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Builder Certification For Temporary Certificate Of Occupancy Form

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Builder Certification For Temporary Certificate of Occupancy

To:

New York City Department of Buildings at

Date: __________________

(please indicate the borough the property is located )

MANHATTAN

BRONX

BROOKLYN

QUEENS

STATEN ISLAND

280 Broadway

1932 Arthur Ave.

210 Joralemon St., 8

Borough Hall

NY, N.Y. 10007

Bronx, N.Y. 10457

Brookyn, NY 11201

120-55 Queens Blvd.

10 Richmond Terrace

Kew Gdns, N.Y. 11424

Staten Island, NY 10301

Re:

Temporary Certificate of Occupancy For:

_____________________________________________________________________________

(Hereinafter referred to as the “Premises”)

This is to certify that at the time of Closing of the Premises, the undersigned (“Builder/Seller”) shall

deposit an Escrow in the amount of Six Thousand Five Hundred Dollars ($6,500) (“Escrow

Amount”) per unit to secure completion of the work required to obtain a Final Certificate of

Occupancy for the Premises. Builder/Seller hereby warrants and represents:

(i)

that the Escrow Amount is sufficient to complete the work required for a final certificate of

occupancy for the Premises and a proportionate share, based upon the total number of units in the

development, of any off-site improvements (drainage, curb, sidewalk, paving, catch/seepage basins,

etc.) to be completed;

(ii)

that Builder/Seller is responsible to cure all Building Department objections to qualify for a

final certificate of occupancy for the Premises; and,

(iii)

that at the time of Closing, Builder/Seller will inform the buyer of the Premises of (1) all

outstanding Building Department objections required to be cured to obtain a final certificate of

occupancy, and (2) the name and address of the holder of the Escrow Amount.

Builder/Seller certifies that the above information is true and correct and acknowledges that the

Department of Buildings is relying on these representations by issuing a temporary certificate of

occupancy for the Premises. Builder/Seller hereby agrees to hold harmless and indemnify the

Department of Buildings from any and all costs, claims and liability of any kind that may arise from

any source which in any way refers to, relies upon or is in any way connected with the

aforementioned statement.

Builder/Seller Name: ___________________________

Signed by: ___________________________________

Sworn to before me this

____day of ________, 20___

Title: ______________________________________

________________________

Notary Public

OP96 (Rev. 8/05)

Builder Certification For Temporary Certificate Of Occupancy Form

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