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Industrial And Commercial Abatement Final Application For Certificate Of Eligibility - Nyc Department Of Finance Page 10

ICAP

Industrial and Commercial Abatement

FINAL APPLICATION FOR CERTIFICATE OF ELIGIBIITY

10. AFFIDAVIT AND NARRATIVE DESCRIPTION

If the project does not have an associated engineer or architect, the general contractor for the project

APPLICATION NUMBER

should complete the following:

BOROUGH

BLOCK

LOT

SITE ADDRESS

NAME OF ENGINEER OR ARCHITECT: (IF NO PLANS ARE REQUIRED, NAME OF CONTRACTOR AUTHORIZED TO SUBMIT DETAILS OF WORK.)

TELEPHONE

In addition to this affidavit, attach the following:

✓

Estimated date of completion of project OR actual date of

Executed construction contracts or a statement from the engineer

1st temporary certificate of occupancy (C.O.) OR

or architect detailing cost estimate AND

Final certificate of occupancy.

✓

Narrative description, which MUST include the following:

Include copies of any C.O. issued;

A written description of the proposed project stating the

Contractors and sub-contractors by trade, including

specific work to be undertaken including the floor area (below

addresses;

grade and above grade floors and roof) and location within the

Costs of construction broken down by major categories

property of space created or affected by the work. List each

of expenses;

permit number and the work associated with such permit. List

Number and location of buildings on project property.

any work that did not require a permit. List any work at the

Where multiple buildings exist on a lot or project site,

project site or any permit that overlaps the effective date that

include a survey showing each building;

is excluded from the application for ICAP benefits;

Statement of current or prior use by square feet; OR

Date of start of construction;

Statement of proposed use by square feet; for commercial

and/or residential.

REPRESENTATION AND AGREEMENT

The engineer, architect or general contractor named below agrees and represents that the attachments to this affidavit accurately describe the

work to be done on the property for which the ICAP application is made.

AFFIDAVIT

STATE OF

COUNTY

DATE

_________________________________________________________________, being duly sworn, says under penalty of perjury that s/he is the

______________________________________________________________ for this project and that the statements contained in this application,

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

SIGNATURE

AFFIX OFFICIAL STAMP OR SEAL OF THE NOTARY HERE

Subscribed and sworn to before me this

day of

. 20

_______________

_____________________________________________

___________

NOTARY PUBLIC OR COMMISSIONER OF DEEDS SIGNATURE

THIS AFFIDAVIT AND ATTACHMENTS MUST BE FILED IN CONJUNCTION WITH AND AT THE SAME TIME AS THE FINAL APPLICATION FOR THIS PROJECT.

6/28/2017

Industrial And Commercial Abatement Final Application For Certificate Of Eligibility - Nyc Department Of Finance Page 10

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