Form PER11 "Appointment Request" - New York City

What Is Form PER11?

This is a legal form that was released by the New York City Department of Buildings - a government authority operating within New York City. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on October 1, 2020;
  • The latest edition provided by the New York City Department of Buildings;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form PER11 by clicking the link below or browse more documents and templates provided by the New York City Department of Buildings.

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Download Form PER11 "Appointment Request" - New York City

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PER11 Appointment Request
(A SEPARATE FORM MUST BE SUBMITTED FOR EACH JOB)
Application must be typewritten
For appointments with a plan examiner, submit requests to the appropriate borough email address below (include the property
address, job number and job type in the email subject line):
BRONX
BROOKLYN
BronxPER11PlanExam@buildings.nyc.gov
BrooklynPER11PlanExam@buildings.nyc.gov
MANHATTAN
QUEENS
ManhPER11PlanExam@buildings.nyc.gov
QueensPER11PlanExam@buildings.nyc.gov
STATEN ISLAND
StatenIslandPER11PlanExam@buildings.nyc.gov
1
ATTENDEE (Required for all applications)
Applicant of Record
Filing Representative (Class 2)
Name
DOB ID#
Business Phone
Cell Phone
Email
Number of Attendees
2
PROPERTY DETAILS (Required for all applications)
Address
Job Number
Document Number
Job Type
Applicant
P.E.
R.A.
License #
Plan Examiner
3
APPOINTMENT REQUEST
Reassignment
Pro-Cert Zoning Review
Fee Exempt Job)
Reinstatement
Special Audit (attach Objection Sheet)
Special Inspection Reports
Withdrawal
TCU Audit (attach Objection Sheet)
Self-Certification of Objections
(attach Objection Sheet)
PW3 Changes/Fee Adjustment (attach L2 form when required)
Other
4
COMMENTS/REASON FOR MEETING
(Provide detailed explanation for all appointment requests identified above)
For appointments with a Borough Commissioner’s Office, submit requests to the appropriate borough email address below
(include the property address, job number and job type in the email subject line):
BRONX
BROOKLYN
BronxPER11Appointments@buildings.nyc.gov
BrooklynPER11Appointments@buildings.nyc.gov
MANHATTAN
QUEENS
ManhPER11Appointments@buildings.nyc.gov
QueensPER11Appointments@buildings.nyc.gov
STATEN ISLAND
StatenIslandPER11Appointments@buildings.nyc.gov
INTERNAL USE ONLY
:
APPOINTMENT APPROVED:
YES
NO
COMMENTS
APPOINTMENT DATE:
TIME:
REASSIGNED TO:
CONFIRMATION #:
REINSTATEMENT FEE:
Rev. 10/20
PER11 Appointment Request
(A SEPARATE FORM MUST BE SUBMITTED FOR EACH JOB)
Application must be typewritten
For appointments with a plan examiner, submit requests to the appropriate borough email address below (include the property
address, job number and job type in the email subject line):
BRONX
BROOKLYN
BronxPER11PlanExam@buildings.nyc.gov
BrooklynPER11PlanExam@buildings.nyc.gov
MANHATTAN
QUEENS
ManhPER11PlanExam@buildings.nyc.gov
QueensPER11PlanExam@buildings.nyc.gov
STATEN ISLAND
StatenIslandPER11PlanExam@buildings.nyc.gov
1
ATTENDEE (Required for all applications)
Applicant of Record
Filing Representative (Class 2)
Name
DOB ID#
Business Phone
Cell Phone
Email
Number of Attendees
2
PROPERTY DETAILS (Required for all applications)
Address
Job Number
Document Number
Job Type
Applicant
P.E.
R.A.
License #
Plan Examiner
3
APPOINTMENT REQUEST
Reassignment
Pro-Cert Zoning Review
Fee Exempt Job)
Reinstatement
Special Audit (attach Objection Sheet)
Special Inspection Reports
Withdrawal
TCU Audit (attach Objection Sheet)
Self-Certification of Objections
(attach Objection Sheet)
PW3 Changes/Fee Adjustment (attach L2 form when required)
Other
4
COMMENTS/REASON FOR MEETING
(Provide detailed explanation for all appointment requests identified above)
For appointments with a Borough Commissioner’s Office, submit requests to the appropriate borough email address below
(include the property address, job number and job type in the email subject line):
BRONX
BROOKLYN
BronxPER11Appointments@buildings.nyc.gov
BrooklynPER11Appointments@buildings.nyc.gov
MANHATTAN
QUEENS
ManhPER11Appointments@buildings.nyc.gov
QueensPER11Appointments@buildings.nyc.gov
STATEN ISLAND
StatenIslandPER11Appointments@buildings.nyc.gov
INTERNAL USE ONLY
:
APPOINTMENT APPROVED:
YES
NO
COMMENTS
APPOINTMENT DATE:
TIME:
REASSIGNED TO:
CONFIRMATION #:
REINSTATEMENT FEE:
Rev. 10/20