Build Nexus Resources

NYC DOB Forms & Downloads

Find, download, and submit the right Department of Buildings forms for permits, inspections, violations, and compliance filings.

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DOB Forms & Downloads
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AEU20: Statement in Support of Certificate of Correction

Statement in Support of Certificate of Correction

AEU2: Statement in Support of Certificate of Correction

Statement in Support of Certificate of Correction

AEU6: Multiple Submission

Use this form when certifying multiple OATH/ECB violations issued by the Department of Buildings. Individual violation certifications must be attached. AEU6 Form - Rev. …

AI1: Additional Information

Multipurpose form for applicants to provide additional information on jobs. AI1 Form - Rev. 3/09

AO1: Administrative Objections

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 Form 10 Instructions

B Form 10 Instructions

B Form 10: Elevator Amendment

Submit this form with the ELV1 form for previously filed paper filings only. All new requests must be submitted in DOB NOW: Build . …

B Form 10J: Supplier's Statement

Submit prior to signoff if the work included the installation of structural masonry. B Form 10J 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. B Form 20SS 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. B Form 24SS Form - Rev. 4/04

B Form FP10: Dry Pipe Valve Tests

Use this form to indicate the work installed. B Form FP10 Form - Rev. 6/03

B Form FP84: Standpipe Inspection

Use this form to indicate the work installed. B Form FP84 Form - Rev. 6/03

B Form FP85: Sprinkler Inspection Report

Use this form to indicate the work installed. B Form FP85 Form - Rev. 6/03

B Form FP86: Standpipe Fire Pump Test

Use this form to indicate the work installed. B Form FP86 Form - Rev. 6/03

B Form: 10H Manufacturer's Statement

Required prior to permit if the application proposes the installation of structural masonry. B Form 10H Form - Rev. 7/08

BEC43: Electrical Self-Certification Affidavit

Use this form self-certify an 'A' violation. 'A' violations are issued on jobs that are completed and have been inspected and violations have been …

BPP11: Affidavit as to Roadway Pavement and/or Sidewalk and Curb Construction

This form is required to obtain a signoff of a BPP application. It must be prepared by an architect or engineer. BPP11 Form - …

BPP15: Application for Waiver of Builders Pavement Requirements

Applicable to some jobs requiring waivers of all improvements or partial improvements. At pre-filing, an architect/engineer should file these forms with the AI-1 form …

BPP16: Application for Waiver of Curb Alignment and/or Sidewalk and Curb

Applicable to some jobs requiring waivers of all improvements or partial improvements. At pre-filing, an architect/engineer should file these forms with the AI-1 form …

BPP1: Checklist for Alt3 in Lieu of Plans

This is a checklist for Alt3 in lieu of plans. Submit this form as part of the Builders Pavement Plan application. BPP1 Form - …

BPP5: Authorization to the Department of Transportation

Use this form to give authorization to the Department of Transportation to issue a Construction Permit for the Builders Pavement Plan Work. Submit this …

BPP8: Request items for Builders Pavement Plan Sign-off

Use this form to request a Builders Pavement Sign-off. BPP8 Form - Rev. 10/03

BPP9: Request for Builders Pavement Field Inspection

Use this form to request a Builders Pavement Field Inspection. Submit this form as part of the Builders Pavement Plan application. BPP9 Form - …

Borough Intake Form

The Borough Intake Form is used to submit manual applications to the Borough Office. The form improves tracking of submitted requests and allows the …

CCD1: Construction Code Determination

Electrical Special Permission requests are submitted using the CCD1 process. All other requests are submitted in DOB NOW. See the Determinations page for more …

CD10:Tower & Mobile Crane/Derrick/Mast Climber/Pile Driver Amendment

To be used to submit any change made after the original application has been entered.

CD12: Designation of Primary Lift Director

This form was formerly used to add additional Crane Safety Coordinator to job. Now it will be used to designate the primary lift director. …

CD13: Class 'C' Hoisting Machine Operator License Examination

To be used by any person applying to take the test for the Hoist Machine Operator class C license. Call the Licensing Division for …

CD16: Cranes and Derricks Division Applicants Statement of Notification to Community Boards

To be completed as indicated and submitted to the respective Community Board for the job location.

CD21: Request for Inspections (After Hours)

To be completed to request after hour Inspections.

