Form Per11 - Appointment And Drop-Off Request

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PER11 Appointment and Drop-off Request
(A SEPARATE FORM MUST BE SUBMITTED FOR EACH JOB)
Application must be typewritten
Select ONE of the following options:
Appointment Request
Drop-off (Plan Exam)
BRONX
BROOKLYN
BronxPER11Appointments@buildings.nyc.gov
BrooklynPER11Appointments@buildings.nyc.gov
BronxPER11PlanExam@buildings.nyc.gov
BrooklynPER11PlanExam@buildings.nyc.gov
MANHATTAN
QUEENS
ManhattanPER11Appointments@buildings.nyc.gov
QueensPER11Appointments@buildings.nyc.gov
ManhPER11PlanExam@buildings.nyc.gov
QueensPER11PlanExam@buildings.nyc.gov
STATEN ISLAND
StatenIslandPER11Appointments@buildings.nyc.gov
StatenIslandPER11PlanExam@buildings.nyc.gov
1 ATTENDEE (Required for all applications)
Name
DOB ID#
Business Phone
Cell Phone
Email
Number of Attendees
2
PROPERTY DETAILS (Required for all applications)
Address
Job Number
Document Number
Applicant
P.E.
R.A.
License #
Plan Examiner
3
APPOINTMENT REQUEST
Fee Exempt Job
Pro-Cert Zoning Review
Special Audit (attach Objection Sheet)
Project Advocate
Reassignment
TCU Audit (attach Objection Sheet)
Withdrawal
Self-Certification of Objections (attach Objection Sheet)
Other ____________________________________________________
4
DROP-OFF REQUEST
AI-1(As-Built Plans/Final Survey clearly itemized)
Certificate of Compliance
PAA (attach Objection Sheet)
Equipment Certificate of Compliance Permit
Reassignment
Special Inspection Reports
Reinstatement
Satisfaction of Required Items
Other ____________________________________________________
5 COMMENTS/REASON FOR MEETING (Provide detailed explanation for request)
INTERNAL USE ONLY
COMMENTS:
APPOINTMENT APPROVED:
YES
NO
APPOINTMENT DATE:
TIME:
REASSIGNED TO:
CONFIRMATION #:
REINSTATEMENT FEE:
Rev. 09/17

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