedule B: Plumbing /Sprinkler/Standpipe Provides supplemental information involving plumbing, sprinkler and standpipe systems. Download Form - Rev. 12/14 Download Instructions |
PW1C Schedule C: Heating and Combustion Equipment Provides supplemental information involving heating and combustion equipment. Download Form - Rev. 9/16 Download Instructions |
PW2 Work Permit Application Filed (with authorization of owner) by contractor or licensee in order to obtain a permit to perform work. Download Form - Rev. 11/20 or Electronically File Download Instructions |
PGL1 Project Specific General Liability Insurance Summary and Affirmation To create a PGL1 form for submission, use the DOB Tool. For additional information on Project Specific General Liability Insurance Requirements, read more here. |
PW3 Cost Affidavit Must be filed to certify estimated and actual costs, in order to obtain a work permit. View information on PW3 Requirements, the Fee Structure & List of Applications Requiring a PW3 as well as information on New Building Related/In-conjunction Filings. Download Form - Rev. 12/14 Download Instructions |
PW4 Equipment Use Application/Permit To be filed for all equipment specified in §28-116.4.1 of the Building Code of the City of New York. Download Form - Rev. 2/15 Download Instructions |
PW5 After-Hour Work Permit Application To be filed by applicant requesting a permit to engage in construction activities at any time other than on weekdays between the hours of 7:00 AM and 6:00 PM. Download Form Rev. 5/17 or Electronically File Download Instructions |
PW6 Certificate of Occupancy Application |
PW7 Letter of Completion Request |
AI1 Additional Information Multipurpose form for applicants to provide additional information on jobs. Do not use this form for any Determination requests. Instead, use the Determination request forms (ZRD1 and CCD1). Download Form for Jobs with Scanned (BSCAN) Plans - Rev. 3/09 |
AO1 Administrative Objections Form This form will be used to capture the reasons why an application could not be processed prior to approval. This new form will accommodate B-SCAN so the applicant will be able to view the disapproval reasons online. Download Form - Rev. 12/14 |
Attachment A: Local Law 26/04 14 Year / Final Sprinkler Report & Application for Extension Download A Attachment Form - Rev. 12/17 |
Attachment B: Local Law 26/04 Final Sprinkler Report Download Attachment B Form - Rev. 6/19 |
Certificate of Occupancy Worksheet |
Construction Safety Enforcement Appointment Request Form |
DS1 Demolition Submittal Certification Form |
MDL1 Registration of Dwelling Units for Other than Permanent Residence Purposes Use this form to register Class A multiple dwelling units within dwellings currently operating as hotels for other than a permanent residence purposes. This form and the supporting documentation must be submitted to and processed by the Department by January 12, 2011. Download Form - Rev. 2/11 Download Instructions View Service Notice |
OP96 Builder Certification For Temporary Certificate of Occupancy Used by developer when seeking Temporary Certificate of Occupany for a 1, 2 or 3 family dwelling to certify that escrow funds will be deposited on behalf of homeowner to ensure completion of the dwelling. Download Form - Rev. 9/05 |
OP97 Escrow Agent/Attorney Letter Used by escrow agent for developer seeking Temporary Certificate of Occupany for a 1, 2 or 3 family dwelling to certify that escrow funds were or will be deposited on behalf of homeowner to ensure completion of the dwelling. Download Form - Rev. 8/05 |
PA1 Place of Assembly Application |
B Form 10H Manufacturer's Statement Required prior to permit if the application proposes the installation of structural masonry. Download Form - Rev. 7/08 |
B Form 10J Supplier's Statement Submit prior to signoff if the work included the installation of structural masonry. Download Form - Rev. 4/04 |
B Form 20SS Preliminary Affidavit By Fabricator / Erector Submit prior to permit if the application proposes the use of structural steel. Download Form - Rev. 4/04 |
B Form 24SS Final Certification By Fabricator / Erector Submit prior to signoff if the work included the installation of structural steel. Download Form - Rev. 4/04 |
