Form PW1 "Plan/Work Application" - New York City

What Is Form PW1?

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 August 1, 2019;
  • 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 PW1 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 PW1 "Plan/Work Application" - New York City

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PW1: Plan / Work Application
Orient and affix BIS
job number label here
Must be typewritten
1 Location 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)
2 Applicant 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:
3 Filing 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
Prior to Approval Actions 25-26
Reinstatement 24-26
Choose only one:
Amend Existing Filing 4A
Withdrawal 26
Standard Plan Examination or Review
Subsequent Filing 6-7, 8A (Alt-2 only), 11
Specified in 4A and 6
Post Approval Amendment (PAA) 4A, 6, 24-25
Entire Job
Professional Certification PC1, POC1
4A Indicate existing document number
Professional Certification of Objections AI1
Will PAA affect filing fees?
Yes
No
affected by filing:
New (Superseding) Applicant 4A, 25-26
5 Job/Project Types
Choose one and provide specified associated information.
Alteration Type 2 5A, 6A-D, 8A-B, 9-10, 13C-E, &
Alteration Type 1 or Alteration Type 1 required
Full Demolition 6B, 8D, 9A &
14, 20, 22
to meet New Building requirements (28-101.4.5)
9C-D, 9K, 9M, 13D-E, 14, 21A, 22
Alteration Type 3 5A, 6B-F, 8C, 9-10, 13C-E, 20,
6A-E, 8B-C, 8F, 9-10, 12, 13C-F, 14, 18-20, 22 &
Subdivision 9A, 9D, 12A-B
22
PW1A, PD1
Condominium
Improved 17
New Building 6A-E, 8F, 9A, 9C-K, 9M, 10, 12 &
Alteration Type 1, OT: “No Work” 8C, 8F, 9-10 &
5A
Directive 14 acceptance requested?
13A-E, 14, 18-20, PW1A, PD1
12, 13C-F, 14, 18-19, 22, PW1A, PD1
Yes
No
Sign 5A, 6B-D, 9A, 9D, 22-23
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
6E
CC - Curb Cut 16
FA - Fire Alarm
FP - Fire Suppression
SD - Standpipe PW1B
OT/LAN - Landscape
FB - Fuel Burning PW1C
MH - Mechanical
SP - Sprinkler PW1B
6F
OT/ANT - Antenna
6B
EQ - Construction
6C
OT/GC - General
6D
OT - Other, describe:
OT/BPP - Builders Pavement Plan 8D
Equipment 15
Construction
OT/FPP - Fire Protection Plan
OT/MAR - Marquee 8E, 26B
8/19
PW1: Plan / Work Application
Orient and affix BIS
job number label here
Must be typewritten
1 Location 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)
2 Applicant 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:
3 Filing 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
Prior to Approval Actions 25-26
Reinstatement 24-26
Choose only one:
Amend Existing Filing 4A
Withdrawal 26
Standard Plan Examination or Review
Subsequent Filing 6-7, 8A (Alt-2 only), 11
Specified in 4A and 6
Post Approval Amendment (PAA) 4A, 6, 24-25
Entire Job
Professional Certification PC1, POC1
4A Indicate existing document number
Professional Certification of Objections AI1
Will PAA affect filing fees?
Yes
No
affected by filing:
New (Superseding) Applicant 4A, 25-26
5 Job/Project Types
Choose one and provide specified associated information.
Alteration Type 2 5A, 6A-D, 8A-B, 9-10, 13C-E, &
Alteration Type 1 or Alteration Type 1 required
Full Demolition 6B, 8D, 9A &
14, 20, 22
to meet New Building requirements (28-101.4.5)
9C-D, 9K, 9M, 13D-E, 14, 21A, 22
Alteration Type 3 5A, 6B-F, 8C, 9-10, 13C-E, 20,
6A-E, 8B-C, 8F, 9-10, 12, 13C-F, 14, 18-20, 22 &
Subdivision 9A, 9D, 12A-B
22
PW1A, PD1
Condominium
Improved 17
New Building 6A-E, 8F, 9A, 9C-K, 9M, 10, 12 &
Alteration Type 1, OT: “No Work” 8C, 8F, 9-10 &
5A
Directive 14 acceptance requested?
13A-E, 14, 18-20, PW1A, PD1
12, 13C-F, 14, 18-19, 22, PW1A, PD1
Yes
No
Sign 5A, 6B-D, 9A, 9D, 22-23
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
6E
CC - Curb Cut 16
FA - Fire Alarm
FP - Fire Suppression
SD - Standpipe PW1B
OT/LAN - Landscape
FB - Fuel Burning PW1C
MH - Mechanical
SP - Sprinkler PW1B
6F
OT/ANT - Antenna
6B
EQ - Construction
6C
OT/GC - General
6D
OT - Other, describe:
OT/BPP - Builders Pavement Plan 8D
Equipment 15
Construction
OT/FPP - Fire Protection Plan
OT/MAR - Marquee 8E, 26B
8/19
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
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
8F Total Building Square Footage:
Additional Construction Floor Area:
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
Yes No
9B
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
9C
Façade Alteration
Change in number of stories
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
9D
Landmark
Filing to address violations
(list #s—max. 5):
Little “E” or RD Site
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):
9E
BSA Calendar Numbers (max. 5):
9F
CPC Calendar Numbers (max. 5):
9G
Work includes lighting fixture and/or controls, installation or replacement. [ECC §404 and §505]
9H
Work includes modular construction under New York State jurisdiction
9I
High Rise Team tracking #:
Work includes modular construction under New York City jurisdiction
9J
Structural peer review required per BC 16. If yes, provide NYS P.E. license number:
9K
Work includes permanent removal of standpipe, sprinkler or fire suppression related systems
9L
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
9M
Work involves or will result in an amount of soil disturbance greater than or equal to one acre in an MS4 area
Work is part of a larger common plan or development or sale that involves or will result in an amount of soil disturbance greater than or
equal to one acre in an MS4 area
10 NYCECC 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.
8/19
PW1
PAGE 3
11 Job Description
11A
Related DOB Job Numbers
11B Primary application job no.
12 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
tax lots, list all tax lots here ►
Map Number
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:
