Fillable Nyc Buildings Pw2 Form in PDF
The NYC Buildings PW2 form is an essential document for anyone looking to obtain a work permit for construction or renovation projects within New York City. This form is required for all types of applications, whether it’s for an initial permit, a renewal with changes, or a renewal without changes. Applicants must provide detailed information, including the job number, location specifics such as house number and street name, and the type of work being performed. The form also requires information about the applicant or contractor, including their name, contact details, and taxpayer ID. Depending on the nature of the work, additional sections may need to be completed, such as those pertaining to insurance requirements and the designation of a construction superintendent or site safety manager. Proper completion of the PW2 form is crucial, as it ensures compliance with city regulations and helps facilitate the permitting process. All statements made in the application must be accurate, as any falsification can lead to serious legal consequences. By understanding the requirements and sections of the PW2 form, applicants can better navigate the complexities of obtaining the necessary permits for their projects.
Preview - Nyc Buildings Pw2 Form
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:
No Work Permit Complete all sections.
Renewal Permit with changes Complete all sections.
Renewal Permit without changes 1, 5,
2Location Information Required for ALL applications.
House No(s) |
Street Name |
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Borough |
Block |
Lot |
BIN |
CB No. |
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Work on Floor(s) |
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Apt/Condo No(s) |
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3Applicant / Contractor Required for ALL applications. * indicates optional.
Last Name |
First Name |
Middle Initial |
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Business Name |
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Business Telephone |
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Business Address |
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Business Fax* |
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City |
State New York Zip |
Mobile Telephone* |
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TAXPAYER ID |
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4Filing Representative Complete if different from applicant specified in section 3. * indicates optional.
Last Name |
First Name |
Middle Initial |
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Business Name |
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Business Telephone |
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Business Address |
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Business Fax* |
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City |
State New York Zip |
Mobile Telephone* |
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Registration Number |
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5 Additional Applicant / Contractor Information
6Insurance P.E. / R.A. only.
General Contractor |
5A, |
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Demolition Contractor |
5B |
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Fire Suppression Contractor |
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Master Plumber |
5C, |
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5D |
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Oil Burner Installer |
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Sign Hanger |
5C |
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Professional Engineer |
5C, |
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Registered Architect |
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Homeowner*
*DOB approval required.
5A Insurance Tracking Number:
5B Does work require a HIC license? |
Yes |
No |
If yes, HIC license number:
5C License Number:
5D Is applicant responsible for all work on this application?
Yes |
No If no, describe work responsibility: |
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 |
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PAGE 2 |
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7 |
Type of Permit Choose ONE and complete any appropriate |
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Alteration |
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Curb Cut |
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Fuel Burning |
Plumbing |
7C |
7A Electrical application no. for shed lighting: |
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Boiler |
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Demolition and Removal |
Gas |
Sign |
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Construction Equipment |
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Fire Alarm |
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Oil |
Sprinkler |
7C |
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7B Related fence job no. |
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Chute |
Fire Suppression System |
Fuel Storage |
Standpipe |
7C |
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7C If applicable, provide the secondary |
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Fence |
Foundation / Earthwork |
Mechanical / HVAC |
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permit description here: |
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Sidewalk Shed 7A |
Area of site (sq. ft): |
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New Building 7B |
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Supported Scaffold |
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Other: |
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Earthwork Only |
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8 |
Construction Superintendent / Site Safety Manager Requirements Not required if applicant is licensee. |
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I, the contractor stated below, hereby declare the scope of work filed under this permit application requires (choose one): |
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Construction Superintendent 10 |
Site Safety Manager 10 |
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Neither |
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9 |
Applicant / Contractor Statements and Signatures Required for ALL applications. |
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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
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
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
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 |
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Business Name |
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Telephone |
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Address |
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Fax* |
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City |
State New York Zip |
Mobile Telephone* |
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Registration/License Number |
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Choose one: |
Construction Superintendent |
Site Safety Manager |
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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
Form Characteristics
| Fact Name | Description |
|---|---|
| Form Purpose | The PW2 form is used to apply for a work permit for various construction-related activities in New York City. |
| Typewritten Requirement | All entries on the PW2 form must be typewritten to ensure clarity and legibility. |
| Location Information | Applicants must provide detailed location information, including house number, street name, borough, block, lot, and BIN. |
| Insurance Requirements | Applicants must secure liability insurance and worker's compensation insurance in accordance with New York's Workman's Compensation Law. |
| Permit Types | Various types of permits can be applied for, including alteration, demolition, and construction equipment permits. |
| Construction Superintendent | A Construction Superintendent or Site Safety Manager is required for certain applications, unless the applicant selects "Neither." |
| Signature Requirement | All applicants must sign the form, affirming the accuracy of the information provided and acknowledging legal responsibilities. |
| Notarization | Notarization is required if the applicant is not a licensed professional, ensuring the authenticity of the application. |
| Governing Law | The PW2 form is governed by the New York City Administrative Code, particularly sections related to construction and building regulations. |
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