DPL-1 Form: Design Professional / Licensee Form Seal and Signature Form for DOB NOW Used in DOB NOW by Design Professionals and Licensees with seals in order to complete a filing submission. Download Form - Rev. 11/18 |
ER1 Emergency Response Agencies C/O Notification Affidavit (Prior to C/O or Sign-off) Notification Affidavit to certify that applicant has provided a site plan to the Emergency Response Agencies (NYPD, FDNY, EMS, and Department of City Planning). Download Form - Rev. 3/02 |
ER2 Emergency Response Agencies C/O Notification Affidavit (Prior to Approval) Notification Affidavit to certify that applicant has provided a site plan to the Emergency Response Agencies (NYPD, FDNY, EMS, and Department of City Planning). Download Form - Rev. 3/02 |
HC4 Sewer Self Certification House Connection Proposal To propose new and existing sewer connection for 1, 2 and 3 family dwellings without commercial use. Download Form - Rev. 10/06 Download Instructions |
HC7 Sewer Self Certification Site Connection Proposal To propose sewer site connection by providing all calculations, plans and pertinent information pertaining to the disposal of all storm and sanitary discharge. Download Form - Rev. 10/06 Download Instructions |
HIC1 Home Improvement Contractor Affidavit To request for waiver of license requirement for obtaining a permit when filing for a Alteration 1, 2, and 3 applications for 1, 2, 3 or 4 family homes, co-op units, condo units or rented apartment units. Download Form - Rev. 9/07 |
HPD1 Anti-Harassment Area Checklist |
HPD2 Clinton Special District Anti-Harassment Checklist |
HPD3 Single Room Occupancy Multiple Dwelling |
HPD4 CONH Pilot Program Building Anti-Harassment Checklist |
HRT1 High Rise Initiative - Program Request Used by public to request participation in the High Rise Initiative program, available to New Building and Alteration 1 Enlargement high rise projects. Request form will be reviewed. If the applicant is eligible to join the program, a 1-hour appointment will be scheduled. Please review the Administrative Items Check List and the Drawing Submission Guideline for the list of documents the applicant has to provide during the meeting. Download Form - Rev. 4/13 Download Administrative Items Check List Download Drawing Submission Guideline |
L2 Requests for Overrides, Reductions, or Waivers of Civil Penalties for Work Without a Permit and Stop Work Order Violations |
Letter of No Objection (LNO) or Letter of Verification (LOV) Application |
Local Law 92/94 of 2019 Sustainable Roof Zone |
Local Law 104 of 2019 Request for Exception to Permit Restriction |
Local Law 114 of 2019 Request for Exception to Permit Denial |
OP133 Property Profile Change Request |
Open Application Cover Letter |
PC1 Required Items Checklist Used by applicants to file professionally certified applications. Download Form - Rev. 6/16 |
PEO1 Local Law 58 of 1987 Accessibility Waiver Request Request for Waiver of Local Law 58 of 1987. Basis of waiver as per section 27-292.6 of the Building Code. Download Form - Rev. 1/15 Download Instructions |
PEO4 Local Law 5 of 1973 Informational Checklist This checklist is to be used as an aid to the owner. The owner is responsible for full compliance with Local Law 5 of 1973. Download Form - Rev. 7/03 |
PER11 Appointment and Drop Off Request Form |
PER12 SEP Form - Professional Certification Audits and Inspections Appointment Request Form |
PER20 Request for Certificate of Occupancy with Open Application(s) Cover Letter |
POC1 Professional and Owner Certification Used by applicants to file with Plan/Work Approval Application. Download Form - Rev. 1/04 |
POC3 Professional and Owner Certification: Easement Agreement or Restrictive Declaration The POC3 form is to be used when an easement or restrictive declaration is filed in connection with a professionally certified application. The professional must sign the POC3 form, which will contain either the professional's certification: 1) that the easement or declaration materially conforms to the Department's approved form, or 2) that the easement or declaration has been reviewed and accepted by the General Counsel's Office. Download Form - Rev. 12/14 |
Project Advocate Service Request Form |
Property Ownership Certification |
