DOB Permit Application

Step 1: Please provide the below information:          * - Indicates Required Field

1. Basic Information



Full Name:*
 

E-mail Address:*
 
 
DOB Job Number#:


Reason for Filing:

2. Job Information



Borough:
Job Street Address:*
 

Block:


Lot:


BIN:


Can you provide us with the original Dept. of Buildings Folder?



Was this Job approved for Permit within the last year?

3. Business Information



Business Name:*
 

Federal Tax ID# (EIN):


Business Telephone: (xxx-xxx-xxxx)*
 
 
Business Fax: (xxx-xxx-xxxx)


Business Address:*
 

City:*
 

State:*
 

Zip:*
 

General Contractor Tracking Number:


License Type:





 License Number:


4. Permit Type