Industrial And Commercial Incentive Program Preliminary Application And Instructions (Page 4 of 4) in pdf

Industrial and Commercial Incentive Program - Preliminary Application

Page 2

S E C T I O N

I I I

c o n t i n u e d

11.

16.

Have plans been filed with the Department of

Will the project require any zoning change, other variance or

Buildings?...........................................................

yes

consent from a government agency? ............

yes

If "yes," describe: _____________________________________

12.

Has a building permit been issued?....................

yes

___________________________________________________

If "yes," give date: ______ /______ /______

17.

Has an application been made for any other New York City

13.

Has construction commenced? ..........................

yes

Exemption or Abatement Program, for example J-51,

If "yes," give estimated percentage completed _____________ %

lease abatement, ECSP, prior ICIP, etc.? .......

yes

If "yes," specify: _____________________________________

14.

Date of commencement or projected commencement:

______ /______ /______

18.

This application is for: (check one)

Industrial Exemption

Commercial Exemption

15.

Projected date of completion: ______ /______ /______

Industrial Abatement and Exemption

S E C T I O N I V

A G R E E M E N T S A N D R E P R E S E N T A T I O N S

The undersigned agrees and represents that:

7. The applicant will comply with the Rules and Regulations of the Office

of the Mayor for implementation of Executive Order No. 50 (1982) or

1. S/he has the authority to make this application on behalf of the

amendments relating to equal employment opportunity and trainee

applicant.

programs to the same extent as if the applicant was a contractor with

2. S/he has personal knowledge or information sufficient to make a

the City of New York and will not commence construction work until at

materially correct response to the questions asked in this application,

least 15 business days have elapsed without comment after filing

and that s/he believes all matters stated herein to be true.

Employment Reports for itself and each such contractor, if applicable.

Employment Report forms are available from the Department of

3. A check for $100, payable to the NYC Department of Finance, will be

Finance. Employment Reports shall be filed with the:

tendered with this application, which amount shall be credited to the

application fee due upon filing the final application.

Division of Labor Services

110 William Street, 2nd Floor

4. The applicant shall file a final application in the form and manner

New York, NY 10038

required by regulations or will, upon request, withdraw this application

(212) 618-8823

in writing.

8. The applicant will comply with the rules and regulations of any program

5. The applicant and its representatives will comply with all provisions of

the City may provide to ensure meaningful participation of minority and

law and rules relating to the program.

women-owned business enterprises in construction work for which an

6. The applicant will notify the Department of Finance in writing 15

applicant receives benefits.

business days before commencing any demolition or construction work

at the project site.

A F F I D A V I T

STATE OF NEW YORK

SS:

COUNTY OF

_____________________________________________________________, being duly sworn, says under penalty of perjury

that s/he is the applicant or the ___________________________________ of the applicant, that the statements contained

in this application, including any attachments to this application, are true to his/her knowledge.

Signature of APPLICANT OR REPRESENTATIVE

Subscribed and sworn to before me this

Affix

___________day of________________ 20______

official stamp or

seal here.

________________________________________

Notary Public or Commissioner of Deeds

NYC Department of Finance

ICIP

PLEASE MAIL TO:

66 John Street,

New York, NY 10038

Industrial And Commercial Incentive Program Preliminary Application And Instructions Page 4

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