CD22: Annual, Assembled and Unassembled Cranes & Derricks Inspection Request

To request inspection for Assembled/Unassembled Cranes, Derricks, and Mobile Work Platforms.

CD24: Contingency DOT Form/Letter

To be used to request authorization to proceed with Department of Transportation permitting process.

CD4-A: Crane or Derrick Notice Application Amendment

Replaces CD10 form for CN applications only. However, CD10 form still applies for amending CD2 and CD3 forms. To be used to submit any …

CD4-EQ: Designation of Multiple Equipment Users

To be used to designate multiple equipment users. If filed without a CD4, this is considered an amendment and amendment fees apply. CD4-EQ Form

CD4: Crane or Derrick Notice Application

Required to submit a Crane Notice (CN) application. Changes include: 1) Form title 2) Data field boxes 1, 6, 7, and 8. CD4 Form

CD5: Suspended Scaffold Application

This form is to be used for the installation of a 2-point suspension scaffold on outrigger beams. It must be submitted by a NYC …

CD8-AD: On-site Crane Pre-Operation Inspections

File this form for any assembly, phase or jump in which a crane or derrick requires an assembly/disassembly director. It documents unassembled and assembled …

CD8-TR: Identification of Special Inspections

This form is filed in addition to a CD8 form when special inspections are required to be performed on structural elements that support the …

CD8: Technical Report: On-site Crane Inspections (NEW Form)

File this form after any Crane Notice (CN) inspection is completed. It is filed for every new phase or assembly, including tower crane jumps …

CEU Inspection Request Form – Safety

Use this form to request a concrete safety inspection or re-inspection by the Concrete Enforcement Unit (CEU). This form can only be submitted by …

CEU Inspection Request Form – Structural

Use this form to request a concrete structural inspection or re-inspection by the Concrete Enforcement Unit (CEU). This form can only be submitted by …

CSC2A: Pre-Demolition Inspection Application

All demolition applications must be pre-filed prior to requesting a pre-demolition inspection from the Construction Safety Compliance Unit (CSC). CSC will only accept applications …

CSC4: Application for Recommendation for Mechanical Means Demolition

Complete and submit to CSC at time pre-demolition application is submitted in order to request a recommendation in favor of using mechanical means for …

Certification of Compliance with Color Coding

Use this form to certify that all exposed standpipe and sprinkler components have been painted in accordance with Local Law 58 of 2009. Learn …

Crane Notification

Use the online Crane Notification Form to notify the Department of certain crane or derrick activities in accordance with Local Law 77 of 2017 …

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. DPL-1 Form - Rev. 11/18

DS1: Demolition Submittal Certification

For BIS jobs only, must be submitted by the professional preparing demolition submittal plans – required prior to permit when performing full or partial …

ED65: Application for Electrical Material and Equipment Approval

Use this form to apply for electrical material and equipment approval. ED65 Form - Rev. 10/05

ED71: Electrical Division Certificate of Occupancy Signoff Request

Use this form to request for a Certificate of Occupancy Signoff. This form must be filed by a Licensed Electrician and submitted to the …

ED75: Open Electrical Violation – Request for Removal

Use this form to remove Open Electrical Violations. ED75 Form - Rev. 8/07

ED76: Electrical Code Interpretation Request

Submit this form to the Electrical Code Revision and Interpretation Committee (ECRIC) to request an interpretation and/or clarification of Electrical Code Technical Standards. The …

ELV11: Amusement Ride - Certificate of Competency

Use this form to apply for a Certificate of Competency. ELV11 Form - Rev. 12/14

ELV15: Affidavit of Professional Certification

Use this form to certify (a) the elevator application or building notice is complete and in compliance with all applicable provisions of law or …

ELV17: Statement of Load Test for Passenger Carrying Amusement Device

Use this form to apply for a Statement of Load Test for Passenger Carrying Amusement Device. ELV17 Form - Rev. 12/14

ELV18: Amusement Ride Inspection Checklist

Use this form as a Checklist for an Amusement Ride Inspection. Fill in amusement ride information and give this form to the inspector. ELV18 …

ELV1A: Amusement Ride Application

Use this form as a supplement to the ELV1. You must submit it when installing, replacing, modifying or modernizing a permanent amusement ride. ELV1A …

ELV21: ELV21: Temporary Use Permit Renewal Application

Use this form to request a Temporary Use Permit Renewal. ELV21 Form - Rev. 1/24

ELV22: Pre-Clearance Inspection/Test Request

Use this form to request a pre-clearance (expedited test) inspection from the Elevator Division. ELV22 Form - Rev. 4/16

