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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, 7-10

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)

 

 

 

 

 

3Applicant / Contractor Required for ALL applications. * indicates optional.

Last Name

First Name

Middle Initial

 

 

 

Business Name

 

Business Telephone

 

 

 

Business Address

 

Business Fax*

 

 

 

City

State New York Zip

Mobile Telephone*

E-Mail*

 

TAXPAYER ID

 

 

 

4Filing Representative Complete if different from applicant specified in section 3. * indicates optional.

Last Name

First Name

Middle Initial

 

 

 

Business Name

 

Business Telephone

 

 

 

Business Address

 

Business Fax*

 

 

 

City

State New York Zip

Mobile Telephone*

E-Mail*

 

Registration Number

 

 

 

5 Additional Applicant / Contractor Information

6Insurance P.E. / R.A. only.

General Contractor

5A,

Demolition Contractor

5B

Fire Suppression Contractor

 

Master Plumber

5C,

5D

 

Oil Burner Installer

 

Sign Hanger

5C

Professional Engineer

5C,

Registered Architect

6

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

 

 

 

 

 

 

 

PAGE 2

 

 

 

 

 

 

7

Type of Permit Choose ONE and complete any appropriate sub-choices or other information.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Alteration

 

Curb Cut

 

Fuel Burning

Plumbing

7C

7A Electrical application no. for shed lighting:

 

Boiler

 

Demolition and Removal

Gas

Sign

 

 

 

 

Construction Equipment

 

Fire Alarm

 

Oil

Sprinkler

7C

 

 

 

 

 

7B Related fence job no.

 

Chute

Fire Suppression System

Fuel Storage

Standpipe

7C

 

 

 

7C If applicable, provide the secondary

 

Fence

Foundation / Earthwork

Mechanical / HVAC

 

 

permit description here:

 

Sidewalk Shed 7A

Area of site (sq. ft):

 

New Building 7B

 

 

 

 

 

Supported Scaffold

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Other:

 

 

 

 

 

 

 

 

 

 

Earthwork Only

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

8

Construction Superintendent / Site Safety Manager Requirements Not required if applicant is licensee.

 

 

 

 

 

 

I, the contractor stated below, hereby declare the scope of work filed under this permit application requires (choose one):

 

Construction Superintendent 10

Site Safety Manager 10

 

Neither

 

 

 

 

 

 

 

9

Applicant / Contractor Statements and Signatures Required for ALL applications.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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 §26-124 of the Administrative Code and is punishable by a fine, imprisonment, or both. It is a crime to offer or 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. A conviction of offering of a bribe or gratuity is punishable by imprisonment, fine or both.

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 §24-220 of the NYC Noise Code which requires a complete and accurate Construction Mitigation Plan at the work site.

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 27-151 of the Administrative Code, I hereby declare that I am authorized by the owner of the above-referenced premises to make this application for a permit to perform the work described herein.

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

 

 

 

 

 

 

 

 

Business Name

 

Telephone

 

 

 

 

 

Address

 

Fax*

 

 

 

 

City

State New York Zip

Mobile Telephone*

E-Mail*

 

Registration/License Number

 

 

 

 

Choose one:

Construction Superintendent

Site Safety Manager

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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