or
sq. ft.
Lot Coverage
%
Front Yard
ft.
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.
13 Building 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
Structural Occupancy/Risk Cat.
Mixed use building?
Yes
No
2014 Code
2014 Code
Seismic Design Cat.
13E
Existing
Proposed
Designations?
Designations?
13C
Occupancy Classification*
Building Height
ft.
ft.
Yes
No
Yes**
Construction Classification
Building Stories
Yes
No
Yes
No
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
14
Fill
Choose one.
Not Applicable
On-Site
Off-Site
Under 300 cubic yards
15 Construction Equipment
16 Curb Cut Description
Chute
Sidewalk Shed
Construction Material:
Size of cut (with splays):
ft.
Fence
Size:
linear ft.
BSA/MEA Approval No.
Distance to nearest corner:
ft.
Supported Scaffold
Other:
to street:
17 Tax Lot Characteristics
18 Fire Protection Equipment
Existing
Proposed
Original tax lots being merged or reapportioned (if applicable):
Yes No Yes No
Fire Alarm
Fire Suppression
Tentative tax lot numbers (new tax lots only):
Sprinkler
Standpipe
8/19
PW1
PAGE 4
19 Open Spaces
Existing
Proposed
Existing
Proposed
Plaza Area
sq. ft.
sq. ft.
Arcade Area
sq. ft.
sq. ft.
Parking Area
sq. ft.
sq. ft.
Parking Spaces
Loading Berths
sq. ft.
sq. ft.
Loading Berths
20 Site Characteristics
20A Flood Hazard Area Information
Yes No
Yes No
Yes No
Tidal Wetlands
Substantial improvement?
Freshwater Wetlands
Coastal Erosion Hazard Area
Urban Renewal
Substantially damaged?
Fire District
Flood Hazard Area If yes, 20A
Floodshields part of proposed work?
21 Demolition 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:
Demolition work affects the exterior building envelope
21B
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: $
23A Illuminated type:
Direct
Flashing
Indirect
Advertising
Illuminated 23A
Total Square Feet:
Yes No
Non-Advertising
Non-Illuminated
Height above Curb:
ft.
in.
If sign projects beyond building line, is owner
billed for annual permit? If no, specify in 26B
Location:
Ground
Roof 23B
Wall Height above Roof:
ft.
in.
23B
Is roof sign tight, closed or solid?
Yes No
Is sign inside building line?
If no, sign projects by:
ft.
in.
23C Sign wording. If extensive, provide only key wording.
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
23D Distance from Arterial Highway:
ft.
Within 200’ and within view of a park 1/2 acre or more? If yes, 23E
23E Distance from Park 1/2 acre or more:
ft.
23F OAC Sign Number:
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
23G OAC Registration Number:
24 Comments
Place additional comments on an AI-1 form. See Guide for proper incorporation of professional certification statements.
8/19
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)
26 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
Owner
Individual
Partnership
NYCHA / HHC
and all future amendments. I will not knowingly authorize any work that is not in
Type:
Corporation
Other Government
NYC Agency
compliance with all applicable laws, rules, and regulations.
Condo Unit Owner or Co-Op Tenant-shareholder 26A
Yes
No
Is the deed holder a non-profit organization?
Yes
No
Fee Exemption Request (Non-Profit Owned and Operated)
In accordance with Administrative Code §28-112.1, Exception 1, I certify
Name (please print):
that the deed holder is a corporation or association organized and
operated exclusively for the purposes indicated in such section, and that
Relationship to Owner:
the property is used exclusively by such entity for such purposed.
Business Name/Agency:
Fee Exemption Request (NYCHA/HHC, NYC Agency, or Other
Government Owned and Operated) The building or any part thereof to
Street Address:
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.
City:
State:
Zip:
Owner’s Certifications Regarding Occupied Housing
Telephone Number:
Fax:
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
E-Mail Address:
that will remain occupied during construction. These occupied dwelling
units have been clearly identified on the submitted construction
Signature and Date
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
26A Condo/Co-Op Board
See note in bottom left corner of page.
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
Name (please print):
following:
Title:
The owner is not required to notify the New York State Homes and
Community Renewal (NYSHCR) of the owner’s intention to file
Street Address:
because the nature and scope of the work proposed, pursuant to
NYSHCR regulations, does not require notification.
City:
State:
Zip:
The owner has notified the New York State Homes and Community
Telephone Number:
Fax:
Renewal (NYSHCR) of its intention to file such construction
documents/apply for such permit and has complied with all
E-Mail Address:
requirements imposed by the regulations of such agency as
preconditions for such [filing/application].
Signature and Date
Provide date NYSHCR notified:
26B Lessee Responsible for Annual Sign or Marquee Permit
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
Name (please print):
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
Relationship to Owner:
work is not inconsistent with the current certificate of occupancy.
Furthermore, I understand that I am responsible for retaining a qualified
Business Name/Agency:
design professional to perform a final inspection when the permitted work
is complete and this professional must submit a satisfactory final
Street Address:
inspection report to the NYC Department of Buildings within the time
following inspection prescribed by Department rule.
City:
State:
Zip:
Notes for Section 26A: Section required if unit owner signed Section 26. Signature
Telephone Number:
Fax:
required for authorized representative of Condo or Co-Op board.
For fee waivers, please see the PW1 User Guide
E-Mail Address:
8/19