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Get NYC Buildings PW7 2014

PW7 Certificate of Occupancy / Letter of Completion Folder Review Request Orient and affix BIS job number label here Must be typewritten 1 Location Information House No s Street Name Borough Block Work Proposed on Floor No s Lot BIN CB No. 2 Requestor Information Individuals Relationship to Job example applicant owner filing representative Last Name First Name Middle Initial Business Name Business Telephone Business Address Business Fax City State Zip Mobile Telephone E-Mail License Number 3 Type of Request Choose one. TCO - Temporary Certificate of Occupancy Borough Commissioner s Office may be required* All requirements must be fulfilled before a TCO will be issued 3A Renewal of TCO - Temporary Certificate of Occupancy Borough Commissioner s Office approval may be required* All requirements must be fulfilled before a TCO will be issued 3A Final Certificate of Occupancy 3A 3A Change of address block/lot metes and bounds only 28-118. 16. 2 4 Comments If additional space is required write see A1-1 here and submit a completed A1-1 form with this request. 5 Statements and Signatures By signing below I understand that all the information provided is true to the best of my knowledge and that falsification of any statement is a misdemeanor under 26-124 of the NYC Administrative Building Code and punishable by a fine or imprisonment or both. It is unlawful to give to a city employee or for a city employee to accept any benefit monetary or otherwise either as a gratuity for properly performing the job or in exchange for special consideration* Violation is punishable by imprisonment or fine or both. Requestor Signature Date Borough Commissioner s Office TCO Authorization Do not write in this section* Comments Authorized Name please print Approved Authorization Signature if approved only Disapproved Disapproval Reasons Review request cannot be processed for the following reasons Fees unpaid Missing inspection Sign-off s Open ECB/DOB Violation s Construction Missing Required item s Form s missing/incomplete Form s Plumbing Incomplete PAA Electrical Audit Conditions Pending / Job on Hold Other TR-1 Error s Section s /Reason s 12/14. TCO - Temporary Certificate of Occupancy Borough Commissioner s Office may be required* All requirements must be fulfilled before a TCO will be issued 3A Renewal of TCO - Temporary Certificate of Occupancy Borough Commissioner s Office approval may be required* All requirements must be fulfilled before a TCO will be issued 3A Final Certificate of Occupancy 3A 3A Change of address block/lot metes and bounds only 28-118. 16. 2 4 Comments If additional space is required write see A1-1 here and submit a completed A1-1 form with this request. 16. 2 4 Comments If additional space is required write see A1-1 here and submit a completed A1-1 form with this request. 5 Statements and Signatures By signing below I understand that all the information provided is true to the best of my knowledge and that falsification of any statement is a misdemeanor under 26-124 of the NYC Administrative Building Code and punishable by a fine or imprisonment or both. .

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