ELV29: Affirmation of Correction

All new Affirmations of Correction must be submitted through DOB NOW: Safety . Only PVT companies can continue to use the paper ELV29 form. …

ELV32: Amusement Ride Inspection Application

Use this form to register a list of amusement devices at every event. ELV32 Form - Rev. 3/04

ELV33: Amusement Ride Owner Equipment Data Sheet

Use this form to register ownership of all amusement rides. ELV33 Form - Rev. 2/04

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). …

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). …

Elevator Worker Attestation

Elevator Directors must complete this form to attest to the fact that an applicant for an Elevator Agency Technician/Restricted Elevator Agency Technician or Elevator …

Enforcement Inspections

Enforcement Inspections Appointment Request Form - Rev. 11/22

FCP: Facades Cashier Civil Penalty

Use this form to submit civil penalties owed for Cycle 5 or earlier. For Cycle 6 or later, pay civil penalties in DOB NOW: …

FWP: Facades Waiver of Penalties

Use this form to request a waiver of façade civil penalties for Cycle 5 or earlier. For Cycle 6 or later, submit the waiver …

Fire Pump Field & Standpipe System Acceptance Test Form B: Flow Test

Use this form for Fire Pumps serving Standpipe or Combined Standpipe and Sprinkler System Fire Pump Field & Standpipe System Test Form B - …

Fire Pump Field Acceptance Test Form A: Flow Test

Use this form for Fire Pump Test ONLY Fire Pump Test Form A - Rev. 3/25

GPS1: Gas Piping System Periodic Inspection Report

Use this form to indicate the results of periodic inspections of gas piping systems in accordance with Local Law 152 of 2016, AC §28-318, …

GPS2: Gas Piping System Periodic Inspection Certification

Use this form to (1) certify that a building contains no gas piping system; (2) certify completed periodic inspections of gas piping systems; and …

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. HC7 …

HIC1: Home Improvement Contractor Affidavit

To request for waiver of license requirement for obtaining a permit when filing for an Alteration 1, 2, and 3 applications for 1, 2, …

HPD1: Anti-Harassment Area Checklist

This form shall be filed to satisfy the Anti-Harassment Area Checklist required item. The form indicates certification with or exemption from anti-harassment provisions in …

HPD2: Clinton Special District Anti-Harassment Checklist

This form shall be filed to satisfy the Clinton Special District Anti-Harassment Area Checklist required item. The form indicates certification with or exemption from …

HPD3: Single Room Occupancy Multiple Dwelling (SRO MD) Anti-Harassment Checklist Replacing SRO1 SRO Intake

This form is required for all alternations or demolitions of buildings identified as single room occupancy multiple dwellings except for Alteration 3 applications for …

HPD4: CONH Pilot Program Building Anti-Harassment Checklist

This form must be submitted for all filings on Department of Housing Preservation and Development Pilot Program buildings. HPD4 Form - Rev. 9/21

HRT-1: 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 …

Injury/Fatality Incident Information

Use the online Injury/Fatality Incident Information Form to notify the Department of Buildings about any site incident that resulted in a fatality or injury …

L2: Requests for Overrides, Reductions, or Waivers of Civil Penalties for Work Without a Permit and Stop Work Order Violations

This form must be completed by the owner, or authorized designee, of the subject premises in order to request an override, reduction, or waiver …

LAA1: Limited Alteration Application (Plumbing/Oil Burning/Fire Suppression Alterations)

Use this form for certain minor plumbing and oil burner installations/repairs or sprinkler and standpipe work. LAA1 Form - Rev. 9/16

Letter of Credit

Use this form to provide a Letter of Credit. Note: You must have your bank transfer this information onto their letterhead. Letter of Credit …

Letter of Credit Agreement

Use this form to define the terms for which the Department may access funds in the Letter of Credit. Letter of Credit Agreement Form

Letter of No Objection (LNO) or Letter of Verification (LOV) Application

A Letter of No Objection (LNO) may be issued if no CO is available, or if the building (or part of the building) has …

MC2: Mast Climber Device Application (NEW)

Mast climber owners must only submit the MC2 form in conjunction with also submitting the MC-3 form for an approved CN application, or it …

