Pwd Form Db (rev. 1 2010) Pdf Download High Quality

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Jan 21, 2024, 2:32:12 PM1/21/24
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Use this form to certify correction of an OATH/ECB Violation issued by the Department of Buildings. To submit a Certificate of Correction request, use an eFiling account to log into DOB NOW at www.nyc.gov/dobnow and select the BIS Options portal. See the April 2020 Service Notice or Certificate of Correction Request User Guide.

pwd form db (rev. 1 2010) pdf download


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The AEU3321 form must be used to certify the correction of summonses issued for failing to comply with training requirements pursuant to BC Section 3321.1 and/or Section 3321.2.1. The form combines the AEU2 (Certificate of Correction) and the AEU20 (Statement in Support). The AEU2 and AEU20 forms will not be accepted for summonses related to the site safety training requirements.

The Borough Intake Form is used to submit manual applications to the Borough Office. The form improves tracking of submitted requests and allows the Department to send denial notifications electronically. The form must be submitted with the following applications: PW1 PAA, PW1 Withdrawal, PW2, PW6, and PW7.
Borough Intake Form - Rev. 8/22

Use this form to give authorization to the Department of Transportation to issue a Construction Permit for the Builders Pavement Plan Work. Submit this form as part of the Builders Pavement Plan application.
BPP5 Form - Rev. 12/14

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 for justification as part of the BPP application.
BPP15 Form - Rev. 8/04

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 for justification as part of the BPP application.
BPP16 Form - Rev. 8/04

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 a: licensed design professional, registered General Contractor, or licensed Construction Superintendent. The completed typewritten form must be filled out correctly prior to emailing your request. Incorrectly filled forms will be rejected. All supporting documents must be attached .Please submit the completed typewritten request form to C...@buildings.nyc.gov and include the borough and address of the job in the subject line.
CEU Safety Inspection Request Form - Rev. 5/20

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 a: licensed design professional, registered General Contractor, or licensed Construction Superintendent. The completed typewritten form must be filled out correctly prior to emailing your request. Incorrectly filled forms will be rejected. All supporting documents must be attached .Please submit the completed typewritten request form to C...@buildings.nyc.gov and include the borough and address of the job in the subject line.
CEU Structural Inspection Request Form - Rev. 5/20

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 for Inspection Prior to Demolition (CSC2A) with the nine-digit BIS job number on the upper right-hand corner of the form.
CSC2A Form - Rev. 1/19

Use the Construction Safety Enforcement Appointment Request form to request an appointment for Stop Work Order Re-inspections, Partial Stop Work Order Re-inspections and DOB Violation Removals. Once completed send the form to cseappo...@buildings.nyc.gov.
CSE Appointment Request Form - Rev. 8/22

Replaces CD10 form for CN applications only. However, CD10 form still applies for amending CD2 and CD3 forms. To be used to submit any change made after the original application has been approved.
CD4-A Form

To be used to notify the Department's Cranes & Derricks Unit before raising or lowering a climber, tower crane, or derrick Changes include: Derricks have been added as an additional equipment type requiring the submission of a CD7 form when applicable.

File this form after any Crane Notice (CN) inspection is completed. It is filed for every new phase or assembly, including tower crane jumps or climbs (up/down). It is also filed when one year has passed since the last CN inspection. Only the updated CD8 with the specified revision date of March 2019 in the bottom right corner will be accepted. View the form instructions.

This form is filed in addition to a CD8 form when special inspections are required to be performed on structural elements that support the crane or derrick. It replaces the use of a TR1 form, which will no longer be accepted by Cranes and Derricks for new applications filed after March 1, 2019. The crane design applicant who filed the crane or derrick notice application for the job determines when and which special inspections are required in accordance with 1 RCNY 3319-01, NYC BC Chapter 17 and 1 RCNY 101-06. Special inspections shall only be performed by registered special inspection agencies, approved for the project by the crane design applicant. The crane design applicant may perform these special inspections only if the crane design applicant is a registered special inspection agency.
CD8-TR Form
CD8-TR instructions

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 inspection components such as serial numbers, material testing reports, tower crane mast section plumbness and bolt torque. The pre-operational load test is reported on the CD8-AD form, as well as specific inspections to be performed by the assembly/disassembly director. CD8-AD forms are not required for the setup or breakdown of a self-erecting tower crane, provided the setup does not require a boom, mast or other attachment to be installed at the site.
CD8-AD Form
CD8-AD instructions

This form was formerly used to add additional Crane Safety Coordinator to job. Now it will be used to designate the primary lift director. If filed without a CD4, this is considered an amendment and amendment fees apply.
CD12 Form

To be used to credit experience obtained by operating crane(s) that fall into one of the listed Class B HMO ratings, on or before November 9, 2017. Complete and submit the scanned form to the Department's Licensing & Exams Unit at HMORa...@buildings.nyc.gov.
Crane HMO B Rating Registration

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 will not be accepted. All other past uses of this form which were specific only to the device must now be done in DOB NOW: Build. The MC2 should be submitted with supporting documentation, which must include a list of the mast's critical components, the owner's certification and a disclosure of the mast climber's history.
MC2 Form - NEW Application

The POC3 form is to be used when an easement or restrictive declaration is filed in connection with a professionally certified application. The professional must sign the POC3 form, which will contain either the professional's certification: 1) that the easement or declaration materially conforms to the Department's approved form, or 2) that the easement or declaration has been reviewed and accepted by the General Counsel's Office.
POC3 Form - Rev. 12/08

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 issued to the contractor.
BEC43 Form - Rev. 9/10

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 form should be submitted two weeks before the ECRIC meeting order to be considered.
ED76 Form - Rev. 2/09

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 Agency Helper is qualified and is under their direct and continuing supervision.
Elevator Worker Attestation Form - Rev. 11/21

Use this form to certify (a) the elevator application or building notice is complete and in compliance with all applicable provisions of law or rules; and (b) whether or not the application is being filed to legalize an existing condition.
ELV15 Form - Rev. 12/14

Use this form to submit civil penalties owed for Cycle 5 or earlier. For Cycle 6 or later, pay civil penalties in DOB NOW: Safety. See the June 2021 Service Notice for more information.
FCP Form - Rev. 2/15

Use this form to request a waiver of façade civil penalties for Cycle 5 or earlier. For Cycle 6 or later, submit the waiver request in DOB NOW: Safety. See the June 2021 Service Notice for more information.
FWP Form - Rev. 2/15

Use the Construction Safety Enforcement Appointment Request form to request an appointment for Stop Work Order Re-inspections, Partial Stop Work Order Re-inspections and DOB Violation Removals. Once completed send the form to cseappo...@buildings.nyc.gov.
CSE Appointment Request Form - Rev. 9/18

Use this form to request an inspection or re-inspection of a Stop Work Order or Complaint (LS-4) by the Construction Enforcement Unit in the borough where the building is located. The form must be typewritten, filled out correctly and have all supporting documentation attached prior to submission. Incorrectly filled forms will be rejected.

Use this form to request dismissal of a full or partial vacate order. The form must be typewritten, filled out correctly and have all supporting documentation attached prior to submission. Incorrectly filled forms will be rejected. The request must be submitted to the issuing unit:

For Vacate Orders issued by the Construction Enforcement unit or by the Emergency Response Team, submit the form to the Borough Construction Enforcement unit in the borough where the property is located:

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