Job Number - Mandatory
Borough Intake Form
1. Location & Requestor Information required for all requests. Provide location information, requestor’s name, email, and relation to job.
Please note denied requests will be sent disapproval reason (s) to email address provided on Borough Drop-off Intake Sheet.
House No:
Street Name:
Application#:
Date:
Borough:
Block:
Lot:
BIN:
Requestor Name:
Relation to job (select one):
Owner
Applicant of Record
Contractor
Filing Representative
Email:
Owner’s Email:
Initial Resubmission Date:
2. Type of Request Borough Drop-off Intake Sheet is required for each request submitted, ensure all forms are fully completed, signed, sealed and dated.
Select one of the following options:
PAA (Post Approval Amendments)
Submit PW1 (PAA) to make changes to an already approved (P+ status in BIS) application.
Changes made after initial approval are subject to PAA fees and plan examination unless initial job was professionally
certified.
PW1 Withdrawal
Submit PW1 to withdraw all or part of a job.
Initial Work Permit Application
Submit PW2 Initial Work Permit Application if this is the first time applying for this permit.
Select No Work Permit, if this application will not include any physical work to be performed under this permit.
PW6 Certificate of Occupancy Inspection Application (Initial)
Submit PW6 in order to initiate inspections required prior to issuance of a Certificate of Occupancy.
PW7 Certificate of Occupancy /Temporary Certificate of Occupancy /Letter of Completion
Submit PW7 to obtain a final Certificate of Occupancy (CO), Temporary Certificate of Occupancy (TCO),
Letter of Completion (LOC) or renew a Temporary Certificate of Occupancy.
Note: Resubmissions require new BSCAN sticker
Internal Use Only, reason (s) for denial will be indicated below by borough staff and emailed to addresses indicated above.
Disapproval Reasons request cannot be processed for the following reason (s)
Resolve open required items and resubmit for permit.
Job is not approved.
Job is in ‘R - PERMIT-ENTIRE’ status.
Not an initial work permit application must be processed
Job is for different borough submit to corresponding
through permit renewal.
No permits have been issued for this job number.
borough.
Job number incorrect/invalid.
Fees due, pay outstanding fees and resubmit.
Floors invalid.
Job is on hold for ‘No Good Check’, resolve and
Electrical Control Number (s) missing (required for NB
resubmit.
Withdrawal Job/Doc #/Work type is missing/not on file.
filings)
Property/Job on ‘Hold’, see Borough Commissioner’s
Notarization by Superintendent of Construction missing.
Office.
Open ECB/DOB violation (s)
Incomplete PAA
Owner’s signature required for withdrawal.
Missing inspection sign-off (s):
Architect/Engineer’s signature and/or seal missing.
Construction Plumbing Electrical Elevator
Applicant’s information is different from Dept. records.
Permitted application must see Plan Exam for
Other: ___________________________________
determination if withdrawal inspection is required.
Missing required items (s): _____________________
Inspection required resubmit with ‘Final-Pass’ inspection
TR-1 error (s): _______________________________
report (OP113).
Missing/Incomplete/Invalid:
Form (s) _________________________________
Work type signed off, cannot withdraw.
Section (s) _______________________________
PAA approved, cannot withdraw.
Other: ______________________________________
All PAA fees must be paid prior to withdrawal.
___________________________________________
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