MC3: Installer and Remover

The mast climber owner must submit the MC3 form to designate the party responsible for installing or removing a mast climber at a job …

MC5: Certificate of On-Site Inspection

The NYS-licensed engineer who prepared the mast-climber plans must submit the MC5 to sign off on a mast climber to be used in New …

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 …

OAC1 Outdoor Advertising Company Registration Application

Use this form to register as an Outdoor Advertising Company (OAC). OAC1 Form - Rev. 5/09

OAC2: Outdoor Advertising Company Sign Inventory Summary

Use this form to provide a summary of your sign inventory. OAC2 Form - Rev. 5/09

OAC3: Outdoor Advertising Company Sign Profile

Use this form to provide a separate profile for each sign in the sign inventory. OAC3 Form - Rev. 5/09

OAC4: Outdoor Advertising Company Affiliated OAC(s)

Use this form to provide a list of affiliated OAC(s) OAC4 Form - Rev. 5/09

OP106: Waiver, Reduction, and Dismissal Request Cover Sheet

Use this form to request a waiver or reduction of civil penalties, or a dismissal associated with Local Law (LL) 62/91, 10/81, 11/98, PVT …

OP128: Ordinary Plumbing Work Report

Use this form to submit up to 20 jobs, on-going or completed the previous calendar month, in accordance with §28-105.4.4 OP128 Form & Instructions …

OP129: Report on Testing of Secondary Backflow Prevention Device

Use this form to report the test that is required on all Internal (secondary) Backflow devices. Secondary devices are RPZs or Backflows used for …

OP133: Property Profile Change Request

The OP133 allows an applicant to request a review for the removal of the NYS Department of Environmental Conservation (DEC) Wetlands flag(s) on the …

OP96: Builder Certification for Temporary Certificate of Occupancy

Used by developer when seeking Temporary Certificate of Occupancy for a 1, 2 or 3 family dwelling to certify that escrow funds will be …

OP97: Escrow Agent/Attorney Letter

Used by escrow agent for developer seeking Temporary Certificate of Occupancy for a 1, 2 or 3 family dwelling to certify that escrow funds …

OP98

Note: Combined former OP38 and OP39 forms Use this form to indicate the date and time of inspection/tests. OP98 Form - Rev. 1/10

OTA Complaint Form

If you have concerns about active construction in the building you live in, please use this form to reach out to the DOB Office …

OTCR 1 Alternative Material Acceptance Criteria Application

Use this form to initiate review of existing standards and/or evaluation criteria for products categorized as alternative to the code. OTCR 1 Form - …

OTCR2 Site-Specific and Electrical Equipment Application

Use this form initiate the process of filing for a site-specific evaluation or an electrical equipment evaluation. Complete the OTCR3 when a site-specific evaluation …

OTCR3 Testing Laboratory or Professional Engineer Statement

Use this form to document required testing for the review of site-specific approval. OTCR 3 Form - Rev. 9/08

Owner Notification of Start of Work

Use the Owner Notification of Start of Work Form to notify the Department of Buildings at least 72 hours before starting an alteration of …

PA1: Place of Assembly Application

Must be filed (with plans) to obtain approval for a new Place of Assembly space. Must be filed (with plans, if applicable) to obtain …

PC1: Required Items Checklist

Used by applicants to file professionally certified applications. PC1 Form - Rev. 6/16

PD1: Plot Diagram

The PD1 form allows the Department to collect plot diagram information in a uniform way for all applications. When a plot diagram is required, …

PE5A: Rescission of Order of Closure

To have an Order of Closure rescinded, remove the illegal business. The owner, mortgagee or person having an interest must fill-out the Rescission of …

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. PEO1 Form - Rev. …

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 …

PER11: Appointment and Drop Off Request

Used by public to request for Appointment and Drop Off. PER11 Form - Rev. 9/17

PER12: SEP Form: Professional Certification Audits and Inspections Appointment Request

Used by public to request an appointment with the Special Enforcement Program (SEP). PER12 Form - Rev. 6/14

PER20: Request for Certificate of Occupancy with Open Application(s) Cover Letter

This form is intended to summarize the supporting documentation behind it. When a person is seeking a Project Advocate's help, many documents are supplied. …

POC1: Professional and Owner Certification

Used by applicants to file with Plan/Work Approval Application. POC1 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 …

PW1: Plan/Work Approval Application

The PW1 is the first document filed with the Department to begin the application process. PW1 Form - Rev. 11/22 File PW1 Electronically PW1 …

