Pw7 Form

PW7 Certificate of Occupancy / Letter of Completion Folder Review Request Must be typewritten. Affix BIS job number label here. 1 Location Information House No s Street Name Borough Work Proposed on Floor No s Block 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 approval may be required. All requirements must be fulfilled before a TCO will be issued 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 Final Certificate of Occupancy 4 Comments If additional space is required write see AI-1 here and submit a completed AI-1 form with this request. PW7 Certificate of Occupancy / Letter of Completion Folder Review Request Must be typewritten* Affix BIS job number label here. 1 Location Information House No s Street Name Borough Work Proposed on Floor No s Block 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 approval may be required* All requirements must be fulfilled before a TCO will be issued 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 Final Certificate of Occupancy 4 Comments If additional space is required write see AI-1 here and submit a completed AI-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 is 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 Authorized 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 Incomplete PAA Plumbing Electrical Audit Conditions Pending / Job on Hold Other Missing Required Item s TR-1 Error s Form s missing/incomplete Form s Section s /Reason s 6/07.