PW3: Cost Affidavit
Orient and affix BIS
job number label here
Must be typewritten.
1 Reason For Filing
Required for all applications.
Reason for filing cost affidavit:
Cost information provided must be based on:
1A Indicate existing document number
Initial Filing 2-7
Estimated cost of construction
affected by filing:
Prior to Approval Actions 1A, 2-7
Estimated cost of construction
Post Approval Amendment (PAA) 1A, 2-7
Estimated cost of construction
To obtain Sign-off 2-3, 5, 7
Actual construction cost of completed work
2 Location Information
Required for all applications.
House No(s)
Street Name
Borough
Block
Lot
BIN
C.B. No.
3 Cost Details
Required for all applications.
Cost estimates shall include total value of work proposed per § 28-112.3 of the NYC Administrative Code and shall be direct work costs based upon material, equipment
and labor; work shall include all construction elements including, but not limited to, construction equipment, wall and floor finishes, built-in cabinets, and kitchen appli-
ances. Indirect costs, including but not limited to general conditions, insurance, and an allowance for profit and overhead s hall be added to direct work costs and shall be
reflected in the unit costs shown. If in the opinion of the Department, the valuation is underestimated on the application, the permit shall be denied, unless the applicant
can show detailed estimates to meet the approval of the Department. The initial, amended and final building permit valuation shall be set by the department. “Yes” or
“No” must be specified for each “Category of Work” listed below.
Categories of Work (
Must match all applicable categories indicated on PW1.)
Yes
No
Yes No
Yes No
Boiler (BL)
Standpipe (SD)
General Construction (OT)
Fire Alarm (FA)
Sprinkler (SP)
Partial Demolition
Fuel Burning (FB)
Signs (SG)
Non-Structural Demolition
Structural Work
Fuel Storage (FS)
Other (OT)
Interior Renovation
Antenna (OT/ANT)
Fire Suppression (FP)
Exterior Renovation
Fire Protection Plan (OT/FPP)
Mechanical (MH)
(Describe)
Marquee (OT/MAR)
Plumbing (PL)
(Describe)
Work
Unit
Total
Category
Category of Work*
Description of Work
Area/Units
Cost ($)
Cost ($)
Total Cost ($)
TOTAL JOB COST: $
*List ALL Categories of Work specified “Yes” above. Use more than one line for Categories of Work that involve multiple unit costs. See PW3 Form Instructions for a
sample of completed Section 3 Cost Details.
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