PW1A Schedule A: Occupancy/Use

Provides supplemental occupancy/use information to PW1. For jobs filed prior to December 31, 2014 download the old 2008 Form . PW1A Form - Rev. …

PW1B Schedule B: Plumbing/Sprinkler/Standpipe

Provides supplemental information involving plumbing, sprinkler and standpipe systems. PW1B Form - Rev. 12/14

PW1C Schedule C: Heating and Combustion Equipment

Provides supplemental information involving heating and combustion equipment. PW1C Form - Rev. 9/16

PW2: Work Permit Application

Filed (with authorization of owner) by contractor or licensee in order to obtain a permit to perform work. PW2 Form - Rev. 11/22

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 …

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. PW4 Form - Rev. 7/23

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 …

PW6: Certificate of Occupancy Application

This form shall be filed in order to initiate inspections required prior to issuance of a Certificate of Occupancy. The applicant (Professional Engineer, Registered …

PW7: Letter of Completion Request

This form is required for BIS A2/A3 submissions requesting a Letter of Completion only. PW7 Form - Rev. 11/22

Project Advocate Service Request

To request an appointment with a Project Advocate, please complete and submit the Project Advocate Service Request Form with all essential project information and …

Property Ownership Certification

Upload this form in DOB NOW: Build on the Documents tab of the Plans/Work (PW1) application. The document is required prior to approval. Property …

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 …

RWIP11: Notice of Violation Response

This form must be completed and submitted to the Department if you believe the DOB Retaining Wall Violation issued to your property was in …

RWIP1: Initial Extension of Time Request

Use this form to request an initial time extension for completing repairs of an unsafe retaining wall. RWIP1 Form - Rev. 5/15

RWIP2: Additional Extension of Time Request

Use this form to request an additional time extension for completing repairs of an unsafe retaining wall. RWIP2 Form - Rev. 5/15

RWIP3: Notification of Unsafe Conditions

Use this form to report any unsafe condition in a retaining wall. It must be submitted by a Professional Engineer prior to the submission …

RWIP6: Retaining Wall Inspection Program Intake

This form must be included when you file a report RWIP6 Form - Rev. 5/15

Raising or Moving a Building Notification

Please use the Raising or Moving a Building Notification Form to notify the Department of Buildings of work related to raising or moving a …

SIG1: Property Owner Sign Affidavit

Use this form when applying for a sign work permit to erect, alter, or install a sign/sign structure that is larger than 200 square …

ST1: Street Tree Checklist

The checklist must be submitted prior to job approval to satisfy the Street Tree Checklist required item which will automatically apply to NB, A1 …

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 …

TR1 2008 Form.pdf

Use this form to identify responsibility or to report the results of completed inspections or tests. TR1 Form - Rev. 8/16 TR1 Instructions For …

TR1 Technical Report: Statement of Responsibility

Use this form to identify responsibility or to report the results of completed inspections or tests. TR1 Form - Rev. 8/16 TR1 Instructions For …

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 …

TR16: Technical Report: Periodic Inspection of Retaining Walls

Must be accompanied by the Engineer's report. TR16 Form - Rev. 8/21

TR2 Technical Report: Concrete Pouring, Sampling and Compression Test Cylinders

File this form with the TR1 upon completion of required inspections/tests. TR2 Form - Rev. 12/14

TR3 Technical Report: Concrete Design Mix

Use this form to indicate results of tests and final design mixture for strength of controlled concrete. TR3 Form - Rev. 2/15

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 …

TR4 Technical Report: Soil Inspection

File this form with the TR1 upon completion of required inspections/tests. TR4 Form - Rev. 7/08

TR5 Technical Report: Pile Driving

Use this form to indicate results of test report for pile driving. TR5 Form - Rev. 7/08

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 …

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 …

TR8 Technical Report Statement of Responsibility for Energy Code Progress Inspections

File this form with the TR1 to identify responsibility or to report the results of completed inspections or tests for compliance with the 2020 …

ZD1: Zoning Diagram

The ZD1 is an 11"x17" title block for drawing that graphically summarizes the proposed zoning bulk, yards and street plantings. The ZD1 includes diagrams …

ZRD2: Zoning Challenge & Appeal

Members of the public use this form to submit a public zoning challenge. ZRD2 Form - Rev. 6/09

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