RF1 Refund Request Application Use this application to claim a refund for the amount paid to the NYC Department of Buildings. Please see instructions for additional information and the required documentation that must accompany the application. Download Form - Rev. 2/18 Download Instructions |
ST1 Street Tree Checklist |
TR1 Technical Report: Statement of Responsibility Only for jobs filed prior to December 31, 2014 (See Buildings Bulletin 2014-017). |
TR2 Technical Report: Concrete Pouring, Sampling and Compression Test Cylinders File this form with the TR1 upon completion of required inspections/tests. Download Form - Rev. 12/14 Download Instructions |
TR3 Technical Report: Concrete Design Mix Use this form to indicate results of tests and final design mixture for strength of controlled concrete. Download Form - Rev. 2/15 Download Instructions |
TR3P Technical Report: Concrete Design Mix This form should be used by approved producers to indicate results of tests and final design mixtures for strength of controlled concrete. This Technical Report must be filed prior to permit issuance in accordance with the New York City Building Code, Chapter 19, Concrete. Trial mixture reports and/or field experiment results must be attached when submitting the TR3P. As a reminder, additional TR3P reports should be submitted as needed for additional trial mixes. Download Form - Rev. 2/15 |
TR4 Technical Report: Soil Inspection File this form with the TR1 upon completion of required inspections/tests. Download Form - Rev. 7/08 Download Instructions |
TR5 Technical Report: Pile Driving Use this form to indicate results of test report for pile driving. Download Form - Rev. 7/08 Download Instructions |
TR5H Technical Report: Helical Pile Installation Use this form for Helical Pile installations. This is a new form for the 2014 Codes and cannot be submitted to the Department prior to the effective date of the 2014 Codes, December 31. Download Form - Rev. 12/14 Download Instructions |
TR6 Technical Report: Periodic Inspection of Exterior Walls & Appurtenances The TR6 Report is a required compliance filing that must be completed in DOB NOW: Safety. You must be registered in eFiling to log into DOB NOW: Safety. Register in eFiling, today! The report must be accompanied by the Engineer and/or Architect's report. TR6 Report - Log into DOB NOW: Safety to complete DOB NOW: Safety QEWI Manual TR6 Instructions |
TR7 Photoluminescent Report Use this form to certify compliance with the Photoluminescent exit path marking requirements of Section BC 403.16, and 1 RCNY 1026-01 for high rise buildings constructed pursuant to the 2008 Building Code. This report may be completed by an architect or engineer. Download Form - Rev. 12/14 |
TR8 Technical Report Statement of Responsibility for Energy Code Progress Inspections For jobs filed prior to May 12, 2020 ONLY |
TR8 Technical Report for Energy Code Progress Inspections The progress inspector must inspect and compile supporting documentation for all inspections noted on the original TR8: Technical Report Statement of Responsibility for Energy Code Progress Inspections and on any subsequent TR8 statements filed as a result of post-approval amendments. The reports shall include the inspections and/or testing listed in Table I and/or Table II PROGRESS INSPECTIONS FOR ENERGY CODE COMPLIANCE and address all conditions applicable to the scope of work. Complete reports shall be submitted to the department upon request. Per 1 RCNY § 101-07 Approved Agencies (b) (3) Documentation, an approved agency shall maintain records of inspections and tests for at least 6 years. This template is provided as a guide for the level of documentation expected in a TR8 Inspection Report. The template may be filled in or a similar format may be followed, as long as the required information is included. Download Template - Rev. 7/19 |
TR15 Technical Report: Potentially Structurally Compromised Buildings The TR15 Report is a required compliance filing pursuant to Article 217 of the 2014 Building Code. This form must be accompanied by the Engineer and/or Architect's report. Download Form - Rev. 1/19 Download Instructions |
TPP1 Tenant Protection Plan The TPP1 Form is a stand-alone form that must be submitted for all buildings being altered or demolished, containing one or more dwelling units that will remain occupied during construction. Download Form - Rev. 11/20 Download TPP1 User Guide |